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HomeMy WebLinkAbout030-2122-20-000 FROM Schumaker Plumbinq FAX NO. : 7153BG3121 Mar. 20 2002 OB:49AM P1 fthumak ®r PlAmbing 1070 SCOTT RD HUDSON WI 54015 Phone & Fox (715) 386 -3121 DATE: ` 1 ��� FAX 0: TO: �TC�' �' NO, OF PAGES: 3 RE: SPECIAL INSTRUCTIONS; FROM: AA S FROM : Schumaker Plumbinq FAX NO. : 7153863121 Mar. 20 2002 08:49AM P2 Safety and Buildings Division County I VAI.Wqconsin ?A1 W. Washington Avc., P_O. Box 7162 Madison, WI 53707 - 7162 Sire Address Department of Commerce Sanitary Permit Application SRW" Permit Number in accord witb Coinm 83.21. Wis. Adm. Code, personal information you provide ❑ Ch if Revision may be used for secondary purposes Pfing Law 15. 1 m I. Application Information - Please Print All Information Sates Plan I.D. Number Property Owner's Name Parcel Number Property O -net's Mailidg Address Property Lunation • S At 3 T SdN, R City, State Zip Code Phone Number Lot Number Block Number Subdivision Name CSM Number S ¢ 1. Type of tuRding (check all that Apply) ❑Cky f91 or 2 Family Dwelling - Number of Bodrooms ❑villate 0 Public/Commercial - Describe Use P S a 0 State owned Neatest Road M. Type of Permit: (Check only one box on lute A (mrmbering scheme for internal use). Complete Hue B if applicable) A. 1 W Tew 2 0 Rxpkwment Stamm 3 11 F.cplacemeau of 6 ❑ Addition m For County use amen Tank Onlystem B. ❑ Cheek if Sanitary Permit Previously Issued permit Number Date Tatted IV. Type of Permit: (Check all that appiy)(numbering scheme is for Internal use) 44 gNon- Pressurized hi-Ground 21❑ Mound 47 0 Sand Filmr So 0 Constructed Wodand 22 0 Pressurised In -GrooW 41 ❑ Holding Tank 48 0 Single Pass Sl 0 Drip Line 45 0 At - Grade a6 0 Aerobic Traiumont unit 49 0 Recirculating 30 0 Omar V. at Area Information: Design Flow (gad) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation FhW Grade Required Proposed Rate(Gals- Mays/Sq.Ft.) (Mln./Ineh) $lavation gs6f G72 0yZ ,� v �� may ( 5-e V1. Tank Info Capacity m Tod Number Maau&emrar Prefab Site Steel Fibar Plastic Gallons Gallons of Teaks Concrete Constntead Glass New Fsistiag T anks Sgdc or Holding Tank Dosing Chamber VII. R bMty Statement F the undersigned, a responsibility for &ellatim of the >P'OWTS shown an the attadmil plans. Plumber's None (PTiat) Plumber's Sigtraarte �: RS Number Business Phone Number t. Plumber's Addt"s (Street. City. State, Zip Code) Id 764 Vtli. Count /De artment Use Only 0 Approved 0 Disapproved Sawitsry Permit par (includes Groundwater Date Issued Issuing Atant Signature (No Stamps) Swdbarge Fee) 0 owner Given Initial Adverse Po ZTTination DC. Conditions of ApprovaVRessons for Disapproval Ana* ownpide ones ho the Coamts saw for the "don an paper ant treat than rt a x 11 loehes In Ame SBD -6398 (R. 05101) FROM Sckumaker Plumbinq FAX NO. 7153863121 Mar. 20 2002 09:50AM P3 dY°c c� i Wisconsin Departme�tof Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety anJ Buitdthg Division Sanitary Permit No: ' INSPECTION REPORT � 399582 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: P.C. Collova Builders, Inc. I St. Joseph Townshi CST BM Elev: 1 Insp. BM Elev: BM Description: (� , g q - 4,5 0 0 CST e 2 uSR& TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Bench k - 2, ,, ) Q D Dosing Alt. BM Aeration Bldg. Sewer $, }fl f Holding St/Ht inlet p `� `f' C o . 3 r TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. vent to Air Intake ROAD Dt Inlet Septic � � f ' � ' Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. Syste I 11 o o' Final Grade — f UMP /SIPHON INFORMATION Manufacturer Demand St Cover 3 GPM Model Numb TDH Lift Fftkpn Loss System Head I T )H Ft ForcemajK Length Dia. to Well SOIL ABSORPTION SYSTE BEDITRENCH Width Len PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 SETBACK SYSTEM TO L LAKE/STREAM CHAMBER ORuf Mt�� INFORMATION Type Of System: l L 31 f UNIT Mod Number s-tt DISTRIBUTION SYSTEM Header /M n'fold U Distributio x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of odded xx Mulched xx SeededlS Bedrrrench Center Bed/Trench Edges Topsoil 401 Yes ❑ No 7ja] Yes ❑ No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: 12 1 2) / 'D( Inspection #2: Location: West Shore Drive Unknown (NW 1/4 SW 1/4 23 T30N R19W) NA Lot 2 t 5 SAA1A , t Parcel No: 1.) Alt BM Description = U-5 Vj �lL�� 2.) Bldg sewer length 2_ - amount of cover Plan revision Required? Ye W] No FIT j _ L -- Use other side for addition ormation. ____�! _ — — - - - - - -- Cert. No. 1 1? S � ( Date Insepctor's Signature SBD -6710 (R.3/97) VJ 1 $s laty sn� yuildin�s v '��tjC����C71�tly , � Z�: Aw. P.p• snx7161 Sic � K -� F Nb'. wtl6tojton s i M.Ow, W1 J1707 MOMPIt of Sim* Vkn� W IAIW W OMllwr•=f. aM. A/M• t:b�oh it IwtNloa _ QQ YYF� t. dt"•ob t "Wow new cam RMW y .� sk6 td ' .t 6 C AdlNloa a _ �'�i�YiiiIM�IPiIE► '.° 'f �". oil uG 49 D ha MW �a 0 cvaa�swr w s+t�d � •�a�are r:�oewa tai ©'� 6th � .. �:��► .. v WAi ... . yak 49 Z 2 ? al 4 now �OW r Y ?. -3 l r . , a . r, rf Z Z s- o I 1 f i ...... ...... .. if lter to be lrt;CaZidd'and mattttitted per recommendations. 2. Any filling and M laffle f'the capacity of the HWL retention area is prohibited. Plumber to locate 932.5 HWL elevation SE lot stake is atplevati wow 1 r ' R Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code l 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 Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location P � cc.) � I O v C. Govt. Lot IV oU 1 /4 $ to i 114 S Z3 T 3 p N R/ T E (or)S Property Owner's Mailing Address cc Lot # Block # Subd. Name or CSM# U S c V� L Z A- 4 Tow S City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road vck rn wt S7'/6/ (. ( Syq - 5 1-s,<• 5�.•- Pr. ® New Construction Use: ® Residential / Number of bedrooms a der*d design flo iYate a O GPD ❑ Replacement ❑ Public or commercial -.Describe: Parent material U 5 od Plain elevation if applicable General comments and recommendations: Sy s r 7-010 t f�Cx r Gow ��. SZ� s r: l � F] F1 B oring # 1 i Boring t.2y Pit Ground surface elev. 95!00 ft. Depth to limiting factor 11 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 o - q /0, Y — 5 Z- Zsy sb ►n S 1 S 7/ `7� j M5 U 90.E D F _z] B oring # ❑ Boring [ Pit Ground surface elev. 9 /' Gd ft. Depth to limiting factor / Z r in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 s 5 .g .g * 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 N me (Please Print) ZsS n ature CST Number � 175330 Address .�. Date Evaluation Conducted Telephone Number S� So�- c�� sypzs— Property Owner [ a U Parcel ID # / z Page Z of 3 a Boring # [] Boring J ,� I ❑ Pit Ground surface elev. 9Z y ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I 6-7 — 5�- 0 01 5, c 1 Ul . 5 Z q-o , rYW L 5 ten s 0� c 5 - i 2 .6 e Z F-1 Boring # ❑Boring P - 4 ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 1ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. El Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 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 (R.07M) I I Property Owner e a V C- Parcel ID # / Page Z of 3 F Boring # ❑ Boring ❑ Pit Ground surface elev. 9Z / ft. Depth to limiting factor /w in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 -Eff#2 I 6- -- SL Z�+sb� w" C U� 9 YlA �5 ��S �� i•z 2.6 - r e Z F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 i • - > < ' Effluent #2 = BOD < 30 m /L and TSS > < /L and T S 30 150 m L mg /L #1 - BOD 30 _ 220 mg S _ g/ s < 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 altemate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07/00) ti 0 n � i "g Vk -s Qyc9 d � y �d i adds � A/ °b Pj P4 e,4 — M 0 � � e c e Ilk —s z , 9ro' 0 I r PAGEOF �7 NAME (b (O V U LOT# Z LEGAL DESCRIPTION iV X 5uJX ,S 2,3 130 N R Iq E(ord SCALE: 1"= - - - - - -- - BM 1 ELEVATION (00.0 BM 1 DESCRIPTION riu ,' ( , ' ^ 'i� "t I BM 2 ELEVATION 9 flU BM 2 DESCRIPTION 4 P f Ga L Poe ei- 4G Z 3 SYSTEM ELEVATION � . G o Gaw* , r ALTERNATE ELEVATION �o p 10.0 o Gow -, 89 0 y — -I- CONTOUR ELEVATION 9z 0 4 q. o d t ea- I e' o, 17�• t � 1 0 l n :J U 9Z �•G ■ �2 IGNATURE �� DATE I �---� uanu! Q 3 T m O X 1n to ! N - a02- C & S. -- - :11 . � ff Q) 6. y 0 >.-a D. _ Cb LL I R v r w b - to Oka w Its •.� >"�'1 :. � � o �� Ili l f m !S • u rars O U s tL ¢ 4. S • 2 • co T � - -- LL cc) • J r� i 7 Wisoonsin Del art meat of commerce • SOIL EVALUATION REPORT Page of-3 Division of Safety and Buildings . in accordance with Comm 85, iAft Adm. Code Cow Attach complete site plan on paper not less than 81/2 x 11 inches in sue. Plan must Orlit include, but not Willed to: vertical and horizontal nt (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrQvv aU�np� istarx a to nearest road. y Please print Reviewea b Date 'n Personal ir►formation You provide may be u4 s�'fgf s. 15.04 (1) (m)). Prop" p ��' ; �, Property Location IjAvi rovt Lot VW 1/4S 1/4 S T 3 •N R E( Property Owner's Malting Address ^ A ST C ROI X Lot # Block # Subd. Nerve or CS 1 ~\ COUNTY' City State I Zip Code ❑ City ❑ Village ® Town Nearest Road S o Lj 154011.0 L%-X Short JW ER New Construction Use; [,b Residential / Number of bedrooms ?��_ Code derived design flow rate � Q UPD ❑ Replacement ❑ Public or oorrrnerdai - Describe: Parent material �. Flood Plain elevation N appricable ft. General comments t( -c v • 90 O and recommendations: �qG f. .�1t V • �i'O•?�D F ng# ° Boring Pit Ground surface elev. Y & &o ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D/ff in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *81101 'E$#2 -- Si j 2v.0 . s C- 3 _ rs �--� r i Fz-1 Boring # ❑ pit 4 /log ® Pit Ground surface elev. Depth to lertitirrg factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/lti in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. I 'EfW1 `01192 I 0 - 1 ?- Z •--. 4 Zyahk C5 ZVX - / 4 ca .� S or a, C -fliueM #1= BOR > 30 < M mg& and TSS >W 150 mg& ' Et *w t #2 = B00 130 mg& and TSS < 30 mgll CST Name (Please Print) Signature CST Number Address Dabs Evaluation Conducted Telephone Number ti Property Owner Parcel ID # P O ❑ Borg F Boring # Pit Ground surface elev. ft. Depth to limiting factor _ 1 in. Soil ApLAication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. color Gr. Sz. Sh. *Eff#1 * E Si 1 2 c ,(,' • S • 8 Z /y J c s . 3 �!I mS M1 — (-Z 4 Boning # ❑ Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Rate Horizon Depth Dominant Color Redox Description Texture Structcue Consistence Boundary Roots GPDNF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *01#1 *Eff#2 F-1 Boring # 1:1 El Boring Ground surface elev. ft Depth to limiting factor in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *0102 * Effluent #1 BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L. and TSS _5 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 2648777. SBD4330 (R07M) PAGE__5_OF_ NAME CO N U �J w LOT# LEGAL DESCRIPTION VW '/4 SW. S z5T .;�O N R H E (or& SCALE: 1"= Y D BM 1 ELEVATION • DESCRIPTION Ylcr; ) ; A 6 • C J v F� r BM 2 ELEVATION /00 .0 BM Z 3 DESCRIPTION not l i SYSTEM ELEVATION r ALTERNATE ELEVATION 1 CONTOUR ELEVATION y r a J ' 4 v � � 4a S GNATURE �� -� DATE //-/S— CC) may ,. 4, 2 0 FROM P C COLLOVA BURS, INC PHONE NO. : 715 549 55'.1 Feb. 01 2001 4 37 :3^�At1 P1 ST CROIX COUNTY SEPTI TANK ;JIG MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FOR,YI Owner/Buyer - �� G v�. a a n s 7:Z-..j <... Mailing Address Property Address _ OCZJ . (Verification required from Planning Department for new construction), City/Stat 1 i'arcc: Ice:itfficatiosi Number LEGAL DE6' ON Property Location ;�., _ '�: SCC. a -� I -R YV, : cwr, of �1 Subdivision Lot. Certified St.r /ey M:;p, ;� i 101t t n , /� Warranty Deed I (p �o 17`1 vQlLmtr p, Y Spec I:o tISC ❑ Y r:7t lli�^. tr��'Siiiilal IC ;C(y( SYSTEM :1•MAENTENANCE ff improper •r: a and maizienaccc of your sonic system could result is its prcoa17re failur_• to !:arctic wasicz. i roger mair tc== insists of pumping out the septic teak every th= years or sooner, if node' by a lieeased au=cr. Want you put info the sysL can acct the funetioa of the septic tznlc as a treat:tent stage is the waste disposal system. The prope ty owner agrees to =b=it to SL Croix Zoning Deptrtmcnt n cart icatioa form, signed by ta;, own. and •oy a ttuastarplu=bcr, jowx.o sssuph=ber, ,r--tr'ctcd plamber or a 1kcnsed purger 7e.-ifying that (1) the on -site wastewater disposal system is in proper operating coaditiou a: dlor (2) art- insreciioa Ind 7=10-ag (if ae=:,: ,), the septic tack is less than 113 full of sludge. I/we, the uadorsigned lrave read the above requirements sad serve to maintain the p&eate sewage di--posai system with the standards set forth. he -min, as set by the Deputm. -at of Commerce and the Depvzncnt of Natural Resources, State of W isccrsia Certification st ttiug that your septic system has been niainuincd =ust be completed and revirned to tae St, Croix County Zoning Of Bice withi. 30 days f ttkh d' ax-rli1 tioa ts. APPLICANT D ATE OWNER CERTI,FICAMON I. (we) certify that all statements on thus form are true to the beg; of ny (our) 1mowlcdge. 1 (rue) alit (un-) the ownet(s) at the ptoperty debqnbed abovt,.�yvirtue of warranty dcnd recorded in Rrgisicr of Deeds Office. / �/Le LXG NAtUR± OF APPL:ICAN -r DATE Any informttioA that s mic- reprere ited may result is the sanitary xrsrit being revoked by the Zoning Department. "'•" " Include with this appticaltatc; a s;ampcci warranty decd from the ??register of Deeds omce I ca{+y of the certified sarvey map if reference is made in the warranty decd Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity in- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Des i n S ecifications Sanitary Permit Number Number of Bedrooms 3 Design Flow - Peak d) y Estimated Flow - Average (gpd) Septic Tank Capacity (gal) i Soil Absorption Component Size I'V 3 Type of Wastewater Domestic Table 2: Soil Absor tlon Com anent - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak ( d Maximum Influent Particle Size (in) 1/8 Maximum BOD (m /L) 220 Maximum TSS (m /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter In spect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. if the Management Plan for a Septic Tank and Soil Absorption Component filter Is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge In the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be Inspected for water tlghtness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced., Exposed access openings greater than 8- Indies In diameter shall be secured by an effective IockinQ device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other troatment or holding tank for any mason wNhout being in full compllsnoe with OSHA standards for entering► a oonflned apace, r"he atmosphere within the sapttc or other bu tent of ho/ding tank may contain lethal ps", and rescue of a pwwon ftm the lntorlor of the tank may be difficult or Impossible. Tank abandonment shall be In accordance with Comm 83.33, Wis. Adm. Code when the tank Is no longer used as a POWTS component, Soil AbssnWon Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown In Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all a=pants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption oomponenfs operation must be assessed by inspection at least once every three years. The Inspection shall include recording the levels of ponding, If any, in the observation pipes, and a visual Inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system Is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months, The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or Impossible to repair until weather conditions Improve. In general, soil compaction over this component will reduce diffusion of oxygen Into the soil and dispersal cell, Which may lead to more Intense, and earlier, organic clogging of the soil. 2 Management Pion for a Septic Wank and Solt Absorption Component Plantings of deep- rooted mess and shrubs directly over of within ten fast of the co v*wt should be avoided evince root Intrusion Into the component may aostruct wastewater flow. Contingency Plan In the event of system failure, a now system could be installed in an alternate area. With the Installation of a div" valve, the existing system could also be reused after a period of throe to four years, It Is the property owners responsibiilty to maintain the alternate area free from any planting of trees, shrubs, etc, in case of failure of the original system, the alternate Area will be needed. N any trees, shrubs, etc. have been planted on the altemats area, they will have to be removed at property Owners expense. If altennats area Is destroyed, there are other alternative systems that can be used, in which, could resuit In added expense to the property owner, Any tank abandonment shall be done in accordance with Wise. Cods 83.33, Any Questions regarding this code, please contact your k aal Zoning Onion or control the Installing plumber. 7m. 1574f-Au 528 STATE BAR OF WISCONSIN FORM 7 - 1998 TRUSTEE'S DEED KATHLEEN H. WALSH REGISTER OF DEEDS Mckinuint Numnor ST. CROIX CO., WI RECEIVED FOR RECORD .-BLLEA-1- VAN �# "VV 01-11-2001 11-30 AN TRUSTEES DEED as Trustee of p EXEMPT N _HELEN r._ VAN qj.yKy. REVOCABLE TRUST CREATED BY REVOCABLE CERT COPY FEE. TRUST AGREEMENT DATED FEBRUARY 21, .1994 COPY FEE: TRANSFER FEE: 1275.00 RECORDING FEE: 10.00 for a valuable consideration conveys without warranty to PAGES: I P C. COLLOVA BUILDERS, INC.' Grantee. (lie following described real estate in ST. CROIX County, ;N and Acteres, y Y W State of Wisconsin: l 4 W L OD CARI, S.C. 2 ' PART OF GOVERNMENT LOT 7 OF SECTION 23, TOWNSHIP 30 NORTH 2 4 LO CUST STREET, BOX 125 Sol RANGE 19 WEST AND LOT 1, STEVENS AND SHIRLEY'S PLAT IN THE: HU SON, Wi 54016 < HU TOWN OF ST. JOSEPH, ST. CROIX COUNTY WISCONSIN DESCRIBED AS FOLLOWS: LOT 3 OF CERTIFIED SURVEY MAP FILED JULY 24, 1978 IN VOL. 3, PAGE 644, DOC. NO. 350360. 1- 030- - 1049-70-002 --- 030- 1060-10 PART OF NEIz OF SE's OF SECTION 22-AND PART OF GOVERNMENT LOT 7 OF SECTION 23, ALL IN TOWNSHIP 30 NORTH, RANGE 19 Parcel Identificatiun Numbut (PIN) WEST, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: LOT 4 OF CERTIFIED SURVEY MAP FILED JULY 24, 1978 IN VOL. 3, PACE 644, DOC. NO. 350360• PART OF NEB OF SE-4 OF SFCTTON 22, TOWNSHIP 30 NORTH, RANGE 19 WEST, DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID SECTION 22; THENCE NOO ALONG THE EAST LINE OF SECTION 22, 1313.35 FEET TO A POINT THAT IS 16.5 FEET NORTH OF THE SOUTHEAST CORNE]i OF THE NEls OF THE SEk4 OF SAID SECTION 22; THENCE N89'47'00"W, 16.5 FEET NORTH AND PARALLEL;' TO THE SOUTH LINE OF THE NEZ OF THE SE- OF SECTION 22, 309.00 FEET TO THE POINT OF BEGINNING OF THIS DESCRIPTION; THENCE CONTINUING N89 202.78 FEET TO THE SOUTHEAST! CORNER OF CERTIFIED SURVEY MAP AS RECORDED IN VOL. 2, PAGE 595; THENCE NOO ALONG THE EAST LINE OF SAID CERTIFIED SURVEY MAP 539.09 FEET TO THE SOUTHERLY RIGHT OF WAY LINE OF A TOWN ROAD KNO14N AS SUNSET RIDGE; THENCE S89 ALONG SAID SOUTHERLY TOWN ROAD RIGHT OF WAY, 202.81 FEET; THENCE SOO 537.44 FEET TO THE POINT OF BtUINNINU. i Dated this L Q day of ----JANUAR)L-. 90 1 (SEAL) (SEAL) HELEN E. VAN SLYKE Trustee Trustee AUTHENTICATION ACKNOWLEDGMENT SigBaILuV(S) HELEN E. VAN SI.YKF State of Wisconsin, County authenticated this day of JANUARY 2001 Personally came before me this day of the above named i CA17 It TITLE: MEMBER STATE BAR OF WISCONSIN (if not, me known to be the person who executed the foregoing authorized by 5706.06. Wis. Scats.) instrument and acknowledge the same THIS INSTRUMENT WAS DRAFTED BY HEYWOOD & C&R C. 204 LOCUST STREET, BOX 12b HUDSON N 1 54016 Notary Public. State of Wisconsin My commission is permanent. (if not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary) STATE BAR OF WISCONSIN W-SCWS-n LOP Blank Co I— TRUSTEE'S DEED FORM NO. 7 - 1998 NGIWaukoa. W,S EASEMENT LINE TABLE NUMBER DIRECTION DISTANCE L1 S00'52'35 "E 45.58' ` L2 S58'31 *14 "W 164.65'± L3 N58'31'1 4 "E 86.42' L4 S89'30'23 "E 1.65' L5 S17 05'34 "E 122.55'± W1/4 CORNER L6 S89'35'34"E 100.26 SECTION 23 L7 N35'42'45 "E 48.63'± L8 N35'42'45 "E 39.46'± '� i I I �' � 2- � ��•� as �� ' �j LOTS 2 & 3 WILL HAVE A Y I DRIVEWAY EASEMENT OVI SHOWN 66 WIDE ROADW< EASEMENT I - - WEST SHORE - DRIVI ------- - - - - -- - -- — Noww18"W 806.46'— 243.1 Z 61 6 FOR H.W.L. 902.5 D MIN FFE = 934.5 l i 1 LOT 1 �` LOT � m t �, i � : LOT 3 " 3.001 ACRES 408 A 3.407 ACRES (130.722 SO. FT.) m 48. ) O C $' . U (148,397 SO. FT.) u I RENT m 1 :9 I t INC. EASEMENT a; 3.001 ACRES n O t , I " r� 3.002 ACRES y (130.735 SO. FT.) ( I t (130.752 SO. FT.) Ile EXC. ROAD EASEMENT: g m EXC. ROAD EASEMENT * MIN FFE = 934.5 I I 1 I MIN FFE = 927.5 MIN FFE = 925.0 i I jH.W.L. )940 I I I I i .- ............................... i 'i ,i .................. BENCH MARK: TOP OF 1' IRON t I I PIPE, ELEVATION 943.27 18.1 I (SW4rWE) 1?GDD tr�D O 7 [aGD ' OO `� C�L [ 9 RIGHT -OF - WAY v�` j 143RD AVENUE ---- -- --- - ---- @' R--- - --- - -- -- -- - ---- - --- - - - - -- - -- I i I MGM PL c-- uu[ p cxlHD I ION SKETCH -- - - - - -- -- - i 1101 CMmldwd Road. HudsM %M VIM 386-MW St Croix Co unty p1� S86�G8G - bz Zonin O ffic e Fz To: From: P ages: Phone: Date: Re: CC: b -CitJi ❑ Urgent ❑ For Review ❑ Please Comunent ❑ Please Reply ❑ Please Recycle • Comments: f ST. CROIX COUNTY WISCONSIN ZONING OFFICE f w N N g w■ Mn�r ST. CROIX COUNTY GOVERNMENT CENTER - 1101 Carmichael Road Hudson, WI 54016 -7710 s j (715) 386 -4680 FAX (715) 386 -4686 Wednesday, March 20, 2002 P.C. Collova Builders, Inc. West Shore Drive Unknown Regarding septic inspection for P.C. Collova Builders, Inc.. Location of Property in St. Croix County: Municipality: St. Joseph Township Subdivision or Plat: Bass Lake Meadows Certified Survey Map: Lot: Address: West Shore Drive Dear Applicant: A septic inspection of the above reference property was conducted on December 21,2001. This property is located in the NW 1/4 SW 1/4 of Section 23, T30N R19W, Bass Lake Meadows (Lot 2), St. Joseph Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a 3 bedroom home. If you have any questions regarding this, please contact our office at 715.386.4680. Sin erely, Kevin Grabau Zoning Staff cc: file