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020-1076-10-000
O w 0 "� O 0 V :I T m o c am "'.' • I A I I � O •P - I -� Cl) 2 N O (n 3 Z fn Z T. [n - O ( N O . N 'I • ? d. C .O•M N O 00 �' ?� O O C tf7 O d N O Hy CD M 3 CD 0 o y I - o. z Z u v 3 o to o O c CD :1 w c 3 CD CD v 3 ? v O 1 1 0 N O_ 7 3 y 3 O O N O w n'S O 7 7 CD O l O O CD n V O (D 0 0. 1 �< v Q O c � CD .« cn D o 3 °° 3 y m l 3 ° N N o! O oo O p m C 0 l p �+ (D a O N ° CD °' m� a m x _ � W co m w W s a ° Ic o a c 3 O° o 3 O � CD Z CD CL co W N CL z CD N O W N d l O W CD y r C !r 3 .. Q •-'• C N • z a O 00 z 0 0 0 N �E w ch 3 3 Vi UI N c: CD CT O C m l CT C N o m m CD c I cB m '°. to a O 90 CD CD a I C 3 CD c A C Q rt z M CL Z Z 0 z W O � D Oz O I D o I m O CD 0 CD T ( O @ CD y CD N CD C s N 0 0 M CD CD Z CD CD ( Z o D o d d Q A G 7 0 0 Z -i N O. CD C. CD V O O z A Z1 0 I 0 co z y z m I N CD o CD I A �D -^cn0 m cn 6m a u a c o a9'c =r3 o a=) y o � CD 3 n o w mC?� c c 3 s T tea) t T CD Cn CD fD C p Q C i O 5 ' a< O O a 0 3 p v a a CD CD 6 N 0 N CD N j CD N C 0 - 'D N J O@ .t. CD '0 - C7 3 Er N o_ N (d A ti� m a�cD cD cn - 0 C D o cn m CD N 1 X R7 0 - (� O a N = CJ7 (� 0 j M 7 0 CCDD pfD CD < G O n tli > -p O N t� n 3 d 0 �� O N CD (D N O O 0 d 0 7C" N w O� - O CD G N w O O O b CD CD °Q Co �0 0 0 0 '. N o o CL Parcel #: 020 - 1076 -10 -000 02/24/2006 08:56 AM PAGE 1OF1 Alt. Parcel #: 27.29.19.307A 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner TIMOTHY J & LORI A KNOPS O - KNOPS, TIMOTHY J & LORI A 440 OVERLOOK PASS HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 745 EXCHANGE DR p SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 18.960 Plat: N/A -NOT AVAILABLE SEC 27 T29N R1 9W NW SE EXC S 20.01 AC & Block/Condo Bldg: EXC CSM 6/1726 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 29N -19W Notes: Parcel History: Date Doc # Vol /Pa a Type 0712311997 WD 07/23/1997 798/221 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 92024 809,300 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 18.960 184,300 641,100 825,400 NO 05 Totals for 2005: General Property 18.960 184,300 641,100 825,400 Woodland 0.000 0 0 Totals for 2004: General Property 18.960 98,200 412,600 510,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 020 - 1076 -20 -000 02/24/2006 09:17 AM PAGE 1 OF 1 Alt. Parcel #: 27.29.19.307B 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - GLXLLC GLX LLC C - %BORGEN GREGORY O j %BORGEN GREGORY O PO BOX 1000 LAKELAND MN 55043 Property *- Districts: SC = School SP = S P p Y Address ( es ) Special : - Primary Type Dist # Description * 733 EXCHANGE DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 20.010 Plat: N/A -NOT AVAILABLE SEC 27 T29N R1 9W NW SE S 20.01A BUT NOT Block/Condo Bldg: LESS THAN ALL S1/2 NW SE EZ -TOWN RD/1443/601 Tract(s): (Sec- Twn -Rng 401/4 160 114) 27- 29N -19W Notes: Parcel History: Date Doc # Vol /Page Type 12/22/2003 749780 2478/425 WD 12/22/2003 749779 2478/424 QC 11/26/1997 569094 1279/305 LC 07/23/1997 8901577 more 2005 SUMMARY Bill #: Fair Market Value: Assessed with:D _ zZ 92025 143,000 gl D 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 20.010 138,800 7,000 145,800 NO 10 I Totals for 2005: General Property 20.010 138,800 7,000 145,800 Woodland 0.000 0 0 Totals for 2004: General Property 20.010 144,300 7,200 151,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER J TOWNSHIP / �s�'I SEC. T Zq N -R W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION / /✓ LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I.1.HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1 ve, ""�� N -, 7'f! lVe,- n&-. < Ji7V jo 4�' r Z 40" I 5x o S� S lc� �L vat INDICATE NORTH ARROW T6p o� Z '' /r✓m ��.. BENCHMARK: Describe the vertical reference point used Elevation of vertical reference poilnt: Proposed slope at site: LeSSfl�.u/� PUMP CHAMBER Manufacturer: _ L!U Liquid Capacity: Pump Model: Pump /Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, Q Side, O Rear, Q Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: - Width: 5 Length: 5n Number of Lines: Z Area Built: 5zso Fill depth to top of pipe: 3� Number of feet from nearest property line: Front, O Side, O Rear, ® pt._�' Number of feet from well: - Number of feet from building:' o? 7 (Include distances on plot plan). SEEPAGE PIT Size: X Number of pits: ' Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Jy Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: `DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON -SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 State Plan I.D. Number: NG14 %,S27,T29N- R19(>f (if Town a� Hudson � CONVENTIONAL ❑ALTERATIVE T���1 ❑ Holding Tank ❑ In- Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: DDRESS OF PERMIT HOLDER: INSPECTION DATE: A OAtyn Stumme Box 85, Hud6an, 611 54016 ( -30- U p BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: Name of Plumber: MP /MPRSW No.: County: Sanitary Permit Number: RogeA Timm 3224 St. C )toix 119377 SEPTIC TANK /HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: IPROPERTY WELL: BUILDING: I VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑ YES ❑ NO I I I []YES ❑ NO NEAREST — DOSING CHAMBER: MANUFACTURER: I BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP /SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO [:]YES ❑ NO [DYES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF P ERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUM ON AND OFF ❑ YES ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED /TRENCH WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE rISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: LEV. END: PIPES: FEET FROM LINE: AIR INLET: NEAREST —� MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH /BED DEPTH OVER TRENCH /BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BEDITRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: GOVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES NO NEAREST- Sketch System on Retain in county file for audit. J.__ Reverse Side. SIGNATURE: TITLE: Zoning Adf11.Ly_jz rcf tan SBD -6710 (R. 06/88) DIL R SANITARY PERMIT APPLICATION CO Q C'A0 / x .�� ��,..,..,s...e,. In accord with ILHR 83.05, Wis. Adm. Code STAT S ITARYPERMIT# /�377 —Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER 8% x 11 inches in size. gg —See reverse side for instructions for completing this application. PETITION ��{{ I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES Ind NO PROPERTY OWNER / PROP RTY LOCATION PRO PE TY WNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME CITY, STATE ZIP CODE PHONE NU ER CITY NEAREST ROAD, LAKE OR LANDMARK VILLAGE NO 1 II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR / 9 Public (Specify): SIZ >fcL Ill. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, if applicable) 1. a. n New b. El Replacement c. El Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit ## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner /building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2) 1. a: Conventional b. ❑ Alternative c. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. El seepage Bed b. 19See a e Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQ UIRED (Square Feet): PROPOSED (Square Feet): "7 7 4 10 � Feet 29 Private ❑ Joint ❑ Public VI. TANK CAPACITY Site in oallons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks G structed Septic Tank or Holding Tank El ❑ ❑ ❑ Lift Pump Tank/Siphon Chamber E1 I VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plum er's Name (Print Plumber's Signature: (No Stamps) MP / A�RSW No .: Business Phone Number: Plumb Address (Street, City. State, Zip Code): Name of Designer: f >L VIII. SOIL TEST INFORMATION Certffie Soil Tester (CST Name CST # 35 r v� CST's A RESS reet, City, State, Zip Code) Phone Number: 6� ?15 31? z1oS�b IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps) Approved I ❑ Owner Given Initial `� S chaarge Fee Adv Det ermination `o'od 1 11 1&-& k a 1 S� cam, X. COMMENTS /REASONS FOR DISAPPROVAL: SBD -6398 (formerly Plb -67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608 - 266 -3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1 -6; VI. Tank information: Fill in the capacity of every new and /or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift /siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County /Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. ----------------------------------------------------------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground Elf9[ included the creation of surcharges (fees) for a number of regulated practices which Wisco lws can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried TQBSIIlB! ° is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by'your holding tank pumper. a The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD -6398 (R.03/86) State of Wisconsin ` Department of Industry, Labor and Human Relations PRIV SE WAGE PLAN APPROVAL SAFETY & BUILDINGS DIVISION Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 ROGER TIMM Owner: STROMME ORLYN ROUTE 1 BOX 192 BOX 85 WILSON, WI 54027 HUDSON, WI 54016 RE: Plan Number: S88- 00132 Date Approved: January 27, 1988 Gallons Per Day: 2,450 Date Received: January 20, 1988 Project Name: STROMME SANITATION, 'INC. Location: NW,SE,27,29,19W Town of HUDSON County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50 -64 of the Wisconsin Administrative code. This approval is for the following components only: — NEW CONVENTIONAL_ Inquiries concerning this approval may be made by calling (608) 266 -8230. Sincerely, 0 4Seti0 n TH STIEMKE of Private Sewage Division of Safety and Buildings PPP016 /0009n/ 8 cc: STROMME ORLYN Private Sewage Consultant ---County __,.__UW —SSWMP ____Plumbing Consultant Owner Plumber Environmental Healt SBD -6423 (R.10/87) Plb. 60 •1 /78 - PROJECT DETAIL DATA SHEET DAME OF BUSINESS S romi t : ;` �I0r*1V �- _ ,_EGAL DESCRIPTION (V W Ly 7 - T 71/ - f iR )WNER S ��Qrnmp (O f /un MAILING ADDRESS T 9� ica�o� x.11 ZIP d yd Ib +RCHITECT, ENGINEER, �,�t�,� �,�,, ADDRESS /.f a 'LUMBER OR DESIGNER �4Ji�son [LJ� ZIP ;�rVdZ7 TELEPHONE NUMBER 71 774 3 z W I. Check appropriate building usage(s) and fill in the information requested opposite each usage listed. Please consult Section H 62.20. 8 3 Existing building New building Addition Apartments and condominiums . . . . Number of bedrooms Assembly hall , . . . . Seating capacity ( ) Bar Seating capacity # of.meals served ( ) Bowling alley Number of lanes ( ),With bar ( ) Campground and camping resorts . . . Number of sewered sites Number of unsewered situ Total number of si tes ' Camps . , ,, Day use only Number of persons T.eh k vrn Day and night # Number of pers �) Catchbasin , , ,.$. . . . Number 2 ( ) Church 4) No kitchen Number of persons O With kitchen Numb ..,. f .. ersop. Dance hall . , . Number of per F-9 , }, Dining hall . . . . , . . . Number of meals se daily Dog kennels Number of enclosures ( ) Drive -in restaurant . . . . . . . . Inside seating capacity Car- service - Number of 74 spaces ; ( ) Dump station . . . . . . . . Number of dump stations ( ) Employees ( total of all shifts) Number of employees -« - ( ) Hotel O Motel O Cottages . . . Number of units with per unit Number of units with 4 persons per Unit O Medical and dental office bldgs. Number of doctors, nurses, medical ' staff Number of office personnel.- Number, of patients ( ) Mobile home parks . . . . . . . . Number of sites ( ) Nursing homes . , , Number of beds ( ) Parks , Number of persons ( } Toilet$ O `Showers ( ) Restaurant Seating capacity O Dishwasher an or disposal? O 24 -Hour service ( ) Retail store , Total number of customers ( ) Schools . . . . , ... , Number of classrooms Meals Showers ( ) Self service laundry . Total number of machines ( ) Service station Number of cars served daiTy ( ) Swimming pool bathhouse Number of persons OTHER . . . (Specify) . . . . . . . .. Lgy t W COMPLETE OTHER SIDE `��eo s��� ��v�� ,�2 Indicate whether the following facilities are present. a Floor drain yes _Y _ no Number of drains Food waste grinder yes no Dishwasher Automatic clothes washer y - no u Number of clothes washers Septic tank capacity i600 Holding tank capacity Septic or holding tank acturer ,fie SEEPAGE TRENCHES: total square feet -boo width of trenches length of trenches ,.5o depth 7 �� number of trenches., f SEEPAGE BEDS " total square feet width ,length of bed depth SEEPAGE PITS: total feet outside diameter depth below inlet total depth from top to bottom of pit igna of person completing form: FOR DEPARTMENTAL -USE ONLY ddress / 14 J 0A Zip 5o Z7 e1 ephone Number, 7/5'-7 2. -3 2-t :ate `( 4 i 1111171 roe S�fan►r.)e 6NEET NQ. OF z E xcavating Co. CALCULATEDpY ` fir RATE R 1, Box 1 92. W Ikn. l M7 0MECKE4 By i � �J/Vi�S 322y SCALE i t I I I j : ! I j j .. t I � I t , PI o ..... I I , I �...... t ... b ...:.. r I i E . ......... , I P r y, I I i I I r... t k I l C _.. .,.. _ ... t .. ., 1 � h ft �+�y } i / SHEET NO. OF cavatin 00 j CALCULAtEDBY...__ l� DATE_.. _ ... it I Box 192, Wilton, WI 5102 cHEO►cxD By am _ SCALE -- -- ! i i I �- '� ✓q �a p G� y4 R " i ,r fax ,fir . #" � ' �;,,�h+Si. .'a f t t ,¢ :.• If IA l 1 1 y� A s y i j .({�y J3✓'�t E 5 k y., A t ��,�{ �.. I � � fio» I �� AW . F �.. CbIfC/CA " T re_►3,L +s ±►fin I ! fi . • DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDING! (ND U8FRY, 1 DIVISION LAB )R` APID PERCOLATION TESTS (115) MADISON W 7 HUMAN RELATIONS (H63.09 (1T& Chapter 145.045) L OCATION- . 5 JT N OT NO.:BLK. NO.: SUBDIVISION NAME: 2a % E� Z 2 9 N/R r9 (or N COUNTY: E M 1 ADDRES T CRO Ik 5-r-+edA,#% SAN ` i C � ,d . $dc t4auv , 41S40 / 6 USE DATES 013SERVATIONS MADE Residence LINK DESCRIPT J(New ❑Replace le . - Z / ?'&7 bee 4 9T5 - 7 LS AUr 66 SOILS - P- 41OQ� r RATING: S- Site suitable for sys `m , U- Site unsuitable for system 5 I�- 'Sd Z S 11U S CJV S E]U S -QUL OLOING TANK-.111 ECQ ONVEN -r14N4 74 -A q 14 i S It Percolation Tests are NOT required DES GfjI�RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: L LI(S S ' Flo in Floodplain elevation: C PROFILE DESCRIPTIONS BBORR A D ATE - INCHES C A A ER O SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH ELEVATION B TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) (� B- 7 6/ I - f'' LI.TS " L i2 /0"LT$� -v L / '44 sf c, tC > 7.67 R "RA &M RS 66 si''gl�, Nis �' C t El- B- � Z 9,�'S dNeC > .4�- /o "6c4Ts 9'BaNt_z6 s6 " +BR�,f'''IS �GR 3 09 � 9 "Bcc,Ts /S''8RN L /2 "8RwF �• 61R S$ .6 Z. 34'�BaN 3�"lr M 5 B. zS 9.ZS ../2 "8LLTS BRKF"S4 he 1A C4rJapN S.t // d NFSf4+c 3E" -? * K" Cyr r+s 00 110. Ob O 9 46 "R-b8W F'Srt� >1L 31 "t-riAN M S B- PERCOLATION TESTS TEST DEPTH WATER 1 LE TEST T I RATE MINUTES NUMBER INAI'ES AFTERS ELLING INTERVAL -MIN. PERIOD i PERIOD2 PER INCH P. 1 4 37 N � g 3 > < P. z z >? <3 P- 3 >Z' >� < P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hoi zontal and vertical elev n reference points and show their cation on the of plan. Show the surface elevation at all borings and the direction and percei of land slope. CtIJ'131L 0�'�J�CTIprJ eONUMCNT64 SYSTEM ELE ATION ras.oa 4 4 C1 I V i i _. N , ii l 1 of I' i X. rsENC.Ptrhi�,K, s � � Scr� • f i I t ' _ } �?� b f.Sl _._....._ _ i AR €A ! SS Aryl j ®_ L I f IZo f R s o , � , k „ac • Few l/ S ov I ins rr /^tifb ow 0 t 1 117Q� �lis -; i!i T. o C , T ✓�M, Y -17 • ovn�rad • s`�' f�Y a AA wN �' ov Sl colt r uo / r7 ►s/ �o s . • Z 7 * AV • t� �w O�J 4oxp z H 9 ST C- 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z d 9 H OWNER /BUYER ROUTE /BOX NUMBER Fire Number CITY /STATE A"6' 1 L_ ),:5 ':�4L' __ ZIP PROPERTY LOCATION: 14, Section - 7 , T 2Z N, R W, Town of g"`T.E�J4`fl , St. Croix County, Subdivision , Lot number I Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certificat on form, signed by the owner and by a master plumber, journeyman` plumber, restricted plumber or a licensed pumper veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H 0 E I /WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart - 'v ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SICNED DATE Z2- ;F St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715- 796 -2239 or 715 - 425 -8363 Sign, date and return to above address. "r:"'°�R, _� w• ~- " ti*�re «.'yr""'4.�. .... ?� g *� «tlM ,qMf� r.' .mil• u 1 r Tta• lM1Ff•fi.arftpw ik _ ,fir a' •. . '' ~.f .} ....,... .., s. «.. ... ..... 4a v y & d } f h C? ' Thk ....... �.. t......... {.. > - 1 U *800 bt* Of lOK;Oid, and 011 and Gaa :4 OM RNs --------------- oft .. .. ....................... Nl' et ......mss. ..... ........................... .... ............................... Oa L * .... ............ W. irakks . ,. .. ..... ..........................MAL < .ct�.►�.....��• ..i ........... ............ ............. • Pat TWA .w!..=!�tka AQl�s�rTtOaltb! AOXWO W LSO. ..... ......................... «....( � PWSMIAY Mme beft" am .... — `� ....... ,«.....« y� .. ...............•..............: ............... L: 4 so or mux ........ «...w... b M kMwa M M dw Ni's WAG OINAIMW M ems' TSi `MR"`'Y. L ..i ` .. .. .......... ...................... l ,y RK Smmftm :,. Mkla0howas" D Or m I" MOwy.) k (H ait, hats , �k Y � t A' rl .e ;'tasa so�sistint si two ad3+�ininr Wits ddear #s v � ei the southeast !'Me Northwest Qua ,Qw r the 4010", lf.l #e f sset i+ ST. Tl4M. 1Ei x• V � � f pares of laid loafed {a` ths Northeast Quarter thereof sAd o t� f8 ) asset S Qaartlr Qf 8eetion !4, Tl4N.+ as fo llows. Bet i S at the Northeast *o rner of tb�R �. sawthwest Quarter of, said sect i on ua thenaa *set aloft that Wirth lie* of said 8oatltwast Quarter. 33= tee thsaN. math parallel with the Bast 1 ine ottlol�l' sitR SouthwestSouthwestQuarter la t!!t; test `�ier $33 faet Rbs M�reta line of said Southwest Q� said Most line :1t3 � = asp! fine thereof: thence north aloe` feet to the Point of Beginning. s r and sub #eat to non- exelasive e aswssats to a!e as *weather road {a) the parcels. of the of land referred to as patiot�r;ister�a� Matt in the office'= � F� 4 Vii' certified Survey Mao 4 1 4 447 4 11 , 10 .: tor At. Croix Cc ip Vol. 6. Pape i4lo, DQewnsct `� 1►1. the strip..,ot land f6 test wide lying between Northerly ±# qs ;op' of tfie lest line - of s ai d- putlot i and the d East 1i said b ut l ! from the worth list lit said section IT* r Q'iMtt the .rta ties of the SOytbwlst Qw� easement on tan' + rivat! roadway ca d (0) the arar sbawn as o6 p map cad an extension thereof to &burn-- nestioned certified survey '. ti..8.. Rithway 1# as wore frilly descr in Atienrtl�tBrtsnd t Prior wta and Rs leass e Easeiasats e xec u te d by dated BePtNSI►e_ Patticia A. Bratke and Cornwali_deoadeast ter of De+rds in S, 1464 and recorded to the o 000% of the Aet' vol 7SZ, Pates Eli nd 11 pocawent 4118269, provido+0. hosrevsr. fir, that the portion of easesett 01 sand west 33 See 27r �saytbet4204 oallt � the y lo.ol sere$ of the MI of _ co�sereial, industrial or agriculturesidenpialspnrposes .tor case ^f d for roads to serve properties use under the' all ;ge�rest of the lesase and assigaeender the tent o lessor, the t No. 39542b, cad GEp'f in Volume 694, page '88• tfil` end Cam Lease �ocunent lzo. 397597. ltssigaureu►t reaos�ded in V olwe 699, Pa6e 506 •, is of recor. and reserving to the grantors fed tDair :; gpE3�T ease Ma record, exclusive eae�eaoads referred to to all to over the r saecewars is title Plan k T APPLICATION FOR SANITARY R S TARP PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, ( "spec house "), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of Property " YUyvt Location of Property Wilt 1 % Section ? , T N -R W Township Nailing Address Ot& Gj Address of Site Subdivision Name .Lot Number Previous Owner of Property Total Size of Parcel h e 5 Date Parcel was Created f Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes _ X� No Volume I and Page Number d Z as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number volume and page number and the Seal of the Register of Deeds In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATIO 1 We ) ceAti.6y .that att Azatementh on this oftm ahe t Aue to the bu o6 my (o hnowtedge; that i (we) am (cute) the ownenk o6 the pnopehty ducAibed in •thiA 0 c r I47 0 m 'U U, Z O �? � I C V N �• a N 7. 3 '°•. O p 0 ICI CL p n N O N O fO n O ' O 00 co 3 m � 0 D a y o m C X CD = co z D C a m (D co D a w -u (D c: c v 3 O o o. C. i 00 w n r r CD ° N o 3 c z O O O WTI CD 0 . y y C 3 O G m M m 90 (� !D Q w � � C N o. z z W z O D o ° R O p ° � m "INA• CD C fD j N a CL 3 7 z C t6 —1 N ° U) D A ?� C 1 m M a A ( Z j o S Co �z � A � O fA 3 m �! z N C D o f� c m� D v$m 0 a vm��0 1 o m c m @ (a ° M �o m UOL, , o CL o d os.o cD <'m m C7 z �cn V ai + N A. fD N o O w o d = cc c o y < y . 01 N o a o p. C) cc a � o � N � o `� > < L ° nd A o E a 3 , o (D N b �o j CO °o o • H 0 N 7 a N A o O v e 00 L ~ ti Parcel #: 020- 1076 -10 -000 02/09/2005 10:29 AM PAGE 1 OF 1 Alt. Parcel #: 27.29.19.307A 020 - TOWN OF HUDSON Current X`, ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * TIMOTHY J & LORI A KNOPS KNOPS, TIMOTHY J & LORI A 440 OVERLOOK PASS HUDSON WI 54016 Districts: SC = School SP = Special Propert A dress(es): - ' a� Type Dist # Description * 440 OVERLOOK PASS SC 2611 SCH D OF HUDSON ` SP 1700 WITC / J Legal Description: Acres: 18.960 Pat: N/A -NOT AVAILABLE SEC 27 T29N R19W NW SE EXC S 20.01AC & lock/Condo Bldg: EXCTSM 6/1726 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 29N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1193/012 WD 07/23/1997 798/221 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48245 660,300 Valuations U412,6OO st Changed: 06/06/2003 Description Class Acres Land Total State Reason COMMERCIAL G2 18.960 98,200 510,800 NO Totals for 2004: General Property 18.960 98,200 412,600 510,800 Woodland 0.000 0 0 Totals for 2003: General Property 18.960 98,200 412,600 510,800 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 020 - 1075 - 10-400 02/09/2005 12:10 PM P AGE 1 OF 1 Alt. Parcel M 27.29.19.302E 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * TIMOTHY J & LORI A KNOPS KNOPS, TIMOTHY J & LORI A 440 OVERLOOK PASS HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.020 at: N/A -NOT AVAILABLE SEC 27 T29N R19W NE SW 1.02 ACRES COM N lock/Condo Bldg: COR SW1 /4 W 333'S 133' E 333'N 133' - POB Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 29N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1193/012 WD 07/23/1997 798/221 2004 SUMMARY Bill M Fair Market Value: Assessed with: 48230 9,600 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 1.020 7,400 0 7,400 NO Totals for 2004: General Property 1.020 7,400 0 7,400 Woodland 0.000 0 0 Totals for 2003: General Property 1.020 7,400 0 7,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 020 - 1172 -80 -000 02/09/2005 12:08 PM PAGE 1 OF 1 Alt. Parcel #: 17.29.19.1081 020 - TOWN OF HUDSON Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner TIMOTHY J & LORI A KNOPS * KNOPS, TIMOTHY J & LORI A 440 OVERLOOK PASS HUDSON WI 54016 I Districts: SC = School SP = Special Property Address(es):* = Primary Type Dist # Description * 440 OVERLOOK PASS SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.227 Plat: 2627- WILLOW RIDGE EAST SEC 17 T29N R1 9W LOT 82 WILLOW RIDGE Block/Condo Bldg: LOT 82 EAST Tract(s): (Sec- Twn -Rng 401/4 1601/4) 17- 29N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1080/68 WD 07/23/1997 824/56 07/23/1997 812/23 07/23/1997 785/33 2004 SUMMARY Bill M Fair Market Value: Assessed with: 49122 307,700 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.227 30,000 208,000 238,000 NO Totals for 2004: General Property 1.227 30,000 208,000 238,000 Woodland 0.000 0 0 Totals for 2003: General Property 1.227 30,000 208,000 238,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount 018 - RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 N IMP .S�Do13' r,�9'43'54'W 130 EA 1/4 CORNER SECTION 133.6 ' LEGEND G7MCfVtI _�I�D FOUND ALUMINUM COUNTY SECTION CORNER MONUMENT — — — — w • FOUND V OUTSIDE DIAMETER IRON PIPE SET 1' OUTSIDE DIAMETER BY A tL v O 18' LONG IRON PIPE, WEIGHING 1.13 LBS, PER LINEAR FOOT "f z N FOUND 2' IRON PIPE ? _j _ t FENCE LINE wo fi SCALE IN FEET 1' = 200' L v� 200 0 200 B1 - - I D 1 � MAR 26M s ST. CROiX COUNTY _ C! � RVE O ®� z Y R'S RECORD C 0 co e DOUGLAS J. S &N LAND SURVEYING IN 2 2920 ENLOE STREET S --2145 2145 SUITE 101 HUD N, HUDSON, WI 54016 r W . PREPARED FORS TIMOTHY KNOPS N 651 BRAKKE DRIVE I, Douglas J. Zahl( HUDSON, WI 54016 1 property was sury DATEi 11/07/2002 of the boundaries DRAWN BY• BRIANA GEISSINGER JOB NO, 6173 -01 dam HUDSON `E' PLAT T -29 -N • R -19 (Landowners) See Page 112 For Additional No ST. JOSEPH 'E' PAGE 46 500 600 700 MOUN D R SOUTH 800 -^ _900 - TANNEY Game tC Richard & Daniel xn td g SAILS A Edna Z ahl ce Philippine tr Beer g: Tnu T i AII~ 26 h 0 4o z9 Beer 80 28 Inc 67 K 6 Cekste 29 C& D n N �P O D Bast BenneU ,n N ' t9 F 8 0 tr & 20 k �Bqj 41 Wt, M 41 M I E Hmky m i )&q G B R&B 21 QZ41 � S ver- A&M W 6 ea 34. 2 H$L I 40 son j & L son 7 CH & K ]0 . _ caD e -I4 MOON - T & L & &B C & s E &T Footer zo s&e 3 r BEAM Roth & m 14 G d S ]0 - B LLFan37 tr b tr i F.A. U " RM tr CS s I _ ^ P� RD o MC 2 0" $ ^ ° Ronald & St Croix I CUTCHEON O ° � Ray- $ Inc 1 I m RD D 1 to d! mend so I cc qq 1 1 SADIE'S cl O t2o tr NI 35 v►.N &Cye �.. F. LN R en e e ott `O -' bi?y FM a�i t r Bakken h G sP °£ s x s o c e L 104 280 Z Z S S ro BAKKEN 80 e - s 9 u Btchrt La.. Q J ~ o RD z G&L H N o 3 repo i pun W BdYbara ]SG N F & '. I" 5 V , & McBssa I J G z Richardson A&A C 14 0 24 CH 37 Q �gVP w a 1 59 F d s H n'nr 3o1STn 1 _s_F ai Vernon i Nor 68 _ 47 It BB 6 2 �S ✓✓ & s muflina L � BLS g z 17 TWrustn U Lake Inc Noy "o z ^ — o Blank 7 D &B 19 e h, x 40 P &B 'GityCJItStCloltl M&R 49 ud s a tr Martln N � e: 2 12 a tr Gale 3 �^ L 7 company r Is ° " STAGECOACH 87 CH Shimon Qualls 62 i 10 a TRL 77 D 23 M &) PG 6 S La a � • ereOnan GLINTS Keeton 19 Larue iawyson LgIA N I x Z tr H TRL &D l& S IS _J �� z 27 37 S 11 ro „ u o Willis aldaBast D4a 3 w oa i Hotly D&L 17 a vt A° �z Savadge Kelly KobWa G ¢ 1 o 103 o neth °° m~ m d Keur a Z uu tr z z tr 1 a tr 1r za 28 UU z Robert Nudwn MB 6. Marian& �r M VALLEY RD V 5 &L 5 Hudson Ellertson ,k 16 Assoc 4s Trust 40 t 2 Tru� av tl N DR Polen Floren Inc O a V Pc & D B Margaret `s } 7 6 i / S AR s Pnney 2 x i J 160 m��r T & L 20 Trust s .ue tr G Lx 243 tr 49 n & 23 4 LLC zo BLUE JAY LN tr BED LENERTZ LLP RD 110 2 Aux g R &c W to _ n M 16 Ca 2 Richard " 6CV1/ Robert Han Pearson 8 JH 6 1 Christine Waxon Q Samantha U &e &N 132 3 v Kanne 46 N N Lu SP 10 72 JC 13 BAKER I z supheo & �d- Nell & ¢ F D&L 6 3 « " LN 10 �N�fy, _> RD Y = i 28 D & A w Mary I 3 cox- 3 tr Harr- �-' u' 6 Richard R & � 1 3 son PM & te � I Barbara 22 sF s w� X &Jean Q °° cue N &M f 8 Pearson ' Garbe � e D 20 w D15 D&M .. CHERRY I Ma , Michael SO� U )orlon �' ^ H 5 i "HILL LN AGffOlter sue_ &Joann SMrky 35 tr 4 10 DH a� "� o 0 234 I 279 40 s3 17 7 Larson 33 Tormt t ze m GILBERT RD BRUMMEL RD TROVE' PAGE 16 GENERAL ST. CROIX COUNTY, WISCONSIN OLD XS 01 REAL ESTATE TOWN OF HUDSON COMPUTER NUMBER 020-1076-10-000 Parcel Nu ber 27.29.19.307A Claimed Date Re- certified / / Relate Number: OWNER NAME: First TIMOTHY J & LORI A Last OPS CO -OWNER � Mailing Address 440 OVERLOOK PASS (f City HUDSON State WI Zip 54016 - �S Type Vol Page Doc # Rec.Date Type Vol Page Doc # Rec.Date 1 HISTORY WD 1193/012 07/23/1997 798/221 07/23/1997 Y�' PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name- Type SD Apartment Post Office 440 OVERLOOK PASS School District: 2611 - SCH D OF HUDSON Special District: (1) 1700 - (2) - (3) - W ITC Plat Code: Last Changed on: 08/12/1998 Book Number: 1 SECTION 27 TOWN 29N RANGE 19W '/4160 1 /440 Map Number: 00 - Sales Area: Parcel Control 0 TAXABLE Number of Units: ZONING: Permit Number: Type: Bank Numbers: F4 -Prev, F5 -Next, F6- Legal, F7- Value, F8- History, F10 -Exit, F12 -More LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HUDSON COMPUTER NUMBER 020 - 1075 -10 -400 Parcel Number 27.29.19.302E OWNER NAME: First TIMOTHY J & LORI A Last KNOPS ! PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 27 TOWN 29 RANGE 1 W'/ <160 '/ <40 Line D scription Line Des c 'ption TOTAL ACREAGE .020 PLAT - -SLOT BLK 01 SEC 27 T29N R1 W NE 1.02 15 02 ACRES COM NE 1/4 W 03 333'S 133' E 333'N 133'- 17 04 POB 18 05 19 06 20 07 21 08 22 09 23 10 24 v� 111 25 12 26 "1 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit State of Wisconsin 1 DEPARTMENT OF NATURAL RESOURCES Scott McCall m, GRfiaiVED 101 S. Webster St. Box 7921 Darrell Bazz I, Secretary Madison, Wisconsin 53707 -7921 27 WISCONSIN �� 1 3 1.00" Telephone 608 - 266 -2621 DEPT. OF NATURAL RESOURCES FAX 608 - 267 -3579 ST. G'. OIX COON f `. TTY 608- 267 -6897 Zoi,;ING OFFICE January 3, 2003 Plan Approval Number S- 2003 -0014 Tim Knops, Owner Midwest Tower Erection Warehouse 651 Brakke Dr. Hudson, WI 54016 Subject: Approval to install wastewater holding tank Dear Mr. Knops: The Division of Water is conditionally approving plans and specifications for a plan for a holding tank to serve a new building for Midwest Tower located at 651 Brakke Dr., Hudson, WI in St. Croix County The plans and specifications were submitted under the signature of Todd Sinz, T.L. Sinz Plumbing, E5609 70"' Ave. Menomonie WI and received for approval on December 20 2002. Design Information: Operation The new Midwest Tower Erection Warehouse building will be used to assemble cell phone towers and to parking trucks and equipment. There are three catch basins with trench drains that will drain into the holding tank. The plans state that no mechanical work is done on the vehicles and the only wastewater entering the system will be vehicle runoff. Any oil wastes dripping from the vehicles or wastes from assembly of the cell towers should be managed such that oils and grease are collected before they reach the catch basins. Dirt and other solids should be swept up and removed before they get into the catch basins. . It is important to regularly check the level of solids and petroleum in the catch basin and remove them whenever there is a significant accumulation. Floating fiber pads that absorb only petroleum may be helpful in the catch basin. Collected petroleum should be put into used oil containers for recycle. It is also important that settled solids from the trench drains and the catch basins be dewatered and hauled to a sanitary landfill. A licensed septic pumper must be hired to empty the holding tank and the wastewater must be hauled to a publicly owned treatment works (POTW) If paint, solvents or degreasing wastes are generated ek- ing the cell tower assembly they must be managed in accordance with the small quantity hazardous wastes generator regulations. Sanitary wastewater is not discharged to this holding tank. Tank Const. The refabricated concrete holding tank meets the design specifications in Comm 83. P g g P The tanks will have an inspection manhole, vent, high level alarm, and watertight joints. Volume One 2000 - gallon capacity tank. www.dnr.state.wi.us Quality Natural Resources Management www.wisconsin.gov Through Excellent Customer Service Printed on Recycled Pacer Location The underground holding tank will be placed at least 150 feet from the station's potable well. It is recommended that the private well separation distance be at least 250 feet. In this situation where the holding tank is a preconstructed watertight concrete storage tank, an exemption from the 250 -foot separation distance is granted. As recommended the holding tank is over 500 feet from any inhabited dwelling and over 1,000 feet from any public water supply well. Site Info: At this site the depth to groundwater and bed rock is at least 90 feet allowing a separation distance of greater than 5 feet from the base of the holding tank to groundwater and bedrock. The plans and specifications are hereby approved in accordance with sec. 281.41, Wis. Stats., as attested by affixing on them the stamp of approval, Number S- 2003 -0014 subject to the following conditions: 1. That the wastewater collected in the holding tank be hauled by a licensed septic tank pumper to a publicly owned treatment works. 2. That a competent inspector such as an engineer or master plumber supervise the construction. 3. That the improvements be installed in accordance with the plans and specifications and above conditions, or subsequent essential and approved modifications. 4. That the storage tank be designed and maintained to prevent leaks, in accordance with ch. NR 213.15, Wis. Adm. Code. 5 That hazardous waste be withheld from the holding tank. 6. That settled solids be dewatered and hauled to a sanitary landfill. 7. That any paint, solvents or degreasing wastes generated during the cell tower assembly be managed in accordance with the small quantity hazardous wastes generator regulations. These plans and specifications have been reviewed in accordance with sec. 281.41, Wis. Stats. Where necessary, plans and specifications should be submitted to the Department of Commerce, Division of Buildings and Safety or other state or local agencies to insure conformance with applicable codes or regulations of such agencies. The Division of Water reserves the right to order changes or additions should conditions arise making this necessary. This approval is not to be construed as a Department determination on the issuance of a Wisconsin Pollutant Discharge Elimination System permit or an opinion as to the ability of the proposed system to comply with effluent limitations in such permit, an approval of the Environmental Assessment that may be prepared for this project, or an approval for any activities requiring a permit under Chapter 30 or 31, Wis. Stats. Tangible personal property which becomes part of a waste treatment or pollution abatement plant or equipment, may be exempt from sales tax under sec. 77.54(26), Wis. Stats. Similarly, property purchased or constructed as a waste treatment facility and used for the treatment of industrial wastes may be exempt from general property taxes under sec. 70.11(21)(a), Wis. Stats. A prerequisite to exemption is the filing of a statement on forms prescribed by the Department of Revenue. To obtain the necessary forms, and information on whether or not your property qualifies for these exemptions, please contact the Department of Revenue, P.O. Box 8933, Madison, Wisconsin 53708. In case installation of these improvements has not been commenced within two years from this date, this approval shall become void. After two years, therefore, new application must be made for approval of these or other plans and specifications before any construction is undertaken. If you believe that you have a right to challenge this decision, you should know that Wisconsin Statutes and administrative rules establish time periods within which requests to review Department decisions must be filed. For judicial review of a decision pursuant to secs. 227.52 and 227.53, Wis. Stats., you have 30 days after the decision is mailed, or otherwise served by the Department, to file your petition with the appropriate circuit court and serve the petition on the Department. Such a petition for judicial review shall name the Department of Natural Resources as the respondent. To request a contested case hearing pursuant to sec. 227.42, Wis. Stats., you have 30 days after the decision is mailed, or otherwise served by the Department, to serve a petition for hearing on the Secretary of the Department of Natural Resources. The filing of a request for a contested case hearing is not a prerequisite for judicial review and does not extend the 30 -day period for filing a petition for judicial review. This notice is provided pursuant to sec. 227.48(2), Wis. Stats. TATE OF WISCONSIN PARTMENT OF NA SOUR S F R THE SECRE ARY "VDuane H. Schuettpelz, P.E., Chief Wastewater Permits & Pretreatment Section Bureau of Watershed Management cc: West Central Region, Pete Skorseth, Baldwin Todd Sinz, T.L. Sinz Plumbing, E5609 708' Ave., Menomonie, W154751 St. Croix County Zoning, St. Croix Co. Gov. Center, 1101 Carmichael Road, Hudson, WI 54016 UIC File Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division 10 0 INSPECTION REPORT Sanitary Permit No: 420507 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)]. y 7 Permit Holder's Name: City Village X Township Parcel Tax No: Kno s, Tim I Hudson Township 020 - CST BM Elev: Insp. BM Elev: BM Description: 0 /DD . moo' �. s �e- a4- 10 1-, - L� �xl TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 2_ 03 102 /00.6 Dosing Alt. BM 1 - /� Sr. , Aeration Bldg. Sewer 6;63 Holding _ St/Ht Inlet (T D TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Ven Air Intake ROAD Dt Inlet Septic , , (� I Dt Bottom Dosing V Header /Man. Aeration Dist. Pipe -T� a�fiC�c I b a L{ Holding Bot. System I ,� ► �� / PUMP /SIPHON INFORMATION Final Grade c i T q3 Manufacturer Demand St over �}� Q PM A K4 " 4 w ""P 2 8 $ / �. Z Model Num er w /rb-Gk_ TDH Lift ction Loss System Head TDH Ft Force n Length Dia. i o ell SOIL ABSORPTION SYSTEM f �iyrt BED /TRENCH Width L Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS a l U 2 �— SETBACK SYSTEM TO P/L DG WELL LAKE /STREAM LEACHING Manufacture/ INFORMATION CHAMBER O �! / Type Qf System: / r UNIT Model Number: V� (wI D +/ 2.s l DISTRIBUTION SYSTEM CPAA Header /Manifold Distribution I Tole Size x Hole Spacing Ve Air Intake //.. 1 N Pipe(s) //_ c 51, �'� \ Length lD Dia Length (p2� / Dia pacing / Zg SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only "Ad G _v2_4 X1Y � Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed ch Center Bed/Trench Ed ges Top -_ - 3, g p ` Yes No Yes No COMMENTS: (Include cod lscrepencies, persons present, etc.) Inspection #1:/ / 0 3 Inspection #2: q Location: 745 Exchange Drive Hudson, WI 54016 (NW 1/4 SE 1/4 27 T29N R19W) NA Lot Parcel No: 27.29.19.302E_ M C&v� t{ S� 1.) Alt B Description = -, n� ,�I� �" /T� Lt �^•.5�� 2.) Bldg sewer length amount of cover Y -14 Plan revision Required? Yes o I // Use other side for additional information. Gib L��� 3:- a3 - - - -- �� Tgnature SBD -6710 (R.3/97) Date Insepcto Cert. No. Safety & Buildings Division Sanitary Permit Application 201 W 'Washington Ave 14sconArn In accord with Comm 83.2 1, Wis. Adm. Code PO Box 7302 Department of commerce Personal information ou provide nay be used for seconda Madison, W153707 -7302 Y p y y purposes [Privacy Law, s. 15.04(i )(m)] (Submit completed form to county if not state owned. Attach complete Tans to the coun co on) for the s tem on a r not less than 8 -1/2 x I I inches in size. CountyX State Sanitary Permit Number O C ck 'f revision to previous ap licatio S to Plan 1. D. umber 5T. cR,o 2-0 o Sv' v a e V ��� D s - I. Application Information - Please Print all Information Location: j' wner N Property Location A10 l 1 /4 1/4 T�7 N R��E or P y Owner's Mailin Address Dom Lot Number Block Number City, tate A tY. Zip j/ Phone Number Subdivision Naa/mee1 or CSM Number II Type of Building: (check one) 0 City O 1 or 2 Family Dwelling — No. of Bedrooms: ❑ village Public/Commercial (describe use): "C'[ 1 9 IV Town. O State -owned H III Type of Permit: (Check only one box on line A. Check box on li e B f Ta N Dad Z i �ItvG t_ r ILA A) I. )eNew System 12. ❑ Replacement 3. ❑ Replacemen Addition to ax umbers) S rem Tank Only Existing System 04to — Q _ Q B) Permit Number I note, ic tied O A Sanitary Permit was previously issued 1 9 IV. Type of POWT System: (Check all that apply) —loo 4 Non - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetla d.--•—.--t...y. O Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line (�.dd I-e ❑ At -grade 1 r ❑ Aerob'c Treatment nit ❑ Recirculating ❑ Other: 2)3 x o V Dis ersaUTreatment Area Information: 1. Design Flow r' i) 2. DispersslArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate LA 6. System Elevation J. Final Grade Required dS Y p Proposed Rate (Gals. /day /sq. R.) (Min. /inch) Ekv tion X70 t - .S ` Ua 0 VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ 1 —,,— ❑ ❑ VII Responsibility Statement 1 the undersi ned assume res onsibilit for installation of the POWTS shown on the attached plans. P�lun*ees Num (print) Plumber's Si strmps): , MP/MPRS No. Business Phone Number aJ/ Plumber's Address (Street, City, State, Zip Cod ) 31V6 — 704 0 VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued is s 'ng Age1�R . Signature (No stamps} !Approved O Owner Given Initial Adverse Sutrhatrge�ee) Determination '' 7 - 3 2aoZ IX. Conditions of Approval !Reasons for Disappro , Ar "Ja.'AKkunn„ �'.o r S� t' Gabe/ i5 v t C 0 1 - - fry- - cam Ou.4 a �� — ��+�uRCQ D -� eQ f'1` u•,t� l� t+ ,f ��opoSed 1, ttTO ao Q, 5.T. 4 4 gazte 14- /Lv ef�It�e n E E� lfV a OBI et. oF5,7' I y 3 3 NI ? o''I� ('�op o��'� tl � �._. ��opostd d,5p«sa/ cc /saE 3y "" 330' g ( 10 fEan dsrd /iJf: %E�4.�ur �a..i berms Spat pq/ a� ,. 9.o'on Ccnfcr To ' P .A Ssw-n eal le % c� . !,f • 8. : G l ade a co/ , e o F 5c � leers c k . C! v, = loo, � EXiSt�� �,caafe,�iouse, Y {nc� Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 erce.s Nvisco nsin www.w w ww.commerce.state.wi.us/sb i n.g o v isconin.gv Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary September 17, 2002 CUST ID No.222904 ATTN: POWTS Inspector ZONING OFFICE JAMES W BOUMEESTER ST CROIX COUNTY SPIA 1070 HWY 35 N 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/17/2004 Identification Numbers Transaction ID No. 776445 SITE: Site ID No. 646216 Midwest Tower Please refer to both identification numbers, Brakke Rd above, in all correspondence with the agency. Town of Hudson, 54016 St Croix County NW1 /4, SE1 /4, S27, T29N, R19W FOR: Description: Commercial (Office /Warehouse) Non - Pressurized In- Ground System Object Type: POWT System Regulated Object ID No.: 865717 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: C"Qndi, • This system is to be constructed and located in accordance with the enclosed approved plans and with the APPF "Conventional Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD — 1D6PAW MEN1 10567 -P (R.6/99). fl ON OF SAFi • The leaching chambers must be installed in accordance with the manufacturer's printed instructions, the p approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the SU CANK manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • The plumbing for this project discharges to a private sewage system. The approval covers only domestic /sanitary wastes directed into this system. The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes. • State and federal regulations prohibit the discharge of hazardous wastes to a private sewage system. Accidental discharge of any hazardous substance to a private sewage system must be reported to the Department of Natural Resources or the Wisconsin Division of Emergency Government. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. JAMES W BOUMEESTER Page 2 9/17/02 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construct ion/instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 et Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 RECEIVED AUG 5 2001 S AFE TY p � ON- RESIDENTIAL SYSTEM DESIGN SAFE 1 i / & DLOGS D1 T. Conventional system INDEX AND TITLE SHEET Project: Midwest Tower Erection Office & Warehouse Owner: Tim Knops Address: P.O. Box 950 Hudson, WI 54016 Legal Description: NW1 /4 SE1 /4, Sec. 27, T29N, R19W. Township: Hudson County: St. Croix Subdivision Name: Na Lot No.: Na Parcel ID Number: (qA® - It)''� Plan Transaction Number: Index and title sheet Page 1 System sizing calculations Page 2 System cross section Page 3 J1t7ax Site plan Page 4 System Management Plan Page 5 Attached soil evaluation report Page 6 4N0 Y ERCE 8 DINGS O NOENCE Designer Jim Boumeester License Number: 222904 Signature Phone No.: (715) 386 -9020 Date July 27, 2002 oc X61 O System Design Calculations JOB DESCRIPTION: Midwest Tower Erection - Office and Warehouse space. Ten (10) employees all shifts, 2 floor drains to be located in restroom & utility room (no petroleum products, cleaners or solvents to enter system), no retail use. ABSORPTION AREA SIZING: 1. Design wastewater flow� 2 J (10 employees all shifts) (13 gal. / employee) = 130.00 Gpd ( 2 floor drains) ( 25 gal. / drain) = 50.00 Gpd Estimated wastewater flow = 180.00 Gpd (180 Gpd estimated wastewater flow)(I50% conversion factor) 270 Gpd 2. Existing grade elevation: 102.47' at B -1 3. Depth to limiting factor: >163" (elev. = 88.89') 4. Proposed system elev.: 94.0' 5. Infiltrative capacity of soil at or within 36" of system elevation = 0.5 gpd/sq_ft. 6. Absorption area required-'L90-S- ft. `b 270 Gpd design flow / 0.5 Gpd . absorption area required Standard Infiltrator EISA per chamber = 31.10sq.ft 540 sq. ft. / 3 1. 10 = 17.36 chambers required 7. Absorption area proposed: 74 s . ft. (' ZZ 20 chambers X 3 1. 1 Tsq. ft per chamber X22.00 ft Number of trenches 2 (aD 10 infiltrator units each = 20 units total trench width (A) 34.0" trench length (B) 63.30' SEPTIC TANK CAPACITY: 1. Design wastewater flow = 180 Gpd @ 150% = 270.00 Gpd 2. Minimum required capacity: 807.10 Gallons (270) + (11.61 x 2* x 4.60) + (46.77 x 2* x 4.60) *(Requires a two year maintenance cycle) 3. Proposed Capacity & Manufacturer: 1,000 gal. Weeks Concrete P9.2 Of(- U O ca /C A ti �e R i 1 N N1 � A U ,f proposed I, Wo vo-Q. S.T. jr, A -roc e4lk " R Libcr o. o tI e-t. oo C/ (2 . <l a ou,6 z 0 0 OFS,r y c �'s-oposed O�'�',ca.�l.�are.koKSe �, B3 a a 3 Q 103,0' � � n�oPostd dJSp trsa/ cc / /saE c�.z�n • g ( �O 044 d�rd /7�%�/�� C�(a n bo/s 3,0 a: a2 9.0 On Togo o� / �,c ' p. ✓, c . �D��oe . �oi•o *tSSwneel ale% �o 8 ra L EXiS� "�q ee.�are.�iouse.. ■ So%/ Q ✓a /a a f, i Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10567 -P (R.6/99). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 28 1.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with C:omm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the system and will promote frost penetration during cold weather months. Cold weather installations (October - February) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG /L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary or by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to installing plumber, Jim Boumeester at (715) 386 -9020, or the St. Croix County Zoning Department. P -5-0r(- 1571 Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of - 3 - Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County _ St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. — percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 020- 1075 -10-40 Please print all information. - Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location _T & Lo Kn Govt. Lot NW 1/4 SE 1M S 27 T 29 N R 19_ - W Property Owner's Mailing Address Lot # -- J - Block # Subd. Name or CSM# P. O. Box 950 City State Zip Code Phone Number j City Lj. Village 16 Town Nearest Road Hudson WI ; 54016 715 381 - 1845 Hudson I Brakke Drive ✓J New Construction Use: _I Residential / Number of bedrooms Code derived design flow rate 345 GPD J Replacement 0 or commercial - Describe: Offi & war _ Parent material Gla outwash Flood plain elevation, if applicable General comments and recommendations: Install two trenches at 94.00' using 20 leach chambers. Boring # I Boring 0 Pit Ground Surface elev. 102.47 - ft. Depth to limiting factor Soil Application Rate P P Boundary Roots GPD /ft _ __ Horizon Depth I Dominant Color Redox Descri lion Texture Structure Consistence ! *Eff#1 *Eff#2 1 0-8 10yr3l4 none - -_ sl fill - — -- -� - + - -- r - 2 8-18 10yr sl 2thic pl i mfr cs 0.4 0.6 3 18 1 Cyr4 /4 none Is 1 msbk j mvfr cw - 0.7 1.2 - 4 _ 22 -67 T- i ml aw ^ 10yr5/6 none s 0 sg - — 0.7 1.2 5 67-70 10yr5/4 none fs 2msbk mvfr aw 0.5 0.9 6 70-163 1 10yr5/4 none strat. s 0 sg ml 05 0.9 Approx. 4' of fill previously placed on this site. Fill has been stripped away to restore original grade. 1" - 3" bands offs observed at 24' - 36" intervals. Loading rate reduced to accomodate permiability restriction assoc. w/ textural change. Fil Boring # I Boring 0 Pit Ground Surface elev. 102.60 Depth to limiting factor --- _ - -in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence , Boundary Roots GPD /ft' *Eff#1 - `Eff#2 0-9 T 10 r4/4 none sicl 2fsbk mfr cs + - 0.4 - - 2 9 26 - � 10yr5/4 none sil —_ -- _ -_- - 2fsbk mfr aw - j 0.5 0.8 3 26-32 10yr4/6 none Is 1 msbk mvfr g - 0.7 1.2 4 32 -38 7.5yr4/4 none sl 2msbk mfr aw - 0.5 0.9 38-60 ( 10yr5/6 none -- s 0 sg ml gw - 0.7 1.2 6 60 -168 10yr n _ s t r at. s ! 1.2 _ I� - - - -! -- I Approx. 4' of fill previously -- placed on this site. Fill has ped away to restore original grade. 1" - 3" bands of fs observed at 24" - 36" intervals. Loading rate reduced—to accom ate permiability restriction assoc. w/ textural change. * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS > < 150 mg/L uent #2 = BOD < 30 mg/L and TSS <_30 mg/L CST Name (Please Print) Sign e: CST Number James K. Thompson / `�_ 360 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 0 9/3702 715- 248 -7767 Property Owner Tim & Lori Kn�s - -_ Parcel ID # _020- 1075 -10-40 ______ Page 2 - -of _3 -- a Boring# J Boring Sol - -- Pit Ground Surface elev. -JAM- ft. Depth to limiting factor > 166" in. Soil Application Rate Horizon Depth I Dominant Color Redox Description Texture Structure I Consistence Boundary Roots ' _ "Eff#1 "Eff#2 1 0 -10 1 10yr4 /4 none sl 2fsbk - mfr cs_ 0.5 0.9 2 10 -25 1 10yr5/4 none Ifs 1 msbk mfr aw - 0.4 0.6 3 25-43 10yr4/6 none s 1 msbk mvfr gw 0.7 1.2 4 43 -82 7.5 r4/4 none Ifs / fs 2msbk I mfr aw - 0.5 0.9 10yr5/6 none s 0 sg ml 9w i 0.7 1.2 6 95 -166 _.. - -- - - - - -- + - - - -- - -- -- _ -...__ - -- 9 5 82 95 i � —µ' 10yr5/4 none strat. s I 0 s dl - - 0.7 1.2 Approx. 4' of fill previously placed on this site. Fill has been stripped away to restore original grade. 1" - 3" bands of fs observed at 24" - 36" intervals. Loading rate reduced to accomodate permiability restriction assoc. w/ textural change. Boring # J Boring — - -- _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate p Description Boundary Roots 1 `Eff#2 GP_01ft'_ -_ 'Eff# Horizon Depth � Dominant Color Redox Descn lion � Texture Structure Consistence - -- — — - -- -- - - - -T - - -- ❑Boring # Boring - -- Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 "Eff#2 -- -- - - -- - - - -- - - - - -'I - - - -- +- -- - - - I I I 1 I i i ' Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. . � f i i iz 't ■ 62 I B3 ■ gi /oi•o cd 4t % = 00, cc of �Jl C u e ri C C� R v; = /00. 39 I U i i ■ joy / e ✓a lcc a b �r ; �, c I V SCale: / y0 3 0�3 h 1571 Wisconsin Department of Commerce SOIL EVALUATION REPORT p age 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis, Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8' %x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference pant (BM), direction and Parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Please pri "°° Reviewed By Date Personal information you provide may be for Typlrp$sjr Law, s. 15.04 (1) (m)). Property Owner Property Location kA Tim & Lori Knops A'`J' 1 1 3 2002 Govt. Lot NW 19 SE 19 S 27 T 29 N R 19 W Property Owne s; Mailing Address Lot # Block # Subd. Name or CSM# P.O. Box 950 ST. City State City Village io Town Nearest Road Hudson WI 54016 715 - 381 - 1845 Hudson I Brakke Drive New Construction Use: j Residential / Number of bedrooms Code derived design flow rate 345 GPD Replacement jg Public or commercial - Describe: Office & warehousing Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Install system two trenches at 99.00' using 24 leach chambers. M id Boring # 11 Boring Pit Ground Surface elev. 102.47 ft. Depth to limiting facto >93" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF *Eff#1 *Eff#2 1 0-8 10yr3/4 none sl fill - - - - - - 2 8 -18 10yr3 12 none sl 2thick pl mfr cs - 0.4 0.6 3 18 -22 10yr4/4 none Is 1 msbk mvfr cw - 0.7 1.2 4 22-67 10yr5/6 none s 0 sg ml aw - 0.7 1.2 5 67 -70 10yr5/4 none fs 2msbk mvfr aw - 0.5 0.9 6 70 -93 10yr5 /4 n one st r a t. s 0 sg ml - - 0.7 1.2 Approximately 4' of fill was previously placed on this site. Fill has now been stripped away to approamatety restore original grade. Boring # Boring Pit Ground Surface elev. 102.60 ft. Depth to limiting facto >98" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= *Eff#1 I *Eff#2 1 0 -9 10yr4/4 none sicl 2fsbk mfr cs - 0.4 0.6 2 9 -26 10yr5 /4 none sil 2fsbk mfr aw - 0.5 0.8 3 26 -32 10yr4/6 none is 1 msbk mvfr gw - 0.7 1.2 4 32 -38 7.5yr4/4 none sl 2msbk mfr aw - 0.5 0.9 5 38-60 10yr5 /6 none s 0 sg ml gw - 0.7 1.2 6 60 -98 10yr5 /4 none strat. s 0 sg ml - - 0.7 1.2 Approximately 4' of fill was previously placed on this site. Fill has now been stripped away to approximately restore original grade. * Ef fluent #1 = BOD 5 > 30.4 220 mg/L and TSS > < 150 mg/ * E t #2 = BOD <_30 mg/L and TSS < �0 mg/L CST Name (Please Print) Sign ure: CST Number James K. Thompson S`_ 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 7/27/02 715- 248 -7767 f s - Property owner Tim & Lori Knops Parcel ID # Page 2 of 3 31 Ong # ^.: Boring jM Pit Ground Surface elev. 102.00 ft. Depth to limiting factor >95" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMF *Eff#1 *Eff#2 1 0 -10 10yr4/4 none SI 2fsbk mfr cs - 0.5 0.9 2 10 -25 10yr5 /4 none Ifs 1 msbk mfr aw - 0.4 0.6 3 2543 10yr4 /6 none s 1 msbk mvfr gw - 0.7 1.2 4 43-82 7.5yr4/4 none Ifs / fs 2msbk mfr aw - 0.5 0.9 5 82 -95 10yr5 /6 none S 0 sg ml gw - 0.7 1.2 10yr5/4 Approximately 4' of fill was previously placed on this site. Fill has now been stripped away to approximately restore original grade. ❑ Boring # Bering Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' *Eff#1 *Eff#2 F—I Boring # 2 „ J Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfftI *Eff#1 *Eff#2 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <_30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format. please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. 9 g2 0 $3 � $I ! ez.o'��- Togo o,c /Y,�'',o. ✓, c . ,a,;oe . w _ ra ei(e EXi3�"9 c,c.�a�ellouSC. ,303 a' 1571 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must Courrty St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. 020 - 1075 -10-40 Please print all information. gy Date F Personal information you provide may be sed forsecondary-'pa*U 15.04 (1) (mp" 2 3 2,M Z_ Property Owner EGo perty Location Tim & Lori Knops Lot NW 1/4 SE 1/4 S 27 T 29 N R 19 W Property Owner's Mailing Address # Block # Subd. Name or CSM# P.O. Box 950 City State Zip Code Phoj City _j Village f Town Nearest Road Hudson WI 54016 Hudson Brakke Drive A New Construction Use: u j Residential / Number of bedrooms Code derived design flow rate 345 GPD _j Replacement I" Public or commercial - Describe: Office & warehousing Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Install two trenches at 94.00' using 20 leach chambers. M A Boring # -J Boring Pit Ground Surface elm 102.47 ft. Depth to limiting factor > 163" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /tt *Eff#1 *Eff#2 1 0 -8 10yr3/4 none sl fill - - - - - - 2 8 -18 10yr3 /2 none sl 2 thick p l mfr cs - 0.4 0.6 3 18 -22 10yr4/4 none Is 1 msbk mvfr cw - 0.7 1.2 4 22 -67 10yr5/6 none s 0 sg ml aw - 0.7 1.2 a� 4 5 67 -70 10yr514 none fs 2msbk mvfr aw - 0.5 0.9 6 70 -163 10yr5/4 none strat. s 0 sg ml - - 0.5 0.9 ((/ Approx 4' of fill previously placed on this site. Fill has been stripped away to restore original grade. 1" - 3" bands offs observed at 24" - N' intervals. Loading rate reduced to accomodate permiability restriction assoc. w/ textural change. Fil Boring # Boring Pit Ground Surface elev. 102.60 ft. Depth to limiting factor > 168" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 1 *Eff#2 1 0 -9 10yr4/4 none sicl 2fsbk mfr cs - 0.4 0.6 2 9 -26 10yr5/4 none sil 2fsbk mfr aw - 0.5 0.8 3 26 -32 10yr4/6 none Is 1 msbk mvfr gw - 0.7 1.2 4 32 -38 7.5yr4/4 none sl 2msbk mfr aw - 0.5 0.9 5 38-60 10yr5/6 none s 0 sg ml gw - 0.7 1.2 \01,, ��� 6 60 -168 10yr5/4 none strat. s 0 sg ml - - 0.7 1.2 Approx 4' of fill previously placed on this site. Fill has away to restore original grade. 1" -3" bands offs observed at 24" - 36" intervals. Loading rate redu to accom ate permiability restriction assoc. w/ textural change. * Effluent #1 = BOD ? 30 < 220 mg/L and TSS > <_150 mg/L uent #2 = BOD S mg/L and TSS <30 mg/L CST Name (Please Print) Sign CST Number James K. Thompson `i _ 3602 Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson lake Lane, Osceola, WI 9/3/02 715 - 248 -7767 r property owner Tian & Lori Kn Parcel ID # 020 -1 -10-40 _ Page 2 of 3 a Boring # Boring NJ Pit Ground Surface elev. 102.00 ft. Depth to limiting factor > 166" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP *Eff#1 *Eff#2 1 0 -10 10yr4 /4 none sl 2fsbk mfr cs - 0.5 0.9 2 10 -25 10yr5/4 none Ifs 1 msbk mfr aw - 0.4 0.6 z 3 25-43 10yr4/6 none s 1 msbk mvfr gw - 0.7 1.2 4 43 -82 7.5yr4/4 none Ifs / fs 2msbk mfr aw - 0.5 0.9 5 82 -95 10yr5 /6 none s 0 sg ml gw - 0.7 1.2 6 95 -166 10yr5/4 none strat. s 0 sg dl 0.7 1.2 App x. 4' of fill previously placed on this site. Fill has been stripped away to restore original grade. 1" - 3" bands offs observed at 24" - 36" intervals. Loading rate reduced to accanodate permiability restriction assoc. w/ textural change. F—I Boring # _ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP *Eff#1 *Eff#2 F—I 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 T GP *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 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 devartment at 608 -266 -3151 or TTY 608- 264 -8777. y ,t, as ` . Az ■ g2 Fro pos�d O�'f',C2�L�a./e.�cKSe B3 4 ■ Bi TP off' / P. d, c. �i - i oe . ioi.o ,4ssurneol ale% = 100. CC _ a& C_crn c/ O f /00, 39 ' I 3 oP3 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Lp S© Number of Bedrooms Design Flow - Peak (gpd) 2 7 Estimated Flow - Average (gpd) - Septic Tank Capacity (gal) (� u Soil Absorption Component Size (ft (� Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) Maximum Influent Particle Size (in) ' '0 1/8 Maximum BOD (m /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Se tic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Theofut shall be cleaned as necessary to ena__�re- proper o eration. The filter cartridge should not be removed unless provisions are made to reta n solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being In full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or Impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. When system fails, we will replace with another system at owner's expense. Alternate area must be left undisturbed. St Croix County Zoning Office 386 -4680 Boumeester & Sons Excavating 386 -9020 Tri- County Sanitation 386 -2130 3 10/11/2002 09:02 7153811847 PACE 01 r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Timothy J. Knops Mailing Address Property Ad ss ' Ext =lass Dri e n v S ("� (V entica t iO6 r rn epartment for new cons r etion) City /State Wisconsin Parcel Identification Numb 020 - 1075 - 0 - - 10 ?fi - 10 L EgAL U O Property Location mw L_ ' /., r E'/., Sec. � _ . T 2 9 -R 19 W, Town of ,H, l d 5 o n ,abdivision ,Lot # Certified Survey Map # Volume _ Page # Warranty Deed # 1 � , Volume Page # Spec house Q yes Q no Lot lines identifiable ® yes 0 no a SYS'TI✓M MA» CE Im pWa use and maintenance of your septic system could result in its premature failure to handle wastes, Proper maintenance p consists of pumping out the septic tank every three years or sooner, if ncededby a licensed pumper. What you put into the system can affect the funetiaa 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 • ow masterplumber, journeymanpluraber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper opersting condition, and/or (2) after inspection and pumping (if necessary). the septic tank is less than 1/3 full of sludge. I/we, *a undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, heroin, as sot by the Department of Commerce and the Department of Natural Resources, State of Wisconsin- Certification grating that your septic system h been maintained must be completed and return ed to the St. Croix County Zoning OiI'ice within 30 __4 yLA14 e-ib= year expiration date. /v DATE $IQNA O APPLICA ? .IClWNF_.R CETi'>�',�,FIC&U0N '4; ;'(we) certify that all statements ort this form are true to the best of my (our) knowledge, I (we) am (are) the owner(,) of the prop".described a ve, by virtue of a warranty deed recorded in Register of Deeds Office, S1GNA F ` -A PPLICAAW DATE Any information that is mis -re resented may result in the sanitary permit being revoked by the Zoning Department. •'• "' •• Include with this applicstlon: 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 t 1 we 1193nU013 EXHIBIT "Arr � g ( Z21 A parcel of land consisting of two adjoining parts described as follows: < (1) The Nort st Quarter of the Southeast Quarter of Section 27,. T29N, R19W, EXCEPT the South 20.1 acres thereof`; -arnd (2) A parcel of land located in th Northeast Quarter of the << Southwest Quarter of Section 27, T29N, R19W, described as follows: Beginning at tha ortheast corner of the I Southwest Quarter of said Section 27; thence west alone the North line-of said Southwest Quarter 333 feet; thence South parallel with the East line of said Southwest Quarter 133 feet; thence East parallel with the North line of said Southwest Quarter 333 feet to the East line thereof; thence North along said West line 133 r feet to the Point of Beginning. Toge and sub ject t r with 'e t to non - exclusive asement to use as an access road (a) the parcels of land referred utlots 1 and 2 of the Certified Survey Map filed in the office of the Register of Deeas for St. Croix County in Vol. 6, Page 1 ?28, Document 418258, (b) the strip of land 66 feet wide lying between Northerly Aa;. extension of the West line of said Outlot 1 and the East line of said Outlot 2 from the North line of said Certified Survey Map to the North line of the Southwest Quarter of Section 27, T29N. R19W; and (c) the area shown as 66' private roadway easement on the above mentioned Certified Survey Map and an extension thereof to U.S. Highway 12 as more fully described in the Grant of Easements end Release of Prior Easements executed by Allen W. Brakke and Patricia A. Brakke and Cornwall Broadcasting Corp. dated September 8, 1984 and recorded in the office of the Register of Deeds in Vol. 757, Pages 213 and 214, Document 418259, provided, however, that the portion of easement over the West 33 feet of the South 20.01 acres of the NW} of the SE} said Sec 27 may be used only for >� commercial, industrial or agricultural purposes and not for access roads to serve properties used for residential purposes. J TF r. L } �.._.- ..a..... :tiilT�tfi"i r 'fR`�_��"r.•"* �j7� � lr- - � , 19 the above named . Kristina Ogland _ — TITLE: MEMBER STATE BAR OF WISCONSIN _ — (If not, authorized by §706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY STATE BAR OF WISCONSIN FORM 2 — 1982 5 4 I ry C r I G � W RANTY DEED DOCUMENT NO. ..: F- 1 ,; 0:3 (}rl v (' 4� p and Sharon T-- SfYLYiIOEy � s1,A.,.1 and wife, V 1996 conveys and warrants to Timoth J. Kn and Lori A. Kn s husband wi e, as survivors p mart a 1 0 Aim property Strf aN l7Nd i THIS SPACE PESERVEO FOR RECONOM!3 OA NAME AND RETURN ADDRESS the following described real estate in St. Croix County F� State of Wisconsin: ,.. 020- 1075 - 1 - 020- 1076 - PARCEL IDEN (See Attached Exhibit "A ") �. N4E $ S a D This is not homestead property (is not) I Exception to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this _ — 1 _day of July A.D., 19 rt (SEAL) (SEAL) 't Orlyn Stromne Sharon L. Strocmte 1 111i (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Orlyn G. Stromne, State of Wisconsin, ss. Sharon L. Stro me t County. authenticatesl this day of .Tttl y , 19- % Personally came before me this day of 19 , the above named Kristina Ogland _ k TITLE: MEMBER STATE BAR OF WISCONSIN 1 (If not, authorized by X706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. � pp TWIR INRTRI IMFNT WAR r)RAFTFn RY 9