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HomeMy WebLinkAbout020-1439-40-025 County: $t. Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM safety and Building Division INSPECTION REPORT E Permit No: 574328 0(ATTACH TO PERMIT) an ID No. GENERAL INFORMATION Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. parcel Tax No: Permit HoldeEName: City village X Township 020-1439-40-025 Wenzel, a ne Hudson, Town of Section/Town/Range/Map No: CST BM EleInsp.BM Elev: BM Description: 25.29.19.2766A TANK INFORMATION ELEVATION DATA NP MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � �� Benchmark Alt.BM Dosing 2 �� Aeration J Bid .S e f�o y 3 Holding St/Ht Inlet y y 33 St/Ht Outlet 99 TANK SETBACK INFORMATION WELL BLDG. Vent Air Intake ROAD Dt Inlet TANK TO P/L s 2 3 Septic I f Dt Bottom /9 5-2 J. Header a /M / Dosing / ,\ >Ssr f / t� (O• r v�' Aeration l V Dist. Pipe 21( ,i, �� r Bot. System Holding © �, OTA Final Grade Py PUMP/SIPHON INFORMATION (Y Manufacturer Demand St Cover GPM Model Number y 3'5-,31 ,S TDH ifta Friction Lq;zs System ale da TDH O Ft G 2 , Forcemain Len th / Dia. Dist.to Well C SOIL ABSORPTION SYSTEM TI Aj AJ d C PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth BEDITRENCH Width Length No.Of Trenches DIMENSIONS P/L BLDG WELL LAKE/STREAM EAC IN Manufacturer: SETBACK SYSTEM TO CHAMBER INFORMATION Type Of System: u Model Number: DISTRIBUTION SYSTEM x Hole s acin vent to Air Intake Header/Manifold Distribution x Hole Size Spacing Pipes) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only rxxDepth ound Or At-Grade Systems Only Mulched Depth Over of xx SeededlSodded Depth Over il h Center Bed/Trench Edges Yes j No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1:Y/ / Inspection Location: 907 Highlander Trail Hudson,WI 54016(SE 1/4 NE 1/4 25 T29N R1 9W) Indigo Ponds Lot 40 Parcel No: 25.29.19.2766A 1.)Alt BM Description= 2.)Bldg sewer length= �2/_ r0 5-0 -amount of cover= p u' Plan revision Required? f] Yes [ No -- - Use other side for additional information. Cert.No. L- —L Date Insepctor's Signature SBD-6710(R.3/97) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463371 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal Information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Wenzel, Scott&Ja ne I Hudson, Town of 020-1439-40-000 CST BM Elev: Insp.BM Elev: BM Description: Section/TowNRange/Map No: A«,;1 25.29.19.2766 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z G— Benchmark °r•a1$ ll`,'+ l O_7 \ Alt.BM T Aeration Bldg.Sewer Holding SUHt Inlet TANK SETBACK INFORMATION SdHt Outlet 5.R /IQ •SS TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet /j1rA1 - Septic + �Or %725 DtBottom Dosing V Header/Man. It 8Z. /0 7L. to Aeration Dist.Pipe /o44,7q Z-3$ Holding Rot.System b� S PUMP/SIPHON INFORMATION Final Grade 7 �P Manufacturer Demand St Cover GPM 12 /4-bZ Model Numbe 12- .7 /D 3- 719 TDH Lift Friction Loss System d TDH Ft + 11:3.39 /li3 Forcemain Length Dist.to well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Da. DeptKi DIMENSIONS 3 -7 r S I Z SETBACK SYSTEM TO JPIL BLDG IWELL LAKE/STREAM LEACHING Manufacture , INFORMATION CHAMBER OR .J�t�l t Type OUystem: "13' 2 J i A)A- UNIT Model Number l/��p Q Rio GJ 1 ( DISTRIBUTION SYSTEM tX.4-L. Header/Manifold IDistribution x Hole Size x Hole Spacing 3o Aid lnt Pipe(s) `� �� d O Length -i Dia 4 Length Dia Spacing �\ �'' E' SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only /S Depth Over ' Bedlrrench Depth Over 1 xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center , 2(p geITopsoil Eds \„J` "Yes No �Yes No COMMENTS: (Include code discrepancies,persons present,etc.) Inspection#1: / I Inspection#2: Location: 907 Highlander Trail Hupson,WI 54016(SE 1/4 NE 1/4 25 T29N R1 9W) Indigo Ponds Lot 40 Parcel No: 25.29.19.2766 1.)Alt BM Description= ^'� GaJ Qom. C� Q� %e, t j t �, $ f ?PVC, 2.)Bldg sewer length= -amount of cover= r�CA C/�. �• 5 + Plan revision Required? #J Yes )K/,No Z-7 we I 2 S Use other side for additional information. _I --� — ✓ Date InsepctoY, -ture Cart.No. SBD-6710(R.3197) A4 17, L Lo' Sfr r'otzcQl�'1� I Sao sbl p ;L TiU 1 -4v POAj ;*A � � y PUMP PERFORMANCE PERFORMANCE PUMP �. •� EFFLUENT ..q MLS 111114 Y 0 1 cl SK 0'. 3/8",117&3/4'SOLID PASSING CAPACITY ■■■■■■°�°KM° ROME mac RMIUM ■■■■■■■°°ea°e°e°o®°°°°oo°o°©° ®�osio°e000is°000�°°off°° �■�■■■■lo®oyes°s°e°°°°°°°e°e°°°eoe°°°e°seoe o°■�■�°s°sae°°ess°e°�e■i°■�e WINE \■■■�®°ate°se°e°°°o■e°eisee■°iso ;; ■■■■■■No°s°ee°°°°°°si�se°°else°° ■■■, �°®°°°e°ee°eeesee°°°nova ■\I1\■■■■■■■■■ ■■■11■\■■■■■■■■ EMS EMS MIND, � ■► ■\■■■■■■■ o��°°ao.�°o°a°ono 0m0®m®eaov0m■�mom \\ 0111M MEN o©0m0m°°om°o°ov0 omov■�m�saom0a®®v0 03011 MEN OooQO■me°om0o®0om 0°©moveaom®°®�av° N■N's I NI■■■��■■MEN \11\�■■ ■■■■■■ ©©®o ®mom©momo e°®©o0®®oommioovm 1003111.001\\■■■■■■■■ eaa°®�■■�o®m®0caimv° �"M� a°e°■�m°aomom�®mo■�a aaIN 9.111■■■■■■■■■ °a°e°°aa®®©■ao°v° l K I■■\■■\■■■ \\\\11►11►\■ ■■■■■■ M■■■■►�No \\■■■\ONE i 104 W No' OLIN ■■01112 1.OR110i 0000■ m000000©ovov�oo©®o®oes.�o0o ®mv®©oo00�00©oo®0v�o0©00®0 :. N■■■■■■o�ssssoo0o0vo®©vvvo©oo©000 No HE EAMONEENE t11—%."t*QwTQtitw-nance on Model 112,Industrial rolumn explosion proof pump,see FM0219. SEWAGE AND DEWATERING omissasssssaso�oo©v©oo©®®®° MEM s ssssassasso0o©o�®v°° MEN � o®ssasassasassssss©�ovmvoo '■■■■N°©sssassssassssasa0vo0©��° � ■■',•■■■®®�ossassssssssassss000v o®ssassass�sssssasssss©vov o®sassasssssssassossssosoo . ., ��N\\0000■■ N■■■■■ .� �����\■\\►��■■►\►\0000 ■■■ ■r■■■■N■�■■■ subjected to less than 15 feet TDH. ���v�=.--•w�Q� -- ---.—.—_ —� County— � -- Safety and Buildings Division — ��---- — (x 201 W.Washington Ave., P.0. Box 7162 Sanita ,Parma ber 1 n (to be filed in by Co.) a Madison, WI 5/33707-7162 32Y._ #eA�mit .t�..ppfii c`�,�,]ort State Transaction Number i In accordance with SPS 383-2 `i .Adm.Code,submission of this form to the appropriate:governmental unit NIA _ is required prior to obtainilft , nitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary rur uses in accordance with the Privacy Law,s. 15.04(i)(m),Stats. I. Application Information—Please Print All Information -- Property Owner's Name - --1-------- `- ---'Parcel# SC --Uf �� �����'k- Property Owner's Mailing Address — --- ---------- Property Location -_'_ _ ______ Govt.,Lot _ City,State Lip Code Phone Number --- I� _/ a�4, Section -)� ' _ U&f b �S t- �'7 I1 � — — 7-yg (circle one) — II.'Type of Building(check all that apply) -L — l.,ot# — -- d_ —N; I2_j_1 or W PP y) � —Z or 2 Family Dwelling-Nu ber of Bedrooms Su division Name--— - f 0 ❑Public/Commercial-Describe Use City of State Owned-Describe Use t C—SM Niimber �� Cl Village of — —---- 7JY' 370 Town of _ III.Type-of Permit: (Cheek only one box an line A. Coro late Rine R3 if applicable) —_-- --------- A. e ystem L�Replacement.System reatmen -I�o}d Tank Replacement Only ❑ Other Modification to Existing System(explain)` B. Permit Renewal ❑Permit:Revision � 0 Change of Plumber List Previous Permit Nurnbe and Date Issued n Pcnnit'IYansfer to New Before Expiration Owner —� ?ol 1� � � IV.Type of POW TS System/Component/F3evice: (ChecRc all that a��y� — ^ 1 1 J1 ao� Non-Pressurized In-Ground ❑Pressurized In-Ground ❑ At-Grade U Mound.>24 in.of suitable soil —U Mound<24 in.of suitable soil i �❑ Holding Tank ❑Other Dispersal Component(explain)_ — ❑Pretreatment Device{explain)_.. -V.leis ersal/Treatment Area Informat �7_ 7` S- ----- —_—_..—=-__ j Design Flow(gpd) Design Soil Application Rate(gpdsf) llispersal Area Irequired(st} DispersaR Area Proposed(sl) Syst:em Flevat' n�- UD �-� - g-S? 'V �Q. �/o .o 103. 33 VI. Tank Info Capacity in - P Y Total ti of Manufacturer Gallons — c Gallons Units New Tanks Existing Tanks U °' 2 .o }s. C7 1 Septic or Holding Tank — ---- - ----- ------ _ zv � 6/. — �VII. esponsibility Statement- 1,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. — Plumber's Nam Print) Plut s Si re MP/MPRS Number Business Phone Number Jl I ]'lumberr'-s�Address(Street,City,State,Lip Code) ----V- �— �- 64-6 ` I VI .count /1De artme •Iise -- Al� ❑ Disapproved Permit Fee G� Date Issued I .uing Agent 'gtta Owner Given Reason for Denial 25D__e S IX.Conditions of Approval/Reasons for Disapproval � � �-- —_ --"----`---'-- U teach Mete Mans£o,•LLc s stem arACl submit to the County only om pap not less than 8 1/2 x t— `i7c '� . SBD 398 7 7-1 W4�� 7 rtl�' z--54-U1C6(t&Q- -S !�O; CONVENTIONAL C"OMPONENTIDESIGN l9etsidOnfi2l Application INDr:X AND TITLE PAGE ProjE,.(,,,t Name: -5c-A i A Owner's Name: Owner's Address: L LOC Township County SubdMsion Name: TN 41 4 6 Lot Number Parcel ID Number: Pap I In d6x,and title Page 2 plot plall Page 3 :3iii-sLizii & cross-so'.0dan Paige 4 Filter Page 5 imairtenan,ce lnformativ) 6 Maj�sq:en2!!jLfan -- Page 7 s-F—Cr,c-y"ix—g-,-y ',3e�t�r,.j nk MaTritan,anra Form Page 8 Warrant D(,),(zd p R'Q r-, 9 C&M or Plat Attacftmiv, Iks: ;SO'il Ta(,St& Houge P14m, Lfcensp., Numb-sr: D Phone Number Signature, Designed pur.stjant to the 41 -_round Sc)fl Absorption Component"4nLf,,31 or POWTS Version 2.O SDD.107D,&P Naga Mar A4 -(A � Ta p" WM L*iwm . .- $4 i� 9 6-7 4 orI �-( i ) - ................. ,-7 J-A P96 Sal f4c t� V 0 - 4� �t d' font-cM�w its ti1 s y fy-on, Forn®,�, 1AA��eh 3a 0 L T l � S�► tip- � 1 �v' ask < 2.p� d t s-�u b6AV--c�- �G�r�'�2 �{c 6j`t,,a 3�v --fV yL 5 QF-lit/ N� a Gloss Wim PL &J"on&m"VAT" 1.Q5o G.��. w��sE�p SE^mC Al a arc AVc Evr4.ier 'OkK'Mlw 6t" /o .o' I 7T emr t co �O sG Ew 3 �P6 at''Aar V"ut 4AP uo o2A �rf 5tT Fa G of *AT ft 3 .a . o� °AAt StM 060 P& TM r OwiyP at Laldmp � vivria�• i ' '• "a av _. '!"'�iJcN BdRMElrEVA'�'+� O`t Sac�os tr 1 L �o yco soak View nx a cma asanoa w �►Mop.ooc�V�twO Wenzel Accessory Structure Dose Conventional Pump Chamber Calculations 1. Force Main: Diameter 2" Length 50' Flow rate 35.00 gal•/min.t Friction loss 1;29'(50')(2.58 ft./100')= 1.29 ft. 2. Total dynamic head: Min,supply pressure 0.00',, I ,..- Vertical lift 7.50' P.C.bottom=94.50',(Off float=95.50',Header invert= 103.00') friction loss 1.29' Total dynamic head= 'ACT 3. Pump selection: Manufacturer&Model number: ,Zoeller BN- Pump will discharge approx.35.0 gpm @ 8.79'TDH(Flow Velocity 3.57 ft./second) 4. Dose chamber:Wieser W320-MR PC-45.00"@,8.00 1./inch 360.00 gal.actual) A)Holding capacity: 25.00"= 208.00 gal. B)Alarm setting: 2.00" = 16.00 gal. C)Dose volume: 6.00" = 48.00 gal. D)Reserve storage: 12.00" = 96.00 gal. D Z V) D � � s m AS Z 58" REQD V) c I m D 4., D n � 50 I m ;u 48" z D m r 0 m 0 m O w UP 47" rn 4" CAS — m F O (n 43 LL O 3 v m Im 51 0 < rn rn rn I L J _ = D UP 45" 4" CAS w O A j 46" = c N r N m m m A 0 s C X n m D m cn m Z D I N m D r C Y0 Ln z< D D -4 ?�� x OD C m m m OZ n Z ° . D G�.t r>m mDO ODD 0m Ox my Z O Dv ijn0 V)n0 2p�= 0XOm� OrZ m .. ��D V)m o m N n XZC m>0 --4 �mZCn mi, W °z ZG) \ c z -a (n ch I� w rOLn�•• w m N ZZ m to DZm nDrn 00 m Os sN n z 000 0 ° O v�irrnCo Ism O ++ A� O�? TI I Z N O Dr TWO= O. a n n Nz G� y mmrm- cnw N O D D pp \ c A g D ° °o ° Z mDm mO ° m 4m r Z v O H 0 �� -° oA L Z m oo � Z r O D v 0 �1 X --q r O�m n (� G) + v y cn m o � ;v c' z -WC Vl X = O m m X C 0 Z r p m 03 z m r —{ n m 0 \ rNSn W320-MR MIESER C�I1GTE DRAWN BY; SME SCALE: 1/4"=l'-O" PRE-POUR: ,Y! l{�! 3Mer REV. N0. 2 -i SEPTIC MANUAL W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: JANUARY 2012 DATE:• 3 6/12 POST-POUR: —� z 9 REVISED JAN. 2012 800-325-8456 FILE: W320-0 Pap � o ' .,...... I ,�i,, ;i�, raArfakt IvO, k1z god GT( 8 r5 2 OW)'riv91�r{: , _................................................. .....• ,...... �" Y�8 tataas�Ak;¢nk;Wkr}it.cnrn >r�sw�1(Ia� �° *+�r�StilaJ6tC��t�ilS ,,,,,,,,,,,,,,r,.,,,,,..,,,�.,.,.,...,..,..,.,...... 1 1 J1'lP'l� •. � ... •...................... .. .......•.....•............ .r�nni,it ill}i� ir4t ' F T FILTER . X 8 9 tho bar in filter to'ch o-1 K42$Efflug o Filter I''alylok,inc Is pleased to add its rrc,ar rOmmFrCial filter to ita OKsting line,riff,tt.rality efflyn; It• i EXtonil I.OV11 ir)l:ars.The PL-aJ51s rete�;arovar gQ,000(3pn p2linns pnr Day)m;�I&ja it nn�t„If tilt Irtrdannm manm/mnn nvv.n•. ..wo•.w lerrest c,urrlf7Y�§r+,.i�JI fltem in its It hlcas 5i linear fcaet of V19"ifitrration'91nia. 1_➢ice i RISer.9 Ricer Covers ' Polylok PI,129,?llrr nah+n+Polvink pl.-528 h;s1s MIrl r1t4lorutic;sht,at off,MO irtafollQ4 with every 11_... .,-.'.--"'°-" inter,!fin Ills Mer i$mt ncl Irj for claorring, the h all will flra➢:t,lp rYnct templzrully Shut riff mists llawt-I.On Maxas Ian III system sq)the f!01,10nt urani t➢ie-�UV R. fin rlther Vitgr 0n VIP,nV'1r1W rAn make that Arne+flres PUMP%,2,181", P'wrk�p �rrl rirvg Infcarrsrrarfntl i tagranr+t s f,ltdotc I and op Syatakri� t�(MMI I PrnrinatA IIII� ��NR�.��Jf�� h 1�" NArJ11'AMln,n..,l`.MMmW�IlM4Yk I FPM S TWIllory Teas rI h'atecf for"10,000^➢^O(Gallons Pnr tray} I _ a� 625 linasr,c-et of'i/I "filtration [ —- —"T"•°, Enlarge for aatails A6,OeFP N 4"rind 6"SC HD,40 pipe 1 Reber Splt..ors it RJR,ill Qa8 Rlnt'IPQUc r "n'^m n rtmm�curtrt,m,. +� AttttaTi atic s ht4iio•ff ba)I when filter iw rmm�vocl . Handle-.4 And Reanivan, Alarmsaccesalhlilty Accapts R'VO,,axPensir3lt I h rldl� Igns VMOPAI mNC.TNMwmnwnWm�Mt!IU.iY•rMP+.�•.Nw.rgy LAar] t s , a OM nage thw!�I_,525 1"+'Uaent PlItmr sljoulrl opwata RfPlr:;IFlltly for seversl ypm�1J1%rej"110ITnai conditions;kar�fnt-e regt.drina,clahning. it Is rrgcmmnlenrlr I t!•sat tI1 +At�yi'b n clrena�ava I Forms p CI flrAp . tine tilt'taT1%is¢ramf�er.l or at fesst eve thage,aera,;o,it tilk tr1,.t�It(�gl'filter a, rrt,..,.,rtn,• " . ""_ n{atfanai plat t1 the+�,Nnrr wi}(Ilr no;'rFtr ➢7y 3n alarm when the filtar,tlaa a a v%fl 11x711 Senrlr..lnc➢shclt,rlcl hF clone:by�aertifi�tl 4et�'kl, t?11k punlpor or InetgtHer. �� • �r���r�rr��'9� N� 1. i.oc ate tl�t atJtiet of Ct1F raalat'sr..•tank. ? tr `r> nNix►1 I�k'XJt�+,tom ?• 'tYeMOVC.tank covet'anta puns 1 t?"Ink'W neces;aary. D, plulnlairlq whoo filtfw is replovod, Rpbgr°Lak and CMLI 4 Pull PI:-525 01'It ci thr h,2I49f11Gj. 5 I-lose a'k inter aver th a8150C tank.AHalcm n,.ira all Anlir is f�)t 5, Insert,t11e ilt, r'errrtr'(Yge hack into the 11oc1sslnq Makincl sure gi r i itfr i+3�r��}1c te➢yk ROW?t Mlt3 I £ eh p[Art�n� (M.M tlQErtity➢r:;?l ic?cJ. +,,,....�.,.,_.- —_ _..--+-�,n, 7. h apiq,a At)ptir,tank cave.r.F'i,525➢tlstgll pion;Iclr�it fzal`rasirP�ar7tir I s�nl°l cnmmercRal ➢ 01po srdifto Landwospe WAgta fla,nrs uP do 70,0(1{ C:;allorl5 h r n,.. ' Y( 1 TPcW,rkP�rI F-7 7. L nca4w,tl�W nt;arkrat Of f1h snpttr,: R? P�t�et! Rr q➢W le 2. Remove tan;r o�vrar a.nrJ r ryt nlc I P;,if11p, FiIL-kr flfld Stjrr •7. C�ir:rr tllra Plltrr hnr,raincl to thln 4"tor f ,rt➢�t('�pik7o If f➢1e'filter i,r'Iac c:ertr;ered tanN,rr i 2���x�1✓"Fkit�tar 4he ar..r e3a aN�ani aq r.IrF f alyrnk r-_xtorii7 i_pe Tf Filtor Alarm Frantsl an �. Irrwerc the F1,-5x;,5 filter iota i^.;hou5inn. �} ¢ir to-;Of PQ,1e b cNantP..r lter. �mrrrr llk�trTm r;arlkro'➢ I I11'k'r1'//\Ailx/t'n.;..+,!' YI,1�)/ ,)90E. •°N ,._ ,m... -.. .,,.�.,,.r ,rrt...Mm.. ➢,trtrz r•1vYr'na➢c ,,,,,.I��K%rnr?nr_r Tit-Z lAW I I ;h A! 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IJIGII(Ilfi'i 11?w!I'?II?iillil�l6ll?atilt'+`II Il+:li?VIII "illl(411i�f1(1 iJlll!I Ijillidi?I�fi'i1111I1'Id1 f'f(I�'11i1i?11111,.,. .,�r�,iiil dABllili➢illii€li�l+ 1, ,i�,�lll�i+off+s�i++�+�l �I i�i�,i�l+�ll�ri��r�►I 1�.I'� t II',!Il!Illilr'�I�'I'i'I!I>'l�ll�l'X111 I'i4'lllihiJ;�1�'11�i.�fPk1IIIlI�Il�lil�'Ili�'��IPI'illy''II'�'�T:�}r�,ilflfEil,� i��? ��� al fllll,ll�illlllilla'I�?IIIlll{�IIII!«. i�llhllll :`14 Ill a` II II,I II ?I` I I Ii'f 1111f1�91)iit 1 lNt�l lfl1 T mnlnaaiur�wi�mul,,iutrsmnm;n19 I 211M No, 3066 P, 3 uyn Uj Fj t;z Fri fln't R 0 x 9� .�.JJ }� X 77 c L 'Fur ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND 1 OWNERSHIP CERTIFICATION FORM Owner/Buyer J G t �' V q LA/etze Mailing Address 1 t ! +C� e &c PVLAI, Property Address `1 D 7 r!,' t` u dsa (Verification requk6d font Planning Department 1617 new construction) City/State l Sv "W , Parcel Identification Number n2a -1131, -10 ' I LEGS DESCRIPTION Property Location Se V., ne Y., Sec. -&5-, T_,LN R _W, Town of ALro„i Subdivision dh (�, Lot # �L o T z CIS^ Certified Survey Map # �7 J�`f�J�-: , Volume / .Page# d Warrant'Deed # Volume ",n . Page# SIDS_. _1700,16 by 57 UP c2-75- o yd Spec house ❑ yes / no Lot lines identifiable 8 yes ❑ no SYSTEM MAINTENANCE huproper use and maintenanceof your septic system could result is 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 6mcdon 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 ntasteaplumber,joumeymwtplumbes,restrictedplumberor a licensed pumper verifying that(1)the on-site wastewaterdisposal system is in proper operating condition and/or(Z)after inspection and pumping(if wry),the septiciank is less than 1/3 full of sludge. U are,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set fW , as set by the Department of Commerce sad the Department of Natural Resources,State of Wisconsin. Certification stating UVJM septic 9310111,has baen maintained must be completed and returned to the St.Croix County Zoning Office within 30 days of tion date. SIMATMI-10F.P00CANT DATE OVVBM C-9EMCATIONIn I(vv� �cettptdhla is on this form are true to the best of my(our)knowledge. I(we)am(are)the owner(s)of the ri of a warranty deed recorded in Register of Deeds Office. 005 SIGIrATM OF idrP fflt&r DATE «s ssss Any infoamitiom that is mis-repseaenGal may result in the sanitaty 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 U: 2 7 5 7 P 0 4 0 -7885c^6 State Bar of Wisconsin Farm 3-2003 KATHLEEN H. WALSH QUIT CLAIM DEED REGISTER KOF DEEDS Document Number Document Name RECEIVED FOR RECORD 03/01/2M 93:59PH THIS DEED,made between American Classic Homes LLC,a Minnesota Waited QUIT CLAIM DEED EIM # 3 liability company, REC FEE: it.@@ TRANS FEE: ("Grantor,"whether one or more),and Scott A.Wenzel and Jayne Q.Wenzel, COPY FEE: CC FEE: husband and wife PAGES: 1 ("Grantee,"whether one or more). Grantor quit claims to Grantee the following described real estate,together with the rents,profits,fixtures and other appurtenant interests,in St.Croix RecordO1g Area County,State of Wisconsin("Property")(if more space is needed,please attach addendum): Name and Rc=n Address 5e-67r oxga._ 87 r,U/� Rs4&c A4 Lot 2 of Certified Survey Map recorded on January 6,2005 in Vol.19,Page 4907 /��4Sd� WAS S�fD as Document No.784370. <b 020-14394114100 Parcel Identification Number(PIN) This is not homestead property. (W(is not) Dated ©j— AMERICAN IC HOMES LLC V (SEAL * (SEAT,) (SEAL) a AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) )ss. authenticated on ST.CROIX COUNTY) Personally came before me on , a p S * the above-named American Classle Homes LLC,a Minnesota TITLE:MEMBER STATE BAR OF WISCONSIN limited liability company,by (if not, to me lmown to be the person(s) who executed the foregoing authorized by Wis.Stat.§706.06) instrua at and acknowledged the same. RENEE MORTEL Public - - -"iiunslirr THIS INSTRUMENT DRAFTED BY: Brent R.Johnson,Esc). Notary Public,State of WISCONSIN Hudson,Wisconsin My commission(is permanent)(expires: 57-12- 02 ) (Sigaaturn may be wthesduted or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODH+ICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED 02003 STATE BAR OF WISCONSIN FORM NO.3-2003 *Type nark below signatures. INFO-PRO'"Legal Form•(900)6652021•WftPmW"ns=m W'thim asap no new, independently buildable lots are intended to be created; this map is created and reviewed at the request o]V 8 4 3 7 0 the St. Croix County Zoning office to pictorially represent aq&L 19 PArLw 4907 simplify.the desrciptions of those parcels to be awhanged by11ATMEM 81. WILSF- adjoining lot owners. This nap is specifically exempt from s ISTSR � �r review and approval per 7liseonsin statutes Section 236.45(2)( CVill I la MI (3 /ese22Yl.19�e3t svRVW M" CBHT;Q� D NOV" HAP R19C t 11.00 Located In Iota 40 and 41. 131DMO PONDS. all in Section 28, Town 29 COPY J?JMz 2.00 Nortb. Range 19 Writ. Town of Hudson. St Croix County 111aconsim PARES& 1 71it�0@ AGENT FOR OWNERS: 1' O.A. X 24" ROUND STM PIPS JAMES E. RUSCH iralGHRtoG LIS i8. PM FOOT. FOUND Road New Rich d. 0 1" O.D. X 24" ROUND 81EBL PIPE Wisconsin 54017 NBIGHING 1.13 19. PER FOOT. SET —SBL—SETBACK IJNE 1�- R 9 K 1 N —. i C .'J<_ 5 et so '1 LOT 1 1350 S.F. ^ f 1 NBp 1 (0.031 AC.) C f J Q 1 76• — w w1ell gat, 1 �'`'`F ;;,,r�p7„W .�4sa N�sb3 9 & LJ .,g 32e2$ ;s Q� ,� 2S W �y .. . Z SOUTHWES7�ERlY = \ 5600TS.�'f ��7 UNE LOT 40 a�n° j (0.129 AC.) `� g J I /11 IT) ^T i JAI Z Sar"woea C rdillahfm 1,James IL Rusch,Registered Wisconsin Ladd Surveyor,hereby earthy that I have surveye4 divided and mapped part of Lots 40 and 41 of the plat of INDI00 PONDS,all in Section 25.Town 29 Narfh,Range 19 West.Town of Hudson.County of SL Croix,State of Wiscomin;that I have mads such survey,land-division surd plat by the direction of the owners of said lands,described as follows: Beginning at the southeast caner of said Lot 41;thence North 76 degrees 03 minutes 25 seconds West,assumed baring,along the sash line of said Lot 41,a distance of 280.51 feet;thence South 82 degrees 14 minutes 30 seconds West a distance of 74_'58 fiat to the soudmealerly lino of amid Lot 40;thence North 32 degrees 28 miradas 07 seconds West,along said soudwrestarly lire,a distance of 40.00 feet to the northwest comer of said Lot 40;thence South 76 degrees 03 mimntes 25 seconds East,along said south line of said Lot 41,a distance of 98.27 feet;thence Nor&82 degrees 14 minutes 30 seconds Ent a distance of 108.18 feet;thence South 63 degreas 31 minutes 41 seconds East a distance of 184,39 acct to the point cf b%J al b)& That such plat is a correct representation of all of the exterior boundaries ofthe land surveyed and the subdivision thereof made; 004 that 1 have Aft complied with the provisions of Section 236.34 of the Vino "Statutes,the timbd visiim reguisticns Qf the Town ofWfton and the County of St.Croix,and Wises Administrative Code A-E7 in surveyin&dividing,and mapping the 17 day of"iser, James IL Roach,RLS Na S-1376 ROO��.. 4c�b6t rrh I'6`flS t i3- Reviewed 4 approved by Nle3c z3 c burn, {I IIIIA � , c , County V.oning Specialist.. r t w,o�Inru '- '4 o SCALE 00 FEET 200 �VR X Q. 1 inch 100 feet N CAD FILE DRAWN BY =Hi�t 21025CSM12 KTg James R. ll, LM0. PROJECT NO. Planners / Engineers / Surveyors 21023 t2`i5 1523 941H LAZE HL BLAW,WL 55337 763-792-1138 Vol 1E9t:Page 4907 Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Wenzel, Scott & Ja ne Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: i/0'7 X1+4- (3Y~. /l~«,,' I •,~ dw~, TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ 1,.~, e,4,.c~- z ~ s Iz • ZevV~RX, ~ ~ O Aeration Holding TANK SETBACK INFORMATION TANK TO P!L ~o hr~ WELL BLDG. Vent to Air Intake ROAD Septic 9+ ~ ~- ~ ,7ZV, `J Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System d TDH Ft Forcemain Length Dist. to well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. CCOIX Sanitary Permit No: 463371 0 State Plan ID No: Parcel Tax No: 020-1439-40-000 Section/Town/Range/Map No: 25.29.19.2766 STATION BS HI FS ELEV. Benchmark ~~ ~~ /,~ ~~ / O .,7 Alt. BM T~1e~- C,d~~- /.S /~. ~Z Bldg. Sewer rj s-1 q ~ ~/ ~ St/Ht Inlet ~ $ //~ , dog SUHt Outlet S~R pia ~~~ Dt Inlet ~ ~ Dt Bottom ,_~ t. Header/Man. ~~, $ /e • , ~' ` Dist. Pipe ~~ ~ /2-3$ /D ~ ~ Bot. System ~ ~ e.~ Final Grade 7.c~ ia~s,sc~ ~2~ l.rc. 7 IZ `7 ~a3. 78 BED/TRENCH Width / Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ -/ ~ ~ / 'Z, ~`~~ w_ ~-- ~~ \ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer`-//''++ ~r ~~ INFORMATION CHAMBER OR ~t'^t ~1 ~ Type Of~System: ~~ ~ ~~ / ~ /~ UNIT Model Number c-L~ ~ Ord DISTRIgl1TION SYSTEM A~wLl1 / Zlj ~~ Header/Mani ~ Id ~/ Distribution x Hole Siz x Hole Spacin Air Inter Ven~ ' h ~ Di \ Pipe(s) ~ ~ i h Di S L \ `_ O { aJJ ~~~`C~7j e ( Lengt a ng a pac engt l SOIL COVER Y Pracenra Svs4ame rlnly YY Mnnnd nr At-Grade Systems OnIV Depth Over ~ Depth Over s xx Depth of T il xx Seeded/Sodded xx Mulched Bed/Trench Center ~ ( S ~ ,p Bed/Trench Edge opso ~ ~1`es No ~ Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 907 Highlander Trail Hudson, W 154016 (SE 1/4 NE 1/4 25 T29N R19W) Indigo Ponds Lot 40 ~ Parcel No: 25.29.19.2766 1.) Alt BM Description = ~ ~1~ GbJ ~~' C~~ ~~` ~ ~ ~ I`~ ~~f ~~` 2.) Bldg sewer length = ~ - amount of cover = + -,--r-- - - r -- ~. Plan revision Required? ~ `~ Yes _ No ~ ~ i~^-~ O~ j S Use other side for additional information. ~_ I -~ ~- ~ ~ ~ - Date Insepctor's S nature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division County . ~ 201 W. Washington Ave., P.O. Box 7162 C-~ i ~ ~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) ~ _ ~~cons~n . , o 608> 2 De artment of Commerce ~ ~~ Sanitary Permit do In accord with Comm 83.21, Wis. Adm. Code, personal informatio may be used for secondary purposes Privacy Law, s15.04(1 I. Application Information -Please Print All Wormation property Owner's Na me Property Owner's M ailing Address ' State rrA'~~ U 4 2 ~ ~ Stare m) P Prof 90 ZONING OFFIC n Zip Code I Phone Number II. Type of Bw Bing (check all that apply) ... v j,~ ~ S ""'• $~ 1 or 2 Family Dwelling -Number of Bedrooms ~~~~~ ~~S ' ^ Publ /Commercial -Describe Use ~33~ lsn I.D. Number t Address (if different thanYmailing address) /~6NL/pr/G~2 T/L4t'L .- Parcel N ~Lo/,t~x sleek y Property Location (circle ) T ~ ~ N; R~_E or W~ Subdivision Name CSM Number tc ^ State Owned -Describe Use - ^City!^ViUage 1~'I'ownship of.G!~uda3l.Qn/ III. Type of Permit: (Check only one box on line A. Complete Line B if applicable) p Zp - / 3 - 0 - GY7D • Z ~6 t'v A' ®New System ^ Replacement System ^ TreatmendHolding Tank Replacement Only ^ Other Modification to Existing System ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued B. ^ Permit Renewal ^ Permit Revision Before Expiration Plumber Owner 1:V. of POWTS S stem: (Check all that a 1 ) ® Non Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Moues < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Conswcted Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ~Leachin Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) ____ _ ___ V. Dis rsal/Treatment Area Information: ~ ~ ~ ~ Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallort4 Gallons of Units Concrete Constructed Glass New Existing Septic or Holding Tuilt I J~ ~ I r. rAerobic Treatment Unit ' ~- Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's i gnature MP/MFRS Number Business Phone Number ss (Street, City, State, Zip Approved ^ Disa / Sanitary Permit Fee (includes Grotmdwater Date Issued Issuin Agent Signature (No Stamps) Surcharge Fee) ~ ? ^ Owner Given Real for Denial 3~'--- IX. Conditions of ApprovaUReasons Por Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell mus# all be serviced I maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. clans (to the Comer only) for the aratem on caner not less than 81/2 x 11 ia6es in size .. ..~. . .• •~OT ~ ~ w. t74cY~f ZAPPA OROi. EXG1YATiN6 • ~EU- ~ i!LV1~MdG UNT . . ~~~ '" PAO~CT `~ ~ S~tt~ SE~,,~ L,.af ~ _ ~ ~ ~ 'acoTrf ~k ~11E LJE~tI] • /~IP /,Q So G•tc., wt~SE7 Sclrrc ~ `T f~i1F/iG~r+~IOEQ ~4dti~ T~-Nk wt~.t~~4nrw~< y BEnQ~-+ n !'eri-o5 .C ~' o /~ ~ ~ES~Df~ r CiQo ,( CouN ~~ y'VC EfiFKIF~VT L..nl~ ~' ~4J ~Qrft![ ~EA/GfE'~ ~rswD~c20 ~N~F`ua~P~ Gl~~triv,~ ~'' P~~ AML .iv s i ~ ~ `? • /a ~~ o~ ,._. ~ • ~ loo tG ~~lJT ~JSlct-flcr~u .~+~0 ~,q~ r~r,pK~ ~~ S ~i~~6~'P ~V ~ Fir -- ~ A 3 P~ P~ ~Q~/r4~n owl o rt s1aWE0: 6 ~ i2r ~^~K~Gt V~NC 4kP uc a~ ~~ ~'7 ~N:s~G D~AT~: J • ~ ~ • fly" • t~1~-M~»~ ~'~~,~ N•Alc SAN ~o P,~ , The Stands d In i for Chamber . ~ T~c~- Bo--r•+~ ~~v4rex~ P~ Sac~Es 12 ~. o _ ~E~ ~ ~ iny,~ stc~ VtEw Q /c.~~ . 33 75' Effective Lenora . .~~_ 'PLOT i CROif ~iCT10N Pt . 10Qcj/~f IAPPA OROi. EXG1VATflda i~JEU.. O~W~9MIf3 llit~? .+ 1897 Wisconsin Depar4nent of Commerce SOIL EVALUA~~T±±ICCO''`N'C Page 1 of 3 Division of Safety and Buildings n acco~lar~e m t3;~t,/~~! LrdieD A.C.E. Soil & Site Evaluations ~ Co ty Attach com ete site Ian on pl p paper nofless tha : si e. Plan must 4 Z005 include but not limited to: vertical and horizontal reference point (BM) directio St Crooc ~ , Par I I D percent slope, scale or dimemsions, north arrow, and location and dis nce to r t r d. . . 020-1439-40-000 Please print all information. ST CROIX COUNT e ' By Date Personal iMormetbn you provide mey be used for secardary purposes (Priv Lsw, s. 15~ylpi~p OFFICE ~ ~ 0 Property Owner Property Location Scott & Jayne Wenzel Govt. Lot SE 1M NE 1 /4 S 25 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 893 Willow Ridge Road 40 Indigo Ponds City State Zip Code Phone Number _J City ~( ~Ilage /~ Town Nearest Road Hudson I WI 54016 (715) 386-7905 Hudson 907 Highlander Trail /_f New Construction use: 1/ Residential /Number of bedrooms 4 Code derived design flow rate 600 Replacement ~ Pubf'~c or commercial -Describe: Parent material Glacial outWash Flood plain elevation, ff applicable na General comments and recommendations: Install conventional POWTS using two trenches with combined E.I.S.A. = 857.15 sq. ft. at elevation of 104.00' & 102.50'. GPD ^ Borng # ~ Boring Pit Ground Surface elev. 103.97 ft. >99" in. /~ Depth to limiting factor Application Rate Soil Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. 5h. 'Eff#1 'Eff#2 1 0-5 10yr32 none I 2fsbk mvfr cs 2fm,1c 0.6 0.8 2 5-18 10yr4/4 none sl 2msbk mvfr gw 3f2m1c 0.6 1.0 3 18-31 10yr4/6 none gr Is 0 sg dl cw 1fm 0.7 1.6 4 31-99 10yr6/4 none gr s 0 sg dl - 1vf 0.7 1.6 Horizon #3 contains approx. 25% gravel, H#4 contains approx. 15% gravel. a Boring # .J Boring 1/ Pit Ground Surface elev. 108.33 ft. Depth to limiting factor >127° in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Gl' D/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-5 10yr32 none I 2fsbk mvfr a Zfm,1 c 0.6 0.8 2 5-22 10yr4/4 none sl 2msbk mvfr gs 2fm,1c 0.6 1.0 3 22-34 10yr4l6 none gr Is 0 sg dl cw 1f 0.7 1.6 4 34-127 10yr6/4 none s 0 sg dl - 1vf 0.7 1.6 /owl. o r o 3.3 3 s~~q~ ~~ ~°J9 Horizon #3 contains approx. 10% gravel. ` Effluent #1 = BOD ~ 30 < 220 m and TSS >30 < 50 m Effluent #2 = BOD < 30 mg/t and TSS < 30 mg/L CST Name (Please Print) Sign re: CST Number James K. Thompson ~' 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, O , WI 54020 3/282005 715-248-7767 Property Owner ~~ & Layne Wenzet Parcel ID # 020-1439-40-000 Page 2 of 3 Boring # ~ Boring /~ Pft Ground Surtace elev. 102.15 ft. Depth to limiting factor 96" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-5 10yr32 none I 2fsbk mvfr cs 3fm,1c 0.6 0.8 2 5-32 10yr4/4 none sl 2msbk mvfr cw 2fm,1 c 0.6 1.0 3 32-51 10yr4/6 none gr Is 0 sg dl ci 1fm 0.7 1.6 4 51-96 10yr5/6 none s 0 sg dl - - 0.7 1.6 Horizon #4 contains approx. 3096 gravel. ^ Boring # ~ Boring ~f Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 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. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bourxiary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg1L 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. N r 39 /~~ / ~ ~a,de a~ o ~' ~ ~ ,~ ~ a a a~ •o. - o Y' 'o_ • ~ 1 ~ ~ -~ ~- ~ ~ ~ /tom \ \ ~ \ . N. aI '` ~` `~ ,. \ ~~ \\ free. E/e~-=/oT.~ `~` ~^ ~~ °~ ~~ ~~ ~, ~` \ ~~- _ r '. - -~ o 1 ~- ~~-+. `vP~Y ^ Sa% eda/uc~~an ~, f • E/c t/QU~'on l 1 tI Sc~ ~Sar.ce ~gc! sec-. 1Sr,,, o~'/~cdsrr+, ~ • C~iK Ca, cJ/. ~-l.3 ' r~;~ /a, Tea."/ ~~, 3a{3 ,~pP~ox. /oca~,~r, o.~' ~J~oPoSe~d /'CS,~~nGG f~SSurn~ eleµ = /GYJ.Q7~ •~ . . ~ POWTS OWNER'S MANUAL & MANAQEMENT PLAN Page ~ of g Fug INFORMATION Owner ' f C~'?~£~--~ G-~ L~ G N ..~`~ L Pemnit ~r ~ 3 3 ~--f DESIGN PARAMETERS Number of Bedrooms e} O NA Number of Public FalaGty Units ~ddA- Estimated fbw laversgel 400 pesign fbw lpeskl, IEstilnsted x 1.5) 600 sU Soil Application fists . 7 /ft= Standard Mfklent/fcfflusnt GuaEty Fats. oil b Grease IFOGI 8iod~emical Oxygen Demand leoos) Total Suspended Betide ITSS! Monthly average' s3o raw/ s220 mgll O NA 5150 mg/L Pretreated Effluent O.uakty f3iocheraiical Oxygen Oerraand 180Ds1 Total Suspended Soilds ITSSI Fecal CoGfonra igeomstric mesril Monthly awrpe S30 mg/L S90 mglL s1o• cfu/toonll O NA Maximum Effluent Particle Size ya in ilia. O NA Other. ~ D~IA •Vakia typical for domestic wagwater and septic tank effkiait. •Septfc Tank Capacity 12 5 0 O NA Septic Tank Manufacturer Wieser O NA Effluent Filbr Manufsctlrer Zable O ~ Effluent Filter Model A-1800 O NA Pwrlp Tank Capacity DNA Pump Tank Manufacturer D ~- pump Marwfacturer DNA pump Model DNA ~~ O Sand/Grewl fgltet O Mechanical Aeration O oistnfectien O Pest Fitsr O Wetland O ocher: DNA O'apersal Ceillsl O Irt~Ground IOravityl O At Gn~rds O Drip-Line O NA O hMGralrld Ipresalrisedl O Mound O Other. otli.r: ®NA Other. N NA Other: ®NA MAINTENANCE SCNtsDNLE Service Ewttt Servke Fregilerlcy Inspect condition of tanklsl At Nast ~~ ~~ 2 0 ~ pAanilrawlt S years) O NA When combined stodge and sixan equals orte-tf>ind USI of tank voNlfrte O NA Pump out contents of tankls) Inspect dispersal ceills) At Iast once every: 2 ~ morltMsl ~ g 11~ O NA Clean effluent tifCer At least once every: 1 ~ ~ ~l O NA monthls) ~ ®NA Inspect pump, pump controls its alarm At leaf once every: O men ~lsl ®NA Flush laterals and pressixe test At least once every: O men ~Isl R Nq thfi.r: At kat once Query: O Other: RNA MAq~ITENANCE MISTIfAlCTIONS Mspections of tanks and dispersal cells shag be made by an individual carrying one of tM fobwing IicNlsa or certifications: Master Pkmribar; Master Plumber Restricted Sewer POWYS Inspector: POWYS Maintainer: Ssptape Servicing opw~• Tank inspections must include a visual inspection of tM tanklsl to identify any raasaing a broken hardware. iderltifll any /xscks or Issks, measure the volume of combined sMldge and scum and to check for any back up or parading of effluent an the ground surface. The dispersal De)))al shall be vauaNy inspected to check the effhlertt levels in the observation pipes and to check fa any pending of effluent on the ground surface. The pondinp of effluent on the ground surface may indicate a faiNng condition and requires the &riaiediate notification of the local regulatory authority. ~ When the combined aa:unwistiori of shldge and scum Ira any tank equals one-third IYsI or more of the tank volume, the entire contents of the tank shag Os ronwwd by s Septage Servicing operator and disposed of in aooordanoe with chapter NR 113. Wieconswi AdrNnistratiw Code. AN other services. inckiding dot not Gn-itad to the se~ci<-g of effluent filters. mechanical or pressurised tmrtlP~re• Pfe~~t units. end any servicing st intervals of S12 months. ahail be performed'by a ewtified POWYS Maintainer. A service report shad be provided to the local regulatory authority within 10 days of compMtion of any setvios nnrtt. GNAW (4/01) ~~~.~. sTART uP ANO oPEw-TION For new construction. Prior to use of the POW TS check treatment tan~lsl ~ he h~+ ~ ohs aro d~ected have theocontents that may impede the treatment process and/or damage ~ dispersal i9 of the tanklsl removed by a septage servicing operator P~ to use. System start up shall not occur when soil conditions are frozen at the ktnltrative surface. During power outages pump t~ks rtisy fell above normal highwater levels. When power is restored.the excess wastewater wiN be discharged to the dispersal ceNlai cn one large dose, overloading the ceNlsi and may result in the backup or surface discharge of effluent. To avoid this actuation have the contents of the pump tank removed by a Septage Servicing Operator error to restoring power to the effluent pump or contact a Plumber or POWYS Maintainer to assist in manusNy operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal ceNs. Do not drive or park over. or otherwise disturb or compact, the area within 15 feet down slope of any mound or atgrade soN absorption area. once and prolong the life of the Reduction or elimination of the folbwing from the wastewater stream may lnprove the perform POWYS: antibiotics; b~sby wipes; cigarette butts: condoms; cotton swabs' degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump Pump) water; fruit and vegetable Peelings: gasoline; graaa°% herbicid°s% mast scraps; medications; oil; painting Products: pesticides: sanitary napk~s; tampons; and water softener brine. ABANDONMENT a„~,~y taken out of service the following steps shah be taken to insure that the system is When the POWYS fails and/or is perm properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Adminiatrathre Coda: • Alt piping to tanks and Pits ahaN be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage ServicMg Operator. • After pump~g, all tanks and Pits shah be excavsted and removed or their covers removed and the wid space fiNed with soil, gravel or another inert soli material. CONTINQENCY PLAN If the POWYS fails and cannot be repaired the folbwing measures have been, or must be taken, to provide a code coin cant replacement system: ~ A suitable replacement aroa has been evaluated and may be utiNzed for the location of a replacement soil absorption system. The replacement area ahoukd be Prot structure, a ~~ ~ weNa. Fad~uron protect the eplacement area wi 1 required setbacks from existing and propo result in the need for a new soil and site evauation to establish a suitabb replacement area. Replacement systems must comply with the rules in effect at that time. p A suitable replacement area is not available due to setback and/or soil Nmitations. Barring advances in POWYS technology a holding tank may bs installed ss a last resort to replace the failed POWYS. ~ The site has not been orrried to locate a s itable .raPl/ac°~n~° Ba. elf no replacement area is avaVilabb a hoikling tank evaluation must be P~ may bs instaNed as a last resort to replace the faNed POWYS. p Mound and at-grade soN absorption systems msy be reconstructed in place following removal of the biomat at the infikrative surface. Reconstructions of such systems must comply with the rotes in effect st that time. < <WARNING> > SEPTIC. PUMP AND OTHER TREA ~ TMENT TANK NDER ANLY HCN~CUNISTANCESDroDEATH MAYI RESUL~ RESCUE OF A ENTER A SEPTIC, PUMP OR OTHER PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOS816LE. ADDITIONAL COMMENTS POWT8 MAINTAINER POWYS INSTALLER Name ) ount Ben Mor an Name th n Phone 715-386-2130 Phone 715-386-2850 LOCAL REGULATORY AUTHORITY SEpTAGE SERVICWG OPERATOR (PUMPERI Name Tri County (Ben Morgan) Name St. Croix County Zoning Offti: e Phone 715-386-4680 Phone 715-386-2130. This document was drafted in compflance with chapter Comm 83.22121(b1t11ldlblfl and 83.54111. 12) ~ (31. Wisconsin /administrative ~• ST CROIX COUNTY ' SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ,~~t-E ~- 1.~ ~tll ~ Mailing Address Property Address ~~ 7 ~jt, (Verification e u daN, I~/L from Planning Department for new construction) City/State F~ U a ~ ~/ . W 1- Parcel Identification, Number ~z D '~ ~ 3`~ ~ ~~ ` a0 O (, z~~) LEGAL DESCRIPTION Property Location .S',~ '/,, ~ %4, Sec. ~,£, T_~N-R1~,W, Town of /~~e.~t-Q„i ~' - r ~ r _ Subdivision Lot # ~_. Certified Survey Map # ~"~ - , Voltune ,Page # Warranty Deed # / ~ / ! 6 8 ,Volume ,~s ~6 ,Page # 4rU ~ Spec house ^ 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 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 3t. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplumber, restricted.plumber or 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 requiremettts and agree to maintain the private sewage disposal system with the standards set forth, her in, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating tha our septic s stem has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of ~e ytear~piration date. TURF OF ~~ 3~3 ~o DATE I (w~j certify that a st a nts on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope ~ d tribe b e, b v' a of a warranty deed recorded in Register of Deeds Office. ~ / / (7 SIGNATURE OF A P C T DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. *****"` ~yd/.~ ~~~~i ** 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 U 2536P 409 STATE BAR OF WISCONSIN FORM 6 - 2000 SPECIAL WARRANTY DEED This Deed, made between Landsted LLC, a Wisconsin limited liability company Grantor, and Scott A. Wenze and Ja ne Q. Wenzel, husband and wife, as survivorship marital property Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property") (if more space is needed, please attach addendum) of Indigo Ponds in the Town of Hudson, St. Croix County, Recording Area 757966 REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 83/29/2884 12:58P1[ iiARRANTY DEED EXElPT ~ REC FEE: 11.80 TRANS FEfi: 521.50 COPY FEE: CC FEE: PAGES: 1 Name and Retum Address ve Valley Abstract & Title, Inc. P .Box 149 ~~ ~il~I/~~~ Together with all appurtenant rights, title and interests. Parcel Identification Number (PIN) is not homestead property. (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances, arising by, through or under This Grantor, except: Easements, covenants, restrictions, and rights-of-way of record, if any. Dated this _ ~ ~Oj - l day of March 2004 AUTHENTICATION Signature(s) authenticated this day of • @~iQfS S~atQ~nrf_i ;r;~„ tC ~vrrsirT- TITLE: MEMBER STATE BAR OF WISCONSIN (!f not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Brent R. Johnson-Locomen, Nelson, Cole & Stageberg, P.A. Hudson, Wiscaosin (Signatures may be authenticated or aclrnowledged. Both arc not necessary.) LANDS ED LLC~G~ ~~ ` BY 020-1439-40-000 ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ST. CROIX County ) Personally came before me this Z~'7 " ~ day of March 2004 the above named Landsted LLC, a Wisconsin limited liability company, By to me to be n(s) who executed the foregoing ins d ledged the same. 2 Notary Public, State of WISCONSIN My issio perman~t~f not, state expiration d D: ) ~. :s of persons signing in any capacity must be typed or printed below their signature. SPECIAL WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 6 - 2000 INFO-PRO (800)655-2021 www.in(oproforms.com U: 2?S?P Oy0 State Bar of Wisconsin Form 3-2003 ' QUIT CLAIM DEED Document Number Document Name THIS DEED, made between American Classic Homes LLC, a Minnesota limited liability company, ("Grantor," whether one or more), and Scott A. Wenzel and Jayne Q. Wenzel, husband and wife ("Grantee," whether one or more). Grantor quit claims 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 2 of Certified Survey Map recorded on January 6, 2005 in Vol. 19, Page 4907 as Document No. 784370. ~88s~~ KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROI}i CO. , NI RECEIVED FOR RECORD 03/01/2005 03:50PM AUIT CLAIM DEED EXERT # 3 REC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address SeD~' Gc~iI~Z~L-- ~ `~~ CUIGL~(1 /2l46E /LO l~~4srl'~ ~c/~S . 5~`6 020-1439-40-000 Parcel Identification Number (PIN) This is not homestead property. (is not) Dated ~ • ~~ ~.f Signature(s) authenticated on AUTHENTICATION AMERICAN C SSIC HOMES LLC Y' (SEAL ~ - f~ _L) << (SEAL) ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ST. CROIX COUNTY ) (SEAL) Personally came before me on ~ o) ~ p S * the above-named American Classic Homes LLC, a Minnesota TITLE: MEMBER STATE BAR OF WISCONSIN limited liability company; by (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 70b.06) instrument and acknowledged the same. RENEE MORTEL 0 lIIA i~ Notary Public THIS INSTRUMENT DRAFTED BY: * n e~ ~ e ~1 ~ r } e L ~~~~~` Brent R. Johnson, Esq. Notary Public, State of WISCONSIN Hudson, Wisconsin My commission (is permanent) (expires: S= l~. D ~ ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED X2003 STATE BAR OF WISCONSIN FORM N0.3-2003 *Type name below signatures. INFO-PROTM Legal Forms • (800)655-2021 • infoprofonns.com ~ 45 s~~ s~Ft (2.s0o IrC,) s~ao s.F. ~ r ,~~ ' ~2oor Ac.) ~ ~ ~ • ~ pnoPOS~o ~*s~' so~ ~ ~~ ~ o'a+~o e~ow ~ ~~' j EtfVAl10N I~SZ' ' `• J ! 1 1091ltJ0 S.~. a ~ ~~^"~ iZ3Ct1 Ate) r' ~1 !i ~' f ! E ~~ ~ ~ r a ~. w~ ~ ~ ~ WC V r •~ -- .'~ , ' .~ ~~ ~ `® ~ ~ h ~~ f ~ ~ w~ (tooi A~c,j t j ~ r~ ., -.. ~J ~ ~ 3s ,~ r o~.+c eQOM- sr~ s F. • Q.EVA'fwON ~3a.r tz~ nc.) +b`~ 1 ~ ;, ~ Q ' ~ ~_ • ~'?4'~ ~~ 1u ~ ~0' ~ ,~ 'ip ; ~ 11 `~~ 3 •~ 9~. r • / . ~ ~' ~ ~ / ~ "~e -o, 38 ~ se~a~'~q-w~re~s.,~.~~ ~ f. ~ .'4 t 07145 S.F. s {t00t ABC.) ~ r' ,. EX~IE'aOiR ~~- ' Sai~1~~~i'w ; , w~ V ~ ~ O~VA11pN 1~.~i.~ ,$ J 37 ~ Ts~~ _~ _ / - r ELEYAIiO~t ~.~ / ~ ~~ /b3 ,~9'td ~ ~ ~ 34 ~''{* ~ l~ ~~ _a~ ' wa..ww ww ~~f, ~-'thi/ .nap no new, in3epen3ently buildable lots are inten3e3 to be created; this ;nap is created an3 reviewe3 at the request o~ 8 4 3 7 tm the S13. Croix County Zoning Office to pictorially represent a~~L 19 PAGE 4907 simplify the descriptions of those parcels to be exchange3 byKA?ALFA H. a3joining lot owners. This .nap is specifically exempt from s ISTER OF DEEDS review an3 approval per 'aisconsin Statutes Section 236.45(2)( CROIX CO. MI i->tiTVitin >rras fr~rnnn (3iBd/06/2005 03:50PM (,`~D $jJ$~,,y ~[~ CERTIFIED SURVEY MAP REC FEE: 11.00 Located in Lota 40 and 41, INDIGO PONDS, all in Section 25, Town 29 COPY FEE: 2.00 North, Range f9 West, Town of Hudson, St. Croiz County, Wisconsin. PAGES : 1 L19Gi!@ AGENT FOR OWNERS: 1" O.D. X 24" ROUND STEEL PIPE JAMES E. RUSCH ~ WEIGHING 1.13 LB. PER FOOT, FOUND 139 Airport Road 1" O.D. X 24" ROUND STEEL PIPE New Richmond, ~ WEIGHING 1.13 LB. PER FOOT, SET Wisconsin 54017 -SBL- SETBACK LINE C, ~ / ~ F~ ~ ,y O / ^itt0 30.42" ~_ 109.96• ~_ __-~ -~ ~~ ~\ N~Zo2a.40~.0 , SOUTHWESTERLY LINE LOT 40 -~ /\ 1 ITi ^T v v I L_v i i / A 1 -r ~ J ~~~ao >ja~ LOT 1 < ~) o W ~° " 1350 S. F. (0.031 AC.) ^ ~ ~ 2 t 1 ~ . ?v ~ ~2.76 1S -~843 ~~ ~ g 9 ~ N7a~,., _. ~ • _ LOT 2 _~-``'~8 7t 5600 S.F. ~ \ 1 _- (0.129 AC.) J ' i' ~ J Z ~ ~~ ~, ~~ ~ o < ti ~ A /~ 'r \J Surveyor's Certificate r~~ ~ ~ L s~ ' J l W _ Q 1 ~1 v~~'/ o ~ ~~ ~ z T- ~" ~ a' o 1.c.1 ~ viV ~'I emu. ~ J C_' ~W ,~ ~' ~ 3 ' .: v 0 33• ' I $~' ~ I, James E. Rusch, Registered Wisconsin Land Surveyor, hereby certify that I have surveyed, divided and mapped part of Lots 40 and 41 of the plat of INDIGO PONDS, all in Section 25, Town 29 North, Range l9 West, Town of Hudson, County of St. Croix, State of Wisconsin; that I have made such survey, land-division and plat by the direction of the owners of said lands, described as follows: Beginning at the southeast corner of said Lot 41; thence North 76 degrees 03 minutes 25 seconds West, assumed bearing, along the south line of said Lot 41, a distance of 280.51 feet; thence South 82 degrees 14 minutes 30 seconds West a distance of 74.58 feet to the southwesterly line of said Lot 40; thence North 32 degrees 28 minutes 07 seconds West, along said southwesterly line, a distance of 40.00 feet to the northwest corner of said Lot 40; thence South 76 degrees 03 minutes 25 seconds East, along said south line of said Lot 41, a distance of 98.27 feet; thence North 82 degrees 14 minutes 30 seconds East a distance of 108.18 feet; thence South 63 degrees 31 minutes 4l seconds East a distance of 184.39 feet to the point of beginning. That such plat is a correct representation of all of the exterior boundaries of the land surveyed and the subdivision thereof made; and that I have fully complied with the provisions of Section 236.34 of the Wisconsin Statutes, the subdivision regulations of the Town of dson and the County of St. Croix, and Wisconsin Administrative Code A-E7 in surveying, dividing, and mapping the s ~N... Dat is 17 day of December, 20 .James E. R/usch, RLS No. 5-1376 ~~~GO~'~'j~ N z `'' a w 3 Reviewe9 ~ approve3 by ilex B1acXburn, ~~ R~~~'",u ~ ~ a o o N N County Zoning Specialist. _, ~ Hu~'+:un Q' M YYii o ° o ~~~° 0 SCALEI IONO FEET 200 ~~~ ~ ~ 7 W Z 2 ~ ,~t~RG6Y' NZ~O Q ~ ~ o. m 1 inch = 100 feet ~ N z ~ 21025FCSM2 DRA ~ BY James R. Hlu. $1C. Ptnnnprc / FnA1nPPrs / Survawnrs ~o~, ~r'i. '~ - ,~ -~ Vol 19'-:-Page 4907 Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in ~rmrA~nro wi#h (:nmm Rai Wic Ar1m Rntia ~~~id~ C~tifC, / 1.~ 1261 Page 1 of 3 Steel Soil Service -- -. - County Attach con lete site plan on r not less than 8'/2 x 11 inches in size. Plan must P Pape St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and and location and distance to nearest road percent slope scale or dimensions north arrow Parcel I.D. ~ ZQ - /~ ~~} ~D -Q'~a . , , , ' 9 Please rinta~i~ ~t~® Date Revi B Personal information you provide m be used for secondary purposes (Privacy , s.15.04 (1) (m)). ` ~' 6 Properly Owner MAY 1 3 2003 Property Location ~ o~ (o(a ROSAMJI, L.L.C Govt. Lot na SE 1/4 NE 1/4 S 25 T 29 N R 19 W Property Owner's Mailing Address CROiXCC)U^JTY ST Lot# Block# Subd.NameorCSM# 2141 Cty Rd. C . zOrd~,NG ~rF;CF 40 na Indigo Ponds City Sta a rp ode Phone Number J City ~ Village y/ Town Nearest Road New Richmond ~ WI 54017 715-248-7071 Hudson Highlander Trail New Construction Use: ~J Residential / Number of bedrooms 4 Code derived design flow rate Replacement J Public or commercial -Describe: Parent material Sream terraces and pitted outwash plains t=food plain elevation, if applicable General comments and recommendations: mound design, system elevation 98.45 ft, based on contour line elevation 97.45 ft 600 GPD na Boring # ~ Boring M_J Pit Ground Surtace elev. 98.75 ft. Depth to limiting factor 28 in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont Cdor Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 10yr2/1 none I 1 msbk mvfr cs 2c .4 .6 2 5-16 10yr4/4 none sl 2msbk mfr gw 1 c .5 .9 3 16-28 10yr4/4 none scl 2msbk mft gw na .4 .6 4 28-42 7.5yr4/4 c2d7.5yr5/6 scl 2msbk mfr gw na .4 .6 5 42-50 7.5yr4/6 c2d7.5yr5/6 cos osg mvfr gw na .7 1.6 6 50-75 7.5yr4/6 c2d7.5yr5/6 sicl om mfr na na .0 .0 Boring # J Boring ~ Pit Ground Surface elev. 98.75 fl. Depth to limiting factor 38 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Textun; Structure Consistence Boundary Roots GP D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 10yr2/1 none I 2msbk mfr cs 2c .5 .8 2 5-15 10yr3/4 none siG 2msbk mfr gw 1 c .4 .6 3 15-38 10yr4l4 none sicl 2msbk mfr gw na .4 .6 4 38-43 10yr4/6 c2d7.5yr5/6 sicl om mft gw na .0 .0 5 43-72 7.5yr4/4 c2d7.5yr5/6 sl om mfr na na .3 .5 * Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and T55 < 3o mgiL CST Name (Please Print) ature: CST Number David J. Steel ~~ 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 4/30/2003 715-246-5085 Property Owner ROSAMJI, L.L.C Parcel ID # pending Page 2 of 3 a Boring # J Boring I/ Pit Ground Surface elev. 92.15 ft. Depth to limiting factor 120 in. Soil Applicaton Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-4 10yr2/1 none I 2msbk mfr cs 2c .5 .8 2 4-16 10yr4/4 none sl 2msbk mfr gw 1 c .5 .9 3 16-30 10yr4/4 none scl 2msbk mfr gw na .4 .6 4 30-120 10yr4/6 none cos osg mfr na na .7 1.6 ~~ CD~~ COS <35% coarse fragments = 36" & >35% - <60% = 60" below system ^ Boring # _..~ 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. 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 Structure Cons~tence Boundary Roots P in. Munsell 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 "I"I'Y 608-264-8777. ~, 4 ~r~ ~ 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 SEil4,NE1/4,S25,T29N,R19W Bus.(715) 246-6200 Town of Hudson, St. Croix Co. Fax.(715) 246-9372 Indigo Ponds Lot 40 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' • =Benchmark Ele. I OO.OOFt Top of I /2" pvc pipe • =Alt Benchmark Ele. 99.90Ft Top of 1/2" pvc pipe ^ =Borings Boring Elevations B 1 = 98.75Ft ~ B2 = 98.75Ft B3 = 92.15Ft ~/o ~ B4 = OO.OOFt ~~ ~; ~ ~ ~ ~~~~~ ~, buy a~ ~5 , ~' 2 f~. q~ 1sF~ ~rs~ a ~n S~hw~ c+ ~_` ;~ 9~ -7s~ ~1 %~ I7sF~ ~'~. ~2 , ~Sf'7~- ~< . ~'o . Z~F~- ~~~3 y off- 7` ~ ~~ ~~. /,a ~r~- __ `'` , ~ :, f-, ":! - ~ ~" J i , ,~ say __ _ - -_ ._ ~ _ , ~,. h i 2.C :. ,. .~a~. 109 o i ~ _ ~ ~~~ p i 'h t n~a - ., ~_ ,. _ ~(` ~ ~ ', i m~ ,'' ~~. n5 ,v~.1 '` - ~ _ ! ~ 160. V .~ . ~ ~~~ f ~ 1 . ; ~ ~ 92759 . '~ a l . ~. , '~ • 1 -2.129 a f - 9,. ';~ ~, `~ _ ._~5~1 .`~ ~ w ~ (1.001 AC- N. ~ _ - •`~ ~ 87174 S.F. -- rt" ~ ~ ' 1'~i,~y - ~- - - \ -~ /~ - f- ~ - - - - 2.001 AC. - -- t. - ( ) . -' _ ~,'' ,1.095 AC. N.B.P.A. ~ '' ~~F ~ f .'. ~\ h J~ ~' ` i. 0 '4 1 ,_._ l ~ 87149 ~... - - ~ ~ i ^` ~ ~` Q, i;` i ..~- _ r ,h. \ ~ ~ ~,. 1 i (2.001 AC.), ~ ~^/ ~~P~~ •\t, 9.. ` ~ 1 ~~ \ , -- - ~' (1.843 AC. N.B.P,A.)= - ; ~' ;, + 1 ' ~ d ~ - ~! ' ' s ~ . C - --- Y3~- ~ 6s \ ;~l.JI~ r \ !/ r, ~~5/r. ~-, 98.9.7'' --- .) ~`~ , ~ ` ~'4°.m`- ~ 7 f 1d ~ ~ ~ ~. ~~~' i `,, X38 ,' ' ' !'~ '~' ~ f ~ ".. ~~~..~~Q, - ,~,~ , ~ R.2 ~.. ,, ~SI gas •'~63 871145 S,F. t .'! / •87.31 '~ ?SJS• : • ~. ~~~ ;, ~ r ': (2.001 AC.) ! ' d ; ~ -' 4. 6 ~ 9S• J J ' ' I (1.776 AC:. N.B.P A.~ f.• f'`~ ~ ,•8~. `~i ~ ~ ~ ~ ~ ~~ ,, - r.` ~ r ~ ~~`¢f~~ a /f [,~~•'• ` p .,,/ ~~/%' __~ ~- ~ `U7~ J. .-- ,• \ ` /r 37! r~~ ;w/~ ,W ~, ~ ~ ~ ~ 1.139 ~ ~,. 'ti '~ r 7192 S.~` 1 w• •. ., ~~~ (2.002 AC.) r~~ ( t ~' i ~ ~ /~ _ ^. ~/Oir~. r`-' ~ ' ( . ` . , ~ (1_.223 %1C. N.B.P.A.~ ~ ~ i 1 ~; .` ~~ ~ . '' •! J _ ~ ; ~; . r~~ to ~,- so `. / i /Q' _ a ' '~' ~ ~ i . ~ /' ~ ~~ r~ ~f ~ / 99502 S.F r \!• 9Q~ i ,! ~ ~ ~ % ..-•-: ' ~ ;~~'~- n ~ _ ~•• .(2.284 AC.~ \ r n f i t J /,a / ~ r ~ / / ~ ~ -'" ~ ,(1.607 AC. N.B.P.A.)~ ..n •. ~. 'M .` - i ~ / ....~ ~ / ~' %,,~ ~ ' f ` r~ f ~- ~ 87594 S.F. ~ ~ / ~~~_~_ ~ ~~ \ - 1 /: ~ 11 A ~ ~ ~ X36+ / ~ - ~/. -~ ~~ / , + ~' `j~ ~ !, j (1.157 AC. N.B.P.A.y~ ~ ,~ ' ! X87389 SCE. ,t ~ ~~^s r r ii ,~ ': , ,~ f f' j` l ' / } ~ r r r, ~ 'r ! ~~ (2.006 ACl) / / N ; -- f ~ _, I l~.st~s ar. N a p s 1-~ /' - / ! ~ +~ y ; ~ ~ ~6 ~ 1 - ,1~S.i t , . .~ l ~,,~ r.,l;~~, ST. CROIX COUNTY ~~-,~,;~, ~ ,. _,~ WISCONSIN ZONING OFFICE ~~rr~r•~~"- .:... ST. CROIX COUNTY GOVERNMENT CENTER w ~ .._.. __..- 1101 Carmichael Road ~~ -l~' Hudson, WI 54016-7710 ""~ (715) 386-4680 • Fax (715) 386-4686 November 25, 2003 James Rusch James R Hill, Inc 2500 W County Road 42, Suite 120 Burnsville, MN 55337 RE: Shoreland Zoning District /Indigo Ponds Subdivision Dear Mr. Rusch: Certain lots of Indigo Ponds may require a County Special Exception Permit for filling and grading due to their location in the Shoreland Zoning District. The lots include: 36, 37, 38, 39, 40, 41, 45, 46, 47, 49, 50, 51, 52 and 53. Lot 53 is currently under review for further subdividing. If the building site is located within 300' of the Ordinary High Water Mark (OHWM}, has direct surface water drainage to the ponds and exceeds the grading limit that is allowed by ordinance in the Shoreland area, a Special Exception permit will be required prior to commencement of construction. Affected lots whose building site is beyond 300' from the OHWM of the ponds will not be required to obtain a Special Exception permit. Please note that on these lots an erosion control plan must be reviewed and approved by the Zoning Office before the issuance of a sanitary permit for the particular lot. It is preferred that the erosion control plan and the sanitary application be submitted to the Zoning Office at the same time to better coordinate our review. If you have questions or concerns, please feel free to contact this office. Si rely, Rod Eslinger Zoning Specialist RE/jh CC: Town of Hudson, Brian Wert file