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Home My WebLink About020-1439-24-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ~ , y 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 Township Landsted LLC Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: q , 3 ~ - 3 c5-~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~J~GJ~ Z ~~ ~ZOd ~ ~~ ~ ~~~ Aeration ~ Q, rte, Hol ing TANK SETBACK INFORMATION EOb~~ r Qt~ 1 2 D~'. en o it n a e ep IC ~ 50 ~ NA- ( ~ ~ 5 eT 7 !5 --- osing era Ion o ing PUMP/SIPHON INFORMATION anu ac urer eman GPM o e um er I nc Ion oss ys em e orcemal EVIL H6.7VRt' 1 IVIV .7 T J 1 GIYI ELEVATION DATA county: St. Croix Sanitary Permit No: 488106 Q~ `S oa State Plan ID No: Parcel Tax No: 020-1439-24-000 Sectionfrown/Range/Map No: 25.29.19.2750 STATION BS HI FS ELEV. Benchmark ~_ s,~• 9~~~ , yy.~ Alt. BM LL wa~G pv~- ~ov ~b 3 ~ / Bldg. Sewer 2.15 ~r7,55 t/Ht net 3.35 9~ • ss t ut et 3 ~ ~ ~~ t ne ~ ~ 0 om ~ ~ ea er an. 7.5 9 Z • ~ Is . ipe 7~ tJ 7Z • Z- o. ysem yv~, ' o I~e r~~Rn ` ~• ~ `~(p• I over Goy s/ ~~ 0.3 `~ j 8.5 9'l ~ Z 9.3 90•~ DIMENSIONS 3 ~ ~ g z 7r`~~1..,~ ~ ~ ~ -~ INFORMATION CHAMBER OR ip ~ '~ ~- ~ ~ C n ~ 19 ~ ,, ] N~-- ,~, // /V ~ UNIT ~ , o o UI.7II[16U1IVIY~7TJICIYI ~~.f..~y. ~-G~ ~~,~~ ~/ Length Dia,~_ Pipe(s) Length \ Dia ~ Spacing` ~ \ z ~~.5 ~~ w~~ vvv~~ x rressure aysterns vnry xx rvwunu v. r.a-v~auc ~r~«~^~ ~+~~~r Bed/Trench Center J`• ~ / Bed/Trench Edges ~ Topsoil \ ~es No 'Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Location: 793 Highlander Circle Hudson, Wl 54016 (NE 1/4 NE 1/4 25 T29N R19W) Indigo Ponds Lot 24 1.) Alt BM Description = ~ G~~~ ~ ~ ~~c-' ~b a~ 2.) Bldg sewer length = ~S -amount of cover = ~'/ ~ Plan revision Required? ~ ;'] Yes No r- i ~ Use other side for additional Information. _~ ~ 4 ~ ~ SBD-6710 (R.3/97) Inspection 3t"L: l i_ Parcel No: 25.29.19.2750 I _~ ~ _ Safety and Buildings Division 201 W. Washin n Ave., P.O. B Counts' ~ I /~ P G ` ISCQ~t sl/t ' Madi ~7~~~f ~D r (to be filled in by Co.) Sanitary Permit N umbe ( , ~I / y ~( ~ /~ Department of Commerce ` V Sanitary Permit Appli ~ 5 6 State Plan I.D. Number personal in rmation rovi Wis. Adm. Code 2] In accord with Comm 83 , . , may be used for secondary purposes Privacy Law, 15.04(1)(m~R AUNTY 55TT Address (if di fferent Than mailing addr es oJect s) ~ ' ~ { . ) r ~ G ' ~ ` t All Information f ti -Pl e Pri li ti I I A ' Q 't/- ~ / 3 ~i r^ ~~ `~' r`'"` n ca on n orma on eas . pp ~ Property Owner's ame ~ Pazcel # Lo Block # li; // ~ Property Owner's Mailing Ad ess v`- ~ / ~ ~"oPe1tY Lo ~ '/., ~.C..-'/., Section I Ci State ~ /, , ~ GC/ Zip Code ~ ~ Phone Number /) circle /~ ~~ P7C~ N; ~ E (. (check all that a l ) e of Buildi II T A ~ 6 ab : -~ y pp . yp ng a . o w~ Subdiv~s~en N e CSM ber 2 Family Dwelling -Number of Bedrooms T /~oJ4e_ 'k' 10...x- ~/ ~ ^ ~ PubliclCommercial-Describe Use ^ State Owned -Describe Use Z ~ ~ J ~ e, ~ w ~ t ~ ^City ^Vil g~wnship of III. Type of permit: (Check only one box on line A. Complete tine B if applicable) ~~ ~ °J ~ Z~' - A_ System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ~ Revision ^ Change of ^ Permit Transfer to New !List Previous Permit Number and Date Issued -- O L~$$ Before Expiration I Plumber wner 1 IV. T e of POWTS S stem: Check all that a 1) ~ t~ - essurized In-Ground ^ Mound >_ 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In- round ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating S fend Filter ^ Recirculating Synthetic Media Filter chin Chamber ^ Drip Line ^ Gravei-less Pipe ^ Other (explain) / V. Dis ersaVTreatment Ar nformation: Design 1:7ow (gpd) Design Soil Application Rate(gpdsf) ~ Dispersal Area Required (sf) Dispersal Area Propo~eti (sf) System Elevati ' VI. Tank Info Capacity in Total Number Manufacturer Prefab Site 1 Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Ewisting Tanks Tanks Septic or Holding Tank Z Aerobic TzeafineM Unit n / /e"` F ~ Dosing Chamber VII. Responsibility Statement- I, the undersi ssume responsibility for installation of the POWTS shown on the attached plans- Plumber'sName (Print). ~ Plumb ~ afore MP/MPRS Nulnber - Business Phone Number _ i / ~~~~~ ~~ c ~~ ~/f ~ 6 Plumber's Address (Street, City, State, Zi ode) 'VIII. onn /De artment Use Onl A ^ D' Sanitary Permit Fee (includes Groundwater Da Iss Issuin gent Signature o tamer pproved ppr Surchazge Fee) ~ ~ ~~ ~ / _ D~ l~ ~~ ^ O er G n Re Denial IX. Conditions of Approval/Reasons for Disapproval 3, ~ J~ \ (~ ~JS ~ 5 ~ ~1._P~t „ SYSTEM OWNER: ~ ~,-- ,~ ~Q,,,J 1. Septic tank. Mlttsnt t9lter and ~ ~ e ~ -- P dispersal pN muµ aN bs:aetvk;es /maintained ~~` ~~~ ~c- sa per ntala~patrlaM phn provided by plumber. ~o'^"e~'"~`~ ' 2. AN aNbadt nquNwnKNs must be maintained ,G M paf appNcaWa Coda / ordinances. ~ J ~ c ~- 1 ! C-'0 ~ ' 1 Qc-J 5 d 1 1 ~ w ~. J ec~ ~ VC.~; ~a,r~ Attach complete plans (to the t:ounty ony) for me sysmm on paper uoc .eu .uxn o,~~ ,....u....m •., ~ ~. J /~ SBD-6398 (R. O 1 /03) c_,.[~ ~ Y w,r y> r, ~ _.. : ,, ~,a. ..~ Fc ~9um tM;, itcr+~arx~b ..: 'r sa~n4gsnst ~. ^sq t9:: ~~ib! »r ' ~Q:: A~EQQ6 lp ~ Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVA~ ~N REPORT Page of m accoraaru;e wnn ~.ornr ~ my Attach complete site plan on paper not less than 8 1/2 x 11 in pp es inblt ' `~ i indude, but not limited to: vertical and horizontal reference po t (BM), diredio nd rcel LD. ~ Zb ' / ,c~/3 9 - Z.~ 6Z~d percent slope, scale or dimensions, north arrow, and location nd distance to ne s Please print all information. ^' " view by Date Personal information you provitle may be used for secondary purpose Priva ,s.,>,~Q¢( ~ tr tC vv ~~ ~~ ~v ~ ~ ~~ Properly Owner I P r o p e rty Locati ,1 ~ "~ ~~ nit, ~, ~~. Govt. Lot iai 1/4 1/4 ~ T N R E (or) Property Owner's Mailing Add/r~ess / ~~~ ~i1.Q/ t - Lot~# ~` Block # Subd. CSM# City State Zip Code Phone Number ^ Ciry ^ V ge wn Near st R a ~-c~ r/ ~ D ~ t ) i ~r ew Ctxutrudion Use~tesidential /Number of bedrooms Code derived design flow rate GPD ^ Replacement .tee ^ `Public or co merdal -Describe: _ ____,___.__ ____ Parent material ~~C.~Gt/G~~ Flood Plain elevation if applicable ~ ft. General comments and recanmenrJations: System Type C D'~,1~~T7~~ System Elevation / ~ J `~ Boring # Bori Q l a Pit ~ Ground surface elev. U '' / ft. pepth to limiting factor /~/` in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ffl= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Effif2 n 7 J ~_ C.~~ ~ - \ .~ ~ i ...^ ___ ,~ ~~ # Boring pit Ground surface elev. L ft. Depth to limiting fador~-s~~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 -la .- ~- S ~~ r~' ~ - ;, 'Effluent #1 =BOO > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BOD < 30 mg/L and TS5 < 30 mg/L CS'T t~larr>Q {Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address v Date Evaluati n Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~~ l~~a ~ 715-246-4516 5 ~- b~s Property Owner Parcel ID # Page of ~~ # ^rn Boring IL~Pit Ground surface elev. ft,r'' Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DlH? in. Mansell Qu. Sz. Cont. Color ; ~ Gr. Sz. Sh. 'Eff#1 'Eff#2 3 ~._~ ,.---- 1 r , l ~D~ 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. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ~~ # O Bonng ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GP D/ff° in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 'Effluent #1 = GODS > 30 < 220 mglL and TSS >30 < 150 mglL 'Effluent #2 = BODS < 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. sao-aa3o ni.wao) PROJECT Lansted LLC NE 1 NE >t and S stem PLOT PLAN RESS 4 2nd St. Hudson Wi 54016 /4 1/4S 25 /T 29 /~`~V TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 !- 3/23/06 4 DATE BEDROOM CONVENTIONAL XXX IN-GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANKS 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 1/2" pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL * H. R. P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 92.0/91.2 5.3' below grade setbacks required by WDNR Plans Designed Using Conventional Powts Manual Version 2.0 Vent >6„ Standard Biodiffuser of Cover I-eaching Chamber with 31.1 ft2 of Area Property Line 1 1 " 6' Long 34" Grade at System Elevation Pro 4 30' Bedroom House A1t.B.M. ST Is top of 1/2" B.M.* Pipe @ 100.7' 30' 10' 10' ' B- ~ ir" I ~' Vents ~'Q ~' ~,f~ 12% Slope V -3 2-3' X 88' Cells with >3' Spacing S I est and S stem PLOT PLAN PROJECT Lansted LLC DRESS 4 2nd St. Hudson Wi 54016 NE i /4 NE 1 /4S 25 /T 29 TOWN Hudson COUNTY ST. CROIX MPRS Shaun Bird 226900 '~ 3/23/06 BEDROOM 4 DATE CONVENTIONAL XXX IN-GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANKS 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 1/2" pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL * H. R. P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 92.0/91.2 5.3' below grade setbacks required by WDNR Plans Designed Using Conventional Powts Manual Version 2.0 Property Line A1t.B.M. Is top of 1/2" B.M.* pipe @ 100.7' ~.~ 3 0' 10' 10' 75' B-1 Vents 12% Slope Vent >6" of Cover 6' Long 11" 34" Pro 4 30' Bedroom House ST 65' _ _ 35' Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevation B-2 2-3' X 88' Cells with >3' Spacing B-3 Safety and Buildings Division County // ~ ~ 201 W. Washington Ave_, P.O. Box 7162 J~, ` ,r Madison WI P - N be f ~scoos~n (608) 26 De artment of Commerce Sanitary Pe Abp c "o In accord with Comm 83.21, Wis. ' . Co person$1 inf tion y maybe used for secondary purpos rivac~rrL.aw„04(1)( I. Application Information -Please Print All Information -3151RECE6~E ~~pp u proJld~ ~ ~ i 1 ~ State P 6 ST, CROIX COU Project TY ermrt um r to be ilh ~8 n I.D. Number ddress (if different than m / ~ Property Own 'Name ]a ~ / ~ Parcel # ~ (,,~t # Block # Property Owner's Mail Address Pr Lora ~on ~-~ y 3 ~ ~ -1 ~ 3Q~ a ' ~ Y./1/~_'/., Section ~ -~ City, State Zip Code Phone Number c~rcl ne `~ T ~ N; I~~E o'w . Z 7~Z~ II. Type of Building (check all t apply) ~ ~ a5 5 ~b~ ~ Subdivision N e CSM umber 1 or 2 Family Dwelling -Number of B ooms ~ d r~_ cl v1., • ~ 7 ^ Public/Commercial -Describe Use / ^ State Owned -Describe Use Z i ~~ ~ ~ ~ '+~ / C ~5 ^City ^Villa own ~ of III. Type, of Permit: (Check only one box on a A. Complete line B if ap cable) A. w System ^ Replacement System ^ TreatmentJHolding T Replacement On]y ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ ge of Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumb Owner IV a of POWTS S stem: Check all that a 1) ~ d Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In- round ^ Holding T ^ t Filter ^ Aerobic Treatment Unit ^ Recirculating Sank Filter ^ Recirculating Synthetic Media Filte hing Chamber ~ p Line Gravel-less Pipe ^ Other (explain) i ~ ~?, V. Dis ersaUTreatment Area formation: ~ Design filow (gpd) Design Soil Application Rate(gpdsf) ispersal Area Requ (sf) Dispersal Area Proposed (sf) System Elevatio VI. Tank Info Capacity in Total tuber Manufac r Prefab Site feel Fiber Plastic Gallons Gallons fUnits / ~ /] p~ concrete Constructed Glass Tanks Tanks 8 LJ/~ ~(% /C/' ~K/ 1~ nepnc or rraamg i anK I X ~ ~ ~_ _~" 1/ I ~ ~ r r'71.1 T"1" (.(i(.(JI/f ~ ~ X ~ ~ 1 Unit ~.,, ..e ..,.a...,,w VII. Responsibility Statement- 1, the un rsigne ume responsibility for installation of the POWTS wn on the attached plans. Plumber's Name (Print) PI tier's ure MP/MPRS Nulnber Business Phone Number ~ ~.r ~~ ~ ~lJ ~~6-~s~~ Plumber's Address (Street, City, State, Z~ G`ode , VII Coun /De artment Use nl Approved ^ D' pprove Sanitary Permit Fee includes Groundwater Da a Issued Iss gent Si (No S s) Surcharge Fee) /~/~1 ~ d~p ^ O_ ~ n Reason for Denial " / vt/ ~ ~ '17 1X. Cond ~ or Disapproval \ fir 3J ~J~~~.(^ MJb~- 5Jp(J~ o~~na.~ Ma2..,,-e.~na,ti ~ Yr~c,'~AIIl~1~~nQ 1 I q~t!INI~ Pa~l~`r~-' rya ~ne,,,~, vtiCar..~J~e. ~~ Attach complete plans (to the County onlvl for the swstem on paper pot less thaa 81/2 z 11 inches in size SBD-6398 (R. 01!03) •e~,r .~ . _ AS3T~,vt PLOT PLAN PROJECT Lansted LLC ADDRESS 431 2nd St. Hudson Wi 54016 NE i/4 NE 1/4S 25 /T / 9 W TOWN Hudson COUNTY ST.CROIX 3/23/06 BEDROOM 4 MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX IN- UND PRESSURE 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 1/2" pipe ASSUME ELEVATION 100' Filter ZabelA-100 ^BOREHOL O WELL *II.R.P. Same as Benchmark r'" Well is to meet a SYSTEM ELEVATION 92.0/91.2 low grade setbacks required b WDNR Plans Designed Using 428' Property Line Conventional Powts Manual Version 2.0 Pro 4 A1t.B.M. is top of 1/2" pipe @ 99.7' B-2 Vents 9% Slope 75' sT~J ~ B.M. 40' Vent 5 , B-1 102' - " 4 >6„ ~--~"~ T of Cover 2-3' X 88' Cells with >3' spacing 4~-~ ~.. ,J, 11" 6' Long Stan rd Biodiffuser Leachi Chamber with 31. t2 of Area at System Elevation 18' .'~~ 52' ~~'~_ 30' ~1_8'~ 277' PLOT PLAN PROJECT Lansted LLC ~ ADDRESS 431 2nd St. Hudson Wi 54016 NE 1/4 NE 1/4S 25 /T i 9 W TOWN Hudson COUNTY ST.CROIX ~ 3/23/06 BEDROOM 4 MPRS Shaun Bird 226900 ~' DATE CONVENTIONAL XXX IN- UND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD R:1'1'E .7 ABSORPTION AREA 872 # of chambers 28 ,BENCHMARK V.R.P. TOp Of 1/2" pipe ASSUME ELEVATION 100' Filter ZabelA-100 ^ BOREHOLE O WELL *Ii.R.P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 92.0/91.2 5.3' b~b'w grade setbacks required by WDNR Plans Designed Using 428' Property Line Conventional Powts Manual Version 2.0 M. AIt.B.M. is top of 1 /2" pipe @ 99.7' B-2 Vents 9% Slope 75' 18' S2' 5' 10 - 2-3' X 88' Cells with >3' ~,~~acin~ ~. -.~- _-- 1288 Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8'/Z x 11 inches in s¢e. Plan must County St. Croix include, but not limited to: verti I reference point (BM), direction and percent slope, scale or dimems ns, noit~arroy~h, ce to nearest road. parcel I.D. pe ding Pleas print all informs r Personal infonnalion you provi maybe r ndary purposes (Privac Law, s. 15.04 (1) (m)). Review By Dat ~ Z.3 d Gp Property Owner ROSAMJI, L.LC ST. C ~ - Property Location Govt. Lot na NE 1/4 NE /4 S 25 T 29 N R 19 W Property Owner's Mailing Addre s ZONING OFFICE 2141 Cty Rd. C Lot # 24 Block # na Subd. Name or CSM# Indigo Ponds City State Zip Code Phone Number New Richmond ~ WI 54017 715-248-7071 ~ City _f Village 1/ Town Nearest Road Hudson Highlander Trail t/ New Construction Use: y~ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement J Public or commercial -Describe: Parent material Sream terraces and pitted outWash plains Flood plain elevation, if applicable na General comments and recommendations: system elevation 92.80 ft, trenches spaced and depth to code 4.50 ft below grade Boring # ~ Boring 1/ Pit Ground Surface elev. 97.30 fl. Depth to limiting factor 120 in. Soil Application Rate cture St Consistence Boundary Roots P DT Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture ru Gr. Sz. Sh. "Eff#1 Eff#2 1 0-5 10yr2/1 none I 2msbk mfr cs 2f .5 .8 2 5-17 10yr4/4 none sl 2msbk mfr gw 1f .4 .6 3 17-42 7.5yr4/4 none scl 2msbk mfr gw na .4 .6 4 42-120 7.5yr4/6 none cos osg ml na na .7 1.6 COS <35% coarse fragments = 36" & ,r , ~Q >35% - <60% = 60" below system i ~ b3' Boring # ~ Boring /_) Pit Ground Surface elev. 97.30 fl. Depth to limiting factor 120 in. Soil Application Rate cture St Consistence Boundary Roots i' D~' Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture ru Gr. Sz. Sh. *Eff#i Eff#2 1 0-5 10yr2/1 none I 1 msbk mfr cs 2c .5 .8 2 5-19 10yr4/4 none sl 2msbk mfr cs 1 c .5 .9 3 19-120 7.5yr4/6 none cos osg ml na na .7 1.6 - ~ // / 'Effluent #1 = BOD 5> 30 <_ 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L antl r 55 <_su mgi~ CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 5/2/2003 715-246-5085 Property Owner ROSAM]I, L"L.C Parcel ID # pending Page 2 of 3 Boring # J Boring 1~ Pit Ground Surface elev. 92.70 ft. Depth to limiting factor .120 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Textun; Structure Gr. Sz. Sh. Consistence Boundary Roots *Eff#1 PD *Eff#2 1 0-4 10yr2/1 none sil 2msbk mfr cs 2c .5 .8 2 4-22 10yr3/4 none sicl 2msbk mfr gw 1 c .4 .6 3 22-39 10yr4/4 none sicl 2msbk mfr gw na .4 .6 4 39-52 7.5yr4/4 none sl 2msbk mfr gw na .5 .9 5 52-120 7.5yr4/6 none cos osg ml na na .7 1.6 'I `i r~ rr 3~~ ~ Boring ^ Boring # J Pit Ground Surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Soil Application Rate PD *Eff#1 *Eff#2 ^ Boring # -:~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots PD *Eff#1 *Eff#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 or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. 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 Lic. #248956 NEl/4,NE1/4,S25,T29N,R19W Bus.(715) 246-6200 Town of Hudson, St. Croix Co. Fax.(715) 246-9372 Indigo Ponds Lot 24 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' r, , ,.,, ,.,.,-_ 3~ ~- 2~ -- -~ -- 344.56 r ,~ F J j :342 75„ ~ ; `; ~:, °. 87125 S.F.' ,~ ',~ 4 ~ ~~ ~`~ r ~~ ~ ~~ t `~ ~~ s , (2.000 AC.~ ; ~ ~ i ! ~~ 5 .\ ~:,,'.~~ ~~ -r, x ;1.649 AC. N B.P.At ! ~ ~ ~ •` ~ `"`~ hyy `''' r` ~ j % ~ # ~ ~ 1.115\ AC. N.B.P.A.) ~` \ ~ I 3~ 1 t r t ~ ~ t 4 5 .. _ ..~ ` ~, ` '~ / ~ ' ii ~ X19}.62' ,_ ~\ . ~i ~ ,- . ~ . 24 ' t~ ..~ ~ r ~ ~ _ l ., ` r 8722br S.F., { s~ t r ! ~ 'l ~ ~ 1 ~ i (2.002 AC.)~. ~ ~ y ~~ j j• ~~ ~ 1 ~~ ~ '/ `/ ~` ,/ ,(1.508 AC. N.B.P.A.~ ~ ~ ~~, ~ R, o'er f ~ ; ~ • ~ r r 01~ ~ ~, 1 1 { r r ~ R=$0 / ~ ~ ~ ~ / 7129 S.F'.. ~. , `' '` /'~ '~ ~ ~. ~ (2.000 AC.) - '~i ~ ~. i ~ (1.539 AC. N.B.P.A.)c /•' f ~;~, r. ~ ~! `. ~ ~ j i7c ,. ~~'y~ -~.,,, ! r ~ 503 02' 1y7 ' , f:: . -q~ • `/ ~ 102593 ~.F. - ~ ;' ,. ,,.~;~ %,?~;F~%} -- -,pQ --~ / ~ (2355 AC.) ,, + j ~'. ~ "~, ~~.y,.~ , . ~,! ~ " (1.023 AC. N.B.P.A. ~ , • - .;' ~ ~>`~' ;'(' i 1 ' ~ ,: . `".".fitt ~'~, > ~\ I , \ t ~,~ ~~•. `5' ~_, ~/~ ,t v~~f ~ ~,= . '~ ~; ~ ~•' r ~' 1 ~~ i ;' O 4 .06" ,~ i'75.10' r , •' ' ; j ~ 1, ~, ' -~~j i ; itt ~ A: ~ J . / r7r7r7"""CCCAAA,,,/// tt ~~,. ,'c % ~,` ~ ~ ~ ~,~ ,, :---CORNER SEC. 24. '~ T. 29 N., R. 19 W. 1 x h Q M w ~ .. > ~- ~ Q/ Z N g ~ ~ c~ ~ ~~ ~ ~ ~ rn \~ o O Z ^ N ~ my • W X N z 4- O ~ ~ U N W o= ~ ` ~ V V J ~ ~~~ w V ~-i , z ~' W Q z ~ Naw fl State Bar of Wisconsin Form 2-2003 WAR1tANTY DEED Document Number ~~ Document Name THIS DEED, made between Rosamii, LLC ("Grantor," whether one or more), and Landsted, LLC ("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 24, Plat of Indigo Ponds in the Town of Hudson, St. Croix County, Wisconsin. g~QJ494Z1 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIK CO. , WI RECEIVED FOR RECORD 03/10/2006 10:45Ali WARRANTY DEED EXEMPT it REC FEE: 11.08 TRANS FEE: 374.70 COPY. FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address 020-1439-24-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to w ties: Easements, restrictions add rights-o1'--way of record, if any. Dated (SEAL) ~~ / *Rosamji, LLC (SEAL) (SEAL) Signature(s) - authenticated on AUTHENTICATION * TITLE: MEMBER STATE BAR OF WIS IN (If not, _ ~ ~ ~~~.~,~ authorized by Wis. Stat. § 7~6~Jv~ 0~5~ ,;c~ a.~ ~\~c THIS INSTRUMENT DRAF1~~ ~ Attorne Kristina O land '`~~ G Hudson. WI 54016 ACKNOWLEDGMENT STATE F ) ss. COUNTY ) J~ Personally came before me on the above-named Rosamii, LLC to me known to be the person s) who executed the foregoing ins e d aclrnow dg s e. ~ Notary Public, state ofU~ My Commission (is permanent) (expires: (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: TH[S IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM N0.2-2003 * Type name below signatures. INFO-PROTM Legal Forms 800-855-2021 www.infoprororms.com 1of1 ' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~°C ~~ s~~ L--~- Mailing Address ~~' 2 -' ~~ J'Ge,'~ VG4~J N 7 i Property Address ~ ~~ j°J~~~l ~~ ,~,~/' ~ t ~- G ~ ~ (Verification required from Planning Department for new construction) City/State N , t W Parcel Identification Number ~ [~ - ~ t 3 ~ - Z c'( ~ ~~ ~ LEGAL DESCRIPTION Property Location N ~ %,, N ~ %4, Sec. ~, T~_N-R~W, Town of -(cl~ Subdivision d Lot # ~_. Certified Survey Map # ~ y .Volume ,Page # -" Warranty Deed # : ~ ~ ~ ° t i ~ - Volume ~ Page # Spec house ~i yes ^ no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three yeazs or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to Sf. Croix Zoning Department a Vrbification form, signed by the owner and by a masterplumber, journeyraanplumber, restricted.plumberor a licensedpumperverifying that (1) the on-site wastewaterdisposal 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 staling that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o e three r expiration date. 3 ~Za a~ SIG TUBE OF APPLICANT DATE OWNER CERTIFICATION 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 r erty desc ' dab Ve, by virtue of a warranty deed recorded in Register of Deeds Office. /' 3 ,2~, tom, SIG TORE OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** 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 Maintenance and Contingency Plan for a Septic S stem 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 Cc~a#i~ncy Plan Option#1~,~f 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 ,. _ ~. •M s~ •a '•N sz •1 •~z •03S a3lavtli7---, ~..- ~ ,. `i n_~ I - 1Sd3H1210N 3H1 .~0 3NIl 1Sb3 .% V 1 V V I V _~-4 N 6Z 1 bZ_-' ~ ~ ~~ '03S a3Na00 j ~ 1SV3H1f10S r.. oO ~ '~` N O LIJ I ~~~~ r ,` ~ ° ~ ~ ~ <3)I ~`o II ~~~ F-I .s~~ ~~~ ~ ~ ^ ^ O L~I -~I N tab U ~ ~ Q O < ~ LA ~ •- __( ~ NNp W NN S IJ/) NQ v ~ ~ N I ~ ~ o ~o °~ N o a to .W O (~ 0^0 N ~ O v W CA O ~ O~D (p r Vim! 3 f~~•, n ~ oW z a ~ _ I ~ 3~se1. ~ + ~ O ~ Gbb 3 ,~, p ` p~ slg~N " \ I ~ C' ~V V / Q I ~ N ~ ~ / o ~~ I ~ ~ ~jo ~ '' ~~ N ~ r -- ~`'~a ~~) c ~9 ~~ MEND ~ \ ~ w o I ~ EPA L lies I ~ zz ( ~~ ~T` / ~. NUm__ ~ N Q \ ~~ i JI 1 ~ •~ 1/'1'1 ,OZ ~/ tS ~v 1 ~~ ° ~ N N a^oN ~~i ~ 1 ;~M~~ I,SZoOOSI ~; o ~ N .~ rte' £bo6 N ~! ~~o ' ~1'S ~ U L 'Sr L-1 _I ("~~I I(1 Nf 6 ~ ~, a T~ .Ot'LZZ M.LI.SZ.00S 'G~, ~i • W O F-lo Q' N ~ 3 ~ ~•'~ ~ Z''~~aNa1WW p30Z W~3 ~~~~ ~~~ W~~ ~~~ ?~ ~~aO ~~~ ~ N~J Z(~qZ I ~~~- Jai ~ ~~~_, ~~~ ~~~ ~ ~~ s N~ c w~ ~ v ~ ~ z:,i ~~ ~. ~~ ~~. , ~_ Parcel #:• 020-.1439-24-000 03/23/2006 03:23 PM PAGE 1 OF 1 Alt. Parcel #: 25.29.19.2750 020 -TOWN OF HUDSON Current I 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 - ROSAMJI LLC ROSAMJI LLC 428 ORANGE ST HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 793 HIGHLANDER CIR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.002 Plat: 2128-INDIGO PONDS LOTS 1/57 020/03 SEC 25 T29N R19W PT NE NE INDIGO PONDS Block/Condo Bidg: LOT 24 LOT 24 (2 002AC . ) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-29N-19W NE NE Notes: Parcel History: Date Doc # Vol/Page Type 07/10/2003 729699 9/71 PLAT 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 94404 91,300 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.002 93,100 0 93,100 NO 05 Totals for 2005: Gen eral Property 2.002 93,100 0 93,100 Woodland 0.000 0 0 Totals for 2004: General Property 2.002 41,000 0 41,000 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