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020-1342-10-120
rtmant of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix ision INSPECTION REPORT Sanitary Permit No: 430597 0 FORMATION (ATTACH TO PERMIT) State Plan ID No: on you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)i. ame: City Village X Township Parcel Tax No: Lawrence Hudson Township 020 - 1342 -10 -120 ev: � Insp. BM Elev: . BM Descriptio Section/Town /Range /Map No: 61 ,Q� 7 �r31/Yt�d�'' �C— 32.29.19.1828 ANK INFORMATION ELIF A ON DATA TYPE MANUFA CAPACITY STATION BS HI FS ELEV. � Septic Benchmark ,M 13,05 I //ls Alt. JaM �5 (2 3S •3 Aeration /C^ n Bldg. S wer 4 Holding J / � tjFft Inlet r / P J . ^ / / / 3• / TANK SETBACK INFORMATION St/Ht Outlet 2- TANK TO P L WELL BLDG. Vent to Air Intake ROAD Septic > �/ , /O Dt Bottom I{RdgrlMan. ! .r1 Aeration _ — Dist Pipe 3 / D Holding Bot. y§tdml L 1 2 y 3 2Z r 7 i j>O a PUMP /SIPHON INFORMATION Final rade Manufactur r Demand St Cover d / Model Number TDH Lift Friction Loss m TDH Ft Forcemain Len Dia. Dist. to Well ZD �Ia SOIL ABSORPTION SYSTEM BED/TRENCH Width Len No. Of Tlenches PIT DIMENSIONS No, Of Pits Inside Dia. Liquid Depth DIMENSIONS v C SETBACK SYSTEM TO P/L W JBLDG WELL LAKE /STREAM LEACHING Ma a r INFORMATION Typ Of System: I /� 7 CHAMBER OR l.tJ Model Number: DISTRIBUTION SYSTEM Ono 0 — Cl1L of I Z Mm / n 0 (n n / /f x Hole Size x Hole Spacing Vent to Air Intake P ies Dia Length Dia Spacing dYVQ (�lQ ati. SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center �/a Bed/Trench Edges Topsoil '� Yes [ No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: [_ / / �� Inspection #2: Location: 482 Carriage Lane Hudson, WI 54016 (NW 1/4 NW 1/4 32 T29N R199]W�,) Windsor Heights Lot 1F� Parcel No: 32.29.19.1828 1.) Alt BM Description = j� av� / , l d � --F'U ,/ Q�t��. _av_e+'`- 2.) Bldg sewer length =' Z / (q ' 4 31) / ®�� She /[_G Gt lk 5a-& P e q w - - amount of cover Plan revision Required? [ j Yes [N , Use other side for additional information. � I_ / ° L,931 �/�2_ - G�__ ✓� .- - ( �� l �� 'J 1 0 -6710 (R.3/97) Date Insepctor's Sign ture Cart. No. 8/ // Awr °� � ���� aArz z- bo,� 4� .ee u, Safety and Buildings Division _ County i 20; W. Washington Ave., P.O. Box 7162 Yi �� Madison, WI 53707 - 7162 Sanitary permit Number (to be filled in ment of Commerce (608) 266 - 3151 30 -1 "� - ___ �. Sanitary Permit Application State Plan I.D. Numbe In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s1S.0a( -- Project Address (if di -� ctu than mailing adQress) Application information - Please Print All Inform fCi - A 2>r Property Owner's Na me Parcel Lat N� v Block OZo� v Property Ow er'S M ailing Address -- 1,7 Property I[,ocation I ` eta/. - e__ ST. CROIXCOUNTY City, State Zip C �- t �l�- G!,Sp,iJ LJl yG�C e1 G y 2 (circle ) ll, Ty pe of Building (check all that apply) T N RB o ;` or 2 Family Dwelling - Number of Bedrooms - j Subdivision Natre CSM Number (.) Public /Commercial - Describe Use L, State Owned - Describe Use 3 I S % C(�Z(, s t� . - (p Q Ldr Uti J TS f ❑City_l�Village�'Township or scd SG.c� III. of Per mit: Check 1 Type ( only one box on line W Co line B if applicable) r A. New System XRepl°ecement System l TreatmentiHolding Tank Replacement Only Otter Modification to Existing System i i { B. Permit Renewal ❑ Permit Revision I us Permit Number and Date Issued ❑ Change of ❑ Permit Transfer to New List Previo P i Nb - Before Expiration r Plumber Owner � `7 J j / 7 � L��3 // A T ype o f POWTS rn; S ste Ch all that a 1 ` J f No - Pressurized In -Ground G Mound > 24 in, of suitable soli I a Mound < 24 in. of suitable soil ❑ At- Grade ❑ Single Pass Sand Filter Constructed Wetland ❑ Pressurized In Ground ❑ Holding Tank Peat Filter Aerobic Treatment Unit �i Recirculating Sand Filter f0 Recirc Synthetic M Filter ❑ Leaching C hamtier 7 1 Dr ip Line *Gravel -less Pi pe Other (explain) V, pispersal/T Ar ea Information: C l ,��•s ,�/� �_ der��`�s Design Flow g (gPd) Design Soil Application Rate(gpdsf) I Uispersal Area Required (sfl T Dispersal Area Proposed (so System Elevation Dl, '07 �'� yG `�B��c.l CDC✓ ?mar VI. Taxi It Info Capacity in Total Numtwr Manufacturer - Prefab Site - ite Steel , Fiber Plastic Gallo Gallons of Units Concrete Cornscruct� Olass New Existing w/ e� �( 14 Tai >< s Tanks E� Se, tic or Hotding'rank -- 1 n i�G1 e �r aerobic Treanrxnt Unit - Dosing Chamber I VII. Res ib - ,_ Pons tilty Statement- [ the Un derslRrted, assume res for u U ation of the POWTS shown ou the att led laps. Plumber's Na -- _ p me (Prins) Plumber's Si gnature P/ PRS Number — ( Hu -sire ss Phone Number Plumber's AQdre ss (Street, City, Stare, Zip Code i VII Count /De rt O -- �_ Approved Use Sanitary Permit Fet (includes Groundwater Date Is ssuing; Age St tut Stamps) Surcharge Fee) Uw_tter Given Reason for Denial � / C) � I IX. Condltiats of Approal / vReasons for Dis l approva j ftST ti tan mks d � 7 � 3 % tic tank, efflu nt filt r ��`� isl cell dpersa must all be serviced / Maintained � as per management plan taw n �� �- 2. provided by plumber L as per applicable cod / rdinar,r _ Attach e - turntlete clans (to the County onl y) roe the AYS Wiper trot less h+it1 1/2 x 11 ' e t SBD -6398 (R. 01/03) �A-74- LA A&Zze JD4- ° 'Y e W� lb j� A � � VA - 6 ate a- h vh IR al' - &ice D7� ZA Y Ae 2Z i % e ,44_ ° e w � e H PLOT PLAN Pale 3 of 3 Scale 1' s` Lu`T t W 3 ZQ. 40' P�D15S� -ASS _ - I J s z ! o� I G A J � � •mss .-�� - G r i 3 I B.' e I / t � =300 3 715 -425 0165 220254 CST Signature Date Telephone No. CST rJo. Job X10. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 1 � percent slope, scale or dimensions, north arrow, and location and distance to nearest road. O Z Q - Please print all information Reviewed by Date Personal infonnabon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner p,� Property Location L �ZZ,� "'vl� B� 1 ��� �� �tZ t L1� �cvk bet- 1/4 — 1/4 S 3 ?-T Z.q N R 19 E( W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Z e--�nZ ��-t GC �t'�E ZZ - w ► S OR,' 1`� P G1+ S City State Zip Code Phone Number 0 City Village ® Town Nearest Road vOSorJ �Jt Sg ol6 i ( �jSav`l c+ PrtGF L�Aj(�- New Construction Use:,j Residential / Number of bedrooms Code derived design flow rate GPD C] Replacement E] Public or commercial - Describe: Parent material G Pr Flood Plain elevation if applicable )U ft General comments and recommendations: 3 CALLS �'Pre.l} � 'X �' UJrj6 W/ L u>,/ tYS a;: Z - FVJ W LJe W j G Boring ❑ Boring �" g ®pit Ground surface elev. �, ' � fL Depth to limiting factor � $ �° in. Soli Application Rate � Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 `t2zs 1 Irt m v'f' cw Z 1Z 3 -t.S `r'k Litz C) T777 3 �JILN S P Y Z" 1S `T )\►ES e '' - F - F Boring # ❑ Boring pit Ground surface eiev. •a ft Depth to limiting factor S in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 o_b t 1 �ti rz 3 z - s t 1 3�s b k �nvI_ cs • S Z b-�� 10`�(Z3 S11 Zvn WL k. CS S 43 3 � `1 33 �.S KrZ31� — 1 S 1 s bk W, "j }- o S9 WO S So-b Z- SK�2�lY - s 1 or,-t � cS .o � •o `Z 61 `7 92 t R 3 1581 -- , �. , o 0 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L • Effluent 92 = SOD, 30 mg/L and TSS < 30 mg/L' CST Name (Please Print] y S ^G 3 W CST Number Arthur L. WeRerer -� 220254 address- W e g e r e r Soil Testing & Design Service to Evaluation Conducted Telephone Number 421 N. I3a�in St. River Falls, WI 54022 - 1 -3 0 -O 3 715 -425 -0165 Property Owner �TLL Parcel ID # OZ y ` 3� — 1 y �- 1 Z .� Page 2 of Boring # t ❑� Boring lzF Pit Ground surface elev. ft. Depth to limiting factor �0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz In. Munsell Qu. Sz. Cont..Color Gr. Sz. Sh. •Eff#1 •Eff#2 (J _ L bo 2 31 b — S 1 Z vn Sbl? m�Pl- e k j • S 3 1 `I -y 1 i s \ 0 --5 m V t4 t-S q 2 Vey _ S O S9 Wi } • - 1 V, Z F - 1 Boring # Boring ❑ Pit Ground surface elev. Z ' ft. Depth to limiting factor in. Soil Application Rate Horizori ' Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. - Munsell Qu. Sz Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 {Z lb — S ! Z`P S bh hti'Fl ClJ S 3 ti -3 - 1 .Sti 2 - 3 — 1 a- Sbk W, v `P- ,-� . Z S R W — S o S9 wt 1 .� t. Z F-1 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 GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 r r • Effluent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg /L • Effluent #2 = BOD < _ s _ 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. SBD -8330 (R.6/00) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code • Attach complete site plan on paper not less than 8 1/2 x 11 ini hes A-ElGE S� • C Z'L� yC include, but not limited to: vertical and horizontal reference po it (BM), direction and percent slope, scale or dimensions, north arrow, and location nd distance to nearest road. D. Z O • ���Z — U — Please print all information N OV 1 0 2003 R sewed by Date Personal information you provide may be used for secondary purpos (Privy L�R8 l Property Owner Wca tion 1!4 1/4 S 3 Z. T Z.� N R 19 E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# S City State Zip Code Phone Number � v 1OS0 � St rUl r �! S ��� _� � t' Z ❑City E) Village 2) Town Nearest Road � 1 t �t b ( ) Y "% J S v Y"l C 1Z - 1 G �j t-� New Construction Use:,®„ Residential / Number of bedrooms Code derived design flow rate 0 O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material V T A- Flood Plain elevation if applicable +U ft General comments and recommendations: a, C�1 LS C l4 3 '�c (Jj y j c I.v 6 u)J t1 Or Z- FVJ W L �rPre l 1 N G ( 0 ❑ Boring # ❑ Boring a ® Pit Ground surface elev. q ' ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. I •Eff#1 •Eff#2 - •5 ' - t 2 z s I )1 S t(!-s'0k , M U `t'`Y CLIJ l� -� .1 �. 4 - i' s -1 � S e S'r`rL rnu�.� 3 t ?. - t-M I) .S 4-' •� 1 Z k TU 1 S y S F Boring # ❑ Boring pit Ground surface elev. •a ft. Depth to limiting factor S 0 in. Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 �Z31z — Si 1 a-�s10 � Mev r cS S • �3 sbh y 33 -So z. sul231y S So-� �•SK��IIY s 1 0� �� eS , .o '1 9z- M Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Arthur L. Wegerer aC � 3 ` 220254 Address g e g e r e r Soil Testing & Design Service 'Ci ate Evaluation Conducted Telephone Number 421 N. 11ain St. River Fa HI 54022 0 -0 3 715 -425 -0165 Property Owner t Parcel ID # O � y — 3 `� —1 V l Zo Page 2 of Fi)] Boring # ❑Boring Pit Ground surface eiev. ft. Depth to limiting factor 7 C M in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' In. Munsell Qu. Sz. Cont..Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Z l0 -1� Lo�Ralb — s 3 l`1 -y,S `� •S � 2 3 �� 1 s \ �-S b �t m V`�'1 CL" 1 4 ' -'i0 �S ��y _ S O S9 1 - " Fq� Boring # ❑ Boring ❑ Pit Ground surface elev. C) Z' ft. Depth to limiting factor — ' 7 E3 in. Soo Application Rate Horizori ' Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /t In - Munsell Qu. S2 Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0 -1.Z lUyrZ 3 1Z — Si 1 M-F1 -- 2 lZ.-3 0 l� �►. {Z 3 lb — S f I Z`� S bi-t pvl_'Fl- C1J S . g . . 3D -37 S L°kj , �• Z V(z '/l - S C) s 9 F-1 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 GPD /ft= In. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 •Eff#2 r r 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. s13us330 (rt.6/00) PLOT PLAT Page 3 of 3 Scale 1'= � Cj ' LDT L�►.J� 3 Z0.' 4-- -�- - -- I , i 2 Ge �3w1'� 0 A 35 a ° / �S"P ►� G - Z = et 73 3 715 425 -0165 220254 p3 RO CST Signature Date Telephone No. CST No Job NO. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Ga Y ya % 9� a -�� ��' -� �- ` 3" l6 /� Property Address (Verification required from Planning Department for new construction) _ _ City /State Parcel Identification Number 0 ZU LEGAL DESCRIPTION r I 1, ,J •I �Z� Property Location '/4, Sec. T,2y_N -RZ�' W, Town of �adso� Subdivision Li�r`.G'� S �� r AY ld 2S . Lot # /;z Certified Survey Map # , Volume . .Page # Warranty Deed # L/ �� Volume _ V q 9 , Page # 3 7 Spec house ❑ yes M no Lot lines identifiable g yes ❑ no MAINTENANCE SYSTEM Improper use and maintenance of your septic system could result in i ts premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days f the three year expiration te. r DATE SI ATU1tE OF APPLICANT OWNER CERTIFICATION e owne s) of are the Owner( s) on this form are true to the best of m ) I we certify that all state Y (our) knowledge. I (we) am ( the prgftrty described above, by vi f warranty deed record ed in Register of Deeds Office. azx J � / S TURE OF APPLICANT DATE « « « « «« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner 1 AS7F:7_LA Septic Tank Capacity a l ❑ NA Permit # Septic Tank Manufacturer rn ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer _ ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model / OD i NA Number of Public Facility Units NA Pump Tank Capacity a l ❑ NA Estimated flow (average) Z16) D g al/day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) &O D g al/day Pump Manufacturer ❑ NA Soil Application Rate b . 7 gal/day/ft' Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average' Pretreatment Unit A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L )�,NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510" cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size C Y. in dia. ❑ INA Other ❑ NA Other: ❑ Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent. Other' ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: Z -3 year(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month (s) (Maximum 3 years) 13 NA ❑ month($) ❑ NA Clean effluent filter f � s At least once every: , Z years) Insp p ump, pump controls & alarm At least once eve ❑ month(s) ye ar(s) ❑ NA Ins P P P ever ❑ yearlsl ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: ❑ year(s) Other: ❑ month(s) ❑ NA At least once every: ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and dispo§ed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Z of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall 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 Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. T aluat g� a o in ank b e ai . ?K044 1817F� fbR- A/�✓ aNSTX(ICTLD ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER E me (�✓� Name ne - 71< �/ �� a� Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name 15t. C ( Phone Phone / 3W (o— 4 / &4 0 This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.5401. (2) & (3), Wisconsin Administrative Code. �b l i VOL' 1449PAGE379 608665 STATE BAR OF WISCONSIN FORM 2 -1998 KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DFFD ST. CROIX CO., WI This Deed, made between West Lake Builders, Inc., a Wisconsin RECEIVED FOR RECORD rogation 08- 16-1999 9:30 All Grantor, conveys and warrants to INIRRAIITY DEED Lawrence E Mastella and Barbatra MasteRa husband and wife as CE�RT COPY FEEL Slrvivorshin marital oronerty. _ COPY FEE: TRAIMiFER FEE: 209.70 RECORDING FEE: 10.04 PAGES. I Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property "): Record' Area Name and TWIN CITIES COMMERCIAL DNISION ATI THE COMPANY 100 S. FIFTH ST. - S 1290 MINNEAPOLIS, MN 55402 FILE NO.: 020-1342- ID-12o Parcel Identification Number (PtN) This Is we homestead property. Lot 12, Windsor Heights Addition to the Town of Hudson, St. Croix County, Wisconsin. Exceptions to warranties: Easetnents, restrictions and rights -of -way of record, if any Dated this �_ aay of July, 1999. West Lake Builders, Inc. By � Its s • AUTHENTICATION ACKNOWLEDGMENT � Signatures) STATE OF VI[I1-fi�AlP191ff m *i jESo - rA authe[nicated this — day of ) as. ouuty ) (0 WA5til W &M Personally came before me this day of July, 1999, the above tumed LRIc Build TITLE: MEMBER STATE BAR OF WISCONSIN Inc a Wisconsin corooratioa by - (If not, its f1a.. • -- authorized by § 706.06, Wis. Sta[sJ to me known to be the person(s) who executed the foregoing instrumettt and acknowledge the same. TWS INSTRUMENT WAS DRAFTED BY Attorney Kristine Oglaad Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Bah are ro ion date: t CY Public, State of 3Y�acoasin H I NiJ I:Sa t!4 messary.) y G�NEVI NOTAP PUBIC MlwwliM Mr aiaan Egias A L 31, MW *Names of persons signing in arty apacity should be typed or printed below their sigmuaa WARRANTY DIXD STATE UK Or WISCONSIN FORA[ Ns. a -19M INFORMATION PROFESSIONALS COMPANY FOND DU tAC. WI s034166'2021 0. ■ 0 n e , g § ° A. rr ( \ � E k $ § 8 9 _' k § C 0 3 § § / E § m ° g - § 8 8 ; 7 C. ° o � @ 0 » $ K � E f o . K) / 2 m P ' n �3 \ ■ �8� E ® $ § 0 to § c } 000 A § % ƒ CA to Ch \ # CL , g z / \ ƒ 7 n g > , ( / gc � r � 7 � S k § / z E { [� RR CD § / ■ § § . z 7 � . 0 § £ C 0 % i 0 $ � � a � to � § � $ � 2 � E � ■ 0 ® § � o � Department of Commerce PRIVATE SEWAGE SYSTEM County: ety and Buildings Division INSPECTION REPORT GENtRAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: iX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 3445 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: WEST LAKE BUILDERS HUDSON CST BM Elev.: Insp. BM Elev.: BM Description: / Parcel Tax No.: 60 10 020- 1342 - 10120 TANK INFORMATION ; (— _ ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic e pU Benchmark p 00 Aerati Bldg. Sewer �? `' �7 olding Ht Inlet Z 5r 3r TANK SETBACK INFORMATION St Ht Outlet , 5-C,1 Zrj TANK TO P/ L WELL BLDG. Vent to ROAD Air Intake Septic' �� NA NA Header/ Man. 11 o. Z.0 c� AerationNA Dist. Pipe �� Z Z L Hold Bot. System PUMP/ SIPHON INFORMATION Final Grade I � ?' . 9 Man r Demand 5 �_� Model Num PM TDH ift Friction stem TDH t L oss Forcemain Length Dia. Dist. SOIL ABSORPTION SYSTEM BED / EN w idth Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME N 00 Z DIMEN SYSTEM TO P/ L BLDG WELL LAKE/STREAM Okli44G, Manu acturer: SETBACK HAMBER INFORMATION Type O Mode er: System: 4A �� O y(/� OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length —i— Dia Length &2& Dia. # Spacing J Z m SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onl Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) d� C'.., '" . 'y 5 �"' 3 ✓r `� �'� 2. LOCATION: HUDSON 32.2 482 CARRIAG LN W�WINDSOR HG L `` Plan revision required? ❑ Yes ❑ No Use other side for additional information. -Y SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. Safety and Buildings Division Wuoiisin SANITARY PERMIT APPLICATION 2 1 s Washingtonpvenue In accord with ILHR 83.05, Wis. Adm. Code Department of Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. �57 CYo ; • See reverse side for instructions for completing this application State sanity Pit Numb r Personal information you provide may be used for secondary purposes E] Check if revision to previous ` a a pplication [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Property Location r64:derS eW v4 W 1/4,532 Taq ,N,R/ E(orb Property Owner's Mailing Address Lot Number Block Number o re a C ity, State Zip Code Phone Number Subdivision Name or CSM Number S 4) % S+ G ( 7is Lyn %,vd 11. TYPE OF B ILDIN : (check one) ❑ State Owned itr Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms 0 Town OF �'/ III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) :72 2 . ?i 19 - Lg28 1 F1 Apartment/ Condo ;?C " 13 ya - / 1 Q - ja b 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales / Repairs 11 ❑ Restaurant / Bar / Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. g New 2, ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5 ❑ Repair of an ______System ________ System_____________ Tank Onl�r______________ Existing System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 �]c Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade r Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) ��� � Elevation /6d 4 / �o t Feet f G, , Y, , ,� Feet VII. Capacit TANK in g all o ns Total # of N Prefab. Site Fiber - Exper. INFORMATION Gallons Tanks Manufacturer s Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks Septic Tank or Holding Tank (J ( i` Kl l5' Cti 2– ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ I ❑ I ❑ 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se ge system shown on the attached plans. Plumber's Name: (Print) Plumber's Signatur �(No �m) PRSW No.: Business Phone Number: Plumber's Address (Street, City , State, Zip Code): IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps) Approved I ❑ Owner Given Initial Surcharge Fee) Adverse Dete rmination C X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a 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. 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. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 -266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. P Y . Yp 9 9 Y 9 III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. i VIII. 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. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 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; pump or siphon tanks; 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; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. 1 t rr I , B E ' of Commerce SOIL VALUATION nd Buildings i ( I , Page of Inted Services in aoco 'is. I LHI Wis. Adm. Code plete site plan on paper not less than a = x 11 ' � m sizd., County t not limited to: vertical and horizontal (BM), direction and ope, scale or dimensions, north arrow, and - arid dig t r, Parcel I.D. • ST CROIX ANT INFORMATION - Please priint all " UNTV Reviewed by Date orrnatiar be used for rou provide ma n V -97 1 a s 1/4 1/4,S T ,q ,N,R E (orXf Prope Owner's Mailing Address Lot # Subd. or CSMff )V /111 i ' City Sta Zip Code Phone Number ❑ city village ® Town Road ti / ) -V New Constriction Use: ® Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow �— gpd Recommended design loading rate , .� bed, gpol ? --,, _ Uench. gpd41 Absorption area required arc - bad. ft „/pbo tremh, ft2 Maximum design loading rate L bed, gpd* _ trend f, gpd/ft� Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations Parent material Flood plain elevation, if applicable Al ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S ❑ U ID S ❑ u ®S El � S ❑ U p s ®U ❑ s ® U SOIL DESCRIPTION REPORT Boring horizon Depth Dominant Coke Mottles Structure GPD/ft2 13 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench Ground ,ft. Depth to limiting factor Remarks: Boring # s c✓ L .h r Ground elev Depth to limiting factor �2Lin. Rem CST Name I Print re � Telephone No. S Address I Date CST Num r v ,� _ L G i SOIL DESCRIPTION REPORT PROPERTY OWNER Page PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench it s Ground J elev. ft F a� c Depth to _ limiting ; factor ? -9Z in. Remarks: Boring # ,w Ground elev. Depth to limiting ( factor ?fin. Remarks: Horizon Depth Dominant Color Mottles Structure GPD/ft Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # -le Al , r t 3 � Ground _ 2k2 'v elev. ft. Depth to limiting factor >in. Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) ����,� ,�•� /�/ <s � 303 41 dot � Y � 7� i law F wj��Coz-"Sl Ni r,,)5 191i2 REGISTER H. 0t,Sl♦ STk1'F BAR 0 - REGISfER OF V,EDS WARRANTY DEED ST. CROIX CO., WI DOCUMENT NO, RECEIVED FOR REM tfs 4 9:7- 1 - 01 461 11 1 0-:9% 8:30 AM W"Jy DEED REEoRtas6 fT-Et 10.00 T a .taX p� I A:t)n and war*ants to WOES: F,,)R AECORCING kTA T�11S sPACE PESERVED .AuE AND RETURN ADDRESS the fc(lo,'j � jjg described rea e in County EAGLE VALLEY BANK, N.A. Sj:je of Wisconsin: 1301 Coulee Rd., Unit 2 Hudson, Wl 54016 GARCEL ,iW1_,F7c_AT1C'1 'ZI Ei; Part of SEI/4 of NWI/4 of Section 32, Township 29 North, Range 19 Wefiled st, St. Croix County, W, 1 :d as follo Lot I 1997, o f Certified Survey Map Ape.1 8, itrVol. I., page 557676. Together with the right of ingress and L 53 , Doc No 1 egress over — e 66 foot access easenient as described in Vol 1231, page 55766 44 This ___Is not ___--homestead P!')Pe'!• (is n ot) Easements restrictions and rights- of -Way of record, if any. is 98 November 7 day of XD, 19— Dated this _r 11 F T hom a s M. Graf� David A. Graf - (Sr.A:) P.UTHENTIC.ALION AC State of %%;consin, 's county. (,. '�-' day of authenticated th,s day of Personally c ame before me this November the above named 0N E David A. Graf and Thomas M. - ,raf TI LE: MEMBER STATE FP R OF Vr, (if not, ak,: horized by §706 Ot Wis. "ats) z to nic kno to be the person w h o c.xecutL I the foregoing "Woc, u.-mintent and 2cLnowlcdgL the same, 1, lj:5 DRAFTED BY 0 • 0 it wititiv A t KK Ls tt q- couniv. \% (Sig n :ornnit-wn is Per:T-1— UOP .!J!" atul ma , -,. : 4 or aCkt,iw'et';(.0 t rt�l neces,ary) WA I HA N T y 1 M . 1: D ' ST C:ROIX COUNTY • SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM, Ow-ner/Buyer _. Was -_ -- - 1 ,mss Mailing Address 2 c_._� sit _Ct� Property Address (Verification required from planning Department for new construction)_ -L -4- Parcel Identification Number � l � City /State ��.� % 4 -� LEGAL DE TIQN Property Location AJ `V., A t/ `/ 4, Sec. ?a , T j _N -R / p NV, Town of /�. 5 _ � -�• Subdivision jI�, °��se+ li.s _ ,_.� — , Lot # Certified Survey Nlap Volume � Page # Warranty Deed # _ .� � /( E f Volume 1? Page Spec house 2 yes 0 no Lot litres identifiable f,U yes ❑ no SYS TEM MAI Improper use and maintenance of your septic system could result in its premature failure to handle. wastes. Proper r avitcna„ce consists of pumping out the septic tank every tluee years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste, disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the. owner arid by a raasterpliunber, journeyralan plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is is proper operating condition and,'or (2) after inspection and pumping, (if necessary), the septic tartk is less than 113 full of shidge. I�ae, the undersigned have read the above requirements and agree to nt.aintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin, Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office +within 30 days of the three year expiration date. 'gIGNA I21RI1 OF APF'I. CA T DATE ;z OWNE CERT IFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) ant (are) the of the property described above by virtue of a «arranty deed recorded in Register of Deeds Office. SIGNATURE Q AP= �cu Ld's✓j` � D TE * * ** / Any in that is mis repr esented tr ay result in the sanitary permit being revoked by the. Zoning Department. •' Include vvith 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 ---------------------------------------------------------------------------------------- - - - - -- LL Ln v a I an i' E r w W > . / �• , q� 0 I ,n o �• o pl to N I U C7 C� 00 qt a (� /•��' W I pN D W M c I I N 1'35'11" W 359.89' I 115.71 --� 244.18' rn rr• o I 1 .. 187.31— .. 172.58 : z . . ............. �...... I . l _ •I• 1 W '�.._. —�'_ 2981.19_ —... J to C4 W O / I'7 O N i ,� CI�'O�I ; ,, N1�OS� M ,Cg,LO. LO N U3' '�' z I •• 0n8f1d 3H1 031F101030 N w � Otis I .,' ••• —.. _.. to El) I Z I C-4 \ . . . . . . . . . W / •r WW I LLJ / •' V w UO I i ' 3 ci Z I I cc N • � V%O N in X Z W .,20,9l.ZON ' co �` °. v W - l(0 o m m gi o ci M Lo co 00 3 / • • • • w ........... 1.�.. •\ \ \ \ N 2'+ CN I I \ wW W co I \ ` �• Q vai .oho ENO I W� 1 W I W 1 .,� , > d 0 j w tL N sS�S2A �• v cr rn � \ d qt 0) N n' �^ N n d' 00 00 � ^ I tp \ PI I re) o Z ^ a) N � co �U') IK x . N + *' LMN 3H1 30 VUS 3F A 3Nn 1S3M i I in + � I I I I I co "V I I 1 I I ! WI ! Clq I I I 1 I ► I I I a1�1 I I I �I I I I v I I N I I I I rco ► I C I I M w j • 11 1 ' � 1� �1 1 l I C I I I C6 ST. CROIX COUNTY WISCONSIN ZONING OFFICE / / M / / W M ■ Its so ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 Friday, December 19, 2003 Lawrence Mastella 482 Carriage Lane Hudson, WI 54016 Regarding septic inspection for Lawrence Mastella. Location of Property in St. Croix County: Municipality: Hudson Township Subdivision or Plat: Windsor Heights Certified Survey Map: j Lot: 12 Address: 482 Carriage Lane Dear Applicant: A septic inspection of the above reference property was conducted on December 15,2003. This property is located in the NW 1/4 NW 1/4 of Section 32, T29N R19W, Windsor Heights (Lot 12 ), Hudson Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a 4 bedroom home. Effluent filter will be added to system plan as well as new dispersal area. Existing tank will be excavated and turned to allow ravit flow to news stem and disconnect from the dispersal area installed on Lot 13. 9 Y Y P If you have any questions regarding this, please contact our office at 715.386.4680. Si Pam Quinn Zoning Staff /CC: file GWIN LAW FILM S.C. Humh H. Gwin The twin Building Telephone: 715 -386 -9510 Stephanie J. Zeman 430 Second Street Fax 715 - 386 -6456 Hudson, Wisconsin 54016 -1510 email: gwinlaw©spacestar.net Hugh F. Gwin of counsel July 17, 2002 Mr. Rod Eslinger (Hand Delivered) Zoning Specialist St. Croix County Courthouse 1101 Carmichael Road Hudson, WI 54016 Re: Lots 12 and 13, Windsor Heights / Septic Dear Rod: Enclosed is a copy of the As -Built Site Plan for Lot 12, Plat of Windsor Heights, regarding the septic problem that my clients, Mr. and Mrs. Larry Mastella, have on Lot 12 of Windsor Heights. The crew from Ogden Engineering was unable to determine where an of 9 9 9 Y Kim O'Connell's original borings were located due to the passage of time and the disruption of the area b the installation of the septic stem and the P Y P Y landscaping. I have talked with Dick Grekoff and he informed me that Bill Schumaker located the septic where he did on Lot 13 because that is where the soil boring holes were for Lot 13 and he thought they were the holes for Lot 12. Thus the system was built in an area that had soil borings and a report on file with your office. Please review and get back to me if you have any questions. Very truly yours, GWIN LAW FIRM, S.C. Hugh . Gwin HHG:av Enc. cc: Mr. and Mrs. Larry Mastella ST. CROIX COUNTY WISCONSIN ZONING OFFICE ;a ST. CROIX COUNTY GOVERNMENT CENTER - 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 May 22, 2002 Mr. and Mrs. Lawrence E. Mastella 482 Carriage Lane Hudson, WI 54016 Mr. Steve Morris Kingsbrough Homes, LLC 8750 90 Street Cottage Grove, MN 55016 Bill Schumaker 1070 Scott Road Hudson, WI 54016 RE: Septic system location for lot 12 of Windsor Heights. Dear Sirs and Madam: It has been brought to our attention that the Private Onsite Wastewater Treatment System ( POWTS) serving lot 12 may have been located on lot 13. Our records show that the POWTS serving lot 12 was installed on November 19, 1999 by Bill Schumaker. At the present time there is no sanitary permit for Lot 13 of Windsor Heights. It appears that the POWTS serving lot 12 may have been located in the soil tested area for lot 13. For zoning staff to ascertain whether a violation is present, please provide the zoning office a site plan for lot 12 and 13 showing property lines, location of all structures (ie. Well, house, etc...), location of the septic system for lot 12, roadway, and the soil test locations for lots 12 and 13 that were completed by Kim O'Connell in 1997. 1 recommend that you contact a registered land surveyor for this service. If a violation is present, the zoning office will request action to resolve this issue. Please do not hesitate to contact me at the number above if you have questions relating this matter. Office hours are Monday — Friday, 8:00 am —5:00 pm. Sincerely, O� C� Rod Eslinger 6L Zoning Specialist !� I Enc. Sanitary setback standards Cc: Richard J. Grekoff, West Lake Builders, Inc. Kim O'Connell, Certified Soil Tester Jon Sonnentag, Code Enforcement Officer too G I l a� r � r/07 f' (/1 X O ' U 0 C "o �O 00 ca C N lD p1 N r d' M tD Ud ll B N O.N'E7 ,��M "d C Ln 0 ("U � 0 �1 �1 u 0 �, ra O O O = fo E � 12 N N ''-+ = CL tL V - wisr~.isir Department of commerce SOIL AND SITE EVALUATION / DiWiion of tafety and Buildings Page Z of Bureau of integrated Services in accordarlawith s. ILIiR 3.09, Wis. Adm. Code coun Attach complete site plan on paper not less than 8 1/Z x 1 • kcbes in man nnm��u��st� include, but not limited to: vertical and horizontal refer p int (Bfill� lil?'"' / , percent dope, scale or dimensions, north arrow. and and distance to nearest rol .-.3 Parcel I.D. 8 —_ DEC APPLICANT INFORMATION - Please Tint ll� form�toWoix wed by Date P � <:b Reviewed Personal Wormtion you pie may be used (or wcon try 1) (m R Pr Owner � Pr 1/4 `J 1/4,S T,� 9 N.R E (orof Owners Mailing Address i BlodcM Subd. amt or CSMif City State Zip Code Phone Number ❑ ci Village � Town Nearest " / �, New Construction Use-. JA Residential / Number of bedrooms 1 / Addition to existing building Replacement ❑ Public or commercial • Describe: Code derived daily flow -Z&4 go Recommended design loading rate — bed, gpolfF , r trench, gpd* Absorption area required _ bed, it2 ft Maximum design loading rate _ bed, gpd/tt „ p � � trench, wd* ed Recommended infiltration surface elevation h as refert to site s) 9...� 7 ( plan benc hmark ) Additional design/site considerations Parent material Flood plain elevation, if applicable tt S = Suitable for system Convenbonai Mound In-Ground Pressure I AT -Grade System in Fill Hbiding Tank U S U = Unsuitable for system ®s ❑ u [Z ❑ U 0 ❑ � S❑ U ❑ (A ❑S ElU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/e in. Munseil O u. Sz. Cont. Color Gr. Sz. Sh. Bed , T rench 13 G Ground 3 _ d A- Depth to limiting factor Remarks: Boring # / 7 3 ' Ground - s 01 _ elev. Depth to limiting factor in. Remarks: CST Name (Pleas rint) Signature Telephone No. Address Date CST Numbpr :. . . . . - • i . • • • Mottles ® Gr. ==M 11 Ou. Sz. Cont. Color © IWA / v ♦ � WA �o� 703 /r(6� %s/ - /►�i� J /y / -s�2c .3�- yaq�l/-�✓i9cJ uoso,J IIJT Sy0/ 6 ................... y� {/ e yt S7 �w r 4 6 � w }e a I n A4 KNGSBOROUGH 4 20 HOMES LLC 4z 0 02 UWr l b w S ,.¢ ` (vim C � ' t t W S cl> 8750 —90th Street S. Suite 201 Cottage Grove, MN 55016 Office (651) 480 -1881 Fax (651) 769 -2475 MN Lic # 2005830 Mar 01 02 12:45p Pioneer Engineering 7637831883 p.1 ' * 242V inlorprlvo Vrlw Mendota Hei9fttA. MN 55120 PIONEER IAN SUR VEY OR S • CIvt ENGINEERS (651) 681 -1914 FAX:681 -9488 anginses -ing LAND NLANNLNS • LANDSCMIL ARLH)ILCM 614) Iliyr,woy 10 N.E. * v 4 - MC (763) 783 t �� G >� 880 FAX:783 -1883 `�C G � Boundary Exhibit for: .KINGS80RO UGH HOMES (PER THE CITY OF HUDSON) BUILDING SETBACKS: 12 FRON 5 0 • \ \ ex. H OUSE \` 9 5 5 - REAR: 25' r CORNER: 50 L.-- �,- / / co f O�aj I r 71 / ,- SEPTIC PIPES r , 13 CO DENOTES SEP= PIPE I I ; I h.,yo Sent By: Gwin Law Firm SC; 715 386 6456; Sep-23-)12 5:15P Page 2/4 GWIN LAW FIR S.C. Huah H. Gwin The Gwin Building Telephone: 715- 386 -9510 Stephanie J. Zeman 430 Second Street Fax: 715 - 386 -6456 Hudson, Wisconsin 54016-1510 email: gwinlaw()spacestannet Hugh F. Gwin of counsel 0,10 - l'42. - ►o 110 September 23, 2002 3i. ZA. 0. sZg 14 Sent by Facsimile and Mr. Rod Eslinger Hand Delivery Zoning Specialist St. Croix County Zoning Office 1101 Carmichael Road Hudson, WI 54016 -7710 Re: Septic System Location for Lot 12 of Windsor Heights Dear Rod: As you know, I represent Larry and Barbara Mastella, who are the current owners of Lot 12, in Windsor Heights. This letter is in response to your letter of July 23, 2002. You and I have had conversations and conferences at your office about this situation, but I believe some of the items discussed should be reduced to writing at this point for your file. As you are aware, Westlake Builders was the developer of Windsor Heights, as well as the general contractor for Mr. and Mrs. Mastella. My clients had a building plan which had been prepared for them to build on other land that they owned in eastern St. Croix County. Westlake Builders was to be the general contractor at that location. My clients decided not to build on their own property, and to instead build in Windsor Heights, after Westlake Builders had the lot lines identified for Lot 12 by cutting a bulldozer path through the woods so the Mastellas could see the boundaries of what Westlake represented to them to be Lot 12. After the property was purchased in July of 1999, Westlake proceeded to make modifications to the building plan, site the house on the property, and build it. Westlake employed Bill Shumacher as the licensed plumber to install the septic system. We have supplied your office with an as built site plan prepared by Ogden Engineering Company dated June 11, 2002. The site plan shows the location of the drain fields of the septic system as being on Lot 13. In your letter of July 23, 2002, you indicate that because the as built survey verifies that the drain field for the septic tank is located on Lot 13, that this is a violation of various St. Croix County Ordinances, and Wisconsin Statutes. You also ask that soil evaluations be conducted on Lot 12, and a sanitary permit be obtained through this office, so that a new system can be installed on Lot 12. Sent By: Gwin Law Firm SC; 715 386 6456; Sep -23 -02 5:15PM; Page 3/4 Mr. Rod Eslinger September 23, 2002 Page 2 Re: Lot 12 of Windsor Heights Normally I would agree with your assessment of this situation, however, based on Wisconsin case law, relocating the septic system may not be necessary. Under the Supreme Court Case of Thiel v. Damrau, 268 Wis. 76, 66 N.W.2d, 747 and a subsequent line of decisions, our Supreme Court has held that where adjoining lots are described by lot numbers and adjoining owners take conveyance from a common grantor with reference to a boundary line marked on the ground that the boundary line of the lot is the boundary line established by the common grantor and is binding upon the original grantees and all persons claiming under them. That case law remains good law in the State of Wisconsin, and under that theory, the property owned by Mr. and Mrs. Mastella for Lot 12 would include the northern portion of Lot 13, upon which the current septic system is built. Under that theory, there would be no violation inasmuch as that property is owned by the Mastellas. It may, however, take litigation to establish that theory to this fact situation. In an effort to determine if some of the soil borings done on Lot 13 by Kim O'Connell are in fact in the area of the as built drain field, you and I determined in graphing Mr. O'Connell's measurements onto the Ogden Engineering survey that there may be some boring holes in the area of the as built septic system. I have been requesting for some time that Mr. O'Connell relocate his soil borings from his records, and mark them so that Ogden Engineering can add those locations to the June 11, 2002, as built site plan. If there are sufficient borings in the area, I do not believe it will be necessary for additional testing to be done. Mr. O'Connell has indicated today that he is calling your office to inform you of his progress on relocating those boring sites, but he has not advised me as to when they will be staked so that they can be added to the Ogden survey. Until this is determined, my clients do not want the vegetation on the west end of their lot destroyed, and a new system put in, if in fact that may not be necessary at all. If you have any questions on this please contact me. In the meantime, we would request your indulgence in granting us additional time to Sent 8y: Gwin Law Firm SC; 715 386 6456; Sep -23 -02 5:16PM; Page 4/4 Mr. Rod Eslinger September 23, 2002 Page 3 Re: Lot 12 of Windsor Heights have the respective professionals complete their work so that we have accurate facts on this matter. Very truly yours, GW;LA FIRM, S.C. Hugwin HHG:av Enc. cc: Mr. and Mrs. Larry Mastella Sent By: Gwin Law Firm SC; 715 386 6456; Sep -23 -02 5:15PM; Page 1 GWIN LAW FIRM, S.C. 430 Second Street, Hudson, Wi 54016 Telephone: 715- 386 -9510 Fax: 715- 386 -6456 E -mail: gwiniaw @spacestar.net Hugh H. Gwin Hugh F. Gwin of Counsel FAX FAX FAX FAX FAX FAX DATE: O - Z 3 -C - # pages, including cover: '- TO: ",O 'Ll 1►'� fir' FAX# COMPANY: ` Crot� (�Uwe �.1 FROM: Hugh H. Gwin RE: COMMENTS: cc 011A � \O V' Vl, Je �. - Urgent: For review: Ur g For comment: Please reply: _ Original to follow: Yes _I No The Information contained In this faeslmse 1s attorney privileged and confidential Information irrtanded only for the use of the Individual or en tlty na med above M the reader of V W message to not the Intended mctpkm% or the employee or agent responsible or d istribution copying deliver k to e Intatrded rec are hereb nnotified that any dissenllnatlan. d I of this cor al e On Is strictly Prohibited• it you hove received this communication in error. p 6&se notify us Immediately by telephone. and return the original message to us at the above address via the U.S. postal Service. decerrwxwomceeae cover ehe"doc — created 7121M GWIN LAW F IRM, S.C. Hugh H. Gwin The Gwin Building Telephone: 715- 386 -9510 Stephanie J. Zeman 430 Second Street Fax: 715 -386 -6456 Hudson, Wisconsin 54016 -1510 email: gwinlaw@spacestar.net Hugh F. Gwin of counsel September 23, 2002 Sent by Facsimile and Mr. Rod Eslinger Hand Delivery Zoning Specialist St. Croix County Zoning Office 1101 Carmichael Road RECEIVED Hudson, WI 54016 -7710 Re: Septic System Location for Lot 12 of Windsor Heights SEP 2 4 2002 ST. CROIX COUNTY Dear Rod: ZONING OFFICE As you know, I represent Larry and Barbara Mastella, who are the current owners of Lot 12, in Windsor Heights. This letter is in response to your letter of July 23, 2002. You and I have had conversations and conferences at your office about this situation, but I believe some of the items discussed should be reduced to writing at this point for your file. As you are aware, Westlake Builders was the developer of Windsor Heights, as well as the general contractor for Mr. and Mrs. Mastella. My clients had a building plan which had been prepared for them to build on other land that they owned in eastern St. Croix County. Westlake Builders was to be the general contractor at that location. My clients decided not to build on their own property, and to instead build in Windsor Heights, after Westlake Builders had the lot lines identified for Lot 12 by cutting a bulldozer path through the woods so the Mastellas could see the boundaries of what Westlake represented to them to be Lot 12. After the property was purchased in July of 1999, Westlake proceeded to make modifications to the building plan, site the house on the property, and build it. Westlake employed Bill Shumacher as the licensed plumber to install the septic system. We have supplied your office with an as built site plan prepared by Ogden Engineering Company dated June 11, 2002. The site plan shows the location of the drain fields of the septic system as being on Lot 13. In your letter of July 23, 2002, you indicate that because the as built survey verifies that the drain field for the septic tank is located on Lot 13, that this is a violation of various St. Croix County Ordinances, and Wisconsin Statutes. You also ask that soil evaluations be conducted on Lot 12, and a sanitary permit be obtained through this office, so that a new system can be installed on Lot 12. Mr. Rod Eslinger RECEIVED September 23, 2002 SEP 2 4 2002 Page 2 ST. CROIX COUNTY Re: Lot 12 of Windsor Heights ZONING OFFICE Normally I would agree with your assessment of this situation, however, based on Wisconsin case law, relocating the septic system may not be necessary. Under the Supreme Court Case of Thiel v. Damrau, 268 Wis. 76, 66 N.W.2d, 747 and a subsequent line of decisions, our Supreme Court has held that where adjoining lots are described by lot numbers and adjoining owners take conveyance from a common grantor with reference to a boundary line marked on the ground that the boundary line of the lot is the boundary line established by the common grantor and is binding upon the original grantees and all persons claiming under them. That case law remains good law in the State of Wisconsin, and under that theory, the property owned by Mr. and Mrs. Mastella for Lot 12 would include the northern portion of Lot 13, upon which the current septic system is built. Under that theory, there would be no violation inasmuch as that property is owned by the Mastellas. It may, however, take litigation to establish that theory to this fact situation. In an effort to determine if some of the soil borings done on Lot 13 by Kim O'Connell are in fact in the area of the as built drain field, you and I determined in graphing Mr. O'Connell's measurements onto the Ogden Engineering survey that there may be some boring holes in the area of the as built septic system. I have been requesting for some time that Mr. O'Connell relocate his soil borings from his records, and mark them so that Ogden Engineering can add those locations to the June 11, 2002, as built site plan. If there are sufficient borings in the area, I do not believe it will be necessary for additional testing to be done. Mr. O'Connell has indicated today that he is calling your office to inform you of his progress on relocating those boring sites, but he has not advised me as to when they will be staked so that they can be added to the Ogden survey. Until this is determined, my clients do not want the vegetation on the west end of their lot destroyed, and a new system put in, if in fact that may not be necessary at all. If you have any questions on this please contact me. In the meantime, we would request your indulgence in granting us additional time to y Mr. Rod Eslinger September 23, 2002 Page 3 Re: Lot 12 of Windsor Heights have the respective professionals complete their work so that we have accurate facts on this matter. Very truly yours, GWIN LA FIRM, S.C. Hugh H Gwin HHG:av Enc. cc: Mr. and Mrs. Larry Mastella RECEIVED S E P 2 4 2002 ST. CROIX COUNTY ZONING OFFICE ST. CROIX COUNTY WISCONSIN ,�.a�w�.� i���• ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 July 23, 2002 Bill Schumaker (Installing licensed plumber) 1070 Scott Road Hudson, WI 54016 Mr. and Mrs. Lawrence E. Mastella (Current owner of lot 12) 482 Carriage Lane Hudson, WI 54016 West Lake Builders (Owner of lot 12 when the POWTS was installed) C/O Richard J. Grekoff P.O. Box 703 Hudson, WI 54016 RE: Septic system location for lot 12 of Windsor Heights. Dear Sirs and Madam: It has been brought to our attention that the Private Onsite Wastewater Treatment System ( POWTS) serving lot 12 is located on lot 13 of Windsor Heights Subdivision, Town of Hudson, Saint Croix County, Wisconsin. This is a violation of the St. Croix County Sanitary Code, Wisconsin State Statutes, and the Wisconsin Administrative Code. An as -built survey done by Ogden Engineering verifies that the drain field and the septic tank are located on lot 13. As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that POWTS location is in violation of § 145.20 Wisconsin Statutes and COMM 83.25 (2) (e) and 83.43 (8) (i) [Table 83 -43 -1] Wisconsin Administrative Code and Article 15.04 of the St. Croix County Zoning Ordinance. This violation was first noted on May 21, 2002. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of May 21, 2002 in accordance with Chapter 145.12(4) Wisconsin Statutes. REQUIRED ACTION: By September 23, 2002, contract with a certified soil tester to have a soil evaluation conducted. The soil evaluation will determine the type of POWTS needed and its location on lot 12. Then contract with a licensed plumber, who will design the POWTS and obtain a sanitary permit through this office. The POWTS that will serve lot 12 must be installed no later than September 23, 2002. I anticipate that this matter will be resolved quickly. Please do not hesitate to contact me at the number above if you have questions relating this matter. Office hours are Monday — Friday, 8:00 am — 5:00 pm. Sincerely, Y l a inger Zoning Specialist Cc: Hugh Gwin, Gwin Law Firm, S.C. Steve Morris, Kingsbrough Homes, LLC Kim O'Connell, Certified Soil Tester Jon Sonnentag, Code Enforcement Officer ST. CROIX COUNTY WISCONSIN wwrwrwww■ - \�;,,, ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 July 23, 2002 Bill Schumaker (Installing licensed plumber) 1070 Scott Road Hudson, WI 54016 Mr. and Mrs. Lawrence E. Mastella (Current owner of lot 12) 482 Carriage Lane Hudson, WI 54016 West Lake Builders (Owner of lot 12 when the POWTS was installed) C/O Richard J. Grekoff P.O. Box 703 Hudson WI 54016 RE: Septic stem location for lot 12 of Windsor Heights. P Y g Dear Sirs and Madam: It has been brought to our attention that the Private Onsite Wastewater Treatment System ( POWTS) serving lot 12 is located on lot 13 of Windsor Heights Subdivision, Town of Hudson, Saint Croix County, Wisconsin. This is a violation of the St. Croix County Sanitary Code, Wisconsin State Statutes, and the Wisconsin Administrative Code. An as -built survey done by Ogden Engineering verifies that the drain field and the septic tank are located on lot 13. As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that POWTS location is in violation of § 145.20 Wisconsin Statutes and COMM 83.25 (2) (e) and 83.43 (8) (i) [Table 83 -43 -1] Wisconsin Administrative Code and Article 15.04 of the St. Croix County Zoning Ordinance. This violation was fast noted on May 21, 2002. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of May 21, 2002 in accordance with Chapter 145.12(4) Wisconsin Statutes. REQUIRED ACTION: By September 23, 2002, contract with a certified soil tester to have a soil evaluation conducted. The soil evaluation will determine the type of POWTS needed and its location on lot 12. Then contract with a licensed plumber, who will design the POWTS and obtain a sanitary permit through this office. The POWTS that will serve lot 12 must be installed no later than September 23, 2002. 1 anticipate that this matter will be resolved quickly. Please do not hesitate to contact me at the number above if you have questions relating this matter. Office hours are Monday — Friday, 8:00 am — 5:00 pm. Sincerely, Rod Eslinger Zoning Specialist Cc: Hugh Gwin, Gwin Law Firm, S.C. Steve Morris, Kingsbrough Homes, LLC Kim O'Connell, Certified Soil Tester Jon Sonnentag, Code Enforcement Officer