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HomeMy WebLinkAbout020-1112-50-200 o w 0 3 o d M o Ln CCD w <D A rr I - p• A� C/) CD 0 o W 0 C N N O• �• < y O d IV 4 H CD ' fD 0 y t0 N C t�D y 0 0 j K) ►+ G) Q O Cr Uf O C t C O O Q O 0 3 _ N f�A fyll O � O O 0• of (DD rn ° N cn z D m co D w a � � W c C c w ( 4 o cn CL O o 2 0 N N C < o o a 0 r ch m y W W O Cn � .? C cr .y. M lu M O 000, N 0 o G N z y 0 v 3 O N CA rn( D »� m T 0 0 r O (D !D N CJi 7 r► w N (p A C O a M :. z ° c z z =� y o o 0 'o I ' w .Z7 y I m c N C CD w a a 3 5 z CD (° A 2 N O c CL A 0 7 C c N CL 3 z I c fT � 0 Z m g � I a CL o' 'm c o a CD N I a I I y A I � q I � � I N O ti O (D Op 00 N 69 CD o a Parcel #: 020 - 1112 -50 -200 01/12/2005 08:07 AM PAGE 1 OF 1 Alt. Parcel #: 12.29.20.458A -20 020 - TOWN OF HUDSON Current XX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner JOHNSON, MARK H & KIM A MARK H & KIM A JOHNSON 1056 HWY 35 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1056 HWY 35 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 4.480 Plat: 1228 -CSM 15/4046 020/01 SEC 12 T29N R20W PT NW SE BEING CSM Block/Condo Bldg: LOT 02 15/4046 LOT 2 4.480AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 12- 29N -20W NW SE Notes: Parcel History: Date Doc # Vol /Page Type 01/21/2004 752313 2495/481 QC 06/27/2003 727785 2292/441 WD 03130/2001 641586 1609/497 LC 07/23/1997 444/88 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48539 404,900 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.480 54,900 258,300 313,200 NO Totals for 2004: General Property 4.480 54,900 258,300 313,200 Woodland 0.000 0 0 Totals for 2003: General Property 4.480 54,900 0 54,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 139 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 Wisconsin Department of Commerc �FJ VALOATION REPORT Page of Division of Safety and Buildings op , - in cco (Qth Comm 85,'WIsi Adm. Code County Attach complete site plan on paper s t s in size. JSlan must i include, but not limited to: vertical an Ito onta n *pot (BM),, dirdction and Pa I.D. percent slope, scale or dimensions, n�aihow, an ition and distance to nearest road. �ZJ� ;,29 020 qS i �.�, •° > � Re awed y Date Please print`a1�dgTtn� >41gi�. r Personal information y ou p rovide ma be used for sec y () ( )) l 1 LOS y p y pur�o9e� (Privac Law, s. 15.04 1 m . P erty Owner Property Location 1 f V 4 P-� Govt. Lot jji,3 1 /a' J F- 1l4 S IZ T,119 p- .mar) W Property Owner' ailing Address Lot # I Block # Su Name or CSIM City State Zip Code Phone Number ❑ City Village Town Nearest Road J J New Construction Use: " Residential /Number of bedrooms L );'U K Code derived design flow rate GPD ❑ Replacement �� ❑ Public or commercial - Describe: Parent material V LgGi t31_ ?i L L, Flood Plain elevation if applicable Genera co mments 86QIIV4 and recommendations: C J F/-1 Boring # Boring ( spit Ground surface elev. j7 19 Q ft. Depth to limiting factor 1 in. Soil Application Rate Ho ' n Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 is hL - SL s L k rn I C-w aA A Boring a 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 A -� .o I -- S(- / �sb 1 r5 1 1 6.4 4, $; I -ZZ ) 4- 4- — /ill s 1/ I cs ri 0 :7 Z ZZ -ZQn o its Sc- e -- 67 i Z • _ _ > < #2 = BOD < 30 and TSS < 30 > < _ Effluent Effluent #1 BOD 30 220 and TSS 30 150 m9n- mg/L CST N (PI Print) Signa re CST Number Zo-vL.Y j n 44 iS6tV J►,d� �ZZ7 7 Address Date Evaluation Conducted Telephone Number �t� �x L-Jb� -24&k I zaysl 3 ~w 4th® T s Property Owner Parcel ID # �' Page of 3 ff ] pit Boring # Boring ❑ Ground surface elev. J C •-. ft. Depth to limiting factor 7 A in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 04 6. - -3 4 — /W.S cs ZI .7 I'Z V1 4 6.7 i. a Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. - go — ilApplicabon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 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/ff? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- ' 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. S81"330 OL6M) 3,,v 3 1 i r� �a c la � 1 : 4 ( N 1 � la I, 1� i 1 pp � gin�S�tic ��, 26 "aa�. I C aLu 166.E d n �- EL • q'7,SO 3s � V tLS.J - k El B -3 Env, - gS . i ' ` W FILED a CU .MAY R 2001 i w r i 4 CU MAR 0 7 2001 o -y 6 J H.YIALSN -7/ Q) x o x SS. C IX I RECORD ` 01 Doft wwo 0 g "= SURVEY St N (nu � r : yrca � tJ CEP ��FI SUP VE Y MAP Located in the Northwest quarter of the Southeast quarter of Section 12, Township 29 North, Range 20 West, Town of Hudson, St. Croix County, Wisconsin. E1/4 Corner - Sec. 12-29-20 No improvements or structures are allowed between the right -of -way W and the setback line. Improvements include but are not limited to Owners: o N \ signs, parking lots, parallel driveways, wells, septic systems, drainage Roy &Angie v � � facilities, etc., it being expressly intended that this restriction Hart ll constitute a restriction for the benefit of the public according 1054 Hwy 35 z \ to section 236.293, Wisconsin Statutes and shall be Hudson, W i . v \ enforceable by the Dept. of Transportation. SST "oirtact the Wisconsin Department of Trans - poltation District Office for more information. Tkphone number may be obtained \ by contacting your County High - D.O.T. ,yam wa Department. Approval number °� °\ ��qy 55 -35 -3192 -2001. � ? w, F�c�AFFq to •'••... ° CU CU Uj cn e / •. 4s / *4 � Y � _.. ( SE:.' y. •.' °�' � 1 2 I �' Tao ,, rFje\ �'�. �� • Q m 42963 Sgft. tL a p I W `� .('9.774 ,acres) Q o e 'r c •. Sc (� Q 2 2 y i O In Z I m I� GARAGE A(TVEb I x tO Q 3 21 Q� W IM g �� ST. CROIX COUNTY o1 - Planning Zoning and Parks Committee O o; a O S m y Q to HOUSE p a•1 w z a W 1a ivIAR 0 12001 U) �� (, ooa� 0 to 1 0 21 ht W o- a� ' rde i s of n Q 1 Q 2 Q J o ' 0 2 W ( approva date a ; J I I N r Q I ®s NED null and void s 1 k Q i O Q1 Z I O mo •- I 80. 0'1 598.23' I 0 1 J I •'� .� Qi N 01'08'03 "W 678.23' Q I I J d' til �I tl I tD l I I Z' LOT 2 Z Q1 N I c 195154 Sqft . j rn � +4.480 acres) N C 1/4 Corner N D Sec. 12 -29 -20 N01 -06 , 51 Bearings referenced 990.1 to the North line of WEST LINE OF SE I14 mill 1' the SE 1 /4, as sumad N 01' 06' 51 "W 647.577 S1/4 Cor. . N89 0 04 1 30 "E. Sec., 12 -29 -20 STARR_ WOOD ADDITION / 7 OUTLOT _2 SCALE IN FEET l'= 150' N This instrument drafted by: 100 200 300 4002689 Vol. 15 Page 4046 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430150 0 GENERX. INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal inforn'ration you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Johnson, Mark I Hudson Township 0 1f1 -- //I Z- 5O — Zc)b CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: kO .g 3 Ito-93 , , h -1-re e- 12.29.20HS A TANK INFORMATION ELEVATION DATA Z10 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic w 5 �_ (Z Benchmar � ((Z'� (r • 9 3 - ) L. Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet - 13 ID�• b S� TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ' S� � v � � t Dt Bottom �r • ` r � • � Dosing T` Header /Man. , L` r • �. ri too •�3 Aeration Dist. Pipe 11 a ILND . Holding Bot. System t2 • i • f. 4 PUMP/ Final Grade HON INFORMATION W (-2- 1c)4 O4.�(, Manufacturer De nd St Cover U q r GP Sr D 7 D� - 3�'E' Model Number TD Friction Los S stem He J TDH Ft F Length Dia. Dist. to Well SOI ORPTION SYSTEM RENCH Width Length I No. Of T enches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM S 3 Ord . S0 �Z SETBACK SYSTEM TO O � P/L BLDG WELL LAKE /STREAM LEACHING Manufachi s�ee(( INFORMATION Type Of System r CHAMBER OR Ste.• R • UNIT Model Number: Z a DISTRIBUTION SYSTEM A/-. Header //Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake _ 1 Pi �s Length \ Eb/ Dia I Le is 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 L Yes ] No Yes ` ] No COMWI TO6 (Inclu code di encies, persons present, etc.) Inspection #1 2 Inspection #2: / Location: w y 35 N Hudson, W1 54P1 6 (NW 1/4 SE 1/4 12 T29N R20W) NA Lot 2 Parcel No: 12.29.20. 1.) Alt BM Description = /'T• `�•.w" Cb``v' �� ��$(/Y �v/ / 2.) Bldg sewer length = (o / K C%� •�•t.6 d+� �" . AIM h n -_ +� n amount of cover = J� 4- U'As Ore V 3 ) � A -186D q "dj a- one* to eir � .A ,%TU*0K. Plan revision Required? Yes X No Use other side for additional information. Z ' f SBD -6710 (R.3/97) 1 4te �� Insepctor's Signature Cert. No. I _ Al Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 57. f Vis ConSI n Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in o.) ) Department of Commerce (608) 266-3151 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Priv --3 Project Address (if different than mailing address) I. Application Information - Please Print All Informs on ✓f„ S a6 Property Owner's Na me 'J!. j, L. Parcel /1 4 Lot 8 Block # i Y Property Owner's M ailing Address ; Property Location D S . - ..._ AIAV u, SE 6f,Secdon City, State Zip Code Phone Number J 6 - (circle ) H. Type of Building check all that apply) S i m" tn� T ° ° l� N; R a W) 19 1 or 2 Family Dwelling - Number of Bedrooms y� S ubdivision Name CSM Number ❑ Public /Commercial - Describe Use S 1/ L - /S ❑ State Owned - Describe Use .3 S - ❑City_ ❑Village ®Township of x M. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' 9 New System y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑Permit Renewal ❑Permit Revision ❑Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) 99 Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Cipmber ❑ Drip Line ❑ Gravel -less Pipe ❑ O expl in) V. Dispersal/Treatment Area Info rmation: — Design Flow (gpd) Design. Soil Application Rate( gpds Dispersal Area Required (sf) Dispersal Area Proposed (f) System Elevation d ,S ��0. P s 9 . ,;� VI. Tank Info Capacity in Total Number anufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank / _ - Aerobic Treatment Unit Dosing Chamber VII Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown oil'the attached plans. Plumber's Na me (Print) Plumber's • gnature MP /MPRS Number Business Phone Number oZoS , Plum s Addre ss (Street, City, State, Zip Cod VIII County/Department Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issu g Agent Signs No Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial 2 V �� IX. Conditions of Approval/Reasons for Disapproval -�-a,, a,,, �.�✓ S eryi c,c� Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in she SBD -6398 (R. 01/03) OJ['2 ; ®0' - b1,16a - Pi PLOT & CROSS SECTION PLAN oI IJIPPA 6808. ExGWATIN4 MM N PLUMB" UNIT ... '" PRi�IECf !� (s�,GJ,�`Sf� �eSP7'ec Tith.eY a elf � y ~- Sc N Sr C efr/'�~ pfopos" v 7 &,b R 1 A R �SI�ENCE / Q) �Qp�oS�D � wtnQK — 3 0��'►I "�' �swo�0 '�eF • W E • ft,E✓. soo.oc g a�cN.n�R� �m c ..j a0•- &W . '�A P P� 8� ©6-S4f 4A,Tj oA) O r?. SIGNED: IrT VEN r p UCENSE: .ZW r7S`7 - /� /Nts�Ci� /�Mc� wiaen �G /�ISoJ� y `a/c se N Vo Apr G�'t'�°'�� : 801L TE8�Nrti 6Y: The Standa d Ini 11b ator Chamber V Overlap at Latching .. J/� - �i�o�rt05ea•.J ,� TE�kN Qo '1r••n �,�VAricKJ �� soy[`�K'i 0 c (o trv: v , SLOE. Vi 75' Effective Length o .� �so�v /�s�rF'� �� MJ �� ® lrt�+ �ea„�EJ�+ alb • ••� d ' p I PLOT a CROii SEC"QN PLAN ZAPPA No. §=VATIW IM �.Sfi PROJECT l,2 l�.tQ.ele°seP T.t�,ae• a i-o�i duel J 1 AE T o� e- �iCos«I i /0• A o � Z pQO�oSf� �ciC4akGc' 7 Igo R�1 R es,o&tLor p ago Q °P N v Ct(M�K IJM L. tN l+ CAZU. loo.00i �a A D 6, ..� a o� atir�� a� o SCALE ; Is EL.CV. /lO.� � - w1 f f�t'jNA �i f W -- E .k`C70n1 Pe PE 8 •� L0&SAQ4A, 102y SIGNED: V*:Nr 44p UCDAE: 57 DATE' 30 h'1 ►,„�,,� `1Y• A&-je- W `Ali �i~ io P -01 ,,sa�TESTwq sr: The Standa d Ini 11ti for Chamber '- Overlap at Iratd,a,g �r O � C O E� secE V i ew 75' Effective length � s Property Owner Mark Johnson Parcel ID # 020 - 1112 -50 -200 Page 2 of 4 F 3 ] Boring # Boring 4� Pit Ground Surface elev. 96.84 ft. Depth to limiting factor >122" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -5 1 Ory3/3 none Ifs 1fsbk mvfr as 2fm,1 c 0.4 0.6 2 5 -24 1 Oyr5 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 3 24 -58 1Oyr5/8 none fs 2msbk mvfr aw 1fm 0.5 0.9 4 58 -70 7.5yr4/4 f2d 7.5yr5/8 Ives Om mfi as 1fm 0.4 0.6 5 70 -86 1Oyr5/6 none Is 1csbk mvfr aw 1fm 0.7 1.2 6 86 -122 1 Oyr6 /4 none s/fs/Ifs )sgl1 msbk/2mst ml /mfr - - 0.7 1.2 Comm. 85.30(3)2 applied to discount redox. concentrations present within H#4. System must be installed >12" below this horizon. H#6 consists of many stratified layers of s, fs, & Ifs too numerous to differentiate. 4 ] F Boring # Boring 01 Pit Ground Surface elev. 93.06 ft. Depth to limiting factor >118" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP / in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 10ry3/3 none Ifs 1fsbk mvfr as 2fm,1c 0.4 0.6 2 4 -20 1 r5/4 Ifs 1 msbk mvfr s 2fmc 0.4 0.6 Oy none 9 3 20-48 1Oyr6/4 none Ifs 2msbk mvfr aw Urn 0.5 0.9 4 48 -80 7.5yr4/6 none Ifs 2msbk mfr as 1f 0.5 0.9 5 80 -118 1 Oyr5/6 none strat. s 0 sg ml - - 0.7 1.2 H#5 consists of many stratified layers of s & Is too numerous to differentiate. F-5 I Boring # M Boring !� Pit Ground Surface elev. 107.61 ft. Depth to limiting factor 66" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 10ry3/3 none Ifs 1fsbk mvfr as 2fm,1c 0.4 0.6 2 4 -24 1 Oyr4 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 3 24 -56 1Oyr5/8 none s 0 sg mvfr aw 1fm 0.5 0.9 4 fi as 1fm 0.4 0.6 56-66 7.5yr4/4 none slfs/Ifs Om m 5 66 -74 1Oyr5/6 112d 7.5yr5/8 s/fs/Ifs 1csbk mvfr cw 1fm 0.7 1.2 6 74 -143 1 Oyr6 /4 none strat.s &I Osg/1 msbk mVmvfr - - 0.7 1.2 Comm. 85.30(3)2 applied to discount redox. concentrations present within H#4. System should be installed >3G' above this horizon. H#4 & 5 consist of many stratified layers of s, fs, & Ifs too numerous to differentiate. ' Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 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. it JS Property Owner Mark Johnson Parcel ID # 020 - 1112 -50 -200 Page 3 of 4 F rA I Boring # Boring Pit Ground Surface elev. 106.86 ft. Depth to limiting factor 54" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -5 1Ory3/3 none Ifs 1fsbk mvfr as 2fm,1c 0.4 0.6 2 5 -20 1 Oyr5 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 3 20 -54 1Oyr5 /8 none fs 2msbk mvfr aw 1fm 0.5 0.9 4 54-67 7.5yr4/4 f2d 7.5yr5/8 Ivfs Om mfi as 1fm 0.4 0.6 � r 5 67 -81 1Oyr5/6 none Is 1csbk mvfr aw Urn 0.7 1.2 6 81 -138 1Oyr6/4 none sffs/Ifs )sg /1msbk/2msk ml/mfr - - 0.7 1.2 Comm. 860(3)2 applied to discount redox. concentrations present within H #4. System should be installed >36' above this horizon. H#6 consists of many stratified layers of s, fs, & Ifs too numerous to differentiate. 7] Boring # _� Boring ✓_„_f Pit Ground Surface elev. 107.31 ft. Depth to limiting factor 76" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 1Ory3/3 none Ifs 1fsbk mvfr as 2fm,1c 0.4 0.6 � 2 4 -21 1 Oyr4 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 3 21 -50 1Oyr5/8 none s 0 sg mvfr aw 1fm 0.5 0.9 4 50 -76 7.5yr4/4 none sffsMs Om mfi as 1fm 0.4 0.6 5 76 -83 1Oyr5/6 f2d 7.5yr5/8 sffs/Ifs 1csbk mvfr cw 1fm 0.7 1.2 6 83 -141 10yr6/4 none strat.s &I Osg/1 msbk ml/mvfr - - 0.7 1.2 Comm. 85.30(3)2 applied to discount redox. concentrations present within H#4. System should be installed >36" above this horizon. H#4 & 5 consist of many stratified layers of s, fs, & Ifs too numerous to differentiate. F $ Boring # J Boring ,iJ Pit Ground Surface elev. 96.34 ft. Depth to limiting factor >125" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 1Ory3/3 none Ifs 1fsbk mvfr as 2fmc 0.4 0.6 2 4 -25 1 Oyr5 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 3 25 -54 1 Oyr6 /4 none Ifs 2msbk mvfr aw 2fm,1 c 0.5 0.9 4 54-60 5yr4/6 f2d 7.5yr5/8 Ivfs Om mfi as 1fm 0.4 0.6 5 60 -125 1 Oyr6 /4 none sffs/Ifs 3sg /1 msbk/2msk ml/mfr - if 0.5 0.9 Comm. 85.30(3)2 applied to discount redox. concentrations present within H#4. System must be installed >12" below this horizon. H#5 consists of many stratified layers of s, fs, & Ifs too numerous to differentiate. No redox. features present. * 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. 1658 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 4 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site n on County p plan paper not less than 8% x 11 inches in size. Plan must St. Croix include, but riot limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I. D. 020 - 1112 -50 -200 P/esse prinf Ali innVta Reviewed By Date Personal information you provide may be usjed for semlAay`Pr ( ➢' Law, s. 161.04 (1) (m)). Property Owner Property Location Mark Johnson Govt. Lot NW 1/4 SE 19 S 12 T 29 N R 20 W Property Owners Mailing Address L t # Block # Subd. Name or CSM# 1014 3rd St. So. 2 CSM Vol. 15, Pg. 4046 City State Z -Phone Number r- City Village 0 Town Nearest Road Stillwater MN 1 55082 1 651 - 246 -5837 1 Hudson I State Hwy. 35 0 New Construction Use: ry' Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement _f Public or commercial - Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Install 3 trenches at elev. = 90.00 using 39 leaching chambers. Each trench to be 3'x 81.25' using 13 chambers per trench. Boring # J Boring 4+ Pit Ground Surface elev. 97.43 ft. Depth to limiting factor >128 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 1 0-6 1Ory3/3 none Ifs 1Sbk mvfr as 2fmc 0.4 0.6 2 6 -30 1Qyr5 /4 none Ifs 1msbk mvfr gs 2fmc 0.4 0.6 3 30-42 10yr6/4 none Ifs 2msbk mvfr aw 2fm,1c 0.5 0.9 4 42-60 5yr4/6 f 7.5yr5/ Ivfs Om mfi as 1fm 0.4 0.6 5 60 -128 10yr6/4 none aft/Ifs 3sg/1msbk/2mst mVmfr - 1f 0.5 0.9 omm. 85.30(3)2 applied to discount redox. concentrations present within H#4. System must be installed >12" below this horizon. 1-1#5 consists of man stratified layers of s, is, & Ifs too numerous to differentiate. No redox. features present. a Boring # Boring 1/ Pit Ground Surface elev. 94.54 ft. Depth to limiting factor >1 15" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /1`1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0-4 10ry3/3 none Ifs 1fsbk mvfr as 2fm,1c 0.4 0.6 2 4 -30 1 Oyr5 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 3 30-51 1Oyr6 /4 none Ifs 2msbk mvfr aw 1fm 0.5 0.9 4 51 -55 7.5yr4/6 none Ifs 1msbk mfi as 1fm 0.4 0.6 5 55-68 1 Oyr5/6 none s/fs/tfs 3sg/1 msbk/2mst mVmfr aw 1fm 0.5 0.9 6 68 -115 10yr6/4 none s Osg ml - - 0.7 j 1.2 H#5 consi of ma ratified layers of s, is, & Ifs too numerous to differentiate. I ' Effluent #1 = BOD ? 30 < 220 mg/L and SS >30 < 1 mg/L * Effluent #2 = BOD . 30 mg/L and TSS <_W mg/L CST Name (Please Print) tgnatur . CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 6262003 715 - 248 -7767 Property Owner Mark Johnson Parcel ID # 020- 1112 - 50-200 Page 2 of 4 F 3] Boring # _j Boring 01 Pit Ground Surface elev. 96.84 ft. Depth to limiting factor > 122" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -5 1Ory3/3 none Ifs 1fsbk mvfr as 2fm,1c 0.4 0.6 2 5 -24 1 Oyr5 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 3 24 -58 1Oyr5/8 none fs 2msbk mvfr aw 1fm 0.5 0.9 4 58 -70 7.5yr4/4 f2d 7.5yr5/8 Ives Om mfi as 1fm 0.4 0.6 5 70 -86 1Oyr5/6 none Is Icsbk mvfr aw 1fm 0.7 1.2 6 86 -122 1 Oyr6 /4 none s/ aft )sg/1 msbk/2mst mUmfr - - 0.7 1.2 Comm. 85.30(3)2 applied to discount redox. concentrations present within H#4. System must be installed >12" below this horizon. H#6 consists of many stratified layers of s, fs, & Ifs too numerous to differentiate. Borin a Bonng # 93.06 ft. Depth to limiting factor > 118 in. +' Pit Ground Surface elev. � � " Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 1Ory3/3 none Ifs 1fsbk mvfr as 2fm,1c 0.4 0.6 2 4 -20 1 Oyr5 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 3 20-48 1Oyr6/4 none Ifs 2msbk mvfr aw 1fm 0.5 0.9 4 48-80 7.5yr4/6 none Ifs 2msbk mfr as 1f 0.5 0.9 5 80 -118 1 Oyr5/6 none strat. s 0 sg ml - - 0.7 1.2 H#5 consists of many stratified layers of s & Is too numerous to differentiate. F-5� Boring # --� Boring IM pit Ground Surface elev. 107.61 ft. Depth to limiting factor 66" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 10ry3/3 none IS 1 fsbk mvfr as 2fm,1 c 0.4 0.6 2 4 -24 1 Oyr4 /4 none Its 1 msbk mvfr gs 2fmc 0.4 0.6 3 24 -56 1Oyr5 /8 none s 0 sg mvfr aw 1fm 0.5 0.9 4 56-66 7.5yr4/4 none sftft Om mfi as 1fm 0.4 0.6 5 66-74 1Oyr5/6 f2d 7.5yr5/8 sffs/Ifs 1csbk mvfr cw 1fm 0.7 1.2 6 74 -121 1 Oyr6 /4 none strat.s &I Osg /1 msbk mUmvfr - - 0.7 1.2 Comm. 85.30(3)2 applied to discount redox. concentrations present within H#4. System should be installed >36' above this horizon. H#4 & 5 consist of many stratified layers of s, fs, & Ifs too numerous to differentiate. (a0 • -J ( - O I * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD a 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. • Property Owner Mark Johnson Parcel ID # 020- 1112 -50 -200 Page 3 of 4 6] Boring # J Boring II' Pit Ground Surface elev. 106.86 ft. Depth to limiting factor 54" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -5 1Ory3/3 none Ifs 1fsbk mvfr as 2fm,1c 0.4 0.6 2 5 -20 1 Oyr5 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 3 20 -54 1 Oy none r5/8 fs 2msbk mvfr aw 1fm 0.5 0.9 4 54-67 7.5yr4/4 f2d 7.5yr5/8 Ivfs Om mfi as 1fm 0.4 0.6 t •I 5 67 -81 1Oyr5/6 none Is 1csbk mvfr aw 1fm 0.7 1.2 6 81 -110 10yr6/4 none sffs/Ifs )sg /1msbk/2mst mVmfr 2 Av Comm. 85.30(3)2 applied to discount redox. concentrations present within H#4. System should be installed >W' above this horizon. H#6 consists of O q• many stratified layers of s, fs, & Ifs too numerous to differentiate. F Boring # J Boring Iz" Pit Ground Surface elev. 107.31 ft. Depth to limiting factor 76" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ,pA 1 0-4 1Ory3/3 none Ifs 1fsbk mvfr as 2fm,1c 0.4 0.6 ' D 2 4 -21 1 Oyr4 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 I dO 3 21 -50 10yr5/8 none s 0 sg mvfr aw 1fm 0.5 0.9 3 ,. 4 50 -76 7.5yr4/4 none sffs/Ifs Om mfi as 1fm 0.4 0.6 3 5 76-83 1 Oyr5/6 f2d 7.5yr5/8 sffs/Ifs 1 csbk mvfr cw 1 fm 0.7 1.2 X14 ^ A 6 83-W 10yr6/4 none strat.s &I Osg/1 msbk ml /mvfr - - 0.7 1.2 �Vmm. 85.30(3)2 applied to discount redox. concentrations present within H#4. System should be installed >36' above this horizon. H#4 & 5 consist of many stratified layers of s, fs, & Ifs too numerous to differentiate. a Boring # J Boring 10 Pit Ground Surface elev. 96.34 ft. Depth to limiting factor > 125" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 1Ory3/3 none Ifs 1fsbk mvfr as 2fmc 0.4 0.6 2 4 -25 1 Oyr5 /4 none Ifs 1 msbk mvfr gs 2fmc 0.4 0.6 3 25 -54 1 Oyr6 /4 none Ifs 2msbk mvfr aw 2fm,1 c 0.5 0.9 4 54-60 5yr4/6 f2d 7.5yr5/8 Ivis Om mfi as 1fm 0.4 0.6 5 60 -125 10yr6/4 none sffs/ffs )sg/1msbk/2mst ml/mfr - if 0.5 0.9 Comm. 85.30(3)2 applied to discount redox. concentrations present within H#4. System must be installed >1 Z' below this horizon. H#5 consists of many stratified layers of s, fs, & Ifs too numerous to differentiate. No redox. features present. * 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. • ■ .S GT/ Q. ✓4 �Gt a EiG�'1 xq� 29 $ Marf a 0�� ■ ar� ■ ,Free. E/e% = i /o. 93' E tlQ 7n 12. Sa55">Ocd Proposed ss u.n 6 /L/9-", 60! �B•O �Co>r�a�ur S rq � ■ r 4e 4 :5 /ope a ■ hr 9110 � 9z • o' ■ 4q Iz POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page / of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity S p al ❑ NA Permit # O Septic Tank Manufacturer 2 _ _ ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer O NA Number of Bedrooms © NA Effluent Filter Model J ❑ NA Number of Public Facility Units M NA Pump Tank Capacity al ® NA Estimated flow (average) ypo g al/day Pump Tank Manufacturer ® NA Design flow (peak}, (Estimated x 1.5) o 0 ai /da Pump Manufacturer M NA Soil Application Rate allda /ftx Pump Model It NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ® NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetiand Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cells) ❑ 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: Other: ® NA Maximum Effluent Particle Size Y a in dia. [3 NA Other: 90 NA Other: IM NA *Values typical for domestic wastewater and septic tank effluent. Other: ®NA MAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of tanks) At least once every: ® ea h(s) (Maximum 3 years) 12 NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA 13 month(s) Inspect dispersal cell(s) At {east once every: 0 ear(s) {Maximum 3 years) ❑ NA Clean effluent filter At least once every: fl months) 101 NA ® earls) ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: ❑ year(s) ❑ month(s) Other: At least once every: ❑ year(s) C1 NA 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 tanks) 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 disposed 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. GMW (4/01) 1 � Page —L of 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 cellW. If high concentrations are detected have the contents of the tankts) 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 cells) in one large dose, overloading the call(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 calls. 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, ail 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; N 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. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure df the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. if no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 ANDIOR 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 Name �' G Name Phone _ Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name .� '> ` Phone _ Phone '2120 1 This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.64(1), (2) & (31, Wisconsin Administrative Code. i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer aD " 01'j Mailing Address I Dl Property Address 5 /V (Verification requIred from Planning Department for new construction) IQQ City/State -4 vr- Parcel Identification Number CQC7 LEGAL DESCRIPTION Property Location /y ,/ '/4, ,a_ '/4, Sec. T N -R U W, Town of Subdivision , Lot # � . Certified Survey Map # �' 3 , Volume /J , Page # y Warranty Deed # 12�5 , Volume Z2 , Page # �._. Spec house ❑ yes .0 no Lot lines identifiable 0 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to 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. I/we, 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 of the thr a year expirati n date. SIG A OF APP t" ANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. IGNATURE &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 J 2 2 9 2 P 9 4 1 DOCUMENT NUMBER WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Roy G. Hart and Evangeline M. Hart, individually and each in their own right ST. CROIX CO., WI RECEIVED FOR RECORD conveys and warrants to Mark H. Johnson 06/27/2003 01 %45PK WARRANTY DEED the following described real estate in St. Croix County; State of Wisconsin: EXDPT 4 17 A parcel of land in the Northwest one - quarter of the Southeast one - quarter (NW REC FEE: 11.00 '/a of SE '/4 ), of Section Twelve (12), Township Twenty-Nine (29) North, Range TRANS FEE: COPY FEES Twenty (20) West, Town of Hudson, St. Croix C nty, Wisconsin, that lies West CC FEE: of State Highway "35 ", described as follows. Lot 2 f a Certified Survey Map PAGES: 1 recorded March 7, 2001, in Volume 15 of Cer led Survey Maps at Page 404 as Document No. 639987 in the Office of the Register of Deeds for St. Croix County. Together with an access easement from said Lot 2, to State Highway " 35" as shown on said Certified Survey Map. This parcel is subject to the THIS SPACE RESERVED FOR RECORDING DATA Wisconsin Department of Transportation Trans. 233 restrictions as shown on NAME AND RETURN ADDRESS: said Certified Survey Map, D.O.T. Approval No. 55 -35- 3192 -2001. This Warranty Deed is given in full satisfaction of that Land Contract between GWIN LAW FIRM, S.C. the parties dated March 29, 2001, and recorded on March 30, 2001, in Volume 430 Second Street 1609, at pages 497 -498, as Document No. 641586. Hudson, WI, 54016 -1510 020 - 1112 -50 -200 PARCEL I.D. NUMBER OR G.I.S. This is not homestead property. (is) (is not) Exception to warranties: TOGETHER WITH AND SUBJECT TO any other easements, covenants, reservations or restrictions of record, if any, but this shall not be deemed to extend any such other recorded encumbrances beyond the term established by law therefor., arrl ] i - B cr encudxanc25 aeated by acts cr defadts Of ft g mtBBS. 4 Dated this 2_ 1 day of June , A.D., 2003. (Seal) ter' (Seal) * * Rov G. Hart (Seal) c (Seal) * * Ev ngeline M. Hart AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN } } authenticated this day of St. Croix COUNTY } 20 Personally came before me this 2 day of June 2003, the above -named Roy G. Hart TITLE MEMBER STATE BAR OF WISCONSIN and Evangeline M. Hart (If not, ^" authorized by §706.06, Wis. Stats.) to me known t be the pers ns whc�i6lkt THIS INSTRUMENT WAS DRAFTED BY: the foregoi ins ent nd ac - v a the same. � �: '��, 8 �a • t N Atty. Hugh H. Gwin. GWIN LAW FIRM S.C 430 Second Street. Hudson, WI, 54016 y' : Lo" : r: (Signatures may be authenticated or H ugh H. Gwin •T acknowledged. Both are not necessary.) Notary Public, St. Croix • 't yy ` �liij.•; ��. My commission is permanent (if not, �tat�; "•'��� " "' expiration date: , 20 Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 - 5( — . CqX I )C. J Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Priva R Project Address (if differ than mailing address) E i , ... I. Application Information - Please Print All Informat n i /25-P� `' / r /V G1tit/A eo Property Owner's Na me Parcel N Lot # Block N Property Owner's iling Address Prope ocation t+ 'A, S 9 �/a,Section / City, State Zip Code Phone Number 7 ( /�� tee.)✓k AA Q �O l ' ' f 31 (circle one) II. Type of Building (check all apply) N; R LJ E 040 acs a ubdivision Name CS ber Y\1 or 2 Family Dwelling - Number of ooms ❑ Public /Commercial - Describe Use e S b S ,� G ❑State Owned - Describe Use ❑City ❑Villageownship of / III. Type of Permit: (Check only one box on li Complete line B if app ble) A. X New System ❑ Replacement System reatment/Holding Ta epl ment Only er Modification t *E ring B. ❑ Permit Renewal ❑ Permit Revision ❑ Cha of /ermitnsfer to w s Permit Before Expiration Plumber er IV. Type of POWTS System: (Check all that apply) Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil and < 4 in. of su' ble soil G e ❑ Single Pass n i ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding ❑ Ft r erobic Treatmen t ❑ Recirculating Sand Fi ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber Drip Line Gravel -less Pipe ❑ Other (e ain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) ispersal Area Required (s Dispersal Area Proposed Sys n � o . Z rs ; 7, e 41 s f 70- 8 s , VI. Tank Info Capacity in Total Wmber Manufacturer Prefab Stee Fiber Gallons Gallons f Units Concrete Glass New Existing Tanks Tanks Septic or Holding Tank gqS , 1"), cs Aerobic Treatment Unit Dosing Chamber VII Responsibility Statement I, the iifersigne assume responsibility for installation of the POWTS shown on attached Vu-ber Plumber's Na me (Print) mbe ' S' gnatu MP /MPRS Number ess Ph Plumber's Addre ss (Street, City, S ip Code) / � l S tat - j7 - . /4d SC,, VIII. Count /De artment Us nl ❑ Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) El Owner Given Reason for Denial � IX. Conditions of Approval /Reasons for Disapproval Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) r MON +s lb t! M I N dM' ,. ., <t f 06/17/2003 09:38 EDINAREALTY 93850323 N0.920 D02 As v FiLIED ao W �N N49, 0 7 20�t ► —. ��I1y aU IW "N t N," �. Y fifi � N � � Z`S � 'y papdet tl llCdf � Y � � �' -5�� 'r! h�. �tD�at"V�Y�t �• CEP F�Z't -0 .5IJR Vim' Y MA Located in the Northwest quarter of the Southaaot quarter of Section 22, Towaahip t9 North, Ramp 2D Weet, Town of Hudson, Lr1 /4 Corner 5t. Croix County, Wisconsin. Sec. 12 - 2 9 - No improvemalts or sinutures are elowerl between the ri ®ht - oFway w end the setback tine. Improvements inoktde out are not limited to tUwnors: v n signs, pafkin$ lots. parallel driveways, walls, seplic 6yltoote, drein$Ve Roy racilities, etc., it beh,E expressly itxended that this eestrienob Hart ,° all eatslilute a rcatriNiop for the baMRt of the pubiiCaGOOrding 1054 Plwy 35 i ' 10 Section 236,293, Wisconsin Statates and ohall be 1•ludsoo, W i . s \ "\ enforceable by the Dept. cfTrlaaponaaon. tltltatltlnWiscon61nDepivttiwiofTrtltr s. p 1 1mation 5mict ofrrm for mono inronnation. •Rtlphooe number racy be obtained D - O . T . 3 o'' �q�c r f y Ur oDnla�oting you CountY Hig1- AuNruval number ay Ew Depuofsdl:. 55 -35- 3192 -?001 • . � CPO, ...i ✓ 8 � ° r ^ • ds A �.'` In .'�' l r 13 , ♦ y '+,e'� , ' tu M � a° -. , , ¢ r ` `r to • . Ole b Nj I s" 485763 $qft, • 9.714 acr Q V R, rt�,y' ca - W Q W • a" ST. t3X0lX COUNrr 1 �fn4no Z�+w u+tl Plnix t %R•gwtiae L. 4 Z w ° ? � S � mAR 0 1 Z01 'n • + ll .q aPpNY�nl 6ala� SYW+bD� 'JI k � x R l �foiSrrG nun al'410010 x r % tl , Z I 77 Q 5913.23 — 1 � n df'p8'p3 "w p7a,23' � �t �1 Wl Z ! D hl 41 iN 145154 sgft, N , (4.480 ar.rca) eu G I /y Gorncr N l3a.ri ,l;a ��ieretticed` Mot °06`Sj "w to thK RIOrt1, lino of t wesr a +e of 5 ,n �asa•eo' thu SF:1 /4, assveri -d "lda "OV30 "E. M 91 "0!5'!33 "y1 947.577 S1 /4 C OT. Sec. 12 -29 -20 S "TARA VYOdO ai)DITiOM ' -- - 1 ' araa8 is ocer Th49 iostaue,),v t drafted by c too rpo 30p 4002689 VOL 15 P294 4046 OF,/17/2003 09:38 EIIINAREALTY � 93860323 ��O.920 1703 r Description A parcel of land Iocsled in the Northwest quarter of the Southeast quarter of Section 12, Township 29 ]Vertu, Rali4e 20 West. To ►an of Hudson, $t, Croix Ctwnty, Wisconsin, described as follo►vS: B> GINNING at the monurnenled Center quarter comer, thence North 84 degrees 04 minutes 30 seconds East 1,045.9 Feet „tong the North Jinc of ti Southeasl quarter of section 12 to the Westerly righl-of- -way line of State TrunkBighway "35''; thence South 18 degrees 32 minutes 17 seconds West 412.65 feet alotsg said right- of =►vay line; thence continuing along said right -of'- Wav hire South 3U degrees 48 minuses 02 secontts West 339.$0 feet; thence North 84 degrees 54 WITIULci 00 seconds West 7W. 17 feet to the West line of the Southe quarter of Section 12; thence North 01 degree 06 R(lnttteS 51 se cunds West 64 7,57 feet along said West line to the Poi n( of Beginniug, containing 630,917 square feet (14.254 pe ns) more or less, and being sub - jcct to all casements, restrictions and covenants of record. 1, Hurvey G. Johnson, registered Wisconsin Land Surveyor, hereby certify that under direc- lion of fury and Antic Hart, owners, 1 have surveyed and snapped the above described property; that such plat is a true and correct represeatmion of the exterior boundaries of the land sur- veyed; and that 1 have fully ctrrrrplied will) the provisions of Section 236.34 ofthe Wisconsin Statutes. the St. Croix County Subdivision ordinance, and the Town of Hudson Subdivision Or- dinance to the best of my prolessiorral knjowledge, undcrstanding and belief. ti1"1111N Harvey G, +son 5 -1899 lohnsanSurveying,Inc, 316 Meadow Drive North H udson. Wisconsin 54016 -1 1 2 8 ACCESS RESTRICTION NOTE y #00 s s a� As owners, we hereby restrict all lots and bltrs;i,s s iat no owner, possessor, user, licensee, or other person may have any fight of sheet vehicialar ingress or egtess to arty highvvay lying within the righi- orStaty High►vay "3S ", es shown on the land division map; it is err - 1)ressJy intended. Ihat this restriction constitute a restriction for the benalit ofthc public as pro• vided in &.236.293, Wisconsin Statutes and shail be enl'urcceblc by the department or Its as- suns. Nuisr Not+ This pro�eny way experience noise at levels exceeding the levels in Trans 405,04, Table I. These levels arc based o t federal standards. Ownrcrs of U)ese lots ate responsible for Abating noise sullicient to protect thesc lots lush parcel shown on this map is subject to state, county and township laws, rules and regula- lions (i.e. wetland, minununr tot size, access to parcel, etc,). Before purokwing or developing a:ry parcel contact the St, Croix County Zoning Oflioe and appropriete town board for advice. V0 Page 4046 Marion Standaert Subject: 43015 "ark Johnson /Zappa Location: Hudson Start: Tue 7/29/2003 1:00 PM End: Tue 7/29/2003 2:00 PM Recurrence: (none) 12.29.20.458A20 4w s r Y s