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HomeMy WebLinkAbout030-1037-50-200 000)0','3.00 C .' _ ' o r* ` ° " c T \ 1 3 D cn3 v �3 z cn3 T.g o�� cn� O • S �• 01 N p ? �• �• to W N a m p p rn t' a p p y ° $� c R� w CD p c O o W 7 c O o m v cc CA) O to Qo 1 1 m ° ^� rn c !, s A (n Z cn Z D Si a D D U, �' Z U) Z D tp m co m cn D m D y a m a a W a o. W CD l �` 3 = 3 i3 Q l `v CD Q � CD � w N{ O o CD N o CD O O ° 0 0 n o c W N a 3 .!• C • ? - J 0 M lll���lll Z Z (((Q ���Opp p p D m m e --I �� 1 ra d0) c fn N to a I S S Q \ C S CD CD S S 'D a a 0 cn CD ID m D Q S CD CD 3 m °J � rn { N O O O O O W Z a a z 41- a a rn 0 0 _ C Z Z �i D O sr N O = 7 p j (D C � ^ ' CD c (D X ° _� fD c N C C CD W W a O p p O A z n U) U) y v q d A 7 Z � � ^� CD m m � a Z G ' 3 X Z A l ` F a 0 0) C/) Q :E S S N a= U) D `^ ++� C'f N (n Q S N O. ' 7 to O C• S y c ? 'yv y ° 7 m p t O OS C' S c . •D m ° 7 S ca f c_ao ti m m p p c ao •y m v m p co D. �° ". a'O_ °w v a d ���+ ( y CL a co :, a •o ( C a v, (D Sr 5 D � O 1 5 O CD ttn cD O c t 0) ° � 7' 0 9Z a p p f f O n O O c S D1 ° CD 7 �� � '! N j Q a p C'D > N O OZ N c�D :E f�D 7 Cr a Cl N> t �• OZ G Cl _. -o�cnm o v RN a y � a -oCcp� o v aN n•D w m v m' o o <$ m Co ° o p' C l ) o o <CD m ° v' m o fi n o m m �wm Sm 3 °� ra n° fD m �wm sm 3 °co 0 o a 3 m $v m•m aCL— r:s� p ID �' m m $� m d 0 CL CL » = o r � p m m m j n =, D. C=-0 C 0) D, a CD N 01 7 7 •O w R. 7 7p ac°s3o0 $p�m j ° 0 l CL >jD mm " D :3 > >Dcmm ac m`���mm3�n �c N i ��— CD CD0)3ca s'�� — $ d CD a�� a y $ v 0 5 m a�� N P N A :3 0) j o CL- CO Mm y y av M o am D o m y o 0 0 :r a � C ' , a� CD c o an ao CD c° A CD o v ?f m o ?f a� mg W ?� mgt W o o ; b m m A 0 0 0 1.09 0 0 w o y ° o ° o� ° 0 ° o CL Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 20301 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: McIntyre, Kerry & Marg I St. Joseph Township 030- 1037 -50 -200 CST BM Elev: Insp. BM Elev: BM Description: I Sechonn ov, ,ge/Map No: to . .p / E � S{v�� �e_- I 11.29.19.125E TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic G� `� �� Benchmark � / (D� ( CO O r Dosing (off tAr�o Q Alt. BM Aeration . Sewer Holding St/Ht Inlet Tj�yj I 1 3 � St/Ht Outle 1 TANK SETBACK INFORMATION U M TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic y f 53 r / Dt Bottom Dosing Header /Man. 11•�� 97•qo Aeration Dist. Pipe r Holding Bot. System / l3 • IS `�� •on PUMP/ IPHON INFORMATION F inal w Manufactur Elemand t Cover 1 0 1 GPM - ) r r K 3�f7,11 S D� Z Cb . 3 Model Number / 1 C �� l b 1 TDH Lift ctio ss System Head TDH Ft _ Forcemain Length Dia. to well s l _� O SOIL ABSORPTION SYSTEM Vu F� crN es vac C�u�c ¢ui1 BEDITRENCH Width r Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Die. Liquid Depth DIMENSIONS 3 ao . 2� r 2 ) s SETBACK SYSTEM TO P/ . BLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR 0 01 FFLk Type Of System: / r �_ UNIT Model Number: O I r 5 DISTRIBUTIO EM —p W S !ti -Pod-5 - near —� � Z 5G Header /Manifold istribution x Hole Size x Hole Spacin t t it Intake g Ve y ipe(s) �vTL -iN Length Dia Length cin ? SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only N&A a Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes $ No � Yes 0 No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: [? - I 23 1 Q Inspection #2: Y Location: 1092 Mound Drive Hudson, WI 54016 (NE 1/4 NW111/4nn11 T29N R19W) L �r L Parcel No: 11.29.19.125E 1.) Ait BM Description = T rr `�c S ,� v�oa'L2 2.) Bldg sewer length= 3q�� ` p(� K "e" 3 � > .-Q�L� Cirr'Crwn 'C� - amount of cover = �{- ` n � 3) Sc u vv = n`a _ 1 In CS i Drsy+7�t Plan revision Requir d� 7 P Yes KNo Use other side for additional information. SBD -6710 (R.3/97) Date In oes Signature Cert. No. _ 1 5.�t PIP O j � 2v) a d 2' I W b44t I 3.61' 219t79' 1051 ov � � �w� s cl ��k2lR �✓ W W W W r 00 O '"'.. CA ru D ��r n fU dk ✓) -�° 6 rg Coo �k o CrN 00 (uvf D Ft NUM JOB NO. 98 -57 1' L0� UNPLA T TED LANDS SOO*31"57""W 544, 1'* . S 3 l 218.61' 219.79' 105.61' tS 328 ao CS 0 PID lF �i'14 I l S ' `_ � T �- N.R LZE L is OT_ L SUB / .� l �� W p t0 �j C O V O S�dcJ �, W �'' 0 N 41O 2a2s� �0 D � � Pw �� y rr, �I Ul "D N /l�a/'h �: -n n V :-� CD ru ON co 00 Ln Zw . N q 0 00 •..•'' CJl • • ' ' •w X65 t I- �- y sin .2 `�• L w �D ZZ XC) X2 �� r n w�.• -� - T T.v i� Pam Quinn Subject: 420301 - Featherstone /McIntyre building sewer inspection Location: 1092 Mound Drive, Burkhardt Start: Tue 2/24/2004 8:00 AM End: Tue 2/24/2004 8:30 AM Recurrence: (none) Received call from Ben Morgan Monday night that the interior building sewer and extension out to septic tank were not connected and owner needs Zoning to verify that Featherstone needs to complete connection and get elevations to document pitch from house to tank meets code. 3 4 S� v-" 0 CO) 0 3 d °c c O m c T A 0 3 A 7 Z O N� i (� � W � �• � 91. < N O p 0 CD D c OR N C ' CD _' O ►+� O fD ' O Jayy n N N — 1 cn O R O 3 A C 7 m y O go 0 N v _ d m � ZID a m �n D N a v r m W 3 - N O. N O C>' 0 N CO O L W N N C O O 0 n r ca CD °w N a y c !V• 3 V T M M. o O 00 ID m _ ?3 0)cncn a N D a O O CA CD (D o m —� m = cn (� m \ J m S ~ N 9 w CL C O W �\ Z 7 C . O C Z Z 0 m D � °' O o t C c O N C fD 4 w N a a c � CA Z A Z CL O I 0 Z �D m a N to Z z � o Z i - y Z co CD � a I Ln CL 0 OZ d N y N i C fi A N o ?` 69 O ., r 201 W. Washington Ave.,. P.O. !fo 7162 S t. Croi ' & Madison, Wl 53 i07 - 7162 Sift Address De artment of Commerce $'- rr( --,p L. JOqa, Mound Drive Sanitary Permit Application Sanitar'y Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide LT °R 0 3 b way be used for secondary purposes Privacy Law, i;15.04(1 m 0 Check if Revision I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number OL30 - /0,3 7- -- ZC> Kerry & Margaret McIntyre @313 1053-30 H& Property Owner's Mailing Address Property Location , / o r {s 938 Becky Circle NE % NW T 29 R 19 City, State Zip Code Phone Number Lot Number 2 Block Nunbern /a Hudson, WI 54016 (715)381 -1722 Subdivision Name CCSM Nun °. X33 II. Type of Building (check all that apply) ❑Ci 0 l or 2 Family Dwelling - Number of Bedrooms 5 V el& ❑, 0 Public/Commercial - Describe Use ErT St. Joseph --- 0 Soft Owned Nearest Road Mound Drive ' III. Type of Permit: (Check only one box on line A (numbering scheme for Internal use). Complete line B if applicable) A. i UNew 2 0 Replacement System 3 ❑ Rephoement of 6 ❑ Addition to For Cmmty an System Tank Only Exist= System B. 0 Check if Sanitary Permit Previously Issued Permit Number Date Issued i IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) ✓�„ �0 u� loll a «./�+ -tom 44 C$ Non - Pressudzed In -Ground `1-1, 210 Mound 47 ❑ Sand Filter T 50 ❑ Constructed wedatd 6- • 3 s�., 22 0 Pmwrized In- Ground 41 ❑ Holding Tank 48 0 SM s�., Chew, bcr Sl ❑Drip Lane 0 1 45 ❑ At -Grade 46 0 Aerobic Treatment Unit 49 Pass t fIaBA� 30 ❑ Other V. t area information: c — chamb ers te e i ter per trenc Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Race System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft) (Min.linch) Elevation 750 1071.4 1071 .7 100. ?S 103 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plu Gallons Gallons of Tanks Concrete Constructed Glass Now 12,infiny wh ranks -Le S q "* X 1500 1 Weiser X Dosft Chamber VII. Responsibility S tatement- I, the uoderftmV, a=jimepopaiisIbIlity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) MP/WRS Number Business Phone Number Todd Featherstone 242514 715 - 381 -1704 Plumber's Address (Street, City, State, e) P.O. Box 467 Hudson, WI 54016 VIII. Coun /De ent Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamp Surcharge Fee) 0 Owner Given Initial Adverse 2 /` Determination �� o IX. Conditions of Approval/Reasons for Disapproval Q �[ (�,,�,�� f ( 4 , p r v Jt7(o Guam e _ - R" 4 iv . Jt cyru� d ]mac w�c� it u f c K cw�. - cam �+,e �.f +,2 4%h.1L �4 64A V 9E'1� ✓e.', w lil �o�h, ray � o�6r ,7.s,.cKrr��aksl�^vr�fiJ�'� Ad ao(do•�fcs N ,,.t� ►,e.h - 93 q3- rV4fcv�l, s, vd(_S,.cg�l�� �vfw� - oo, Attach aompiete phm (to tle Coanty ody) for the system one paper not bo that 814 x 11 htches In size n►1 Ql U'{. Ywubf Vail S�`l d ��ratits GGi t K l SBD-6 98 (R. 05101) W b 4 4 3.61' 219.79 1051 w� ov W W �- W L z R) 00 OND O '�.. CA A��cC. -rt -�� � .o � O (� S P PP6� _. � �L� s V � - R ' I ` . , M � CA3 O (''"1 1 V ` r1S'vS, r lr� 00 %%* j e - S PNvL u ■■ ■r ■■■ ■■ ■■ h ■■■�■ ■ ■■■r■r ■■ire■■■ ■■ ■ r ■hr■r■Na IN ■�I■■■�■=M ■■iN■■■ ■'1E1■M■ ■■■■■OMME ■■■r ®■ �■■ ■■ SOME s ■ ��� ES±i� E�■■■r ■M ME W ■■r ■ ■ ■ ■r! ■■■■r■■ ■■■ ■�� . NNE rril■ MEN �■! ■rMOED - ■r■rM S■■■■ ■ ■ ■osit, . ■ ■ �n■r ■M■■®■■■; ■M■■■M■ ■ ■It�■■■rM ME ME ■■U■■■■■ ■■A ■ ■■OM I r ■ ■r�.Imr■r■ ■■ mo■rte rrr®■■ Via- ■OMMUMN�■ ■r��■ MEN ■■ ■ ■■■ ■■11■■■■Mr■r■�I®r�r■� ■® ■■ �■■■ MM■r■MMrr■■ ■r■M ■■ ■ ■■rm■n■�■rr_�� .� 0■�►■�r■�■■r■ ■rr■ ■E■■M1®■ c�orm "r ►r pmpr �■r ® ■r■ ■rr■ /n �r�■r■ NEON■ MIN - :,, 1■� ®��� ■r r■r■r■r � �� r���� � ■r ®■�■ni■e mom ■■r ■E■■ �■� ■ ■�r�r■■flrrr�� ■r■ ■■r■ rr ■■ ■■■�rr■�r ■e ■ ®e■ MEN EM ■ r■ ■ISMOM rS■ R ■■ ■mm= Ear ■r■r■rs■o r ■■■■M■ ■■■■rr■ ■�■EMEMMOI■� ONES mmmmmmmmm-- -57 D F� 'VUM JOB NO, 98 CJ < UNPLA TTED LANDS ------------------------------------------- SOO*31'57""W 544. 1' S 00 3 218.61' 219.79' 105,61' S 32 v 8 PID J? Oo p S !t T � �N,R LLE LOT_. L_. SUB _�� � ` 6 J r (w O �0 �.� CE3 V O S��cJ� w � � w °° r �� Luu) w 2a2sI � ,` 00 "0 D D D � J ` Q . I--&w �,OVn �� O a cn N 0� 00 ap C!1 Q P--. 9 n w COO) (7 A YV r*1 k7 W K 2 0 N Ts O 00 c �� •••,.. �0 v ' \, . • •'' ." • � � der° r O CJl • • • ' •w ,6 S t �� ,-O� � kL- ro w w w L • �ZZ ,96 ,5�22 o of i / 5 wJ �- IV r wylgconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor arx,;iman Relations Div %ion.of Safety & Buildings in accord with ILHR 83.05, 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 S t. CRoix not limited to vertical and horizontal reference point (BIVIL direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distan o "rest road. 030 1037 - 30 - 000 ,�!` " FF RE EWED � Y DBE APPLICANT INFORMATION PLEASE P ` X,At ,L " INRMATION c� PROPERTY OWNER: _ ` ? ~'f PROPERTY LOCATION ` ' ! GOVT. LOT 1/4 1/4,S T ,N,R or W Don Nestrud :_ NE NW 11 29 19 1 PROPERTY OWNERS MAILING ADDRESS fryer® � BLOCK # SUED. NAME OR CSM ff 1194 42nd. St. '; s�. 2 na c e din CITY, STATE ZIP COD •-'KPH ❑VILLAGE JgOWN NEAREST ROAD Hudson, WI. 54016 'N§44W8 St. Joseph Mound Dr. (� New Construction Use [X J Residential / r" �e" ( J Addition to existing building j J Replacement (J Public or commercial e Code derived daily flow 600 g pd Recommended design loading rate • 7 bed, gpd /ft2 . 8 trench, gpd/ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate ._ bed, gpd /ft .3 _ trench, gpd/11 Recommended infiltration surface elevation(s) 99.90 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AI-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ®S ❑ U ® S ❑ U ®S ❑ U ®S ❑ U ®S O U ❑ S CRU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourid3y Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Twich 1 0 -10 10yr3 /3' none 1 2msbk mfr 9W 2f .5 1.6 2 10 -17 10yr4 /4 none sql lcsbk mfr if .2 S • ' . .v........... Ground 3 17 -84 7.5yr4/61- none cos Osg ml na na .7 .8 elev. 1 Depth to ( imiting factor +84 1, (� 2- I `( Remarks: Boring # 1 0 -10 10yr3 /3• none 1 2msbk mfr gW 2f .5 's .6 2 2 10 -24 10yr4 /4' none scl lcsbk mfr gw if .2 .3 4ii•$: iiiiiiiii:{: 3 24 -84 7.5yr4/6 none co s Osg ml na na .7 .8 Ground elev. 10 ft. Depth to limiting factor +Rd `(Q� Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. New Richmond, WI 54017 Signature: Date: 11 -25 -98 CST Number: m02298 - 1 PROPERTYOWNER `Donald Nestrud SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D. # 030 - 1037 -30 -000 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft ................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .................. ................. .................. ................. 1 0 -9 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 2 9 -21 10yr4 /4 none scl lcsbk mfr gw if .2 .3 Ground 3 121-8j,--7.5yrV6 none co s Osg ml 7 na na .7 .8 elev. i9 ?fit � tos OS ''�-� A 4 Depth to ti t limiting 8 -t factor 1,(p 8� `� I�b•`( Q Remarks: Boring # 1 0 -10 10 Y r2/2 none 1 2msbk mfr gw 2f .5 .6 >< 4 2 10 -20 10yr4 /4 none scl icsbk mfr gw if .2 .3 ................ 3 20 -84 7.5yr4/6 none co s Osg ml na na .7 .8 Ground elev. 10 ft. — ZS Depth to - limiting factor +84 11 a1. Remarks: Boring # 1 0 -8 10yr3 /3 none sl 2msbk mfr gw 2f .5 .6 5` 2 8 -12 10yr4 /4 none sl 2mgr mvfr gw if .5 .6 ............... 3 12 -80 7.5yr4/6 none co s Osg ml na na .7 .8 �- Ground elev. L 02 _ ef Depth to I limiting factor +80" Remarks: Boring # Ground elev. ft. i Depth to limiting factor Remarks: SBD- 8330(8.05/92) • i STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Donald N - T29N - R19W New Richmond, WI 54017 MPRSW -3254 NE4NW4 S11- (715) 246 -6200 town of St. Joseph 1 lot #2 -csm N 1 =40 BM.= top of NE lot stake C el. 100 Alt. BM.= top of SE lot stake C el. 105.90' 3. ` AW (3 c � 35 A -' k Gare.Steel 11 -25 -98 C r 7> el • I %\ 11 I f f IR'R ol rte•, t � � �� �� �� ~ �v. \�� �� .:\ '- f 00 dining area Kitchen 2 2' Bdrn7 Bdrm O g 'L Dliing R0��Iri CL I CL 71 lJ Ba Living Room 14' Bedroo Deck CL Dat•h CL, CL CL � 4' \ Be room Den � '? 12' FIR _ST ;F_ L C) 0 R 19 3 0 P L' 7 7 684673 K ATHLEEN H. WALSH WARRANTY DEED ST. CROIX Co. , DEE DS DOCUMENT N0. RE CEIVED FOR RECORD 07 -22 -2002 1:00 AM This Deed made between SCOTT E. STANDFIELD and KAREN M. STANDFIELD, husband and wife, EXEMPT #DEED Grantors and KERRY M. McINTYRE and MARGARET REC FEE: 11.00 R . M c I TRANS FEE: 224.70 hu sband an wife COPY FEE: Grantees, CERT COPY FEE: PAGES: 1 Witnesseth, That the said Grantors convey to Grantees the following described real estate in St. Croix County, State of Wisconsin: Part of the NE 1/4 of NW 1/4 of Section 11, Township 29 North, Range 19 West, St. Croix County Tax Parcel No 030- 1037 -50 -200 Wisconsin described as follows: L,ot 2 of Certified Survey Return to: Map filed April 29, 1999 in Vol. 13, Page 3633, Doc. No. 60 This is homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; And Grantors warrant that the title is good, indefeasible in fee simple and free and clear of encumbrances, and will warrant and defend same. Dated this ��/�,a of Jul ���U n� Y Y, 2002. (SEAL) Scott E. Standfield vlv� zt� SEAL Karen M. Standfie STATE OF WISCONSIN )SS ST. CROIX COUNTY Personally came before me this _day of July, 2002, the above named Scott E. Standfield and Karen M. Standfield, to me known to be the persons who executed the foregoing instrument and acknowledged the same. -�r lb!l � I 16k — Notary % CX1 l ic tate of Wisconsin My Commission (expires): THIS INSTRUMENT DRAFTED BY: Attorney Barry C. Lundeen Tracy L. Tumer MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. Notary Public 110 Second Street, P.O. Box 469 State of Wiscons' Hudson, Wisconsin 54016 r - AdV ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM G Owner/Buyer Mailing Address �,�� ��-� C c%'e�p - � ( L &IP-6 Property Address D oZ d (Verification required from Planning Department for new construction) City/State �U�` //`/ _ Parcel Identification Number 0 ' UGAL DESCRIMON C Property Location ' /., 1 /., So c. �l . T -) R1 3 W, Town of � Subdivision ' Lot # 2 . Certified s urvey Map # l! � � , v lmne _ � PAe # Warranty Deed # (0.8 -q (a . vow= i o . Page # Spec ham 0 yes 0 no Lot Imes identifiable 0 yes 0 no SYSTEM b[AngTE DANCE Impmpermeandmaktmmmofy owseptwxystemeouldv=dtiaits muretohandleanst�es.Prayer zonsists of ' oat the is tank three if needed a licensed pumper. What you put into dw sysd l?�m$ � �uY y� or :� by can affect 6e bactim of ft septic tamhcas a treaumentstege is thke waste diqxulsystesn. Mw property owner agrees to submit to St. Cmic Zoning Departmenta, eadSRxtiamtfoam, signed by the curie andb; P 7 P restri(ftdphamber or a he msedpumwvmifying &9 (1) 6e on-site wastewsterdisposal syst ism Proper operating conMon and/or (2) after iaspocfiam and pampiog.(tf necessary). the scptia-tu k is less ftn W hU of sh * Yvx, dw undersigned have road the above requirements and agree to mainain me private sewage disposal system with &a standa set forth. Reim. 'as at by dike Department of Commerce and tike Departtnemt of Pladuxl Rte: State of Wisconsin. Cutificat stating 6d your septic :yd= has been maintained aunt be completed and returned to the St. Croix County Zoning Office within days of tike dz= year expiation date. SI OF A"UCMT DATE OWNER CERMCATION I (we) certify that all statements on this forms are true to the best of my (our) knowledge. I (we) am (one) the owner the pi+opexty dexoxtbod , by virtue of a warranty deed recorded in Register of Deeds Office. 71l�/ odz SI GAAPE OF APPI:ICANT DATE s « « «ss A infamution that is mis- represcatod array taint in the sanituy permit being revoked by the Zoning Department «" «� «« Include with this application: a warranty deed from the of Deeds office . PP ty a y of the certified survey map if reference is made in the warranty deed �P - 1 �i` f y L POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity 15(� al ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Zee L ❑ NA Number of Bedrooms z5 ❑ NA Effluent Filter Model `jam ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity a l 0 Estimated flow (average) 'jS0 al /day Pump Tank Manufacturer Q-NA Design flow (peak), (Estimated x 1.5) (( al /day Pump Manufacturer 4"A Soil Application Rate g al/day /ft2 Pump Model 42 Standard Influent /Effluent Quality Monthly average* Pretreatment Unit J "A Fats, Oil & Grease (FOG) :530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L O ❑ 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 Wn- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ONA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: 2Q4A Other: PINA Other: 9TNA *Values typical for domestic wastewater and septic tank effluent. Other: ONA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA y ear(s) 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 3 ji0year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA 51:�year(s) Inspect pump, pump controls & alarm At least once every: p month AB'>\TA Flush laterals and pressure test At least once every: ❑ ❑ year(s) month(s) A3-NA -NA Other: At least once every: ❑ month(s) iKNA ❑ year(s) Other: ANA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the 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. GMW (4/01) 1 Page �f 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 cell(s). 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 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 Isump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, 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 P erformed 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 7� _ — -7d v Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name �r'D ` I ✓i Phone Phone - 36 1 & LB'd This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. GENERAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR01 REAL ESTATE TOWN OF SAINT JOSEPH COMPUTER NUMBER 030 - 1037 -50 -200 Parcel Number 11.29.19.125E Claimed Date Re- certified 12/04/1998 Relate Number: OWNER NAME: First KERRY M & MARGARET R Last MCINTYRE CO -OWNER Mailing Address 938 BECKY CIR City HUDSON State WI Zip 54016 - Type Vol Page Doc # Rec.Date Type Vol Page Doc # Rec.Date HISTORY WD 1930/ 477 684673 07/22/2002 WD 1717/ 167 656362 09/12/2001 PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name- Type SD Apartment Post Office 1092 MOUND DR School District: 2611 - SCH D OF HUDSON Special District: (1) 1700 - (2) - (3) - W ITC Plat Code: Last Changed on: 08/15/2002 Book Number: 1 SECTION 11 TOWN 29N RANGE 19W %160 %40 Map Number: 00 - Sales Area: Parcel Control 0 TAXABLE Number of Units: ZONING: Permit Number: Type: Bank Numbers: F4 -Prev, F5 -Next, F6- Legal, F7- Value, F8- History, F10 -Exit, F12 -More i 0 FILED 3 E;�D2261 APR 2 9 1999 ► KATHLEEN H. WALSH 4 6 Register of Dceds CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE 1/4 OF THE NW 1/4 OF SECTION 11, T29N, R 19W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. CURVE DATA NUMBER RADIUS CENTRAL ANGLE CHORD BEARING CHORD LENGTH ARC LENGTH TANGENT TANGENT 1Q 150.00' 50'49'43" N38 "W 128.75' 133.07' N13 N64 200.00' 06'32'53" N60 "W 22.84' 22.86' N64 N57'32'44'W Q 117.00' 50'49'43" N38 "W 100.43' 103.79' N13 N64 ® 233.00' 06'32'53" N60 °49'10.5 "W 26.61' 26.63' N64 N57 OWNER DONALD J, NESTRUD 1y VIRGINIA M. NESTRUD 1194 42ND STREET •c\ HUDSON, WI 54016 0 � � X 11 ; LOT - � - - - -- C X C. S. NW VOL. 2 PC. 538 SEC. 11 N1 /4 COR. 89'57'29 "E � S89'S7'2 "E SEC. 11 1317.92' \� 1317,92' L� o NORTH LINE OF THE NW1 /4 4 S 0 , o s �. ,< 2• N % S�� 63 y�CY� ✓� - o wu LOT I 3.432 ACRES 6 6' 0 O N S 149,499 SO. FT. J r�, ✓1� q� ( � 3.058 AC. EXC. RW ?� ; C~ u�• � 0 133,199 SO. FT. ` w z �' ° N89'50'1 "W 601.76' w w '-' 3 , +/ _ 298.19' 69,64.' ; C'` L_ i w 567.83 33.93' \ ; w �- m v LOT 2 ;y cz t�0 d o� I , ACRES 4 : N N , t y Ln 138,180 SO. FT. cn1Ln ¢ w m q; N 3.001 AC. EXC. RW 3 130,724 SO. FT. ; z - N Ln N S89 14 "E 6 5' ` t t+ Q a oo m L!) 334.72' 287,00' .33.93 ` a o ° z 621,72 ' LOT 3 ,,'�' 3.425 ACRES N N N ;� o E.. C:) 'p (104) 149,185 SO. FT. ro D a 1 -' E" ..255 AC, EXC. RW o Ln 0 141,768 SO. FT. •33.93' �\ D Q, ; 371.06' 675,3 04, S S89 °50'14 "E 709.25' q 3 133 ►� w I UNPLATTED LANDS 1 � w �z a °= d ' A z 2 Z w F— Z' ww LEGEND ALUMINUM COUNTY SECTION CORNER MONUMENT FOUND = w nwM1 „s 0 V X 24' IRON PIPE SET WEIGHING 1.68 LBS. PER LINEAR FOOT 17.i iv-0 SCALE IN FEET 1„ = 200 ........... 100' ROADWAY SETBACK LINE 200 0 200 400 — x x — EXISTING FENCELINE VOLUME 13 PAGE 3633 • 'r SLn?V$ %OR' S C$RTIFI _M I, Douglas J. Zahler, Registered Wisconsin Land Surveyor, hereby certify, that by the direction of Donald Nestrud, I have surveyed, divided and mapped a part of the NB1 /4 of the NW1 /4 of Section 11, T29N, R19W, Town of St. Joseph, St. Croix County, Wisconsin; further described as follows: Commencinar at the Northwest corner of said Section 11; thence S89 "B, along the north line of said NW1/4, 1317.92 feet to the northwest corner of said N$1 /4 of the NW1 /4; thence S00 "W, along the west line of said N$1 /4 of the NW1 /4, 328.70 feet to the southerly line of the abandoned railroad right -of -way and the point of beginning; thence continuing S00 "W, along said west line, 544.01 feet; thence S89 -14 "B 709.25 feet to the centerline of a town road (Mound Drive); thence N13 "W, along said centerline, 630.18 feet to the point of curvature of a 150.00 foot radius curve, concave southwesterly, whose central angle measures 50 whose chord bears N38 "W and measures 128.75 feet; thence northwesterly, along the arc of said curve and centerline, 133.07 feet to the point of tangency; thence N64 0 05 1 37 "W, along said centerline, 126.34 feet to the point of curvature of a 200.00 foot radius curve, concave northeasterly, whose central angle measures 06 whose chord bears N60 0 49 1 10.5 "W and measures 22.84 feet; thence northwesterly, along the arc of said curve and centerline, 22.86 feet to the point of tangency; thence N57 "W, along said centerline, 43.62 feet to said southerly line of the abandoned railroad; thence S50 "W, along said southerly line, 402.10 feet to the point of beginning. Parcel contains 10.029 Acres (436,864 Sq. Ft.) and is subject to town road (Mound Drive) right -of -way and all other easements, restrictions and covenants of record. I also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix and the Town of St. Joseph in surveying and mapping same. noualas J. Zahler r LAS J. 41. NLER Z e M 0 3- c d t� m f r M A �1 M � m m m � A� • `G C r M m m m m 3 - z r. C/) N C y O N 0 W °C lye' • m O 3 0 CD y O ° CO C l 111 �o m -4 O C \ 1 N 7 7 @ x S N CD m C ,� ° m N O 3 CO) ° o C m c g ? CJ m cn z cn z D F� m (D co D cn D y C m W CD CD 3 a a O O N ! CD 0 W N lei z CD N ock c�rcn O y W N j N rr c Iz N• CL CD o CD (D '0 �1 :c N o v 3 CO) to v) a 0 D o CD CD CD C T v a o iL 7 y - W r7, 0 > A -� co m D °.: w w N O O m O O G') 7 CL 3 W CL a z " rn ° C Z z =i 7 y O 0 0 ti ;7 y CD c. C a Cl) N FL 3 z (6 -a -I N N a 'P p 7 O z w T m N co m m z z 3 fN z j O A � F I CL c O C •�• C C6 N co S C N • 0 N y� O ( CD a C a j 0 fD 3 y y j 0 CA C) a O = d. N .. A fl? m n CD a C �m� 03 - n mEr �wsN m W y m 0 OR 7 CD cD � N. s fA S y CD n v0, c< 3 C� m j m ccq n m a � v o m �•� m m _° ?� m m vaa CD o Zm o v ° , nm c� o - {0cccpcoo �J� a� v, f . -O 0 m Q O fD CD O y =i a 7 n G 0 CD 'O m S M. m y 0 CD O m ti m SO. �y S v m <�0 3 y� vc waq) m 3 ocn a3 V e m am �� CL y of 0- = m ac m 9. m m o-c = w m' m w C O °� v ° o� D m'm of m Q� m "n° fi m m° "- ° N; a a m a O CS m co =.' 7 0 A o I -oo m 0 m�m m3 a S 00 � Z > N� s7v ai v o any m n �a =r O m CD 0 j p C0A a N O O CD y O N Q m m O m d a .' O CD y Q N 'O CD C ° S O n . 5 A � =r m a � CD 0 maw =r ° w N q CiW A b9 to O ti ~ tA O O g CJ a Parcel #: 030 - 1037 -50 -200 05/09/2007 11:02 AM PAGE 1 OF 1 Alt. Parcel #: 11.29.19.125E 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - MCINTYRE, KERRY M & MARGARET R KERRY M & MARGARET R MCINTYRE 1092 MOUND DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 1092 MOUND DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.172 Plat: 3633 -CSM 13/3633 SEC 11 T29N R1 9W NE NW BEING LOT 2 CSM Block/Condo Bldg: LOT 2 13/3633 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 11- 29N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/22/2002 684673 1930/477 WD 09/12/2001 656362 1717/167 WD 03/10/2000 619520 1495/164 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 77,600 161,900 239,500 NO Totals for 2007: General Property 3.000 77,600 161,900 239,500 Woodland 0.000 0 0 Totals for 2006: General Property 3.000 77,600 161,900 239,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 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 St. Croix 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. ' U d percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 030 -1037— -000 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Tom Hays Govt. Lot NE 1/4 NW 1/4 S11 T 29 N R 19 H (or) W Property Owner's Mailing Address -Lo-t# I Block #q Subd. Name or CSM# 4001 McMenemy 2 na csm / 3 3 city State Zip Code Phone Number ❑ City ❑ Village $Town Nearest Road VaDNAIS Hgts. MN. 55127 ( 651 ) 484 -2393 St. Joseph Mounds Dr. New Construction Use: a Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material ol Flood Plain elevation if applicably '- -- ft• General comments \ and recommendations: trenches spaced to code 4.00' below grade'` !�`, r � Boring # ❑ Boring CcpUN vx pit Ground surface elev. 90.10 ft. Depth to limiting factor + 6' C)F FICE SjAApp r1cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence ,�o n - Wy Rrts - - PD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '� . ti t ff#1 'Eff#2 1 -10 10yr4 /3 none sl 2mgr mvfr gw 1 1m .5 .9 2 10 -26 10yr4 /4 none is Osg mvfr gw if .7 1.2 3 6 -96 7.5yr4/6 none HIS Osg ml na na .7 1.2 2] F Boring # Boring ® pit Ground surface elev. _ 98 ft. Depth to limiting factor +110 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 1 -15 10yr3 /3 none sl 2mgr mfr gw if .5 .9 2 5 -29 10yr4 /4 none co s Osg ml 'w if .7 1.2 3 9 -110 7.5yr4/6 none ms OSG ml na na .7 1.2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg /L t #2 = BOD 5& mg/L and TSS E 30 mg/L CST Name (Please Print) Signature ST Number Gar L. Steel 02298 Address --15atg Con cted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 9� -20 -2000 715 - 246 -6200 Property Owner Tom Hays Parcel ID # 030 - 1037 -30 -000 Page 2 of 3 D Boring # Boring ❑ © Pit Ground surface elev. 98.60 ft. Depth to limiting factor +110 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stnxture Consistence Boundary Roots GPDM in. Munsell Qu. Sm Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 -8 10yr3 /3 none L 2msbk jd8b gw 2f .5 .8 2 -16 10yr5 /4 none sil 2msbk dsh gw 2f .5 .8 3 6 -110 7.5yr4/ none ms Osg ml na na .7 1.2 4] Boring # E] Boring ® pit Ground surface elev. 91 .80 ft. Depth to limiting factor +96 in. Soil plication 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 1 -11 10yr3 /3 none L 2msbk dsh gw 2f .5 .8 2 1 -20 10yr4 /4 none sil 2msbk dsh 9W if .5 .8 3 0 -32 10yr4 /4 c2d 7.5yr5/6 sil 2msbk dsh gw if .5 .8 4 2 -96 - 7.5yr4/ none ms Osg ml na na .7 1.2 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil lication 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 5 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mg/L and TSS 5 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 - 2648777. SBD -8330 (RAM) STEEL'S SOIL SERVICE Gary L. Steel Tom Has 1554 200th Ave. CSTM2298 NE4NW4 S11- T29N - R19W New Richmond, WI 54017 MPRSW -3254 town of St Joseph (715) 246 -6200 lot #2 -csm N 1 =40' BM.= top of 1 pvc pipe C el. 100.00 Alt. BM.= top of 1" pvc pipe el. 92.70' k �� Gary L. Steel 9 -20 -2000 i