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HomeMy WebLinkAbout020-1353-62-000 /* w..Ibnsin Department of Commerce ,S,..•aty aid Buildings Division PRIVATE SEWAGE SYSTEM C c ?tYCroix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sal xP No.: Personal informafon you provice may be used for secondary purposes ( Privacy Vw. s.15.04 D int , S j Name: 1 City jJ y C) I�OWnSh State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 020 - 1353 -62 -000 de 00 / - :. TANK INFORMATION ELEVAT ON DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic tLiep,k I a O Benchmark d. 0 / ( / o /60 Dosing lithr,k43 cp0d i_It. BM 3.12- . 4 -0f Aeraatit n-- - ------ Bldg. Sewer 014- - /6.b - 1 92 - � . oc4D Holding 7/ Ht Inlet /- ,--5•T ss TANK SETBACK INFORMATION 0 Ht Outlet I y. ?rz Z • TANK TO P/1 WELL BLDG. Vent to ROAD Dt Inlet / y .9p Ps 2-o Air Intake Septic > S O t Z NA D t Bottom p�J ' / z . )1/96-, I - 4. p IZ , (S Dosing '4' / l' J/$ p' � ' >zs' NA Header /Man. /i.35 P7 P7 U L /2.'/S r Aerati • NA Dist. Pipe (eL,, t ! K i a,�ii " P7 s ' < /3.1 Hoyiing Rot. System 4._ -1 I M12 ,•v 1. ?6- /U PUMP/ SIPHON INFORMATION .. Final Grade '1 - -� jp, 35" ? ?• low S'. Guyer R 4---I Manufacturer Demand Demand Model Number 5-3, GPM TDH I Lift S, sl ric Ion 1 )C I TDH Ft Forcemain I Length ± z -1 Dia. Z 0 I Dist. To Well _ SOIL ABSORPTION SYSTEM �, /a BED /TRENCH Width Length < No. Of Trenches No. Of Pits Inside Dia. Liquid Depth / , 2 OJ I • pi EN 1 • N LEACHING Manu acturer. SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM z / INFORMATION Type Of ' ± / CH B M ei Number. System: C4,,-,7 2.. 3O - -7'S `_ IT Sri,, :,..,4„r DISTRIBUTION SYSTEM Header /manifold Distribution Pi (s) , { x Hole Size 1 x Hole Spacing 1 Vent To Air Intake //. . m l Length / Dia. f ( Length ,o(,..4.3.-- / I Dia. Spacing — 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 Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No h li on #'I. a /3/ la( Inspection #2: / / COMMENTS: (Include code discrepancies, persons present, eic. 9 S Location: 624 Alice Circle, Hudson, WI 54016 (NW 1/4 SW 1 1/4 0 36 T29N R19W) /- 3629192062 Cottonwood Ridge -Lot 62 y, {P Lue cc' aide > tea: 1.) Alt BM Description = 4r,f, o 0 fw�o ears. l � 2.) Bldg sewer length =11' y� ( ( - amount of cover = >y' 4.4 " e6O`- P ` / S) ed {v im+ .4 sr�„, 3 e-xp( &i ' v o tc 1�,1 4,/ rw 3vEl G1 .6r 4r ( of S-erk S1s rs a(4-4.41:17/ Dlru� Plan revision re qui e d? '� Yes ❑ No I Use other side for additional information. Date Inspector's Signature � No SBO 6710 (R.3/97) ( 5 " " _ / , 6C' 3v r a 1 n t 6 fit iii q 3 q9 7 1 CI,R -CL.E Safety & Buildings Division t i Sanitary Permit Application 201 W. Washington Ave. N■ PO Box 7302 sconsin In accord with Comm 83.21, Wis. A - C- pde...,` Madison WI 53707 -7302 Department of Commerce Personal information you provide may be f r1setcdn0ary p oses ' (Submit completed form to [Privacy Law, s. 15 (� county if not \ state owned.), Attach complete plans (to the county copy only) for tt Apr not less than 8 -1/2 x 11 inches in size. County /'. State Sanitary Permit Number ❑ C revious lication State Plan I. D. Number � KO I k 3R 213 E ` 1 r :�., revis if er I. Application Information - Please Print all Information s Location: Property Owner Name s . . , � y� a v -<'� ,�, Property Location jl) IN) SE SW sr 1 .J N ! �'1 C A RQ l V j N I f � S , " y q � N . 1V W 1 /4 S 01/4, S,3 4 0 T) / ,N, Ri E (or) `C./ Property Owner's Mailing Address J ` ` �(,* Lot Number Block Number 1 /At 111IGs( C)2ck : ' , Cityale Zip Code Phone N - ....,` =• Subdivision Name or CSM Number ll - I o s ON Wi I , 5yOi G j , 4713 )3(0)7 D Co •oi loo d Riajf II Type of Building: (check one) L J as ❑ City ❑ 1 or 2 Family Dwelling - No. of Bedrooms: p icot ' • ❑ Village O Public/Commercial (describe use): I$ Town of O State -owned 1 U 0 S UN III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road ' A�I(e C,ig_ck A) I. KNew System 12. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Num e s System ( Tank Only I Existing System 0k0 135 - (p -- 000 B) P Number Date Issued ❑ A Sanitary Permit was previously issued n 4, .a9. ) 9 , aob IV. Type of POWT System: (Check all that apply) DINon- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground i ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At- grade ) 3 / �'ZS ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: (ra fl ) ) 1 g V Dispersal/Treatment Area Information: I. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. .) (Min. /inch) Elevation Goo 858 8 .`1e t - 85,)S 89.)5 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 El 5'e i N �. 1 /du) eEks ❑ ❑ o ❑ ❑ ❑ ❑ ❑ ❑ VII Responsibility Statement • I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Si ture (no stamps): MP/MPRS No. Business Phone Number Tm tC Mfeeit 1 DQba4OY 7/5 /OHO Plumber's Address (Street, City, State, Zip C, ) /070 kii 15 Ail I -juW5c k) CI 9/01(Q (Q VIII County/Depart ent Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agen; Signature (No stamps) ,Approved ❑ Owner Given Initial Adverse Su j : e Fee) ` Determination n ' Vic, - fit, - _ -8, tab ( Kam, � IX. Conditions of Approval /Reasons for Disapproval; s-T t.L ...Lai 6—I e, ( 3 - 3 K 93- is S elt,,ku .- r510 t 4 ale ,�tW , s S -- E . 5.44 - (�,..L• f- e -Pt° -, .414-4r. �s c� °y to .t�toD 64 i••1`f Wisconsin Department of Commerce SOIL AND SITE EVALUATION / Division of Safety and Buildings Page / of 3 Bureau of Integrated Services in accordance,Aritni IL, R133,O9, Wis. Adm. Code complete site plan on paper not less than 8 1/2 x 11 in County Attach com p p p p gf res m "sizelan gust include, but not limited to: vertical and horizontal reference goint(BM), direVtk n and r -, 5 -71- b percent slope, scale or dimensions, north arrow, and locatiot and distance to nearest {oad parcel I.D. # t APPLICANT INFORMATION - Please print al 'information. ., , ; i . R iewed by Date Personal information you provide may be used for secondary purposes (Privacy w, s'....&540-4;1) (m)). f 7 r 1 (G q R Property Owner ` �'�rtykoga'ti,dn i/�/ � . 1 ♦ I_ ) L} . , Govt. r , f 1/4 . 5 w 1/4,S 36 T �_ ` E (ore)/ Property Owner's Mailing Address -..vim • - Block# Subd. Name or CSM# 1 S3 4uJct -k r k e - -}' r , ( Coflort. woad R , , 4 3 -. City State Zip Code Phone Number City Village Town Nearest Road qt� one um ❑ Ci El f 0 d c rt I w t i S 4 i ( Trif 673, 4 yd. S a eN. i Coy tea /U New Construction Use: Residential / Number of bedrooms 3 - V Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 60 gpd Recommended design loading rate ' 5 bed, gpd /ft t c 7 trench, gpd /ft Absorption area required /Zcr bed, ft 2 lax) trench, ft Maximum design loading rate r.� bed, d /ft g g gp (O trench, gpd /ft Recommended infiltration surface elevation(s) 9 7. 5"v ft (as referred to site plan benchmark) Additional design /site considerations CO - A*0r e-V • '7 .$C Parent material CrlaGI` cam. i U U-f .i c Flood plain elevation, if applicable .f/ 4 ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ s ® u ©s ❑ u ❑ S ® U ❑ S U ❑ s l] u ❑ S IN U SOIL DESCRIPTION REPORT Boring H orizon Depth Dominant Color Mottles Structure GPD/ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 o - loyr3�� —' S; ( a, bk WI-Cr CS l -C ,.f" ;.6 _ Arr.,bk my r` C5 . pr . 6. . elev.nd 3/191 to �/ /y F11 ? v r'f /lo V'- -S 3 VC v+-1 w -e- S ,lid .G QS' /o ft. Depth to - ' limiting factor - 3Z.. in. ' Remarks: Boring # 1 o -f3 toyr 3/a -- Si l Aw1o War- C 5 t -1 .5; • 6 6 i3-.36 fGy /(o . -- Sr') Iriiabk WI.Cr . CS - •S • ,= 3 36 sz. t o r W ' l PI F 7,s- r Y/6 V-c s 3 vc. k wve42 c- 5 ,f.. , ; ..c g Ground _ elev. ' Qflft• - , Depth to , limiting , factor 34, in. Remarks: CST Name (Please Print) Sign ture Telephone No. AIrk.I'Y . ,CC-- kv in.CA 104 -r -745= zy7 -4/a0S' Address Date CST Number '? Ce r 5 t %-' " £oAre..r S -e- - w /,5 - Yo 2 i' V -6- FY AC 309 1 PROPERTY OWNER �SU SOIL DESCRIPTION REPOR 2 Page - of 3 PARCEL LD.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. MunseH Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0-L3 I6yr 3 2 SiI Zmabk mfr CS I • 5 • C4 13 10 , `4th Si 1 2r,no,bk ,r - r CS — ' .5 . Zn Ground 3 3/ 10 yr4 I `f F/F 7.5yry /c' \XS 3vcm mefi cs -- NP IvP elev. Depth to limiting factor 3/ in. Remarks: Boring # ........................... .......................... ........................... .......................... ........................... .......................... Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # .......................... ......................... ........................... ........................... .......................... Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) 62, Cer nwaad Q,•d � f aSe‘G,k 160 net l n b IV.riejiS f frVC cz,m 1 ektr• loo. 0 yC(r'! r /� c 4a1cek r V rn z 21 tv • /Gr)• c] X Sv.5/crvx etc- r• 9 7. ST> CoA•IvrrrPIe ✓, 90.525 • I fi r 8 ■ eijo et • 33 \ . 1 0(1 4c 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 3g4 Z1? Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Lecro Septic Tank Capacity (gal) 1 a(, 0 Soil Absorption Component Size (ft') 85$ - '�- Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absoption Component Design Flow - Peak (gpd) ) 24,0 SS$ 4f. '_- Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic 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 seat' - -.- • and outlet filter shall be assessed at least once every 3 years by inspection. Th - tilte shall be cleaned as necessary o ns , re 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 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 1/3 the 1 liquid volume of the tank. If the contents of the tank are not removed at the e uid o lume o th q time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain Tess 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 r y► 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 system in alternate area at the owner's expense. Letitze etk ke Sy I- oLa V 4 UA St Croix County Zoning Office 386 -4680 Boumeester & Sons Exc. 386 -9020 Tri- County Sanitation 386 -2130 3 r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer LA - 1 a A • , Mailing Address Property Address - .. � _ • . (Verifcation required from Planning Department for new construction) .Ti City/State 1-11.1,I13 k .0Z Parcel Identification Number 046 /353 -1,„1-006. LEGAL D SCRIPT ON Property Location 11)/0 %,, 5 /if %,, Sec. 3 , T �9 N - // W, Town of 74/44,s60Ai • • Subdivision _, • % - ;r_., 1 6 - , Lot # 6A Certified Survey Map # , Volume , Page # Warranty Deed # 634 17-6X Volume /573 , Page # .39,E . Spec house 0 yes t no Lot lines identifiable yes 0 no SYSTEM MAINTENANCE • Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system proper operating condition and/or (2) Our .lnspection and pumping (if necessary), the septic tank is less than 1/3'1M of sludge. Uwe, the »adersigned have read the abov 1 ,`' " �' .�y r V and agree to maintain the private sewage disposal sy standards set forth, herein, as set by the Department o o- , , , .. and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been , , , • , must be completed and returned to the St. Croix County of , . three year expiration date. tY Office within 30 i i i ...._ SION' f i , ' : OF APPLICANT DATE OWNER CERTIFICATION i F tt • I (we) certify that all statements on. h�t fongn are true to the best of my (our) knowledge, I (we) am (ate) the owner(s) of the property described above, , virtue , a wary deed recorded in Register of Deeds Office. ' ii,... . r (-5 6( S OF APPLICANT ' .. . DATE *••• *• Any infottnation that is mis -rep may result in .,,, : y, the sanitary permit b eing revoked by the Zoning *••••• Y �8 •• Include with this application: a stamped, Kt ar ras ; deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed G ,. 1573 PAGE 395 /2 a 63 Document Number WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between NANCY K OLSON- ACKLEY, f /k/a RECEIVED FOR RECORD N ancy K. Olson 01 -09 -2001 10:00 AM Grantor, WARRANTY DEED AND JAMIE A DIERKS and CAROLYN A DIERKS DEPT Y FEE: COPY FEE: husband and wife, as survivorship marital property Gra ntee, TRANSFER FEE: 179.70 RECORDING FEE: 10.00 Witnesseth, That the said Grantor, for a valuable consideration of one PAGES: 1 dollar and other valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: Recardin• Area This IS NOT homestead property. Name and Return Address Together with all and singular the hereditaments and appurtenances FIRST NATIONAL LW belonging; And Grantor warrants that the title is good. P 0 BOX 187 OF WSW indefeasible in fee simple and free and clear of all encumbrances except HUDSON WI 6018-0187 easements, covenants, and restr of record, • warrant and defend the same. LOT 62, I LAT OF COTTONWOOD RIDGE IN THE TOWN OF _ D a , ST. CROIX COUNTY, WISCONSIN. (Parcel Identification 5 Number) „D this, day of 004aPy , 206 'NA V Y K OLSON -AC LEY, f/ /a Nancy K. Olson • L-- AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN Signatures) COUNTY OF ST. CROIX - Personally came before me this day of 20 authenticated this _ days , the above named NANCY K OLSON- ACKLEY, f /k/a Nancy K. Olson DIANE M. BARRON to me known to be the person(s) who executed the foregoing signature Notary Public instrument and acknowledge the same. State of wicconein 1 w 'm • .Q4, --- type or print name signature D type ran.� A. d TITLE: MEMBER STATE BAR OF WISCONSIN yp e or print name (If not, Notary Public ST. CROIX County, authorized by §706.06, Wis. Stats.) My commisson is permanent. (If not, state expiration date: THIS INSTRUMENT WAS DRAFTED BY � °I� 0 -) Robert F. Wall 'Names of persons signing in any capacity should be typed or printed below their signatures. r ,---- ....• .. bti ,.. ---.)- , „..e 5VD >.- '1' ''.' 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BOX14 - • � ROBERTS, WI 54023 N Ln �� � �� s d' "' So �� r'y 0 PARCEL B y .6, 2718 SQ. FT. / t.3�, \ 0.06 ACRES 9 c? N PARCEL A 2718 SQ. FT. i 0.06 ACRES 0 ( )---- g © nn 1 'I i 1 N SOT w U LEGEND (mil 1" X 24" IRON PIPE SET WEIGHING U - 1.13 LBS. 61 PER LINEAR FOOT � � Onj 0(3 L il • 1" IRON PIPE FOUND U • 2" IRON PIPE FOUND J • SEPTIC VENT Q -----__ _ C. 7- ,...., ‘,-;------------- N SCALE IN FEET 1" = 60' ` _ _ JOB #01 -91 -__ DATE 12 -07 -01 60 0 60 120 !_ SHEET 1 OF 2 SHEETS I MAP OF SURVEY PREPARED FOR: LOCATED IN PART OF THE W1/2 OF JASON BAST THE SE1 /4 OF SECTION 36, T29N, 4 H 4000 0 S SOU TH S OU SECOND STREET R19W, TOWN OF HUDSON, ST. CROIX HUDSON, WI 54016 COUNTY, WISCONSIN. SURVEYOR EDWIN C FLANUM NORTHLAND SURVEYING, INC. 856 A HWY "65" \ P.O. BOX 14 ROBERTS, WI 54023 PARCEL A (parcel to be deeded to Lot 61) A parcel of land located in part of the W1 /2 of the SE1 /4 of Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; being part of Lot 62 of the Plat of Cottonwood Ridge; described as follows: Commencing at the SW Corner of lot 62 of the plat of Cottonwood Ridge; thence N46°38'34'W, along the southwesterly line of said Lot 62, 213.68 feet to the point of beginning; thence continuing N46 °38'34 "W, along said line, 51.37 feet to the northwesterly line of said Lot 62; thence N21 °20'14 "E, along said northwesterly line, 114.14 feet; thence S01 °41'23 "W 141.65 feet to the point of beginning. Described parcel contains 0.06 acres (2,718 Sq. Ft.). Parcel is subject to all easements, restrictions and covenants of record. PARCELB (parcel to be deeded to Lot 62) A parcel of land located in part of the W1/2 of the SE1 /4 of Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; being part of Lot 61 of the Plat of Cottonwood Ridge; described as follows: Beginning at the Southwesterly corner of Lot 62; thence N46°38'34'W, along the southwesterly line of said Lot 62, 213.68 feet; thence S01 °41'23 "W 34.05; thence S54 °13'38 "E 192.73 feet to the point of beginning. Described parcel contains 0.06 acres (2,718 Sq. Ft.). Parcel is subject to all easements, restrictions and covenants of record. I, Edwin C. Flanum, Registered Wisconsin Land Surveyor, hereby certify that the above described and mapped property was surveyed by me or under my direct supervision and that this map is a correct representation to scale of the boundaries to the best of my knowledge and belief. f EDWIN C. . i FLANUM S -2487 • = r HUDSON . tr �i,�w'•. WISC. • •�0�� id FIN 0 1 , �b SHEET 2 OF 2 SHEETS , 1338 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. Soil & Site Evaluations County Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal r ce a direction and percent slope, scale or dimemsions, north arr aRa *, Onta pis n to nearest road. pares I.D. 020 - 1353 62 - 000, ID# 36.29.19.2062 Please print ` atiorb `; \ B Date Personal information you provide may be} f o econdarr eeest(FhiTcy 0% . (1) (m)). o , J �( g' ?m it. Property Owner Location Nancy K. Olson . t~ ' " i. !,, 1 ;� 2000 o of ' NW 1/4 SW 1/4 S 36 T 29 N R 19 W Property Owner's Mailing Address < T CRC3tX Block # Subd. Name or CSM# 1820 Aspen Drive - Apt. #205 `'', ' „Ol✓,y'y / " 2 Cottonwood Ridge City State Zip Code P4ibt'1eKhj4 iCE �/ J `• City Village Town Nearest Road • Hudson WI '6 , 541? Hudson I Alice Circle a., id New Construction Use: tiM Residential / Nti rooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Recomend installing trenches using high capacity infiltrator leach chambers at elev. = 85.25'. 1 Boring Borin Bori # Pit g Ground Surface elev. 90.77' ft. Depth to limiting factor >105" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft *Eff#1 *Eff#2 1 0 -13 10yr3/2 none sil 2fsbk mvfr as 2f,1m 0.5 0.8 none sicl m 2 13-36 10yr4/4 s cl 2 sb k mfr aw if 0.4 0.6 3 36-45 10yr4/4 none Is lmsbk mfr cw - 0.7 1.2 4 45 -105 10yr5/6 none fs Om mfr - - 0.4 0.6 2 Boring # Li Boring lei Pit Ground Surface elev. 89.65' ft. Depth to limiting factor >102" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 *Eff#2 1 0 -12 10yr3/2 none sil 2fsbk mvfr as 2fm 0.5 0.8 2 12 -26 10yr4/4 none scl 2msbk mfr aw 1 fm 0.4 0.6 3 26-40 7.5yr4/6 none gr. sI lmsbk mfi aw If 0.4 0.6 4 40 -102 10yr5/6 none fs 1 csbk mvfr - - 0.4 0.6 *Effluent #1 = BOD > 30 < 220 mg/L and TSS > a r < 150 mgl nt #2 = BOD < 30 mg/L and TSS <_,30 mg/L 5 - 5 CST Name (Please Print) Sig - ure: CST Number James K. Thompson - . 3602 Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 11/30/00 715- 248 -7767 ' Propertybwner Nancy K. Olson Parcel ID # 020 - 1353 -62 -000, ID# Page 2 of 3 Boring # Boring 3 g Pit Ground Surface elev. 89.75' ft. Depth to limiting factor >98" in. Soil Application Rate 1 Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 *Eff#2 1 0 -10 10yr4/2 none sil 2fsbk mvfr as 2f,lm 0.5 0.8 2 10 -33 10yr5/4 none scl 2msbk mfr aw 1fm 0.4 0.6 3 33 -54 7.5yr4/4 none sl lmsbk mfi cw if 0.4 0.6 4 54 -98 10yr5/4 none fs 1 msbk mvfr - - 0.4 0.6 s n 4 Boring # Boring lei Pit Ground Surface elev. 89.49' ft. Depth to limiting factor >97" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft *Eff#1 *Eff#2 1 0 -13 10yr3/2 none sil 2fsbk mvfr as 2fm,1c 0.5 0.8 2 13 -31 10yr4/4 none scl 2msbk mfr aw lfmc 0.4 0.6 3 31-42 7.5yr4/6 none gr. sI 1 msbk mfi aw 1 f 0.4 0.6 4 42 -97 10yr5/6 none s Osg ml - 1 f 0.7 1.2 .88 .Be I 5 Boring # A B Ifl Pit Ground Surface elev. 90.18' ft. Depth to limiting factor >103" in. Soil Application Rate I Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 *Eff#2 1 0 - 13 10yr4/2 none sil 2fsbk mvfr as 2f,1m 0.5 0.8 2 13 -35 10yr5/4 none scl 2msbk mfr aw 1fm 0.4 0.6 3 35 10yr5/4 none Ifs lcsbk mvfr cw 1 f 0.4 0.6 4 44 - 103 10yr5/4 none fs 1 msbk mvfr - - 0.4 0.6 59. llo 79s (!, * 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 department at 608- 266 -3151 or TTY 608- 264 -8777. r / 2/4. 36' /off G2 P/a o c • So:/ ere4 ; v Cc .arIwood, r . ast' P,t /ik_dso 5 •cdr/X Co,, N - .<eak:/ . % SO' cv� 31Z2B' 81• ccrr ou•' ,20,E 88' g8.0 con4z)w ek r ( 8R0 'cer,•Eeur (1 o y w k ` f " s — 90.0 Coma,...- Bz y ■ c ,c /pc ? '9 c "'t� , 9/. c Coritow- • 266:3 J1.0 1 Gohfoa/ • C {. aAi. • To of .Le."..ed. 8/ cA ate' To , of t e/e' caned eke: = ,41 ice C,,-r/c Cu 1- de - Sac. R 1338 N a O a) O O a 0 O d y O O � O C h 41 O 0 C . .0 O a) a) p O j C -0 ; C co U O y 0 O C O c O C _N L 0 0 L 0 i y p O y D O T T .p y ›. >. y T T 0 Z ' P. 0 Z j �. d yCOC d y CSC 'C til E O O E O O ' O N - f 0 0 0 w •Y O O ' a3 N. y T co a) C 1= u .c U C O a= yL O w C.2 3 O B C.L -. C Z a) d � _ Z 0 O. _ IL C v 0 °' C °c° CO O O d CO CO • v co v 3 8. 0 ,- o 8D C < N,- 1L00 < I V' • N • Z E a a O :: O r R' � 0 0 0 0 z d d U U CO I N - z X 0 G X (0 C C C i. O co O r co C z a3 0 z 4 ( C c w 0 C 4 0 i'+ r O . C O _ C O _ N H,- d aa)i 3 a z ac ) 3 a z . 0 2 am M o aco m O L � l3 d 0 5 f0 d w O) (mil 0 O d 0) 0 0 d 0 y y y C y d) E C • d 0 L ' � Z y O s •j Z N O C O U d CO O U d CO co Q Z c z F w N Z Z vit CL .. E E E C V E E C V $ E _ ` hi Q. l0 ate+ y y in y E co 4 Uco 33 ' o w g ' o o n m m o a m m o •IV `" 1 _ a d d z In' Z y a • 3 co -1 0 - y 0 N N Z Z Z Z 111%.4 ' m o CO a) O O a) O O j v o o = -o "0 � o z) m c c i t m c c 2 V i • y < O) Q O a) y Q m< O a) °8' 4p a z in z in m Q z in z in c . _ o 0 G co 0 w e4 0 N .w � 0 cV H C �.+ Q c0 O) E 0) E O C� O ( C 4) . @ a7 D 0 O a N 8 O N 3 a) U a a) U N N d O O L ,, N N E C C C a N N C c R _ N N �O In -, O C 7 C O C 7 C ...._co O V M y U O 0 d .a f\ O y U O 0 a1 - M O I • 6 O csi N co O 0 0 E a) U O O ,_v) 0 E )6 U O O 6, O M 2 O M O Z (1 2 w Z n. `L' ( n ~ E b « c U - R • d a = 3 d L a • et d y O M Z. A • D ag 0 Parcel #: 020 - 1353 -62 -075 02/09/2005 05:04 PM PAGE 1 OF 1 Alt. Parcel #: 36.29.19.2062A -10 020 - 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 * DIERKS, JAMIE A & CAROLYN A JAMIE A & CAROLYN A DIERKS 624 ALICE CIR HUDSON WI 54016 -7956 Districts: SC = School SP = Special Property Address(es): *= Primary Type Dist # Description * 624 ALICE CIR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.193 Plat: 0194 - COTTONWOOD RIDGE '99 SEC 36 T29N R19W PT NW SE & SW SE Block/Condo Bldg: LOT 62 COTTONWOOD RIDGE 2.193AC LOT 62 FKA 020 - 1353 -62 (2062) & FKA 020 - 1353 -62 -050 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) (2062A) EXC PT TO LOT 61 DESC IN 1796/02 36- 29N -19W SE & INC PT DESC IN QC- 1796/01; COMM SWLY COR LOT 62; TH N 46' W 213.68FT; TH S more... Notes: Parcel History: Date Doc # Vol /Page Type 12/20/2001 665855 1796/02 QC 12/20/2001 665854 1796/01 QC 01/09/2001 636464 1573/395 WD 07/07/1999 606362 1440/085 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 49970 378,100 Valuations: Last Changed: 06/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.193 54,500 238,000 292,500 NO Totals for 2004: General Property 2.193 54,500 238,000 292,500 Woodland 0.000 0 0 Totals for 2003: General Property 2.193 54,500 238,000 292,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 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 \ ` \ j \ ¥ o> I / } ti kei / ) @ et > i c ® E ƒ m m ƒ 'es § � 0 c id }�E U. ) V eL 3 3 7 \ 7 co 2 • «_ $ \ Z B o 0. z \ t 2 o co / § m cc o o z £ ]# - \ k k Ix k 2 ) i z $g = 2 ).c ok 2 ƒ §k ' a - )) } } k k 0 i n — .. z / ; \_ C " t ® # E ^ 3 a3 & % o o 13 Ci a _o § \ 0 0 g o ■ u) u) z o / . ; \ o o o z - 0 u _ a a a 7 1 Z . 1 § � j \ § § k k o I ti Iftafte . } Cs/ / / _ 1) § § / / I @ ƒ m \ k < Z / ƒ I \ 2 2 0 E % �g 2 £ „Si 9 , . 0 3 § I. CO k 7 § @ 8 R I. § �n �k ) \d 1 • m k J 2} .2.., o a . e I o § _ 1 w G cc; 2 , o no z 2 I I % « 1 • % � i \ \ E ° ] k a § o. 0 a o I A o a 2 : 0 co o