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030-1053-50-000
0 0 V) o N0 3' o d o1 CD CD `gym `�° \ 1 3 3 ;: cn T. z O W c_n T z ° w c w w C p • CD :3 j flo tD CJl N CD 7 j CD fD N d O n a. N CD N N W , CD • N 07 D CD W 1 N C (DD C W CD C N C '�' O C b O 3 3 W o r• N N 2 N C O O C a v, < 7 D c� F- m 0 z D m n a I CD N N O. CD (Q D N C. n i c =5 N (W O -u :3 o° 0 N C N C :3 3 CD a 4 o �c 3 0 CCD o°D O - a J L O O N 01_ t 0 A O --1 ! Q CO CO Z { O O N (��1 c00 c0 N W W Z r . ^ O . . C Q lV c0 CD j 3 V 0 0 g 0 g 3 z 00 0 0 o 0 CL �: F y N O c W q D O a cr W 1 N CD o �' 3 m o z z Z —+Z zc)z O D N D D@ O O V �' CD o' ? � CD • CD u) c o CD N N CD CD 7. CD 'p 7. 0) N C N C a n W �' n a 3 E n 3 m:3 Z CD cc Z CD N cb A Z g 0 G CL p Q 7 0 o j o w CD m (D 0 J Z I CL a 9 z ° o o " C M tll CD N C A �1 CD CD W N W N n C CD CD Q CD a CL ` N C C Z z CD CD CD ° CD N CY co O N 7 � y I� � I � O t 1 Vl N � y N � N CD 3 N O 0 0 w CD CD can to O vi O -. ° CD O CD b CD i o � I Parcel #: 030 - 1053 -30 -000 02/22/2005 03:57 PM PAGE 1 OF 1 Alt. Parcel #: 23.30.19.197U1 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): ' = Current Owner MICHAEL E OSOWSKI ' OSOWSKI, MICHAEL E 1413 HIDDEN OAK TRL NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1413 HIDDEN OAK TRL SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2. 7 Plat: N/A -NOT AVAILABLE SEC 23 T30N R19 GL 1 LOT 1 OF CSM 1/238 Block/Condo Bldg: 1413 HIDDEN O TRAIUNR WI Tract(s): (Sec- Twn -Rng 401/4 1601/4) 23- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 873/601 07/23/1997 757/490 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5170 203,900 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.180 82,000 118,600 200,600 NO Totals for 2004: General Property 2.180 82,000 118,600 200,600 Woodland 0.000 0 0 Totals for 2003: General Property 2.180 51,200 96,600 147,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 115 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY SURVEYOR'S RECORD CERTIFIED SURVEY MAP APPROVAL OF THIS MINOR SUBDIVISION pOES NOT MEAN APPROVAL FOR SEPTIC APPROVED SYSTEM. REFER TO H52.29 ST. CROIX COUNTY r ' ; •t 1 V COMPREHENSIVE PARKS PLANNNO _ - 9 AND ZONING COMMITTEE I © J Q76 MAY 2 0 1976 ,,, ` p fi e ? N 89 687.41' .0 310.71' 343.70 eg0/8 60, 90�OP W J N 1 � 0- , m X , 0nD � o In 0 �� ti 8 ' N LOT I LOT 2 N o t 3 2.177 ACRES 2.198 ACRES N � , co W o _ O 304. 2d S89 W C) Z 32.24 S89 W /� 343. 70 O I S40 Y ,/ o . S • S� ccc 0 40 / 2x O � 2 LOT 3 0 06 LOT 4 . 3 1.927 ACRES o N 2.198 ACRES EASEMENT •• t0 N O(D :t 8 l e Z •0` ° 249.35" 343.70' S89 0 13'40 "W 593.05' 33' EASEMENT 3 O O 1" X 24" IRON PIPE WEIGHING -8. 1.13 LBS. /LINEAL FOOT N U . ) a t IRON PIPE FOUND SOUTHEAS CORNER 0 SECTION 23 -30 -19 t ° O RTH - - -- SCAt_E - 1" _-1 K S 89 "W Jo 1915.00 ' Volume 1 Page 238 Wiscons'.i Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety a i Building Division INSPECTION REPORT Sanitary Permit No: 430276 0 GENLRAL 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: Lusardi, Mark I St. Joseph Townshi 0 30- 1053 -50 -000 CST BM Elev: r Insp. SM Elev: BM Description: 1� Sectionrrown /Range /Map No: L - o .p CI �� " = CiT' Q'"'� ( 23.30.19.197U3 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark / .q-S3 i ��' .S� 6b .0 Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet r TANK SETBACK INFORMATION St/Ht Outlet 2•�2 0 I TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , (OD , tco 1 S4 r Dt Bottom Dosing Header /Man. 122 , `` Aeration Dist. Pipe J Holding Bot. System t ;,s 13.58 f3•S f3 •r� 90 . 4 5 PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover M Model Num r ,' 95.83 TDH Lift coon Loss System Head TDH Ft Forcemain Length Dist. to Well SOIL BSORPTION SYSTEM 9 9fi&#RENCtV Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIME S 3 ' C( t 2l O SETBACK SYSTEM TO P/L 113LDU IWELL LAKE /STREAM LEACHING Manufactu r. INFORMATION T Of Sys r CHAMBER OR s z Type Ys �0-4A 2.0 t o il , i t 7 (00 y l ao r UNIT Model Number. D r L DISTRIBUTION SYSTEM T Header /Manifold to Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe( t Length � Dia length Dia Spacing SOIL COVER x Pressure System Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No [R Ful s 7MNo Ye COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1 5 Inspection #2: • ---;_— Location: 1411 Hidden Oak Trail New Richmond WI 54017 (SW 1/4 SE 1/4 23 T30N R19W) NA Lo t� 3 Parcel No: 23.30.1 . S yS 7U amount of cov r "` l S S tint �iQ � 12eQ . 0 n oe r A 1.) Alt BM Description = (1 �– -}e "'}fit `� 'GxQ 2.) Bldg sewer length = Z S ��;� W I - amo - s -- Plan revision Required? [] Yes No 7 Use other side for additional information. ��1 ; I Date Insepctors Signature Cart. No. SBD -6710 (R.3/97) r .. .ni �a.ov ra+a rte JOU 3titttf ST CRX CO ZONING X1001 �Mf W st1� Disirisa c 201 W. Watt a as Avc, l.o. ftn 70V J� MWim*. Wt $3707 - 7W2 (a beaw idty ca) Ge tv"Al of c ommerce ( )ass D 2 0 S»nitary Permit Application so * "m M lamp rii Cssaa tt! 21. twnr a. a O�••tl ..n.+r _° _ �� WAY be wsllst stessfMsypsr�ssa 1 /sS:m V _ $ Pwleci �dMwt (dtilfwt lMswri� L AppRoWba WorowtiM — Mw o tilt" An f tteptrq Ooaee's Now t f ! t_a • ;; Carat N Gw 3 Bl"k 0 Q r A 1 r� 3 �-� — 9 1.13 ttipeb 's � �� t ._ i , Pv� Cl - 1 �.._ .M,. si x sins. - IV +.. at .3). "4� rstttttiei� (tireclt s11 tM1 op�y) � ese.lr..►.r W3 Fairy D OWN% NsaMs ate 11-hood O twowsw-- OttKt+a V* OL�i " ► t 11L "Cyr of ft A. Comokk Um S if "VANUO A ' fl TAtsr �Raplreto�rrr Srrte� 71�ts�sds0 Trot ReOisoasls t Cat) t�Mt ModiiaAOS w iDciatiot etas •. ❑ r 0 L t 1t••�rioa im tas.ost Per" lhmba wA Do* bmW tir.po et Dlaait TtwAr p 1raa� •eMe tbw*w §V.TYM .rrovm systaft. Wwa mommow A Mw-#onwkudbQwaA d uwwr; 24 i& of wmk salt ©rlen0 t la p[ st ssirrOle ro0 C7 Abf)ta�e 0 tat Sloi1 tNia owwad WOW D prasa+W U4WAbd 0 Yr.c 0 tsr filter D AMMtk lAk 0 lt*U A" Sage a+W 0 !ftleft 5adtera�apiRsr O Cfaaatw D Ilse cr,a Oawt( a t om, V. r*sftw tl Aries Dod" P— bA a*eA Sal t>;grrral Ara* ( Daraar Ana trovosea I S CI C) / 93 . £ W d Vt. Tank I a. =' TOW Wait st►a swd tbar ram* catM�s. tianoas otLtsia cseaeae c4.srw.a cDrar T416 Tads VIL -1 ak rK tAc tpW1S dome go as attadni phno s "oft s Bw�aeta t6are PAro►o `t>w([5 I M Pk"W's Gg.:laree I,ipCwM) A u c, L,) o � vm_ c uift �xw ©Diwp,.osa sa�r p"rA ffa ( t)wa tstti ,►r. staM,t) t] o+.a« c:.•a. k. o.sN, saw �,t 25D r'' /� IX. Ctadites oillppwvat Wamm frr Dkopp e . G +4jL- a4lk Ilk 64 AsWab as IaCMS al M�Ye - SBD -6398 (R. 08102) I I , - i I � I , f al l � I i : : I r f i i I I : I I i i I I � I ; ! r - - -- - , 0-0 -t -'30 RI4 a rc / C)3c 1'0S 3 �I r ,r r I qyq` r , d SOIL EVALUATION REPORT p / a3— ' +cu�MMit.r.pNwaupos k mom s tax li kAAs mmaaao Worn l uwl4 i�taati�if +�ocr�u�land�oweoiM�l+.�o. v.�rc iWlasaad p�p.t to a o ..*a pia / o S -5 0 wYos. brit ON ims er a. "`' r '" ""w' .• .(paw. L r ftas R it Sj� w s )3 T 30 p R 9 eo w 3 sr s *$A N.i.a►Ca Cdr %lbw PT=Wt Noraat FOwrtf S 017 Noa► Uw wid t44owa�at �+�ifead�tjpnaic �t�bt !'loati�aMairniowxapipi�abla d �coa�rarda S4 r s 1 f 4iioeadw.Uo..wir �i oa�r►�a�� /� tR om ti. Ymor cam. QL Covet cots GL S L L 'fit Im t a bX M�r Cw 1 5 l WL0 L w Flo =VA � I !/n f1l y I t I s ol b as El ' t.o L h1l tiroa�4l�sooal tt tlopw�slbii �°� 6,. �Iaion DyM1i �o�t` , f`rotOaaati/ra � i#rRMrw Aoals IAL Mnor lit SL Cwt Cale O ` 6 /a — -- Sf K 1►� r C,Llo1 , 3" /0 v — l S t 3 " Cud t 1,2- 4• s1 ; > �?�npil.aadTd�„as < t69w� 62 <W mqL aadTMI_cM wet �ea.os ... la r I L A tQ - I SItn v � � wl 5 0/ d - x'3- IS Si,3S' I c VIM E WAS s . M� ME ' V 1 mmm� Na 10 1 WL a ♦. c ■n�ra� �r�r�rrrs�r� M q CA r:A �3 h/i c/at pq K � c-a t Syo <7 n aaos37 I _ D f mJt SO S(" _ EZ 12p311 t 12 WW V i) f ! i T T♦ V ♦T� 7♦ T f � t! - l -7TiT ti 112 Cam. 24 f ?6te I2 -1tr! A Vvft * 1 5 7 4% O.Lt. ot4" Aw Lye-us rS3t f wtsc � �� R ` 3 s� •J� � �. t3.8�ip t 1 � t1 O -. 0 . t ft w* tft tact vo11MAc m Sail Isattx e A t� e { �3.ts- 6w 1= Tatat hr UG oreats ' 1 • �T. _ s � z {r z cx t- l " zar 5.14 SQ, t atcsYq "w4ftx 3 • L t t' 90) (t, � %cartM rrr*ch Arr, f bottom b`r's`n 3s egftrrern r 'tttwatl Nttgtlt t2 in. '2 = 7.00 � - =-' ' �.�. , { f -f �,�,a r 1 osn va=t at olys>t>c bottom 2w r a E t ?w h! U.: +S 1N � l "' � 34 s>r = 3 Ot 1 Fort void = a{vop vo{ut,x tccted Tre,e6 Ares, $ _ bn `¢. ==7 *p. <22+ 401 `0.213. �`Y�stQSt3 ;? -ft p7!!N 4. Gatk+aa per t; t . 763 X O. t 08 = t 3si3 �+tbt h r ft = { A. 1 t f asaw ER' Aggregate Trench E?1 Ystem Rang IndustriW Grt t, t1 )'V 65 Indu,#ric! Park R O'Okland Tm X8060 f SCALE * t 7 t_n n, i I • POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 1 of V"fWA T sysTM SP CATIONS Owrner Tank M:>�a ❑ NA S � Permit p 2�b o Septic o Does ❑ bolding vol. gal Tank Manufacturer ❑ NA oESON f ►ARAMETEfiS Number of Bedrooms .3 E3 HA t7 Septic O Doss D Holding vol. gal Member of Pt�lic Facility 1k�its _ ❑ NA Effluent. Filter Manufacturer �� ❑ NA fs#imated (fie} flow 3 ©O Effluent F�ter Model C) Pump Manufacturer PONA Design (peak) flow . W:sdmated x 1.51 SO Stal Ap�)k :rem Rate ma Pump Model Standard knfl<uent/Effkmrt (key montlnly average Pretr+®sm Unit A Fats, OR A Grease (FOG) S30 mgA. ❑ a � Fflter ❑ Past Filter Biochemical oxygen Demand (800s) :S220 mom- O NA ❑ Mechanical Aeration ❑Wetland Total Suspended 7(ES10DJ 5160 mglL ❑ Disinfection ❑Other: Pretreated Effluent Clua�tY Monthly "wage Manufacturer Ce�(s) biochemical Oxygen De5 rngA- ❑ NA p ln- Cirouxn d tp wized) Total Su upended 5 ❑ 30 m9IL ❑ NA I At- parade 0 Mound - Ground (grau+irty) Fecal Cofrform (geometric mean) 510* cfu/100" in alts. ❑ NA ❑Drip -� ❑ Other. Effluent Particle Size Y• ❑ NA Other. ❑ NA wastew Bw and septic tank effluent, OthaK ❑ NA e Values typical for do mestic fiANNTENAfyGE SCHEDULE Service Frequency' Serrrirx Event ts) WaWnmm 3 yes) ❑ NA inspect condition of tanks) At least once every: 3 When combined sludge and scu n equals one -third (V of tank volume ❑ NA Pump out contents of tanks) ❑ Wha n the huh water alaum is activated montW) (M� 3 years) ❑ NA inspect dispersal call($) At West once every: R s) j a Clean effluent filter At least once every: month(a) ❑ NA 13 month(s) 13 NA Inspect pump, pump controls & alarm At )east once everY: El s) 13 (a) ❑ NA Push laterals and pressm test At least once every: ❑ (s) ❑ month(s) ❑ NA At feast once every: (] s) NA fla+sr: wANITEN tam imsTRUGTIONS one of the following licenses or certifications: inspections of tanks and dispersal cells shah be made by an individual carrying p ter (Pumper). Master N m ber; Master Plumber Restricted Sewer, POWTS inspector, POWTS maintainer;. Sept 5 cracks or Tank inspections must include a visual inspection of the tanks) to identify any mng o issi broken hardw ere, identify y �d leaks, measures the volume of combined sludge and scum and s check for any back up or Ponds ng of effluent on the gro surface. The cell($) -shall be v i su ally inspected to quack 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 growid surf ace may i a f cu7s►e#tion requires the immediate notification of the local reg<dstay authority- and scum in any treatment tank equals one-third (Ys) or more of the tank volume, the When the combined accumulation of sludge 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 WTkad to the servicing of effluent filters, mechanical or pressurized components. pretreatrmen 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 w)thin 10 days of completion of any service event. GMw (2«a) II START UP AND OPERATION Page - 62-- or For new construction, prior to use of the POWYS deck treatment tank(s) for the presence of painting products, solvents or other chernicats that may ire the treatment Process and/or damage the WA dispersal cell(s). If high concentrations are detected have the contents of the tankis) removed by a septsge servidn9 operator per to use. System start up shag not occur when sod conditions are frozen at the infiltrative surface. During extended power o pump tanks may fill above normal highwate r levels. When power is restored the excess wastewater will be durst imarged to the dispersal califs) In one large don and may overload there resulting in the backup Oft situation have the � of the ra surface discharge of effluent. To avoid f�mP tank removed by a Ssptage Servicing operator prior to restoring power to the effluent pump or contact a Plumber or POWYS Maintainer to assist in manually operatkV the pump controls to restore normal laveis within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not dive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade s ot! absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the fife of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swab; degreasers: dental floss; diapers, disinfectants; fat; foundation drain (Stanp per) discharge; fruit and vegetable Peelings; gasoline; grease; herbicides, meat scraps; rnedications; oil; painting products; Pte; 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 Property and safely abandoned in comphance with chapter Comm 83.33, Wisconsin Adminisaw ive 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 thew covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN tf the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system; D A suitable replacement area has been evaluated and may be utilized for the tocagtion of a reptacernent soil absorption system. The replacement area should be protected from disttabamrnce and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and welds. Fa tiffs to protect the replacement area will result In the reed for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must cornply with the rules in effect at that tirr me. D A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWYS technology a holding tank may be installed as a last resort to replace the faired 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 POWYS. Cl Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biornat at the infiltrative surface. Reconstructions of such system 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. A7VDT € NAd COMMENTS POWYS INSTALLER POWTS MAINTAINER liar c Name Phi S S Phone SE'TAGE SMVICING GPERATOR IPUMpEM LOCAL REGULATORY AUTHORITY Name Marne Q�t OK Ph one Is his dsacsrne,nt v as dialled lay the staffs of the Green Lance, Marquette and Wetmshers County 'Zoning and Sanitation enc ies in compliance rrxpliance vvsth chapter Corrmrrt 83 & €f} and 83.54(1). 12) & (3), v+eisaeurasin Adrreirrstratiwe Code. • R ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICA;I'ION FORM Owner/Buyer d-r\ � I , I .� ( Mailing Address _ /.4/ I�;C syOi �- Property Address �(� � (Verification required from Planning Department for new construction) City /State Parcel Identification Number © _ LEGAL DESCRIPTION �. 1q --u3) Property Location. W %., Sec. 0 T -CN-R t W, Town of -ST , v Subdivision "-- Lot # Certified Survey Map # _ 3 33� Gro Volume � Page # 2 �� Warranty Deed # '7 Volume tom_ Page # Spec house ❑ yes LR no Lot lines identifiable A ❑ no SYSTEM NIAROMANCE Improper use and maintenaaoeof your septic system could mink wits ptensacme fadure to handle wastes. Proper n umaenance consists of Pumping cart the septic tank every three years or sooner, if needed by a tick fir. What you put into the system can affect the funetioan of the septic tank as a treatment stage in the waste disposal system. toaster y owner agrees to submit to SL tin= Zoning Department a certification foam, signed by the owner and by a P ,1 ynnsn pluanber. restricted plumber or a licensed pumper verib+ng tftat (I) the oa-sitc waste"at rdisposal "ste m is in prOPa ceoaidition andlar (2) after inspection and pumping (if nwesw the septic tank is l th ess at 113 fail of Adge.. set the under SDOd have lead the above req w j& and agree to maintain the private sewage disposal system the standards forth, herein. as set by the Deparrtugnt of C and the Deputuient of Natural Resources. State of WiscooahL tCertifieativn stating that your c has been ittaxl rmaat be con4jeftd and returned to the SL C+oi,c Coun Zoning days o e boat d Zoning Office within 30 SI LICANf DATE I (we) rectify t on form are tine to the best of my (our) knowledge. I (we) am (are) the awater(s) of the descn abo vof wee my deed recorded in Register of Deeds Office. s TuRE ice- 0=3 DATE Any in rmation that is mis- represented may result in the sanitary Pcrmit being revoked b the Zoning g Department. sees** " 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 decd r �l U 2115P 348 ` _70a`4 1 7 STAE BAR OF WISCONSIN FORM 1 —1998 T WARRANTY DEED KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX CO., MI Document Number RECEIVED FOR RECORD This Deed, made between Daniel E. Siats and Ann N. Siats, husband and wife , Grantor, and Mark J. Lusardi and Barbara A. Lusardi, 01/20/2003 12:45PK husband and wife , Grantee. EXEtQT # Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County State of REC FEE: 11.00 Wisconsin (the "Property "): TRANS FEE: 776.70 COPY FEE: CERT COPY FEE: PAGES: 1 Recording Area Name and Return Addr } Verdi D(rt�l' 030 - 1053 -50 -000 Parcel Identification Number (PIN) This Is homestead property. (is) (is not) Lot 3, own on Certified Survey Map dated 4 -6 -76, filed 5- 20 -76, In Vol. 1, Page 238, Document No. 333066 In the e of the Register of Deeds of Saint Croix County, Wisconsin. Together with all appurtenant rights, title and interests. None Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 15th day of January 2003. (SEAL) (SEAL) Daniel E. Slats Ann N. Slats (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) � Y cWATZINA State of Wisconsin, TARP PUBLIC c�tt�� pF St. Croix County authenticate i day of Personally came before me this 15th day of January 203 the above named Daniel E. Sl and Ann N. Slag husband and wife, to me known to be the person who executed the TITLE: MEMBER STATE BAR OF WISCONSIN f repo' instrument a acknowledge the same. (If not, �" authorized by §706.06, Wis. Stats) d w THIS INSTRUMENT WAS DRAFTED BY Notary Public, St to of Wisconsin Coldwell Banker Burnet 1301 Coulee Road My commission is erman�nt. (If not, state expiration date: Hudson, WI 54016 1 11 2 -48130 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of persons signing in any caeacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 —1998 Milwaukee, Wis. K . t3064 CERTIFIED SURVEY MAP AppROVAL OF THIS MINOR SUBDIVISION 1>0E NOT MEAN APPROVAL F SEPTIC APPROVED SYSTEM. REFER TO H62.20 ST. CROIX COUNTY ' 4 3 0 E` 6 COMPREHENSIVE PARKS PLANNING 8 9 AND ZONING COMMIT" M m FUL ED MAY 1 9 1076 MAY 201976 "M 0 ! cm mg bow of wb. 1S .14 creft cowry, ti e � N 89 68741' 310.71' 343.70 op 0 w 8 06 to 'Q 'A 0 M `) � 00 r- a g CD " LOT I LOT 2 N O 3 ti• Z7 2.177 ACRES 2.198 ACRES N tb N ts.! . p 304.28 S89 W : Z 32.24 S89 13'40" W 34 3. 70 -0 O . 0 p c IT t 2 2 LOT 3 0 0 LOT 4 N 3 1.927 ACRES o N 2.198 ACRES 33' OLD p EASEMENT �— Z to N O — — ° ` 900 O 8 p 3) . O .0' °�' 249.35' 343.70' 20 ` Z ;33' S89 0 13'40 "W 593.05' 33' ' EASEMENT 3 O O 1" X 24" IRON PIPE WEIGHING g p 1.13 LBS. /LINEAL FOOT �n p SOUTHEAST CORNER c� f IRON PIPE FOUND 2 o SECTION -30 -19 3 Z 0 RTH �--- _ SCALE— t' =100' S 89°1600 "W 1915.00 Volume 1 Page 238 �50WS : A013 3I'Mlelc I PSARV/ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of Z Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code CwY ST• 440,9/X 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. 03 C)-1053- . 50 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print a Info �IVED Reviewed by P ate � 11 Personal Information you Provide may be used to secondary purposes (Privacy Law. a. 1 .04 (1) (m)). Property Owner P rty location Ts III Sig• JAN 1 3 2003 .tot S V v4 114 S 2 - 3 T N R /f 19(or)W Property Owner's Mailing Address S C R O X C G U N T Y 1-# Block # Subd. Name or CSM# ,4 /4oN1NG OFFICE 3 Cs 3 33 0&6, City fate T.lp Code Phone Number City ❑ Village 0 Town Nearest Road ,vew A4--'W • 6 y01 7 ( 715 ` '� • s72 8 sr- sosEPt. 1.A9 &.J OrtK ❑ New Constnxtion Use: Residential / Number of bedrooms 3 Code derived design flow rate 0 GPD Replacement ❑ Public or commercial - Describe: Parent material LOESS dU& g 4 & f/l�J Flood Plain elevation If applicable ��-� ` ft. and r e c ommendations: p�/>OS% TS di'S fi;v T 13.4.vD< :tl 6- sYi if-ri�< and recommendations: i © 8ng # ❑ Boring /I d . Z g SE�jsONy s'�1�GGrrt; f ® Pit Ground surface elev. ft. Depth to Smiting factor 3 1 in. Sol APplicaltion Rate \ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G PDff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 v; / o• S /o p e 2 ---- L 2 f - he /M fire w 3 f z 5-15 SG /f s •wi lie eal 2 • y • 3 �b YR y GS a �Lf flfif2 S . 5 - S• o .10 /0YR 7 Mv� rpl�r 134p F5 / f a, s — y 0 7 S or -� SL. D f.V M^ i I a y - r s 15/6 mss / Boring # Boring \- 7Y Pit Ground surface elev. ft. Depth to limiting factor 33 in. Sol Appli cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAP \ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'EN#2 ©� /b 2 /3 1 Z f she s" LJ 3 `I� • s' • b ' 5-1 /o Vii I AA ---- -- SL 17T F e M'i f 4 GW a f , Y . 4 3 X5.3 /o L S f nom► � f a- .5 • 7 S /� — `� •�v n 7. S YR � ") op r SL p ; . s . 7.t. — C�/e j��,✓ Effluent #1 = BOD > 30 < 220 mgA. and TSS >30 < 150 mgll •Effluent #2 = SOD 130 mg& and TSS < 30 mg& CST Name (Please Prim) - - Signature % 2 3 Address Date Evaluation Conducted Telephone Number Ulbricht & Asso ;sates • /0 •�� .• a96. ? /67S p Sewage Consultants I 7/s 655 VNeil R0. Hudson, Wis. 54016 W 1 Property Owner Parcel ID # Page of Bong # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDff° In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 F—I Boring It Boring ❑ Pit Ground surface elev. ft. Depth to fnniting factor in. Sod Applicabon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF In. Munseli Qu..Sz- Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Ong # ❑ Boring - ❑ Pit Ground surface elev. ft" Depth to limiting factor in. Sad Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fP In: Munsell Qu. Sz. Cont. Color Gr. Sz. Sly •Eff#1 'Eff#2 ❑ Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sod Appkatlon Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fP in.. Munsea Qu. Sz. Coat Color Gr. Sz- Sh, 'Eff#1 'Eff#2 • r Effluent #1 = BOD > 30 c 220 mgt and TSS >30 1150 mg& ' EAtuent #2 = SOD, < 30 mg& and TSS < 30 mg& — 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. I 3 /3,P•ti . lyi &fit h^ r Ofp bt AD IIVEW J 1 10� I , �' / �� y �k AM' o To lO 33 s o or V ht � 13,Af = 7-o P °fly p • �' ' - 76p Ft A7 s 715- 386 -8185 ULBRICHT & ASSOCIATES CO. Reg, Designers of Engineering Systems Jan .11.2003 Private Sewage Consultants 655 O'Neil Road Hudson, WI 54016 To Whom It Concerns: Regarding the Dan Siats property@ 1411 Hidden Oak Trail, New Richmond, Wis. 54017 Lot 3, CSM 333066,SW1/4,Sel/4, Sect-23, T30 N, R19W, Town of St. Joseph. As part of a R.E. sale, this firm was asked to investigate and evaluate why a new 3 1/2 year old replacement septic system, using 16" biodiffuser /infiltraor chambers contained 14" -15" ponded sewage effluent, as originally reported by septic system inspectors Tri- County Sanitation Co. Premature "ponding" or overloading approaching the point of legal failure is related to the following caukes: 1. EXCESSIVE WASTEWATER ABUSE BY OWNER. I.e.,overloading use (5t wastbwater by faml.ly not practicing water conservation uses upon a septic sl.rstem, or leaking fixtures. Tri- County Sanitation reported that he opened the septic tank and observed no trickling leaks. 2'. FAULTY INSTALLATION WORKMANSHIP. I.e.,were the trench bottoms and si ewalls left "smeared" or sealed up by the ba�khoe bucket( mechanically )during installation, foot traffic,? if the excavat d trenches are not carefully hand raked to re- expose the soils natural structure, which allows for future proper absorption, the trenches can/ and will be adversely sealed forever against the normal percorlation of effluent. Also, during installation, how was the soil backfill replaced? Was it performed carefully per the manufacturer's and state code requirements? This. is unknown. 3 • IS PONDING DUE TO THE SOILS? Were the trenches sized correctly reflecting any - soil im a ions or restrictions? Could this premature ponding be related to ineffective distribution of the systems design and layout? If the trenches were laid at different elevations, in different soil statas, with flows split, diverted, controlled by standard valves or drop boxes (not incorporated in this system),would the entire system be just as ponded today? My opinion is "definitely not "' DETERMINATIONS Soil pit #1 which we opened and evaluated is not at all similar to what was described by the original soil tester (7- 1 -99). We have observed, evaluated, and reported that restrictive bands of very contrasting textures and consistencies exist, creating percolation barriers. Theloadin rates of the s I g oils we observed are very much lower than the sandy soils originally reported. Therefore, the current system is significantly undersized if the soils we observed do indeed occur underneath the new system area. This obviously would contribute to the premature failure of any installed system. RECOMMENDATIONS Conduct further soil testing across the property, at least 2 more backhoe pits per code, to be evaluated in the presence and with the cooperation of St. Croix County Zoning inspectors and /or with Mr. Leroy Jansky, State of Wis. soil scientist and state wastewater specialist . At that point,a new enlarged area downslope of the ponded system possibly could be approved for licensing of permits to allow for the addition of multiple new trenches at different levels with better distribution controls for future management. Finally, please be advised and aware that if a new test is determined to require an alternative type of system because of soil restrictions or seasonal soil saturation, a much costlier and complicated wastewater system may be required by state and county codes. Please contact us if you have further questions or ccncerns: r Sincerely yours, Robert Ulbricht Licensed site & soil evaluater Licensed Master Plumber Registered Design Engineer & Consultant cc: Mr. Kevin Grabau, Zoning Specialist, St. Croix County Mr. Leroy Jansky, State of Wis. Soil Scientist & Specialist. Mr. B. Morgan, Tr -Cty. Sanitation Co. • r , Wisconsin department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Pureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County Include, but not limited to: vertical and horizontal reference point (BM), direction and nr C percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # �SZ) APPLICANT INFORMATION - Please print all Information. R e ad D Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location i I Govt. Lot Ij 1/4 1/4,S o T : ,N,R Wor) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# Ci - ty State Zip Code Phone Number p ❑City [j Village Town Nearest Road W su 0 1 ( lS) 51 ST -T sa ❑ New Construction Use: Residential / Number of bedrooms 3 Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow _ gpd Recommended design loading rate . S bed, gpd/f? trench, gpd/ft Absorption area requir ff ff2 Maximum design loading rate . S_ bed, gpd/ft . b trench, gpd/ft Recommended infiltration surface elevations) It (as referred to site an benchmark) ) Additional design %site considerations j Parent malaria{ P/ tcP vuj'w g s Flood plain elevation, if applicable —dj!�A W It S = Suitable for system Conventional Mourld In- Ground Pressure ade System in Fill Holding Tank U Unsuitable for system S❑ U ;❑ U E3 U El S (Od U El U ❑ S )I U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure Texture Boundary Roots GPD/ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Consistence Bounds " Bed ,Trench d r 3 / s1k rV A V C CU I r Ground ' r elev. 'aft. 93 IfY Depth to limiting F , • } factor • in. Remarks: Boring # Cud %3 Ab Ground fS J44 S m ,S .b lev. gas ff. ; Depth to limiting farlipr �in. Remarks: CST Name (Pleas int) Si natu Telephone No. i Address i� v Date ST Number 1 1 PROPERTY OWNER n ,S SOIL DESCRIPTION REPORT PARCEL I.D.# ( to Page � 0 �.� /c� c � , s Boring # Horizon Depth Dominant Color Mottles Texture Structure In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Root 2 l Bed . Trench M w i Ground fr S ele . Ji` R1 j t' hn -f SAX Depth to limiting fact r 7 Remarks: Boring # i Ground ; elev. ft. Depth to i limiting factor ! in. Remarks: ''� Horizon De � pth Dominant Color Mottles In. Munsell Qu. Sz. Cont. Color Texture Gr. uct Sh. Consistence Boundary .Roots P /ft Boring # Bed , Trench r ' Ground elev. it. Depth to limiting factor tn. Remarks: Boring # A Ground el4v. Depth to i limiting factor in. Remarks: SBD -8330 (R. 07/96) • 1 l r V � _ � n �JQ. r S � �j J I °k-Sc Ile V q.)%toZ o_1 5 w �E S a 3'L3o J9� /`f // rdcf e Oaf v •4,"�3 Vkc.J ktc-�Yyionnd w5 a s /- k( �d r i C -1 i R V a b i IU ST. CROIX COUNTY ZONING DEPARTME 41, AS BUILT SANITARY REPORT Owner — 2 J!1 !_ 2 © 1999 Property Address L sj OWK � City /State *- A ' � oovti' �� zoN�t�aot�rca 't, Legal escriptlon: 19 71 E Lot Block -- Subdivision/CSM # .3.33 W '/a ' /a, Se a , T o N- R, /jW, Town of 5=; PIN # C13© —!6 y� 3 —�SZ� SEPTIC TANK -- DOSE CHAMBER -- BOLDING TANK INFORMATION Tank manufacturer Size ST/PC /M 9 Setback from: House -46 Well 116 P/L Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) _ Setbacks: Service road ent to fresh air intake Water Line -- Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: �idth Length 7S Number of Trenches Setback from: House Well /110 P/ .2 -2 ' Vent to fresh air intake _ / �'D r ELEVATIONS Description of benchmark S"L C. o t Ac r i afi 5 -� Elevation 7� . Description of alternate benchmark Elevation Building Sewer ST/HT Inlet ST Outlet � PC Inlet PC Bottom Header/Manifold L• 7 Top of ST/PC Manhole Cover l 7 • w Distribution Lines (z) S `. 7 � �. 3 K Bottom of System (1) 9 9 Final Grade • 5 _ � 9 , 0 ) e i t ate of installation 7 //9/ Permit number 3 �S� State plan number �~ lumber's signature License number a. Date 7 / an/ Inspector �e-�'� h, Complete lot mP lM Or P P I / 'i x NOTICE Please provide the following: i • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW vy' \\ oZ ,r► 1 . 4 D r 1 L t INDICATE NO TH ARR -� r�.c ' y' r p I 10 Ji ST. CROIX COUNTY ZONING DEPARTME AS BUILT SANITARY REPORT (.' � RECENED fy Owner S, �`fis I ! !_ X99 Property Address El " CA City /State a v, �� Gootoy ZONING0FR A, Legal De �! Lot Block f Subdivision/CSM # t /4 � t /4, Sec? , T3 oN -R W, Town of ��'� T� � PIN # d 3 © - !6 5 3 SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer 1 ne4 Size ST/PC �` - 7 Setback from: House Well P/L Pump manufacturer Model - -- Alarm location (HOLDING TANKS ONLY) Setbacks: Service road ent to fresh air intake Water Line -- Meter location Alarm location SOIL ABSORPTION SYSTEM • 7S Number of Trenches Type of system: ay�lidth _� Length Setback from: House 0 Well /-!�D P/1, -2.2' Vent to fresh air intake / tnp ELEVATIONS i Description of benchmark S n LJ C. e k- ri e, r 16T Elevation 7 . Description of alternate benchmark Elevation 018 .- Building Sewer ST/HT Inlet ST Outlet PC Inlet � PC Bott om Header/Manifold 7 y Top of ST/PC Manhole Cover J 7 • V Distribution Lines (1) d • 7 (�) S `• 7 ( ) Bottom of System (1) qs. (Z) 9 �• ( ) Final Grade (2-) 99-5 0-) 5�,9 c> ) Date of installation 7 / /f'/ Per it number L14- State plan number �— Plumber's signature License number P��d S 3 7 Date /ao/ Inspector h Complete plot plan � d r NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW V �- IO �s L INDICATE NO TH ARR r Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach `complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and C r` percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. # APPLICANT INFORMATION - Please print all information. R e ed y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location U Govt. Lot 54-) 1/4 1 /4,S A3 T ,N,R /Y Wor) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# n City State Zip Code Phone Number ( ❑ City E] Village Town Nearest Road -T oss Ad �► �- ❑ New Construction Use: Residential / Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate , s bed, gpd /ft _�,_ trench, gpd /ft Absorption area requiredQ' ft2 77.&D _ trench, ft2 Maximum design loading rate , bed, gpd /ft . fkP trench, gpd /ft Recommended infiltration surface elevation(s) ��~, ft (as referred to site plan benchmark) Additional design /site considerations Parent material 6 #-a r>o t - -yCL 5 Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure A - ade System in Fill Holding Tank U = unsuitable for system S❑ U S❑ U El S U ❑ S U ❑ S U ❑ S )I u SOIL DESCRIPTION REPORT W�� 3 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench / 6 _b p r ab / C S Ground -7 P43 f S .�_" JZ 7 S� C:.J � � ,.,�% elev. Depth to limiting 3 4 factor in. ' Remarks: Boring # in 3 Y9 -i ,ro >s a S sbt m 04 r C� Ground lev. ft. ; Depth to limiting f c r > in. Remarks: CST Name (Pleas M int) Si natu Telephone No. T - 6 �-t b 513; Address Date ST Number >_ _ 9 PROPERTY OWNER 0 Q n •S(� SOIL DESCRIPTION REPORT Page e !:K of PARCEL I.D.# O ' Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench lit Cw 5 2 Sbk A Ground elev. w4 ft. 5 p Ah v S O m s Pn l _ $' Depth to limiting fact r ,l in. - I ' Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) �JQr S /��S �lJc ° k'.Sct�t�glfi�crn _ 5 � SE s a 3T3o � a� ` 4 1 dcf e i, Oct k 7r) 3 G r l - � RLCkVjj ,ac b f 6 Ft Wisconsjn Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: . CR IX Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 344553 Permg �IQlde ['s NarSg: El City C] Village Town of: State Plan ID No.: Y A A T , UUAA ST. JOSEPH CST BM Elev.; , Insp. BM Elev.: BM Description: Parcel Tax No.: x.10 t oo. of S W, S ' 030- 1053 -50 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ? (ff��p Benchmark 9.` g gQ.a Dosing Aeration Bldg. Sewer Holding St /Ht Inlet ,,w(� sS• b�e TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. Air I ntake 4 ROAD 9* t�4est ir Septic O t I p' / NA 4)t-0v tom Dosing NA Header / Man. f � �(p • }� Aeration NA Dist. Pipe ►} loo Rb • . b Holding Sot. System L� .3 S 3� PUMP / SIPHON INFORMATION Final Grade Io, 3S 1 7 1 7, 3 Manufa Demand Model Number GPM TDH Lift Fr' System H Ft ead Force n Length Dia. Fi Dist. To Well Mdd SOIL ABSORPTION SYSTEM ) -3,r,:f r, .��,,,�t�, _ ,�„�(v>� , r2 .16 H Width r Length r No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S 2 DIMENSION SETBACK SYSTEM TO P/ L I BLDG WELL LAKE/STREAM LEACHING Manufa turer: INFORMATION Type O o el Number: System: �J• c3� .70 1 > }IZO *> 2 CPO CHAMBER M OR UNIT -f DISTRIBUTION SYSTEM Header/Manifold t , Distribution Pipe(s) x Hole Size x Hole Spacing Vent To A� Intake Length Dia - Length Dia. Spacing — - P / 3 0 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched ed /Trench Center Bed /Trench Edges Topsoil E] Yes E] No E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) — le OCATION: ST. JOSEPH 23.30.19.197U3,SW,SE 1411 HIDDEN OAK TRAIL Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. r � ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: _P e mom" 3 1 T E a. _, ...—,. . . ..e. ".".., ,.... .�. —.... . _ .... .. �. ,, ,._ _.... _ ._ ,..,.. ... .. .,. 4 t � j s i ..g i E I r � E � F e w E E E a } E 3 � " E � 5 3 t w. ess m .tee in . s i c 3 E 3 E 4 J I { 3 '�" "........, a� •..v " .., " "�,- ...,.,� " »� ".�r..e.a e. y „ "m� .�.m ".< .,, ,." _ >... m ..€,a..e .m �2... ,., m •3sS � E � 3 J 5 4 A r f 1 i 1 Safety and Buildings Division ANIT R PERM 201 W. Washington Avenue Vsimnsin S A Y ERM T p 0 Box 7302 Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. t • See reverse side for instructions for completing this application State Sanitar Number Personal information you provide may be used for secondary purposes ❑ Check it revision to prev�Us ap plication [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Propert caner Nam Propert Location ., � 5631/4 5F 1 /4, S •3 T-36 . N, R/ &;br) W Property Owner's Mail n s ` Lot Number Block Number j i A.TYPE State Zip Code Phone Number Subdivision Name or CSM Number r� S Z ( " I ts OF B I ING: (check one) ❑ State Owned it Nearest Road ❑ Village `- Public 1 or 2 Family Dwelling - No. of bedrooms 1- -Ao Cj4%, Ill BUILDING SE: (if building type is public, check all that apply) 1 15arcel Tax Number(s) ,:? 3 . 3 0 . 11 . 197 1 ❑ Apartment/ Condo 3 S3 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales / Repairs 11 ❑ Restaurant / Bar / Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash S ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2, [Replacement 3. ❑ Replacement of 4 ❑ Reconnection of 5. ❑ Repair of an - - - - -- System T"S ystern ------- - - - - -- Tank Only ------ - - - - -- Existing S stem txijll n q S stem B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12)K Seepage Trench 22 [] CZ In- Ground Pressure , 42 E] Pit Privy 1 ❑ Seepage Pit , '` -7S 4 Vault P ' y 14 ❑System -In -Fill Imo. l�.r��11or ��euij�el a� ,, VI. ABSORPTION SYSTEM INFORMATION:-2( 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Req r (�q. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) EO#tion Feet (j • 7 `l Feet Capacity V11. TANK in Ca allo s Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer s Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks epti a 0Qb ❑ I ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber t 3 I ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Pri P tier's Sig ature. No amps) MP /MPRSW No.: Business Phone Number: -5 l - io rSl3S Plumber's Address (Street, City, State, Zip ode): ""' o� IX. COUNTY / DEPARTMENT USE ONLY E] Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing entSign ture(Nostamps) Approved E] Owner Given Initial _Qom) /�° arge Fee) 7 I Adverse Determination ` 1 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber l INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county.prior to installation I 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper'whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 -266 -3151. To be complete and accurate this-sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. Iii. Building use. If building type is public, check all appropriate boxes that apply. IV. T of permit. heck only one on line A. Complete line B if permit is for tank replacement, reconnection or repair. Type e C p p p p Yp p Y V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX'_ County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted izo the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. I ,QL 10 14 R �1� S P�.•- c �r �o� ° c �p53 � - 7.1 Cho*n bur5 q-► T I� 1 � � • a U r f a a 05 w M i ■_ c c `\ \ C \ )§ \ � !k 3 \ ■ f a 0 ° C ■§ ( 2 !§ « § Z �. It n i q ■ _ f 0 � §@ 6 ® e «§ !\ 5. $ § � || �k 9 i t , , , , -0 0 i cn a 2 0 r r k ? 7 q EF1' (Sr c |§ 2 L q \ � i F q w � D). ƒ ! x U k F3K ~c « m 2 a 0 7 J § | -0 0 2 0 7 $ 0 7�JR n k O , p0S o a < ■ @ �0 �� 9 Ua2E f > » =a§ ( B m -E � e 7 : @ 7 x \ C, C L co: ch 5 { 9 (0 % ■ \ \ 2 � R § @ Invert ]« - � �K r I - S \ o � | � ST. CROIX COUNTY ZONING OFFICE I CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify ( �that I have inspected the septic tank presently serving the "���� �; residence located at: 1/4, 1/4, Sec. N, RW, Town of 3 �,] nh Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced /0 Did flow back occur from absorption system? Yes No_ no, skip next line) Approximate volume or length of time: gallons — minutes Capacity: �( Construction: Prefab Concrete Steel Other Manufacurer (if known): '�� Age of an ( if known) : �D�,r g•. r _ ignature) V (Name) Please Print elp m : P RS , -S 3 (Title) (License Number) (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR -83, Wis. Adm. Code (except for inspection op ling over outlet baffle). Nam Signature MP /MPRS -.ZO S3� 5/88 -I,— ST CROIX COUNTY TENA SEPTIC TANK MAIN AND NCE AGREEMENT OWNERSHIP CERTIFICATION FORM Owner/Buyer. AS Wiling Address I I N-_Q� 2C ��OQ / Property Address (Verification required from Planning Department for new construction) City/State Parcel Identification Number I O-S-3 _S�D LEGAL DESCRIPTION Property Location _ V4, S V4, Sec. D 3 � T '3 �-, N-R Town of S�T Subdivision Lot # Certified Survey Map # 33300(0 Volume Page # Q3 9 Warranty Deed # V Volume Page # ','-1- Spec house 0 yes f m N no Lot lines identifiable K yes 0 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 wastewaterdisposal 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 statin t your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da of th three ye�ation e. NATURE OF PLIAN� DATE .a, ' �tion e. OWNER CERTIFICATION we) cer at all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of r sc t pro e cried bove, by e of a warranty deed recorded in Register of Deeds Office. S2 PPLIC NT ZN OF APPLICANT DATE Any information that is mis-represcnted may 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 CWDCWNT 000, ISTS - - - _...r- �• ----- -�+.'r ' rd- �.1� r1�—-- S#D crle m�,n� C4a BY THIS DEED. _��' - a Dan o ST. t ix �.0 W a, 3 ft - -- --- t ad• f or Rccar4 _ day of AurUst A � h Dan iel E. Sla and Ann N. Siat t� t A 11 Graatar wave a and warrants to s hushanl and wif a joint tenants, _ _Grants! S ' - -_. •6� QQ . Q titTt>NN TO ti far a vsivabte consideration the fallowing described real estate In $t. Croix County, State ofNtscataia Tliz Key Thu is not howeamod pro"mr. 5 Lot Three (3) shown on Certified Survey Map dated April 6, 1476, ` filed May 20, 1976, in Volume 1, pace 238, Document #333066 in the office of the Register of Deeds for St. Croix County, Wisconsin,.'` together with and subject to easements and restrictions of record. q sh, 0 0 a} Exce.ption to warranties: -� N "? J ul Executed str �. - j. of � �_- r$ZAL) SIGNED ANO SEALED IN PRESENCE OF i s �. Bernard G. Danielson SAN RA,, GARRITY i j 1�H1�II A (sEAL1. Signatures of n/a C sothenticated this ___ ;t Title. M State Bat of Wisconsin cc other Pam Authorised under Sec_ 7115.06 vie. r. STATE OF Minnesota ' county. a.. July 77 Personally came before me, this 22nd _day of , 14 j t the shove named Be rnar G DaniglsQ11 a s A. t. i i to me known tote the person__. who executed the foregoing inrxt�ireat s:.d acknowledged the same. I� SANDRA A. rARRI This instrument was 4raf +c4 by 1 William J. Gilbr_ -t, Attorne; _ , Notary Public iiE4;JEPY Calst>z+l#1 r6 — e ;u3s 55, Wisconsin SzA►.:D� AGAR iT�' Ma1eC's 3 1 . N^„ARY PUb +.tC -µtN�t #SOT► My Commission (Espiaea) (Is) The use of witnearee is optional. HEK.FP.,N CouNTr ,..- _.,... .. i 1 +f- persons signing in any ca p ac ity aho4i6 be r,;+od or prf 'c:t below their r:greeturea. -ARitA rry D&ZD- sTAT,K. 8A* OF MIRL''JNSIIr, fORVt KO.. 7 tell * -. p pppp7 �. r ' CERTIFIED SURVEY MA WROYAL Of THIS MINOR SUBDIVISION QV'� DM NOT MEAN APPROVAL FOR WR SYSTEM. REFER TO H62.20 ST. CROX COUNTY coN►p% NWG c ` s ue 1 8 9 AND F MAY 1 IL�D t076 MAY 20 1976 tsc+�ir r1 O..p Wilin do 13 4d 687.41 343.74 . �• 31QT1 * W Y 0 �c _ �c , [ ■ LO T 1 LOT 2 `r 1�I ft 2.198 a . 2.177 AClIKS S89 °13'40 W 304.24 34 3. 70 p ' Z S89" 13!46"W b • r" 3 LOT 4 N z LOT 3 1.927 ACRES a 2.194 ACRES EASEMENT 8 Z 'bo I 249.35' 343.70' .0 ' Z 33r S89°13r40 "W 593.05 • r 33 EASEMENT 0 1" X 24" IRON PIPEWEIGHING • 3 8 1.13 LBS. /LINEAL FOOT • $ 6 SOUTHEAST , n 600 �— IRON PIPE FOUND SECTION 23 ORTH • SCALE I Cd 1915.00 Volum 1 Page 238 '4 NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW D - I J- Cam: AM T---�' E� A o , s INDICATE NO TH ARR L� �_ � �-- � I ` y To: Mark & Barbara Lusardi RE: Sanitary system at 1411 Hidden Oak Trail This letter verifies that the sanitary system will be repaired by a certified installer as soon as available after Spring thaw. The repair will be warranted by the Sellers, Dan & Ann Siats, and the certified installer. The verification of the recommended repair is being provided by Bob Ulbrecht and Associates of Hudson. i Dan Siats Date 0 , •-, 1-- 1 0 - a �-- Ann Siats Date i ll , ,,' L ar J. Ni sen Notary Public BLOC State of Wisconsin My Commission Expires 1/20666 I I 715- 386 -8185 OEM ULBRICHT & ASSOCIATES CO. Reg, Designers of Engineering Systems Jan .11.2003 Private Sewage Consultants 655 O'Neil Road Hudson, WI 54016 To Whom It Concerns: Regarding the Dan Siats property@ 1411 Hidden Oak Trail, New Richmond, Wis. 54017 Lot 3, CSM 333066,SW1/4,Se1/4, Sect-23, T30 N, R19W, Town of St. Joseph. As part of a R.E. sale, this firm was asked to investigate and evaluate why a new 3 1/2 year old replacement septic System, using 161, biodiffuser /infiltraor chambers contained 14" -15" ponded sewage effluent, as originally reported by septic system inspectors Tri -Conn ty Sanitation Co. i Premature "ponding" or overloading approaching the point of legal failure is related to the following cauees: 1. EXCESSIVE WASTEWATER ABUSE BY OW NER.I.e.,overloading use o was ., wa er y am y no pract c ng water conservation uses upon a septic s.vstem, or leaking fixtures. Tri- County Sanitation reported that he opened the septic tank and observed no trickling leaks. FAULTY INSTALLATION STALLATION WORKMANSH P. I I.e. were th tr bottoms an s ewa s left "smeared" or sealed upbythe ba-khoe bucket�mechanically) during installation, foot traffic,? if the excavat d trenches are not carefully hand raked to re- expose the soils natural structure, which allows for future proper absorption, the trenches can/ and will be adversely sealed forever against the normal percorlation of effluent. Also, during installatio i n how was the soil backfill replaced? Was as it per manufacturers and state code requirements? 1 This. r is h unknown. 3 • IS PONDING DUE TO THE SOILS? Were the trenches sized correctly re ec ng any so - mitations or restrictions? Could this premature ondi g P n be related t of the systems design and layout? If the f trenches i were b laid n at different elevations, in different soil statas, with flows split, diverted, controlled by standard valVes'or drop boxes (not incorporated in this system),would the entire system be just as ponded today? My opinion is "definitely not " DETERMINATIONS Soil pit #1 which we opened and evaluated is not at all similar to what was described by the original soil tester (7- 1 -99). We have observed, evaluated, and reported that restrictive bands of very contrasting textures and consistencies exist, creating percolation barriers. Theloadin rates ates of the soils sy�sf p0je 0 C9 e— e z we observed are very much lower than the sandy soils originally reported. Therefore, the current system is significantly undersized if the soils we observed do indeed occur underneath the new system area. This obviously would contribute to the premature failure of any installed system. RECOMMENDATIONS Conduct further soil testing across the property, at least 2 more backhoe pits per code, to be evaluated in the presence and with the cooperation of St. Croix County Zoning inspectors and /or with Mr. Leroy Jansky, State of Wis. soil scientist and state wastewater specialist . At that point,a new enlarged area downslope of the ponded system possibly could be approved for licensing of permits to allow for the addition of multiple new trenches at different levels with better distribution controls for future management. Finally, please be advised and aware that if a new test is determined to require an alternative type of system because of soil restrictions or seasonal soil saturation, a much costlier and complicated wastewater system may be required by state and county codes. Please contact us if you have further questions or ccncerns: Sincere y you s, Robert Ulbricht Licensed site & soil evaluater Licensed Master Plumber Registered Design Engineer & Consultant 3% cc: Mr. Kevin Grabau, Zoning Specialist, St. Croix County Mr. Leroy Jansky, State of Wis. Soil Scientist & Specialist. Mr. B. Morgan, Tr -Cty. Sanitation Co. I 12 /10F 2002 09:30 FAX 7153862231 Ben Morgan S � �' �k L � �� Q001 BMW S11 UNION INN 1029 4TH STRAP Ii(mew WL 54076 Mr. Dan Sans C a, LV t ►'� '�ot�2t'S 1411 Hidden Oafs Tr, New Richmond., Wi. 54017 Dear Mr. Saits, An inspection of the septic system at your residence of 1411 Hidden Oaks Tr, New Richmond, Wl. was conducted on 2124102. The septic tank was pumped at the time of the inspection. This septic system is made up of a septic tank and a new two trench type drain field that was installed in 1999. The old bed drainfield was left in place and with the proper permit it could possible also be used The advantage of leaving the old bed in place is that when the time comes that neither of these trenches can no longer absorb water a switch could be installed allowing the old bed to be reused and letting the trenches dry. At this time the septic system appears to be functioning, meaning only, waste water is not surface discharging and not backing into the home. Part of the inspection is checking the inspection pipes at the end of the drainfield trenches. With a three year old system these pipes should be dry, or have very little water in them, they both measured over twelve inches. This is an indication that although the trenches are absorbing all the household use, the soil under and around the trenches is sealing and not absorbing the water as fast as necessary, allowing waste water to be held in the trenches. This opinion was based on a surface inspection of the septic system. This surface inspection was limited to checking the inlet pipe to the septic tank, checking the inlet and exit baffles in the septic tank, and checking the liquid level of the septic tank. This helps us determine if the exit pipe is clear. Also, as noted checking the inspection pipes at the ends of the drainfield trenches. Based on my inspection I would recommend having the switch installed and switching over to the.old system as soon as weather and ground conditions allow. The inspection did not involve any excavating, to determine soil quality or code . compliance of the soil or the system. Therefore, it is understood and agreed that there remains the possibility of hidden defects in the system which are not discoverable by a surface inspection. Tri- County makes no guarantee or representation as to the age or condition of the septic system_ Tri -County Sanitation Inc., makes no guarantee as to the continued proper functioning or operation of the septic system after the date of this real estate transaction. Tri- County Sanitation recommends that the septic system be pumped every two years, that bacteria be added when maintaining your septic system, that a garbage disposal not be installed, if there is an existing disposal that it be used as little as possible, and that powered laundry soaps and other non -1 iodegradable materials not be ruts through the septic system. This Pumping estimate is based on an average family of four and can vary depending on the age of clu'ldren, work outside the home, and use of garbage disposal. Therefore, the fttture and Prolonged life of this system is dependent on proper maintenance. d (a6 Zay . +ire S � 5 -i I , �Uyy) Y1�i,J ��e vvL Buz ua:�t rna 11040oAZOI neu mVresau � 'tltt- COrN1Y SANRIITI�M IN6, IM9 41H SIREUr Hi�60N. WL 34016 By signing this inspection certificate, you waive any claim against Th- County Sanitation Inc., its employees or agents, now or in the future, on account of any damages allegedly sustained as a result of any failure or other problems with the subject septic system, realizing that Tri- County Sanitation Inc., has performed a surface inspection on the subject system only. 'ncerely, Seller. � � �� Dom: own t,A3 CLO Tri- County Sanitation Inc. ]Buyer_ (" >� WL Lic. # 80556 Date: t ol cr >> �[ 5-K tY'1 r_�t -Q C•{'� Lt� l �i�i�., \, CQrn IN M GY 0,(- CA �� 3 J