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HomeMy WebLinkAbout030-1006-60-000 � kisconsin Department of Commerc -''`I PRIVATE SEWAGE SYSTEM County: St. Cr oix • Safety and Building Division Sanitary Permit No: INSPECTION REPORT 395151 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: Gerhan, Ken I St. Joseph Township 030 - 1006 -60 -000 CST BM Elev: Insp. BM Elev: BM Description: t9U .a bo . o CSc� OC4&- & TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark . s D t �•� Dosing Alt. BM 2.35 ylg.sr' Aeration Bldg. Sewer �•So` Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht outlet r `f 9S gs.9r TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / 1 ` T Dt Bottom Dosing 1 Header /Man. S- Z© Aeration Dist. Pipe ­rwir •�jrs / , g , Holding sot. System 4& Final Grade \ PUMP /SIPHON INFORMATION w �) Man acturer Demand St Cover r GPM ' Model 11tuber TDH Lift Pcit<on Loss System Head TDH t Forcemain ength ia. Dist. to Well I I 1 7 SOI ABSORPTION SYSTEM t BED/TRENCH Width 1 6o Length f o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS • � S \ �� SETBACK SYSTEM TO P/L !! BLDG WELL LAKE /STREAM LEACHING Manu INFORMATION CHAMBER OR ` S►�fiLe��V Type Of System: Z � / � UNIT Mod I Number: �} a.0 DISTRIBUTVN 4 &MTEM Header /Mani Distribution x Hole Size x Hol S acing Vent to Air Intake Pipes) Length Dia Length SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of odded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil xx Seeded /S Yes [_] No D Yes L] No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: lo / e_ d Inspection #2: / Location: 1125 County Highway A Hudson, WI 54016 (SW 1/4 SW 1/4 2 T29N R19W) NA Lot 2 Parcel No: 02.29.19.27F2 1.) Alt BM Description= co-cr [� 2.) Bldg sewer length= I S ' �- p ` �s.... gG 0%, fAAtf- o,� -amount of over = j$ M +. (-k j'""""' 7 - �_ Plan revision Required? E] Yes No U r Use other side for additional information 7 rroo • (ZSZ Date Insepctor's Signature Cart. No. SBD -6710 (R.3l97) e Safety and Buildings Division County 201 W. Washington Ave„ P.O. Box 7162 ` ,*"nsln Madison, WI 33707 - 7162 Site Address Do artment of Commerce C Sanitary Fernit Application Swtw Permit Number In AMW whh Cam 83.21, Wis. Adm. Code, peraoml information you provide �^ 3 Q S` My be used Pri Law SIS. i l"�k If Revision I• APPVClldWl IdOrWAdWs - Mass Print All 10ormadon State Plan I.D. Nuaftr Property Owtxr's Name, T Parcel Number ho" Owner's Maft �Address EY T99N. it ZY J ft gem ZipCode t3) Nplanieer �� Let Nst s Nutaber S7 UROIk Subdivision Name -" ~_ CSM Number (,u i .5 CS) r ° UN Fi IL T YP of 1106 lets (check all that s p*): 1 or 2 Panttiy DweUitlg - ldtttaber of Bedrooms C7wlage 0 PtelidCamtneroGl- Destxibe Use .-.. 0 soft Owvod It Road III. Type of Petaett: (Check only one boat an Rue A (numbering schema for internal use). Complete It applicable) A For C _& ltepwUment 9ysmm 3 11 Replacemat t of 6 D Addition to �t1' use Tank Oni S stern B P ' qMk it sa tary Permit Previously Issued Permit Nu mber Data Issued IV. Tjpe d Pe ngb (Check all dW apply)(-assibertas scimnse is for Internal use) 44 0 Non - Prossurlad. In-Ground 210 Mound 47 © Sand Filter 30 Constructed Wedatad 22 ❑ Preaw dnd In- Ground 41 HoWing 'Tank 48 Q sitlgle Pass 51 Drip Line 45 46 Aerobic Treatment Unit 49 Redrowating 30 13 Otber V. (meant Arm Iaf t Design Flow (O Disparaatl Area Diapers- Area Soil Application Percolation Rate System 131evadon Final Orade C Required Proposed Raoe(Oals./I>sys /Sq.Ft.) (MinArA) Meystlon 3 - 7 - '3' --) -? VI. Tank hh Capacky in Toad Number ` Mandacturer Prsfib / as Steel Fibe r Plastic GaUocs NOW Gailoos of Teaks Concrete ConswwAod Glass Uft i3alstipg Seeds or Holft Tank I VII. Stntament- 1 tide so%=* remandUfty for moo of dw POWTB shown on the attadted Phuaber's Noma (Ptigt7 MPlMPIt3 Number Business Phone Nun Plumbetrs A State, Zip /-S �o VIII. Q 'O,Appsoved ❑ Diap wod Mary Pumit Pee (inchtdea Owwwwater Due hawed Issttins Agent Sianatum (No Stamps) Q owner Ot m baidal Adverse . lie) , 8V cooat:sore �' "WT 4� s w may Athrcb setMP j J6 the and) tar *0 rimers on payer sot lea claw sit* a U t%* a to Mm SBD4398 (R 05101)' _ PLOW LAN PROJECT Ken Gerhan ESs Rt 2 Hudson Wi 54016 S1 V 1/4 SW 1/4s 2 /T 29 N R 9 W TOWN St. Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 8 /12/01 BEDROOM 3 CONVENTIONAL X)o( IN- GROUND P ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE O WELL •H.R.P. Same as Benchmark SYSTEM ELEVATION 90.6 Alt. BM Base of old house siding @ 99.4' County Road A Vent Plans Designed Using ALo Sidewinder High Conventional Powts Capacity Leaching Manual Version 2.0 Chamber 6 „ 34" Grade at System Elevation Well was found to be old sandpoint, the sandpoint has been pulled and was >50' from tested area and is >25' from proposed septic tank area Well location unknown, well is to be located and properly sealed before septic can be installed Site may not even have a well, Old House to be several outhouses were located on torn down parcel, no existing yep t found Alt Tested area has a 0% c Slope, thus no Pro 3 contours were drawn 4. Bedroom 30' N.. House 60' j 2 -3' X 69' cells T B -2' with >3' Spacing 30 .. a 30 , � � N B -4 50' � 0 1 B -1 N Vents 2 45' B -3 35' B.M. 312' Property Line V 35' -5 Property Owner Parcel ID # Page of 21 Boring # Boring ,mot Pit Ground surface elev. Y6 ft. Depth to limiting factor in. Sail Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 S (f 4 ` nil f- Ra ® 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 GFt ft In, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 f ` Effluent #1 = SOD, > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 m 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 (8.07/00) Soil Test Plot Plan Profect Name Ken and Jean Gerhan Shaun Bir Address Rt 2 Hudson Wi 54016 CST #226900 Lot 2 Subdivision -- - ---- Date 7/18/01 S W 1/4 S W 1/4S 2 T 29 N /13 W Township St. Joseph Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 2" Pipe System Elevation 90.6 *HRP Same as Benchmark Alt. BM Base of old house siding @ 99.4' County Road A Well location unknown well is to be located and properly sealed before septic can be installed Site may not even have a well, Old House to be several outhouses were located on torn down parcel, no existing septic was found Alt. M Tested area has a 0% Slope, thus no Pro 3 contours were drawn Bedroom House 0' B -2 20'' 0 30' It o� N B -4 20 0' N 70 ' B -1 B -3 20' 20 *B.M. 35' 312' Property Line 35' B -5 15' i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 395151 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information ybu provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holdar's Name: City Village x Township Parcel Tax No: Gerhan, Ken I St. Joseph Township 030 - 1006 -60 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 7Z TANK TO P/L WELL BLDG. N Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Ma Aeration Dist. Pi Holding Rot/System � final Grade PU /SIPHON I NFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tren es PIT DIMENSIO No. Of Pits Inside Die. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L LDG WELL LAKE /STREAM UACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: i UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution / x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ] Yes [] No ❑ Yes : [M:N]o COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1125 County Highway A Hudson, WI 54016 (SW 1/4 SW 1/4 2 T29N R19W) NA Lot 2 Parcel No: 02.29.19.27F2 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? 0 Yes [*No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3197) Safety and Buildings Division County r- n 201 W. Washington Ave., P.O, Box 7162 Qe aft i"! Madison, WI 53707 - 7162 Site Address Sanitary Permit Application 1 i � er s+��r Permit Number In 0060cd with Comma 89.21. Wis. Adm. Code, persano S I MW be used Law s13 ❑ vlstnu I. Alppltctttlop Iniormatioa — Platers Print AU Information 0 , sate Flan I.D. Number Ow Ntune a 9. i9 . a a -^� v Pwt Number p' Owaer's Mtlllpg Address_ OQ O Jul- /--f z ST efox party Lt>auipn City, State zip code ° ° s � 'A W. S N E 4 , Lot r 81oa Number Subdtvislon Nan CSM Number II. Type OftffdiaR (t hadt all agpl�' }, 4S �w s,a.b�w. Daly Una 3� r 2 Fu* Dwelling - Number of oafs sh s ❑ MWCOMMraw - Describe Use 3 Q>e,�as,,,,s ,,,� ,,,, C�s�. ❑vUi ❑ state owned ► J b ( :z)3 h � rQ S "toed III. Type of Peetniu (C6eelt only CM Leboz on A (ntmaberlgg &Berne for Lntorrwl wee }. "Complete Hr1e 9 appllcabk) A. 1 ❑ New » meat System 9 ❑ ltnplacemeat at 6 11 Addition to � 'par �au* use Tarok RM S B• ❑ Chock is Ssaittuy Permit Previsly Issued Fe Due Issued IV• T esmlti (CINCk all 64 apPly5humbesing seat la tar ' al use) �E l QD ;zCM wt i nd Ia»l9roaW 210 Mmod "\47 &ad Mar 30 C) Coasnvated Wetland 22 ❑ d Ia�titouod 41 ❑ Holding Tank ❑ Single Pass 51 ❑ Drip Line 43 Q A"Itods 46 ❑ Aeraific T U 49 Aecircuia 30 Other V• Atha Informs Desl;m now (gpd) Diylatd Area Dispersal Area Sal: Appiicaaoa Petsaladon edon 1?inal Cffade :3 7-5 r77 VI. Tsmh we c C..apaeity in . Number ctonr aslloos Glade of Tasks / Cotpstntcted Stee! Fiber Plastic New Bzbdl* 7 ohm Tub SW k or Holdtag TW* r c� ter � 'St omew- i reopanjpAfty for tis Powwrli wn on the tuttached s Name (Pried Plrtinbsr' MPJMPIiS Number Business Phone Number Intt (se :,� z . is Cam) VUL U N Approved ❑ Dbapproved SaeitAry Permit F►ee (includes or-M Mwagr Duos Isaaed I nning Botcher a ]?ee) � Agent 34mwre (IQo Stsnspe) � C)waer (lives Itt1Wi Adverse. � � �� ,.- 1TX. Condkkt as at App OTWRewoae for Dbapprovw , �.' ` /' vv. w.'f` .J +De vim- � t� h9 rub .ti0.a -i tXO.ot C�o 016 � U) Po S t ew. v�aa� M4>"4, U �iew` °'�'° SYS d �I W-IL&.r t Pte+ (to the t:eeats ono) �* .�+tra on lea 1!1 x tadga to she SBD -6398 (R. 05102) &4 pe I t �rn.c�"t,a.wcer, Ue U, FS Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ,— of __ 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 J include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. )�5// — b / percent slope, scale or dimensions, north arrow, and location and distance to nearest road. �G / w 6 •G Please print all information Re iewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). I l Property Ownes Property Location Q �e (f'r✓ e d Govt. Lo / 114 SL A /4 S Z N R lam Property Owner's Mailing Address Lot # I Block # Subd. ) Name or CSM# (7 i ;;F L.. P-- ' U0 / 3 p City State Zip Code Phone Number []City / n Village Tow Nearest Road New Construction use Residential / Number of bedrooms_ Code derived design flow rate GPD Replacement Public or com rcial - Describe: Parent material ,=r �.S5 lt'✓/ttffigod Plain elevation if applicable ft• General comments y and recommend s: ation �G Boring Q a Boring # �_ i Pit Ground surface elev. / ft. Depth to limiting factor n. 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 0 _ .- 3l- s - I --S . 9Y � z Boring 9 �o' 71 a Boring # t Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF i in. ) Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Eff#2 d Os L 4. ,2 i 3? 2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Na a (Please Pnnt n ture T Number Address Date Evaluation Conducted Telephone Number i C� %I-L Property Owner Parcel ID # _ Page of a 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 �-zo �. - v'L (7 1 ( 'A:S F-1 Boring # LJ 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. 'Etf#1 'Eff#2 _. Boring Boring # g Pit Ground surface elev. _ ft. Depth to limiting factor in. F Soil lica6on 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 = BOO, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD- 8330Test (R.07 /00) Soil Test Plot Plan Project Name Ken and Jean Gerhan Sha Address Rt 2 Hudson Wi 54016 CSTM #226900 Lot 2 Subdivision ------- Date 7/18/01 S W 1 /4 S W 1 /4S 2 T _L L N/R l l W Township St. Joseph ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 2" Pipe System Elevation 94.1 *HRP Same as Benchmark Alt. BM Base of old house siding @ 99.4' County Road A e ocation unk nown_, well is to be ocatec an p erl ealed before septic can be in talled Site ma not eV?n ha a II7P�� y Old Ho se to be several outhouses were located on torn do parcel, no existing septic was foun Alt. M Tested area h a 0% Slope, thuss j o contours ere drawn 60' i B-2 Pro 3 Bedroom House rn -1 N 0 20' 4 B,:3_ 20' ._ 0 M. 312' Property Line 1" T PLAN PROJECT Ken Gerhan DDRESS Rt 2 Hudson Wi 54016 SW 1/4 SW 1 / 4 S 2 /T 2 R / 9 w TOWN St. Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 — DATE 7 /18/01 BEDROOM 3 CONVENTIONAL XXX IN -GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 IL BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION loo Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 94.1 Alt. BM Base of old house siding @ 99.4' �� a County Road A Vent Plans Designed Using > 12" Sidewinder High Conventional Powts ?6' er Capacity Leaching Manual Version 2.0 Chamber ong 1611 34" Grade at System Elevation Well location unknown, well is to be located and properly sealed before septic can be installed Site may not even have a well, Old House to be several outhouses were located on torn down parcel, no existing septic was found Alt M Tested area has a 0% Slope, thus no contours were drawn 3 -3' X 50' cells 60' with >3' Spacing Vents 1-4 B -2' 0 0 Pro 3 � Bedroom 5' , 5' N House N V B 0' --�20' M. 312' Property Line T PLAN PROJECT Ken Gerhan DDRESS Rt 2 Hudson Wi 54016 SW 1/4 SW 1/4s 2 /T 2 R W TOWN St. Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 7/18/01 BEDROOM 3 CONVENTIONAL XXX IN -GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 k BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 94.1 Alt. BM Base of old house siding @ 99.4' A / County Road A / V Vent Plans Designed Using ALong Sidewinder High Conventional Powts Capacity Leaching Manual Version 2.0 6" Chamber 34" Grade at Sy stem Elevation Well location unknown, well is to be located and properly sealed before septic can be installed Site may not even have a well, Old House to be several outhouses were located on torn down parcel, no existing septic was found Alt. M Tested area has a 0% Slope, thus no contours were drawn 3 -3' X 50' cells 60' with >3' Spacing Vents B -2 Pro 3 , Bedroom 5' T 5' N House N Ve t ' �20' 0 .M. 312' Property Line III _ Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 Shaun 'rd # 6 00L", ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/B uyer Mailing Address /�� ���^ �� Property Address 1 a (Verification required from Plamlihg Department for new construction City/State Parcel Identification Number LEGAL DESCRIPTION Prop Locatio %., )r/., S ocr� , L TCN -R-�—W, Town of Subdivision . Lot # Certified Survey Map # 3 �� , Volume Page # Warranty Deed # j ' C / - y' —, Volume >O Page # Spec house ❑ y no Lot lines identifiabl ❑ no SYSTEM MADMENANCE 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 disposal system, can affect the function of the septic tank as a treatment stage in the waste dis P The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastCrplumber, journeymanplumber, restrictcdplumber that 1 the on site wastewaterdisposal system o a licensed pumper ( ) r p�Pe 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage d isposa l sys tem with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin, Certification your septic that tic has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. 5L�011' e4.� — f — /f U l (/ SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION stat ements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) 1( we ) cert of ' fY that all stat the rope escn'bed abov by virtue of a warranty deed recorded in Register of Deeds Office. 7-� r-al GNATURE OF APPLICANT DATE « « « « «« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. «kkkkk «« 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 VOL Op M0 ` DOCUMENT N O, WARRANTY DEED THIS SPA ,-& RESERVED POR RECORDING DATA i STATE BAR OF W ISCONSIN FORM 2 -1882 519 =304 = REGISTER'S OFFICE ` - ST. CROIX CO., Wt Valetta M. Gerhan a /k /a Valetta Mae Gerhart, a single RCC'dlbfRecond person .. I .... ... ....._ ..._ _.......... JUL 2 0 1994 . .... .... ....... •.... . . . ..... ........ _ . - .. . Kenneth H. Gerhart and Joan A , ' /� P Gerhart x M conveys and warrants to ..... .. . .... .. -• ..- j huskand. and_. wife-... as.. susviYOrs .hip.matital.- prol??i'y R . ems.. at Deeds .. � ................ ... .............. .............. I, it i ........ ... . . .- _ .. . _.. .. .. .. - -- -- -- -- - ..... .... RE..PN TO St._ Croix the following uescribed real estate in .- .......... - ....... ........... ..........County, State of Wisconsin: Tax Parcel No: -----_--------------------- Part of the Southwest Quarter of the Southwest Quarter (SW} of SW0 , Section Two 4hM of p Twenty -nine (29) North, Range Nineteen (19) West, described as follows Certified Survey Map filed October 24, 1979, in Volume 'J3 ", P age 887 - , i! as D ocument No. 360680 I s �I it I ;I This ------ homestead property. (is) (is not) Exception to warranties: li n it June 94 Dated this ................. ..... - th .- --• -- -- - -- - -- day of _------_- -- , ---. ....... (SEAL) .... - —..._ ._.. - ----- - -- -- - - - -- -- - - -- - - -- (SEAL) . _ Valetta_ - M,_ Gerhart --- ---- --- - - -- -- . ....... ... .. ..................(SEAL) _ -- - -- ._ - ----------- ...----------------- - . .(SEAL) AUTHENTICATION ACKNOWLEDGMENT -- unl attA M. Gerhart STATE OF WISCONSIN 1 FORM NO. 983•A w • NCMONrCprgr,® ��■ 9 FILED �a 24 .1979 t Amu of COMMU 360680° +v m►, CERTIFIED SURVEY MAP W 1/4 CORNER NOTE: Corner falls in Willow River SECTION 2 SCALE I N FEET so no monument EN89P2d5l"Z; p 100 200 300 ?, 1 "; 100 I ATTED LANDS NORTH LINE OF THE SW 1 /4 -SW 1/4 4403• aa�s' Ir 89 E 13 CH. 50 LX. I / ° 11828 4 W Oro 8 NOTE: DISTANCES AS � RECORDED IN VOL 38 41 r m °•� r� N P- 461 I 1 4 � CID too N x z iD / r j �� `' .841 AC. Z oo IhW t7 ti �! 3 c1% J1 °m a W /y� h !� �� F 3 a� m Z rc /� N (p 1-1 ~ N y M �� O %K S 1 - 1 0 3 3 3o a o�i C� JI m al N F y H 1 f y 2 e w G ( P / i ' � 3 s c 0 / 1.294 AC. Cb* .249 AC. .` INTENDED TO BE O ' 66 S v��'� � Survey ed for: / \GN va .3a v5.4s1 `0 Y POINT OF BEGINNING St',. Croix County & Harold Gerhan Rt 2 0 Hudson, WI. 54016 / °° LEGEND - $•SECTION CORNER MONUMENT FOUND, SERNTSEN CAP F -K EXISTING FENCE STEEL FENCE POST SET IN CONCRETE z R DENOTES PREVIOUSLY RECORDED DATA. W ° 3/4! ROUND STEEL BAR WEIGHING 1.502 * /FZ SET SOUTH LINE SECTION �a 97793` 0 SW CORNER 89 ° 22 . 41 •• E 2636.70• S 1/4 CORNER SECTION 2 SECTION 2 T29N,R19W Proj Nds. 400 -106, -112 NOTE: Dashed lines with distances shown in chains and links show the location of the original Gerhan lot based upon the existing school fence. # NOTE: Dotted lines show the location of the original school description as recorded in Volume 38, page 461, with the assumption that the word North in "...Thirteen chains and. fifty links, North of the North West corner of said..." in line 5 of said description should be replaced with the word East NOTE: It is the intent of Mr. Beer and the County Highway Department that Lot 1 be usd as the common access for the existing school building, the Gerhan property (Lot 2) and the field lying Southeasterly of this map. Lot 3 is an easement granted to Mr. and Mrs. Gerhan to use as their own for their lifetime, after which clear title shall revert to the property contiguous to Lot 3 within the SW -SW. r I - 9 9S` z Cp ro --Lt e—r ! 1 r t/ t- C,I A-) v r' fr JJ r a s eV r I .r ` fir/ �'�� " !oy►' '' ' + •` i �y � lo N , . L 1 1 i �4kIG�4 , 'h+ k �Ih1, pills u ^ 1, O LI IVI , { ,y k�ppi kr : Al r l,I pbi , r Y • , i k b It r � ' ' lid} �- • k • @� it •�� 1 � l 0 o z- 0 t \��!kkc 0 ■ m E z m E $§ E , ° @ i < ° e c- io e _ e § $ C ° ? ° ° ° / / / / K § i i £ $ Q \ j k k 2» @ @« o t 2 E E K 8 c k � $ / \ \ \ \ \ , § $ \ 0 o I § 8 @ 8 # © / 2 » \ w« n r m] » s E\ 9 A k 0 0 0 7 j j j k § ~§ Oro ® \ 0 \ J to C K % \ zƒ z E z Q $ o . / # § § @ R S = . \ m a ( \ Oro f % § \ CD / ■ �_ � A # § » - § C + C q m ¥ � k ® z 2 � w ƒ < »k$ ®2 ) n ��_ � 0) ro o CD \ƒ §} ; CD f o fu ƒ 2 2 0 � � • � CD � cl 2) , IZI ° » �/ 0 \ m \ 0 t 3 _ ■ 0 G t � \C �a * r� ST. CROIX COUNTY WISCONSIN ZONING OFFICE :�" { / N / / p N N ■+ Asir ST. CROIX COUNTY GOVERNMENT CENTER - 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680. FAX (715) 386 -4686 August 13, 2001 Ken and Joan Gerhan 1125 Cty Road A Hudson, WI 54016 Subject: Replacing Residence Town of St. Joseph Dear Mr. & Mrs. Gerhart: This letter confirms zoning approval according to the building plans you have submitted. Your proposal involves constructing a "new" 28 -foot by 56 -foot residence with an attached 24 -foot by 36 -foot garage. On August 1, 2001, the Zoning Office issued a sanitary permit for your property. I have reviewed your plans to replace your existing cabin with a single- family residence on your property. On August 7, 2001, I viewed your property to verify setbacks. On August 10, 2001, you submitted a revised site plan to our office with a new house location. The realigned house placement does meet the St. Croix County setback requirements according to the site plan submitted. Dwight Farnham, St. Joseph's Deputy Zoning Administrator, will verify the setbacks to ensure that the "new" residence does comply with all setback requirements. I have included a setback chart showing the County setbacks for future reference. My review also found that the "new" residence is not located in the Willow River Floodplain. The Willow River is located approximately 150 -feet to the northwest of the chosen building pad. To support my findings, I used the scaled Special Hazard Flood Maps (Floodplain maps), St. Croix County Soil Survey, and a visual site inspection (August 7 I have attached a computer map that supports my findings. If you have any questions, please do not hesitate to call. Sincerely, o4Eslger Zoning Specialist Enc. Cc: Dwight Farnham, Deputy Zoning Administrator ^ "I �.� S n,. "m '� �1� fir• a., ^ 1 . i ' Idl'� 4 T. 4 � � i• f � y " 11 b 1 r MNMMG ,f yy S a 1 9< , �� r � � i, 1 � f �"�Yf,4��u��. S , V,� r a ��� y�.k����wLL -�c °"� 'PJ r. • a �. I ^, S w � w +� /. � � p r § -' l s 4�r r • t., ," .rt.. JOA