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HomeMy WebLinkAbout030-2019-20-200 d a � c 0 H 0 o _gip? "O Q o x z LL c O Q v 3 `) z N N z = 0 z y y Nw' am I- z � O c C7 m O z c V O N m z a c O vh P z � N M N • N N O d O O z z z N z cl M £ E N lC N is Y m C a �? _ �l r N N -0 c O �w oaIL c h o Z > o H H H U � 3 3 3 ° z 4.; 3 a a a CL ' ° � } U) J U 7 N N z CO N _ 0 E O '- N m t a I N ¢ z U) m O O O = O N O �+ N W O O N O O N N C (9 U d r L N L i N E fp C "O N V O O a) m c u? c W p N N CL ' C N ,a = O . C N O O if CD d O O fn Z V O z N z Y (n U ` v� m �o � a at a L: a y • a m d m = E r A ciao ''o�LO) Parcel #: 030 - 2019-20-200 05/07/2007 04:55 PM P AGE 1 O F 1 Alt. Parcel #: 1.29.20.424E -10 030 - 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 - HOEL, PATRICK G & PHYLLIS M PATRICK G & PHYLLIS M HOEL 1170 CEDAR DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 5.700 Plat: 3631 -CSM 13/3631 SEC 1 T29N R20W NE NW NW NE BEING LOT 1 Block/Condo Bldg: LOT 1 CSM 13/3631 ALSO COM N1 /4 COR SEC 1,TH ALG W LN NW NE S 00 DEG W 982.05' POB, Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) TH S 80 DEG W 401.45'; TH NLY 172.49';TH 01- 29N -20W NE N80 DEG E 548.99';TH S 06 DEG E 167.14';TH S 80 DEG W 97.67' POB (2.01 A) Notes: Parcel History: Date Doc # Vol /Page Type 10/23/2000 632282 1553/98 WD 05/13/1999 603064 1426/152 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/26/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.700 103,000 196,800 299,800 NO Totals for 2007: General Property 5.700 103,000 196,800 299,800 Woodland 0.000 0 0 Totals for 2006: General Property 5.700 103,000 196,800 299,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 12/0411998 Batch #: 565 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 ' INSPECTION REPORT Sanitary Permit N o: 430084 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: Hoel, Patrick I St. Joseph Township 030 - 2019 -20 -200 CST BM Elev: Insp. BM Elev: BM Description: CT /Town /Range /Map No: -�-p -�fl IMA = IAA I'}'btr?r 01.29.20.424E10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic T Ben imark - 1 *40 Dosing Alt. 13 20 1 lb -- 4 Aeration Bldg. Sewer •33 ! Holding St/Ht Inlet . �l7 Q fo / St/Ht Outlet -` 7 � TANK SETBACK INFORMATION 9 � 3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , cF91 1 -33/ Dt Bottom Dosing Header /Man. Aeration Dist-f'i" 1 3•V s 13.6 Holding Bot. Systet 1 If. .fo ly'•-Iq i?Z- 31 Final G ! PUMP /SIPHON INFORMATION C ew 5 12.3 . Man a Demand t ove GPM 1 n Model mber q 2 . Zv TDH Li Friction Loss System Head Ft Forcemain Len Dia. Dist. SOIL ABSORPTION SYSTEM BED/TRENCH Width t Length ! J No. Of Trenc es PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 e., Z) SETBACK SYSTEM TO I P/L JBLDG WELL LAKE /STREAM LEACHING Ma�nvfa qr_ S - I INFORMATION CHAMBER OR J- -- "Tav�t?+v� Type Of System: > 1 .5-10 / �r UNIT Model Number: Z tl DI TRIBUTION SYSTEM Heade Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) / Leng h Dia Lengt Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of 1 xxSeeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil L ]Yes ] No - L"_] Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: () 's �� Z Inspection #2: Location: 1170 Cedar Drive Hudson, WI 54016 ((NE 1/4 NW 1/4 1 T29N R20W) NA L t 1 Parcel No: 01.29.20.424E10 1.) Alt BM Description = (/ITO'� 4 � 2.) Bldg sewer length = 41 amount ofcov r� - -`a k S 16 %AF Plan revision Required?� I •_I Yes No / Use other side for additional information. I �1 tM3 S SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. r Safety and Buildings Division County lViia 201 W. Washington Ave., P.O. Box 7082 7 scvnsin Madison, WI 53707 — 7082 Sanitary Permit Number (to filled in by Co.) Department of Commerce (608) 261 -6546 Z� Sanitary Permit App] ' provide State Pl `D. N"mb, In accord with Comm 83.2 1, Wis. Adm. C 1i maybe used for secondary purposes vary Law, s15.04(I xm) Project Address (if different than mailing address) / I. Application Information —Please Print All Infor ation �O }tlq A L uu j / vK V Property Owner's Name 1 r ; L) �' Parcel # Lot # Block # Property Owner's Mailing Address Property Location Crty, e s Zip Code Phone Number d V4, Section - circle one) II. Type of Building (check all that a PP Y) I T N; $ E or W o•e S Subdivision Name CSM Number 1 or 2 Family Dwelling - Number of Bedrooms S , ❑ Public/Commercial - Describe Use C. ❑ State Owned - Describe Use ( 3 x (o d • Y Z t p QQ� ❑City_ ❑Villa ownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 030 • 2c 1 0 1 - 20 - Za0 . tvf 6 lo) L A' News tent .y2tfE) ys ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. C1 Permit Renewal ❑Permit Revision ❑Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl ,9 Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized in- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Grav - s Pipe ❑ Other (explain) V. Dls ersal/Treatment Area Information: S Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (so Dispersal Area Proposed (st) System Elevation J } VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Septic or Holding Tank / Aerobic Treatment Unit Dosing Clamber VII. Responsibility Statement- I, the undersigned, assuJhe responsibility for installation of the POWTS shown on the attached plans. Plum Name (Print) Plumb 's Sign , MP/MPRS Number Business Phone Number Plumbers Ad Mss (Street, City State, Zip e) Z- n IJ2: S:�Z� VIII. Conn /De artment Use Onl 19 Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued sui Agent Signature o Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial 22 sue_ �6 [�aV IX. Conditions of Approval/Reasons for Disapproval h complete plans (to the County only) for the system on paper not less than 91/2 x 11 inches in size SBD -6398 (R. 08/02) /3s -sue ( 7Q y9.,►' 41 IS, 'o � I 3 7 5F �h —..... -- —_ ___ _ —_ —'!— — — 8-- '�_--- ^--------- `— O-- f - - -�1 *7o—� �_ —. — .�_... �— . —! ��'' —I is - - -; -- -- .-- .__.... —_ —• —_. t` R J o � o hh 1 1 V` ~I l/ y �1 11 � i I ` y I N I i Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Environmental By Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix__ percent slope, scale or dimensions, north arrow, ata �W '"Distance to nearest road. Parcel I.D.# 1/ APPLICANT INFORMATION - PI *0, all inform , on. Personal information you provide may be used sgcoYidary purpp�ps (Privacy 15.04 (1) (m)). Re y Date Property Owner roperty Location D Starde Gpvt Lot NE 1/4 NW 1/4 S 1 T 29 N,R 20 W Property Owner's Mailing Address t " " t # Block # Subd. Name or CSM# 1187 S.T.H. 35 s � 1 Stanley Dahm City State , ,Zip Cod .w City El Village ❑Town Nearest Road Hudson W1 4g1fi.. ' ? St.Joseph S T H 35 ❑ New Construction Use: ❑ Re`Sie'lli� Hturnde edrooms 3 [:]Addition to existing building ❑ Replacement F Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd/ft .8 trench, gpdff Absorption area required 643 bed, fts 563 trench, ftz Maximum design loading rate .7 bed, gpd/fts .8 tr ench, gpd/fF Recommended infiltration surface elevation(s) 86.50 & 84 Trenches ft (as referred to site plan benchmar Additional design I site consideration grade site so as to meet all code comP"ent grades '' Parent material Loess Over Glacial Outwash Flood plain elevation, if applicable na ft S= Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system MS o u ❑ S ®U ® S u 1 ❑ S M U ❑ S E ❑ S M U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/frs Boring# in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ' Trent, 1 1 0 -16 10yr3 /2 is 2 mvfr cw 2f .7 i .8 - 2 16 -90 7.5yr5/6 - s Osg ml - - .7 .8 Ground elev 80.97 ft Depth to limiting factor >90 Remarks: 2 1 0 -7 10yr3 /2 - Is 2msbk mvfr cw 2f .7 i .8 2 7 -22 10yr3 /4 - is 2msbk mvfr cw if .7 .8 Ground 3 22 -90 7.5yr5/6 - s Osg ml - - .7 .8 elev 80.57 ft Depth to limiting factor >90 Remarks: CST Name (Please Print) Signature: — Telephone No. Thomas C. Nelson 715- 246 -2454 Address Environmental By Design Date CST Number Ref # 1432 120th Street, New Richmond, WI 54017 2/5/99 227387 208 PROPERTY OWNER: Daum, Stanley SOIL DESCRIPTION REPORT ® Page 2 of 3 PARCEL I.DJ Envirownental By Desi Horizon Depth Dominant Color Mottles Texture Structure onsistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed : Trench 3 1 0 -9 10yr3/2 Is 2msbk mvfr cw 2f .7 .8 2 9 -90 7.5yr5/6 - s Osg ml - - .7 i .8 Ground elev 86.18 ft Depth to limiting factor a�F ,lV Remarks: 4 1 0 -8 10yr3/2 - Is 2msbk mvfr cw 2f .7 .8 2 8 -28 10yr3/4 - Is 2msbk mvfr cw if .7 ? .8 Ground elev 3 28 -98 7.5yr5/6 - s Osg ml - - .7 .8 91.29 ft Depth to limiting factor >98 7 .¢8 Remarks: 5 1 0 -8 10yr3/2 - Is 2msbk mvfr Cw 2f .7 .8 2 8 -23 10yr3 /4 - Is 2msbk mvfr Cw if .7 .8 Ground elev 3 23 -92 7.5yr5/6 - s Osg Mi - - .7 .8 87.70 ft Depth to limiting factor >92 u Remarks: Ground elev Depth to limiting factor Remarks: Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of Z- Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code c County J �. , e,h0 V Ki 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. �7 �+ percent slope, scale or dimensions, north arrow, an ion pnd distance to nearest road. v 30 —,), Please print i{r ;1 , , iorr.I Reviewed by Date Personal information you provide may be us fo 'ndary purposes (PnvacyLaw, s. 15.04 (1) (m)). Property Owner l : ' roperly Location \L 4,_I w S 4 r\ `e a� M G vt. Lot n 1/4 n �` 1/4 S T ,� N R,) - Etorf W Property Owner's Mailing Address „/i t�Q�7 .' # Block # Subd. Name or CSM# 1 I S - 7 VA 35 _- � �'oti r, City State Zip C s e, -'.` Phone . Y City ❑ Village I9 Town Nearest Road Hkb5or► 1W I S�{0 >., -11� S�, jascph 5T t-A 35 W New Construction Use: C9 Residential / s 4r t 11 Code derived design flow rate _ 5 O GPD El Replacement El Public or commercial 1 e: Parent material I o e - � o V L r O �. L W a. S L cj Flood Plain elevation if applicable ft. General comments and recommendations: n Boring # Boring Pit Ground surface elev. 5 -3 U 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 1 Q -$ 10 r 2 2rIS rj�rr CL-3 2 :5 2 5-Lt{ 1br 4 _ S11 Boring # El Boring a Ir Pit Ground surface elev. �5 W 7 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 IS ' C 2 1 a MA k r u! 1 ,S * 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 Name Please Print) Si � _ CST Number O �� 2A7 h 1' -c.IS � a r� c� Address Date Evaluation Conducted Telephone Number lH 3I C)+k lAeL AiCkMon& W! S- 19 - C1 Property Owner �6-tl k"y Parcel ID # Page 2 of 1-3 1 Boring # Boring , Pit Ground surface elev. ft. Depth to limiting facto in. Soil Applicaflon 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 -�,-� b --7 ►a r 2 s l �, � 7. 2 ro Ir�l 511 S K r u ► 5 - 3 b �,2. -� 7S r� — S d r, I ~ .� . g Boring # ❑ Boring Pit Ground surface elev. q5 , .?)q ft. Depth to limiting facto in. r 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 I 'Eff#2 to V �� s 2 5 �.�Is k . S r4A '5 -q a Boring # F] Boring jo Pit Ground surface elev. �6 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 I 'Eff#2 2 11 -30 to r — SI k L LJ I '5 I e Effluent #1 = BOD, > 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 -8330 (8.6/00) J ' 4� r) Y Lot ►l n n c� S -e crt i C a 5 N 4 q 1 o P o r an �,Dst \00 ac�a ia� S n('Il j jS as 63 g3.` ay g5.agt qa � Sa 01 � \ \a q3 1_j Lj p Y III N 2 S o rl '2- 2. 3�� E BY D 1432 120th STREET, NEW RICHMOND, WISCONSIN 715 -246 -2454 Stanfel q)aftm PAGE 3 NEY, NW%, SECTION 1, T 29 N, R 20 W A r4 S 4* TROY TOWNSHIP, ST. CROIX COUNTY, WISCONSIN V A -nc&- 1 d Pri are/ IC74 b v oq , 3, 0 cf a -n o r s 2�8 3�O.l�D C�c.r rive, SCALE 1" =40 Tom Nelson 3M 1. Top Of Nail W/ Ribbon In Pine Tree ELEV. 100' 227387 BM 2. Base Of Pine Tree W/ Nail & Ribbon ELEV 97.60 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page j f V r ILE INFORMATION SYSTEM SPECIFICATION honer - Septic Tank Capacity al o NA A rrttit # 3®O Se tic Tank Manufacturer S o NA Effluent Filter Manufacturer eI o NA 1. DESIGN PARAMETERS Effluent Filter Model a o NA Number of bedrooms ❑ NA Pump Tank Capacity al �KNA Number of Commercial Unit NA Pump Tank Manufacturer nKNA fst imated flo (average al/day Pump Manufacturer 0 Design flow (peak), (Estimated x 75) /da Pum2 Model ra(NA Soil Application Rate gal/day/ft Pretreated Unit Influent / Effuent Quality Monthly Average* o Sand /Gravel Filter ❑ Peat Filter Fats, Oils & Grease (FOG) <30 nig /L r-) Mechanical Aeration ❑ Wetland I Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ Disinfection o Other: 1 Total Suspended Solids (TSS) <150 m L Manufacturer > NA Monthly Average" Dispersal Cell(s) Effluent Quality © In- ground Pretreated Q y t�In- ground (gravity) ❑ In ground (pressurized) Biochemical Oxygen Demand (BODs) <30 mg /L ❑ At - grade ❑ Mound Total Suspended Solids (TSS) <30mg/L ❑ Drip-line o Other: Fecal Coliform (geometric mean 510 4 cfu /100mL Maximum Effluent Particle Size inch diameter Values typical for domestic (non - commercial) wastewater and septic tank effluent. +� Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Fre uenc ns ect condition of tanks At least once ever ❑ months ears Maximum 3 rs) )ump out contents of tanks When combined sludge and scum equals one third 'h of tank volume ns ect dispersal cells At least once every ❑ months ears Maximum 3 rs) Mean effluent filter At least once ever y m onths -j� year(s) ns )ect Pump, PUMP controls & alarm At least once every a months ❑ ear(s .MINA lush laterals and pressure test At least on ce ever ❑ months ❑ year(s) aNA )ther: At least once every o months ❑ ear(s) 9NA )ther: At least once every ❑ months o year &NA :MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: .taster Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator fank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any racks 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 ('/3) or more of the tank volume, the entire -ontents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. I'he servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. ,\ service report shall be provided to the local regulatory authority within 10 days of completion of any service event. S'T'ART UP AND OPERATION i�or new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other 'hemicals that my impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have he contents of the tanks(s) removed by a septage servicing operator prior to use. Owner: _P' J 4Z _ Page,�oe System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater will be discharged to the dispersal 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 soft absorption are. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of t he POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump P ump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONEMENT 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 ch. 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 re la ment system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect'the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at the time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES 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 INSTAL POWTS MAINTAINER Namel d Name Phone - Phone SEPTAGE SERVICING OPERATOR (PUMP R) LOCAL REGULATORY AUTHORITY Namel Name Phone Phone L, ' ST. CROIX COUNTY SEPTIC TANK MAINTAINANCE AGREEMENT AND OWNERSHIP CERTIFICATE FORM Owner/Buyer F r A .' 1 i S 80e., Mailing Address -U I) 1 , Y 41441 / Property Address �from �F D ,,� ,(,/ � ion) fication requirelanning epartment for new con City/State A a,.T -- Parcel Identification Number o3o - Zo /5 - Zo - z uo C• �I -2�fE la) LEGAL DESCRIPTION 0 7 _ to /9 C- Property Location'/., AIU) '/. Sec. W, Town of Subdivision Lot# certified Survey Map4 _ , vo;z. - ac 43 Pag Warranty Deed# �/} ��� [� Volume /,71 Page J� : E:�2 Spec house yes Kno Lot lines identifiable -X—Yes no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result 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 masterplumber, 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by th Department of Commerce and use the Department of Natural Resources, State of Wisconsin Certification stating that your septic system has been maintained must be completed and returned to the S Croix County Zoning, Office within 10 days of the three year expiration date. k-S �- t0 -0 SIGNATLW 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 2 'a� 6• l0� 0 3 iIGNATURODF APPLICANT DATE 000000 Any information that is misrepresented ntay remit in the sanitary permit being revoked by the Zoning Department••••• 00 Include with this application a stamped warranty deed from the Register of Deeds office a copy of the catiAed survey map if reference is made in the warranty deed. YnI. 1426PAGE 152 • 603064 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between, RECEIVED FOR RECORD STANLEY E DAHM and SUE E DAHM husband and wife, Grantor, 05-13 -1999 8:00 AM and, PATRICK G HOEL and PHYLLIS M HOEL iu ITY DEED husband and wife, as survivorship marital property Grantee. E I : Witnesseth, That the said Grantor, for a valuable consideration of one dollar and COPY FEE: other valuable consideration conveys to Grantee the below described real estate in TRANSFER FEE 165.00 St. Croix County, State of Wisconsin. RECORDING FEE: 10.00 PAGES: 1 This homestead property. Together with all and singular hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Recording Area easements, covenants, and restrictions of record, Name and Return Address and will warrant and defend the same. HU H. WHIN (Parcel Identification Number) 430 SECOND STREET 030- 2018 -90 -000 HUDSON WI 54016 A PARCEL IN PART OF THE NW 1/4 OF THE NE 1/4 AND IN PART OF THE NE 1/4 OF THE NW 1/4 OF SECTION 1, T29N, R20W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN BEING LOT 1 OF THE CERTIFIED SURVEY MAP IN VOLUME 13, PAGE 3631, AS DOCUMENT NUMBER 602259. Dated this ay of 199 . 7i. �p�Cr[►�� �. 'STAN DAHM — . SUE E DAHM A%UTHEt:T.ICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN COUNTY ST CROIX Personally came before me this 7 +K day of M q9 the above named STANLEY E DAHM authenticated this day of SUE E DAHM to me known to be the person(s) who executed the foregoing sig nature : nmet and ack now le ge the same. type or print name signal type or print name k74 TITLE: MEMBER STATE BAR OF WISCONSIN Notary Public County, . �Ql yE�y•, (If not, My commi Sion is permanent. (if not, ra io e�•. authorized by §706.06, Wis. scats.) /d ld -7 00 A -) I O TARY THIS INSTRUMENT WAS DRAFTED BY `Names of persons signing in any capacity shoulbitlloed or Robert F. Wall printed below their signatures. PUBLIC s (Signatures may be authenticated or acknowledged. Both are not syb f�`••... �S� necessary.) of mstle i ,.1553 98 TJ D ENT NUMBER 6 3 2 2$ 2 KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD 10- 23-2040 3:30 PM Stanley E. Dahm and Sue Z. Dahm, husband and wife, Grantor, conveys and warrants to Patrick G. Hoel and Phyllis M. Hoel, husband and wife WRANTY DEED holding as survivorship marital property, Grantee, the following EXEMPT # described real estate in St. Croix County, State of Wisconsin: (ERT COPY FEE: COPY FEE: TRANSFER FEE: 48.00 A PARCEL OF LAND LOCATED IN PART OF THE NORTHWEST QUARTER OF THE RECORDING FEE: 11..00 NORTHEAST QUARTER (NW 1/4 OF NE 1/4) AND IN PART OF THE NORTHEAST PAGES: Z QUARTER OF THE NORTHWEST QUARTER (NE 1/4 OF NW 1/4) OF SECTION ONE (1), TOWNSHIP TWENTY NINE (29) NORTH, RANGE TWENTY (20) WEST, TOWN OF ST. JOSEPH, DESCRIBED AS FOLLOWS: Commencing at the North Quarter corner of said Section 1, thence along the West line of said NW 1/4 of the NE 1/4 S00 °13 11 W 982.05 feet to E AND RETURN ADDRESS the North line of Lot 1 of Certified Survey Map recorded in Volume 13, i C k �(d e page 3631 in the office of the St. Croix County Register of Deeds and C �r ( the point of beginning; thence along said North line S80 °43'32 "W 401.45 Ad l /1— S T - O b feet to the Easterly right -of -way of S.T.H. 35, said right -of -way being an 1824.66 foot radius curve, concave Easterly. with a central angle r '`Ju sa✓� / S ' S �"�0 /L tnat measures 5 °24 a chord that bears N23 °41 "W and measures 172.43 feet; thence Northerly along the arc of said curve and right -of- 030-2017-40-000; 030-2017-50-000, way 172.49 feet; thence N80 °43'32 "E 548.99 feet; thence S06 °53'34 "E 030- 2018 -90 -000 167.14 feet to the Northeast corner of said Lot 1; thence along said Parcel Identification Number North line of Lot 1 S80 °43 11 W 97.67 feet to the point of beginning. Subject to all easements, restrictions and covenants of record. This is not homestead property. Exception to warranties: All easements, restrictions and rights -of -way of record, if any. Dated this 13th day of October, 2000. (SEAL) St ahm (SEAL) (SEAL) 3 E. Dahm AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. PIERCE COUNTY ) authenticated this _ day of 20_ Personally came before me this 1 3 t hday of October, 2000, the above named Stanley E. Dahm and Sue B. (Signature) Dahm to me known to be the persons who exectyCe 4. c foregoing ins nd aoknowledge tik (Name Printed or Typed) TITLE: MEMBER STATE BAR OF WISCONSIN r ` (If not, , authorized by §706.06, Wis. Stats.) . Donna I. DelSS ed' , a THIS INSTRUMENT WAS DRAFTED BY: Notary Public 0 v '•p Leo A. Beskar, Attorney My commission is permanent. (If not, exp dg +ODLI, BESKAR, BOLES & KRUEGER, S.C. . �j� June 219 North Main Street, P.O. Box 138 20 River Falls, WI 54022 ' FILED 3 !APR 2 9 1999 ► KATHLEEN H. WALM 4 , 02259 JUN 17 St Croix o De e ft S 233- \ Q - Lot v_ h at no owner, possessor, user, licensee or other person may have any right of direct vehicular D ingress from or egress to any highway lying within the right -of -way of L o m S.T.H. '35', as shown on the land division Map; it is expressly intended � o o that this restriction constitute a restriction for the benefit of the n o _. 4) �, �, a D r < public as provided in s.236.293, Stats., and shall be enforceable by the 6 n °o � z r- M > department or its assigns. 1+ Q S O C 3 ,n , Q 1 o Z z fTl c No improvements or structures are allowed between S.T.H. 35 right -of -way o !^ a - 0 z C Z 3 line and the highway setback line. Improvements and structures include, ED P £ X 0 t" Q b ut are not limited to, signs, parking areas, driveways, wells, septic C3 o systems, drainage facilities, buildings and retaining walls. It is expressly cl- CD -�� o c Z cn LA intended that this restriction is for the benefit of the public as n Ln 6 M c d --j i provided in section 236.293, Wisconsin Statutes, and shall be enfordeable '+ 0140 � o Ln by the Wisconsin Department of Transportation or its assigns. Contact the a�� m ro Wisconsin Department of Transportation for more information. The phone S s Q � � ao number may be - obtained by contacting the County Highway Department. o` LA C3 ►-x Z Z LA o -j M o ,eo n X o�c� ' < y> LA '^ m / `J '� ° N y '� d o Q Q i O �7" C7 O is '0 D y x ~ C ,r m zz �L o o, s / y �y — OCrJ`b� ° Q �'�'S / �d� ��� o z z —I In O O 3. O po i y o w cn cn O `° X (0 � o ii . vice �� � �� � rri to M / �v P X .0 o o 0< 0 M Z �r3 4 -i -ice N� �0 • c, o � EAST LINE 0 F THE NE1 /4 OF THE NW1 /4 S00.13'31 11W Z Z n L L,./EST LINE OF. THE NW1 /4 OF THE NE1/ ► - 3 D — S00 13'31 "W 1712.26'— 982.05' T ►C O �d 2694,31' — ` z oM No W\\��L ?� � z Y ,� � ,- , � � ,Z5'9� d ro D Z z m M« y£,�5.90N rZI � Z Z z� M -� V) Z 03 LA D e I b 9 - ,g Z UNPLATTED _LANDS NZ OD D o I A film H v Z -1 I N n CO r Z j I►� ; Z- MM C3 C3 Z;0 CJ B ARE REFERENCED TO TH --M - .> 1 �CIO NORTH LINE OF THE NE1 /4 OF SECTION 1 a ' CURVE DAT ASSUMED TO BEAR S89 ° V NUMBER RADIUS CENTRAL ANGLE CHORD BEARING CHORD LENGTH ARC LENGTH TANGENTS a C1 1824.86' 06'16'57" S29'32'1 2.5 "E 200.00' 200.10' S26'23'44 "E S32'40'41 "E C 587.09' 22 S48 "E 225.75' 227.17' S37'20'46 "E S59'30'58 "E ' ® 587.09' 18 S46 "E 186.50' 187,30' S37'20'46 "E S55'37'30 "E ® 587.09' 03 S57 "E 39.86' 39.87' S55'37'30 "E S59'30'58 "E © 233.00' 16'33'24" N15'10'16 "W 67.10' 67.33' N23'26'58 "W N06'53'34 "W 0 ! 1 FILED 3 - APR 2 9 1999 ► " KATHLEEN N. WALSH c� C JUN 1 7 E� Registerot Co vV59 SL Croix ., VYI r� . ❑.T. N Y S 233 r 0 a • o Lot �sn�! ,h at no owner, possessor, user, licensee or other person May have any right of direct vehicular M 0 a Ingress from or egress to any highway tying within the right -of -way of L Q < C v S.T.H. '35 ", as shown on the land division map; it is expressly intended LA m �' ;0 that this restriction constitute a restriction for the benefit of the Y' to o < public as provided in s,236,293, Stats„ and shall be enforceable by the P Q °o z r- r l > department or its assigns. e+ Q 3, ❑ C 3 ,n '3 --j U1 Z 3 z fil z No improvements or structures are allowed between S,T,H, 35 right -of -way C o !^ -3 -- -o z z Z 3 line and the highway setback line, Improvements and structures include, • C3 > > e o 3 C m but are not limited to, signs, parking areas, driveways, wells, septic I * 0 Q D M - X systems, drainage facilities buildings and retaining walls. It is expressly a Y 9 9 9 P Y CD o °c z LA intended that this r is for the benefit of the public as r tn cs rn c d -4 i provided in section 236,293, Wisconsin Statutes, and shall be enfordeable �+ o � d o N LA by the Wisconsin Department of Transportation or its assigns, Contact the D m N Wisconsin Department of Transportation for more information. The phone M s s ` Q "' m number may be obtained by contacting the County Highway Department. 'r �, p to z x z 0 —1 Un M O Isj6 z �`S' � Z 0�7C7 ° r) o Lma� / � o n - -3 0 i i� O 0 o cP i D � (� i ' � i r n� _ S' '� t Z�Z / m x ITl zr o, s /�S you 1 , y z ITJ 9 �7 o ' Lq o ° y: ?" ^ '�� il��' o m U1 , co ,�7 E� S i O O 71 w w O C l t w tj ° "'•« ^c;, / sue ,. O / Ln un x x N `o° > y c V O � r0 I I . 3 Ln Mm ,�� pX pZ (0 No o �0 z� � n - i n N o 0 F7 C3 0 2 2 p C7 LzJ a: co \. w. EAST LINE OF THE NE1 /4 OF THE NW1 /4 S00 013'31 "W Z n z D �y NW EST LINE OF. THE NW1 /4 OF THE NE1/ ''8 � N \�� — S00 °13'3V'W 1712.26'— 982,05' O \ 2694.31' — ` Z Z `? LA On D ❑ -<:c -- I Cp z ­3 d M Z X `i' i � � � ,Z5 SQL z r'' 0 r ru ❑�� i z iz ° cn vZ_ C3 tu 0c) C0 110 V z ��o:S 2 -2N r M M i $ C,9 9 t'"' O o � Z �b UNPLATTED _LANDS � mz d " D � Z � i - - ------------ - - -- -- - (4 z ro rri i o z itj BEARINGS ARE REFERENCED TO TH ; • D ' LA NORTH LINE OF THE NE1 /4 OF SECTION 1 L� 3 CURVE DAT ASSUMED TO BEAR S89 °57'31'W, ° NUMBER RADIUS CENTRAL ANGLE CHORD BEARING CHORD LENGTH ARC LENGTH TANGENTS C� C1 1824.86' 06'16'57" S29'32'1 2.5"E 200.00' 200.10' S26'23'44 "E S32'40'41 "E 587.09' 22 4 10 1 12" S48 °25'52 "E 225.75' 227.17' " ® S37'20'46 E S59'30'58 "E 587.09' 18 °16'44" S46 °29'08 "E 186.50' 187.30' S37'20'46 "E S55'37'30 "E 587.09' 03 °53'28" S57 °34'14 "E 39,86' 39,87' S55'37'30 "E S59'30'58 "E 233.00' 16'33'24" N15'10'16 "W 67.10' 67.33' N23'26'58 "W N06'53'34 "W VOLUME 13 PAGE 3631