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026-1160-12-000
o d o d II I o � � '� �• � a � • 4z m n m ` 1 Cl) (D y Z ° N 0 .TJ W N C' , � �• C CD _ ?. N N W a OW 01 F� C I J W ° � L7 :3 y °°° x N N CL 7 Q N r - n C rs \ 1 N C m O C O n I F O �O1 v * m W ! I OR 107 O N C O O C ° 90 ° m F� O ! �� co - N (D 0 w ty CL 000 _0 !rl 0 aNt�nD N� CD CD 'o p O fp m rn W C1 e A T. I a n 0 N CD Z ,n Z m O D = Z m v f II _0;•31 Ott C . 5 ((D O I 0 n a CD N 'I p l c � !I f OL o A Z 0 v W W CD N z ° z 0 O ^' 3 0 0 0 y N A < A p4ko X N° N 7 N n c I O N C< CL (1) 0) CA O N C m. cn o0�°1 = 'N O ° a Ro a m op y c, K01 ;o v 7 N n� O) to w 0 Ccv ve x �C m O n i w Om 0 > N rn y 0 0 0 m om m a .. 1 .. Q N N Al O f0 69 f � 'r 00 O O. ti V Parcel #: 026- 1300 -01 -000 07/23/2010 12:38 PM PAGE 1 OF 1 Alt. Parcel #: 23.30.18.1579 026 - TOWN OF RICHMOND Current XX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 02/21/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - JOHNSON, DAVID M & DEANNA L DAVID M & DEANNA L JOHNSON 1312 B 146TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1312 B 146TH AVE UNIT 1 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Plat: Legal Description: Acres: 0.000 02/011 -STONE RIDGE CONDOMINIUM 026-06 1/2 SEC 23 T30N R1 8W PT SW NW BEING STONE Block/Condo Bldg: LOT 01 RIDGE CONDOMINIUM ('06) UNIT 1 & COMMON ELEMENTS Tract(s): (Sec- Twn -Rng 401/4 1601/4) 23- 30N -18W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 09/18/2007 860702 QC 02/21/2006 819034 02/0011 CONDO 08/29/2005 804839 2877/071 WD 01/02/2004 750596 09/97 PLAT 2010 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/09/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.760 9,500 150,900 160,400 NO Totals for 2010: General Property 0.760 9,500 150,900 160,400 Woodland 0.000 0 0 Totals for 2009: General Property 0.760 9,500 150,900 160,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 `L 9977 P, 071 State Bar of Wisconsin Form 2 -2003 804839 WARRANTY DEED REGISTER OF DEEDS Document Number Document Name ST. CROIS Co., VI RECEIVED FOR RECORD 08/29/2005 02:00PIf THIS DEED, made between Dalstock, LLC WARRANTY DEED EX9K # ( "Grantor," whether one or more), REC FEE: 11.00 and Jim Mundth and Laurie Mundth, husband and wife TRANS FEE: 150.00 COPY FEE: CC FEE: ( "Grantee," whether one or more). PAGES: 1 Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Estreen & Ogland interests, in St. Croix County, State of Wisconsin ( "Property") (if more space 304 Locust Street is needed, please attach addendum): `O Hudson, WI 54016 1 9359 R' Lot 12, White Tail Meadows. St. Croix County, Wisconsin. 026- 1160 -12 -000 Parcel Identification Number (PIN) This is not homestead property. TWO not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated �' ZZ �1 G 'S Dalstock, LLC r (SEAL) (SEAL) * *By: Bill Stock, Member (SEAL) (SEAL) * *By: Steven M. Dalton, Member AUTHENTICATION ACKNOWLEDGMENT Signature(s) Dalstock, LLC By: Bill Stock, Member & Steven M. Dalton, Member STATE OF ) ss. authenticated on COUNTY ) / Personally came before me on , *Kristina Ian * the above -named TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Notary Public, State of Attorney Kristina Ogland My Commission (is permanent) (expires: ) Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. INFO -PROTm Legal Forms 800 -655 -2021 www.intoproforms.com hoc STONE RIDGE CONDOMINIUM LOT 12 NHIIETAB. MEADOWS SVEW90N MISTERI LOCATED IN PART OF X SOUTHWEST QUARTER OF THE NORTHWEST QUARTER JL_ — P"'" Ne D y '- - IL ST CCR IX COL t00' SetbackEne OF SECTION 24 TOWNSHIP 3O NORM, RANGE 18 NEST, 100 IT R10 09D, w4laRaaae� dl \ Sr. ST OX COUNTY, INSMSIN � or W ax.! d BniWitrgRoe N1 I ar Building Units and Dimensions � N �`TRTT, NOT l0 SfAIE � 0" fS 4 WOOD* Limited I i (Limited Z � Wp Common Common q Element 25' -3' 1 25 -3 Element k Q t44' 1D' -0 i 10' -0" . se I sr O O o Encroachment Detail NOT TO SCALE 9 , -0 , n ie 9 -0 , 64' -O' - - iaademkc LOT 7 ST. am OF � � i � ' o 6 "�" - - o MW CERIIf1ED SURVEY NaF I UNPLAT/ED LANDS TO I 6' - 0 - 0� I SEC 27, t 30 N, Rte K - --- - - - - -- IL KW ST. I 'AftUME 12 PAGE 3342_ -- - - - - -- a N Clow - 14' - 0' 10' 0 ",10' - 0" - �7 of p 9 d a o i location o, Pn9a� oy , pa SEPDC YEN15 Limited j I -J3= )" Tie Line " Common ; I Limited e Common i � g:� I Phem Ne. 05) 246 -4315 +: Element 46'4 --L 46' - 0" n I Fm Na (715) 718 - 30 92'4 PA But 325 New Rdmond 0 54017 of � 0T11 LEGEND � no ENaroAtlNF` 0 Denotes Found 1' Iron Pipe Denotes Found 1 -t 4 Iron Rehar � " oN r- Limited BEARINGS ARE REFERENCED TO THE NORTH LINE LOT t3 Ce Amm _. y_.._ .� ! OF LOT 12 OF THE PLAT OF WHITETAIL MEADOWS, -- Bement �. -r im oI n al \ I WHICH IS ASSUMED TO BEAR 1489%51. f im J h o ZI �Lr-Ih� T1t111r1i r o�t�rI aawrs '.' i dal f \ ) PROPERTY DESCRIPTION; FA rFrto a ti ��' Lot12offheplalofftletail Meadows as recorded mVolmne9 ,l'age91, FOR LOIS 12 AND R Document y 750596 in tMe Roster of Deeds ORicc for SL Croia County, Wisconsin. Ceataining 66,420 SIloare Feet (1.52 arms). I GemldC Epley, Wisconsin Registered Land Surveyor , hereby cerlif Juitth LOT 18 I LOT 19 Condominium Mat is a correct representation for the condomioiumdescWand � i �++�, / - - -- ideati6calianaod( ocafioaafeachuniLand�etommaoelemeasan6edetamined f Q � UNIT PROPERTY CDMMONar' LIMTE co'WON I, k x o w SAND / ELEMEMS ARE SPECIFIEDINDETAN ,IN THE DECLARATION OF Gerald Cklp LL.S,Nd.237W p c �/ / / CONDOMM , RECORDED WITH THE CONTXla0OPLAT. �NL.E I EEEr: t nch = SD kel Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: ` (ATTACH TO PERMIT) 479398 e --* GENERAL INFORMATION State Plan ID No: Personal information 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: Dalstock LLC Richmond, Town of 026- 1160 -12 -000 CST BM Elev: Insp. BM Elev: BM Description: ((�� Section/Town /Range/Map No: 1 3 �, CS a 23.30.18.1218 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �t Benchmark / Z(X� 5. a le i65. e / ob Dosing Holding V e...:w 7 33 t 52,.E Bldg. S er 7 r 1(0 9$' . 5 St/Ht Inlet 81) g7. 5Z TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 26 I yZS� ' j g r � Dt Bottom Dosing i I Header /Man. Aeration Dist. Pipe qq (p Zr.-, Holding Bot. System C M, F 7 Ok PUMP /SIPHON INFORMATION A Final Grade 3. ,o •3 Manufacturer Demand St Cover GPM ( Z. 5 J /63. 1(O Model Number - 8 / 1 L 95 0 - 5 , At CN ! I ct' TDH Lift Friction Loss System Head TDH Ft 1 `o �.9 7 . cr Forcemain Length Dia. p Dist. to Well ' Z i SOIL ABSORPTION SYSTEM BEDlTRENCH Width I Length 9 No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO BLDG WELL LAKE /STREAM LEACHING Manufacturer. 67Z INFORMATION CHAMBER OR Type Of Syste Z Z UNIT Model Number. �1 G OB tN't d V w f DISTRIBUTION SYSTEM Abgke, 164 -/0+ /O + 16 = 4D Header /Manifold 4 Distribution x Hole Size x Hole Spacing Vent to 'r Inge Pipe(s) N... \ Length Z� Dia Length Dia Spacing / SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only G+�. Depth Over / Depth Over xx Depth Qf xx Seeded /Sodded xx Mulched Bed/Trench Center ? gs, Bed/Trench Edges Topsoil \ �! ] No Yes No s L] COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1312A &B 146th Avenue New Rich ond, WI 4017 (S 1/2 NW 1/4 23 R18W) Whitetail Meadows Lot 12 Parcel No: 23 1.) Alt BM Description = 8D `rd`^� a �� T30 O -3 �- 2.) Bldg sewer length = c - amount of cover =11 Plan revision Required? Yes No J r �� !Z 651 - Use other side for additional informati �__ 1 __ — -- — - Date lnsepct s Sign r Cert. No. SBD -6710 (R.3/97) • < J Sa Buildings D' 'ion County m 201 Was t ve., P. Bo 2 5T, C ro 1 x nan ison, 53 - 7162 nitary Permit Number (to be filled in by Co.) Department of Commerce O8 ) q✓ Sanitary Permit Applicati personal information u stn Ian • Number In accord with Comm 83.21, Wis. Adm. Code, prov}oe ---------- may be used for secondary purposes Privacy Law, s15.04(l ) L f. uf� Pr6 .ct Ad ss if different than mailing address) ,p 1. Application Information - Plesse Print All Information O,c , T Property Owner's Name I Lot # Block # Property Owner's Mailing Address Property Location 7 �� / /_ 2 � -57 S V, 'A Section �_ Cny State Zip Code Phone Number1� l T N; R 1 � E oVt� (I /Z II. Ty of Bleikti (check all at apply) o l � � 1 4Z2 Family Dwelhn Number of B s — Subdi Name CSM Number ❑ Public/Commercial - Describe Use B ooms (,J L T ► Z I / Q (A-A D VJ 5 ❑ State Owned - Des ibe Use ❑City_ ❑Village LITownship of Vi d4w4 , iA tIi. Type of Permit: (Cbeck only one ox�on line A. m ne B if applicable) E 211 A. New System ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System g, List Previous Permit Number and Date Issued ❑ Permit Renewal El Permit Revision El Change of ❑ Permit Transfer to New Before Expiration Plumber Owner _477A 3 c l Y ? / ] C,2 / 0-S IV, Type of POWTS System: Cheek all that appl 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 Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersallfir Area Information: Design Flow (gpd) Design Soil ication Rate(gpdsf) Dis al Area Required (sf) Dispersal Area Proposed (st) System Elevation 0.3 2 a � � � s % VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing W [� 1� ` Tanks Tanks ro c r Holding Tack Q� C 4 rS Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement - I, the undersigned, spaim responsibility for is lotion of the POWTS shown on the attached plans. Plumber's Name (Pri P tuber's Sign ture RS Num Business Phone Number � � -z=f �Xa D S37 >/$ _.. z -S /-3S Plumber's Address (Street, City, Slate, Zip ode) VI W. Countymepa rtrtxnt Use On X Approved F1 Permit Fee (includes Groundwater Date Issued Issuing t Signatu tam Surcharge Fee) /D er n Reason for 7Denial IX. Conditions of Approval/Reasons for Disapproval s,STM OWW: 1, Vear titllt, e111tmt faw and dap.�ead 00 must all be cervices / nnhttOW I ee per msf*emertt plan provided by plumber. 2 AN eelbeck requirements must be maintained n per applic" code / ordinances. Attach compkee plans (to the County only) for the system on paper not Ins than 81/2 z I I inches in size SBD -6398 (R. 01/03) i I i -93W*Vo M3T8r8 AIM , SYA MVJ% , *W =a J J iMSLR g 1 l9JIV?f9c' Its taum W Nurwq b todifullC= IAOO J 4 - T�Ivlo-n 00 ` tt o , Aiam v4 eom t�r m lo Poef�. cas k J2, a 1 � � ►na� S o f Mw w s Cap7`� i a �. ►tic �,�, ©�� /� Cro A8 ,, A Pere t POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner S �� Septic Tank Capacity a l ❑ NA Permit # Septic Tank Manufacturer ,�S 0 DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent F=ilter Model ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity 1 00 gal ❑ NA Estimated flow (average) 4 g al/day Pump Tank Manufacturer s e©1 Design flow 1peak), (Estimated x 1.5) . lo nO al /day Pump Manufacturer ❑ NA Soil Application Rate , al /day /ft2 Pump Model W E031 1ffi ❑ NA Standard Influent /Effluent Quality Monthlq average" Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (SOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) _ <150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) - ❑ NA Biochemical Oxygen Demand (BOD.) 530 mg /L Kin- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) <_10 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA "values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tankts) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ears) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA year(s) Clean effluent filter At least once every: r ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA year(s) Flush month(s) sh laterals and pressure test At least once every: ❑'year($) ❑ NA Other: 11 month(s} At least once every: 13 year(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS l i Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and 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. i START UP AND OPERATION Page _ of W- For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(sl. If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cells) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; tat; 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. PJI 1XNDONMENT w rv- /hen the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is {properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of 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 AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name Phone S f 3 S Phone SEPTAGE SERVICING OPERA ( PUMPER) LOCAL REGULATORY AUTHORITY Name Name ` Phone Phone This document was drafted in compliance with chapter Comm 83.22(24bl(1)idMM and 83.5411), (2) & (3), Wisconsin Administrative Code. STARTUP AND OPERATION Page _ of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting that may impede the treatment process and /or damage the dispersal ceilis), if high concentrations are detected have the con t ents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank, Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers, disinfectants, fat; foundation drain !sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides, meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. AJ jkrp� en 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: a All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. Y • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. Y After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and 'proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of 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 AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS 1 1 — INSTALLER POWTS MAINTAINER Name d (S Name ph, J3S Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone _7( S This document was drafted in compliance with chapter Comm 83.22(2)(b)(l l(d)&(f) and 83.541102) & (3), Wisconsin Administrative Code. ,• 4" Cl VENT PIPE 12" MIN. ABOVE GRADE WEATHER PROOF 25' FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W/ PADLOCK S --- WARNING LABEL _ L - _-____ ---� -- -- 4 =' MIN- ...� :- 1Q" �TN r 14LET WATER TIGHT SEALS GAS- r i t . �' TIGHT r f PPROVED lf 'I FIFE �� 1 5 S ---- i ALM A SEAL A JOINTS W/ CI B r PIPE 3' ONTO OL ON D TO -- C -- r , ON SOLID SOIL � � 3OIL PUMP OFF ELEV . FT. �- C Y Off 't RISER EXIT D PERMITTED ONLY IF.TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS -• SEPTIC / DOSE L� TANK MANUFACTURER: (Q UMBER 'DOSES PER DAY: TANK SIZES SEPTIC 1,0(� GAL. DOSE VOLUME INCLUDING / z DOSE •--- -- --d GAL. FLOWBACK: 1�! GAL. ALARM MANUFACTURER: CAPACITIES: A = /?, S INCHES = -�9N• 7 GAL. MODEL NUMBER: SWITCH TYPE: B = 2 INCHES = � GAL• PUMP MANUFACTURER: cad �S C = G•? INCHES = /.3Sr' Z - GAL. MODEL NUMBER: �D = 9. � INCHES = aa G AL. SWITCH TYPE: t REQUIRED DISCHARGE RATE .S•a GPM PUMP 6 ALARM WIRING AS PER ILHR 16.23 WA( VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . �d'S PEET t MINIMUM NETWORK SUPPLY PRESSURE . . . ... . . . . . . 2.S• FEET * 9-9 FEET FORCEMAIN X 3_, FT /100 FT. FRICTION FACTOR , FEET TOTAL DYNAMIC HEAD = FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH g x 71 1 e , 1 Y. . 4 , 1 , :L e.:r• i 1 1 l I Ii :i 1 / ♦:. r r f �rwww rr#Mw #wrM af#rrr w 4,4 It wwwNNrrrw / w#ww ####r #r�ii #a., wrww "Woo #r#rri ■MOWN t: /! / /a". ■ M #ON /wwSMMSS ## ti,� #r wrs r rl ■Om 1M +� 1 SrrS Sr'�i#�. __ ...JrMOWNOw /rNNr & �: SSSS: Ssozown CSSSSSSCSSSSSSS • •" , ' woonowe FwwrrM /rw #w#r #M /r . '' - :mow / /• /w.�rrw #N::.�#rwrW # #rrM=rrW _, • I�i�r ..� /w/'•.w.Nrwwrw..wr /NrSMr #wM // w N'-wo w f '- 0aask. 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Application Information - Please Print All Information m Pro p s Name t Panel # # Bl�k % Ya /v Property Owner's ng Address , i . , ,;RUIX GOU tto J 4 1K 7� ZONING OFF E *� GZ6 / /(0 4— /� S N so /,, Section City, State ( ZipCode Phone Num r S 0 VI p� q 4 It X ircle 11. Type �Dwelling k ai at apply) �(' T N; R�E of / "�' ! 0t Subdivision Name CSM Number 0 2 Faumber o ed rooms (f �V ❑Public/Commercial - DescribeUse t Y ' n� ❑ State O ibe Use City_ ❑Village Wownship of (� III. Type le A. New System ❑ Replacement Sys te ❑ Treatm t/Ho[ding Tank Replacement Only ❑ Other Modification to Existing System �� B. ❑ Permit Renewal ❑ Permit Revision Ch ge of ❑ Permit Transfer to Ne List Previous Permit Number and Date Issued Before Expiration r Owner IV. Type of POWTS System: Check all that a f.Non - Pressurized In -Ground ❑ Mound ? 24 in. of s ble so ❑ Mound <24 in. of suitable soil ❑ At -Grade El Single Pass Sand Filter ❑ Construct an Pressurized In- Ground ❑ Iding Tank ❑ Pea Fil r 11 Aerobic Treatment Unit 11 Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching C ber ❑ Drip a Gravel -less Pipe Oth explain V. Dis rsalITrtatment Area Information: r Design Flow (gpd) Design Soil Appf ion 7( Dispersal A Required (sf) Dispersal A Pro s (st) System Elevation 10 .3 �, VI. Tank Info Capacity in tal Number kanufacturer Prefab Site Steel Fiber Plastic Gallons allons of Units 011 SV Concrete Constructed Glass �� New Existing / Tanks Tanks Septic or oldins Tank r t Nt7tj_ e44) Aerobic Treatment Unit 1 ` f S2_ Dosing Clamber W VII. Responsibility Statement - ithe antlers ass responsibility for is f POWTS shown on the attached plans. ._lumber's Name ( t ) P tuber's ignature RS um Business Phone Number v . `I t5 Plumber's Address (Street, City,11ate, Zip Coder' 19 ( 09 - I R�f is, IQ fj 101.0 R-A Ban 1-\I. S', o1 VII Coun /De artmen se On Approved ❑ Disapp ved S rcih ry e it Fee (includes Groundwater 1 g Agen ignatu (N ps) < ❑ Own Given Reason for Denial ) 1 3w , IX. Conditions of App vaUReasons for Disapproval ��� YS 71j1G(/7�� Q 1 Septic tank, effl ent filter and �/ZIJTf/yl �ll� 41 "V dispersal cell must all be serviced / maintained as per management plan provided by plumber. ' 2. All setback requirements must be maintained as per applicable code /ordinances. Std l Ot�h1.. b'y9P /� Attach complete plam (to the Coaaty esty) fWdf�p a r no n x It inc in ahx SBD -6 93 8 R I /03 r +tea Sl�c LL•.�...� 5 `/a Al c,.� �� s' �.3 `7�3a u � � � � CL Cro IASSO P is iod - 4 . 30 5e- #.0 ^. s A e, fa �8 ry) �'f NL i /0,40 -j t � t Q'� i 5 ff RI� � ond,, i syotr ��c.�rnor��- 57 C� X h od 3p 2zz�-�ow -� No A 3 r/ \\ o 0 0 V w • EZ1203H 4 ♦4� vb0° r- ,•'• _ '•`r•` * �' '.`, •lt •: .. O p4 °400 A tt 1 4.4 .i:. ;. , • ::F: �.: +''; 1'.r., 12 t► �} r voo ( {jop A. ♦vb voo 4.62 vv,vv 44 obv o♦r ♦ °V ♦eV 1 tt V V i V r 1 112 Circ. v • rv♦ r♦sv♦v♦ ♦ ° ♦ v o vbr veov vo♦rso ° vv v ovv ° °O ♦ ° ♦vbs ° ° °eO vvvvv ♦O °b r ♦♦♦b♦♦♦ ♦vVVV b♦ ♦4' ♦Ob ♦r °v v♦vvvov r 24 ?1 Bottom 3 v Vo►ume 12 -1/2" DIA.. (typ.) Void Coefficient in Aggregate given at 57.4%. oil [nte a Area In. LEL O.D. of 4" pipe = 4.625 inches Sidewall (2 Sideways) 18.84in Void volume per linear ft.. 3.14 •� 2-3125h' • 11in - 3 .14 — 12i./ f , 1ft =0.117 fe lR Bottom 0. D. ofcentercylinder 1'2.3 inches 2.00 Total Soil interface Area Void volume in aggregate of center cylinder = 1,14 •� 6 .25in 2 5.14 SQ.— 12in /ft). 3125in 1 _].14•( ,)•.524�.422fN l IZinIQ / ) O.D. of outside cylinders = 12 inches Void volume in outside cylinders = 2.3,14( Gin 12in /ft)' P Trench Area • =.901 fl' Sidewall Height = )2 in. •2 2.00 Sq.Ft. Void volume at bottom between cyli c li 24io Bottom = 5 36 in. = 3,00 Sq.Ft, j[�/ft t2inIft•12injftJ-(3,,4( brn �J =0.213 ft' Projected Trench Area 12in Void volume at outside bottom corners (1/2 orvoid volume between cylinders) 0.215 2 - 5.00 Sq.Ft. Total void volume - 0.1 17 + 0.108 fN 0.422 t 0.901 + 0.215 + 0.108 = 1.763 cubic per ft = brc ft ! ft Gallons P 1.763 X 7,48 = 13.2. pallonr ner t_ f�ne�_ !t EPS Aggregate Trench System EZ1203H R ,, in 0 W 9''Industrial Group 65 Industrioi Park Rd. Oakland, TN 18060 } t . x . SCALE nt.E NAWF- EZ12aM -vat SMEE7: 1 of 1 11 -27 - 111 1 1 Bird Plumbing Inc. 1008 192nd Ave New Richmond WI 54017 715- 246 -4516 Subject: Whitetail Meadows Soil Tests To Whom it may concern: I Shaun Bird did the soil tests on this subdivision known as Whitetail Meadows in Richmond township. Aft4r a couple of installations, some of the soils were found to have a more weak structure than what was found in some of the borings. In order to protect home owners and contractors, it is my recommendation after discussing the issue with Pam Quinn from St. Croix County Zoning office th rate Instead of the original .4 rate On the lots that were originally sized for a _5,1 recommend using a.4, not the new .6 that the state has suggested. The soils are what the tests indicate but the large areas tested did not reveal some of the weaker structures that were found upon installations. If a installer can prove otherwise, that the weaker structures do not exist, then the Installer should proceed with the soils that he /she believes are present. Shaun Bird CST #226900 Z -d da* :TT 40 SZ add r ST. CROIX COUNTY WISCONSIN '.' '• _ �,...'' ZONING DEPARTMENT M A p ■ rn�r ST. CROIX COUNTY GOVERNMENT CENTER - 1101 Carmichael Road 'N Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 Memo to File From: Pam Quinn Date: 4/27/2004 Re: Sandy loam structure misinterpretation on subdivision soil reports Recent soil on -site determinations have brought a problem to our attention. During these on- sites, borings were excavated to confirm soil conditions where two conflicting soil reports had been submitted for zoning department review. The soil profiles, evaluated by myself, Dave Fogerty, and Dave Steel (all certified soil testers) differed from the original soil reports in that massive (structureless) sandy loams were encountered in horizons that were described as having either moderate, medium subangular blocky (2msbk) structure by Adam Schumaker or weak, medium granular structure (I mgr) by Shaun Bird. There apparently has been a misunderstanding between "structure" caused by handling samples of the soil during texturing versus the soil characteristics in situ. The soil, when chunks were taken out of the profile to hand texture, with pressure parted into "crumbs" that appeared at first to be subangular or granular in shape. However, these were not true peds that broke apart along planes of weakness, but fragments created by handling. The soil when observed in the horizon did not have distinct units of structure and should have been reported as "massive ". Added notation: on 4/23/04 Mark Iverson (Cedar Corp. certified professional soil scientist), Shaun Bird, and myself did an evaluation of soils on Lots 6 & 9, Richmond Meadows where the original soil report described the third horizon as sandy loam, "I mgr". On Lot 6 we checked soil profiles within a POWTS distribution cell and then excavated a test pit on Lot 9. The sandy loams in question were a weak, coarse to very coarse subangular blocky structure, where planes of weakness were just discernible when peds were parted from the profile. The peds separated with very light pressure by soil tester. Sand coatings were observed on the ped faces in the Lot 9 soils, which supported the determination that some structure existed to allow water to move through the upper portion of the sandy loam horizon. However, below the weak - structured soil we found massive (structureless) sandy loams and the boundary between these horizons was irregular, which would mean a distribution cell could encounter alternating weak and massive sandy loam. Shaun said he would amend his soil reports with a memo recommending that any sandy loams he identified as "I mgr" or "2 mgr" be assigned a lower loading rate of 0.3 gpd/ft2 (see attached memo for Whitetail Meadows) to provide a larger dispersal area. 4 Page Two — Soil Memo 4/27/04 Massive sandy loams have been assigned a soil application rate of 0.2 gpd/ft with the code changes in Comm 83.44 -2, effective as of 2/1/04. The application rates listed on the soil reports were higher due to the structure having been described as either weak or moderate, which affects the calculations for sizing of POWTS distribution cells. Obviously, one of the concerns is to make sure loading rates for the soils are not in error and allow undersized POWTS to be installed. For example, in December 2003, Lot 35 of Richmond Meadows subdivision had to have its loading rate reduced to 0.3 gpd/sq. ft. when the installer encountered massive sandy loam at the system elevation. The sandy loam horizon had been described on the soil report as "lmgr" with firm consistence. Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this situation and advised the zoning department to require on -site verifications for any lots with this potential misinterpretation on the soil reports. All soil reports with sandy loam "1 or 2 mgr" as its structure will be required to use a design based on the current code's soil application rate for massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise. t Wisconsin Depgrl;nent of•Commert;e SOIL EVALUATION REPORT Page !_ of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ,_,, i County c_ .1 iJi�! Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must v include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ��cc percent slope, scale or dimensions, north arrow, and location and distance to nearest road. v 2 Please print all information. Re ewe by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 1.04 (1) (m)). Property Owner Property Location G rv' Govt. Lot 6 1 A S 0 �3T N R E (06w Property Owner's Mailing ddress Lot # Block # Subd. t4ame or CSNV I City State Zip Code Phone Number ❑ City 0 yiIlage own Nearest Road New Construction Us� Residential / Number of bedrooms -3 Code derived design flow rate �� d GPD ❑ Replacement ❑ P o commercial - Describe: -- — - - - -- -- - -- Parent material a 'C' �/� Flood Plain elevation if applicabl General comments and recommendations. / � Gt.a'� 7 �✓ n Borin El Boring it Ground surface elev. Depth to limiting factor Soil Appli Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDHP in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 z 3IL 2 J <S / Boring # Boring L-71— Pit Ground surface elev Depth to limiting factor 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 Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mglL and TSS < 30 mall. CST Name (Please Print) a CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ' . —� 715- 246 -4516 Property Owner _ Parcel ID # Page of Boring # C1 Boring ` it Ground surface elev. ! 01 Depth to limiting factor in. mil 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 O -1 2 �� s a n F� y Z 2'Z 1 /' F 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 F-1 Boring # El Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil igtion 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 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 130 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.6100) r 4 Soil Test Plot Plan Project "Wane William Stock/Steve Dalton Shaun rd Address 1748 112th St. New Richmond Wi 54017 CS #226900 Lot 1 2 Subdivision Whitetail Meadows Date 8 r /03 S 1 /2 N W 1 /4S 23 T 30 N/13 W Township Richmond n Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 99.0/98.5 *HRpSame as Benchmark Alt. BM Top of 2" Pipe @ 100.2' Alt. B.M. B.M. 380' Property Line Please Note: Tested area Scale is 1 ?� = 4�' may not be suitable for desired building area unless otherwise Check system location before excavating noted 341' Property Please note: Installer must Line verify all lot lines and setbacks B"2 before installation. 10' B -3 45' 6% 45 ` Slope 45' a t~ -1 a 10 103' 175' 101' o 0 N Pro Town Road ST CROIX COUNTY 1 1 a SEPTIC TANK MAINTENANCE AGREEMENT l / AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address ash r.Q , c 1� �2� s� O /�r Property Address Veriltoy q f Planning Department f r new construction) City /State Parcel Idetitifratio Num er 026 LEGAL DESCRIPTION Property Location S ' RUD '/., Sec. � T N -R �� W, Town of i Subdivision , Lot #. Certified Survey Map # , Volume , Page # Warranty Deed # 7 i 3Ct,�) Volume � � , Page # Spec house D yes no Lot lines identifiable yes O 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 wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained trust be completed and returned to the St. Croix County Zoning Office within 30 lays o three year a ration date. 9 / SIGNATURE APPLICANT DATE DWNER 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 ha pro descri d above. b 'rtu f a warranty deed recorded in Register of Deeds Office. 8 / 1 °/ 08 3IGNAII:.)RF- OF APPLICANT DATE " Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. " " Include with tilts 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 decd POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _j . sYSTEfYh sP Owner Tank Manufacturer i �S rS O NA t'errrrit Sr Sew a Dose .O Molding Vol. NA DESM Tank Manufacturer � FARAMEFERS O NA 0 Septic 0 Dove ❑ Holding Vol. gat Number of Bedrooms 13 N of Public t Urdu ❑ NA EfEffluent Filter Matwfactwer Poly Lp k NA Estimated tavenk0s) flow �C7 Effluent l Model Design (peak) flow = tEstubmmted x 1.51 _ Pump Manufacturer ' NA Sod Application Rate 4 g 1 Pump Model p��t Unit NA Standard irdkmdMffluant Quality O SWxV&&v9l Filter Q Peat Fitter l=ets. 08 S Grease (FOG) 530 mg/l. Bioctmnical OxYW Demand (BOD 5220 mgA. El NA O Mechanical Aeration ❑ Wetland (TSS) st60 mg!!. O Disinfect D Other: Total Suspended Pretreated Effluent Quality Monthly average Manufacturer d cents) ❑ NA fgodmTdcal Oxygen Demand (SOD$) 53o mgn- / ) C7 In-Cirourrd (pressurized) Total � Solids tTSS) 530 mg/L ] n- Ground `tgrsvity } 51 O cfiiltOtlml O At-Grade ❑Mound Fe" Conform (gewrnetnc p O MuMaMaximum Effluent Par de Size Y in tile. O O DriP-lipe O NA O fi Q NA -Vakns typical fof domestIc W"bwW WW sWbc tank effkxmt. MAtN ItENA[UCE SCH1s1wLE Service Ffequenc`l Service Event month(a) t�� 3 years) ❑ NA rkopect ndition of tank(s) At least coax every: {Whim combined sludge and SCUM equals dries -thkd (Yai of tank volume p NA contents of tank(s) q3 When the high water' alp is Wtivate p niontR(e) (MaXWM 3 years) C3 NA I nspect spersal cam($) At least once every: s [l mesrithta) Q NA uent fi(terr At least once every- (:} 13 months) O NA mp. Pump controls & alarm At lea st once every: C3 ) marts E3 month {a) ❑ NA Flush laterals and pressure test At least once everY: O (S) ❑ month(s) ❑ NA odw At least once every: fl yeasts) p NA MAWTENANM WSTRUCTION15 one of the foowing ll licenses or certifications: Inspections of tanks and dispersal rills shat) be made by carrying one (pumper). POWTS Inspector: Master Plumber•. Sewer: POWTS Maintainer, Septage Master Plumber Restricted or broken hardware, identify any cracks or Tank inspections must Include a visual inspection of the tank(s) to identfil any bade or p of e ff l uen t on the grou or leaks, measure the volume of combined sludge and scum and a check for any to c the for any surface. The call(*) shalt be visually tead,to check the effluent levels in the observation pipes and to ponckng of effluent on the ground . The pondkV of effluent on the ground surface may indicate a fadflng C00ditian requires the irmnedisw notification of the local regulatory authority When the combined a on of dodge an scum in scu in any treatment tank squab one -third (Y cxxr 3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Serving Operator and di of in accordance with chapter NR 113, Wa onsin Administrative Code. ' uent filters. mechanicsl or pressurized components, pretrsetmeny AN other services, including but not limited to the servicing of effl by a certified POWTS Maintainer• units, and any servicing at intervals of S12 months, shall be performed A service report authority v 1O days of completion of any service event. be provider! to the local. regulatory GMW (2 /02) I Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal ceills). If high concentrations , are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shad not occur when soil conditions are frozen at the infittrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be urged to the dispersal call(s) in one large dose and may overload them resulting in She backup or surface discharge of effluent. To avoid this stuation 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 Tsai cells. Do not drive or park over, or otherwise disturb or compact, the area within 9 S feet dorm slope of any mound or at -grade and 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 Boas; diapers; disinfectants; taints; fat; foundation drain (wimp pump) discharge; fruit and vegetable peelings; gesobne: grease; herbicides: meet scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS falls and/or is permanently taken out of service the following steps shall be taken to insure that the system is Property and safety abandoned in compliance with chapter Comm 63.33, Wiscernsin Administrative Code: • AN piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. s The contents of all tanks and pits shell be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from d6tcabatnce and compectiort and should not be infringed upon by required setbacks from existing and proposed sshuctune, lot lanes and wells. Failure to protect the replacement area will result in the need for a new sod and site evaluation to exteblish 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 sits has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be pedorned to locate a suitable replacement eras. 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 blomat at the infiltrative surface. Reconstructlom of such systems must comply with the rain in effect at that time. < <WARNI NG> > SEPTIC. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR WOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER i Name V i +Q -S Nam Phone l s Phone 'SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name u Ca Phone Phone S (Q This documem was dratted by the staffs of the Green Lake, Marquette and Wauehera County Zoning and SarAndon agencies In compliance with chapter Comm 83.2Z(2)(b)f1)(dl &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. i Parcel #: 026- 1160 -12 -000 08/16/2005 09:14 AM P 1 OF 1 Alt. Parcel #: ' 23.31).18.1218 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 01/02/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - DALSTOCK LLC DALSTOCK LLC 1748 112TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1312 146TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.520 Plat: 09 /97- WHITETAIL MEADOWS 026/04 LOTS 1/30 SEC 23 T30N R18W PT SW NW BEING Block/Condo Bldg: LOT 12 WHITETAIL MEADOWS ('04) LOT 12 (1.520AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 23- 30N -18W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 01/02/2004 750596 09/97 PLAT 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/20/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.520 24,400 0 24,400 NO Totals for 2005: General Property 1.520 24,400 0 24,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 C ertification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 U 2`I39P 6 3 7 443�Z I STATE BAR OF WISCONSIN FORM 1 - 2000 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX Co., W I This Deed, made between L. Lawrence Williams and Vir ina R. RECEIVED FOR RECORD Williams, husband and wife and each in their own ri ht Grantor, and 10/21/2003 09:45AK Dalstock, LLC, a Wisconsin limited liability company Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys to Grantee the following EXEMPT # described real estate in St. Croix County, State of Wisconsin (the "Property ") REC FEE • 11.00 (if more space is needed, please attach addendum): TRANS FEE: 3015.00 The South One -half of the Northwest Quarter (S '/z of NW '/a of Section COPY FEE: Twenty -three (23), Township Thirty (30) North, Range Eighteen (18) West, CC FEE: EXCEPT Lot One (1) of Certified Survey Map recorded in Vol. 8 of PAGES: 1 Certified Survey Maps, Page 2305 as document number 465057; AND The North One -half of the Southeast Quarter (N '/2 of SE '/<) of Section Twenty -two (22), Township Thirty (30) North, Range Eighteen (18) West. Virginia R. Williams joins in this deed for the sole purpose of conveying any Recording Area interest she may have in the subject property under the Marital Property Laws Namc and Return Address of the State of Wisconsin. Robert J. Richardson Parcel Id numbers: Bakke Norman, SC 026- 1068 -80 -000; 026 - 1068 -90 -000; 026 - 1066 -80 -000. 026- 1066 -90 -000 S233 McKay Ave., P.O. Box 399 L Spring Valley, WI 54767 Together with all appurtenant rights, title and interests. See above Parcel Identification Number (PIN) This is not homestead property (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: easements, restrictions and rights of way of record Dated this 15th day of October 2003 * L. Lawrence Williams * Vir is R. Williams * * AUTHENTICATION ACK' OWLEDCMENT Sip-nature(s) L. Lawrence Williams and STATE OF WISCONSIN ) Virgina R. Williams ) ss. County ) authenticated this 15th da f October , 2003 - — 7 Personally came before me this day of 2003 the above named * ob rt J. Richardson TI LE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foreeoine authorized by §706.06, Wis. Stats.) instrument and acknowledeed the same. THIS INSTRUMENT WAS DRAFTED BY ROBERT J. RICHARDSON. Bakke Norman, SC SPRING VALLEY, WI 54767 Notary Public, State of My Commission is permanent. (If not, state exuiration date: (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. fNFO -PRO (800)655 -2021 - vwww.infoprof6or s.co .STATE BAR OF WISCO WARRANTY DEED FORM No. 1 - 2000 l wm <Dr2p -2 a� 8� 8g � s s � s s Ism s= IE ✓ Sys o as ss �R N lit kb 6 is ` I� i I \ 0 \ •` / 3 ►� � \ / �Jv m CIO ` Ic ,a 1 - 33' - ' — u• urrr�r r �.s Auruv __-. I � � � r I SSOO''299'28 1199.58' 4 I° r - - — — -- — — — — --� No pu leg C 4 p Op � in g 6' �:a L rig O o g N F7 oacsroCK cr.c � n« 0 T n c \ 0 § /7, \ D \ 7 � . m 2 ={ N f . ° z ) § } \ 2 \ ( $ { } k k \ ) e f ¢ k 2( \ G 2 j\ °® {�/ E 7 . o @ E . / y \ i / % \ CD 2 \ $ _ CD 0 \ F C l.. / \ \ \ \ co c z CL 0 0 0 2, ' 7 9 \ \ \ 2 , z o v # \ a ■ @ . f / 7 % / � } \ CD- � i / 0 o < a ID \ / / \ J ` N / \ m a ` k / / \ } / f E , �. o � CD (D . »° 0 } / { 2 * \ . mƒ .{$ }d0 ( CD /k\ \ 2 \fi § & \2\/ R �co t . Em, 0 _ iG - \o /¢ \ } < Em \ CD 0 \ ? . ! u 0 \ o Zt \ \ \ 3Won d y� c m o o 3 W ° °. m w ° CL N �+ rn c°n O \ ^ O O O (� C 'fl 9t � • o � D m m A O O w N 0 Z Z . �Z(D A Z O C� Cl) m � z A � c O � A S fi Z A b ro m z e- w 0 O �d ti I N y Parcel #: 026- 1300 -02 -000 12/13/2007 02:08 PM PAGE 1 OF 1 Alt. Parcel #: 23.30.18.1580 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/21/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - MUNDTH, LAURIE LAURIE MUNDTH 1312 A 146TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description " 1312 A 146TH AVE UNIT 2 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.000 Plat: 02 /011 -STONE RIDGE CONDOMINIUM 026 -06 1/2 SEC 23 T30N R18W PT SW NW BEING STONE Block /Condo Bldg: LOT 02 RIDGE CONDOMINIUM ('06) UNIT 2 & COMMON ELEMENTS & DRIVEWAY EZ Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 23- 30N -18W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 09/18/2007 860703 QC 09/18/2007 860701 QC 04/12/2006 822642 WD 02/21/2006 819034 02/0011 CONDO more 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 242185 159,100 Valuations: Last Changed: 08/09/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.760 12,200 118,800 131,000 NO 05 Totals for 2007: General Property 0.760 12,200 118,800 131,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 026- 1300 -01 -000 12/13/2007 02:08 PM PA 1 OF 1 Alt. Parcel #: 23.30.18.1579 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/21/2006 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner 0 - JOHNSON, DAVID M & DEANNA L DAVID M & DEANNA L JOHNSON 1312 B 146TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description " 1312 B 146TH AVE UNIT 1 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.000 Plat: 02 /011 -STONE RIDGE CONDOMINIUM 026 -06 1/2 SEC 23 T30N R18W PT SW NW BEING STONE Block/Condo Bldg: LOT 01 RIDGE CONDOMINIUM ('06) UNIT 1 & COMMON ELEMENTS Tract(s): (Sec- Twn -Rng 401/4 160 114) 23- 30N -18W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 09/18/2007 860702 QC 02/21/2006 819034 02/0011 CONDO 08/29/2005 804839 28771071 WD 01/02/2004 750596 09/97 PLAT 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 242184 159,100 Valuations: Last Changed: 08/09/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.760 12,200 118,800 131,000 NO 05 Totals for 2007: General Property 0.760 12,200 118,800 131,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00