Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
020-1439-35-000
Viisconsin G'epartmentofCommerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Leffner, Christo her Hudson, Town of :ST BM Elev: insp. BM Elev: BM Descripti n: as ~ ~ - G5~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic J (~(~ / r - ¢~Q~ `Z~a Dosing -f -- ~~ 1F-~ Holding ~~ r". ~ 1 a~,~ TANK SETBACK INFORMATION ~'`~ ~''" f ~~""'~~`' TANK TO P/L WELL BLDG. ~ent to Air I take J ROAD Septic ~ ~ . 1 N Z~ / z7 J ~ Dosing 7Z5 1v Zoe Z7 „_. Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand ae~ GPM Model Number ~~ TDH LifL,f ~ Frictio~Lo~ System Fi@a TD~, ~ Ft Forcemain Len~~ ~ Dia. Z N Dist. to Well ~~ SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix ` Sanitary Permit No: 514830 0 State Plan ID No: Parcel Tax No: 020-1439-35-000 Section/Town/Range/Map No: 25.29.19.2761 STATION BS HI FS ELEV. Benchmark /~` Ih•W /~ ~B ~~ 5; •Q : ~ ~c~ 7 • ~~ • ~ Bldg. Sewer ~. ~ ~~~. SUHt Inlet /o . ~ /o . 5 SUHt Outlet Dt Inlet \ ~. Dt Bottom 1 .z~ /~Z Header/Man. ~ • Dist. Pipe • b J?S Bot. System / ~ Z ~ /~. (~ +85 Final `r~e ~ ~ I, r - Y /~~ St Cove ` GO f , ~ 7 ~ l f ~ 5 T ~Z . a ~oLl• 5 i X3.1 jd 3 ~.~ ~lb•5 13.5 /az~ Co BEDiTRENCH Width ~ Length / No. Of Trenches PIT DIMENSIONS ` No. Of Pits Inside Dia. ` Liquid Depth ~ DIMENSIONS ~ /„~ ~v ~ ' ~^e ~ ~- ~ SETBACK M N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: .~- f ~, 11 L • (Q"J ~.7Q INFOR ATIO Type Of~~ J r O~ '~ ~` ~ /~ ~ 1/~ UNIT Model DISTRI6UTION SYSTEM 6i w~' 7 ~~+ ak Number: ~ ~ ~ l' ~ T / HeaderlManifol~ ~~ Distribution ~ x Hole Size x Hole Spacing Vent to Air ntake ~~ -7 ~ Pipe(s) ~, \ i i S ~~ ~~ a ~~. Dia Length ng a pac Length D SOIL COVER x Prassura Svcfoms Only yx Mound Or At-Grade Svstem5 Only '~. Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ` ~ 7 ~ BedlTrench Edges ` Topsoil ~ ~s ~ No Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / 1 Location: 761 Kilt Court y~I o WI 54 (SE 1/4 NE 1/ 25 T29N R19W) Indigo Ponds Lot 35 arcel 25.29 19.2761 d't ~~.. C.aJt~.. Gln.a.S~ 1- o-• Po o ~ G1 w,j ~J~ ~ 1.) Alt BM Description = ~ LO~ Q ""~ 2.) Bldg sewer length = ~ ~~~~ °''~ 3 _ ~o_ a Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: Leffner, Christo her City Village X Township Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing t - Aeration Holding PUMP/SIPHON INFORMATION / V \ v Manufacturer De and GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 514830 0 State Plan ID No: Parcel Tax No: 020-1439-35-000 Section/Town/Range/Map No: 25.29.19.2761 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom He n. ist. ipg ot. stem Final Grade St Cover 1 BED/TRENCH Width Length No. OF Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: FORMATION CHAMBER OR IN Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes ~ No [~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.} Inspection #1: / / Location: 761 Kilt Court Hudson, WI 54016 (SE 1/4 NE 1/4 25 T29N R19W) Indigo Ponds Lot 35 1.) Alt BM Description = 2.} Bldg sewer length = - amount of cover = p ~ ~ ~ ; Use other'side for additional information. No ,___ __~_._ _ ___ I _ ~ ~- - - __- SBD-6710 (R.3/97) Date Insepctor's Signature Inspection #2: / /_ Parcel No: 25.29.19.2761 Cert. No. 0~;~/22/08 TUB 08:30 FA% 715 388 4888 ` COfl1m41't~.Mf1.QOV Safety and Btn'ldiagc Divisi ~' ~ ~ 2©I W. was6ington Ave., P.O. I62 f ~) M Madison, WI 53707- be tilled in by Co~ Saniary~ /~ V t^ Sanitary Permit Application s~ T ~~ sttbmissioa of gtis fan to the appwpriaae Comm H3 Wis Adm Cods 21(2) In accadtmoe with s . . , . , . . unit is legated prior to obtaini>t~ a sanitary pertait. NaOS: Appl' fa atatcowned POWiS Project Address (if dd'faeot than mailatg address) submincd ro the Depatostertt of Caarnace. Psraonat mfont>atan y provi~ in accordance with the Law :.15.W 1 m SWS. 1[ L A ~ infsraaadaa - Pleaae !t'i~t A~ Ustonsatia~ I~ ~ ~ ~ ,e .F JUN 2 6 2008 o Zo - /~ 3 - 35 - Property Owner's Mailietg Address 2 L ~ / , 7 ~ ST. CROIX COUNTY P°°D"`y LOC~'°`t ~ Z 7lo I ~ W t C" . SgOe Zip Cade _ ,~. y ~ /,, Section 1 ~ ~ _ Gy ck T~ ! 1V: R S u pe of Bttil~ (etsedc ali twt a~Y) ` a It ^ ~ ~ ~ 7 subdivision Ntm~e ~ 2 Family Dwdliug-Ntertberof Betbeoms , ~- C: ~ ~- Pe~.. a s , ~ D Pttb(iclCommerciat - Describe t)x `r •ti ~~ O city of ^ State Owned - Describe lSx CSM Number D illa~e of Townofy~ ~~" Ffl. T ype s Permit (peck o»iy one box ort lint A. Cospleae line B if sppkc ) '+' Syatent 0 ~ System ^ TrnurtetnlHokling Tank nt Only ^ Other ModiBation to Fxbtiap System (explain) 8. D Permit Renewal 'Revision ^ Chartee of Plurttber D Pemtit Transfer to New List Previous Permit Nwaber and Date Issued 5- s a ~ 3 C~ ~ Bef«e $xpiration owner / y i I V. ttf povrrs -ea: Cboek aN t+ltat Presstuized ltrL~i nand a Pcessuriaed Ur-Grand o At-Grade o Mowd >_ 24 in. of suimWe snit a Mond < y4 in. of sait~le soil ~ Holding Tatrlc a Dispersal Cartpont:nt (expiaia) ^ Pretreaunent Device (ercp{am) V. ssal/!' t Aran Itrtonnation: Drsr~t Flow (gpd) Desiga_ Soil Appiiquiott Ra[t) "!7 Or:pe~l Af«~~te~ulr~ (=n ~ 5// •- ~ ~P°SOd (~3 SY~? ' oaC • f ~ ~~ Tank Info Capacity in Gallons Toml Gallons Y of tlai~ Msnufatxtua ~ ~ ~ $ k NavTanks FxiNiytTanas ~ _ ~ C ~ ~ vY-i ~ gg ~n i~ tT7 ri. /- ~ f t Septic a tiotding Tank Dosi*aChrnEa ~/ ~ V il. $fatetnlat 4 ttte ity for ItutafWsHea of 1be POV1+T3 sYetva tta the atlacYM Plttrnber's Nance (Print) ~ Phanber' MP/M P RS Nuntba Basittas Phan Number ~• .~ // ~ ~ G.(:~ ~JJ ~ t7 Plumbu's Addreu (Street. Ciry, Stare. Z- ) o~ l (,~ R~e~-~~ t s~ 1 V [. •.. ma nt use Approved 0 Disapproved Permit ReLv s ~ ~ / Date _ {/ ~ 'IssuingAgcnt ` ~'~/~~-- D Owaa Given Reason for Denial d IX. Condition of ApprovallRnsons for Diwpproval Th ~ s r>° Sr s/ ~m ~ 6So /vie / You r~ Cc' Gv'~ ~ ~ ~ ~-~~~ v,L ` / d' f?'!!`IiN't.G(`!'1 i ~ "'~ ~`!e. ri/ l ZOD` ci c~G {/~ ~i4'7 PE' f!'/t i .~ s .. /7'J//,jr ~GU7 ~ 75 ' .5(ILL~'h ~ ~~ !'lal--~h /o~ /i ~ 2 Q~ ~ l -G~e -SCLE .'~ ~v~ /'Y! CL! !7 GtJ r'~/ C'if7)S.S Agacti N eaipttk phas b the pshn-aae srlalrt N 1!•e e:eawd ~ MpP~I~p~aw eesi ®~os vs: a >.co ~ r7.wt~~L' i~~. G~C ~ ~~,~ Cc - //1Si[ ~G~~ `7~re- ~V~`-G 0 ' ~U ~'D /~'-/C~ .C~ ~m~~2.- SBD-6398 (R' O1107)1/8fid thru Ol~~ ~~ C~7'! r, ~Lr VL°!r GZ~ ,C! !~!/lt~s~' ~~h/1'' C~'t.6 ,~ Cam- ma o /~iG~~ ,~f" ~ ~e n" o~ r'~i e-rt ~' ~ l ~~ PROJECT Chris Leffner SE ~ /4 NE i /4S 25 /T 29 MPRS Shaun Bird 226900 CONVENTIONAL XXX IN-GROUND 5/30/08 DATE CONVENTIONAL LIFT BEDROOM 4 HOLDING TANK MOUND SEPTIC TANK SIZE 113'55 gallons LIFT TANK SIZE765 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 917 # of chambers 45 ,BENCHMARK V.R.P. T of electric box ASSUME ELEVATION 100° Filter BEST Filter ^ BOREHOLE O WELL * H. R. P . Same as Benchmark ~~ ~~ ,~" ~'~ ~lV ~` =.: L h ~~II IV~ ~ ~~ ~ ~. / b (~O rylG 100' ~~_ ~~ Vents ~S~ ~~~ ~1 6 ~ti~' B-3 7 3-3' X 62' with , >3'Spacing 4% Test and System PLOT PLAN ADDRESS 2234 White Pine Rd. Hudson Wi 54016 SYSTEM ELEVATION 102.3/101.9/101.5 S -t' 15' B-2 ,~ ~ (U , 30' I v l~n ' .~ 1 4~.;~ ~ r ~j~~~~ ` ~, 1 l Y~~;,, ~ ~~ 'y's"u~~,~ a-, h 10' -1 ~,o 50° /ZS~ . / Huffcutt combo tank Vent >6" of Cover 12" 4' Long Quick4 Standard-W Leaching Chamber with 20.0 ft2 of Area 5.8ft^2/pair of end caps R 1 9 W TOWN Hudson COUNTY ST. CROIX ,~ at System Elevation __ ____ ,, arty Line ~ ~ -- } -~ _ _ Pro 4 Bedroom House Well is to meet all setbacks required by WDNR Plans Designed Using Conventional Powts Manual Version 2.0 (COPY PROJECT Chris Leffner SE ]~/4 NE 1/4S 25 /T 29 5/30/08 BEDROOM 4 MPRS Shaun Bird 226900 / ~ DATE CONVENTIONAL )0(X IN-GROUND P SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1 5 gallons LIFT TANK SIZE765 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 917 # of chambers 45 ,BENCHMARK V.R.P. Top of electric box ASSUME ELEVATION 100' Filter BEST Filter ^ BOREHOLE O WELL *H.R.P. Same as Benchmark ' ~ ~, -~ SYSTEM ELEVATION 102.3/101.9/101.5 B.M.* ~~ ~,A,',V'~ r~ , 100' Vents 30 ~. Z `Test and System PLOT PLAN ADDRESS 2234 White Pine Rd. Hudson Wi 54016 R 19 W TOWN Hudson COUNTY ST. CROIX ~a ~~~° .~ , ~ NU V ~- {~'~ U U ~ i; ~ r r' `Jt~ ~~ ~~ ~~~ ~-~) i v~- -, ~~~,.f „i ~ ~ iV~~ ~~ Y~~ , 10' B-1 L.~ y ~? 90' S 0' Huffcutt combo tank Vent 15' TB-2 30'__ ~ B-3 3-3' X 62' with ,~~ >3'Spacing 4% Slope >6„ Quick4 Standard-W of Cover Leaching Chamber with 20.0 ft2 of Area 5.8ft^2/pair of end caps 12" 4' Long „ , „ Grade at System Elevation 7 ty Line i S U~-e~ Pro 4 Bedroom House /~ r Well is to meet all setbacks required by WDNR Plans Designed Using Conventional Powts Manual Version 2.0 ~~ ~~n ~~~t. RBt?fiE '~~~ ~ to ~. • _-~ t3~ ~~~ SP£~~3' ICR~It31~t'S y~~ ~~ A~~K ,3~~C f~~i~' $t~X ~~4L'£ ~E~t • - ' -~~ iA$E.. yiA~ T3~6~ . SEP~T~S ; ~. .. ~~LT£R ~ ~------ ~_ .. ~,._ C. s a i ~ ~ a t,'FLS~ ~ 1 .~vT ! ~ .:' ~. . ~ • _.. f ~s ' ~ ~~ .~ • ~~~~~ 541IL' ~ ~ --""~~ _ .. ~ 8}~gTi~K ;#I~~ TA3i~lC ..... '~ ' ~p~C$£1'~ P14~ PAR ~~ " . r ~ .:. sEP~`~~ ~ ~~E T!t#iiG SFZ£S: 'per CAP~~~~= ~.:.. ~~. ~' w 1~~ ~~ --~~ K ~ - . n P ~~ C p S Ai,~l.RH ~Itt~i~ '~ ' • /~ FED g~3~.Rm ~i'~SZ~GS ~' • ' ~ZST'R - £~ put4P Or F _ ~ ~ FAT FACTO a . v~g3'"~~3~.3~~Y'~ER£iiC'~~pii£SS~R~12Q~.~~' ~;3?'l~1''~~~ ~f ~ ~I1t~ F~~~I~ X ' ,_ ~~ SAL ,~ ~3An~'~ ..r-j- ~~ s~vKs ~ ~~~. ~~ ~,~~5 ~ HP LaserJet 3100; 1 715 ~[ tsts[r ~y-~-+~ c•aur~r, ` °a" `'," S~nt By. . !~ ~ ~ f ~ ~ ~~ ~~~ ~~~ ~EH ~~F21ES SUMPIEF'FLUENT PUMP' ...~ woes +~ ysse R noR wr.o~ H of a '* '~ aae me z. sn:t~.e~:asp "'. ea re t~4 ~ +. ~ ~ooo ~a se ~5 ~'' a2 az sae ar ae an,ttbtYt9n ~, + ~ru ~ ~` ~ e~ + 8E ' y~ eua k'6 ~ ,sa +ooa ~o ea ss + tt 82 ~ ~ a sn : st e~ 99i~Lw6 54'0 ~ ~ ... rs ~0 7e " vtOv- LtTEa5ireXR--- ,o 73 ~ rowu . v+~ Mec~aaica- S~biait Seal -- s _ . ..~_.-- Fsstenacs ~ Shaft --__---- ~' Beariss$s o' Nitrite with carbon and u~s~ sna Batt Bearings Lithe t~tnt Pnm}~ Co. lUoares ar5.l~'!.=5ort -Fss: ~8.2~ '~ 8-srt # ram 99s235-o7R~ v~rww~~tteGi~aa~mp'G°m PUMP PERF'DRMaNCE CURVE usv saKz Wiscogsin Department of Commerce Division of Safety and Buildings ~EGE~VE~ ~~IL Ea/~z~IAT N REPORT _ rR~~X ,.cG\C~ Page ~ of in acco ance~w~O~~~e .ram. ~,oae r County Attach complete site plan on paper not less than inches in size Plan must ' . indude, but not limited to: vertical and horizontal reference point (BM), ' edi nd percent slope, scale or dimensions, north arrow, and location 'sta ton rest parcel I.D. OZO ~ / " 3CJ "~ Please print all information. Revi ed by Date Personal information you provide may be used for secondary purposes (~yie 7) (m)). jp zj7 ~g Property Owner ~ ~ f Property Location ,~ ~ N R ~ ~ E ~ ~- r t /4 S ,} i Govt. Lot 1/4~ (o Property Owner's Mailing ddress ~ y Lot # Block # Subd. Name or M# ` ~ ~ P; ~. a.3 ~ - ~. ~ City S t a te ZipG~Co~dJe/ Phone Number ^ City ^ Vifll~age wn Nearest Road f~ ~ /, ~- ~` ~ New Construction Us€~.Residential I Number of bedrooms Code derived design flow rate OZ~ GPD ^ Replacement ^ P~ub~li~° r commerdal -Describe: ________ __-___________.__ ___ Parent material ,~} rt~c~/~/~./ Flood Plain elevation if applicable ~V !/~ ft. General oornments / ~i and recanrnendafions:/ (~ ~ QC ~1'`~ ~ ~~ ~/ ~/' /~'-' System Type L ~ /1~(J~ ~ System Elevation /~~ 3~~~/• ! / .~~~ f Boring # ~ Boring /~ ~ Pit Ground su-fiace elev. ~ ~ V ` tt. Depth to limiting factor ~ 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 1 o-r ~~L s ~ f vw . ~ Z ~ S c-/ ~ I ~ ~ r ~ w Il i Boring # Bonng Pit Ground surface elevl~$~3 ft. Depth to limiting factor ~~ ~ in. Soil licatron Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft= in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 -1 > U ~ 31 a. C'a'^ ~ ~ 1~ 2 0- 0 .,- ~ ~ r.J - ' 0- ~'~ S / ~'l / ~ • Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mg/L '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 J -~~ - ~~ 715-246-4516 Property Owner _ Parcel ID # Page of ~"~ # ~ Boring ~y 10~ O pit Ground surface elev. t ._ jt; beptlh to;iimiting factor __~in. x Soil lication Rate Horizon Depth Dominant Color Redox Desaiptigq.. Texture Structure Consistence Boundary Roots GP D/Fi? in. Munsell Qu. Sz. Cont. Color _ ~"' ' °•t^irsa6z. Sh. 'Eff#1 'Eff#2 I jb ---- S ~~ ~ i ~~~ ~l~ - ~ a Boring # ~ Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure ' Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring ~n9 # n r. f1nn1{. M li.nifinn ferfnr in U U Pit vwu~ ~„ ~....a.,` a.~ _..r.............., ....,... .. Soil ication Rate Horizon ')epth 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 #t = BODS > 30 < 220 mg/L and TSS >30 < 150 mglL ' Effluent #2 = BODS < 30 mg/1. 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. seo-s~3o pe.<uao~ N ~ C Z ~ Z A ~° m 00 o m m~ °rn ~ 1; I f ~ \ ~ \ ~ ~1 it ~Y~r"M o ~ w.. / I , raci and Chris Lef f ner~ FYdsan. W 54LY6 I ~. Soil `l'est and System PLOT PLAN PROJE,T Chris Leffner ADDRESS 2234 White Pine Rd. Hudson Wi 54016 SE 1/4 NE i/4S 25 /T 29 N/R 19 W TOWl~ Hudson COUNTY ST.CROIX 5/30/08 BEDROOM 4 MPRS Shaun Bird 226900 DATE CONYEA'TIOi~AL )OOC IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE765 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 917 # of chambers 45 ,BENCHMARK V,R.P. Top of electric box '' ~~~~ ~~~ ASSUME ELEVATION 100' ^ BOREHOLE O WELL ~ H. R. P. Same as Benchmark ~' SYSTEM ELEVATION 102.3/101.9/101.5 ~ , 111 B.M.` ~ 100' ~ ~+ 15' B-2 G ~ Vents 30' 30' B-3 -~._.. . J 3-3' X 62' H~ith r >3' Spacing 4~To Slope `' ~ ~' 6 4'~ ..~ ~~. 10 ~ B -1 ~----~ -Y...~ (i,/1 7 /~ ~~ 90' 4' Long j12" Huffcutt combo tank Vent >6„ Quick4 Standard-W of Cover Leaching Chamber with 20.0 ft2 of Area 5 8f ^2 ~~d 50' Fi[ter BEST Filter Line Pro 4 Bedroom House Well is to meet al] setbacks required by WDNR t /pair of end caps Plans Designed Using Grade at System Elevation Conventional Powts Manual Version 2.0 d81~ LO ZO ZZ daS Page 1 of 1 Pam Quinn From: Pam Quinn Sent: Thursday, July 03, 2008 10:37 AM To: 'swest@landsted.com' Subject: Chris Leffner Lot 35 Indigo Ponds sanitary permit revision Steve, I will be able to issued approval for the revised POWYS location for this lot since it falls within the approved grading limits. I will have conditions that Shaun Bird must keep the installation excavation within these limits and provide him with copies of the landscape plan and grading plan to make sure he doesn't damage areas for infiltration basin, etc. Received your submittal for lot 36 Indigo Ponds' amendment and will process that for the August BOA meeting. If you have an a-mail address for Chris Leffner, would you please forward this message to him? I will mail him a copy of the signed permit application form and site plans submitted by the plumber to document the proposed changes. Thanks, Pamela Quinn, Zoning Specialist (POWYS) St. Croix County Planning & Zoning Dept. 1101 Carmichael Road Hudson, WI panaq@co.sant-Croix. w. us 7/3/2008 Page 1 of 1 Pam Quinn _. _ __ _ __ _ From: Jennifer Shillcox Sent: Tuesday, July 01, 2008 3:38 PM To: Pam Quinn Subject: RE: staff approval for changes to Leffner's SE permit .~cn.+nds good. -----Original Message----- From: Pam Quinn Sent: Tuesday, July 01, 2008 3:31 PM To: Jennifer Shillcox Subject: RE: staff approval for changes to Leffner's SE permit I think we had to do that for the Kisling change -I'll look it up and send an a-mail to Leffner's agent, Steve West. I can sent a courtesy copy to owners via mail. Pamela Quinn, Zoning Specialist (POWYS) St. Croix County Planning & Zoning Dept. 1101 Carmichael Road Hudson, WI pamq@co.saint-Croix. wi. us From: Jennifer Shillcox Sent: Tuesday, July 01, 2008 1:54 PM To: Pam Quinn Cc: Kevin Grabau Subject: RE: staff approval for changes to Leffner's SE permit If it's a minor change, I usually just send an a-mail or a letter to the applicant documenting the proposed changes, making findings that the changes are minor, and granting administrative approval. I could dig up several examples if that would be helpful. Jenny -----Original Message----- From: Pam Quinn Sent: Tuesday, July O1, 2008 8:43 AM To: Jennifer Shillcox Cc: Kevin Grabau Subject: staff approval for changes to Leffner's SE permit I need to find out what the procedure is to approve a minor change to conditions in lot 35 Indigo Ponds SE permit. Do I issue a letter to all parties and document which condition has been modified (sanitary system location/design changed)? It will require POWYS installation to work around the proposed landscape plan already submitted and approved by staff. Thanks! Pamela Quinn, Zoning Specialist (POWYS) St. Croix County Planning & Zoning Dept. 1101 Carmichael Road Hudson, WI pamq. c~co. saint-Croix. w. us 7/1/2008 Page 1 of 1 Pam Quinn From: Pam Quinn Sent: Monday, June 30, 2008 8:23 AM To: Jennifer Shillcox; Steve Olson Cc: 'swest@landsted.com' Subject: Leffner lot 35 & Sorenson lot 36 Indigo Ponds After review of the submitted sanitary permit revisions for these two lots, I conducted a brief site visit to see current conditions. Sorenson is definitely a candidate for amendment to Spec. Exc. Permit, since the approved POWYS location may have been damaged as part of excavation for the house and driveway/turnaround and trees have been removed (outside approved grading limits) in preparation for a POWYS in a totally new area. Leffner's may be OK, in part due to the Sp. Ex. permit site plan had the designated septic area in the NE portion of the lot, even though the soil test used for issuing the sanitary permit was for an area currently underneath the house & pool. Steve West, this will make 3 lots in the same vicinity where the grading and site plans do not provide accurate house/POWYS locations. The revision for Leffners may be able to be handled by administrative approval by staff, but Sorenson is going to require a site visit (especially by Steve Olson for erosion/stormwater concerns) to prepare an amendment of the Special Exception permit. The sanitary permit revision review for lot 36, which I will handle, will be delayed the allowable 30 days until the revised grading, stormwater, and landscape plans can be submitted. Pamela Quinn, Zoning Specialist (POWYS) St. Croix County Planning & Zoning Dept. 1101 Carmichael Road Hudson, WI pamg@co.saint-Croix. wi. us 6/30/2008 commetce.av€.gov Safety and But7dings Division County ~ ~ ( 201 W. Washington Ave., Bo 162 ... t -) 7 ~ i~ ~t ~ M Madison, WI 5370 62 ry Permit Number (to be filled in_ by Co.) CO ~epwrtntetit ~ •Carmmsros Sf Sanitary Permit Application State Transaction Number ~~., ission of this form to the appropriate governmental d b C d Wi o e, su m s. A m. In accordance with s. Comm. 83.21(2), unit is required prior to obtaining a sanitary permit. Note: Application corms for state-owned POWTS are Project Address (if different thanrnailing address) submined to the Department of Commerce. Personal information you provide r secondary u sea in accordance with [he Privet Law, s. 15. 1 m ,Scats. / ~) ~~ /',~- L. A lication Information -Please Print All Information v ~ Farce # Property Owner's Name ~ ~, ~ ~-~~li F 0 ~ a o - ~ y -- 3S- . f.% r Propery Owner's Mailing Address ' ~ Pro Location /. 'L?(/ / ~ ~ r~ I /~l `~~ ~ ST. CROIX COUNT h. tl' Go Lot C n ` Zip Code Pho City. State '/., ~J~--'/~. Section .G i ( ~~ / / C C~ ~ circle o T C N; R~Eo W l Lot y) G1t ald C1. Type of Building (check all that app ~ / ~ Subdivision Name r 2 Family Dwelling - Number of Bedroo _ _ .~ J ~_ ~ r ...~. b Bloc M. P . ~u ^ PublidCommercial -Describe Use ^ Ci SM Number ^ Village of ^ State Owned -Describe Use own of Z ~,ar u~ ~.. ZZ ~ 2z 111. Type of Permit: (Check y one box oa ' Complete line 'B if applicable) '4' w System ^ Replacement m ^ T tment/Holding T ~e acement O `J Other Modification to fisting System (explain} List Previous Permit Num and Date Issued B. ^ Permit Renewai ^ Fermi isio hange o Pl Permit Transfer to New ~ ner O ~ w Before Pxpiration IV. T e of POWTS S stem/C onenbDevice: C a that a 1 ~~ on-Pressurized In-Ground ^ essurized In and ^ At-Grade ^ Mound >_ 24 in. ofsuitabk soil ^ Mound < 2 Tsui le soil ^ Holding Tank ^ th0 er Dispe Component (explain) ^ Pretreatment Device (explain ~ V. Dis ersal/Treatment Area lnf tion: Design Flow (gpd) Design Soil Appl n Rate(gpdsf) Dispersal Area Required ( Diapers oposed (sf) Sy ~m Elevatio VI. Tank Info ° Manufacturer ~ ~ o ~ Capacity in ~ Gallons Gallons Units .n :? ° 2 New Tanks Fxiating Tanks / ~ ~ u ~ ~ ~ ~ ~ ~ QC~1~.. / ~ r a Cg rn ~ to w C1 a, V ` 1 Septic or Bolding Tank ~ '~ S;s / Dosing Chamber VII. Responsib$ity Statement- 1, the undersigned, assutn poasiblllty for installation ofthe POWTS shown on the attached pleas. iness Phone Number MP/MFRS Number l ' ~ s ~ ture Plumber's Name (Print) Plumber - ZZ6y~ f~ ;~ 6~ ~s/~ ~~~ Plumber's Address (Street, City, Stau, Zip de) ~ S I " ' ~ D ~ a, ~v-ems ~f/~ lcJl ~ ~? / VIII. Court /De artment Use Onl Approved 'gyp ve Permit Fee Date ssued Issuing m Signature . , cc $ ~S ~.11Z 0 ~ O iven Reaso enial U lX. Condi l~gasons for Disapproval ~ P1v~.- /~W~ V ~ ~ ~ e~.. ~..:......i, irL r / . 1. Septic tank, effluent fiNer at>d ~r ~~~ Q st,('~~ w..-.~ L ' t dispersal cell must all be~servlces /maintained To ~` rF'`~ ~ as per management plan provided by plumber ~ S ~ ~ t . . c d~. ~~ ~ 2. AN sel[back tetluiremertts must bs maintained wttae to comp pans a system and submit to the//C~~ounty only oa paper not/-ess Wan 812 x c 1 inches in size nn ~) ~"( ~eria.Q, C"xC.a~'~'%o~. Onr el.a.tid't SBD-6398 (R. 01/07) Valid thru.01/09 t~5 1 p ,~ (~GC1 a Ut. ~ ` I P~ t . n. 5~ot~l a~ ~r,y: ~~ Ion, ~ PLOT PLAN PROJECT Chris Leffner ADDRESS 2234 White Pine Rd. Hudson Wi 54016 SE 1/4 NE i/ 25 4S /T N/R 19 W TOWN Hudson COUNTY ST. CROIX MPRS Shaun Bird 226900 2/6/08 BEDROOM 4 DATE CONVENTIONAL XXX IN-GR ND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE BENCHMARK V.R.P. Top of 1/2"pipe ^ BOREHOLE O WELL ~ H. R. P. Same as Benchmark Well is to meet all setbacks required by WDNR Plans Designed Using Conventional Powts Manual Version 2.0 Vent >6" of Cover 4' Long J,12" SYSTEM ELEVATION 96.0/95.2' S' below grade Pro 4 Bedroom House 20' Quick4 Standard-W Leaching Chamber with 20.0 ft2 of Area 5.8ft^2/pair of end caps 20 _2 Grade at System Elevation ,.~ 9°Io Slope 267' Property Line 7 ABSORPTION AREA 891 # of chambers 44 ASSUME ELEVATION 100' F111tCI' BEST Filter 117' -, Vents B-3 ..__.r B-2 B.M. ~C ~~ ~~ 172' ~ 6 ~ ~c ~ ~._ 79' 64' lU~~,~.1 ~ spawn ~ 25' 20' 19' 63' ~~ ~ ~~ ~~. PLOT PLAN PROJECT Chris Leffner ADDRESS 2234 White Pine Rd. Hudson Wi 54016 SE 1/4 NE 1/4S 25 /T N/R 19 W TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE2/6/08 BEDROOM 4 CONVENTIONAL XXX IN-GR ND 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 891 # of chambers 44 ,BENCHMARK V.R.P. Top Of 1/2"pipe ASSUME ELEVATION 100' Filter BEST Filter ^ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 96.0/95.2' 5' below grade Well is to meet all setbacks required by WDNR Pro 4 Bedroom Plans Designed Using House Conventional Powts Manual Version 2.0 Vent 20' >6" of Cover 12" 4' Long 1 A )f Quick4 Standard-W /`~ Leaching Chamber with 20.0 ft2 of Area , 5.8ft^2/pair of end caps 20 _2 Grade at System Elevation ,.~ 9% Slope Vents B-3 B-2 B.M. ~ X172' 267' Property Line 79'I I 164' 117' ~i~ 25' ~i 20' ~,, 19' _~_ 63' r Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in arrnrrlanra with Cnmm R5 Wis Adm_ Code 1279 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 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percx=nt slope, scale or dimemsions, noRh arrow, and location and distance to nearest road. . . pending OZO-/Sly . „3'S - P/ease print all information. Revie By Date Personal information you provide m , s.15.04 (1) (m)). Property Owner Property Location ROSAMJI, L.L.C Govt. Lot na SE 1/4 NE /4 S 25 T 29 N R 19 W Property Owners Mailing Address A~f 1 3 2 003 Lot # Block # Subd. Name or CSM# 2141 Cty Rd. C 35 na Indigo Ponds City St to Zi~~ddl~®ItYof1~)dprt7tter _f City J Village ~ Town Nearest Road New Richmond ~ ~. ~Nc, ~ - 07 Hudson Highlander Trail M' New Construction D~~ i_f/ Residential / Number of bedrooms 4 Code derived design flow rate 600 J Replacement J Public or commercial -Describe: Parent material Sream terraces and pitted outwash plains Flood plain elevation, if applicable Generalcomments / ~ 1 and recommendations: system elevation 96.10 ft, trenches spaced and depth to code 6.00 ft below grade ~ O<<• GPD na Boring # -~ Borng 1/ Pit Ground Surface elev. 101.00 ft. Depth to limiting factor 130 in. Soil Application 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 1 0-6 10yr'2/1 none I 1 msbk mfr cs 2c .4 .6 2 6-28 7.5yr4/4 none scl 2msbk mfr gw 1c .4 .6 3 2$-44 10yrti/4 fif7.5yr5/6 siG 2msbk mfr cs na .4 .6 4 44-130 5yr4/6 I 7. none cos osg ml na na .7 1.6 iN ^ ~ fV strat~el layer of cos/ms starting at i3a"-120" Boring # J Boring /~ Pit Ground Surface elev. 101.10 ft. Depth to limiting factor 130 in. Sod 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 0-6 10yr'L/1 none I 1 msbk mfr gw 1 c .4 .6 2 6-36 10yr4/4 none sicl 2msbk mfr gw 1f .5 .6 3 36-40 10yr4/4 flf7.5yr5/6 sicl 2msbk mfr cs na .4 .6 4 40-130 7.5yr4/6 none cos osg ml na na .7 1.6 ar COS <35% coarse fragments = 36" & slratmei layer or cosims s[amng at av - icu - - ~ - - - • ° ~ ~ ~~•~ ~• ~~ ~.,,... * Effluent #1 =SOD 5> 30 <_ 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = 80D5 < 30 mg/L and T55 < 30 mg/L C5T Name (Please Print) 'nature: ~ CST Number David J. Steel ~~,"~ i 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 5/1/2003 715-246-5085 Property Owner ROSAMJI, L.L.C Parcel ID # pending Page 2 of 3 Boring # ~ Boring t~ Pit Ground Surtace elev. 96.00 ft. Depth to limiting factor 130 in• Soil Application Rate Horizon Depth Dominant Color Redox Destxiption Texture Stricture Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EtT#2 1 0-8 10yr2/1 none I 1 msbk mfr gw 2c ..5 .8 2 8-32 10yr4/4 none sl 2msbk mfr gw 1 c .5 .9 3 32-46 7.5yr4/4 fif7.5yr5/6 scl 2msbk mfr gw na .4 .6 4 46-130 7.5yr4/6 none cos osg mfr na na .7 1.6 u hwy. ^ Boring # J Boring J Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stn~cture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 ^ Boring # ~ Boring _j Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stnxture Consistence Boundary Roots in. Mur>sell 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 a 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. 564 c Ra GG David J. Steel 1 Ty 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 35 This soil evaluation was conducted to satisfy a zoning requiremermanent lot lines were not established at r use. The location of this test may or may not be as shown, asp Legend N the time the soil test was conducted. 1°~ = 40' • =Benchmark Ele. 1 OO.OOFt Top of 1/2" pvc pipe ~ =Alt Benchmark Ele. 100. I OFt Top of 1/2" pvc pipe ^ =Borings Boring Elevations BI = lO1.lOFt B2 = lO1.lOFt B3 = 96.OOFt ~p ~ B4 = OO.OOFt ~ ~~ ~f. ~~/ ~y`bb. b~~- f~" ~~ r. 13 Z ~~r ~~ ~ s ~. ~~ _5~~ ~~~ a ~, ~~, Sp L~`~ ~O~ ~fit,e- ~-~3 ~~z r_~ ~35~ - --_ . 'v ~~ y` ~' ^^ Y X33' . , , /~ -0 9 - `~~ ~~ 87174 S.F.,`_ .. ``" ' ~, _~ , ~' `(2.001 AC.} _ ~ f _ ~ ~ {1.095 AC. N 8 P.A.}' / ~~, 't 'l9- r 1 ~` 87149 ~....~- ~ . , ~ ~ 1 ~ ` j (2.001 AC.} .i ^/ ~P~ `1,`" - 4~~ ~ ~'' ~ ~~-- "` ~ ~~~ r ` (1.643 AC N.B.P A.} ~~ ~~ i~ ~PG^ 1~'9 ~ ~`1 ~'~ l j ~ = ..--- 3.5.90 f ~ ~ ~ _ _ ..r ~ ~ ~~1~ ~ y , ;• ' /~ ~ .~~~' .-.~-- ~ r r /~1~ ~ ,' 98.97'.' ---- ~" "'- - X38 ' r % ~ - . 9 :. .~ a' o> `®63 • 87145 S.F. j / 87.31' \ S,TS• ~ • '~ ~ t t ': (2.001 AC.) ~ f /:'~~ ; 1. ' ~ ~,' { # ~~ (1.776 AC. N.B.P.A.} r `'~, ~J~ / .' ~~8 9s ~''' , : _ + ~ / ~ , ,~ ` w' ~ t i ~- ~ 68'. f ~' ~'~ ~ / i ~~ =80'~ ~ 150'. %' i ~ ; 331. ~ ~ / i q ~" -- _'' ~, ~~ , -~ `~ ~~ ~ , 37 ~` , f ~~ ~ .mom/' ~w ~. ; ~ I ~ ~; ~ ~ f ~ i 87192 S.F.;' ; 4 ^~ ~ C! j °:--" '~~ y; . •~• ! %~~ ' ,~ t , ~ ~' %2.002 AC.)~ '1 1 ~ r~~ 1 ~ t ~ ~~. ~~~' `;, 'f /,r'_ 1 ~ ~, ~ (1.223 AC. N.B.P.A.~ ~ r I ~ •~ ro ~ 6,. +' _,. ~, ~ ` ~ r , f jo, ~ ~ p, , . j ~~ . ~ ~ // . /~ ~/~ ` - ~ /~ ~' . ~•. ~ (2.284 AC')~. t ~~, ~ ./ ~ 1 ~^ \ ,,(1 607 AC. N.B.P.i ~:\ / ~ / i rr ~ , - ` ' ~ `87594 Sf.~F. ~ ^ J ~-_ `-;1 ~+• 1 ~ / / '~. J ~ ~ r/ ~ . 'r ~ ,/.f (2.01 ~C.} ^ r t ~ \ ,- ' ~ 36 1i ~ i ji,. '; •}, j 1.187 AC. N.B.P.A.~ ~ f % ~ :_ . 7$• i ~ 'v' •87389 5.~. ~/ / I~ ~' f i ( / ~ ~ j ;` L.~ ' (2.006 AC.) r / N ~ .,_ f ; ! ~ ' ` ~ ~ (1.805 AC. N.B.P.A.)'~ ~,i ~ ~~ ,,~ ' ~;f~ ~ ,,~ ~ a ~ - ~'~,' % `_ .--~- \ ~~ ~ ' + 1 r ' : ~ , 244.36' OAP ~ _ \ ~ ~ ~ , ~ ^ _ ' - r `'355 1 ~f j ',, ~ i t .35' ^ ~ ~s ~1 ~'~ P ~i n ~\ ~ ~ ~rcwi nc.) 3 r 1 22. 153r ' ~I F q v ~\~ •f ~. .~ N ~ I , ~ crl -9S. ti cp ~, ~O 1 ° t0 ~~ ~` v '9 s V: 3 . ~ . F ~JP b+ 4 f P ,~•~ ~ ~ ~ '"w 435•? ' ~ °"°~•a^,I '~ I ``~- w~~•`~,, ~ l 0 N ~~ , ~ cMVrS ~ v' `'- .10' -`a E ZtG' W ~ .',~4.2Q ~ i NO DWELLING ~~ S7$°3fi 0879 .~~ ---_ ~; !~ ^ ~ 1 g0 ~ 11''1 14' ~ •~` , ~ (90. Y ~ n 66 1,41 48 E`. ~`=`,~, 2.d CIPENRNGR BELOW 39 .~ / den- ~7 NS _ e _ _~ ` ,`` .~~, 87149 S.F. e~' ~ ~a-rn `~ ~' - ``, ELEVATION 938.2' 2,001 A '°~ ^ G~' ~ '~°~ ~ - ~ ~_ NO DWELLING. - '?4 " °~ ~~ ~P ~ .~ ~ ~ Q E TERIOR 55 W 355.90 ti ~ Q~P~Fa~`'•h~`• ~ _.~ 30 ~^ ~ OPENING BELOW c~ fy /` P •~ ~ ~ ~ 29 ~ ELEVATION 950.0 S89'01 39 W b6~9.S3\/ , ~ ' ---- ~ ~--- ~ ~Z•W~~=-. 98.97' ~S,~,/ ,; ~ ~ 4 ~ ~ - ` ~~---------------- ~---• 1 ~` N00~8~ ~ 5 i iy66 ~ a SO ~ ' /`25 ~ ~~ \ ~ -.__ 17 ., 8714358S.F. e~NGS~ ~ 962 S89°Ot'39'W H66.4~ 4~"w~ ' ~. !, \ \ / ~ `1 /f ~ (2.001 AC.) SOP oN .3' ~ h ~ CV C T ~ VA JP ~• 28 DWEWNG ~~E •~ e~ ~~74. 6 ~Q (; ~/~ 8~ OPT ERICIR T`V~ S' 89"01'39"W ~ ,, --- V r ~ \ R :NING BELOW rye' b - ~ ~ '' NATION 936.8' y / ~? ;.3^i 27 ''---__ \ ~ U i9"W 331.68' ~/ ~ ~~~~h~ J 26 ~ ~C~i~° - N to ~2~°j + Y I50' 87,92 S.F. ~2 ~~ ~~ ~ T60.74 / ~ ti 33 . (2.002 AC.) °.:v/ o ~-^ ~% / e~~~ `~`~° 87216 S.F. DWELLING N .~•6~ ~, r~h~ ,y0 ^' ~ W ~..~ ~~" (2.002 AC.) cTERIOR y/ y2°36A~ 66, o y ~ ~ `~ ;~ ~ W~s~}y NO DWELLING 'ENING BELOW N b~ / ~~ ~ ~ (M ? W EXTERIOR .EVATION 936.8' g3• /g'S '1$ o, ~ J' ~ a cn OPENING BELOW /.~ ~'/~, X66 ' ,~R9• y~j y~ 34 ~s°c9~,\'~ o W ELEVATION 954.2' .133 x.31 ~~ .y'S3 ~ i 99502 S.F. ~d =~~i_ ~6h p~' S59 N6 Sg9`, BENCHMARK ~~ (2.284 AC.) `~: ~ gOp,~h TOP STEEL PIPE - ' ~-~ 9 7.04' 10 ELEVATION - 955.22' :d NO OWEWNG ~~` b~' ^ EXTERIOR ,~ ~•~-`~ 35 ^ OPENING BELOW 3 '~ ELEVATION 954.2' ~ •'N co 87594 S.F. 3 ~' ~°R1 6 6~ (2.011 AC.) a ,~ 56 8~• ~ 3F N NO DWELLING ~ N ~ / ~~ EXTERIOR ~ 0. H. W1 7389 S.F. ;`' OPENING BELOW c .006 AC.) o ELEVATION 968.6' 6A'1~ '16^y N ~~ /40306 S.~ M `' 1w (0.925 AC.) \\ LNG $ ~ ~ N,~ ~ ~5, ~ CJ TLO T 3ELOW , "~~ P~~~ N ~ w ~ TO BE OEDICATEC 936.8 ~/ ~?~~ ~ f ~ ~VONPROFlT CORPC ryh~ 4Q- ~~ 1 y FOR OPEN SPI ~ ~' HIKING, AND FIS 244.36' ~" ~ ~ ,~ II 1 126.01 118.35 185.00 52.73 h I ~~ I A T-7-r- n I A N I r~ ^ ~ SOUTH LINE OF TF LJ I V I L .n 1 1 L_ V L _r" ~ I V V .: ;--QUARTER SEC. 25 --------------- /' -------WETLANI Surveyed by Jame This instru JAMES Z M•~sc ~0~ ~ ~ w ~ ~ ~ '~'S ~L 1L8~ -~ ~I 8ge69H ~ ~ .£~ ~ ~ ~~ 'Ob 6Z l'Z) ~ I'S 6SLZ6 0~ •0S ~,os ~ I ~ ~ ~ ; 3 ~ I MO138 ONIN3d0 I~ J N ~~~~ J`s~9 ONf1l3Ma ON .-~~ -1 ('Od lZS'Z) '~rs9s°9s(•°v ~zo•z) ~ ° ~ ~ ~ '~'s ooeso~ '~'s ss use ~ ~'~ M„ 6 „q • 9~~ro 6~ / O 6 _ ~ '~• 5 j N ~ / '1+ v ,SL ` !~ \ x \ •~o \ '~ M.Z>r ' •0~•08NN ,~ j ' iNDiGO PONDS y IodM n k XrtlrM Orly d M Salhlal Crvlr, M Ik Xortlyal QgAr d Nt SaUtad Oalr, n IM SouNml QwAr d Ne N SrNpd Qnl'Ir, CM n UI $puMAd QifiR d Yn $adMad Qadr, d 4 $ulla 261an p nrU, Nr171 If Md, al M W WO.en Oah d Ml Xelgad Ourlr, h Ne XnNnd Ola4r d M Na01ad OaAr, h Ow krlMd Only d bN XorNpd GrM, rl H 4 Ne SoNeal Oulr d tle NaOlod Qirlr, d'n Salkn fS fan 19 Xatl, Pmq, N alll ian d 14d1a6 ~ Oali fiMµ anal, ~„~~~ tm y 8K U ~1~691aanA ~~„' N ruaminNNm ~R~J~~ sx s>K[t i a, a cc ra.r 3 / 4 / _,t/ p ,r( 5 w' u c ~r aae Irm m ~~b'.~ ImN V. / P' W*/ / ' wos is lamlaoLn y.~ ~~.~~ ~ / t~ ~a" uL an u1 w aona any @=a1 ,p'/ ~ ,f~' I fanilr aw 1R6 ~ ImuK INLL NNOL NT tol uwtt ~, nu?u. - -' - J S' / I 0~ u0 ntaoNr Nuom Nn ~_ ~ UmO1f* IinI AC~~ --- ti ~~ , ~ w -a.-NNa NN L • • ~Al' G > ° 16 omnM aNmca N ruL Ius lq 1 / / ~ UINDER S~ 47 ~ luau. an a na na r rom la4 a zut w ttn araL .~i~ ~~ nmu. RarJ 11am6aNNeauNaaao a N? 107 .?~ N rLLiona~aat /~/ ~ G -Ma' - ~ I (Ln KI M aaYNl au oirma • xan ~_~ 1 .,I 1Yd•IOp WI / ' 1 ~.~, '~~ 45 su sxui 1 a , ~ , nniu. _w / ~ / ~ 1 48 ~ a ~ mrv. wl ~c ~ ~~ __~ ~ / I O~~ I ~/ Isarl I i I- ---~-- m ---- -- ----~ --- ----- ~f -- -- I ~, fs-{, ~ nmu. I =-~/ ' -------- ' WN9rf ~ `a1L"a~ al aorna ILalel I Naas 1Nr ada ' ~ ~ / Ir 4 °`I t ulnrl u. ~ /~ n~ u. a awrN ~ nrxut wu r~ ~. r /d ~ ~a ~1 / , a ILm Ic! ~ at~rn I ~ v~aa as I I A \ , dq°a I ~ ( mwrd att ~ ,~~ ,~ ~ r row Oa u (il 4 noaouwmki k~,m 1 ,a~-•. \ 41 ~ n~ K' ~~ /~a ~ a ( ~ rotwulaLt/ ds',Cd l!~ 1 a,~d/ I //~ \ I / ~g0 r'6~ ~ ~ nt~ '~ u°~ala ~i ~ ' 3 `d' Fai ,..°~, n l NNE / ~/ ~ 1 I I ~!~.~ o ~~ /r~ !/ ~° (r ~.~°= ~' 1 / , _I !,, yyI I "°>t a7aaN Sr ~ V H ~~ sn~ <o~. ~ ; ~•~..,~ ' ~ I ~ t•`+~ 4 la m~ uu~~vaor,~rr • i / i I aIN ~u 1,9 1 '~1r u~11Y "~'~e.%R 1;t ~."-, ~• ~. ~ // 1 .~/ I rCaalK) I i ] ~ ~' Fl ~: , / . I f / ~ /` (" ~' ' ~ ~ ;'erica v. ~` k' ~. ~ I II I // / baclw7 ~ °"x ~ i~ I ',~d" oa'~1 ~G ,,__ I I OUTLOT 3 I / N ~ ~ ~,9~ +~ ' p~ ~' ai y , 1I ,...._~__, I I wau. I /~ "~8q r ~ ~\` aowcna :J ~ 1\ ox' I uu+a~ " A ~ oLwraav , :JI I \ ~ I I ~N[NaGAbN ~ \ ~. 1 ! / / II. 1 ~ ~ mrnra uman I I ~ ~ ~ r r \ ~ ~ _ ~d"' / . X11 ,~~~ 1 ~" a~ rr -- j r ~,,~, 1 I I I ~„~n'"r ~ ~I ~' I~ I,d sa law u. \ `w nmu ,8 33 .~ . li lum KI a , II IuN KI ,'~ '~ / ~ a atN u. 3 ~t 1~'.. aaNUO ~ ~r Oa1kl ~,~ p ~ ~~'"iii a oawo r~ ~ I ~ 1 II u a~uu' ~ 'r-' J~4 ~+ ' ~ ~ iw~.ia~aLt rn~2u e I) , 34 nmKl ~, bR ~ I11 I I 1~ ~~ Nom' Ix~KI~°~ ~,~'~~ t. ra n[¢ m. ~ .0 ~ f ~• ~a I alerrtrlucl' Jd nmm~•Nw ono ~ /~1 ~~ ((.! ; '~ I ; rorl as t Iq ~.. / / I I = m3in5u. atnmlat! A ~~~ ~i R, I I Orl ~ r ~ x aaoua rl ' r / I aNl a o~aao oa ~ ~~,,~a aa u>I . // I as a~ oaml ~' ¢i0r'~ ,kaa~~,,~ ~ dI t i~ ~ I ~ ~ maw ~ ~ . ~M (1TL01 ~ ' d~ }•~ ' I I / aN1NN10r 6~` '~ aNli a~in~ ~~ `, I , I ~ Naranalt mNnanL I /~ ~ 0 IwN,wnOw~ 1;~ ~I ~I' AEal0ldla N! 1 M1X ~ , ~ ,N6X ~/' 611 N.4M1 NYM atala lglaAa .~ 1'tl r ,Ipllrrrn I lone, !, aMAa NR\tMK~N4 OYMED BY U.S fl$H ANO IMID UFE / ~ d~ Sq'255e'W 2EObJ5 iu!r1101!47L_V1117Lv. d ~..._~...~.•-- ` 1nrM bM-IN a. M L Irl, SnS n~„a~mNalraac JA~r 3~F~L,~NC ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM 1 i(' Owner/Buyer Vt ~~ ~ l ~Ol L Mailing Address c 2 Property Address (Verification required from Department for new construction.) City/State .~C~~ L Parcel Identification Number D z (7 ~ ~ 3 ~ ~ 3 .~ ' ~ C7 LEGAL DESCRIPTION Property Location /~ ~ '/a , ~~ '/a ,Sec. 2 ~ , T ~N R ~~W, Town of ~ ~ C~,S ~ ~ C ~. Subdivision ~ V~ ~ ~ I/\ ,s ,Lot # 3 Certified Survey Map Volume ,Page # Warranty Deed # ~ ~ b 3 l ~ ,Volume ,Page # Spec house ^ yes B no Lot lines identifiable byes ^ 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 County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal 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 stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Departmen 'thi 3 days of the three year expiration date. a/S/off SIGNA OF APPLICANT DATE OWNER CERTIFICATION Uwe 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 property des ribed above, by virtue of a warranty deed recorded in Register of Deeds Office. ~ /S SI NAT F APPLICANT DATE ****** Any information that is misrepresented 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 and a copy of the certified survey map if reference is made in the warranty deed. Maintenance and Contingency Plan for a Septic System Main#enance Pian 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 orderto 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. Dis harge into system is not exceed those required as per Comm. 83 ontingen y Plan Option #1. I system.fails, determine cause of failure, use alternate area and install new stem ' ested 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 .~~~~ State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number fl Document Name THIS DEED, made between Rosamii, LLC a Wisconsin limited liability compay ("Gt~arttor," whether one or more), and Christopher M. Leffner and Traci Leffner, 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 35, Plat of Indigo Ponds in the Town of Hudson, St. Croix County, Wisconsin. Exceptions to warranties: Covenants, Restrictions and Easements of record, if any Dated December 28, 2007 111111 VIII {III! III{! VIII VIII {III NINI IlII III! * 8 6 6 3 9 3 1 86G393 KATSiLEEN ii. NAl_Sli REGISTER OF DEEOS ST. CROIX CO., WI RECEIVED FOR RECORD 12/31/2007 12:15PN WARRANTY DEED EXEMPT o REC FEE: 11.00 TRANS FEE: 554.10 PAGES: 1 Recording Area 1! Name and Return Address River Valley Abstract & Title, lnc. i 1200 Hosford Street, Suite 201 Hudson, WI 54016 k2696915 020-1439-35-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) ROSA J1, LLC (SEAL) (SEAL) ,'l1 ~' 'L-ld~f'/lam i~~~ (SEAL) (SEAL) Signature(s) AUTHENTICATION authenticated on Tr ~~ r Nofa; ;; ~tlivi~~,~. * are (.r ~,, ~„~._ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED 8Y: Attorney Doug}as Berg 1200 Hosford Street, #201, Hudson WI 54016 ACKNOWLEDGMENT STATE OF WISCONSIN St. Croix ss. COUNTY ) Personally came b e me on December 28 2007 the above-named 1t~ a,`C, ~,.~~ me known to be the erson(s) who executed the foregoing ru ~a c o e ged th me. " \ ('G t tirl~~ Notary Public, fate of Wisconsin My Commissi (is permanent) (expires: ~ `~ ~~ -~~ ) (Signatures may be autAentieated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY htODIFICATiONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ~ 2003 STATE BAR OF WISCONSIN FORM N0.2-2003 • 'rype name belo~~ signatures. 1 of t ~~ ~ '~ ;~C '~ ,'~i `. ~. ~'%~ `, `, ~, ~ l ~ f ,\ ~\~~ ' c .~ f i~ ~ ~~ ,~ ~ C ~`` T'w. , .; .r~ ~` 2~ 4 ~~ .~ m r 7 /~ V L../ V~ .~' ~ f ~ '~ ^' r' ~ ~ a' C~ ,~ ~ `~ a ~`~ a~ `" , 1 / j f f ~~ a~© '~ ~~~~ \+4o~~~G O ~~ ~~ \~G O ',~: " 1 r r i i i ~~ ~ 'I `\ ,, `~ ~ .. ~' ~ ~ v KILT GDyJ(z'r IZI. 81'= ARL 4. ~~ /~~= ~ i!O.3g'- LSD ~. ~jL/!W'~~ -80.00 y.vws i ~, ' ,~r of 5(1- RPir II "'~ .... _ 955.22' i /i ~ ~ _ _~ '~ _~^ ~~ 4 '-- ___-- /~/ "_- '~ --Y ~ i "~ ~ I ~ j '? o /^ ~/ • ... ~- .- ~ - r _w .. ~ ~ `SCPf s~FTJ_ t~~/v ~ ~- ! u r FC,-~ - . •~ ~1 DtArNMEtO "1 ' ! ~ \ \ ~ , t I ~ II 1 i~. \. i ~ • ~ FFF \ ~ r F ~ \ ~? ~ ` l \ ~ 9L~I u' ~ # !Qt S /` 1 `~ ~ ~ ! ~ / ~~YZt \ ~ v `ka~y .q /V / J ! f ~ ~ ~ y` ' 71L9W5pp\\ 9 / ~- ~:> + - ,:s I / ~: 3 T wf ~~~ I t'-vl ~JL~Y f. ~{7~p twr r - ~ . sH.t ~~ ~1-~VA~fi~NS IMP~1ZVfoL1~~ AR-~~5 t7t51UI~~D P~f~~ ~ `~ - 99t 1 -, ~ - GE~c~ , n°~ 9.x13=.F,i 6. 350) So.F'f.= Noti-:SE/bAaAL~ 9,r`~D :~R.PT•=LAND U5E ^~ " - - _{: % nn %9.0=7.0•f. 248Sq P6= (-€d~? POFLU !°f.¢I-Q!"~ ~ t .7+bw•SZt. A6rr+RA6{ F7~iK5 I®2i 3R. Y~=if.1k5, FI~/+z MVwYS 171671JFB!`D ARE? r ~ 1, ~~ .: ~bBS=cP.kvE .u FRaNT - %3S~ 6AKG~ ~tCV. 31~f ~. Ff.= v~cr~s Z~vS&. F'C=SPEGW-~. Yi3 Sa.fT.~ S. R~eWd ,~jtL$?f•!0#J / /` 1 .•'• ~6~3 `J ~' rU -fl&3-03lsFAVEAbAFYE}-4 - (-0.3 c gsMiNS 1/l~ CLLN 36X1 S9,V4:~ pP:,b ~AREI )781 '..d~P{> 1DT L IMR'1<vl ' j ,. ~y~° 937•® =GRADE O WXK-O U'(' F~t1h 31~4`-'~+~ Q{. TI (~.L ` ~T1~Pf-L' fV~C`/ ~ 1 '~ Z` 1 N 't 1 ! ~~H \ ! , ~:; t< 41/ VT~hWI.GE F.ASEMENP -gbb.st, 9Hr/. f ~ .. N . &Lev, 9L8.40 ~, CY a at. ~ 51T~ ~'~ A~i NorT~-t ,.~ ~i !°= SO' Lo~f as 2,o a Ac., 5.E Y<, NB y,, 6CU 26 ~T2G!!J1 R tR n/ ~ 'ro:-IFJ or 13UDSON1Sf Gt aX couMY ~ WI -T41 K~ l•1 Gf, N1IDSOk WI 540ib ~ ~ p/. 35' / !I?~ J ~ u1J 4f g~ n y N ~ ~il W O m _ ~ /~ / / / -~~ 84 ~ ~ ~~ ~ ~~~ ~ -' ~ ~ ~'/ ~ //~ -` ~~ ~ 3fo ~/ ', i 910.E 1 / .. _......~, ,~ 1 ~ ~ , ~- 1 ~~- % / _, ---"