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Home My WebLink About020-1439-18-000I I I ~ 3 ~ I ~ _ ~ ~ d ,., N C ? ~ I N d n N O O C A C I 3 v 3 y o ~ a~i fD H v a ~ `cn, o ~ c ~ 9 fDa °' O O ~ n Oy C W 3 0 ~ us z cn z D ~ m cc~' D ¢s' D ~' m ~ ~ ~ Q a W ~ . ~ ~ _ 3 Q Q 1 O O I I I o W I ~ a I =~ ~ I ~ N I n I z 0 I ~ ~ 0 0 o v ~ I ' OG ~ O d 7 7• I ~ ~ m I w ~ .~ m I °• m w z m ~: I O ~ 7 -1 C N .00+ 7 Qo I j y O $ p 3 ° m -o S '~ 0 w v •°• 3 ~ Im m c O N c m m y O S ~ ~ •O d yK a ppp d fn y. Af~D 7 j tin W O d N am ~. v~ Z m3~ m~ o < O N ,y„ Ul N N fD ~' d O O N ~ 7 N O O O- O O ~ y ~ -, m ~ ~• ~ ~ ~• m N ~ y p O O ~N» ~• 3 ~ 3 ~ ~ ~ ~'. v o O y j N (D a ~ 0 'm 0 0 ~ °o °o ~- fD N y O ~ 3 fo G7 D ~ y O N C cnzmzD cn D co' D ~' a a W Q O ^. O O z o ~ W ~ a a ~ ~' ~ a s ~ c c > > N o. z 0 e0i ~ d ~ O S• o 0 '~ ~ O d 7 7 fD ~ ~ m c w d ~ .~ ~ m m m z °: m o ~ C _ ~ =i . N ~ d O 7 O ~ O ~ ~a ~ o v -o 0 N ~ y `G D. N ~ d o ~'~ ~a o O ,< ~ N O ~ ~ w o a d acfl ~ ~~ 2 _ o m ~ .m' 7 < !0/r (~ N N C C1 O O Lf 7 ~ 7 ai O• j O. O O ~ y ~ O ~ m O ~• ~ ~ O• y ~ ~ N O' p O ~~Vi ~•3 m ~3 ~ ~ ~ ~ ~ ~'. v o ~ !/1 7 O y fD d 0 m 0 0 °o °o ~- C) ~ ~ I 3 ~ c C I ~ 3~ ~ ~ ~ ~ n ~ I ~ ~ o D ~ ~ A N N C ~~ ~'jj N • ~ ( J~ 3 ( T a IJ Q C F~ C]i/1 w ~• ~ ~ ~' 'o ~ ~ R ~ ~ 0 N i~ •r S ` 1 V Sy 00 ~ R J ~ N ~ T -• ~ ~ n+ ~ = i ~ ~ O ~ o. O a y O OA O N v S O oos '~ c~rtn ? A O f/1 fOT Q 3 N ~ ~ ~ ll~ il ~,,~ Ul Ul fA c ~ °D a ~vv~ C° 0 ~ ~ o Ip ID m ~ ~ y 3 °-' ~ .. c~ i o rn caoz ~ a ~ 'D N N -~ C -~ N -~ m v d v ~ Do ~'?~ ~ -~ i0 L'; d i A ~ ~ o Z N UNi ~ m o W ' c <° I z 0 3 ~` ~ 3 m C° ~ y Z A A i C i <_ T , C i a 'I ~ O 0. a aro O O op 0 ti ~ o 'b ! I ti Parcel #: 020-1439-18-000 02/02/2005 11:07 AM PAGE 1 OF 1 Alt. Parcel #: 25.29.19.2744 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 `CHRISTENSEN, TIMOTHY & ANDREA C TIMOTHY & ANDREA C CHRISTENSEN 715 WOODCREST DR N HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ` 892 HIGHLANDER TRL SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.000 Plat: 2128-INDIGO PONDS LOTS 1/57 020/03 SEC 25 T29N R19W PT NE NE INDIGO PONDS Block/Condo Bldg: LOT 18 18 2 000 LOT ( . AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-29N-19W NE NE Notes: Parcel History: Date Doc # Vol/Page Type 06/16/2004 765998 2596/559 EZ-U 05/19/2004 763045 2575/241 WD 12/30/2003 750306 2482/347 WD 07/10/2003 729699 9/71 PLAT 9tlfld C11MMdRY Bill #: Fair Market Value: Assessed with: -- - - - - ------- -- - - 50617 69,800 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 54,000 0 54,000 NO Totals for 2004: General Property 2.000 54,000 0 54,000 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 Wisconsin Department of Commerce .Safety and Building Division PRIVATE SEZIVAGE~SYSTEM INSPECTIC`N REPORT GENERAL INFORMATION (ATTACH -~n PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.0? (1)(~n)i. Permit Holder's Name: City Village X Township American Classic Homes Hudson Townshi CST BM Elev: Insp. BM Elev: BM Descripti n: ~, ~' 1~.~' ~, - ~ Brn l TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~ Dosing. Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 2~ ~~ ~ 3` Dosing Aeration Holding PUMPISIPHON INFORMATION Manufacturer Demand GPM Model Numb TDH Lift do ss System Head H Ft Forcemain ength Dla. Dist. to Well SOIL ABSORPTION SYSTEM / ~ tLl .• d.....J,-~o~ .U-,r-..Pnnil., ELEVATION DATA County: St. Croix Sanitary Permit No: 453136 0 State P n ID No: Parcel Tax No: 020-1439-18-000 Section/Town/Range/Map No: 25.29.19.2744 STATION BS • u HI 13.3 FS ELEV. Benchmark ~ .(~ t Alt. BM Bld r /n ' / ~ `101 SUHt Inlet St/Ht Outlet ~S ~ ~PS~ Dt Inlet Dt Bottom Header/Man. ..~,/ ~'IP • 3 ~ Dist. Pipe 1 /D Z O (p. , Zoe Bot. System ~p~ o o ~./n ,S', 30 .ZD/ Final Grad~~yL` ~~ ~~ O~•O~' St Cov ~.® rc tr ,2 D3,of~~ r ~~ ~ n i _ ~ .r . i . ~ /.' .~ n J .A /~/ ~.Ll /il A11 / AO l ~ RENCH Width ~ " Lengt ~ No. Of Trenches P T DIMEN IONS No. Of Inside Dia Liquid Depth DIME ~ ~~'~ Z S1j Q S e0. a~ SETBACK INFORMATION SYST EM TO P/L BLDG WELL LAKE/STREA LEACHING CHAMBER O Man ~cturerA~ / fr Q C e Of System: Typp ~ 12 ~ \ UNIT C(, . Model Number: _ lP'~~ - M- 2 J DISTRIBUTION SYSTEI'AI'' Header/Manifold Distr' ution x Hole Size x Hole Spacing ent to Air Intake Pip ,..,, '3 f7 / Length Dia Length is Spacm -- SOIL COVER x Pressure Systems Only xx Mound 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 Yes No C M.ENTS: (Include iscrep nci ers s present, etc.) Inspection #1' ~-!~_!~'~T Inspection #2: / Location: 918 Highlander Tr Unknown (NE 1/4 NE Y/4 25 T29N R19W) Indigo Pends Lot 18 Parcel No: 25.29.19.2744 L 1.) Alt BM Description = ~j~• ~`4'~~ ~~ : '~> ~~II~JPI ~II T~1 ~e~~ SYS~"'~ 2.) Bld th = r o2 ~vu0u~'cC~ l~~ `_`"'~(C7 -amount of cover = 2 r!F e ~ ( ~`~ez-~- '~ S c~ y~~~~f- ` ~ -~yr 3) ~ 2 'Z ~ ~p / / _ __ _ fiT -- Plan revision Required? Yes No Use other side for additio ation. ___ _ -. _ Da e I cto~r'`s Sgnature '~ a ~(#~~ / Cert~Ng. / ~~71~ (~2.3w7 - n ~6'~ tli. !!~ ~ti9v~ _ t,~ Cev`C '~JJ'/Y~/ "~~~ ~/ `]~QQ'd'~_~p ~ J QJ~ ~. C~~Zl~pL °~M- vs61~ ~' County /~ ~ r~ Safety and Buildings Division ~[ 201 W. W»hington Ave.,'P.O. Box 7082 Sanitary permit Number (ro be 5lled in byCo. ~~~O~t~ Madison, WI 53707 - 7082 3 AID cis) 261 X546 pepartment of Comme ~ stece Plan iD. Number _~~.-._...-a--_-_ ~_-_ Sanitsr mit Ap ~~~°~p.~~~f~~`~ pal infi)rmation you provide ~ project Address (if different rhea mailing ssldress) In acwrd with Comm 83.21. Wis. Adm. $~ Pn~ Law, s15.04(I)(m) Q aD ~ / y ~9- /S-ao d maY be used for secondary PurPo ~" j ~ , i ~. I. Apptica6on Information -Please Print All Informatio ~1 $Iacft M ~,. ~ P~cel # 5 ~ r ~ a, 'F '~ i l ~. i'1~' ~ ._.r.. - ~. ~ ~ - Property Owner's N e ~ //e ~ i _...._..r...-..... ~,.,._-_~. , ~ ~' (~ C~ Property Location ~ property Owner's Mailing Address ~ ~~, ~ ~~ / / h, Section ~~~ Zip Code Phone Number ~7 C1 one) City, Stale ~/ ~~/~ jl\~ T L~N-~ orw ~" /\ ` sue~,~s~on ame l,.S umber II. Type of Buitdlag (check all that apply) v ~ T ~ or 2 Family Dwelling -Number of Bedrooms ~ - ^ lidCoramercial-Describe Use ^City ^ illag~awnship of ^ State Owned - Describe Use T. G~ ~ ~ - IIL Type of Permit: (Cheek only oue bos on Une A. Complete line B If applica~ment Only ^ Other Modification to F.:cietiag System A• New System ^ Replacement System ^ Trcattnent/Holdiag Tattle Rep List Previous Peratit Ntanber and Dats lssuad ^ C}~ge of ^ Permit Transfer to New ~~ / ~ ~ a~ 0 `'~ B. ^ Permit Renewal Permit Revision Plumber Owner Before Expiation ~- I At.Grsde ^ Single Pass Sand Filter ~ IV. T e of POD'S 3 Item: Check all that s c.,and Filter ^ on-pressurized i°'Grouad ^ Mound>_ 24 ia. of suitable soil ^ Mound <24 in. of suitable soil enc Unit ^ Recirculating Tank ^ Pmt Filter ^ Aerobic Trestrn t- .~' ~~, ~ Constructed Wetland ^ Pressuril~d In round- - ^ Ho]dmg ~ Gravel-less Pi ^ Other (e ,n thaGC Med,a Filter Ilaehin Ct>aznbef Drip Line Recirculatia SYo _ Di~y~sa1~ es Systsct Eleva ~ ~ , ~ ` ~ P sed ., .a__....trr.e.tmentAte nfor , „ n:.nsal Ara Required (sf) Tank Info Capacrty to t3allons or VII, RpPo~ibility Statement- I, the ,5 Gallons I of Units t p ~T Site toel Fiber Concrete i Constructed Glass for iasrsllation of the ppWTS abown oa the attaenea pmo~• ;nod. a res onsibility ~ Business Phonez/Num er J ~/ s Si e ®~ ~~ .pproved ^ Disapproved Surcharge Fee) / cf.O ~ !~ [] Owner Given Reason for Drnial S s~ h L n s' [ „ Q ~~~ YJ rortURe'sons for Disapproval ~Q~ ~ (Y.w" ~W`iD Conditions of App 1 /~j~~- S/ 3/O y SYSTEM OWNEt~: 0 3 ~ ~~ ~~ v ~/ 1 Septic tank, effiue~ t ~Ilbe servicentained Oyu ,~ ~~c.~ ~,, r"6 dispersal cell mus a lumber. ~/~(.~-~~' i~.J~ /Gv " - as per management plan provided by p ~t~~, ~Q~' 2. All setback requirements must be maintained ~~ n rU as per applicable code/ordinances. (' for the system ee not less than it12 : tt foetus to size 3~ / Attaeh eomplete pines (te the County amyl i.~'n_~14Q fR. 081021 Soil Test and System PLOT PLAN PROJECT American Classic ADDRESS 2141 Ctv Rd C New Richmond Wi 54017 NE 1 /a NE 1/as 25 /T 29 N/R 19 w TowN Hudson COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE5/3/04 BEDROOM 4 CONVENTIONAL XXX IN-G RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 ,BENCHMARK V.R. .Top of Walkout foundation ASSUME ELEVATION 100° ^ BOREHOLE r~ WELL ~ H.R.P. Same as Benchmark Filter Zabel A-100 SYSTEM ELEVATION 91.9/92.6 5' below grade Property Line Ip ~ ~~~ ~~, Ply ~ 5~~°, ~~~ C~~ ~- ~i~ ~ ~" Plans Designed Using - Vents Conventional Powts 12% 2-3' X 88' Cells Manual Version 2.0 Slop'e~ with >3' spacing 200' 145' --\ ~~ ,°l ~ B.M. ~ 1 B- Well is to meet all setbacks required by Pro 4 WDNR 45' 0 Bedroom ~.~ .~ House .- ,~z., ~ 20' ~ 3 ~~~''"' Vent C ~ >6" of Cover Property Line r, 0 .~ ~~ ~ 6' Longh l " ~VV id Drive Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevation Soil Test and System PLOT PLAN PROJECT American Classic ADDRESS 2141 Ctv Rd C New Richmond Wi 54017 NEt 1/4 NE 1/4S 25 /T 29 N/R 19 W TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE5/3/04 BEDROOM 4 CONVENTIONAL XXX IN-G RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 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 Walkout foundation ASSUME ELEVATION 100' Fllt@I' Zabel A-100 ^ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 91.9/92.6 5' below grade Property Line 12% 200' 45 45' --~ B-1 > Vents 2-3' X 88' Cells with >3' spacing B.M. -3 40' Pro 4 Bedroom House 40' 20' 10' `-~ ST Plans Designed Using Conventional Powts Manual Version 2.0 Well is to meet all setbacks required by WDNR Vent Property Line >6" of Cover 6' Long 11 " 34" Highland Drive Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevation Wist.onsin Department of Comme ~ • ~D Division of Safety and Buildings , SOIL EVAL,UATIQN REPORT Page ~ of to er nQt less m si tIT~B~?t~~'M ~s ' Attach com lete site lan on a ts. Aam. cone Plan must n County C C 1L7~ Y GJ p p p p . indude, but not limited to: vertical anQ horizontal reference point (BM), redion and Parcel I.D. percent slope, scale or dimensions, north arr and loc ation and dista o w, to nearest road. nn ~~ AA YY P/ease finf aM'~for~~ti~~04 eviewed Date p ~ ~ Personal information you provide maybe sect for secorlgary Vrpc~e6~(Privacy w, s. 15.04 (1) (m)). / 2 Property Owner ZU~11rdGQFFICE Property Location ~,el e4 Govt. Lot ,~ 1/4 ~/4 ~~ N R E ( r) W Property Owner's Mailing Address any ~ ~ Lot # /8 Block # - S me CSM# ~ ~~ ~ City State Zip Code Phone Number ^ City Villag Ne r st R a New Construction Use Residential I Number of bedrooms Code derived design flow rate 6 ~ GPD ^ Replacement ^ Public or ce merdal -Describe: _`______ __ ____,___.__ ___ Parent material ~~ Flood Plain elevation if applicableJ~//f~ ft. General comrneMs / O/~ ~a~ / and recommendations,~G, s'~- e < ~v / b ~~ # ~ Boring ~~ C pit Ground surface elevC~=4-_i ft. Depth to limiting factor ~~ in. Soil ication Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'ETf#1 'Eff#2 l ~ ~ 3/v ----, ~ j--- ~ O Z /~ '~~ ,~f J 4~/ ~ ~ p2 YtT ~ ~ o O.r ~ ~ ~ I ~6 /Zo ~ Boring ~ eori # it Ground surface elev. ft. Depth to limiting facto ~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munselt Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 .~ r---- .r~ r. - ~ --- SOS .~~ / ' ~ • Effluent #1 = BOD > 30 < 220 mgll and TSS >30 < 150 ' Emuent iFZ = t3vu < ;iu mg/L and t a5 < su mg/L CST Name (Please Print) Si a CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Co ucted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~~~~- s.~~ 715-246-4516 e Property Owner Parcel ID # Page of Boring # ^ Boring Pit Ground surface elev. -~- ft. Depth to limiting factor ~,~ y in. ~l ~~ ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D1fF in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 / J ~ A Z - d ~ r.~ ~ `~^ .s GJ - v~ - Ds ~ - 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 ^ Bonng ~~ # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 •Eff#2 `Effluent #1 = BODE > 30 < ?20 mg/L and TSS >30 < 150 mglL `Effluent #2 = BODS < 30 mglL 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. seaeaw (R.~oo> "' °~County ~ ~ 1 J Safety and 13uildin=s„J~jleisio+ /~ ~ 201 W. Wash [ on(''QC, .- mber (to be tilled in by Co ) it N P ' ~d " u erm anitary .. ~~jj nsin Madis t, WI , j" ' '^ ~ ' j r 3 ( 08) 266-3151 eo p nt of Commerce Mate Plan l.D. Number ~s Sanitary Permit Applic io ' : ` O In ccord with Comm 83.21, Wis. Adm. Code, personal infor ation ou ,d ~ !~ "~; R{~~~%~..,UU, sed for secondary purposes Privacy Law, sl .04(1 ) '~ o ct Address (if different than mailing address) OFFICF b 4 I ) e u Ina y '(}NING `. ~ y'-IC~L~I_i4NpC--2 TR/ - 1. Application 1 nformation -Please Print All Information cel # Lot # Block # Property Ov`me~r,'\s~ Name , ~ f ' J ~i °` ~ r Location Property Owner's Mailing Addr ~- Zip Code Phone N umber it ~, cafe ~~ ~ ~le ne) > ~ ~ ~ Eo W ~, ~ N; /// e CSM Nw er II. ype of Building (check all that appl ~, ~,~.QTy~nti Subdiv' n N or 2 Family Dwelling -Number of Bedroom A - ~ c Y~ ^ Public/Commercial -Describe Use r ~ ^Villawmship of ^City - Z ~ ~ _~ ^ State Owned -Describe Use ~2~3 ~ . III. Type of Permit: (Check only one box on li A. C____,___e e B if applicable) OZO - ~ ~j -'"~ r t~ A. System ^ Replacement System ^ TreaUne Holding Tank Replacement Only ^ Other Modification [o Existing System Ist P vious Permit Number and Da B. ^ Permit Renewal ^ Permit Revision Ch ge of ^ Permit Transfer to New Before Expiration PI n r Owner IV. a of POVVTS S stem: Check all that a 1 ^ of suitable soil At- ade ^ Single Pass Sand Filler ~l ^ Mound < 24 in ~ ^ . ble s n -Pressurized In-Ground ^ Mound > 24 in. of su ized In-Ground ^ Iding T ^ Peat Filter ^ Aerobic Treatment Unit culating Sand Filter ^ P ' ressur Constructed Wetland G J7s~- Recirculating Synthetic Media Filter Ching C ber ^ p Line ^ Gravel-less Pipe ^ Other (explain) C-+;~® V. Dis ersal/Treatment Are formation: Dis ersal Area Proposed (sf) Syste Elevati Design Flow (gpd) Design Soil Application Ra gpdsf) Dis e 1 Area Required (sf) p ~ )) ~f / / ~ / ` ~ ~ C7 ~~ f ~- Prefab S Capacity in oral Number Manufacturer Tank Info Concre[e Constructed Glass Vl . Gallons allons of Units New Existing Tanks Talil:s Septic or Holdin_ Tank .- Aerobic Treannent Unit Dosing Chamber _ VII. Responsibility Statement- ,the undersigned ume responsibility fo installation of the PON'TS shown on the attached plans. P/MPRS Number Business Phone Numbey /~ ~~~ ~ ~ Plumber's Name (Print) Plumber's lure ' ~ ~ ~~~ ~ ~ (~ S ~ ~ ~~ ~ ~ '~ Plumber's Address (Street, Cit State, Zip ~ e ~ (/ ~'lll. C unty a artm t Use nl Sanitary Permit Fee (includes G undwater Date Issued Issuin Agent Signatur (No Stamps) Approved ^ Disapproved Surcharge Fegl . ~ 2~ ~~/Z~l[) \ ^ Owner Given Reason for Denial 1?C. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent f'll~r end dispersal cell must all be serviced I maintainetl as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances Attach eompleh plans (to the County only) for the system on paper not less than 8112 x 11 inches in size SBD-6398 (R. 01/03) . ~/~nE2ir~,~_~`~d'-d.G OT PLAN PROJECT ADDRESS 2141 Ctv Rd C New Richmond Wi 54017 NE I/a NE I/as 25 /T 29 /R 19 ~ w~TUwN Hudson COUNTY ST.CROIX 4/18/04 BEDROOM 4 MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX IN-GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE •~ ABSORPTION AREA 872 # of chambers 28 ,BENCHMARK V.R.P TOp Of 1/2" PVC Pipe ~ Bw.~ = ASSUME ELEVATION 1002-Filter ZabelA-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 91.7/91.0 6' below grade Well is to meet all Plans Designed Using setbacks required by Conventional Powts WDNR Manual Version 2.0 193' Property Line ®~ 191' Vent >6„ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area ' 11" 6' Long . „ Grade at System Elevation 9% Slope 2-3' X 88' Cells with >3' spacing 30' 25' Pro 4 Bedroom House Property Line B-2 19' . , Vents a1t.6.M. B.1 A is top of 1 pipe @ 200' 100.0' ~~ COPY ~~"r"dn~w 97' // / r ~ii~nei,~.~,,~~-~u-6~.d.G OT PLAN PROJECT ~~ ADDRESS 2141 Ctv Rd C New Richmond Wi 54017 NE i/4 NE 1/4S 25 /T 29 /R 19 W TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE4/18/04 BEDROOM 4 CONVENTIONAL XXX IN-GRO~3 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 872 # of chambers 28 ,BENCHMARK V.R.P TOp Of 1 /2" PVC Pipe ~ Bw~ ~ = ASSUME ELEVATION 100' 2Fllter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 91.7/91.0 6' below grade Well is to meet all Plans Designed Using setbacks required by Conventional Powts WDNR Manual Version 2.0 193' Property Line 191' Vent Standard Biodiffuser Property of Cover Leaching Chamber Line with 31.1 ft2 of Area 6' Long 11 " B 2 19' „ , „ Grade at System Elevation 9% Slope 9'7' Vents 2-3' X 88' Cells with >3' spacing -1 57~ 7' a1t.b.M. B. A is top B-3 of 1/ ' pipe C 200' ~ 30' 10 Pro 4 Bedroom House Wisconsin Department of Commerce Division of Safetv and Buildings SOIL EVALUATION REPORT ~., ~.....,rrhnrc with Cnmm Rri Wic Adm Cnr1a 1291 Page 1 of 3 Steel Soil Service County Attach complete site plan on paper not less than 8% x 11 inches in s¢e. Plan must St. Croix indude, but not limited to: vertical and horizontal reference point (BM), direction and and location and distance to nearest road. north arrow scale or dimemsions percent slope Parcel I.D. , , , pending Please print all information, evie Date Personal information you provide may used ~ • 15.04 (1) (m)). ~~ ~~ ~t/v ~" ~" ~~ C~ v~v~~ /~ ~ / Property Owner Property Location ROSAMJI, L.L.C Govt. Lot na NE 1/4 NE 1/4 S 25 T 29 N R 19 W Property Owner's Mailing Address ~ Lot # Block # Subd. Name or C SM# 2141 Cty Rd. C 18 na Indigo Ponds City Stat Zip q b e`F J City J Village 1/ Town Nearest Road N ~ OFFI New Richmond ~ WI Hudson Highlander Trail I/ New Construction Use: yJ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ~ Public or commercial -Describe: Parent material Sream terraces and pitted outwash plains Flood plain elevation if ble na General comments 1 and recommendations: system elevation 92.75 ft, trenches spaced and depth to / de 5.00 ft below grade ~ a~'(3L~/~ ~a ua.~ a•7 ~ Boring # J Boring Pit Ground Surface elev. 97.75 ft . Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP *Eff#1 D/ftZ *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 1 0-6 10yr4/1 none I 2msbk mfr gw 2c .5 .8 2 6-18 10yr3/4 none sil 2msbk mfr gw 1c .5 .8 3 18-32 10yr4/4 none sicl 2msbk mfr cs na .4 .6 4 32-42 7.5yr4/4 none scl 2msbk mfr cs na .4 .6 5 42-120 7.5yr4/6 none ms/cos osg ml na na .7 1.2 `, i 3 moo ~o Co~rS~ ~ 9 ~. r Boring # J Boring Pit Ground Surface elev. 93.95 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary RooL~ GP *EfF#1 D/fN *Eff#2 1 0-4 10yr2/1 none I 2msbk mfr cs 2c .5 .8 2 4-12 10yr3/4 none sil 2msbk mfr gw 1 c .5 .8 3 12-28 10yr4/4 none sicl 2msbk mfr gw na .4 .6 4 28-38 7.5yr4/4 none scl 2msbk mfr gw na .4 .6 5 38-52 7.5yr4/4 none sl 2msbk mfr gw na .5 .9 6 52-120 7.5yr4/6 none cos osg ml na na .7 1.6 * Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and T55 < 3U mg/~ CST Name (Please Print) Signatur ~ _ CST Number David J. Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 4/29/2003 715-246-5085 Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST-POWTSM ROSAMJI, L.L.C. New Richmond,WI 54017 L1C. #248956 NE1/4,NE1/4,S25,T29N,R19W Bus.(715) 246-6200 Town of Hudson, St. Croix Co. Fax.(715) 246-9372 Indigo Ponds Lot 18 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' Benchmark Ele. 100.00Ft Top of 112" pvc pipe Alt Benchmark Ele. 100.00Ft Top of 1/2" pvc pipe ^ =Borings Boring Elevations ~ t75~~- ~~~~~~ ~~~ u, Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic T~~nk is to be pumped once every 3 years. 2. Effluent fitter is to be cleaned once a year. Please note: a larger filter is being installed in order to extE~nd the maintenance interval of the filter. 3. Once every 3 years, ce11s are to be inspected via the inspections pipes at the ends of the cells. 4. Owner ac.rees to limit greases, garbage, and water conditioner discharge into the system. 5. The ownE~r agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. WatershE;d is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contnge 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. PJo adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace ~~ny other failing components as needed. Plumber: f~haun Bird 715-246-4516 St. Croix County Zoning 715-386-4680 Pumper T~~m Mondor 715-246-5148 Shaun Bircl #226900 ST CR013C COUh[T'Y SEPTIC TAI~IK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerlBuyer _~ ..~ , ~ ~ ~ G~~ ~~ - ~~, ~ Mailing Address ~ ~=' ~ - `~-L/ (~-L C-~ ~-.~ Property Address ~"'~ (Vuificatioa from Planning Deputmeat for new construction) City/Statt Parcel Identification Number 020 -~`f3~- /~-~~• a~~{~~ X,EGAL DESCRIPTION _ .s Properly Locatio ~1/., ~~/. Sec ~`~ . ~ 1~I- W, Town of S~ ~-~ Subdivision Lot # L~.~,~ . _ Certified Sarrrey Map # .Volume .rage # ~ v Warranty Deed # ~ `~ ~ ~~ f° .Volume 2 ~o ~. Page # ~~~ Spec ~~~a O no Lot Iiaes identifiab ^. no S"YSTLr1Mi ~MAINTEi~TANCE . i~c+opecrsesadmainteaanpeofy+onrsePticsysOemoouldraaltiaiispr~a+~fa~uretohaadlewasoes.Proixr~ocaanoe ocasiscs of pampiag oni the septic tank curry three yrars or sooner; if neadrd by a Iioeased pmmper.:Wlrat you put into dre system can affect the fimchicn of the septic talc ss a t<+eatmaa stage is $re tVaste disposalsysoem. The p~+opecty owner agrees to sutmzit o St. (7eoiz 7.oairrg a oectificatioaform, signed 6y the oovrrasr and by a . mastsrphz~~jo~mmeymaaplomtibet;resnicbodphnml~er~slioauedpomnervertfyingthst(I)theoa~ite~vsstewaierditposatrysxm is is Proper operating coaditiortand/or (2) after inspodion awd .(if necessary), the septic-taalcis less Than 1/3 #nII of sludge. ~ the uadasigoed have rtad the above regoir+emeats sad agree to maintain $~e private sewage disposal system with ~e standards set forth, hexein,'as set oy the D~eparbment of CAmmerce and the Deputmeat of Natuntl R,esomices; State of Wisconsin. f 7eCStica stating that yoar septicsysGeoi has been maintained msrst be eomple0ed sad to the~~/ l G~a,~c.Couaty Zoamg Office within 30 of the three year iration date. ~G~G~~/ ~~ ti ~. ~ ~N ~~~~ ~~ d ~ TORE OF APPLICANT ~ 1 1. ~ ,~ DATE =` ~ ~ `~~~ OWNEYt~ CERTYFICATION I (we) cerfify that all statements on this form are true to the best of my (our) latowlalge. (we) am (ors) the owreer{s) of describod above, by virtue of a warranty deed =ocordod is register of s/~'~ _ _~ ~ y OF APP ' /i"~' /~~~~ TiJRE LICANT / DATE ~ru~~L~ r•" "' sssss~ ssssss ~, information that is mis-repr~esentodmay result is the sanitary permit being rovoiutd by the Zoning Department. " Indude with this application: a stamped warranty deed &nm the Register of Deeds offiu a espy of the certified survey nup if referoace is wade is the warranty deed ~; 2y82(' 3'i7 STATE BAR OF WISCONSIN FORM 2- 2000 ;ument Number I WARRANTY DEED ~_ --- - - -_ THIS DEED, made between Rosamji, LLC, Grantor, nd Amy erican Classic Homes, LLC, Grantee. \ n or, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Lot 18, lat of Indigo Ponds in the Town of Hudson, St. Croix County, onsin. Recording Area 7..~..-0306 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CRDIX CO. , iiI RECEIVEU FOR RECORD 12/30/2003 10:90AM WARRANTY DEED E%EI~T # REC FEE: 11.00 TRANS FEE: 330.00 COPY FEE: CC FEE: PAGES: 1 and Exceptions to warranties: H, Easements, restrictions and rights-of--way of record, if any. 41 020-1069-50-000 Parcel Identification Number (PIN) This is not homestead property. Dated this 30th day of December, 2003. Rosamji, LC B ~-~~'2a ~l - X- *Sandra M. Gehrke, Manager for Rosamji, LLC AUTHENTICATION Signature(s) authenticated this 30th day of December, 2003 ...n~~ * 'G TIT (f: o EMBER STATE BAR A`Q~a~`~``SG0~5 authorized by § 706.06, Wis. ~~S..tttdts,~~ Q~ " THIS INSTRUMENT WASJD~TED BY Edina Realty Title -Doug Berg 400 South Second Street #115, Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both aze not necessary.) 'Names of persons signing in any capacity must be typed or printed below their signature B * Ma R. R an er os ' i, LLC ACKNOWLEDGMENT STATE OF WISCONSIN ) ST. CROIX COUNTY. ) ss. Personally came before me this December 30, 2003 the above named Sandra M. Gehrke, Manager for Rosamji, LLC and Mary R. Rusch, Manager for Rosamji, LLC to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. *Cheri Brown Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: 3111 /2007 ~i WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 ~ ~ a 66 y ~ ~:,~~ alb .p1~ ~ L ~ _ \ ~ .~ `~ 6 a+, ~z+00S ~G~, O ~ a ~ p ~~ CU ~ ~ \ ~ t .Y1 °'956 ~ ` ~ ~~~ z N aZ, ~ '1~•`9 =WN N F- ,~ n ~~ ~ ~t Vj U ~~N ~ ~~ a __: `- ~ g ~ ap v ,cam, ,; r ~ a9, 6 oil 3 ~ ~`~ ~, 1.:.-. Z ~ v .q3~k O vs ~ J }~' ~ N3ti ~ oNioo _~~ A Nv ZW~W ~U o~ ~ c ~' . ~,,. ~ ~ ~ 4 80~ ; a ~ `~ pp9 Q J ~ 5~ M ~ ~ ~ W • kk 1 3 t0 ~ W F 2 eV i~ N < y C> ~/~, O ~ ~ ~ Q J a ~? ~ --~3 ~! ~a O W ~~n .~~bh/r ~ ` a ~ , ~ N ~t i . N ~~~ Z'N.t Z ~~ ~f'' 995 ~'~.,_~N414,8~3_ 3~~ a a~i 1. ~/ .656 ~\ W N M R~Arpp 3~ / _ ~~. Zfaa~W N1~ ~ y< ~ mO `` - ~ . 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