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Home My WebLink About026-1130-19-000 Celebrating 40 Years Of Excellence 1965 -2005 l[MIESER IBRIBETE] wieserconcrete.com CC',� // �0" Maiden Rock, WI (800) 325 -8456 Fond du Lac, WI (800) 641 -5937 Portage, WI (800) 362 -7220 Spooner, WI (800) 336 -3416 + 00tnO 3v d LO w o - eo CD M rr 1 Cn C- z O W ?I ;('J N O 3 CD w _. • C) D) CD j C . co O _Q Lo N ( ; CD > Cn O N COO ..'=Or O O cXl N CD w N O N C �- 7 a CD d co 0 CD N O ° o O C 01 n O co a co A� .� C � m A v _� v> A a (D O A N d O W D CD CD 3 a o w tO o = � D O O N � 7 L O C O O Z 0 O C �' a N ID $ a CL m 11 m H• z 000 m T M T 3 O v_ o C o � CO) N In D. c0 a � �1 o' � m 3 m y m CL N Z5 Z c sC • CO) N CD M� M. G N �/ CD C, (D N a Z CD a (6 -i �n ° N Az(D - c 0 I o. .. W Z W (31 `2 0 CD Z C Z y Z CD CA 7. d C O 3 O G N d CD N C rno � o a M. CL m m a m c CD o ° CD M• i 2• 0. 0 m m CD w m b CL CD a o _ ✓ to O w I o � `"' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division A , 0 INSPECTION REPORT sanitary Permit No: 399591 0 GENERAL INFORMATION (ATTACH TO PERMIT) 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: Fibison, James I Richmond Township 026- 1130 -19 -000 CST BM Elev: Insp. BM Elev: I BM Description: " T ANK INFORMATION V ELE ATION IIATA TYPE MANUFACTURER CAPACITY STATION BSI HI FS ELEV. Septic Benchmark - Dosing C7 Alt. BM ' Aeration U Bldg. Sewer �• 3 �(, Holding — St/Ht Inlet SQ ( 91V $l r TANK SETBACK INFORMATION St/Ht outlet . ZZ 70 --?0 , 0 .30 / TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ' / -z 'z ` � Dt Bottom I Header /Man. Aeration Dist. Pipe q• 5s d l ' 02 , q. q Holding Bot. System 10.5b Final Grade SI '4-3 "It. Z/ PUMP /SIPHON INFORMATION 4, '{, z' Manufacturer Demand St Cover M Mo umber �yI , Q oa r TDH Lift Friction Loss System Head 9 Force In Length Dist. to Well OIL ABSORPTION SYSTEM Z /TRENC Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM S 3 r SETBACK SYSTEM TO P/L JBLDG IWELL LAKE/STREAM LEACHING Manufacyur4r. - (� INFORMATION CHAMBER OR ( t v+C� Type Of System: , r UNIT Mode umber, "r - DISTRIBUTION SYSTEM Header/ a ifold Fistribution x H x Ho sing ntake ipe s) Length Dia engt Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No ri Yes � No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 0 %j Z Inspection #2: Q r Location: 1414138th Ave Unknown (NW 1/4 NW 1/4 25 T30N R18W) Red Pine Corner Lot 19 Parcel No: 25.30.18.879 1.) Alt BM Description = Af/� 2.) Bldg sewer length mount of cover dL Plan revision Required? o Use other side for additio D to � (� Insepctoes Signature Cart. No. C_e SBD 6710 (R.3/97) QS� t W� , s" a l i t3w,ar j�: r�. t P.rOal ro r CD -4jL so*+o Ana �` ot"�"" Elie 98.40 +84 I� PM Grard wboasmV. ,-, It Depth to it OV ftcbr ln. Rs Ftotlseo�tt 0#0 Donitiattt Apdott RW= Dsw Tstdw� Saucers caws w" e wn" Boob In Itlutsal Ou. S:. Cw L Cola Gr. SL Sh. •E 'ElMt 2 - 1 4 ail 2ntsbk Mfr if - 5 .8 3 23 -3 7 1 2=& mfr aw if .5 .9 rta .7 1.2 7 M (� pit Ground s Oev. 9 7.40 ft. Depth to it rn" factor +8$ h SoN Agpkmdm Res Flout 0@0 DwnYtltnt Cow Radar Das vkHon Ta>atre sruc try Corodstanca 9ow4wy Raois GPOR Nt ttertaaN Ott ft Cotta. Color Gr. Sr. Sh. 'EfASt 2 7 oil 2msbk Mfr aw if 5 8 r c E P!t Gtartdams"al.,► ft. 0000 ,,o I *w Hotbat Ospat 30 ri wd Cdor Ratdott Ossetlpeon TVwV SttUMM C A MOMB Soto dsrr Rooet Itt bltntnl On. 8L Cot Color Of. Sze Sh. , 'EMi 'E9Nt2 i EftAnt tt r OWE 30 S 220 MOL and TSS 3 < ISO mpt " Effluent 02 • 800. S 30 mplL and TSS S 30 mplL The Deptuttrtent -if Conwiarea is in squat opportunity aarvice provider and employer, if you need tusbtttnce to seem services or need oars W is sA ah"W" Mat. ptaase contact the departsteat at 609. 265.3151 or TTY 9-261- 60 91T7. VMMW A" 'r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ' Attach complete site plan on paper not less than 81/2 x 11 inches in s e. Plarfci►+ E IV include, but not limited to: vertical and horizontal reference point (BM), irection and n Parcel percent slope, scale or dimensions, north arrow, and location and dista ce to nearest road. - Please print all information APR 0 7 by Date Personal Information you provide may be used for secondary purposes (Privacy w, a. tl T� cn LJ NT Prope Owner Property Location a• Govt. Lot 114 1/4 = - T N R (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or C31rAlt �-�' City State Zip Code Phone Number ❑ City [I Village 4 Town Nearest Road ( ) (� New Construction Use: Residential ! Number of bedrooms —75 Code derived design flow rate - - 2!5 7 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable 10 ft. General comments �J 2 and recommendations: 88 . ❑ Boring # El Boring E3 pit Ground surface elev. / ft. 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 *Efr#2 s Boring # E] 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/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Efflugnt #1 = BOD > 30 220 mg/L and TSS >30 < 150 mgA- * Effluent #2 = BOD 130 mg/L and TSS < 30 mg/L CST N Signature CST Number Address Date Evaluation Conducted Telephone Number Property Owner Parcel ID # Page of ❑ 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 GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 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/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eif#2 F-I Boring # El 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 rnglL and TSS >30:5 150 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. SBD -8330 (R.07/00) - f , Ivii c <et•Jp iii ` i I .s= ,%l - 7 I C � Z S l I t a � �9 _--- _____._... -- - 201 W. Washington 4114tBu Bu P.O. sion County __. Safety and IiutlJimgs Ury / b fox 7162 >( lv �i sconsin Madison, WI 53707 - 7162 Site Address �e. De artment of Commerce _71 ,P1.1 ' Sanitary Permit Application S '"" r '�3 j q 5_ 9 ( In accord with Comm 83.21, Wis, Adm. Code, personal information you provide C3 Check if Revision / maj be used for secondary Purposes Privacy Law, 515, 1 m I, Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel umber \ 1� (72-Pf30- 19 -C70a i �•. zr.3e. -I -8-i �CEI11Co .� Property Location Property owner's Mailing Address YL r u 4: T N, R O lg X City, State Zip Codc - P b 2A01 Lot N r Block 44mbcr Subdivision N e CSM Number ! t� 000NTY AZ r — ZONINGOFFICE V ; Type of Building (check \Bedruonis ✓ $ ; ; i ❑Citr" 50 1 or 2 Family Dwelling - Nu�_ - -` / // ❑ lage O Public/Commercial - Describ pCr P(a>` s Srti6w, i�lt� owtuhi ' ❑ Stan Owned Nearest Road M. Type of Permit: (Check only one box on ' e A (numbering scheme for internal Complete line B if applicable) �l A. 1 19 New 2 ❑ Replacement System 3 epla ' cement of 6 C3 Addition to f,` For County use system Tank Exis System B. ❑ Check if Sanitary Permit Previously Issued Pe Number Date I: ed __ M of Permit: (Check all that a 1Y )(nu mberin g eme is for rote ' 44 R Non - Pressurized In- Ground 210 Mound 47 ❑ S Filter , 50 ❑ Constructed 22 C3 Pressurized In- Ground 41 ❑ Holding Tank 48 Q'' ingto Pass 5 Drip U 45 C1 At-Grade 46 11 Aerobic Treatment Urut Reci la g O V. D' ersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil plic on Pcrcolad to m Eleva ' Final de Required Proposed Ka Gals. /D /Sy.Ft.) (Min./lnch Ele On ✓ V , Tank Info Capacity in Total Number:' Manufacture Prefab Site AWC1 Aber Plastic Gallons Gallons of Ta Concrete oas Glass New Existing Tanks Tanks Scpdc or Holding Tank - Dosing Charnbcr VII. Responsibility Statement- I, the ttnde a responsibility for installation of the POE" Awn on the attached plans. Plumber's ame tint Plumber i MP/MPRS Ntunber Business Phone Number Pi is ddress (Stree(, City, State, Zip ) VIII. — County /De artment Use Oal Approved ❑Disapproved Sanitary Pertnit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stumps) -� -- Surcharge Fee) El Own Given sal Adverse _ Determination Z �S �� _ I( 2 0 w� IX. Conditions of Approva /Reasons for Disapproval i� 0 1. Effluent filter to be installed and maintained per manufacturer's recommend ions. 2. Any filling and grading that will affect the capacity of the HWL retention ar is prohibited. S h Attach cc -piece plans (to the County only) for the" m oa pe ool lea than Un x 11 as la dw ` SBD -6398 (R. 05101) f/in. s t, soy Ali AlA)Y SK >`3oX Al .e �,�.a,� -� /?��,P,�- r m�'/ � �`'J�?��K • ��( �ooa ' _ - _ s r h 78' - � 3 a1 fin, av _ -- / /,,J,* - - __ - - -_ __ __ _ ._ _ _' __ __, ___ �, __ ___ !�� __ __ __- __ __ _ _ __ _ _ _ __ _ �I" _. _ _ ,� __ � - __ .'; e�� - ,, s t I • ` I ', ', __ _ _ __ j _t _ I __ -- �t __ t ,. �. 4. V '� � �� ' � I i II_ _ _ _._ ___ _ _.__. __.. r ___ __ - _. __ _. _. _. _._. _. _; ___.. - -__ x _.. ____ ___. i ! �! ____ -. ___._ __. - _.. .r -.__ -. _. _ _ _ .. _.. _. _- _.._ � -�___ ', i ' I __ __. _.._ _ _.. _. _ _ _. _. _. _.. - _._ - - - i__ _ ._.__.___ 1 r _.__..:. _. __._ ___ _.._ _... _ _.. _ i_ _.___ ____ _..__ .. ___. -. __.__. ___ I '.. ',. '. �' � ',. '. I '', ', �. ',, �.. __ '., i _ _ I '', ! I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 _ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, anc�Joc�tlorl an dt�Wce to nearest road. pending Please print all j fforMai'ion. wed y Date Personal information you provide maybe used fof'secondary purposatr`t(Privacy Law, -. 1 04 (1) (m)). �— Z Property Owner i , ,, i v ; pft v Location Oakwood Land Development Gipdt. , - t NW 1/4 NW 114 S 25 T N R ig j(or)W Property Owners Mailing Address Liit #�, i Block; Subd. Name or CSM# 1611 Hwy. #10 N.E. ' ' -`� '19 r na Red Pine Corner City State Zip Code Phone Num El 01ty ❑ Village :E] Town Nearest Road Spring Lake ark, .55432`612`) mKi' 9 ';`Richmond I 140th ® New Construction Use: Q Residential / NumberrWdrooms: 6-00 _ Code derived design flow rate n GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material outwash Flood Plain elevation if applicable na ft. General comments and recommendations: trenches starting @ el., 95.40', spaced to cdoe followed by trenches 4.00' below grade Boring Bonn # F il l g [ pit Ground surface elev. 9 9.40 ft. Depth to limiting factor +84 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /f? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1. 0 -13 10 2 2 none 2 -13 -36 10yr 5/4 none sil 2msbk ✓ 3 3 84 17.5yr 4/6 .7,/1.2,/ 1 Boring # Boring 9 9.00 22 ❑X Pit Ground surface elev. ft Depth to limiting factor in. +88 Soil Application Kate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 0 -10 10 3/3 2f 5 8✓ 4/4 none sl 2msbk mvfr qw if .5 .9 ✓ 3 - -31 .5yr 4/4 none is osg mvfr gw na •7 ✓ 1.2✓ 4 r 1 -88 7.5yr 4/6 none ms osg mvfr na na .7., 1.2 `1'3� Effluent #1 = BOD > 30:S 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address Do Evalu on Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -15 -2000 715- 246 -6200 Property Owner Oakwood Land Dey Parcel ID # pending Page 2 of 3 1 3 1 Boring # ❑ Boring ® Pit Ground surface elev. 98.40 ft Depth to limiting factor +84 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 5 ✓ 8✓ 2 8 -23 1 Oyr 5/4 none sil 2msbk mfr qw 1f .5 ✓ .8 ✓ 3 23 -32 7.5 4 none sl 2msbk mfr qw 1f, .5 .9 ✓ 4 31-8417 5yr VE none is OSQ mvfr na na .7 ✓ 1.2 ✓ Boring # ❑ Boring 97.40 ' +88 F 41 ® 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 none L 2msbk mfr qw 2f .5/ . 8 i 2 • 12 -25 7.5 4 none sil 2msbk mfr qw 1f .5-/ .8-/ 2- 7 4 ls osa mvfr 7✓ 1.2 4 f 80-88 7.5vr 4M none sl 2msbk mvfr na na .5 —9/ ✓ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. El pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD- 8330(R6=) STEEL'S SOIL SERVICE Ga L. Steel , , Lan Development 1554 200th Ave. ry �4�4 S25- T30N -R18W CSTM2298 town of Richmond New Richmond, WI 54017 MPRSW -3254 lot #19 -Red Pine Corner (715) 246 -6200 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test vas conducted. N 1 =40' - BM.= top of 1" pvc pipe @ el. 100.00' A1t.,BM.= top of 1" pvc pipe 2 el. 98.55' 1b Gary L. Steel 11 -15 -2000 M ` 0M : RQ':N 'YMC1 -Wr A t r tFtpr1 S Fitt I-C . :6S143.13907 % q - 27 2001 113:14PM P 4 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owner/Buye- C>, rh e,S Mailia& Address Property Address ,� verifltatian required rrorr Planning Deparn wn! for new conatmction)� City/State Parcel Identification Number Q2(a:;� -� /. O �, 1G�At ��.CRtP Propt;Ity LoCationtV,W `,;, /�i't ,a i:, Set;. �I . T?_ti -R W, Town o �1i tt dI1M0 Subdivis a- Lot # Certified Survey Map K , Volume , Page lY Warr*nt*, Deed ---�- s volume Pa Spec house 0 yes 9f no Lot lines identifiable yes p no SM MAINMANNCE Improper use Ind maintenance of your septic tyytem could resu it is its ptepulure failure to handle wasts, PtOper Maintenance consists of pumping Q , the septic tu'Lk every three ytiors or sooner, it heeded by a licensed pumper. 'what you put unto ass aisles cart affect * function of the septs tstsk as a netitrntat stage ijr the waste disposal systeus T is property owner agrees to submit to St. Croix Zonis` Depatytrteat a certtit a,, form, stgssad by else owner and by a master talus ^bor, Jtwrteyrnan plumber, restricted plumber or a liceasad pumper verifying that (1) dw on -site vrettevraterdlspouI intent is in grope operating 6ur.1iti4n and/or (2) aArr insprc;ivn and pumping (if nece"WA the sept,C tank is test Wan 1/3 fall of sludge. " we, elf orth, cotes, as sa the u th as le t by by the D read the above rcquitemei,ts and agree to ma(nt" the lin"Ate sewage disposal systens with the standards atarinj that sat f t s bee of Commerce and the Department of Natural Resources, State of Wisconsin Certification yo;u septic system his beer Irtaiatained must be cerrapleted and returned to the St. Crox 0108 Air the three aware ' 01011 date. i Cotrsry Zo OM" w;t in 30 A E OF A !VT JE C j - ^a , CG �A . j C AT 10 N I (We) con fy that all statements un this form are Live to the best of MY (our) knowledge. 1 (we) ate ( ;re) the otwrser(s) of the �" des l e, virtue of a warranty deed recorded in Register of Deeds Orrice. + 7! AQPL� ANT r DATE •see• Any information that is min -re rescrtedmay ► p esult to the santtar,, permit being rvvoked by the Zoning Depattmcnt "•� �• to Include -vith this application. a stamped warranty deed front ;h Register of Dewitt office I COPY of the tert;fed survey rnap If reference is r:aMde in the warranty deed POWTS OWNER'S MANUAL at MANAGEMENT PLAN Page of_�2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity j ° ° ° al ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 0 NA, Effluent Filter Model ❑ NA Number of Commercial Units J9 NA Pump Tank Capacity gal 121 NA Estimated flow (average) gal/day Pump Tank Manufacturer M NA Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer 0 NA Soil Application Rate gal /day /ft' Pump Model ZNA. Influent/ Effluent Quality Monthly average* Pretreatment Unit ZNF Fats, Oil $z Grease (FOG) :530 mg/L ❑ Sand /Gravel Filter ❑ Peat Filter 5_220 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) ❑Disinfection ❑Other: Total Suspended Solids (TSS) x150 mg/L Manufacturer Pretreated Effluent Quality )Si.NA Monthly average ** Dispersal Cell(s) Biochemical Oxygen Demand (BODs) _530 mg/L Sg� In- ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) _530 mg/L ❑ At -grade ❑ Mound Fecal Coliform (geometric mean) _510 cfu /100ml ❑ Drip -line ❑ Other: Maximum Effluent Particle Size A inch diameter * Values typical for domestic (non - commercial) wastewater and septic tank effluent. * * Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months l %year(s) (Maximum 3 yrs. ) Pump out contents of tank(s) When combined sludge and scum equals one -third ()i) of tank volume Inspect dispersal cell(s) At least once every S ❑ months J C� year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months Oyear(s) Inspect pump, pump controls ez.alarm At least once every ❑ months ❑ year(s) 9 NA Flush laterals and pressure test At least once every ❑ months ❑ year(s) Z NA Other At least once every ❑ months ❑ year(s) 0 NA Other At least once every ❑ months ❑ year(s) O NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Mast Plumber, Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank Inspectior. must include a visual Inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure & 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 notiflcadon of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (A) 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 ch. NR 113, Wisconsii Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintalner. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. 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 chemic:. that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the content OF the tank(s) removed by a sentage servicing operator prior to use, Pip System surf up shall not occur when soil condlulvns art (roan at the InNvadvt surface. During power ouuges pump links may fill above normal hlghwater levels. When power Is restored the excess wastewater will t1v discharged to the dispersal cell(s) In one large dose, overloading the cells) and may result In the backup or surface discharge u' effluent. To ivold this situation have the contents of the pump tank removed by a Sepup Servking Operator.prior to restorer: power to the effluent pump or contact a Plumber or POW75 Milntalner to assist In manually operating the pump con(rol, to restore ncrmal levels within the pump tank. Do not drive or park vehicles over sinks and dispersal cells. Do not drive or park over, or otherwise diswrb or compact, the are, within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater swam may Improve the performance and protons the lift of the POWTS: antibiotics; baby wipes; clgjrette butts; condoms; cotton swabs; degreasers; dental Hou; diapers; dlslnftctanu; lit, foundation drain tsump pump) water; fruit and vegeubie peelings; gasoline; greast; herbicides; meat scraps; medicadum; oii, painting croducw L)t?$0Cldes; sanitirY niokins umponji and water wftentr brine, ARANDONEMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to Insure that Lh• system is proprrty and safely abandoned In compllance with ch, Comm 83.33, Wisconsin Admin4vaiave Code: • All piping to tanks and plu 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. • Ahe pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled w,;r soil, gravel or another Inert solid matrrlal. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, w provide a code compliant replacement system: 34 A sulubie replacement area has been evaluated and may be utilized for the location of a replaeemtnt soil absorption system, The replacement area should be protected from disturbance and compaction and should not be Infringed upon ; requlred setbacks from existing and proposed strucwre, lot Ilna and wells. Failure to protect the replacement area will result In the need (or a new soil and sett evaluation to esublish a suluble replacement area, Replacement systems rnu,t comply with the rules In effect at that time. 0 A suluble replacement area Is not available due to st0ack and /or soil Ilmltatlons. barring advancts In POWTS technolod; a holding link may be Installed as a last resort to replan the failed POWTS. O 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 suluble replacement area. If no replacement area Is available a holding unk m. be Insulted as a last resort to replace the failed POWTS. Q Mound and at-grade soil absorption systems may be reconstructed In place following removal of the biomat at the Infiltrative surface. Rte<onswctlorts or such systems mast 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 TKE INTERIOR OF A TANK MAY 6E DIFFICULT OR IMPMUR1 F ADDITIONAL COMMENTS POWTS 1 $TALLa POWYS MAIN TAINER Name - N ame Phone Y Phone SEPTAGE SERVICING OPERATOR (PUMPER LOCAL REGULATORY AUTHORITY Name Agency Phnne fhont i . Il STATE BAR OF WISCONSIN FORM 1. - 1998 E CEO 1 WARRANTY DEED R i I O DEEDS kEEISTEk O F DEEDS CRJIX CO., W1 Document Number Vol. 172 PAGE 3 RECEIVED FOR ,RECORD This Deed, made between Oakwood Land Development Inc. 24-2001 3:30 AM eiARRAfiY DEED EkEiOT N Grantor, CERT COPY FEE; and James D. Fibison, married CO; FEE: TRANSFER FEE: 104.70 RE."ORD1.16 FEE: 11.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in — St. Croix County, State of Wisconsi (the "Property "): Recording Area Name and Retum Address am s D. ib'son R P e C e Add'tion Ne Ri mon 540 976 1130 19 000 Parcel Identification Number (PIN) This is not homestead property. 1 not) Lot 19, Red Pine Corner (is) \ RETURN TO: (is Lf Records of St. Croix County, Wisconsin. �\�� Burnet Title 7550 France Ave. S. Abstract Property. ^�U First Floor Edina. MN 55435 ATTN: Post Closing Central Together will all appurtenant rights, title and interests. none Grantor warrants that the title to the Property is good, indefeasable in simple fee and free and clear of encumbrances except Dated this 2nd day of July 2001 (SEAL) (SEAL) Oakwood Land Development, Inc, � s Gregory J. Peterson , President (SEAL) (SEAL) k • AUTHENTICATION ACKNOWLEDGEMENT Signature(s) State Of Wisconsin, ) ss. St. Croix County. authenticated this day of Personally came before me this 2nd day of July 1 2001 the above named Oakwood Land Development Inc., Gregory J. Peterson, President s TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be the person who executed the foregoing authorized by §706.06, Wis. Stats.) 1 stru d owledge the same. THIS INSTRUMENT WAS DRAFTED BASK A PU SC / Coldwell Banker Burnet 01 - 16861 NotatYW�%C 1301 Coulee Road State o1 t. K A Ca S r Notary Public, State of WiscdNsin Hudson WI 54016 My commission is permanent. If not, state expiration date: ( Signatures may be authenticated or acknowledged. Both are ) not necessary.) Names or persons sigging signing in any capacity must be typed or printed below their signature. 61'Ml E BAR OF WIbCUNSIN Wisconsin Ugaffilank Co.jn7 WARRANTY DEED FORM No. 1 - 1998 Milwaukee, Wis. k e an "" LOT 6 LOT 5� f ; . 6 AC 1 5 1.52 AC > ` '•, e LOT 7 1.52 AC i , to . '\ a � LOT 24 ` ♦ \. / 1�S18AC te, o+�� t LOT 23 \ i + i + 1.62 AC • • 22 -\ z.s2 .. AC \ LCfT 21 1.5 AC r i _ f , " LOT 0 0 I LC T 25 1.52 AC LOT 10 ' f I .87 AC 1.52 At ' I v . wamwftftw LOT 18 1.53 AC f � o r a a for LOT 26 I,CT 11 v As 1 52 AC LOT 17 \ 1. '`" AC + LOT 27 -LOT 12 K avow / 4 1.54 AC 1.54' AC LOT 16 , 1.53 AC LOT 28 LOT 15 r LOT 1 5 AC 1.52, AC 1.58 AC j . ! 9 LM 30 LM 35 1.52 AC : - 20 Q �\ N LO `\ T 24 ` 0 eh� 273,831 SO. FT. 6.29 ACRES •�1 • ��, �s i �k �N1243W MIN. F•F.E• 985.5 5 68 �� ,Z `��` \ ��• ♦\ ` \ \687V5'0( \.- a►►,, LOT 23 of `.j 70, 362 SO FT. \ \ W 2389'N „ 1.62 ACRES v `v Mme MIN. F.F.E• 985.5 O � \ SA ` 9 c DRAINAGE t� El� s� 1 'Ar JPw 295. � 5, 21 "� �� 56 ��`+`` ! LOT 22 � X6.73' S) ��"�- }� — _ 1st. _ � • . .. 4j�, mss" � ,.. ,� ...r ._ •ly _ \ — 6 E 9.91' - � 66, 000 SO. FT. 0 9 N8429 3 19 �. 1 .52 ACRES . �ti� 0 0 MIN. F.F.E• 985.5 O O � O ° 'oo• LOT 2 ti 66 000 so. .�v O ° LOT 19 3 X90 1.5? ACR/ t� O� 90, 932 S0. FT N 15 0 . o 2.09 ACRES c A S- y o r7 sr i s »8.00' o MIN. F.F•E. 985.5 N 0 0• LOT 20 w 66,386 S0. FT d0• 1.52 ACRES ry : LOT 25 0 1 3 : 168,716 SO. FT. N 3 • 5 ^ ' 3.87 ACRES °- 6n • MIN. F.F.E. 985.5 o : 168 ?5 � X01 ss• N 32��4 I /'p /N 9S, 41 . ry � lArA N 32.14 " 9 ?0 y E { 0 J � • LOT is 463 6j' FNr i 66, 454 S0. FT. ,o (o � S89'52'26 "E 1.53 ACRES 0 0 * 330.00' �\ N i N 72 3214 ^� 4 �. LOT 26 w 66, 000 So. FT. 1.52 ACRES ° LOT n N o 65,656 SO. FT. � v� N N 1.51 ACRES 00 ! tJa N£ OF TH£ NW 1/4 OF 1H£ NW 1/4 — cN _ 3 NORTH UN£ OF 1H£ SW 1 / 4 OF •9H£ NW 114 �' • S89'52'26 "E 330.00' i• 0\```� `\ i MA TCH LINE' N z �0