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HomeMy WebLinkAbout020-1439-34-000 Parcel #: 020-1439-34-000 02/07/2014 03:17 PM PAGE 1 OF 1 Alt. Parcel#: 25.29.19.2760 020-TOWN OF HUDSON Current ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-WINES, BRETT BRETT WINES 909 HIGHLANDER TR HUDSON WI 54016 Property Address(es): *= Primary *909 HIGHLANDER TRL Districts: SC=School SP=Special Type Dist# Description SC 2611 SCH DIST OF HUDSON SP 1700 WITC Notes: Legal Description: Acres: 2.284 SEC 25 T29N R19W PT SE NE INDIGO PONDS LOT 34(2.284AC) Parcel History: Date Doc# Vol/Page Type 06/29/2005 798895 2832/334 WD 04/15/2005 792321 2784/403 WD 07/10/2003 729699 9/71 PLAT Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *09-071-INDIGO PONDS LOTS 1/57 020-03 25-29N-19W SE NE LOT 34 2013 SUMMARY Bill M Fair Market Value: Assessed with: 247686 530,200 Valuations: Last Changed: 07/18/2012 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.284 71,000 446,700 517,700 NO Totals for 2013: General Property 2.284 71,000 446,700 517,700 Woodland 0.000 0 0 Totals for 2012: General Property 2.284 71,000 446,700 517,700 Woodland 0.000 0 0 I Lottery Credit: Claim Count: 1 Certification Date: 05/14/2008 Batch M 08-04 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ° ^ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Pdvacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Wines, Brett Hudson, Town of CST BM Elev: Insp. BM Elev: BM Descript ion: ~8fl nn 10~ t ~5~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ,,s~~.~~--~ ~ovwl~o ~aU~l~ Dosing + ~ ZCV~ ~`-'LJ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 7 75' /~,~- zit- ~ z ~ ~ - Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand PM Model Nu r TDH Lift Friction Loss System Head TDH Forcemain Len Dia. to well SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 488051 0 State Plan iD No: Parcel Tax No: 020-1459-34-000 Section/Town/Range/Map No: 25.29.19.2760 ELEVATION DATA STATION BS HI FS ELEV. Benchmark g Y 5 108, 5 /Q~ Alt. BM fay ~~ I~al k. ~ ,/~ ~ C L', ~ J ~tJ~.~s Bldg. Sewer ~ 3 • ~ / a 7 St/Ht Inlet ~- ~:9 ~nCo St/Ht outlet Z . ~ 7 ~ S ~ `j Dt Inlet ~ Dt Bottom `, Header/Man. , / (0~0 • ia3. iot, Dist. Pipe s• ~ b,a ~0s' iat •S oi. Bot. System [~ 1 ~ f~ Final Grade I ~ ~J 7~7 st Cover 3 F: t'~. ~ ~ I ~ , ~~ 7 /~O • L (c, . 1 /o Z . ~f ~ z 7, 3 /a/, z. ~ 7 g ~>so • 7 BED/TRENCH Width ~ Length / No. Of Tr nches PIT DIMENSIONS No. Of Pits Inside Dial Liquid Depth DIMENSIONS 3 ~ ~ e 3 I <e~1.L ~ ~ ~- SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. /t , /) ,rn INFORMATION CHAMBER OR r p i JS~-~. Type Of Systemr: ~ ^ 'S0 ~ 54 ~ (~ I _O i UNIT Model Number: DISTRIBUT ION SYSTEM ~z-~- /Z f- I Z = 3~ d'av`~.s Header/Manifold ~/ Distribution x Hole Size x Hole Spacing Vent to Sir Intaj~ K 5 ~ ~( ~ - ' \ Pipe(s) ~ ~ \ ~ ~ oh 3rd ` Z ~ G Dia Length 7 . Length Dia Spacing . -d aw+ C(lll r(1VFR ., o.e~~••s c..~~e,.,~ n..~.. ...r 1111nnnrl nr At_hrarla Svctems Oniv Depth Over / Depth Over ~ xx Depth of xx Seeded/Sodded xx Mulch d Bed/Trench Center ~• ~ Bed/Trench Edges \ Topsoil ~ ~ Yes i~J No _ Yes n No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 763 Kilt Court Hudson WI 54016 (NEt 1//p 1NE 1/4 25 T29N R19W) I/ndI'go Ponds Lot 34 / 'I'- ~ 5 F ~ ~ ' ~ `~ Parcel No: 25.29.19.2760 o~ ou . a r~ a ~ J ~ C~V~a ~~n,S 0 e~l~ O t/~ , 1.) Alt BM Description = / 2.) Bldg sewer length = Z7 5°` 1 `5 ~~ Sw -amount of cover = ~ ~ Plan revision Required? ~~~ Yes l0 2 ZZ ~~ (~ ,3 ~1' S ther side for additional information U J . se o Date Insep ors Si ture Cert. No. SBD-6710 (R.3/97) ' Safety and Buildings Division County ~ /J < m m 201 W. Wa ton I e„ . B 162 ~ ~ x (,/•' ! ,SCO~~,~ Madi Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 266-3 ] 51 ,_/~$ "7 r Sanitary Permit Applic lOi>~~(A~~~~~ ~~ Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal info ation you provide may be used for secondary purposes Privacy Law, sl .04(I)(rra , t jest Address (if different tin may ng address) , I A li f i I . pp cat on n ormation -Please Print Alt Information ST. ~~~ix ~ 76 3 , ' ~ L~ Property Owner's Name Parcel # / t #, Block # ~ ~ ~ C l / ~_ ~ 7 ~~ Property Owner's Mailing Address Prop rty Loca ti o n / e ~ ! ~ / S i ~ City State ~ ' Zip Code ~~ ~ Phone Number ect on ~, J c~rcl ne) / / ~~ ~ ^ 1 E W 2~(O T N II. T pe of wilding (check all that apply) t1 ; C r 3JbM~ TT / br ~ Subdivision ame CSM tuber r 2 Family Dwelling -Number of Bedrooms , ' ^ Public/Commercial -Describe Use O ~- ~~"~-- ~'"/! ! //~~ ^ State Owned -Describe Use 3 IJ i6~ C~..'S t~ 1 Z Yl Z ~' 1 Z ~ „v~oe_!'S ^City ^V~ ag p III. T ype o Permit: (Check only ooe box on line A. Complete line B if applicable) A. System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System g, ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. a of POWTS S stem: Check all that a 1 on -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In- and ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ i? Recirculating Synthetic Media Filter chin Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) ~ .~ i3e V. Dis ersal/TreatmentRrea formation: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) ~ System Elevation a 7 ~-- ~ /I ./ ~~ 2 0, z ~~ ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fi Plastic Gallons Gallons of Units Concrete Constructed Glass New E~tisting ~ !~ ~I_~ Tanks Tanks ~ '~C• Septic m Holding Tank ~3 t7~~ Z Aerobic Trestmetrt Urrit AD ~-~ ` , Dosing Chamber ~ VII. Responsibility Statement- 1, the undersigacd, a u sponsi ility for iastallatioa of the POWTS shown on the attached pleas. Plumber' Name (Print) S ~ Plumber's Si MP/MPRS Number Business Phone Number f~ ~ ~~ ~ ~G da 7r.T ~ / Plumber's Address (Street, City, Slate, Zi ~ .~" ~9~,~ ~ ~YD> ~ VIII. Conn /De artment Use Onl Approved ^ ~ prow Sanitary Permit Fee (includes Groundwater D Issued Issuin A t Sign tamps) ^ Surcharge Fee) r /~ ~ ' 5 / Q ID Own . en Reason for ' 7 IX. Conditions of ApprovaUReasons for Disapproval 3\ J I t-O ~~~ e I i~_ 1G r~Ai3c~ N~ SYSTEM OWNER: J I A 1. Septic tank, aflklatlt flltaf and ~ ~,(, O ,/~, ~,~' f ~t ate d U~ '" -• ~ dispersal GeN must all If as Per nwlapamsrtt Plan pfovidad by pktrtlb~-. ~., ~~ 1 IL, ~i) ~ ~ ~~ 0 ~ ~'S ~~ ~~ ~ a 51 ~£' ~ . . s c aPP p tti, Attach complete plans (to the County only) for a system on paper not less than 8111: 11 inches in sine ~ ~ ~o ~~- e~ ~ ~~ SBD-6398 (R. 01/03) t i~o'~I cLJ n ,~ ~ Er~se,,~.~ ~_ Kam. t (C'~ L T PLAN PROJECT Brett Wines ADDRESS 431 2nd st. Hudson Wi 54016 NE 1 /4 NE 1/4S 25 /T 29 /R 19 W TOWN Hudson COUNTY ST. CROIX MPRS Shaun Bird 226900 1 /8/06 5 DATE BEDROOM CONVENTIONAL XXX IN-GROYJ PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1 1 19 # of chambers 36 ,BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100° Filter ZabelA-100 ^ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 100.2/90.2/89.2 4.5 below grade Low side of cell Alternate Benchmark To of 1/2" i e @ 98.2' Trail Well is to meet all setbacks required by WDNR Plans Designed Using Conventional Powts Manual Version 2.0 Kilt Ct Pro 5 Bedroom House Scale is 1" = 40' unless otherwise noted 3-3' X 75' Cells with >3' Spacing B-1 35' 13% Slope 0' 85' Man B-3 50' f 50' Vents ' A filter alarm is to be installed Vent >6" of Cover 6' Long J,11 " . ~~ Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevation 250' on pond ~~ 1 Property L T PLAN PROJECT Brett Wines ADDRESS 431 2nd st. Hudson Wi 54016 NE 1 /4 NE 1 /4S 25 /T 29 /R 19 W TOWN Hudson COUNTY ST. CROIX MPRS Shaun Bird 226900 1 /8/06 5 DATE BEDROOM CONVENTIONAL XXX IN-GROti7 PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1 1 19 # of chambers 36 ,BENCHMARK V.R.P. TOp Of 1/2" pipe ASSUME ELEVATION 100' Filter ZabelA-100 ^ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 100.2/90.2/89.2 4.5 below grade Alternate Benchmark Top of lie°' pipe @ 98.2' Low side of cell Hi hlander Trail well is to meet all Scale iS 1" = 40' setbacks required by WDNR unless otherwise noted Plans Designed Using Conventional Powts Manual Version 2.0 Kilt Ct 3-3' X 75' Cells with >3' Spacing B-1 35' 13% Slope 250' 85' 0 \ Man de rention pond B-3 50' ~ ~ Pro 5 Bedroom House B_ * At1.B.M. 30' 10' S0' 100' Vents 10' A filter alarm is to be installed Vent >6„ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 11 " Property Line 6' Long ~ ~ „ Grade at System Elevation Wisconsin Department of Commerce SOIL EVALUATIO T Page of Division of Safety and Buildings ~ ~1 ~" ~- _ ~~ i~ l~~ rn acc~ nn a~, ~~.~c ry„a~ae C er noT'I~IFw 2 x 11 inch Attach com lete site lan on a in size Plan must p p p p . ~ ~ «~~F ~ indude, but not limited to: vertical and horizontal referen M), dirggli~~ a(xi : t pa LD. ~ ~ -' ~~ ~ 0~ ~ percent slope, scale or dimensions, north arrow, and location an istan Bares road. -~ t Please riot all information. ~pLIN~ Revi d by Date Personal iMortnation you provide may be used for secondary purposes (Pri cy Law, s. 15.04 (1) ~ d Property Owner roperty Location ~ r !~ /~ ~ Govt. Lot 1/4 /4 J I N R E (or W Property Owner's Mailing ddress Lot # Block # me CSM# S 1 V ,-- -f- c / State Zip Code Phone Number City Village o Nearest Road ~~~ ~ ~~ ( ) Gc.- ew Construction Use' sidential / Number of bedrooms Code derived design flow rate ~~U GPD ^ Replacement I ' ~,^ Public or~°m~ merdal -Describe: ________ _-______.__ __- Parent material ©~-~-~/C~~[~./ Flood Plain elevation if applicable r `~ ~,,,~' ft. General corrxrrerrts and recommendations: Boring # ~ Boring / ~. Dt:U ~ ~ t~2..~ L1,(X~ 1 ~, pit Ground surface elev. ~ ft. pepth to limiting factor ~~ y in. Soil lication Rate Horizon Depth Dominant Cdor Redox Desciption Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0 - to ~ i f ,~---- -- ,~,.. ~ ~ l ~ 3 -ll~ ~ ~ ~' / / ~ ®~ng # ^ Boring l/ / la~i Pit Ground surface elev.~R. Depth to limiting factor 1~ in. Soil lication Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 //~~ c Z p 3 ~ s----- ~ ~ ~ Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~,_.. ~ ~ ~ 715-246-4516 Property Owner ® ~~ # Boring Parcel ID # --J-~=-~ /rage of D th I' ' ' -~-~ ' // Pit vrvuna sunac:n e~CV. ep to imiGng factor rn• 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 ~-I l 1, ___- 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 GPD/ft? 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 lication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GP D/f~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 ` Effluent #1 = BODE > 30 < ?20 mglL and TSS >30 < 150 mglL • Effluent #2 =GODS < 30 mg/L 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. SB0.8330 (8.6/00) Property Owner Parcel ID # age of Boring # Boring ~ ,/ pit Ground surface elev. ~~ ~. Depth to limiting factor -~ in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DlfT in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~-+ .~ ,,~~.. S i ~-l1 ~ t __-- Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Sal ica6on Rate Horizon Depth Dominant Ca Redox Description Texture Stn~cture Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. 'Eff#1 'Eff#2 a ~~ # ^ Bornng ^ Pit Ground surface elev. ft. Depth to limiting factor in. Sal ication Rate Horizon Depth Dominant Color Redox Description: Texture Structure Consistence Boundary Roots GP D/ft'• in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. 'Eff#1 'Eff#2 • Effluent #1 = BODE > 30 < 220 mglL and TSS >30 < 150 mglL • Effluent #2 = BOD, < 30 mgJL 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. seo-a~w pt.~oo> Project Name Brett Wines Address 431 2nd St C~f #226900 Lot 34 Subdivision Indigo Ponds Date 1 /8/06 NE 1/4 NE 1/4S 25 T 29 N/R19 W Township Hudson Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1 /2" pipe System Elevation 100.2/90.2/89.2 *HRpSame as Benchmark Alternate Benchmark Top of 1/2" pipe @ 98.2° Soil Test Plot Plan Shaur Hudson Wi 54016 p'r , - v O1A v .. i .. ~~ W ,8Z'09£ M„£0,6Z,OOS ~ ,~ ~ ~ z to W ~ i m ~('~ v~~. iv ~' ~,y, ~ ° a° a ~ r' ~ N z° ° 2 V~ t ~j ~ I ~ m ~~ ~~Tiv~-v~zz ~~j F~ ~ c~ 150 ~ ..z ~~ ~ ~3`tNaQw~~Q i~ ~ ~ ~~ ~ c~iia ~J1o_c~ ~i° x~$N~°o c~ ~m ~ v~ Mtp N ~tYZ < •er~ \~~p~ W~pZ ~ ~ x ~: t - I MNC °~W c-~ ~O~mZ1i= j~ ~ / COvZWO~ ~ ~~ J~~ uf~i i .i /~ °s •F 1N3W3SV3 ~ ~'L ~ ~ ''~ ~ 3JbNIV?JO ~~ J i~~ ,8S'l4l S9' £l ~„~- .. / ~;~`,t2` .S` '4£S M„9Z,S4.ZOS ~s n U' W OZ~f ~_ ~ ~-O S' ~ N ~ ~OZ O ' 3~ O .+ 19S 1A P7 ~ N ° ~ Z ~ /~ ~ ~ ~ of ~ W l/ ~ ' `,y3 ~ ~ \ ~ ~v 2WOW `•• i N `.• ~ ~ ~',,, ~ W .4c ics M.ZS,e ~ ~, ~~ ' 1 ~ ~ ~ z.4os »W ~lrZ ~`. m ~ ti I ~ ` ~ ~~ N13~~2.89 ~ .~ _ ~ c~ N pv ~, i ~ ~ (p • • ~ • ~ Z W M tf~ ~_ 3 3 ~ ~ 6F •~a~~ .~~'s ~ 0 3 ~ ~~•stsio ~ ~ M ~ ~ H 1`s. ~ a > m d i i~ ' O 3~'Y v~ ~ ~ ~+ ° z ,o - `••; Jr °' ~M.II,Z~ 8 ~ F \ b~0 ~ od- ac ~~~ .86'L9Z 3.Z0.4£e00S nJ~ TTii$ 2~~0~~ \ ~ ~ - ~I ti ~ ~ ~ s~, 1~~'S~ t.: ~ 3 co via 3o to 1+0 ~~ NQ O~ t~D 1_NN C7 W~ ~ ~ M~~Z mZmZ M M^S ~mm~ ya o0 ap. ~+.~ ~~~0 ~ r zt:~OG7 r. zwOw °r m.. zOmFZZ a 3 ~~Z ~ M aW N ZWO W .Z f.'7 D .L6'~S4 M„1-£.8£.40N ~ 3~~1.~`~9~ ~ N M O I1 283? P 33'~ State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number II Document Name THIS DEED, made between Landsted. LLC ("Grantor," whether one or more), and Brett Wines, ("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 34, Plat of Indigo Ponds in the Town of Hudson, St. Croix County, Wisconsin. 798835 KATHLEEiI H. WALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 06/29/2005 0B:30AlI MARRANTY DEED EREIPT # REC FEE: 11.00 TRAJIS FEfi: 50.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address 020-1439-34-000 Parcel Identification Number (PIIJ) This is not homestead property. (is) (is not) Exceptions to arranties: Easements, restrictions and rights-of-way of record, if any. Dated n/ /f ~~~~, ~ ~.l LLC (SEAL) (SEAL) Signature(s) _ authenticated on TITLE: MEMBER STATE BAR OF WI ~C~ IN (If not, authorized by Wis. Sti~t~t~~t~v GO~S~ THIS INSTRUMENT DRAF~E~~Y" ~~~ n Attorney Kristine Ogland ~~~~~~~~ Hudson. WI 54016 I~~~~;KNOWLEDGMENT STATE OF .1 J r ) Notaryl'tiblic, 5tatb My Commission (is (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOliLD BE CLEARLY IDENTIFIED. WARRANTY DEED ©2003 STATE BAR OF WISCONSIN FORM N0.2-2003 • Type name below signatures. INFO-PROTM Legal Forms 800-655-2021 www.infoproforms.com AUTHENTICATION Personally came before me on ~V (~~~~:(1~p'C the above-named Landsted. LLC Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan Option #1. ~ system fails, determine cause of failure, use alternate area and install new system in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715-246-4516 St. Croix County Zoning 715-386-4680 Pumper Tom Mondor 715-246-5148 Shaun Bird #226900 OwnerBuyer ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ~ rQ ~~~ w ~ h ~ s Mailing Address ~,~f Property Address ~Yv __ 763 I~~ I~ Cou~r~ ~ _ n (Verification required from Planning Department for new construction) ~/` rr.. II ~- City/State ~V`~ ~ ~/V-1- Parcel Identification Number ~ Za ~ ~ ~ " ~`'~ ' O 00 LEGAL DESCRIPTION Property Location /Y C '/,, ~ %,, Sec. Z S. T~N-R~W, Town of ~~J/~ Subdivision Lot #_~_. Certified Survey Map #v v ,Volume " ~ ~ ,Page # -, ~ ~ ~~ Warranty Deed # _ ~~ ~ ~ ~~ ,Volume °~ ~ ~~ ~ ' Page # ~ f Spec house ^ yes ®no Lot lines identifiable i~ 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 years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, j ourneyman plumber, restricted.plumber or alicensed pumper verifying 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 W isconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of ee ex ira ' date. r -~~ SI NATURE OF AP LICANT DATE OWNER CERTIFICATION I (we) certify that all statements on Wis form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prop esc ' a y virtue of a warranty deed recorded in Register of Deeds Office. / /~ NATURE 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 Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85. Wis. Adm. Code 1278 Page 1 of 3 Steel Soil Service County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizordal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. " . . Pig' ~~ '~~' Please Tint all inf Revi By D Persons information you provide ~~~~p ay be ~~ ~AP~ (Privac Law, s. 15.04 (1) (m)). Property Owner Property Location ROSAMJI, L.L.C Govt. Lot na SE 1/4 N 1k1 S 25 T 29 N R 19 W Property Owner's Mailing Addres Lot # Block # Subd. Name or CSM# 2141 Cty Rd. C ST. C!~OiX COONT~~; 34 na Indigo Ponds City ate Zip'-C~tl@i~tS~h€if~~mber J City ~ Village {/ Town Nearest Road New Richmond ~ WI 54017 715-248-7071 Hudson Highlander Trail New Construction Use: ~ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement _J Public orcommercial -Describe: Parent material Sream terraces and pitted outwash plains Flood plain elevation, if applicable na General comments !~ and recommendations: mound design, system elevation 107.10 ft, based on contour line elevation 106.10 (JN6l~v~ .~ ,~~~~~~ Boring # J Boring Yf Pit Ground Surface elev. 107.20 ff. Depth to limiting factor 140 in. SoH Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 10yr4/1 none I 2msbk mfr cs 1 c .5 .8 2 5-18 10yr3/4 none scl 2msbk mfr gw 1 c .4 .6 3 18-41 7.5yr4/4 none scl 2msbk mfr gw na .4 .6 4 41-60 7.5yr4/4 none sl 2msbk mfr gw na .5 .9 5 60-140 7.5yr4/6 none cos osg ml na na .7 1.6 Boring # J Boring /_) Pit Ground Surface elev. 107.20 ff. Depth to limiting factor 34 rn- Soil Applicaton Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 10yr3/2 none I 2msbk mfr gw 1c .5 .8 2 5-18 10yr4/4 none sl 2msbk mfr gw 1 c .5 .9 3 18-34 7.5yr4/4 none scl 2msbk mfr di 1f .4 .6 4 34-48 7.5yr4/4 c2d7.5yr5/6 sl/Is 2msbk mfr di na .5 .9 5 48-96 7.5yr3/4 c2d7.5yr5/6 scl om mfr na na .0 .0 * Effluent #1 = BOD S> 30 <_ 220 mg/L and TSS >30 <_ 150 mg/L * Effluent #2 =GODS < 30 mg/L and TSS < 30 mglL CST Name (Please Print) Sign CST Number David J. Steel ~-,_~ 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 5/1/2003 715-246-5085 T -« D Property Owner ROSAMJI, L.L.C Parcel lD # pending Page 2 of 3 Boring # J Boring ~/ Pit Ground Surface elev. 100.60 ft. Depth to limiting factor 69 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-4 10yr2/1 none I 2msbk mfr cs 1 c .5 .8 2 4-48 10yr4/4 none sl 2msbk mfr cs 1f .5 .9 3 48-69 7.5yr4/6 none Is osg mvfr cs na .7 1.2 4 69-120 10yr8/2 c2d7.5yr5/6 sicl om mfr na na .0 .0 ^ Boring # :--~ Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Shucture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 ^ Boring # J Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Murrsell Qu. Sz. Cont. Color Gr. Sz. Sh. *EfF#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/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 SE1/4,NE1/4,S25,T29N,R19W Bus.(715) 246-6200 Town of Hudson, St. Croix Co. Fax.(715) 246-9372 Indigo Ponds Lot 34 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 N the time the soil test was conducted. Legend 1"=40' • =Benchmark Ele. 100.00Ft ~~ ~~b ~(~ Top of 1/2" pvc pipe O ~oblrh~ n~ • =Alt Benchmark Ele. 99.SSFt G ~ Top of 1/2" pvc pipe ',~• /a7.~~ ^ =Borings ~: ~., Boring Elevations ~ ~t ~ ~ ~o B I = 107.20Ft ~ (o D' ~" B2 = 107.20Ft (~2 B3 = 100.60Ft ~~~ ~ r cs ~2 B4 = OO.OOFt 2~~ ~ ,, . /~. ~~' I ~3r ~~.,~~r ~~ f~~~a ~~~ ~~ \\ ~ vu L~ l.-0-~-- r5~ ~ ~, ~ 3-i-o3 ~ ~~ ~~~ t .t 4~ ~~ ••1 ~ _ t .. ".r 1 •1 1 ~ r 92759 S.F: ~ ,~ r' ;. ` ` r .. m ~~ r ~ (2129 AC.)-_ _ ~ ~ ,;' ' (1.001 AC. N.B.P.A.) `~ ,' f N B.P.A.)' ~ ~~ 'w ~ a . 52 ~ ~~ .f ~ ~/. \ r` a "mil 1 ! / ~r i t ~\ ~ •, •` ~ ~ ~ 110 .14~ A ~ ' ~ /~ r ~d• `i j 111 ~_~ ~r~ ', ~ ~ ,, ,1 _ _ ~~~ \- , ~~ C ~ ~^~~~~~'; ' ~ ~9 , ` ` : ~ (2.088 AC) f ,' ,~~°`' ~ a ~ ~,P 1~ .• - ~ ~ ~ (1.243 AC. 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HIKING, ` . ~~ ,: .-'' ~ ~ ~ ( y AND FlSHING ~ ~ ~,• 18.35' ~ ~ ' . 1 18 00 ~52 731 362.54 ~ ` ~" n 1 r~ ^ ; i ' , ~ ; ~ • .' ; ! ' . ; : ; ~ SOUTH UNE OF THE NORTHEAST -~ < i v i i . ~ r / ' t ~: ;.~~~~~ ~ ~--QUARTER SEC. 25. T. 29 N.. R. 19 W.~ . •~' .. i