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HomeMy WebLinkAbout020-1341-10-000Wisconsn Department of Commeme Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Mauer, Matt Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: l o~ ~ w~ l GSZ" TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic $ ~ ~,~, J ~z5~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L ~J~ V6'ELL ~e~` (,~xCS BLDG. Vent to Air Intake ROAD Septic 5~ + ) 50 ~ j 8 ~ j $ / `-- Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH ift Friction Loss S Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ~4RSORPTION SYSTEM ELEVATION DATA County: St. Croix ~ Sanitary Permit No: 479326 State Plan ID No: Parcel Tax No: 020-1341-10-000 Section/Town/Range/Map No: 24.29.19.1810 STATION BS HI FS ELEV. Benchmark ~ I' 6 ~ ~ f~ Alt. BM ~.'t i-~.. Ct).ac..~ s' a Cl Bldg. Sewer SUHt Inlet 1a~3 $~ ~ ~ SUHt Outlet /b` ~ ~ ~ S Dt Inlet Dt Bottom ~, ~. Header/Man. ~ ~~ 8~~ Dist. Pipe ,D~ ~ , I Bot. System ~~. O ~-7 Final Grade 5' p JJ ~~~ r St Cover ~., ,1 5 . b 9 BED/TRENCH Width ~ Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ Z Ir~~.G \ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. ~` INFORMATION CHAMBER OR Type Of Syste ~r~ - - C ~ , ~t ~ +t Q ~~i ~~ ~ ~~ I ~ /] K` +- UNIT Model Number.~~ „ oy / , ~ ~ ' 1 111CTRIRIITION SYSTEM A1.'_I_I_.r'L )/~ Header/Manifold ~~ / Distribution v Pipe(s) ~ \ \\ x Hole Size \ x Hole Spacing \\ Vent to Air I ak z ~ Length Dia Length Dia Spacing , SOIL COVER v Pro~c~~rn Sve40mc (lniv YY Mnund Or At-Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedlrrench Center ~, ( Bed/Trench Edges Topsoil ~ Yes j No ~, Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / /, Location: 852 Polen Drive Hudson, WI 54016 (SE 1/4 NE 1/4 24 T29N R19W) Wyyldwood II Lot 10 F; t 1...,. Co Jc~-.-. G~' r`.s d-- 1. a ~..fcYs o ~ 1.) Alt BM Description = + 2.) Bldg sewer length = -amount of cover = ~ / Plan revision Re uired . ~ J Yes i No --iT I L.~ Use other side for additional informat on. I _~_!_ ! I t _L~~ Date SBD-6710 (R.3/97) Inspection #2: / ~ /, Parcel No: 24.29.19.1810 ~ ~~~s Cert. No. Safety and Buildings Division -~ 201 W. W ashington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by ,~ Madison, WY 53707 - 7162 ~ ~q ? z ' a J~ 1 SCt?t1 S/rl' c60$) 26fi-3151 .. _ J n : Sta Plan I.D. Ntunber pe artment of Commerce Pert A a. II - . ~„VJ . Sanitary uprovide ~' ~ 2~a5 Pr Address(tfdifferenttbanmailingaddress) In accord with Comm 8321, Wis_ Adm. Code, perso ' 1) ) i-~ ~ ~i t may be used for secondary Purposes Privacy La ~- O J z ~o ~ ern S~f. CROIX COUNTY Block# T. Appticationlnformation-PleasePnntAlllnfornaation # Lot# Property O,vt,er's Name V oPeTtY ~ / ~j~~~ Property Owner's ingA//d~~dress / ~ r ~ S~ '!~ L~.~l., Section ___ I T~ ~ V ~ ~ l JCode Phone Number ,rcle e} (~ ~ U ~ City, State J~ ~ ~ ~ I Cn / ,~ C~ J~ /~ U . ~ ~ ~ `t (./ [ CS Number CJ~ ~rj ~ $ubdivisionN~e ~~ T e of Building (cheek all that apPIY) Q ~C. ~~ , (~// Number of Bedrooms C ~ v~_ A l or 2 Family Dwelling- ~ ~ {" f ^City ^VIl ip of ^ Public/Commercial -Describe Use 5 ~ State Owned - D~cribc t)se ~ Leable} -' III. Type of Permit: (Check only one box on line A. Complete line B~ f app ent Only ^ Other Modrficat<on to Exrsang System q ^ Replacement System ^ Tr~~entJi-Toldin Tank Replacem stem List Previous~Pe ~i~N ~ ~ Date 7~Z 1 ~ -=- 6 ^ Change of ^ Permir Transfer to New ` it Revision Owner ~ g. ^ Permit Renewal Plumber Z ~ ~ t Before Expiration -~ - < 24 in. of suitable soil ^ At-Crrade ^ S>r'gie ~ ~ Filter ^ . IV of POV4'TS S stem: (Check all that a 1) g~ Filter ^ ~~ Ground ^ Mound ? ?4 in. of suitable soil ^ Mound In- round ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirctilating r . Wetland ^ Pressurized ^ ether (explain) / Cons6vcted ^ Drip Line ^ Gravel-less Pipe Leaching Chamber SYstetn El on Reciroulating Synthetic Media Filter ~~ Dispersal Area Required (sf) Dis ers~ ~ ~o~~ ( I V. Dis ersal/Treatment Area I orm~o n: ~ ~ /l e Design Flow %gpd) Design Soil App ~ S Fiber Plastic `~ Prefab Site Glass ~1' ~ ~ Manufacturer V Total Number Concrete Consttucted VI. Tank Info CaP~rty m Gallons of i)nits Gallons ~ J New F~astmg Tanks Tanks _ Septic ar lioldinB Tank Z Aerobic Treatment Unit Dosing Chamber ssume responsibility for installation of the POWTS shown on the B nt~ Phonnse Number 1 ~ VII. Responsibility Statement- I, the undersign store Mp/MpRS Nrunber ~ ~ / ~ , J Plumber' ~ ~~ Phrmb 's Name (Print) -~ c ~~ ~~.>~ ~ ~ ~ J~L7 Plumber's Address (Street, Ciry, State, Zi ~~ ~yL~" ~~g t Si o S ) D Issued VIII. oun /De rtnneat Use Onl Sanitary Permit Fee (includes Groundwater Approved ^ isapproved Surcharge Fee} ~~ ~ ~ ~ S [] Awn iven Reason r Denial ,n A roval/ReasonsforDisapproval ~` ,! 1_ \ ~~~~..e~ /~V-~'fC'-Gl_ I?i. Conditions of App J /v~.in_J gyg~ pWNER: ~ , peptic t5nk, effluent filter and ~persal cell must all be s?rv1Ces /mat-- nt n=-bend is per management plan provided by p' AN Ulretrlent5 must be maintained ~ ~~ code I ordinances. ~~_ j,~.~ ete o5 to t`he•~C`ottnty~o°lY) for the system on paper not Sess xhan $12 x I t inches in s'n Attach comp] Ala SBD-6398 (R 01/03} oil Test and System PLOT PLAN rPROJECT Matt Mauer AD ESS P.O. Box 1217 Hudson Wi 54016 SE 1/4 NE 1/4S 24 /T 29 N/R 9 W TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE7/5/05 BEDROOM 4 CONVENTIONAL X)OC IN-GROUND • ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 ,BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' F11teP Zabel A-100 ^ BOREHOLE O WELL *H,R,p, Same as Benchmark Plans Designed Using Conventional Powts Manual Version 2.0 Well is to meet all setbacks required by WDNR 53' SYSTEM ELEVATION 88.2/87.0 5' below grade nVent >6" of Cover 6' Long,~,l l " Pro 4 Bedroom House 20' ST 40' 20 10' 10' 40 Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevation B-3 14% ^ Slope 2-3' X 88' Cells with >3' Spacing Polen Drive vents -2 15'~ ~ Well Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings m accoroance wun ~,ornm a~, vvis. ram. t,ooe r County er not less than 8 1/2 x 11 inches in size Plan must Attach com lete site lan on a ~ ) p p p . p indude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ~ Z - ~ ~~/ / ~ ~(J - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. T P/ease print all information. Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). aa ~ ~ us Properly Owner Property Location ~~' ~„~ Govt. Lot ~ 1 /4 /4 Z T Z, N R E (o W Prope Owner's Mailing Address t 21 ~ ~ o Lot # ~n Block # ~ Subd. Name M# ~~ ~ ~ . , ~ , ~ City State Zip Code Phone Number A ^ City ^ v ge own N st Rq~d / P ~t) ~'S-2D ~,. W ~ S u --~/ / New Construction Use: sidential /Number of bedrooms Code derived design flow rate GPD ^ Replacement ^ Public or commerdal - De 'be: _,______ _ ' ________ __- Parent material ~~~: i i Flood Plain elevation if ap^p~licable ~~1~ ff. General oomrnertts ~~'.~ ~~ /-~/ C'~ ~ v / ~ ~~ G.~ Q ~ L/ and recommendations: ----~ O ~ _ ~~_ I / I Boring # ~ Boring ~~ ~_ ~ 2 IUJ ~ Pit urouna surrace eiev~ ~ - n. veptn w nmmny ia~z~r ~~ a ~. Soil ication Rate Horizon Depth Dominant Cdor Redox Desaiption Texture Structure Consistence Boundary Roots GP D/f~ in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 •Eff#2 l -~ ~ 0 ~ 3t ~". ~ r- 1, ~ z.. Z- ya e~ .~-----.. C.. ,,,,,, ~. ~ ~ /~ 0 ,- ~- ~/ ~ ~ < ~ , /1 -t goring # ^ Boring / Ground surface ele . ' ~ff. Depth to limiting factor ~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 • Effluent #1 = BOD > 30 < 220 rr1glL and TSS >30 _< 150 mglL 'Effluent #2 = BOD < 30 mg/L and TS5 < 30 mglL CST Name (Please Print) Signa CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~ ~?~--~,~ 715-246-4516 PropertyOwner_ ~ ParceIID# /Page of Boring Boring # pit Ground surface elev. 1 ft. Depth to limiting factor /~ in• Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIff in. unsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 --1 L. ,---- S- '' ~---- ~ IVl ~ 1 ~ If ~~ # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Descxiption Texture Structure Consistence Boundary Roots GP DlfF in. Munsell Qu. Sz. Cont. Caor Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ Bonng ~~ # Ground surFace elev. ft. Depth to limiting factor in. ^ Pit Sal icatlon Rate Horizon Depth Dominant Caor Redox Description. Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Caor Gr. Sz. Sh. 'Eff#1 •Eff#2 'Effluent #1 = BODE > 30 < 720 nxyL and TSS >30 < 150 mg/L ' Effluent #2 =GODS < 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. seas~w trt.sroo~ Property Owner _ ~ Parcel ID # Page of ®Boring # Boring ~/ it Ground surface elev. ~ l ft. Depth to limiting factor /~ m' Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D in. unsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ~" ~ L~ .-~.-- ~ tij~ / - ~ f( a ring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil icaflon 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 # ~ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Col Redox Description. Texture Structure Consistence. Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ` Efliuent #1 = BODE > 30 < 220 rrxyL and TSS >30 < 150 mg/L • Effluent #2 =GODS < 30 mglL and TSS < 30 mglL 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•8330 (8.6/00) ' Safety and Buildin s Division 62 e County C ~[ ~ 1 ' ~ C~ ~ ., P.O. Box 71 201 W Washin n Av - . c Sanitary Permit Number (to be filled in by Co J ~ ~scons~n Madi og) :: , ~ ~ ~®~ ~~ 3 ~ Department of Commerce 2009 nitary Permit Applic tion ~ . S r State PIanI.D.Num /v 14 ~ d a 'th Comm 83.21, Wis. Adm. Code, personal info anon you Q In accordv~n L,aw,s,5.04O)(m),~ O~ -~~~ maybe used for secondary purposes pnvacy project Address (if different than mailing address) ~ /~ ~ ~ ~ ~ ~ V e,~ V ~ Application Information -Please Print Alt Information Block # ~ Pro rt Owner's e Y Pe eel # ,,.~ / U G(a '~ Property Owner's Mail ..Address Property Location r /~' i ~ / ~ /~ ~/ /., Sect on 5 ~ 10 ~ Zip Code City, State S'/~/ / ~7 Phone Number 6'~- ~j'S- ZD~ () ~ ~ ~f ~ircl ne T /N; E W T 'I 6 J~ 0.~ s,~~~nni tt~ 1T. T pe of Building (check aU the pplY) 1~. s ubdivisi Nam` CSM Numb r7 I/ ~ )L ~0~' / ...~~~^^~~~ ZFamilyDweiling-NurnberofB m pJS~- p,.v~ ~ ^ Public/Commercial -Describe Use l ~ ; ~- /0 + ! O ~ ~D ~• ^ ty_^Villag~'Q~hrP o ~ _ [] State Owned -Describe YJse line B if applicable) t l ~. e e IIL Type of Permit: (Cheek only one box on h A. Comp nt Only ^ Other Modification to Existing System A. w System ^ Replacement System TreatmentJHolding Tank Repl a Permit Number and Date Issued i ~- ^ C ge of ^ pe Transfer to New ous List Prev B ^ Permit Renewal ^ Permit Revision Plumber Own r ^ Before Expiration ( IV T of POWTS S stem: (Check all that a l ~ 24 in. of suitable soil il ^ ^ At-Crrade ~ Single Pass Sand Filter ^ ^ Sand Filter In-Ground ^ Mound ? 24 in. of suitable so on Pry ^ Aerobic Treatment Unit ^ Recirculatmg ~ filter ^ ~ ` P t j Cottsfntcted Wetland ^ Pressurized In-G nd ^ Holding Tank ^ vel-less Pipe ^ Other (explain) ^ ~P L~ chin Chamber Recirculating Synthetic Media Filter g S stern E]~ n ~(7. V.1)is ersal/I'reatment Ar formation: lea Requir Dispersal Area Pro sad (~ y Disp 3` te( R dsfl a gp Design Flow (gpd) Design Soil Application J~ , Site 1 Fiber Plastic b f ~ Manufacture Total Num a Pre Glass Concrete Construe Capacity in VI. Tank Info Gal]ons Gallons of U NeW F.~~g 2 ` Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber nb si 3 amass esponsibi6iy for installation of the POWTS wn on the attaeJhe ~ $n% / / MP/MPRS Number Business Phone Ntunbe ~ ~~ l Responsibility Statement- I, th Pln 'VII ~ , u 9 v Plumber's Name (Print) '~7 ~ ~~ /ti ~ 7/J '~ ~ e, Zip ~ tat dress (Street, City, S Plumber's Ad 1 // p J ~v~/ / / ~ ~ VIII. Conn /De artment Use Onl Sanitary Permit Fee (includes Groundwater PProVed ^ Disa a Surcharge Fee) ,(~ ?A71 _ OD UUJ Date Issued Issu t Sign , e •] Z 1~ d5 ^ O Gi on for Dent ~{.~ A. Conditions of Approve ons for Disapproval SYSTEM OWNE t . 'Septic tank, effluent filter and dispersal cell must aU he services / mifefaiold as psr manapeme^t plan Provided by pNa~r• 2. AN s~lback nglafren~sr~s rtwst be irnkltained ~ P!~ aPDI coda 1 or'dinMtoas• late ns to the Coun onl )for the system on paper not lzss than 81R x 1 t inches in size Attach comp p>a ( ~' y SBD-6398 IR.. 01!03} P PAN PRQJECT Matt Mauer AD ESS P.O. Box 1217 Hudson Wi 54016 SE ,i /4 NE 1/4S 24 /T 29 9 W TOWN Hudson COUNTY ST. CROIX Y~ MPRS Shaun Bird 226900 7/5/05 4 DATE BEDROOM CONVENTIONAL XXX IN-GROUN E SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of cha rs 30 -~_ BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATION 100' filter Zabel A-100 ^ BOREHOLE O w *H.R.P. Same as Benchmark SYSTEM ELEVATION 93.2/9 /90.7 3.5' below grade Well is to meet all Pl Designed Using setbacks required by C ventional Powts WDNR anual Version 2.0 nVent >6„ ~tana tsi ittuser of Cover Leac g Cha er wit 1. l ft2 of a 6' Long 11 " 53' 3 4„ rade at tem Eleva ' n 'roperty B-2 Vents ane B-4 3-3' X 'Cells with >3' spacing B-6 B'M' * Polen Dr. 118' B_3 10% Slope cn+ B-1 ~~ 106' ST 0' B-5 122' Pro 4 Bedroom House 4, 85' Alt 19' 16' Ls~ 19' 6' P PAN PRQJECT Matt Mauer AD ESS P.O. Box 1217 Hudson Wi 54016 SE .1/4 NE 1/4S 24 /T 29 9 W TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE?/5/05 BEDROOM 4 CONVENTIONAL XXX IN-GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE ANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # chambers 30 ,BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATIO oo~ Filter Zabel A-100 ^BOREHOLE WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 9 /92.0/90.7 3.5' below grade Well is to meet setbacks required WDNR Vent 53' 3 4" 'roperty B_2 Plans Designed Using Conventional Powts Manual Version 2.0 $ta rd Biodiffuser ache Chamber with 31. of Area B.M. B-6 11 B-3 7' B-1 106' ST 0' 30' Pro 4 Bedroom House .r 85' Alt 3' >6" of Cover 11" 6' Long 19' 16' " 19' 6' at ents 3' X 63' Cells with >3' spacing Polen Dr. 10% Slope B-5 X122' 4' ~ Wiscbnsin Department of Industry, SOIL AND SITE EVALUATION R E P O R T Labor and Hq~man Relations n:.,.~...., ..i C.,iea. n n. a~a~.,., .. _ Page 1 of 3 - iii a~wiu wn~~ ~~.~ n ~ VJ.VJ, ~•ia. rw~i~. v..~.a. COUNTY Plan must include but ches in size t l th 8 1/2 11 i it l l A h St. Croix , . ess an x n e p an on paper no ttac comp ete s not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # ,~r,' ,. ^` dimensioned, north arrow, and location and distance to nearest road. 020 ' ' ~ ~ - ~~ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION I~1N/~ BY DAB ~ ~~ R . PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT SE 1/4 NE 1/4,S 24 T 29 ,N,R 19 t~c(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # ~ ~7/ ~ 1416 Third St. 10 na dt$aaodd base 2 ,a CITY, STATE ZIP CODE PHONE NUMBER ^C1TY ^VILLAGE ~#~WN NEAREST ROAD Hudson, WI. 54016 (713 386-3674 Hudson [xj New Construction Use [x J Residential / Number of bedrooms ~ [ J Addition to existing building j ]Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate .7 bed, gpolft2_~trench, gpd/ft2 Recommended infiltration surface elevation(s) 99.80 ft (as referred to site plan benchmark) Additional design /site considerations alt. area= trenches starting ~ 93.45' s aced to code 3.25' below gra Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL ®S ^ U MOUND ^ S ®U IN-GROUND PRESSURE ®S ^ U AT-GRADE ^ S CCU SYSTEM IN FILL ®S ^ U HOLDING TANK ^ S C~ U U =Unsuitable for s stem SOIL DESCRIPTION REPORT Depth Dominant Color Mottles T t Structure Consistence Baxxia Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ure ex Gr. Sz. Sh. ry Bed Trends 1 0-6 10 r3/2 none sl 2m r mvfr if .5 .6 2 6-24 7.5yr4/4 none s 2mgr mvfr gw if .5 .6 3 24-84 7.5yr4/4 none cos Osg ml na na .7 .8 Dy 3 ~ ~ C'o Remarks: ~~Q~i L~~-- ~~~~~~C`~i °'~lld 1 0-8 10yr3/2 none sl 2mgr mvfr cs 2f .5 .6 2 8-28 7.5yr4/4 none sl 2mgr mvfr gw if .5 .6 3 28-86 7.5yr4/4 none cos Osg ml na na .7 .8 ,.. - _ ~ ; : a ,, ~ - ILA ~1 ~ ~ r:~'g `,.3 Remarks: -, CST Name:--Please Print Ga L. Steel Phone: 715-246-6200 ~~ ' .::' ; -_ ` + Address: 1SS4 200 Ave. New Rich nd WI 54017 Signature: ~~~f Date: 4-8-98 CST Num,6er:"~m02298 PROPERTY OWNER Greenwood Enter. SOIL DESCRIPTION REPORT PARCEL I.D. # 020-1329-90 Boring # ~~:~.... 3 Ground elev. 96.7 ft. Depth to limiting factor +80" Boring # ~`' 4 Ground elev. 93.4 ft. Depth to limiting factor +80" Boring # :: :: : «: ~~:? 5 Ground elev. 94.2 ft. Depth to limiting factor +84" Boring # 6 ~< Ground elev. 104.0 ft. Depth to limiting factor +88" Page ? ~'oi ,~ ~ i H Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GAD/ft or zon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed Trer~ 1 -6 10yr4/3 none sl 2mgr mfr cs 2f .5 .6 2 -24 7.5yr4/4 none sl 2mgr mvfr gw if .5 .6 3 4-80 7.5yr4/4 none ms Osg ml na na .7 .8 Remarks: 1 -8 10yr4/3 none sl 2msbk mfr cs 2f .5 .6 2 -36 7.5yr4/4 none sl 2csbk mvfr gw if .5 .6 3 6-80 7.5yr4/4 none ms Osg ml na na .7 .8 Remarks: 1 -12 10yr4/3 none sl 2msbk mfr cs 2f .5 .6 2 2-20 7.5yr4/4 none sl 2mgr mvfr gw if .5 .6 3 0-84 7.5yr4/4 none ms Osg mvfr na na .7 .8 Remarks: 1 -15 10yr4/3 none sl 2mgr mvfr cs 2 .5 .6 2 5-37 7.5yr4/4 none is Osg mvfr gw if .7 .8 3 7-88 7.5yr4/4 none cos Osg ml na na .7 .8 Remarks: SBD-8330(8.05/92) PROPEF~'TY OWNER Greenwood E,hter . SOIL DESCRIPTION REPORT • PARCEL LD. # 020-1329-90 Boring # 3 x ''• GlIround 9e6~7 ft. Depth to limiting factor +80" Boring # 4 ::: ~:x ~~. Ground elev. 93.4 ft. Depth to limiting factor +80" Boring # •fr.~..:So". 5 ~`~ >;:.~. Ground 94eV~ ft. Depth to Gmi6ng facror +84" Boring # .,~. ,.; 6 Ground elev. 104.0 ft. Depth ro limiting factor +88" Page ? or ~ Horizon Depth Dominant Color Mottles Texture .Structure Consistence eoixxiary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerxh 1 -6 10yr4/3 none sl 2mgr mfr cs 2f .5 .6 2 -24 7.5yr4/4 none sl 2mgr mvfr gw if .5 .6 3 4-80 7.5yr4/4 none ms Osg ml na na .7 .8 Remarks: 1 -8 10yr4/3 none sl 2msbk mfr cs 2f .5 .6 2 -36 7.Syr4/4 none sl 2csbk mvfr gw if .5 .6 3 6-80 7.5yr4/4 none ms Osg ml na na .7 .8 Remarks: 1 -12 10yr4/3 none sl 2msbk mfr cs 2f .5 .6 2 2-20 7.5yr4/4 none sl 2mgr mvfr gw if .5 .6 3 0-84 7.5yr4/4 none ms~ Osg mvfr na na .7 ~ .8 Remarks: 1 -15 10yr4/3 none sl 2mgr mvfr cs 2 .5 .6 2 5-37 7.5yr4/4 none is Osg mvfr gw if .7 :'• .8 3 7-88 7.5yr4/4 none cos Osg ml na na .7 .8 Remarks: SBD-8330(R.05/92) r STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. Greenwood Enterprises, INc. New Richmond, WI 54017 MPRSW 3254 SE4NE4 s24-T29N-R19w _ (715) 246-6200 lot #10-W~ phase 2 1 wood N 1"=40' BM.= top oft" pvc pipe C~ el. 100' Alt. BM.= nail in Cherry tree C el. 95,60' This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the system may or may not be as shown, as permanent lot lines had not been established at the time of the test. I 'v I __~- (~ ~ _ .~ ~•~ 1~ ~3 ~ -~~., ~i `~o ~ ~ p ~n ~ . ~Q ~~ ,~ ~ ~4~ . ~~ ~ ~. ,~ G ~'9 ` ~~ 7 I . IG~ I ~~.~ I nil I. ~G~ ~ ~t Sw ~. GP,ry L. Steel 4-8-98 ~h ~~ ~~~2' • ST CROIX CO CE AG~EME~ SEPTIC TANK SAND ~ ` ~ OWNERSHIP ~RTIFICATION FORM ~Cr/Bayer ~ ~ ..S ~a ~ u Mailing Addr~ , l7. pxoP~y Address aired from Planning DCP~nent for new construction) (Verification req ~.~. ~ - / ~ ~ (~ 02~ - /3 parcel Identification Number City/State GAL DESCRII'TION c . t / T vim/ 1~1- ~w~ Town of ~ ~ ~ I,,o~tion ~~ r14, ~ /4, Sec. ~ property ~ ~ Lot # ~..~._. w ~~~ ~~~~ Subdivision '~ ,Page # ~' Volume _---- Certified Survey Map # z~ 4 b +, Page # 1 ~ ~ ~ ~~ ~ Volume Warrant3' Deed # ~ tifi.abl es D no Lot lines idea ei gpec house D y~~° failure to handle wastes. Proper maintenance SYS~M ~.Il~I'TENANCE our septic system could result in its premat~ 'RThat you put into the m o use and maintenance of Y if needed by a licensed pumper. TmPr ~ out the septic tank every tluee Y~ or sooner, m. consists °f pu~~ tic tank as a treatment stage in the waste disp°s~ ~~ can ~~ the function of the sep b the owner and by 2 t a ceitificatiOn form, signed Y n ,~C property °~ agrees to submit to St Croix Zoning ~ rig that (1) the on-site wastewa ~ ~ ~ l dge lumber restrtctedplumber or a licensedpumPe tic tank is less than masterPlumbe~ lourneY~nP tion and pumping t~ IIecessary), the sep ~ ~ proper oPemung condition and/or (2) after inspce y,~ ~ standard ee to main rivate sewage d~P~ m vatic ements and agr nt~f Natural Reso~oixsCounty Zoning Office thin'- ~~ the ~,C~igned have read the above requir the Departure ent of Commerce and lcted and returned to the set forth, herein, ~ set by the Depa'rtm ~~~ must be comp static that your septic system bas been ~ ~ I ~ Lam' days of the thine year expiration date. _J DATE s OF APPLICANT R CER'1`IFICATION our lmowledge. I (we) am (are) the owners; OWNS Office. (we) certify that all statements on this formdeedtrr corded in Registmer of Deeds the property described above, by virtue of a warranty ~ 1~ ~-~ DATE SIGNA"~RE OF APPLICANT revoked by the Zoning Dep~ent. **' result in the sanitary pernnt being s:s**« ~y information that is mis-represented may tamped warranty deed from the Register of Deeds office «« Include with this application: s s if rcferonce is made to the Ty deed a copy of the certified survey map 7996+8 1 ,\ 2 8 t{ ~ p Z ? ? KATHLEEN H. WALSH REGISTER OF DEEDS State Bar of Wisconsin Form 2-2003 sT• CROIX CO. , pI WARRANTY DEED RECEIVED FOR RECORD Document Number ~~ Document Name THIS DEED, made between Jeffrey K. Hafner and Denise A. Hafner, husband and wife, as survivorship marital property ("Grantor," whether one or more), and Mathes J. Mauer and Ann M. Mauer, husband and wife ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 10 of the Plat of Wyldwood iI filed in the Office of the Register of Deeds for St. Croix County, Wisconsin on May 27, 1998 in Volume 7 of Plats, at Page 20, as Document No. 579816. *Denise A. Hafner 020-1341-10-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated ~ r ~~ ..~. ©~ . Signature(s) _ authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § '706.06) THIS INSTRUMENT DRAFTED BY: Attorney Kristine Oland Hudson, WI 54016 07/11/2005 10:15A![ MARRANTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE: 278.70 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address THE RIVERBANK P.O. BOX 188 Osceola, W{ 54020 ACKNOWLEDGMENT STATE OF Gf/1~SC'Or~l~/iC! ) ss. ~gL. C~pj jC COUNTY ) Personally came before me on ~~ ~ ~ ~j the above-named Jeffre K. er and Denise A. Hafner husband and wife, as survivorship marital property to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. ~,.•~""' • ,~~1~ K E ~ ~N~ ' ~'~- - -~ . ~ -: Notary Public State of S S' i. Q t N ~„ My Commission (is permanent) (expire • i,3 ~-. (Signatures may be authenticated or acknowledged. Both are not necessary.) •~ •••.• ••~~ ;` NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY ID WARRANTY DEED ®2003 STATE BAR OF W ISCONSIN -2003 AUTHENTICATION • Type name below signatures. INFO-PROTM Legal Forms 800-855-2021 www.intoproforms.com ency plan for a Septic System Maintenance and Conting Maintenance Plan um ed once every 3 years. 1. Septic Tank is to be p P leaned once a year please note: a target filter is being installed in 2. Effluent filter is to be c order to extend the maintenance interval of the filter. eCtions pipes at the ends of 3. Once every 3 years, cells are to be inspected via the msp the cells. es to limit greases, garbage, and water conditioner discharge into the system. 4.Owner agre ~, The owner agrees to Save this plan. 6. Do not plant trees nor park nor drive over system. from system. 7. Watershed is to be diverted away ischar a into system is not exceed those required as per Comm. 83 8.D ~ Icy Plan tem fails, determine cause of failure, use ornate a"r~d and install new If sys n tested replacement area. s stem at a lower elevation, by removing chambers, removing biomat, Option #2. Install y and install new system. o ad uate area is suitable for replacement area, and system elevation Option#3. N eq 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 #226908 60 /.J,J1~ JIX. r ~ . Cfl ~ W ~ 36.50 44.4 o~~ ~' o ~D / 2~2' 80.99' / / / / ~ ~ m ~- ~ / 0~ 3~OZA ~/ ~ J 9 ~ / °00' 00 <,~ / 14.91' ~+- - - ~,/ / r1 6 O~~ ~20$~N 89°25'51' E J / 3 I ~ ~ ~ ` ~E o v ~ /bQ o0~00 ~=2 25'51' I ~' YOUNG ~ i N . ~ R=167.00' s ROAD ~ INCH MARK ARC=74.12' ~ I rp - - / 1042.23~ESTAB. CHDRD=73.52 W ~ / ,11~CY 8, 1996 N 76°42'55.5' E ~ o ~~ 11 °~ I i ~. ~ O ~. 2.821 ACRES ~ I o ° cn o 122,897 SQ. FT. ~ ' o O CAREA EXCLUDING PDND ESM'T. = I ~ rj8 ~ ~ ~ 119,715 SQ. FT. OR 2.748 ACRES> o~'~' ~- - -' ~ a~ S89'42'30 ~ N N 89°42'30' E S°' ~~~~107' ~, Zoe' Z (j W ~ ~ rv cn 423.32' o Quid z oz ~ p ~ w o g-iZ ~O ~ ~ ~l !~ o , o ~ C L', O° 0~ O N °. ~pn I W ~W V W O A~ (JI C D O ~ O °~~~ 10 ~~ •~~ • s '~6 ~ ~ I E ~ ~ °o ~ 2.189 ACRES S&• 4 95,360 SQ. FT. ,566 N ~ I ~' ~ z V N (AREA EXCLUDING POND ESM'T. _ ~ tv o 82,146 SQ. FT. DR 1.886 ACRES> ° 00 ap o I ~ .ta ~ ° ~ N 89°42'30' E ~"~ W ' ~ o~ 424.33' v N ~ I d ~ N W ~ ~ ~ 0 9 N C s ~ -~ I - - 2.256 ACRES ~ ~ 98,257 SQ. FT. BENCH MARK SW Corner of Dutlot 1 'n, ",82. ESTAB. N 85°22'47' ~ I Y 8. 1996 W 426.98' N 89° '3 E ~ I 6..00' ~ SOUTH LINE OF ° ~J ~ OUTLDT 1 b ~' i~ a ~ 8 ~ '~ ~ , ~ Parcel #: 020-1341-10-000 07/21/2005 11:41 AM • PAGE 1 OF 1 Alt. Parcel #: 24.29.19.1810 020 -TOWN OF HUDSON 'Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " =Current Owner *HAFNER, JEFFREY K & DENISE A JEFFREY K & DENISE A HAFNER 820 FOX TREE LA N HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description " 852 POLEN DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.189 Plat: 2646-WYLDWOOD II '98 SEC 24 T29N R19W PT SE NE LOT 10 Block/Condo Bldg: LOT 10 WYLDWOOD II 2.189AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-29N-19W Notes: Parcel History: Date Doc # VollPage Type 07/31/1998 584016 1344/338 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/30/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.189 54,500 0 54,500 NO Totals for 2005: General Property 2.189 54,500 0 54,500 Woodland 0.000 0 0 Totals for 2004: General Property 2.189 54,500 0 54,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00