HomeMy WebLinkAbout020-1361-02-000Parcel #: 020-1361-02-000
01/25/2005 04:55 PM
PAGE 1 OF 1
Alt. Parcel #: 23.29.19.2132 020 -TOWN OF HUDSON
Current ',Xj ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): * =Current Owner
* MAGNUSON, DREW R & LISA A
DREW R & LISA A MAGNUSON
740 BADLANDS RD
HUDSON WI 54016
Districts: SC =School SP =Special Property Address(es): * =Primary
Type Dist # Description * 740 BADLANDS RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.120 Plat: 0229-CRIMSON VALLEY LOTS 1/7 '99
SEC 23 T29N R19W PT SE SW CRIMSON VALLEY
LOT 2 2
120AC Block/Condo Bldg: LOT 2
.
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
23-29N-19W SE SW
Notes: Parcel History:
Date Doc # Vol/Page Type
07/11/2000 626161 1525/285 WD
10/19/1999 612333 7/69 PLAT
11/03/1998 590633 1373/021 WD
2004 SUMMARY Bill #: Fair Market Value: Assessed with:
50037 330,900
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.120 54,300 201,700 256,000 NO
Totals for 2004:
General Property 2.120 54,300 201,700 256,000
Woodland 0.000 0 0
Totals for 2003:
General Property 2.120 54,300 171,800 226,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSM ENT 27.00
Special Assessments Special Charges Delinquent Charges
Total 27.00 0.00 0.00
Wisconsin Department of Com(nerce PRIVATE SEWAGE SYSTEM
Safety and Building Division '.
' INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes iPrlVaCy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township
Ma nuson, Drew Hudson Townshi
CST BM Elev: ~ Insp. BM Elev: BM Description:
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic
E:IL
Dosing
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. vent to Air Intake ROAD
Septic y ~ - ~ t _
Dosing
Aeration
Holdin
PUMP/SIPHON INFORMATION
Number
SOIL
r
Dist. to Well
GPM
ELEVATION DATA
county: St. Croix
Sanitary Permit No:
405071 0
State Plan ID No:
Parcel Tax No:
020-1361-02-000
STATION BS HI FS ELEV.
Benchmark
2•S3
ILLS
Icu •o`
Alt. BM
Bldg. Sewer
3.`~ f
og,
SUHtInlet ~/,~
7 `o~-~~t
SUHt Outlet
Dt Inlet
Dt Bottom
Header/Man. (p. ~Z
OJ~+ ~
' S~
Bot. System ~e. „
,
~
Final Grade C ( .3 p '
~ r
~ C
St Cover 3 „;~- t 0 I
Of Pits Ilnside Dia.
SETBACK SYSTEM TO ~~'`~ /L BLDG WELL LAKE/STREAM LEACHING M ufacturer:
INFORMATION CHAMBER OR I F
Type Of System: ~ t UNIT
Z b • "`' I ~ ~~ ~~~- Model b~,r:~i /
V.
DISTRIBUTION SYSTEM u, L ~,LCt P/[..
Header/M nif I `~
Length" ia~ Distribution
Pipe(
Length Dia Spacing x Hole Size x Hole Spacing Vent to Air Intake
~ ~ ~ ,L
t
SOIL COVER x Pressure Systems Onlv zx Mound Or At-Grade Systems Onlv
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil $
I~ Yes [] No
^ Yes [] No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1~~3~•Z- Inspection #2: 1--:--~
Location: 740 Badlands Road Hudson, WI 54016 (SE 1i4 SW 1i4 23 T29N R19W) .Crimson Valley Lot 2 Parc
1.) Alt BM Description = sr"~ ""'~ ~~f • -'r..l„~ S''~S~''
2.) Bldg sewer length = Z' ~~
- amount of cover = ,ant ~ ~ ` r"
~ 5l ~~ I ~ ~
loS. S~
Sf.«~,, g ;,KQ .(~Q~., L,,~~
2F
os
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g• o ~, ~o`{ ST'
3D = oy
2S
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3~ ~ ~~~D lac!
--- .
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Plan revision Required? No ~ 7 ! O~
Use other side for
dditi
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~t~1~1'h t'~C ~ Date
SBD
6710
R
3/97 _ . _ ___ ____. ____ ____
Insepctor's Signature - - ___: __
____
Cert. No.
-
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1-~- IP Gir 1 tl t~-l..l ~
- n County
•~ 201 W. Washington Ave., P.O. Box 7162
SC~~SII ~ ~ n, WI 53707 - 7162 Site Address
Department of Commerce ~"I L-a ~- 3 SS3`1~ y
Sanitary Permit cation ~~' Perron Number
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide heck if Revision ~a~
ma be used for seco ses Priva Law, s15. 1 m
I. Application Information -Please Print All Information State Plan I.D. Number
Property Owner's Name ~ Parcel Number
Property wner's Mailing A Juy
3 / ~ ~ 0 4 ~00 Property Locanon
~ '~ ; ~ N. E
City, State Zip Code b~
ON~NG OUNTy Lo~umber ~ Block um
S~o/~ OFFICE Subdivision Name M Number
r /
C~ ~
II. of Building (check all that aPP1Y) ^City
~
or 2 Family Dwelling -Number of Bedrooms ^Villago
^ Public/Commercial -Describe Use lup
^ State Owned Nearest R
III. Type of Permit: (Check only one box on line A (ntmtbering scheme for internal use). Complete line B if applicable)
A
2 ^ Replacement System
3 ^ Replacement of
6 ^ Addition to For County use
S stem Tank Onl Eris ' S stem
Permit Number Date Issued
B. Check if Sanitary Permit Previously Issued oS~ 5~/3 o Z
IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use)
44 Non - ressurized In-Ground 21^ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland
~ ^ pre~~ ~{~,round 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line
~ ~
^
S ~r
•
Other
45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30
V. D' rsal/1Yeatment Area Informati on:
Design Flow (gpd) Dispersal Area
Required Dispersal Area
Proposed Soil Application
Raoe(Gals./Days/Sq.Ft.) Percolation Rate
(Min./Inch) System Elevation Final Grade
Elevadon
~~~ ~~ ~ ~~
~~~ 0 ~
D / .
VI. Tank Info Capacity in
Gallons .Total
Gallons Number
of Tanks Mamtfacturer Prefab
Concrete Site
Constructed Steel Fiber
Glass Plastic
New Existing
Tanks Talcs
Septic or Holding Tank _ Z~V C~
Dosing Chamber
VII. Responsibility Statement- I, the undersigrted, a responsibility for installation of the POWTS shown on the attached pleas.
Pltun is Name (Print) Plumber's Si
~, MP/IviPR7S Numbe~rr/
~G ~~!/ Business Pho~~Numbefr
~~T O`~J ' ~ ,
Plumber's Address (Street, City, State, e)
r
VIII. Count /De arrtment Use O
Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
e Fee)
Surch
y~
~
~ ~ ~
^ Owner Given Initial Adverse ~~
I
Determination
1X. Conditions of Approval/Reasons for Disapproval
rr -f-~-t=S ~,~q sfl~
r~~~~(~-~'` is
.~__ Q,,, _ „ ~__~_ ~_ .~_
ALtaCII COmpl![! prams lW we i..auo[y vwyl ^w Inc s~xcw w p.p..........q- .._...,-. - - __ ---.
SBD-6398 (R. OS/Ol) ~
~ ~ ~ .
Wisconsin Department of Commerce
Division of Safety and Buildings
SOIL EVALUATION REPORT
Page ___~__ of '2__--
rn accoraance wrtn t•omm tsa, vns. rwm. t•uue County /!
Plan must
Attach complete site plan on
er not less than 8 1/2 x 11 inches in size
a L
p
.
p
inGude, but not limited to: vertical and horizontal reference point (BM), direction and p~ I•p,
percent stops, scats or dimensions, north arrow, and location and distance to nearest road.
Please print all information. ~ ~ by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z
Property Owner rtY L lion
4 ~ T
R/ E
W
s
(~ Govt. Lo (
1/4
(,~
N
Property Owne
ailing Address ~ U N 0 4 # subs' "art's or csM#
~
~ ~`7 ~i c
City State Tap Code Phone um
~T. CROIX C
U~ ^ Ilage Mown Nea t R
~~~ ( ZONING OF IC
w Constnu:tion U esidential / Number of bedrooms Code derived design flow rate ~ GPD
^ Replacement ^ Public~or mert~al - Desrxibe: _____ _.__-._ ___.___._
Parent material O~eat's%G'~~ Flood Plain elevation if applicable ,/1i,~~ ft.
arewmons•~~ ~/~~ / o ~/ ~; l o ~f. Z
~ 3 , s ` ~e,l,rw ~
1 ~ ~ Boring # ~ tjonng /~ 7 ~ _ ~//~
[_~J Plt vivunu ~u~ ~nw esrov f ~ ~• ! n. unpu i w mrnui n~ ~a~nv~ cT_ n ~.
Soil iCetion Rate
Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP DIfP
in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-/ Z ----- ~- ~ ms's ,~. -
~~ c ~ ~ `r v
'o~. ~l
3~~ ~ .S~
Boring # ~ Boring
Pit Ground surface elev. _~~ft• Depth to limiting factor ~~_ in. ~ ~~ Rate
Horizon Depth Dominant Color Redox Description Texturo Structure Consistence Boundary Roots GP D/fF
in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2
6 '~- s 3 z .---- S ~.T
Z J S ~~ 3 ~.d .6
3 - ~ ~---• / ~ ~
~-. ~ ~ . ~
'Effluent #1 = BOD > 30 < 220 rttglL and TSS >30 < 150 'Effluent #2 = BOD < 30 rnglL and TSS < 30 rtxflL
CST (Please, lure CST Nurtd~er
d
Address Date Evaluation Conducted Teleptrone Number
Parcel ID #
Page of
BOr1 # ^ Boring ~/~~~. ~
it Ground surface elev. ft. Depth to limiting factor ~ in. Soit lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP-
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'E
ff#2
~ ~-- S-- ~" K. . ~- n
J
a Boring # ^ Boring
^ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil lication 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
^ Boring
~~ # Ground surface elev. ft. Depth to limiting factor in.
^ Pit Soil ication Rate
Horizon Depth Dominant Cd Redox Description. Texture Structure Consistence Boundary Roots GP D/fl=
in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2
'Effluent #1 =BOOS > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-6330 (8.6/00)
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S
PLOT PLAN
PROJECT ,~~{~c/ ADDRESS /j/mss / S ~~/~
S~ 1!4 5~~1/4Sa lT ~ /R ~9 W TOWN COUNTY ~~
!~_
DATE _- BEDROOM
MPRS Shaun Bird 226900
CONVENTIONL~b~j~ IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZF~ ~ LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE . ~ ABSORPTION AREA~~~' # of chambers X~
BENCHMARK V
R
P
~
#
.
.
- ~) ASSUM
. ~<<.sC
( nA. E ELEVATION 100' Filter Zabel A-100
^ BOREHOLE O WELL sH.R,p, Same as Benchmark
SYSTEM ELEVATION itJ ,
Vent
>6„ Standard Infiltrator Plans Designed Using
Conventional Powts
of Cover Leaching Chamber
with 31.1 ft2 of Area
" Manual Version 2.0
6' Long 12
Grade at System Elevation
34"
~~~
~~~~ Zs~
02"~ ~ ~~/ 3a~ 10
7
~- b 3
f
~~~~~~ ° '
a
sl ~ ~'~
~~ _
v _ a. ~---
f~-l~ ~
r
• 1 Safr~y and Buildings Division ~ f
- ~ 201 W. Washington Ave., P.O. Box 7162 County ~/ r • C, f ~ ~
~` ,~~O~S+,n Madison, WI 53707 - 7162 Six Address
o~~ s-v ~ r,~/J ~ -~~
;,department of Commerce S'-i ~~ ~~ ~ Sanitary ermitNumber
Sanitary Permit Application ~~ ~~ ~ ~
In accord with Comm 83.21, Wis. Adm. Code, persoml information you provide ^ Check if Rev on
ma be used for seco Priv Law, s15. 1 m
I. Application Informati -Please Print All Information Sfax Plan I.D. Number _~
f
Property Owner's Name G r+~` ~ Q -r~ 3 ~P l _ d a _ DD
r _ R
- 4 Property Location
property Owner's Mailing Address ~ I Z /~ ~~ MPy Q 1 2 ~~ ~ ~ ~,~
TY F ~ 54; S ~ T N, E
ZO N FIGS Lot Number Block Number a I3
City, State Z~~~~ P~ G F Z -- ~ 3.2~ • ~g
~~ _ - Subdivision Name CSM Number
71 ~ ; /cwt ~ ~ ~ ~r ~~n ~ .
.Type of Building (check all that apply) ~ / ^~ity .
or 2 Family Dwelling -Number of Bedrooms / ^Village
^ Public/Commercial -Describe Use 'p ~~~
^ Stax Owned N tad /
~ T2 c~tc~rt.~s icJ 2 c.~- . 3 ` x ~ ~ ~ ~' ~
III. Type of Permit: (Check o y one on line A (ntmtbering scheme for internal use). mplete line B if applicable)
A. County use
1 ew 2 ^ Replacement Sysxm ^ Replacement of 6 ^ Addition to
sxm T Od stem
Number Dax Issued
B. ^ Check if Sanitary Permit Previously Issued
IV. Type of Permit: (Check all that apply)(ntionbering eme is for irate
47 ^ v ilxr 50 ^ Consuucted `~
44 on-PressurizedIn-Ground 21^ Mound 1
2~ U pressurized In.~round 41 ^ Holding Tank 48 ^ le Pass i ^ Drip y
45 ^ At-Grade 46 ^ Aerobic Treatment Unic 9 ecitculating ^ Othe~ `' ~ v {~
V. D' eatment Area Information: s e F rade
Design Flow (gpd) / Area / Dtspersal Area Soil don Pe flevadon
f f proposed al ys/Sq.Ft. ) ~ ~ ~~'
~~ 1~' ~ ~ ~ 1 / 'r'
VI. Tank Info Capacity ~ oral Numbe cturer Pr Six Steel -Fiber Plastic
Gallons Gallons of T Conc Constructed Glass
New 13xisting ~ ~':~~ ! J~i"1
Tanks Tanks
Septic or Holding Tank -
Dosing Chamber
VII. Responsibility Statement- I, the anti assume respo~ility for instaDation of WTS shown on the attached plans.
Plumber's Name (Print) Plumbe cure ~ Mp/MPRS Number Business Phone Number
`5~~.. ,~
Plumber's Address (Sheet, City, Stax e) , l ~ ~~ L /
VIII. oun /De artment Use Oal
Sanitary Permit Fee (includes Groundwaxr Dax Issued Is Signa Stamps)
Approved ^ Disapproved Sure a Fee) -
n ~ ~~v~
^ Owner Given Initial Adverse o(o~ ~ ~~ ~(3 0
Determination
IX. Conditions of ApprovaUReasons for~pproval ~ - ~ • C~Yyz. ~ 3 . ~ 3 ~ ~ ~ ~`~-t' vn~S~
S~~w~tJ D'~ ~+.
~~, (((~~/ ~ NoT ~xc~~-7~~~ o~J ~P~n c~~~~''Ir '~!.~/fVt - l~e~~' H '~`~~ ~ Off- ,
Attach complete phw (w me cooatr ody> ror me ayatem on paper not less moo 8112 : li ioehe. In size ~ F/'~ . -S/~~CS
I~', eRT1~~4R (R ()5/Oil
,~i-~c,~/ ~ PLO LAN `' ~ ~ /~~°„~~1 ~r~// ~~d ~-~
PROJECT maid-mod ''~ ~ RESS .
SE i / a SW i /a s 23 /T 29 w TowN Hudson COUNTY ST. CROIX
~- -~
MPRS Shaun Bird 226900 DATE5/3/02 BEDROOM 4
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 ~ of cbamb rs 30
,BENCHMARK V.R.P. Top of 3/4" pipe with Lath ASSUME ELEVATION 100° Filter Zabel A-100
^ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 94.0/93.0 5' Below Grade
Crimson Valley Road
Please note: will not be using B-4 or B-6, ~
system elevations were based on contours ,r/ :~
2 3' X 94' Cells with >3' Spacing B"'~ further testing may need to _ v one if ~~
^ ~] system does not work f ro house location
Vents
~, 40' B.M. #2
~ i
30' ~ 30'
~ B-6_
~~.5
25'I 8°Io
B-2 ~
q~.8
B-
30'
B.M #1
10' O,
b
~ ~10~
10' "
ST
Pro 4
Bedroom
House ,,
W,,"'"
Plans Designed Using
Conventional Powts
Manual Version 2.0
Vent
>6"
of Cover
Badlands Road
112„
6' Long
Standard Infiltrator
Leaching Chamber
with 31.1 ft2 of Area
at System Elevation
Wisconsin Department of Industry,
Labor and Human Relations
Division of Safety 8 Buil~ngs , .
SOIL AND SITE EVALUATION REPORT
in accord with II HR AA 15 tic Brim r~,~o
Page ~ of 3
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST. C~2.p lX
not limited to vertical and horizontal reference point (BM), drection and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to near oZO - l 0 63 - lp _ 1 I ~•
APPLICANT INFORMATION-PLEASE PRINT 14~IN ~PO'N
!~ R BY DATE
,
,
-.. , . ~ (~i.Zr~ S~/
PROPERTY OWNER: 6 L~IJN 8 . S~`R.t ~, j~ Z,~,yl PROPE~TY LOCATION
/
~o ~q D S~1Z ~ lvD ~~E _
5 ~ va S w vas Z 3 T Z. 9 ,N,R l q E for w
PROPERTY OWNER':S MAILING ADDRESS. _ ,////
ZZ-~ 5 0~~ ~ ~ Sl,
« ~
t ~'
Z BLOCK # SUED. NAME OR CSM #
Z
.
y - C~~ ~ SUty V Pty-\.~
1
CITY, STATE _ ZIP CODE ,NE NUM Ct~
1~•1U~Z 1-'f~t~S
~JI S~t~tZ (~~) ~ °-
% VILLAGE ®fOWN ' NEAREST ROAD PRAaO St's
'
~ . DSO N e21r1SON VA-t~.~1 2D
[~ New Construction Use [~] Residential / Nu ms - "~ [ ]Addition to existing building
(]Replacement [ ] Publi r commeraal "ib~ I ~'
~
Code derived daily flow 6 0 o gpd
Recommended design loading rate • ~ bed, gpd/ft2 • ~ trench, gpolft2
Absorption area required~~~, ft2 ~ SO trench, ft2 Maximum design loading rate •~ bed, gpolft2 • $ trench, gpd/ft2
Recommended infiltration surface elevation(s) S ~- 1~1 ~Y't-5 OrJ ft (as referred to site plan benchmark)
Additional design /site considerations ~R~c
Parent material Lo ~ g ~ y t;'r. Shy ~v~..~f~SN Flood plain elevation, if applicable ~'-yA ~ ft
S =Suitable for system
U = Unsuitable for stem CONVENTIONAL
®S ^ U MOUND
®S ^ U IN•GROUND PRESSURE
l~ S ^ U AT GRADE
®.S ^ U SYSTEM IN FlLL
^ S 8 U HOLDING TANK
^ S ® U
SOIL DESCRIPTION REPORT
Boring #
aM~.:
;~;;~;~.
~` ~`
~.~{ :.~;
~:\Y ' ~'YLS'
w''~I~mY
zs' %~ (~~
Ground
elev. prr
~ 6 •$ fts7
Depth to
limiting
factor
~ t~~o,.
Boring #
';
Ground
elev.
a_~ft•
Depth toZ
limiting
factor
> C OZ"
Horizon Depth
in Dominant Color
Munsell Motfles
Q
S
n
C Texture I Structure Consistence lBoux~ry Roots GPD/ft
. u.
z.
o
t Color Gr. Sz. Sh. g~ tert~t
D -l0 ti 0 `1,tz 3 L z - S 1 , 2-`~ SU'~ c~,s ~ C. W ~ - 5 - ~
z 10 ~~ ~o~.tiz 3~ ~ - s i 1 Z'rn s~ m'fi- ; r ~ - • 5 -to
3 X18-ion -~ . S ~ r~ ~1 ~ - S b s ~ h, 1 - - • ~ . 3
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Rcmer4a-
0-l t) lo~t~Z3tz -
S 1 ~
2-~ jb12 _~
!~ g~}
Cpl)
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~ S
Z l o -za l o~~ .~! 6 - s l 1 ~. m s 1~ ~ t,.t.'~t- C S -- - S • b
3 ~S'-~L'- 7. S Y tZ 3l y -- S~ 6 r- U 4 9 Yvt 1 C W ~ -'1 -'~
4 ~~--oZ ~. s ~ 2~1c~ - ~ c~ a~ rh 1 . ~ `..8
_ _ s.ee.6 .
Remarks:
Name.-Please Pnnt Phone:
Arthur L. WeQerer 715-425-0165
gerer So'1 Testing & Design Service-P.0. Box 74 River.Falls,WI 54022 .
ature: l Date: CST Number:.
~' ~> ~ ~~-~ ~'~-y/~ Z .~-i (~;~t~ 220254
~~
PROPERTY OWNER S~{11VD SOIL DESCRIPTION REPORT
PARCELLD.~ O ~ , lOV~-l0. lIU
Boring #
.•'•~ ,'
rou
elev.
eA ,~- f .
epth to
limiting
factor
> ~tv'r
Boring #
~.:<
..:..
..>:.
~~ = y
Ground
elev.
~up_o ft.
Depth to
limiting
factor
> t l 6'
. ~ -
Page ? of ~
Horizon Depth Dominant Color Mottles Texture Structure GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Botxxiary Roots
~ o - `Z- ~ D `'t R 3! i. Bed Trench
s i Z S b sc~l C,LV _ , S .~
Z. tZ-111 tO Y2 3!C 51 ~ 2 ~1 Sb-z wl'll^ CS '` .5 -~
3 cj$,II `i.gc-t~ 31~ - S O S9 1'1'1 - •-? .~
~~ ~~U ~~ ~~~~~ ~
i
~~• ~~~
Remarks: _ /ti~-1, ~I,~ya~ir,, ~ tj ~ ta~~n~~ .airti /~.
2. ~-~Z
IZ -3y to~,~ ~~z
l u ~I R 3/b
~. " si-1
sit z,~'sbk
Z ~ s bk
3 3y-s3 j 0 ~tR 3l(0 - Si ~ 1 es~~
y S3_t-l, `~.S `1{Z.3/ ~ S~6t- C~ S~
Remarks: d.~
Boring #
~'< S
3 3y-SZ ~.S`tR Y/6
Grqu
levo SZ-tl2 )~ ~ IZ yet,!
Depth to
limiting ~ C f • ~ r „~ h
lli
factor
? ~lZ`' " l ~
Remark s:7d ~iiti- bn-~
Boring #
................
3 34-60 ~ . S `1 tz 3 l~
Ground
elev. lj
98.5 tt. bp_112 7.S `-t ti 3/y
Depth to
limiting
factor
> 1 1 Z`~
Remarks:
r r. rl fl •••Inrf~ •.r •• ~•
G'z2~'~-
~~1- r~s - • s 1.6
M 1 _ -~ i . 8
s 1 I Z`f s~ ~s~ e~ - .s 6
-' 1s o s9 ~ 1 cw ~ •~ -~
1 ~ s -~ - •-~ ~ • s
'l• b.2 ~
- sit Z~sb1~ rash
- siI Zvwsb-~ ~-~'--
...._ S ~`~' S O S~ yvt ~
S dg m ~
~pv - •s '•6
cS - . S (. ~
CS _ •S ,>,
- •~ •~
PLOT PLAN
SCALE 1"= y0 '
Page 3 of 3
av L _ o ~ - S pt-C
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~ 715 ) 425-(11 n5 It
CST Signature Date Signed Telephone No. CST #
~~-lo~tt*~ s TLOaco
Wisconsin Department of Industry, S 01 L AND SITE EVALUATION REPORT Page ~ of 3
tabor and Human Relations
Division of Safety 8 Buil~ngs in accord with ILHR A3 n5 Wis Arim (:nrio
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but S7'. C2~ lX
not limited to vertical and horizontal reference point (BM), drection and % of slope, scale or PARCEL I.D.;e
dimensioned, north arrow, and location and distance to nearest road. ' OZO - 1 p 63 _ 'j ~ _ 1 I ~'
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: 6 LAN g . S'!_T t L~! N STZ.~y,~p
~
c
~ PROPEATY LOCATION _
O
'
A D S~1Z ~R lvD -~-~ S c 1/4 S t.V 1/4,S Z 3 T ~. °l ,N,R L 9 E (or IN
PROPERTY OWNER':S MAILING ADDRESS.
~ Z-7 5 0~~ ~ ~*-- ST' LOT: BLOCK ;t SUED. NAME OR CSM;s
Z
-
.
CITY, STATE ZIP CODE PHONE NUMBER
~.1Ut2 1-,PrL.`S,~JI S~i~'_Z (~tS) y
9~_ 3? 6g, Cr~Z.~ wt SU tv V A~~k
`-'1
^CITY ^VILLAGE MOWN ' NEAREST ROAD Pt2.pPp S~
~i
S
, ~
O N ~21w1SON Vk~~~t 2D
(~ New Construction Use [~ Residential / Number of bedrooms y [ ] AddiSQn to existing building
j ]Replacement [ ] Public or commercial desaibe
Cade derived daily flow 6 0 o gpd Recommended design loading rate • ~ bed, gpd/ft2 • ~ trench, gpolft2
Absorption area required S S u bed, ft2 ~ SO trench, ft2 Maximum design loading rate • ~ bed, gpd/ft2 • $ trench, gpd/ft2
Recommended infiltration surface elevation(s) S ~- N t~'i'~""S oN ft (as referred to site plan benchmark)
Additional design /site considerations ~P;U'=
Parent material L.o ~ S ~ y ,`s'. Sty,., ~~~ wt~-SH Flood plain elevation, if applicable ~ Nq . ft
S =Suitable for system
U=Unsuitable for s stem CONVENTIONAL MOUND
®S D U ~ ®S D U IN•GROUND PRESSURE AT GRADE
®S D U I ®.S D U SYSTEM IN FILL HOLDING TANK
D S ®U I D S ® U
SOIL DESCRIPTInN RFPf1RT
Boring #
{~ ;:::f
>~~ ] r<
~t< ~='
~~>-
Ground
elev.
~ 6 .aft
Depth ro
limiting
factor
> L~Jp"
Boring #
Ground
elev.
q3.8 ft
Depth to
limiting
factor
OZ~
Horizon Depth
in. Dominant Color
Munsell Mottles
Qu
Sz
Cont C
l
(Texture Structure
I
I Consistence
IBotr>rfary
I Roots GPD/ft
.
.
or
o Gr. Sz. Sh. Bed rt~ctl
I 0-10 l0`'I,GL 3[z. - Sl ~ ?`~~U'r~ ~l,s~ C.W ~ • 5 •~
Z 10 ~~ 10 `i `~- 3~ 6 - s i ~ ? ~1 S ~ >~! '~l- ; , S - • 5 - to
3 y8-goo -~ . S ~ t~~ 31 ~ - S O S =~ m 1 ~ - • -1 .3
Ramarkc•
I o-l0 )o~t~Z3tz - sit ~-s~bk ~g~ ctti _ .s .~
Z 1O-'LS 10~'t2 .3l(, - S1 S ~. wt S~~r h1~'r CS 'S 'b
3 ?.~' y~ 7.S `!tZ 3lY S~6r Ll 4g tivt 1 CW - -1 .~
v ~~-tpZ ~. s ~2~1c~ - ~ ~ ag m ~ , _ .-, i.a
Hemarlcs:
Name:--Please Print Phone:
Arthur L. We~erer 715-425-0165
gerer Soil Testing & Design Service-P.O. Box 74 River.Falls,WI 54022 ~' .
azure: ` ~ Date: CST Number:.
z~ 220254
PROPERTY OWNER ~ 1 ~ f13~1U SOIL DESCRIPTION REPORT
PARCELI.D.~ O ~ - 10V~-10. ~ to
Boring #
.::~ ~:,
~.
Ground
elev.
~ ~ It.
Depth to
limiting
factor
~ tl~I',
Depth Do
C
l
Horizon
O- `Z o
or
Munse
3! Z
l
` Mottles
Qu. Sz. Cont. Color
Texture Structure
Gr. Sz. Sh.
Consistence
.
D
1 1Z
~
S t
2 S b `-
S ~1
Z 1Z- ~ $ t O '~? R 3 /L ~ 1 ~ ~ rr~ S bFz 1v1 ~1^
3 ug,tl~{ ~.S~R 31y~ - S o ~9 m
r-semarK S:
B
oring #
:
;
.
;
~ y ~~~~` Z lZ -3y l U ti~ 3l6
3 3~~S3 ! p ~ R Jl ~
Ground
quo o tt. y S3-i~b °~.S `tfZ3l
Depth to -
limiting
factor
>tt6.
Remarks:
Boring #
<~ S
Ground
elev
~q.o It.
Depth to
limiting
factor
> LIL'*
sL 1 Z.,~'s b>z
Sit Z~nsbk
'' si( 1 esb>z
'' : S eC G ~. C~ S ~
Page ? of ~
3axx~iry Roots GPD/ft1
Bed Tiendi
~. $ - . 5 - ~
- •7 ,~
~~1- r~s - • S ?- 6
rn `~~ cs • Z- ~ • 3
~ I _ -~ i . 8
J o-t~ to`-t.tz. 3/i- - si I ~c.`~Sb1z c~s~1 Ctti - .s . 6
Z 1o-~y ~u~~z 3/6 - s'l( ~msb~. ~1`f~- cs - •s ~.6
3 3`1-sz ~•SyR Y/6 - \~ o s~ ~ 1 cw _ •~ -ti
sZ-t12 to ~! Iz y/y - s ~ s ~ - .-, ~ .8
~
.
i
!.
n.. _i.
Boring #
~I<2 b~ Z q-3q to ~~ 3/c .
................
~~-6D
3 ~ - S `1 R- 3 L~
Ground
~ -
, elev.
9S•S ff. LJ 6D-112 7•S `-t~2.3/y
Depth to
limiting
factor
~ 1 1 Z`~
sit Z~sb~, r~.s ~r~ - . s `.6
s i I Zvrr S btu wa ~-- cS ~- . s ~_.6
-- s~~s o s~ ~ I cs _ •s ,~
S d g h'l ~ - •1 I •~
Remarks:
PLOT PLAN
Page 3 of 3
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CST Signature Date Signed Telephone No. CST #
~FtOL4t*~h~ S j2AF\D
ST CROIX COUNTY
' SEPTIC TANK MAINTENANCE AGREBMENT
AND
OWNERSHII' CERTIFICATION FORM
OwnerBuyer
Mailing Addt~ss ~3/ Z j Z~,
property Address 7 `6 C~cl~ jc~.~~~ ~ ,~
(Verification required from Planning Department for new canstniction).g- ~ ~ /S ~ -
~~~ ~ w~ Parcel Identification Number
City/State
LEGAL DESCRIPTION ~ ~ /~d/ '- ~ -QoU
property Location~~ u/s, ~~'/4, S~~ T ~'`~N R W,
Subdivision C/~ ~~
Town of~
Lot #~
~-
Certified Survey Map # ,Volume ~- . _ Pie # ~-
/ ~ J I ~~~ J Pa e # ~~~
warranty Deed # f~ ~ I I .volume . ~
Spec house no
Lot lines identifiab~~ ^ no
gy~M MAINTENANCE
Improper use and maintenanceaf 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 licensod pumper. What y~ 1~ ~ m
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agnxs to submit to St. Croix Zoning Department a certification form, signed by die owner and by a
masb~rphimber, journeynianplumiber, restrictedplumber or a liceasedpumper verifying that (1) the on-site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if may), d~ septic tank is less than I/3 full of sludge.
lure, die indersigaed have read the above regairemeats and agree to maintain the luivate sewage disposal systunn with is
act forth, herein, as set by die Department of Commerce and the Departmeirt of Natural Resources, State of Wisconsin.
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days~f the thrx year expiration date. ~ ~ ~/
~~'~" ~~'~~ DATE
SIGNATURE APPLICANT
OWNER CERTIFICATION y ) ~ ( ) ~ owner(s) of
I (we) certify that all statements on this foim are true to the best of m (our knowl e. I we am (are)
the property described above, by viutue of a warranty deed recorded in Register of Deeds Office.
-S, ~-
~!"''~' DATE
SIGMA OF APPLICANT
****** Any information that is mis-represented may result in the sanitary peanit being revoked by the Zoning Departuent. ****"`'`
** Include with this 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
~ ~ i~ t~
(~
,n
11
o ~~
~~~
• IiAaintenance and Contingency Pian for a Septic System
Maintenance Plan
1. Septic Tank is to ~ pumped once every 3 years.
2. Efliuent filter is to be cleaned once a year. Please note: a larger fitter is being install~l 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
Contingency Pian
1. If system fails, determine cause of failure, use aitemate area and install new system or
install system at a lower elevation.
2. Replace any other flailing components as needed.
Plumber: Shaun Bird 715-246-4516
.--_
~z~~
Shaun Bird #226900
- . • ~ ~o~ 1525FAGE285
• ~ STATEBAROFWISCONSINFORM2.1998
WARRANTY DEED
Doclmfent Number
This Deed, made between Glenn H. Strand and Jerilyn
M. Strand, husband and wife
Grantor,
and Drew R. Magnuson and Liaa A. Magnuson, husband
and wife ae survivorship tttarital property
Grantee.
Grantor,for a valuable consideration, conveys and warrants to Grantee
the following described real estate in st. Croix
County, State of Wisconsin:
Lot 2 of the Plat of Crimson Valley in the Town of
Hudson
~cd~<!i>,.aS C RTPCOPY fEE:
COPY FEE:
iRAHSFER fEE: 184.50
kECORDING FEE: 10.00
PA6E5: 1
Re~:ording Aree
Na ne and Relum Address
7b~ ~+~~e~~cx.~ l~ ~
+~
o-lobs-to-llo aV . In
jilart o
Parcel Identification Number (PIN)
Ttis is not homestead property.
(is) (is not)
Exceptions to warranties:
easements, roadways na drestrictiona of record
Dated this/~_ day of ~~'Z/~,tC.~~`"'~-~
~b N u~~d
ann H. Stra
d
• Gl
7 n
_ / .
•Jerilyn M. Strand
AUTHENTICATION
Signahtre(s)
authenticated this day of
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706.06, Wis. Stets.)
THIS INSTRUMENT WAS DRAFTED BY
Michael H. Forecki Attornav
Eau Claire, Wisconsin
(Signatures may be authenticated or acknowledged. Both are
not necessary.)
ACKNOWLEDGMENT
STATE OF WISCONSIN )
ss.
st. Croix Coun_ )
Per Ilya came before me this day of
l c-~ to above rtamed
Glenn H. 3~and and
Jerilyn l~. Strand
to me known to be the person who executed
the fore 'n,~, instrument ~.tcknowledged the same.
.~~.
' Tra Turner
Notary Public, State of Wisconsin
My Commi.sion is rmanent. (lfnot, state expiration date:
("Z-) =~Y~C' %~racy L. Tumer .)
Notary Public
State of Wisconsin
'Names of persons signing in any capacity must be typed or printed below their signature.
STATE BAR OF WISCONSIN
WARRANTY DEED FORM Na 2-1998
PtaOuaad wah LpFgrm*' lM/ Wn1aoR MK. 10025 FAlean Wk Roaq, Ciraan 7awnahV. Michigan 48035, (9001393-9805
Agonry MicMd H Farcald 1810 B,aCkeq AvS flu Clurc WI Sa701-0627 Phan-1715) i75J029 F.x: (715) 975-0112
626161
KRTHLEEN H. WHLSH
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIu~ cnR
7-11-2000 9:15 RH
RAH
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RIGHT-OF-WAY ~ DATUM is2~
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