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020-1479-12-000
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X ti o v ca r `\.. o b n, o Om a o O ,o O O ,�, y on °ix co N : ST C PLANNING & ZONING .4, November 19, 2009 Kernon Bast c/o Edina Realty, Inc. . 400 South 2 ' Street Hudson, WI 54016 Code Administrat RE: Compliance deposit refunds for Cottonwood South '07 lots 715- 386 -4680` Section 36, Town of Hudson Land Information & Planning Dear Mr. Bast: 715- 386 -4674 >' recently reviewed the Board of Adjustment Decision for the above subdivision while Reall'rope " ^` processing a sanitary permit application and noted that you have compliance deposits that 715 -3: X may be eligible for refund. According to Condition #5: Re. cling "The plan shall be accompanied by a $100 nonrefundable staff review fee and a cash ' - 386 -4675 compliance deposit for the lot. The compliance deposit for the six lots under construction shall be $1,100 each, and the compliance deposit for the remaining lots in the subdivision shall be $300 each. The cash compliance deposit will be held by the Zoning Administrator until construction is complete, permanent vegetation has been established, and the project is found to be in compliance with the conditions of this approval, at which time the deposit will be refunded in full. Upon completing construction on each lot, the applicant shall submit to the Zoning Administrator photos of the completed construction and certification from the project engineer that the construction has been completed as approved to serve as proof of compliance." Our sanitary database records show eight (8) permits were issued whose POWTS have been installed and inspected. However, there are some non - compliance issues that must be resolved before lots 2 and lot 24 will be considered "complete". com lete . We need ed to obtain elevations and documentation of the building sewer and tanks that were installed on lot 24 without county inspection and the mound on lot 2 does not meet the required setback from ': the north lot line. 4i When we have received photos that document completion of construction on each lot, your a '4 deposit refunds will be processed. 5ioc ely, A Pam Quinn z Zoning Specialist Cc: Brian & Molly Hayes, lot 24 property owners Andre Buechner, lot 2 property owner 4 v. ST. CRO /X COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON W/ 54016 . SAINT -CRO1X wi. us 715 FAx PZ @CO WWW. CO.SAINT-CROIX.WI.US ' "t n n meofCommerce PRIVATE r SEWAGE SYSTEM County: St. Croix y and Building Division INSPECTION REPORT Sanitary Permit 506343 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID N.. 1 // Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Amor 0 `•t Permit Holder's Name: City Village X Township Parcel Tax No: //�' / Bast, Kernon Hudson, Town of / /� CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: ` - ' "1 /06' 0 •en' C 4 / gi ✓iiILe 36.29.19. TANK INFORMATION ELEVATION DA A TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (A „ / Z z Benchmark r / �� a Dosing l/ �/ (JCS- aZ,(hi /P3:7 Alt. BM "r! g �/ / y f 02. a g (NM DSO) C/ °Leer a . G - q 7 , 7 Aeration I G�„ Bldg. Sewer 3 0 1. , < . y // ?L 9Z -31 Holding St/Ht Inlet 12 ./9 ?/-St TANK SETBACK INFORMATION St/Ht outlet •3 7 O� /2, 5 - v TANK TO eL WELL BLDG. Vent to Air Intake ROAD Dt Inlet " V (nil At-'71,1t4. - �� via ✓yitd �•1.4yleigi--al- Septic ` 5 � 1 , ` Dt Bottom '/ / Qsf ! > ' . l Dosing • / � � Header /Man. __ i ' Ims. _. —............—--,%e.,, Aeration '� .� / Dist. P',.': . let I, itl) c . � 1 PPM Holding minim 1 w WNW Bot. Sy 7?'as_ =i,. _. )i�../ • R! /� . Final Gra q1 9 . 5 " PUMP /SIPHON INFORMATION (71/,(�td / Manufacturer Demand St Cover / i ce . GPM 2 —1 j',aGY ki , Z �.'1 - s Model Number [ TDH Lift Friction Loss . - . _ , Head 1 TDH Ft / : 3 D 0V ;� )z9z-d4e-A7, _sat ;:( d-14s , Forcemain Length– ' Dia. Dist to Well ��� /�, i. 12, 4 i pe�P c( L� 2g-i2 J _ � � G � �, - c(---- / b.e4 s- d --; SOILABSO SYS TEM .}- _3 eQ� C(! �Z-2n� BED /TRENCH Width Length , N o . O /Trenches PIT DIMENSIONS No. Of Pits inside Dia / r`•�! fat pth / , / /2 DIMENSIONS I q /1 f 1 / /- SETBACK SYSTEM TO L 1 l P /LL S • BLDG WELL LAKE /STREAM EACHING Manu�ctE+rer„ if yzio/ Qfk INFORMATION Of S em: CHAMBER OR �l' "n T ��I ►�"'" K ' / ypnstye , f 6 / N 07 A) .�� - Model Number: DISTR SYSTEM ) w / (.4 Header/ nifolil /� Distribution , . d I 1j ,/,t� x Hole Size x Hole Spacing ent to r l takes Pipe(s) g g 0 r _ i 0-6.2.044.J. Length G Dia y Length Ia Spaci J SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only / 2 - 1 Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Censer Bed /Trench Edges Topsoil t q 1 Yes No Yes No 12 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: - 1 2 /0 Inspection #2: / / ` Location: 605 Schwalen� Hudson, WI 54016 (SE 1/4 . L ,,, 36 T29N R19W) Cottonwood South '07 Lot 1 Parcel No 36.29.19. rcel / � �,, 1.) Alt BM Description = Tip 1 2 1 0'CL• - . < 7 '4 4 ear�ed 9 / 1� 7 ' a l ) p j it,A0 2.) Bldg sewer length = l y, / — /I/ //Kit 1/(A- ei.2 l/Y`L f µ - amount of cover =7 "( CLf -i , v ,jr; -eL 01 1 1. 1 1 b ' 4r ‹4-� – -ri 1 ( " Plan revision Required? ;,I Yes o 1 Use other ide for { /(/3_ r additional information. _t_. I sig l site' /�� Date 'I Insepctor� nature u SBD -6710 1 i2i (n A /hZ� {aI..�f er � 1/�d / -/zr-- yf ''',.', e ,C'e) 2;7 , , _ * /7 7ill ill 0/1.b Z4-1 ' : -- - '''Yc' 4 4 ' ,--' 1 2 ,7 t 'Y4/7PG i 1 . 0 "102 5c', 1,10 1/ 1\ : 1.■ OU 11 ------, 1 , : .,.. --„ .C 6 e r ( 7. 'ir ,2 c 1"4" v Id li fl / 11'' ---- - - - - - - ---- --- 2 V II _. 3, >I r g : b 1 1 ' k„ A ■ #11 a 0 4 3 61/ 2c19 1 ,i 7,; -41----.---7444:- 9 9e /.2//// . ,,, 1: ' L 1 Z 4 zt/ i/ it 'I IA - t ()/ Se:. 0 . L.4— j • .---4/o A ' '... . .._...,, 0-# . , , . -- 07 - 42 / . - ...../ ul D- •-t,/,' ' q- 0 01 -----, PoA 6 , . -,......... 1 - 5? -....L. .(6) e - , ' 1 ( c' _..-• ev LI A) 7 F / -7-- t'',. kk --- - ,_ ,,, :4 - .„.:°.,;, 1 , --\). ..',s • Iv \ , , It Iri I •c >1 0 : : 4 - - -- - --N- 2., :".- - ------ .1 : - 1/1 ---- I ' , 0 I b . l ir. 0 L 'd i , fflitA'' h ,AD , ' 2 -- •— _, ,_ ____ 36 _ , , 0 i i 3. 1/ ) i '' 4 --/ I , , ,,, / 14' ' 5 . : 1 4 poo - n .'^ — vv, 4 )(1/1.G , t,t1 t c ) ''' 4 ; ' s) 1 ilii 'r--' 4 / ,,,, _ /q4 * 4 . , 6 ' -. 2Y. C ! ■ ■ 2,;,,,-, „z77 9 /.2 / Ji i--r ..- r - CO 2.84 ' 123840 sq. ft co C. . . _ 4 8 AC. ,--- 2.64 • cres CV 2 3 LBO =1 0 14792 . ft �• C.B. . = 2.6 C. '.20 ACr JO 9 -,,• +sq.ft X \ C.B.A. 2.2 AC. 1039.0 \� F S S 6 t 0 y ,�� .• 211.x•' 1040. 4,.4. .. '� I / ;�p"f3 1 - - - -- 1038.8 -- -- =' �_ 20 330.00' i X ' 1 t 1037.1 c''t- / 041 1 \ 1 1 2.49 res ..cr -. 3 LBO 1043.50 ��� .4 sq. ft °� •�� S \ E- 2.13 Acres — �� i to Y C1 •; •i. = 2.6 AC. ` 92827 sq. ft p �� / , I �= 1044.50 ^ ``\ B.A. = 1.8 AC. o ,- -- / C 4 $ 20= 1042.00 k'a t �� 1� 449.77 1042.6 v`\ 13 X X �04� I l^ 2.15 Acres j 93760 sq. ft 8 X 1 44.4; C.B.A. = 1.5 AC. ` 1 LBO = 1044.50 1043.3 I X 1? A 1 ! ,, e: `7 Yl L1� 1043.7 467.83' X 200.00' ; 8�° °E 131.60' X �. �\ 1044.8 -N- 1044.4 X ,-. X / r 1045.3 1046.2 7 �N► dCpT ►fL�© (�p�n]D� � t 1048.8 \ X f� \� f II I . - E RECEIVED P it 1 1) commerce.wi.gov 1UEC 1 d B, Tidin Division C �, , X + c /� �+y n 2 1 a shingto i Ave., P.O. 13ox 7162 \, t I s Co n s 1 ` • S . CROIX CO N tt V 1 53707 -7162 Sa ry Permit Number (to he filled in b by Co.) Department of Commerce ONING O tCF , Li "d �� 3 n T 3 e - State Transaction Number Sanitary Perrnit Application c In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental /V A unit is required prior to obtaining a sanitary permit. Note: Application forms for state - owned POWTS are Project Addrels (if different thanmailingaddress) submitted to the Department of Comtnerce. Personal information you provide may be used for secondary • purposes in accordance with the Privacy Law, s. 15.44(I)(m), Stats. /,� h' I. Application Information - Please Print All Information i /,- Property Owner's Name Pa` . _, 1`, Y'VGt Property Owner's Mailing Address \\ , ' ropeny Locati _,ity, State Zip Code , i Phone Number , J 0 'h. l`3 ''A. Section 3 (o _ � ' \k.C.\ S G K) S\-1c)143 - 115-`k(c , ' -- IVI. 1 T - c N; R ) (circle 11. Type of Building (check all that apply) _ Lot n ' Subdivision Name m t or 2 Family Dwelling - Number of edroos p 1 dock # C ori wGeL� ,., � O , �/�/ r t t_ [) Public/Commercial Describe Use ��ZA/ v ❑ City of _ __ _ __._ t CSM Number 0 Village of ❑ State Owned - Descr Use , tg.•fownof k\ V..CD CC U% M 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) * T A. 1 New System 0 Replacement System 0 8 P Only LJ TrcatmenVHutd+r. Tank Replacement Onl ❑Other McxliC;c to Existing System (explain) re List Previous Permit Number and Date ss B. a Permit Renewal i'' Permit Revision 0 Change of Plumber ❑ Permit Transfer to New _ G C Before Expiration Owner O .3 3 I iv. Type of POWTS System • . p (Check all that apply) t t '' kNon- Pressurized ln- Ground ❑ Pressurized In- Ground At -Grade ❑ �¢ nd 24 i I. t of suitable ail • - rrKr •e 24 • of itch s n /J ' 1 ..F +�Jrm- ,o i nPdtheyie (explain /J!`1_'-1 El T an k 0 Other D ispersal Component (explain) ejL... i V. Dis ersalffreatarent Area Information: 4 0 ct r L: S Design Flow tgpd) Design Soil Application Rate(gpdst) Dispersal Ai s r ystern Elevation dC I 75 III e.r7 Y (4 \ ' L c e .,d VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units c v a i _ i New Tanks Exist rig Tanks a q Y o 2 a U • r» y ti L7 Septic or Holding Tank A74 _. / ' � Q % 1 I Dosing Chamber -J 3 ' �L J ,. ; , 1 VII. Responsibility Statement 1, the undersigned, assume responsibility for htstallatl n of the P VTS sh wn on the at , shed plans. + ._- Plumber's Name (Print) Plurnber's Q j�IGi PRS Number Business Phone Number 11 .S_ ` h nee - G rc� ----- le,, rr c . , 2 - 79" ? 7!S • -3-e4,57 Plumber's Address (Sweet, City. State, Zip Code) 447 5'2 e /KJ /, - 1�; __ S 1e?/ -.. -_ Vi11, unt /Dc arttneut Use Onl y y P Permit Pee Date is} ued lssui+ig nature s proved ❑ Disapproved C�% c . - l / � 'Il�i�22 0 Owner Given Reason for Denial (..) 1 I ✓i i IX. Di f l/R of A Conditions opprovaeasons or sapl.r ���/, d 6,2A -e k AAA) `z t -,r-r,� . II 0, Cm S _ � tt lr t� , �. Attach to complete pions le. the system submit to gat County only 011 paper. not than a in a 11 inches in size i 'yl t,c '� i3/ / b '7 / - . ulA_ Al. Cr riu - 1-1 1 SBD -6398 (R, 01/07) Valid thni 01/09 r i a/-7/ o 7 STEEL'S SOIL SERVICE 3 of 3 David J. Steel Kernon Bast 1699 150th St. CST - POWTSM SE1 /4,SW1/4,S34,T329,R19W New Richmond, WI 54017 Lic. #248956 Town of Hudson, St. Croix Co. Direct 715- 760 -0347 Cottonwood Ridge South Lot 12 Fax 715- 246 -0318 Legend N 1 " = 40' • = Benchmark Ele. 100.00 ft Top of 3/4" PVC pipe • = Alt Benchmark El 100.00 ft ;: Top of 3/4" PVC pipe k 0 = Borings e: '� �� Boring Elevation D� > 3M /Z, U 3 -.Z :1= 98.40 ft vv-A- x ( B2 = 98.40 ft (I' B3 = 98.10 ft I t • /\` B4 = 0.00 ft eite W `$° 4 i; 4 /./ . 2 6q, / i ; SI i ..................... a / 1 0 ,OD / i • ( l a 1 E 5 2 5 1 • ,,; / I. -, : t 17‘2' Zq 1 6/ 5 3' r . \ Vosconsin SOIL EVALUATION REPORT #1998 Department of Commerce in accordant ith Comm 85, Wis. Adm. Code Page 1 of 3 Division Of Safety and Buildings Steel's Soil Service County Attach complete site plan on paper not less than 8% x 11 i es in - Pla- must St. Croix include, but not limited to: vertical and horizontal reference poi BM), .' -...n and percent slope, scale or dimensions, north arrow, and location an ' tance' ne- .t road. Parcel I.D. 'ending Please print all information. Review By Personal information you provide may be -ed for I iEarivacy aw, s. 04 (1) (m)). : Date q ( Property Owner Property Location / Bast, Kernon lie 0 3 2007 Govt. Lot na SE1 /4, .W1/4, S36, T29N, R19W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 400 S. Second St. ST. CROIX COUNTY 12 na Cottonwood Ridge South City State • ip CodEONW r FNt ber City Village I Town Nearest Road Hudson 1 WI 1 54016 1 715 - 386 - 0217 Hudson 1 Cty Rd N 1 New Construction Use: i I Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement H' Public or commercial - Describe: na Parent material outwash plains and pitted outwash Flood plain elevation, if applicable na ft. General comments Conventional system, system elevation 96.20ft Trenches spaced nd depth to code 3.00ft below grade. and recommendations: ���� ����� � ��� J.,4/`�, t/, dii f't9"J� �� - ��'C'I%Y' ' �� -- �7 lb nuiril, 1 Boring # plc } 1 I Ground surface elev. 99.40 ft Depth to limiting factor 110 in. Soil Application Rate f iG/h— Horizon Depth Dominant Color Redox Descriptio�Te a Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 12 -24 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24 -58 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 / -110 7.5yr4/6 none ms osg ml na na .7 1.6 11 0 2 Boring # _ Ground surface elev. 99.20 ft./ Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. ColOtk,,._ .- Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 12 -24 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24 -45 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 45 -110 7.5yr4/6 none ms osg ml na na .7 1.6 1 y1,. i 11 11" 34 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 5 < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) .„.— Signature: CST CST Number David J. Steel . =' // � 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 1699 150th St New Richmond, WI 54017 10/13/2006 715 - 760 - 0347 SBD -8330 (R. 07/00) r Property Owner Bast, Kernon Parcel ID # Pending Page 2 of 3 3 Boring # -' Ground surface elev. 99 ft . Depth to limiting factor 110 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 I *Eff#2 1 0 -8 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 8 -24 10yr4 /4 none sicl 2msbk mfr cs na .4 .6 3 24 -31 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 31 -110 7.5yr4/6 none ms osg ml na na .7 1.6 / N n', 3 Boring # [_ 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 Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # I Ground surface elev. ft. D ept h to limiting factor 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 — ■ * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 5 < 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 p P need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R 07/00) Steel's Soil Service Me. 21908 101:417 1171 rauao _ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM QwnerBuyer KQM A) T- S Mailing Address 9& 14 eAeCs 2040 , 40.0S30 • )a�Lla 5`Oi�b - " ' y x .1• i 101 , s.::_. . � _ r y3 :0 ., .r 41 -'4 . 0 Property Address .�. •� - -� p rty , _ � .. (Verification required from Planning Department for new construction) City/State .. .. --.2&4,, l'ititiSOL) l GW SGavSr4) Parcel Identification Number WISL LEE:GAL DESCRIPTION • Property Location SE '/, SW i /., Sec. .3A a T 29 N - /9 W, Town of I/PO " Subdivision arrottic.ottl Sue)TH . Lot N 1Z Certified Survey Map a , Volume , Page # • Warranty Deed a l' 33 I I , Volume , Page a • Spec house y"' ycs 0 no Lot lines identifiable, ycs 0 no SYSTEM MAINTENANCE Improper use anti maintenanceof your septic system could result in Mote/nature foliose to handle wastes. Prayer maintenance r eased m What u put into the system t the septic tank every three years or sooner, c pumper you consists of pumping out Pt -err ye i[ needed by a 1 Po P _ ac tank as a treatment stage in the waste disposal system. Can affect the function of the rcpt B The property owner agrees to submit. to St. Croix Zoning Department a. certification form, waned by the owner and by 1 mastct plumber. journeyman plumber. restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system Is in proper operating condition antttof (2) aftrr Inspection and pumping (if necessary). the septic tank is less than 1/3 full of sludge. I /we. the undo ed have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth. - ` Tas set . the Department of Commerce sad the Department of Natural Resources, State of Wisconsin Certification stattn. • at r s - c system has been maintained must be completed and returned to the St. trout County Zoning Office wtthtn 30 days of t year c au date. `. d44- • 9 /7)147 5I • AMO PPLICANT DATE OWNER C RTIFICATION e) e • ify that all statcntems on this form arc true to the best of my (our) knowledge I (we) am (arc) the owner(s) of t e pro ri a vc, by virtue of Vs arranty deed recorded in Register of Deeds Office. 40 - a I 9 tZm /Zm 7 Sl • • - ' T APPLICANT DATE Any information that is mu- represented my 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 . • • • 2 ' 266L98ESI uosuyo[ . uose[ dT T TO CD. .E12 , oD • POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _ of ' FILE INFORMATION C, -� , n - _ \ ' Owner y • - C ' ` „Y8T6M SPECIFICATION "'"`� � IlP T ank Ca pacity Permit # "," - ---- e� gat ❑ NA Septic Tank Manufacturer i �.S �t� ❑ NA DESIGN PARAMETERS f E fl t Filter uen (te Manufacturer ❑ NA Number of Bedrooms dooms o it D NA Effluent Filter Model A 10Q) ❑ NA --- Number of Public Facility Units ( NA Pump Tank Capacity _ --- -�--- _. _ NA gal ❑ NA Estimated flow (average) --- O O 94. lyd4Y Pump lank Manufacturer `Q„ % e- p ❑ NA Design flow (peak), (Estimated x 1.5) PUIr ©a gel /clay P Cs- o V.-k d 0 NA Soil Application Rate f D 0 NA mp Model al /da . /ft Standard Influent /Effluent Quality Monthly average *. Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 rng /L Ci Sand /Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (80D 5220 mg /L q NA 0 Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) 5150 mg /L p Disinfection 0 Other: Pretreated Effluent Quality Monthly average bispereai Cell(s) ❑ NA Biochemical Oxygen Demand (BOW 530 mg /L Q In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids ITSS) s30 mg /L 0 NA 0 At - Grade ❑ Mound Fecal Coliform (geometric mean) s10 cfullQ0m1 0 Drip -Line 0 Other: __ Maximum Effluent Particle Size Ys in dia. Et NA Other: ❑ NA Other: Q NA 0tFit+rt -- --_ DNA "'Values typical for domestic wastewater and s e p t�c tank effluent. Other: D NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(si At !east Once • eve ; ■monthls) --- Y ear(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When aumbined sludge and scum equals one - third 03) of tank volume 0 NA Inspect dispersal califs) At least once every: ❑ month(e) ..-- r_ R yearlsl (Maximum 3 years) ❑ NA Clean effluent filter At leas once every: ID monthls) 0 NA t I. *yearla) Q month(s) pump, pump controls & alarm ` l At !ea st Once every; r---. ~ +� _�— _ ❑ NA Inspect gum – [7 year(s) Flush laterals and pressure test ' At least once every; ,�, C1 month(sl ❑ NA ,__._ O year(s) Other: - d month(s) leaat on ev ery: •-- 0 NA ___ Q yearlsl � Othar. — _._ D 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 an the ground surface. The dispersal ceil(s) shat) be visually inspected to cheek 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 foiling 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 (3g or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113 Wisconsin Administrative Code. Ali 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. L Page — — tit • START UP AND OPERATION For new construction, prior to use of the POWTS ohook treatment tinkle) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the disperse' cell(s). If high concentrations are detected have the contents of the tankis) 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 nermel htghwater levels, When power is restored the excess wastewater will be discharged to the dispersal cells) in one large dose, overioading the collie) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the purr"In tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWT$ 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 sell 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; oontitiMe; cotton swebe; degreasers: dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peleiine;s; gssmllne; grease; herbicides; meat scraps; medications; at painting products; pesticides; sanitary napkins; tampons!; and water eaftaner brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of serv the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Dori rn $3,13, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks end pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the follpyvinp Measures have been, or must be taken, to provide a code compliant replacement system: O A suitable replacement area has been evaluated And may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, bet lines and wells. Failure to protect the replacement area will result in the need for a new soil and site eveluAtiofr to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. O A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a lest restart to replilee the failed POWTS. IAAQ The site as not en evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation be performed to locate a suitable repl$oment Brea. If no replacement area is available a holding tank may b ' talks s a last resort to replace the felled POWT . ❑ 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 vomely with the rules in effect at that time, < <WARNiNG> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CON prig, 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 DIi FICtlt,? OR IMPASSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER P WT I NT AiNER Name I Q 1\` i Asw , S t.s rAAS•RAL. Name Phone 7 i 6' ^ 3 ! .p, / ..,,.., Phone . SEPTAGE SERVICING OPERATOR (PUMPER) ,t�AL RE. ULATORY AUTHORITY Name Name _____ _. Phone Phone This document was drafted in compliance with chapter Comm 0.22l &tfl and 83.54(11. (2) & (31, Wisconsin Administrative Code. _. — ._ --- ... _ f commerce.wi.gov Safety and Buildings Division County , e 201 W. Washington Ave., P.O. Box 7162 � c / �/ s e o n S n Madison, WI 53707 -7 Sanitary Permit Number (to be f Iled in by Co.) Department of Commerce ; J t / _ 31 4 3 Sanitary Permit Application StateTransactionNumber In accordance with s. Comm. 83.21(2), Wis, Adm. Code, submission of this form to the appro gover :: - Mal /V 4 unit is required prior to obtaining a sanitary permit. Note: Application form for state -owne OWT ' ro ject A! • • ess (if • ifferent thanrnailing address) submitted to the Department of Commerce. Personal information you provide may be used for 'under ` i / 1 `+ purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stets. . s, , I. Application Information - Please Pr� I ©nfation V Property Owner's Nana - RECEIVED Parcel it p ' ��e �• ■ A t. 1. 6 v e ' r ./ Property Owner's Mailing Address s E P Property Location City, State Zip Code • III 118'10)&145U _ __. % , NTv ‘ ,- -- 4 1 - - -- - ' /., c /., Section �� / J <" circle one}�.� G.5�a,.1J i .tJ r - 411111111111111t. T a2 7 i R � E ar � 11. Type of Building (check all that apply) e l & Lehi - 5ubdivi .n Name or 2 Family Dwelling Number 0f iiedrooms W itI ... �e k . 1 CI W%.• fil0 44. � }/�� �# ed - ' ❑ Public /Commercial - Describe Use ■ sty or _ State Owned - Describe Use 1 CSM Number A Village of � ' 2 ._._ Z I #-22— .an, +• :... own of > 4.1 I11. Type of Permit: (Ch only one box on I(((ne A. Complete h ' B if applicable) . l 4 Q 1 f A. 1 Y/blew System ❑ Replacement System ❑ Treatrnent /Holdi Tank Replacement Onl �❑ Other Modification to Ems '� ■ 1 R • ❑ Permit Renewal I U Permit Revision 0 Change of Plumber 1 Pehmit Tran r to New List Previous Permit Number a -4 w sued Before Expiration 0 er `ci 1 4 s IV. Type of POWTS System/Component/Device: (Check all that apply) AIP to ` _WIMP Non Pressurized In - Ground ❑ Pressurized In- Ground ❑ At -Grade 0 Mound > . in. of suitable soi! ❑ Mound < 24 in. of suitable soil ❑ Hcitding Tank ❑ Other Dispersal Component (e;tplain) All Pretreatment Device (explain) _ V. Dispersal/Treatment Area Information Design Flow (gpd) Design Soil Application Rate( st} Dispersal Area Requir 4 (st) s ispersal Are posed (st) System Elevation Gr t�. 1 . , 7 _ .-7 ✓ r.. 7 v po7 /r w ..? <ed- - e„e.z I. Tank Info Capacity in 1 Total of tufacturer Gallons Gallons Units z e o ' New Tanks Existing Tanks , /) f 52s f g §- o R Septic or Holding Tank MAIM - -- - INA • Dosing Chamber �/ " .: ,: �. ...r I _ i t VII. Responsibility Statement- 1, the undersigned, assume reap . sibillty for Installation of the POWTS s n on the attached plans. _1 .1 Plumber's Name (Print) - Plumber's Signet e MPRS Number Business Phone Number >t f 4; 4 in ,"2:1.4 1-- L?ei ' -f'/' V _o - �. a,> ? / re 745 Plumber's Address (Street, City, State. Zip Code) / .1.,x..76' cc .- _ r _24_ ,g„s,:, -1_ llJ / ` g f 1'111. ounty /Department use Only _ Approved Permit Fee Bate 1s ued I Tit Signature iven Reason for Denial $ 19 .c° 9 nits.7 IX. ConditiptraamploalAteasons for Disapf,roval 3) a.);140.4.1_, n t. Septic tank_ effluent filter and 3 /eJrs. p `o; : e. A dispersal cell moat all vkies /maintained 4►4 S / be ser as management Ian provided by plumber. V O L O .Jtrf.a... W O i,JvAO_.•- At4. � PK P P 9 P- 464*..-62i. 2. All Haack requirements must be maintained al la per applicable code / ordkrittt:as. � � _ 1 Attach to complete puns to.. the system and subm t n the CO my only aligns! not less Than a in x 11 inches in size r etA- % SBD (R. 01/07) Valid tlau 01/09 r n ! &4 ck1 tau a. �..a. i 4 - \ % (Y) - k•• c.. .. ) ._. CsI , \t k \ 1 - 4 -- VI ....... , cp I 4 ' - e7 . O. • ''... kl ( „‘ r. \I\ '" .. 1 v:t•\, e. ,,, NA , -..., / 01 Alk----/---- -5 - , 1 ' •c' - --2 1 •:: 1 ..c.,_ / .._.- . 0 t, ''' ,„ I „ ,.... „..., _......., _ -- , ‘, ., ‘, N .,.. , . '. . r.) U r 1.— ---",---• 1 1 ( ta --a N N ' '.. \ ' 14 I 1 ; ! 1 \N 1 \ I \) 4' ...4 '.... ■•.. .1,■■ ... ■..■..■ ■.... d...... .r..■■■.. '''... ' N f 1 . ^v N c��z $2. S '`' --y \ '' i N a • PREPARED FOR: COUNTY PLAT KERNON BAST AND COTTONWOOD SOUTH DONALOA SPEEfl -BAST 900 LRBMIGE ROAD HUDSON, Mil same N LOCATED IN PART OF THE OF SW1 /4 OF THE SE1 /4, IN PART OF THE SE1 /4 OF THE SW1 /4 AND PART SURVEYOR OF THE NE1 /4 OF THE SW1 /4 OF SECTION 36, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, EDVnN C, fLANUm WISCONSIN; INCLUDING LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 6, PAGE 1642. I NORTHLAND SURVEYING, INC, i g 858A HWY 65'1P.o.DOx 19 LOCATION SKETCH ROBERTS. W1 5ao23 £ LEGEND • PH S ONE ]1>a9 -1]18 u g 19 ONE71 4494 za c xvxuMExr oux. WAX ENGINEER Pa ., T IRON REDA. FOUND I IIIII ENGINEER a fJ rans vgquxEwx FOOT 'cXlvc ' NCA INC. g o - \ r : 2920 ENLOE STREET , i r cx xD y z L. a IF IRON ATBAR SET. HUDSON. VII SAM . U. PEP UNEAR ToO € E ]153R152T FAX 715-310 .1 38 /x,,,,,1„. : o Q P `1D �� 'sTEEt suxrEV VR LrpuuD 0 P '' R ,'C `'IL NS :,,, - .. yL SGO N 3 • r 0 c E xa o I q A ' tiD SURN�y` /: / wi u EELEVar,DN �_- _- [ ' SECTION 36, T29N, R19W LL©7 9(1o3 (LOT 32 / £ l - - D.N OgwN.x.NwX w.,Fx «.qx / gsVCFC7R71mO:D© pp©OG , / / x «�a� rm 'aca „ a nc ;n ranc n� nmr / D' / d; cr rs;; w / 3! / a _ r Xur n•65, 1 >_ v x o Lancuet se• NOTE, oiFDD UNRUNK N xUxo.reo.. G WAY NATURALLY OCCURRING s� _ <e, �,,; LANDS N EUGLED, a oax.wKOONMN = - a - .uciwsr .DCinlxe O !! T +' 4¢ Q vu o us[ _ r, ,r '{$Fu ” e 1 26 . qF ° . N>fi a >a� b' � - mac s :E . Dx 19 s .,.a., SD Fr. .. 163 i " FRONTIM �ORDINARYNIGN a..Au.. o i ry KA,ERM.R .0 MM. 8 D , „� '•;,'. TOP Ox w aR "88”...,,,,,, Ir v 18 a.P sEF,NI« - NGx =,D.E« (c,'„; Olnl T Isean sp.n .. acv LBO. AD % :D.... T +/Oh 25, 40,9( Og, Z 4 15. 2F 25 s � F F s _� 24 $ m • TOE OF REB R ;: o :o R. w � ''‘'). € m �17 f ...NON _ ,D.E_ i 14 x D_,D DD • 20 21 a . R i 22 .D.,D.,DD D 23 , L W r 3 I 6 ,# a ...._, ..._ ....._ _.... .......... _._... _.. ,, gds a� ..2F _._ W as I I , � o - . ■ �� � �” T SxAPEDruRNaminK .. p E ° E .S, 0. _. _ _ S y HR a A \ ' LOCATED AT ENE ENO OF S - , ETLEMENTOR IYEGONTNxED a - a` W.. INS waxr.OrwAYAND g - - Rou BEOEMso.KITINEOF , 1 $ WEFT - - - -1 - — p _ — a § � N .... 31➢ }— I ° ' a 10 D TI a s 11 T. • �� J z,. a 1 x � • s ! z � 1 6 yi•'IY � Y 1 D W .. - 4'1-./- .'Ai ,°. ::::, : .E F M5 B 15 . 14 a _ x o r- — - a L RD_,D DAD z 1 % d 0 UTLOT/ '�yy ££ I O 3B mot I �� V a .,waw LBG ,aa B = C T iNEb JEIA � � 2 - (' $ DNNNv N ' _ NOTE; xp OWNER GR RESIDENT S1.1.1.00 ANYTHING La X w ATERD wX CXw 1 1tV7 1 ENFEREw,m G RCxWGE rNE . ER DRAINAG E «E DS0I EROSION eDDDMxREBExEI E 1 E i II RAINADEOU.wNPLAxFOR q N • NYS PUT MIS INCLUDES RUT IS NOT METED To - D P k RN BUSSING UPGN, OBSTRUCTING. ALTERING. FILLING. a ORE ALMO.ORRANTINGIN. ".DRAINAGE ,, , Se � 13 }. �� AREA. OR EASEMENTS. WATER DRAINAGEDNOMES T 04,-; , i „• WATER RUNWAYS WATER CULVER BERNSOq ; DMSSSEEDIxGS , W , z OUR« w NwE =,D S D O w w A L" ii cnpxb ,_ F e x.�SDTaE,a,Rx. _ „ ,n1 DRAIx l0l0 COR LINE OE - — w mw f q D ... N • m N69 3326 E w N69 E 1316 60' Secnoxr _ -. ATM. N. - - - - " - - 1320.6 ... i. SHAPED iuxxAeanK "'� • . .ore: u.L,rTEASENE.US epr B a I!.n _; LOUiEO AT NYE ENO OF Durso *, vunev FVR]nE toeanox NO VOLE. BURIED CABLES NIETO.EPI,OED SUCH 0001100 OF iNE COMMON SEPTIC S.SrEN MN DS,xDxGA,FD STARE- ORaoem iIMSNINuwia Awrw u EO n,.e OF DUAL ' 1'. NAY... WATER ARE MEET ONE THE DKTNRRANOE OF SURVEY STAKE ROAD EXTENSION Gwns«snN IN wDDGMiE t aisco ARE FOR THE USE Or PUBLIC BODIES AM arn D xrs '" As eREIU PIAS.,c TENSE DODTRwe TOR SEPTIC g DESIGNED FOR . SET ' ' ` � URINATE vu inE RIGHT TO io A . 0.1. SERVE S 11 1 ...NOEL WOVEN ON 71193 AR. M.LAWS, ISSUd�p , W1 To STATE, S R :E„ ANA �,N . O s I L, ETC,. MORE PURCHASING OR ACCESS TO NOTE A DEVELOPING ANY PARCEL OE LAND CONT.. THE ST TOWN... FOR ROME AND.PPgoPRMiE sUw eG TO S „oxeL.ND .L:DxrAG, THE 2oIxNG ON SAID LOTS TO DETERMINE goUNI. NEDUIxExEN,s SCALE IN FEET 1” = 100' rnK INSTRUMENT DR.nEO NV xewx REED JOB lMD. D.ie D,., w, 100 0 100 zoo SHEET 2 OF 3 SHEETS ' gf SOIL EVALUATION REPORT ' #1998 Department of Commerce in accordance with Comm 85, Wis. Adm. Code age 1 of 3 Division'of Safety and Buildings --* Steel's Soil Service County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. endi g Please print all information. Revi ed By Date Personal information you provide may be used for secondary purposes Priva 15.04 (1) (m)). 1 9 / Z 7A 7 Property Owner RECt1V ED Pro rty Location Bast, Kernon Govt Lot na SE1 /4, 1/4, S36, T29N, R19W Property Owner's Mailing Address NOV 0 6 2 006 Lot Block # Subd. Name r CSM# 948 Labarge Rd. 1 na Cottonwood Ridge South City State Zip C de S Pho NT City Village Town Nearest Road Hudson 1 WI 1 540 715 -7 ® J Hudson I Cty Rd N New Construction Use ' Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD [ Replacement ❑ Public or commercial - Describe: na Parent material outwash plains and pitted outwash Flood plain elevation, if applicable na ft. General comments Conventional system, system elevation 96.20ft Trenches spaced nd depth to code 3.00ft below grade. and recommendations: ` —__, 1 Boring # El Boring Z Pit Ground surface elev. 99.40 ft. Depth to limiting factor 110 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 1 0 -10 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 12 -24 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24 -58 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 58 -110 7.5yr4/6 none ms osg ml na na .7 1.6 f ch. w ■ .......„---T...,0 2 Boring # Boring Z Pit Ground surface elev. 99.20 ft. Depth to limiting factor 110 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 1 0 -10 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 12 -24 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24 -45 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 45 -110 7.5yr4/6 none ms osg ml na na .7 1.6 / q (, 20 _____— $ / , ■ * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 5 < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) ignature: / Wirr CST Number David J. Steel L ���� , ■ — , 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 10/13/2006 715 - 760 - 0347 SBD -8330 (R.07 /00) Property Owner Bast; Kernon Parcel ID # Pending Page 2 of 3 ❑ Boring 3 Boring # ❑ Pit Ground surface elev. 99.20 ft. Depth to limiting factor 110 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 1 0 -8 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 8 -24 10yr4/4 none sic! 2msbk mfr cs na .4 .6 3 24 -31 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 31 -110 7.5yr4/6 none ms osg ml na na .7 1.6 1 1 1 I \ 1 '1 / 1 1)k0 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 Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff #2 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 Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 <150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD - 8330 (R.07 /00) Steel's Soil Service • STEEL'S SOIL SERVICE 3 of 3 David J. Steel Kernon Bast 994 200 St. CST - POWTSM SE1 /4,SW1 /4,S36,T29N,R19W Baldwin, WI 54002 Lic. #248956 Town of Hudson, St Croix Co. Direct 715- 760 -0347 Cottonwood Ridge South, Lot 12 Fax 715- 684 -3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1 " =40' ✓` • = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ❑ = Borings .-416111 Boring Elevations � B1= 99.40 ft B2 = 99.20 ft B3 = 99.20 ft / 6 /3 - B4 = 0.00 ft /Z._ te` \ic AIL 3ar 6' S4 r y co 2.84 • - - 123840 sq. ft to 39 Acres c.:. . =4.8 AC. 2.64 ' cres N 959 sq. ft L80 =1• _ .0 14792 - ..ft 23 I. = 1.7 AC. =2.6 C. '.20Ac =- = 1042.00 x 9 ~:• + sq. ft 1 039.0 C.B.A. 2.2 AC. 1 5 \� 4 . IIIPAS 44; -- -�. _ x / ,• _ 211.x•' 1040. �� 4.64' . - - - -- 1038:6 - ___ ____ ---- - - - - �L. - 'so 2.. • ig.Z 330.00' 1 ' �\ I , .\ X 1 1037.1 ( 3' 04 1 t " ' 2.49 res ft s N f..: , 2.69 • cr C.B. -. = 2.1 •C ---> -'� 4---- 3 117 - • ft LBO 1043.50 Sq. 2.13 Acres `j I � ' � C.B. • . = 2.6 AC. L : • = 1044.50 ;,. 92827 sq. ft `_ B.A_ = 1.8 AC. o ", 4 c 4 Q2 ` ` \`, .B0= 1042.00 IV , _ *977 1 ' .1 1 1042.6 x 1I; `''__< 13 _ x *04 ' j 2.15 A r 93760 sq. ft 8 4 44.4; C.B.A. = 1.5 AC. 8 , ' LB0= 1044.50 `'"`� -- 1043.3 r x 1043.7 _- 2II8'4S`'' -- - 1oo 467,83' x 200.00' f °E 1316.60' x 1044.8 1044.4 , X X 1045.3 1046.2 U PT►`[;D a Rf 1 t 1048.8w r 1 ' SEPTIC TANK t PUMP CHAMI3LX CSC: SS SECTION AND CPDCIFICATIO'''S • " 12" V GRADE �+ �VEIvT PI PE 1.. MIN. ABOVE i WEATHERPROOF CI >25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W/ PADLOCK f FINISHED GRADE .WARNING LABEL 4" CI RISER ...�,____..4" MIN . I 18 IN. -5 " MAX. INLET '� ""• \ �- ---- ---- WATER TIGHT SEALS GAS• , i '' :""""""•" TIGHT; - SEAL / JOINTS WITH ,PPROVED ±•-- ' ALM APPROVED PIPE 'IPE 3' S ' 'ON 3' ONTO INTO SOLID '" '� 1 SOLID SOIL ;OIL PUMP OFF ELEV. FT. ____. -- -M- OFF f t * RISER EXIT PERMITTED ONLY _ ` t IF TANK � ..,« -.- MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD S PECIF I CATI ONS SEPTIC / DOSE TANK MANUFACTURER : t 11tesve.t. NUMBER DOSES PER DAY : 4-/ TANK SIZES SEPTIC 1`a.SO GAL. DOSE VOLUME INCLUDING _ __ D OSE $as GAL. FLOWBACK: JS 9 GAL. S � . INCHES �. GAL. ALARM MANUFACTURER. f es, _' ,p,cZe� CAPACITIES. A a a NC HE - MODEL NUMBER: II IN g = 2 INCHES = 4 �• GAL. SWITCH TYPE: t`c��.ge. PUMP MANUFACTURER : Cgvy� C = g INCHES : 1 6$ GAL. MODEL NUMBER : P t3 j) SWITCH TYPE: roc.Rc D = ( INCHES = I ,,L GAL REQUIRED DISCHARGE RATE __ 0 GPM PUMP & ALARM WIRING AS PER ILHR 16.23 WAC rr ia.. FEET *^ DI PIPE i r ERT.�c.AL DIFFERENCE BETWEEN PUMP OFF AND D + MINIMUM NETWORK SUPPLY PRESSURE . �2. .55 FEET + Cc, Q FEET FORCEMAIN X •.,.`NFT /100 FT. FRICTION FACTOR . . 77 ?, S FEET TATAL DYNAMIC HEAD : /. FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ,�- ; WIDTH •--�" ; DIAMETER LIQUID 1�EPTH g " (L pet 1 SIGNED: / j r / 4 4- ' .t^-' " '-- --- LICENSE NUMBER: . 1 c DATE: 1/88 [GOULDS PUMPS Submersible Effluent Pump off . 13=11.1111111111111111.111 4 7 EPO4 ., 3 871 EPOS , ,... . APPLICATIONS • fully submerged in high • EPOS impeller. Thermoplas- • Bearings: Upper and Sower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and effleient improved performance. construction. following uses: heat transfer, • Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and strength and corrosion • Farms manual operation. Auto- resistance, 41 Canadian Standrds Assodadon • Heavy duty sump matic models indude •Motor Housing: Cast iron (CSA listed model numbers end • Water transfer Mechanical Float Switch for efficient heat transfer, in "f" or "C ".) • Dewaterirrg fador' strength, and preset at the and durability. � Goulds Pumps 1:150 9001 Regisi►rsd. SPECIFICATIONS • Motor Cover. Thermoplastic FEATURES rover with integral handle and • Solids handling capability: -- °—" float switch attachment points. '/." maximum. • EPO4 Impeller: Therrnonlas- • Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: l' /? NPT. seal protection. • Mechanical seal: carbon - rotary/ceramk- stationary, BUNA -N elastomers. • Temperature: 104°f (40°C) continuous METERS FEET 140°F (60 intermittent. • Fasteners: 300 series I .. stainless steel soPM - • Capable of running i dry without damage to a _ 7..5 - Fr — components. 2s; L . g 7- Motor. t ._._ . • EPO4 Single phase: 0.4 HP, i 6 " 20 115 or 230 V, 60 Hz,1550 R - PM, built in overload with s rs 15 automatic reset. a 905 EPO5 Single phase: 0.5 HP, 1 15 V, 60 Hz, 1550 RPM, 3 - S a __ . _ . bulk in overload with !: automatic reset. 2 " • Power cord: l0 foot s ' standard length, 16/3 ' SJTOW with three prong grounding plug. Optional 20 0� 0 u t 20 30 40 50 GPM foot length, 16/3 SJTW with three prong grounding plug 0 x 4 s 8 10 t2 awn - (standard on EPOS ), uPacrry Goulds Pumps ITT industries 0 2000 Goulds Pumps t;) Effective February. 2000 8.871 833 -1E 1— KATHLEEN H. WALSH REGISTER OF DEEDS • ST. CROIX co STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD . Document Number WARRANTY DEED 08/30/2006 01: WARRANTY DEED THIS DEED, made between Michael E. Larson and Joann L. Larson, EXEMPT • husband and wife, Grantor, and Kernon J. Bast and Donalda J. Speer -Bast, REC FEE: 13.00 husband and wife, Grantee. TRANS FEE: 2580.00 Grantor, for a valuable consideration, conveys and warrants to Grantee COPY FEE: described real estate in St. Croix County, State of Wisconsin: PC ESE: the following h'� PAGES: 2 SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: Edina Realty Title, Inc. 400 2n 115 Exceptions to warranties: Hudson, WI 1 544 016 16 V Easements, restrictions and rights -of -way of record, if any. 511203 , ,— {11 — *{ -111 020- 1109 -60 -000.. 020 - 1109 -90 -100 Parcel Identification Number (PIN) This is homestead property. Dated this 18th day of August, 2006. -.414- AI I..ti.�. •� Y 111PAL L tar * Michael E. Larson * J L. Larson * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Chp(j Br OW" STATE OF WISCONSIN ) NptA,N P u bliesT. CROIX COUNTY. ) ss. authenticated this 18th day of August, 2006 State O' "jeJCOn Personally came before me this August 18, 2006 the above named Michael E. Larson and Joann L. Larson, husband and * wife to me known to be the person(s) who executed the TITLE: MEMBER STATE BAR OF WISCONSIN foregoing ' trument and acknowledged the same. (If not, authorized by § 706.06, Wis. Stats.) f 1 / THIS INSTRUMENT WAS DRAFTED BY *Cheri B Iwn Notary Public, State of Wisconsin Peterson, Fram & Bergman — Steven H. Bruns My commission is permanent. (If not, state expiration date: 50 East Fifth Street, St. Paul, MN 55101 3/11/2007 ) (Signatures may be authenticated or acknowledged. Both are not necessary .) *Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2 -2000 1 of 2 . EXHIBIT A A PARCEL OF LAND LOCATED IN PART OF THE NE % OF THE SW % AND PART OF THE SE '/ OF THE SW % OF SECTION 36, T29N, R19W, TOWN OF HUDSON, AND IN PART OF THE NE 14 OF THE NW '/ OF SECTION 1, T28N, R19W, TOWN OF TROY, ALL IN ST. CROIX COUNTY, WISCONSIN; INCLUDING LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 6, PAGE 1642 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE; MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE S '/ CORNER OF SAID SECTION 36 BEING THE N ' CORNER OF SAID SECTION 1; THENCE S00 °26'27 "E, ALONG THE NORTH -SOUTH '/ LINE OF SAID SECTION 1, 24.00 FEET; THENCE N45 °18'02 "W 34.02 FEET TO THE SOUTH LINE OF THE SW '/ OF SAID SECTION 36; THENCE S89 °50'23 "W, ALONG SAID SOUTH LINE, 1268.60 FEET; THENCE N44 °48'35 "W 33.73 FEET TO THE WEST LINE OF THE E %2 OF THE SW ' OF SAID SECTION 36; THENCE N00 °32'26 "E, ALONG SAID WEST LINE, 1480.62 FEET TO THE CENTERLINE OF COUNTY TRUNK HIGHWAY "N" AND A PONIT ON A 1999.00 FOOT RADIUS CURVE, CONCAVE SOUTHERLY, WHOSE CENTRAL ANGLE MEASURES 2 °43'02 ", WHOSE CHORD BEARS S79 °16'37 "E AND MEASURES 94.79 FEET; THENCE EASTERLY, ALONG THE ARC OF SAID CENTERLINE AND SAID CURVE, 94.80 FEET TO THE POINT OF TANGENCY; THENCE S77 °55'06 "E, ALONG SAID CENTERLINE, 967.65 FEET; THENCE S76 ° 47'47 "E, ALONG SAID CENTERLINE, 280.04 FEET TO THE NORTH - SOUTH' LINE OF SAID SECTION 36; THENCE S00 °27'05 "W, ALONG LAST SAID '/., LINE, 1216.78 FEET TO THE POINT OF BEGINNING. NOTE: Lot 1 of Certified Survey Map filed April 8, 1986 in Volume "6 ", page 1642, as Document No. 410755 is included in the above described lands. • 2 of 2