Loading...
HomeMy WebLinkAbout030-2143-14-000 0 ? \ 0 E / M k ( k ] m m E k rr j ® 2 2 z z ° A± $@ S $ } \ e = c \ / +. Q 7 . ' : } @_ 2 2 2 \ [ f ° § ° ^ / k ± g j ® § & ; / C \ $ \ o \ f § 4 CS 0k\ 0 / ° � \ # \ % � 3 \ a R ® \ f 2 $ � C , z e m » § C © § § Cl) \ o r CD f 8 8 k§ a °& } o o o 0 E , 0 J \ \ \ \ < \ � � � $� & / \ { 7 E ° & 0 § J {ee l \ �; � E � A 7 / ; \ > Z 3 > 7 0 / g o 3 "fti. z 2 @ \ ° 2 & \ 3 E a� CD > ) \ k 7 / ■ � \ � \ iz z % ° ca \ f CD z 0 f \ \ \ . _ I . D \ ® 0 CD ; aE=> a m � \ § \ \ C, 0 \ \-a £ $%,$ \ » CD \ [�2 7 %E �]E Z , �mN § Cl) i 2 � /k \ \\ \ \ # � ■ _ \ ) ) ? j o § Z \ # Parcel #: 030 - 2143 -14 -000 03/13/2007 03:22 PM PAGE 1 OF 1 Alt. Parcel #: 05.29.19.2083 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 07/13/2005 00 0 Tax Address: owner(s): O = Current Owner, C = Current Co -Owner O - LERITZ, LISA A LISA A LERITZ 1194 42ND ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description ' BLUEBIRD DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 5.000 Plat: 10/066- BLUEBIRD BLUFFS 1 ST LOTS 14 -22 030/05 SEC 5 T29N R19W PT FRL NE NW BLUEBIRD Block/Condo Bldg: LOT 014 BLUFFS 1ST ('05) LOT 14 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 05- 29N -19W NE NW Notes: Parcel History: Date Doc # Vol /Page Type 08/05/2005 802525 2859/640 WD 08/05/2005 802524 2859/639 WD 07/13/2005 800222 10/066 PLAT 2007 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/26/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 99,900 105,800 205,700 NO Totals for 2007: General Property 5.000 99,900 105,800 205,700 Woodland 0.000 0 0 Totals for 2006: General Property 5.000 99,900 105,800 205,700 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 #: 030 - 1018-550-200 03/13/2007 03:17 PM PAGE 1 OF 1 Alt. Parcel #: 5.29.19.78A -20 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 07/13/2005 00 5 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BRUSHY MOUND PARTNERS, RETIRED RETIRED BRUSHY MOUND PARTNERS Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 31.810 Plat: 4233 -CSM 15/4233 SEC 5 T29N R19W FRL NE NW LOT I CSM Block/Condo Bldg: LOT 1 15/4233 NKA BLUEBIRD BLUFFS 1ST ('05) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 05- 29N -19W NE NW Notes: Parcel History: Date Doc # Vol /Page Type 07/13/2005 800222 10/066 PLAT 06/14/2004 765713 2594/509 WD 07/23/1997 1095/410 QC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 01/25/2006 Description Class Acres Land Improve Total State Reason Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 0 0 0 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 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division y INSPECTION REPORT Sanitary Permit No: 463493 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: Anderson, Donald I St. Joseph, Town of 030 - 1018 -50 -200 C Rte Insp. BM Elev: BM Des cri n: Section/Town /Range /Map No: �• 0 / re. 0 05.29.19.78A20 TANK INFORMATION V ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic BenchmaV r /Z. G 1! Z• (a' Dosing - t /� O / Alt. BM Aeration BkW_Sawer rr Holding St/Ht1_ St/Ht Outlet 19 TANK SETBACK INFORMATION �" " �D /D, . TANK TO P/L WELL BLJ�. Vent to Air Intake ROAD Dt Inlet Septic 7 �' / Dt Bottom Dosing Hea an. 9.3 .3 Aeration Dist. Pipe . 3 10 *3 Holding Bot. System • Final Grade PUMP /SIPHON INFORMATION �" • Z OS• Manufacturer Demand St Cover P - \ Model Number TDH Lift Friction Loss em Head T Ft Forcemain Len Dia. Dist. to Well SOIL ABSORPTION SYSTEM (A I/ ,,Q� =12,1 s�- BEDITRENCH Width Length I lRo. f Tren es PIT DIMENSIONS- Pits Inside Diar Liquid Depth DIMENSIONS 3 /Z�' SETBACK SYSTEM TO / P/ BLDG WEL LAKE /STREA LEAC NG Manufactu INFORMATION CH MBE R T Type System: 1 1, /� ( 11 '- T Model Number. DISTRIBUTION SYSTEM 4 � Q�►.� Header /Manifold Distribution / _ x Hole Size x Hole Spacing Vent to Air Intake 1 �_ Pipe(s �� 0L '— Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over L, Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center 3 Bed/Trench Edges Topsoil ]Yes dap] No L Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / d Inspection #2: Location: 1194 42nd Street Hudson, WI 5406 (NE 1/4 NW 1/4 5 T29N R1 9W) NA Lot 1 / (t/ Parcel No: 05.29.19.78A20 1.) Alt BM Description= ST lA 1 Y 2 �i�s� cy ••�1 f � (�[��j C �o 2. Bldg sewer length = �- - amount of cover Plan revision Required? [ °'I Yes i,;; No Use other side for additional information. (� Date Insepctor's Signa re Cert. No. SBD -6710 (R.3/97) f S Buildings Division County W C 201 W. Was ve., P.O. Box 7162 51 co) Nv sconsin Madi 53 7 - 7162 Sanita Permit Number (to be filled in by Co.) Department of Commerce (6 63 1 3 N or Sanitary Permit Applicatio State Pl I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information y u proviMAY 1 may be used for secondary purposes Privacy Law, s15.04(1)( ) oject A dress (if different than mailing address) Tk 9 ya.�p s I. Application Information - Please Print All Information ZONING OFFIC NLjf SO nJ W Z: 3 (c Prop y Owner's Name Parcel # Lot # Block # a /) A u 6 c s & A) rugs ►M �w1. perty P Owner's Mailing Address Property Location - 2D Q 7S ,;. S /d /� tl �. \j E /4, N Ld %, Section City, State Zip Code Phone Number 1) 5 C1 A) L/ � SL/ei 6 (circle o e) T � N; R�E ot�W II. Type of Building (check all that apply) Q9 1 or 2 Family Dwelling - Number of Bedrooms CSM Number ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use ❑City_ ❑Village XTownship of 5T, S DSe-A III. Type of Permit: (Check o n line A. Complete line B if applicable) A. ❑ New System ® Replacement ystem g p y g System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existin S B. El Permit Renewal El Permit Revision ❑Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl V 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 W Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersal]Treatment Area Information: 2i u D if= r- ECS ­F ( 3 Design Flow (gpd) Design Soil Application Rate gpdsl) Dispersal Area Required (sf) Dispersal Area Proposed (so System Elevation / 0 2.1 ys� 0.7 (OyZ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks ,/� •� Septic or Holding Tank OO O D o 0 L K 5 C. 1 / Aerobic Treatment Unit l' W z gird "L A /OC Dosing Chamber _. e4M : VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum is gnature MP/MPRS Number Business Phone Number J )J� 45CHrn �� ��376 d 71 s Plumber's Address (Street, City, State, Zi de) c /6 15 7-,Y //vim ee 11,1.1_ VIII. County/ e artment Use Onl Approved Disapproved Sanitary Permit Fee i cludes Groundwater Date Issued Issuin gent Signature o Stamps) Surcharge Fee) _ ❑ Owner Given Reason for Denial, IX. Condition pprova al SYSTEM OWNER: 1 Septic tank, effluent filter and O+� �+r C / dispersal cell must all be serviced / maintained — nt Ian provided b as per management p p by plumber. p P 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) 60 1 1.) b t50 3 0 JU L 7 l L1 P z, L o ELL 3 BEDt?cQn1 �{eu5r CGEtlw u 5 •i W 7 �}dEL 11 /�a $� SILO y pQVws © J 2• sM N T o r -:3X 1 -I3. 7 T�6 1U C c / 9. ® _ I�� /• 13� et = 11 P olo aA) La, 4&))oT C) A) �z✓LA �4U05CA j r - �y�='/ :50mce5lc�7 1'x'1 G JJ AJ I�'G �O Z07 P ► is r iAJ _ 3 $EtlE?cQn1 yo coo ( 4L S.T. _ S.T W/ z A rya 8A 3rL0 4 S_NEp � .� � _ 83 ♦ J0L _ I 3 -- 3 X / 7 LLB UQTipN TiecNe F/ /C ..2 •' ' rYi�rl� yiC /Q c �v to TieF ruc j f /Qo. o Tod f31� Q/� CL, //�•9� _ �iD7Torn o� W,414 SiG`;L oN F2o�ur B ©12� N o G.�s - V sv. - Pe 5 Ia3 7to - --- -- ----- ------- - -- E 1348 4Visconsin Department of Commerce Q IL E .'H ION REP T Page 1 of 3 Division of Safety and Buildings in accordance _ m 85 iscr*n. Tom Schmitt Attach complete site plan on paper not less than 8% x 11 inches i size. Phan must j � � C unty include, but not limited to: vertical and horizontal reference point (B ), direction0 GU t1X uNE St. Croix percent slope, scale or dimemsions, north arrow, and location and tancelddn FFtG arcel I.D. Z Please print all information. e ' ed By Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). 2 — Property Owner Property Location J Anderson, Don And Lois Govt. Lot NE 114 NW 1/4 S 5 T 29 N R 19 W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 275 125th Ave. 14 City State Zip Code Phone Number City Village ✓ Town Nearest Road Hudson I WI 1 54016 1 St.Joseph I 42Nd St. New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ✓ Replacement Public or commercial - Describe: Parent material Outwash Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd /sgft rate. Posssible system elevation is (high trench) 102.2' (mid) 100.90' (low) 99.60'. Slope is 16 %. a Boring # Boring ✓ Pit Ground Surface elev. 106.4 ft. Depth to limiting factor 100+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' 'Eff#1 I 'Eff#2 1 0 -7 1Oyr3 /4 none sl 2mgr mvfr cs 2vf .6 1.0 2 7 -15 7.5yr4/4 none grsl 2msbk mfr gw 1vf .6 1.0 3 15 -24 7.5yr4/6 none Icos 1csbk mvfr gw --- .7 1.6 4 24 -36 7.5yr5/4 none grs Osg ml gw - - -- .7 1.6 5 36 -100 10yr5/6 none ms Osg ml - - -- - ---- .7 1.6 / iD • Z O Boring # Boring ✓ Pit Ground Surface elev. 105.23 ft. Depth to limiting factor 98+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' 'Eff#1 'Eff#2 1 0 -8 1Oyr3/3 none sl 2fsbk mvfr cs 3vf .6 1.0 2 8 -20 sic[ s 10 Y r4 4 none bk mfr cw lvf .4 .6 / 3 20 -34 7.5yr4/6 none grls Osg ml gw -- .7 1.6 4 34 -59 1Oyr5/6 none s Osg ml cs --- -- .7 1.6 5 59 -98 1Oyr5/4 none cos Osg ml — -- .7 1.6 C , - * r °z. ' Effluent #1 = BOD s' 30 < 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 Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 422/05 715 - 247 -2941 Property Owner Anderson, Don And Lois Parcel ID # Page 2 of 3 a Boring # Boring of Pit Ground Surface elev. 102.50 ft. Depth to limiting factor 104+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sl 3 bk mfr cs 2vf .6 1.0 2 8 -15 7.5yr4/6 none grscl �•(If'sbk mfr gw 1vf .4 .6 3 15 -28 7.5yr4/4 none grs Osg ml gw ----- .7 1.6 4 28 -72 10yr5/6 none s Osg ml cs -- --- .7 1.6 5 72 -104 10yr5/6 none grcos Osg ml - - -- ---- -- .7 1.6 F—I 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 2 *Eff#1 *Eff#2 F—I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD -i 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. Pag e 3 of 3 Conducted by: Conducted For: ,Schmitt Soil Testing Inc. Name: Don and Lois Anderson Thomas J. Schmitt, CST 227429 Address: 275 125th Ave. 1595 72nd St. City, State, Zip: Hudson, Wl. 54016 New Richmond, Wl. 54017 Phone: 715- 247 -2941 Subd.Name: Lot No.. 14 y d 2,2 Legal Description: NE 1 /4 NW l /4 S5 T29N R19W Soil Boring Township of St. Joseph, St. Croix County Bench Mark El. 1 00.00 ' Top of 2" pvc pipe ernate Bench Mark El. 110.95 bottom of wall steel on front of barn (gambrel roof) Slope= 16 Scale I"= 40' ®WJAI L ACE �RA�z 1,3q� e F-] ed C lev'o � S. ' e Shed f� es J �3 Northwest Corner Section 5 -29 -19 (established from ties) S894858 "E 2638. UM • 5 • • PED .. .. ~ .. -• •- '' • S89'48'58 "E S89 8 " E " TOWER -R 4 1319 14' .�• S00'1645 E � UNPLATTED_LANDS • '83. oo' S89'48'58 "E 112 -- GARAGE 510.41' Dra 10 GARAGE HOUSE o • • SHE -01 S89 48'58 "E 1 65.72 ' 001 LOT 15 QI •' o'. Q 131,101 sq. I s� um. / 3.01 acres PED SHED w L.B.O.= 933.0' / gory/ N �o This section of Town road easement P �� • I I �- v `tee ' o latter' "' l —� I I I (Vol. X, ;Page X. Z `r c ge ° r) LOT >4 Droba > 1 r7 I Easement z I w I ° Z 222, 596 sq. ft. +� H.W.L. =931.0 .j.l i I � _) 5.11 acres , � o • I Q I "" L.B. 0. =933.0' • � ...... . �i I c� n N ... • ? ti •.••• / U i ` ( 12' UALITY l ' ai O r- EASEMENT Z cn (TYPICAL) / • 57.52 ; ' ` C3 c� I ►� S89'49'19 "E 390-65 LO N89 9"W 391.93' C9 4� I BIODIFFUSER CROSS SECTION 4 "PVC Inspection, and Vent Pipe - �1 Approximate Grade I � III � t —� Approximate I -1 Grade � I I 1z.. E1.= l01.01 >31 3 =� _ 3' 3' POWTS OWNER'S MANUAL & MANAGEMENT PLAN page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Don Anderson Septic Tank Capacity 1000 al 13 NA Permit 0 Septic Tank Manufacturer Week's C.P. 0 NA DESIGN PARAMETERS Effluent Filter Manufacturer Z a be 1 13 NA Number of Bedrooms 3 ❑ NA Effluent Filter Model A -100 ❑ NA Number of Public Facility Units NA Pump Tank Capacity al 0 NA Estimated flow (average) g al/day Pump Tank Manufacturer ■ NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer M NA Soil Application Rate 0 . al /da /ft2 Pump Model M NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ■ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen. Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD.) 530 mg /L ® In- Ground (gravity) '0 In - Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ® NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510• cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. r` ❑ 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 tank(s) At least once every: ❑ month(s) (Maximum 3 years) ON t A 3 ■ year(s) Pump out contents of tartk(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA, Inspect dispersal cell(s) At least once every: 3 ® yea r(s) ❑ m r(s) } (Maximum 3 years) ❑ NA , Clean effluent filter At least once every: 1 15 y ear(s) month 13. NA Inspect pump, pump-controls & alarm At least once every: ❑ month(s) 4 NA. ❑ ear(s) Rush laterals and pressure test At least once eve ry' ❑ month(s) O year(s) O NA; Other: ❑ month(s) At least once every: ❑ year(s) Q NA; Other: ❑ NAB MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or cett)fications•' 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. c•Y., '•4 The dispersal cells) shall be visually Inspected to check the effluent levels in the observation pipes and to check for any,. pondin 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,�thero_,. contents of 'the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter. NRs;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. r...a 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 or other chemicals that may impede the treatment process and /or damage the dispersal call(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior tp: use. �s 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 call(s) In one large dose, overloading the call(s) and may'result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal 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; ctton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation draln (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. r ' • 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 falls 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. R 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' John- Schtdaitt Name Owners choice Phone 1 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name o wners choice Name St. Croix Ct . Zonin Phone Phone 715 386 -4680 4 El' This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 00A � A lya k ze Sow!' Mailing Address _ 7-!� ,/,95 77,4 Property Address (Verification required from Planning Department for new construction) City /State . &g&,2ni -- _ Cr/ / . - - -- Parcel Identification Number a 30 - /D/ 0 00 LEGAL DESCRIPTION Property Location AIC- Y4, &a) '/4, Sec. S , Tjj_N -R-ZI—W, Town of Si., 61ga Subdivision . Lot Certified Survey Map # 142 Volume 5 , Page # TZ 3 Warranty Deed # 76,5 , Volume gf 2 5� , Page # Spec house ❑ yes ® no Lot lines identifiable ® yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da of the three year expiration date. /A / o SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE a * ± * * ** Any information that is mis- rel0esentedmay result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed U 2594P 509 -7 E,5 -713 KATHLEEN H. VALSH STATE BAR OF WISCONSIN FORM 2 - 1999 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO., VI RECEIVED FOR RECORD This Deed, made between Donald J. Nestrud and ViMinia M. 06!14/2004 09:00AM Nestrud, husband and wife Grantor, and Brushl Mound Partners, LLP VARRAATY DEED Grantee. EI171PT # Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: 11.00 the following described real estate in St. Croix County, State of Wisconsin TRAKS FEE: 1350.00 COPY FEE: (if more space is needed, please attach addendum): CC FEE: That part of NE 1 /4 NW IIASec. 5- T29N -R19W described as followsC PAGES: 1 of Certified Surve M recorded in Vol. 15 of Certified Survey page 4233 . No. 667583. Subject to a 66 foot wide easement to Township r future roadway purposes recorded in Vol. 2065, page 475 as Doe. No. 700548 over, under and across said lot. St. Croix County, Wisconsin. Recording Area 3 1 D / Name and Return Address FC,4i -'; r 0:a! AND ATiC. ? "'=Y AT l_AV 030 - 1018 -50-200 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this ' d day of June _ ' 2004 p � _� * _ * Donald J. Nestrud * * — Virginia K1. Nestr AUTHENTICATION ACKNOWLEDGMENT Signature(s) Donald J. Nestrud and Virginia M. Nestrud, STATE OF husband and wife ) ss. qt- County ) authenticated this (v day of June _ _ ' 2004 — Personally came before me this _ day of 4� the above named * Kristine Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY -- Atto rney Kristin Ogla Hud WI 54016 Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Body are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature. information Professionals Co., Fond du U WI STATE BAR OF WISCONSIN 800 - 655 -2021 WARRANTY DEED FORM No. 2 -1999 Nor , h west Corner 5 -29 -19 , (,stoblished 3`rom ties) -S89 4858 "E 2638. ' UM •.' �PEO, .. .. �•S8948'58 0E - S--8948'58 1E r` TOWER LANDS 1319 .�, sooys' "E UNPLATTED_ -- '83.00' S89'48'58 "E 112` 510.41' _ o Oro GARAG a . • HOUSE 58948 58 SHE 1 65.72 ' oo LOT 15 I °I .�, s �.. O 131,101 sq. -� I °• `"s, • u . 3.01 acres PED s HEp / w L.B.O.= 933.0' 1 NI I dry N - ,0 f r•I `� This section of Town road easement • I I veg o latter 7 0 1M, (I/o% X, Page X. °o `r C� / LOT 14 z Drolne > I i Easemen / f I i q• ft ' H.W.L.= 9.3 z I _) ; 5.11 acres v o �' •IQI � � L.B.O. = 933.0' ♦ �, ..... ...... .............. ry ; m to Gi 12' UAUTY l • • , C I r C) EASEMENT Z cn (T 1 L 5752 C3 i cal 390.65' °I N89'49'19 "W 391.93 ' LO C9 31 el { 64Em.7'SS3 'I..P C11 u.._.. 15 I=" r-% G I=- 4233 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. WI RECEIVED FOR RECdRD 01 -08 -2002 1:30 PH CERTIFIED SURVEY MAP COPY FEE: 3.00 LOCATED IN PART OF THE NEI /4 OF THE NW1 /4 OF SECTION 5, T29N, R19W, RECORDING FEE: 13.00 TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. PAGES: 2 SURVEYOR: PREPARED FOR: DOUGLAS J. ZAHLER DON NESTRUD S & N LAND SURVEYING, INC. 1194 42nd STREET 2920 ENLOE STREET HUDSON, WI 54016 HUDSON, WI 54016 NW COR. S89°4&58 "E 2638.28' N1/4 COR. SEC. 5 NORTH LINE OF THE NW1 /4 SEC. 5 S89"48'58' � S89 °48'S8'E i 3i 9.14' SOO°16'45 "E .14' D ~CRIBS MMPLO M d G l", MD R o V21 o MT 04Gl1C�G3� - - - -- — 83.0a S89 °48'ss8 "E 1 7 22.90' 1" IRON PIPE FOUND S51 °45 "E 0.33' FROM HOUSE a O A P P R -_ COMPUTED CORNER '• i ST. CROIX ' V IRON PIPE FOUND FARM OUT BUILDINGS Pianninn 7 - -' •' N56 °45'1 6 "E 0.39' FROM COMPUTED CORNER ROAD END a JAN 0 S 2 00Z ' N38 °00'18W o 49.5,(Y If nct recat" q approval nuts • • �� 6 r 1.25' Z I (� 6 ✓-24.75' to m C" I z LOT 7 ° � d 31.81 ACRES O ;; -n N71 (1,385,615) SO. FT.) INC. R/W M 31 .00 ACRES T � Z �&D i u Z (1.350,216) SO. FT.) EXC. R/W o�� 00 Al N OO V�81 •y NOTE: THE TOWN ROAD PLAN INDICATES THAT A W m FUTURE TOWN ROAD TYING 42ND STREET TO m m �V 1 4 v! j ROLLING HILLS TRAIL WILL CROSS THIS LOT. ¢ O F wi I i Z 1� I o I� DOUGLAS J. 24.7$' j CURVE DATA TABLE co z ZAHLER NUMBER 01 02 * S -2145 13 I°, 0 r Radius 130.85' 180.35' m Central Angle 50 °42'44" 36 °00'31° HUDDSON, M O Chord Bearing N26 °38'20 "E S33 °5926.5 m n Chord Length 112.07' 111.49' jP rJ Are Length 115.81' 113.34' ' I I a g In r , Tangent In S01 *16'58%V S51 °59'42'W I I� m Tangent Out N51 °59 "E S15'59'11"W I � I� 14.95' 1103.29' - - - - -- -' K V IRON PIPE FOUND $89 °1 7'07 V1/ 1 i 18.24' a p IQ S89 "E 2_14' FRQLVI _ _ _ _ _ _ _ SOUTH LINE OF THE I 6 6' SET - 1 "IRON PIPE NE1 /4OFTHE NW1 /4 ¢ IQ +3T i I goo 9 M.N. oa W&A 1 . I 131 ° I NOTE: LEGEND - - I —_ I I ( LOTS MAY BE SUBJECT TO FOUND ALUMINUM COUNTY FUTURE SPECIAL ASSESSMENTS SECTION CORNER MONUMENT FOR ANY UPGRADES AND IMPROVEMENTS TO THE ROAD. FOUND 1" IRON PIPE • FOUND 3/4" IRON PIPE SET 1" OUTSIDE DIAMETER BY 24' LONG SCALE IN FEET 1" = 200' IRON PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT 200 O 200 ••- •••-- •••••• - -••• • ROADWAY SETBACK LINE (100' FROM RIGHT -OF -WAY) THIS INSTRUMENT DRAFTED BY: WILLIAM KANE — ~ EXISTING FENCE JOB NO. 6083 -01 DATE: 11/14/2001 REVISED: 12/172001 SHEET 1 OF 2 SHEETS Vol. 15 Page 4233