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Home My WebLink About030-2097-20-000 (2) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. C r o ix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463118 0 GENERAL INFORMATION (ATTACH TO PERMIT) State P lan 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: Sofie, Randall I St. Joseph, Town of 030 - 2098 -20 -000 CST BM Elev: ' Insp. BM Elev: BM Description: Sectionlrown /Range/Map No: (SO GO •t� 1 O'� Ste,4 = CSTBvN 28.30.19.806 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark / Io2- Dosing Alt. BM Aeration Bldg. Sewer I1 -e2 90.93 Holding St/Ht Inlet I 12.3 x•3 TANK SETBACK INFORMATION SUHt Outlet ( 1) . ! TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic —' Dt Bottom Dosing Header /Man. 111 Aeration e -r .$8 Holding Bo . Syste r 3.8$ ww PUMP /SIPHON INFORMATION Final Grade �•/D 'T3• Manufacturer Qemand St Cover n G 110 Model Number TDH Lift Fr' n Loss System Head T Ft Forcemain ength Dia. Dist. to Wel SOIL ABSORPTION SYSTEM RENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DI S 3' ' eA • 2 SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING MarW)actuyery ( — INFORMATION Type Of System: CHAMBER OR �-{{- -�Rlii•�i YP y I �' 1 > 45D UNIT Model Num D TRIBUTION SY TEM Head McPdfcJr� istribution x Hole Size Ix Hole Spacing Vent to Air Intake ng 4 , Len th Dia eng Dia Spaci 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 Bed/Trench Center BediTrench Edges Topsoil Yes 0 No ® Yes ® No n ! N S : (Includq�code iscrepencie ons prreez en�t, tc.) Inspection #1: � • 3 JAS Inspection ion: 590 132nd Hon, WI 54016 (NE 1/4 SE 1/)28 T30N R19W) Birch Point Lot Parcel No: 28.30.19.806 HM on, 1.) Alt BM Description = /OF �"�') °` l[UJ kW A LowJ4- W . 1 it Q6t�JTS f 2.) Bldg sewer length - amount of cover = I$ `+ — ii 1,`-(,� Q �e, S . 5 w. 3 ) Jek A- fx) C-F�+ Plan revision Required? 0 Yes No N' 31 Use other side for additional information. _ 1 Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) —�� S( and lluiltlings UiNisiolt County - -� 201 W. Washington Ave., P.O. ox 7162 _ N vils-Consin Madison, W 1 53707 - 7162 Sanitary Permit Number (to filed in by Co.) l ( 608) 266 -3151 a to • Department of Commerce" Sanitary Permit Application sta Plan LD, Number In accord with Comm 83.2 1, Wis. Adm. Codc, personal information you pro may be used for secondary puiposos Privacy I'aw. sl5,ll4 1)(n� Project Addjc,ti!; (i1 d1flcicnl Than moiling uddress) D _. - 'a _ o ED �0 . 1, Application Information - I'Icarc Print All Information Property wner's Na a Parcel N Lot N lock N �''� 0 CT 1 Property Owner's Mailing A d ss Properly Location � � ST. CHOIx COUNT }' 71ty sta 'Lip Code circle L T N; K_ , I. Type of Building (check all that apply) Subdivision Name C9#4 -AlueF or 2 Family Dwelling - Number of Bedrooms - ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use ❑City_ ❑Villa e ship of 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System g p y B Y ❑ Trealment/Holdin 'Tank Replacement Only 1:1 (hher Modification to E xisting System B. [.-I Permit Renewal El Permil Revision Change of I I Permil'frunsfer to New List Previous Permit Number and Date Issued _- Below lixpirulion Plumber Ownei IV.'1' to of POWfS Sys 1e1_w Check all that a 1, Non - Pressurized In- Ground U Mound > 24 in. ot'suitable soil IJ Mound < 24 in, of suitable soil ❑ At -Grade (J Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground 111 lolding Tunk 11 Peat Filter ❑ Aerobic Treatment Unit 11 Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter VU-aching Chamber ❑ Drip Line ❑ vcl -less Pipe, Other (explain V. Dis ersal/Treatment Area In r ation Design Flow (gpd) Design Soil Application R c(gpdst) Dispersal Area Rcqui (st) Dispersal Area Proposed (s S stem Llevation Vl. Tank Info Capacity in Total Number Manufacturer Prefab Site Stecl Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass Now Lxisting Tanks Talcs Septic or Holding Tank Aerobic Treatment Unit KW Dosing Chamber VI1. Resp nsibili Statement-], the undersigned, assitid, responsib for installation of the POWTS shown on the attached plans. Plumb r' am (Print) Plumbe '' Si MI' /MFRS Number Business Phone Number Plut ber's Address (Street, City, Sta , Zip Code) VII 'punt /Dc artment Use Onl Sanilury Permit Fee (includes Groundwater Date Issued Iss g Agent Sign' c (N to ps) Approved 13 Disapproved Surcharge Fee) lT� 1. �f � r I ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval YSTEM OWNS � ✓` v. 0 ep lc tank, effluent filter and � d ' dw � �f .6 must all be service I maintaine a,4� dispersal cell J2G`7/l� � as per management plan provided by plumber. 2, All setb ack regui aln as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not teas t a 81/2: I1 1 ha A4 4 SBD -6398 (R. 01/03) �J i i l I ; I I - R i i Du o ? - z t , a �? a Wisconsin Department ofCommerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County � Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must 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. — p 9 Z ,26 Please print all information. ReviewedlOP Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 6 Property Owner Property Location Govt. Lot _ 1/4 _ 1/4 T N R �'(o Prope Owner's Mailing Ad ress Lot 13fock # Subd. Name or . 7 city e Zip Code Phone Number ❑ City Village f 2 Town Nearest Road ( ) A gZ New Construction Use: O Residential /Number of bedrooms _� Code derived design flow rate _ GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable General comments and recommendations: Boring # E] Boring Pit Ground surface elev. , , .,Q 3 ft. Depth to limiting factor >% in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2 J / e 4 o r- Boring # Boring Pit Ground surface elev. 3 ft. Depth to limiting factor =Z, in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Pont. Color Gr. Sz. Sh. *Eff#1 I - Eff##2 e i J4 / 9 9 " Efflueyit #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- ent #2 = ND < 30 mg/- and TSS < 30 mg/L CST Na / Signature CST Number ri Address valuation Conducted Telephone Number ' s Property Owner Parcel ID # ��Z� - (�L_ Page c-;;,2— of 13] Boring #❑,{ Boring Ll 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/fP in. Munsell Qu. Sz. Qont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 S'- 3 a � L l F Boring # El Boring 1:1 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/ff° in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eif#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- * Effluent #2 = BOD 5 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 -264 -8777. SBD -8330 (RO7/00) LOT 2 rERTIEIED SURVEY MAP VOL. 11 Pg. 29193 N88 ° W 960.00' 255.22' 375.44' 296.34' — 927.00'— �° LOT 3 LOT 0 2 LOT:i -! 3.32 ACRES 3.30 ACRES 4 .y 144,482 SO. FT. 143,751 SO. FT. 143,748 SO. W 3 DRAwArm ._RETENSION AREA O 0 8 N o) - \�. .............. ...... ....... ..........................'.... • A p,N -- n — 133.69' — — — — 296.31' _1— �y . y0� i S89 0 39'40 "F 430.00' ,- STREET- co � 0 0' _ 9 N89 ° 39'40 "W 430.00' �C _ I 145.00'— — — — 285.00' 6 J te M � + N>2 °39,3 � - -.- / J•' .,. • . T9 4 w C � �e l f al Wisconsin Dspartment'of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Lai-or and f ;iiman Relations Divion of Safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY " St. Croix Attach complete site plan on paper not t#lan J 1/2 x f hit n size. Plan must include, but not limited to vertical and horizontal r ta`te point (elys� dire d % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and loca ' tend distCe f�a st st pending APPLICANT INFORMATION - E SE PRIFiT,ALL,'O1,F0R ION REVIEWED BY DATE PROPERTY OWNER: '� ' PROPERTY LOCATION Dennis Erickson �A z'i ' f t GOVT. LOT 1/4 SE t /4,S 2g T 30 N,R 19 I*r) W PROPERTY OWNER':S MAILING ADDRE "' LOT # I BLOCK # I SUBD. NAME OR CSM # 143 St. croix Trl. ~... -'`� 2 na Birch Point CITY, STATE ZIP CO ❑CITY ❑VILLAGE MOWN NEAREST ROAD Lakeland, MN. 55043 6 -5211 St. Joseph 60th. St. New Construction Use j Residential / Number of bedrooms 3 (] Addition to existing building (] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate -7 bed, gpd/ft trench, gpol ' 8 ft2 Absorption area required 643 bed, ft2 563 trench, ft Maximum design loading rate • 7 bed, gpd/ft •8 trench, gpd/ft Recommended infiltration surface elevation(s) 96.41 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem JgS C] U I � S ❑ U ® S C] U ®S ❑ U ❑ S ®U ❑ S ® U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure ConsistencelBandary Roots GPD /ft in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. Bed Trertdt >_ M l 1 1 0 -11 10yr4 /3 none 1 2f P1 mfr Ics 2f nr. .3 2 11 -3 10yr4 /4 none sil 2msbk mfr aw .... ..:.:.:.. Ground 3 30-36 5 r4 4 w na .8 elev. 99.7 ft, 4 36 -8 7.5 r4 6 none s osg mvfr na n Depth to limiting factor + 82 Remarks: Boring # 1 0 -14 10 r4 4 none 1 • 5': .6 vn4 •i?'•i'•h »> 2 14- 2310yr4/4 none sil 2cpl mfr w if n .3 :. >a Ground 3 23 -3310 r5 4 none sil if r w if .2:: .3 elev. 4 1 33-82 , 7.5yr4/6 none s oscr mvfr 9 Depth to limiting factor +82" Remarks: CST Name: — Ple a Print Phone: U L. Steel 715-246- Address: 1554 200th Ave., New Richmond Wi. 54 Signature: Date: - CST Number: i PROPERTYOWNER Dennis Erickson SOIL DESCRIPTION REPORT Pa0e? of 3 PARCEL I.D. # pending r Depth Dominant Color ( Mottles I Structure Y I G iTrerxh PD /ft Boring # Horizon Texture Consistence Roots �BCed in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 3 1 0 -7 10 r3/3 none 1 2c 1 mfr cs 2f np .3 '`'` '' 7 -18 10 r4 4 none sit 2msbk mfr w 1f .5 .6 Ground 3 18 -3 10 r5/4 none sil lfsbk mfr gw if .3 9 66 ft. 4 33-41 5 r4 4 none is osq mfr gw na .7 .8 Depth to 5 40-90 7 . 5 r4/6 none s osg mvfr na na . ? .8 limiting factor +90" Remarks: Boring # 0 -11 10 r3 3 none 1 2c 1 mfr cs 2f no .3 4 11 -1 1 r4 4 none si 3 19 -3 10yr5 /4 none sil lfsbk mfr gw na .Z .3 Ground elev. 4 38 -4 7.5 r4 4 none is osq mfr gw na .7 .8 99 ft. Depth to 5 41 -8 7.5 r4/6 none s OSCF mvfr na na .7 .8 limiting factor +82 Remarks: Boring # .1 0 -9. 10yr3/3 none 1 2fpl mfr cs 2f np j .3 5 2 9 -36 10 r5/4 none sil lfsbk mfr gw if .2 .3 3 36 -4 5yr4/4 none is osg mfr gw na .7 .8 Ground 9 4 41 -8 7.5 r4/6 none cos osg mvfr na na .7 .8 Depth to limiting factor +84" Remarks: Boring # Ground elev. j ft. , Depth to limiting factor i Remarks: SBD- 8330(R.05/92) f STEEL'S SOIL SERVICE Gary L. Steel Dennis Erickson 1554 200th Ave. CSTM2298 NE4SE4 S28- T30N -R19W New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246 -6200 t lot #2 -Birch Point N 1 =40' BM.= top of NE lot stake @ el. 100' Ile 15*3 r To t V� Z- Gary L. Steel 9 -4 -95 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer A ywii % Mailing Address 2 3 3 0 44- - t d . -e G*. i - t' 4ViA SO r'1 , W ► Property Address p 132 .dam ey � VCL 1 G W t a� l (Verification required from Planning Department for new construction.) ODD City /State Parcel Identification Number L:, 2 gt r c�x 0 V,=k LEGAL DESCRIPTION g& Property Location N E '/4 , SE 1 / 4 , Sec. 2 e, , T 3 Z N R Tovin of Subdivision - Po vc� , Lot # -- . wed Survey Map # , Volume , Page # Warranty Deed # U5 1 - 7 Z Z ,Volume + lv Page # DS Spec house yes ((no; Lot lines identifiable ye 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. Owner maintenance responsibilities are specified in § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set f herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification ting that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department 30 days o�the a year expiration date. ��0' SIGN `APPLICANT DATE OWNER CERTIFICATION RTIFICATION Uwe ertify that 11 statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property des ibed ab e, y irtue of a warranty deed recorded in Register of Deeds Office /?o/ o4- SIG T OF APPLICANT DATE * * * * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** Include with this ap a stamped w from Register of Deeds Office and a co of the certified survey ma if pp p warranty deed om the g copy Y P reference is made in the warranty deed. i POWTS OWNER'S MANUAL & MANAGEMENT PLAIT Pag�,.,�or� 'FILE INFORMATJON SYSTEM SPECIFICATIONS' Owner Septic Tank;C.apacity 0 NA Permit # Septic Tank.Manufaoturerr �o M 0 NA DESIGN PARAMETERS Effluent Filter Manufacturer r °f'" 0 NA Number of Bedrooms _'Z? ❑ NA Effluent Filter Model 0 NA Number of Public Facility Units &NA Pump Tank Capacity gal ,$ NA Estimated flow (average) gal/day Pump Tank Manufacturer, .. , B- NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer' ZNA Soil Application Rate al/da /W Pump Model Standard Influent /Effluent Quality Monthly average' Pretreatment Unit '`` A Fats, Oil & Grease (FOG) 530 mg /L 0 Sand /Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L 0 NA O Mechanical Aeration O Watland' 1 Total Suspended Solids (TSS) 5150 mg /L O Disinfection 0 Other ?., t. , Pretreated Effluent Quality Monthly average Dispersal Calks) O NA Biochemical Oxygen Demand (BOD 530 mg /L Ja�In- Ground (gravity) 0 In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L 1,;i NA O At -Grade 0 Mound Fecal Coiiform (geometric mean) 510 cfu /100ml O Drip -Line 0 Other: Maximum Effluent Particle Size Y in dia. 0 NA Other. O NA Other: O NA O NA "Values typical for domestic wastewater and septic tank effluent. Other O NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every. ' monthls) "' (NO.0 M, 3 years) 0 NA ayear r „ ... Pump out contents of tank(s) When combined sludge and scum equals ono %) of tank volumes O NA Inspect dispersal cell(s) At least once every; M — � monthls) ` � 3 yews) 0 NA 0' ear(s) Clean effluent filter At least once every: O month(s) 0 NA l� earls) Inspect pump, pump controls & alarm At least once every: 0 D earls) yee s) NA Flush laterals and pressure test At least once every: p ear(s) (s) ,e' .�r�s t� , ,,�s: B�-hIA other At least once every O monthls► a 0 NA 0 ear(s) Other: O NA MAINTENANCE INSTRUCTIONS •t, vt 'cf� +ej Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing operator. Tank Inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of offluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to chock-for 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 IY or more of the tank volume, the entire contents of the tank y � accordance with hapter NR 113, Wisconsin Administrative shall Codoromoyed b a Septage Servicing Operator and disposed of In ao i e c W ^, N '. ` .' All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of aoy service ev ent. OMW 14 /01) START UP AND OPERATION P a a • 1 - 1 - 21 of 12-- For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemical;. that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will UL; discharged to the dispersal cell(s) in one large dose, overloading the coils) 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 tc 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 an mound p y and or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides;; scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83,33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings Healed. • 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 wits, soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, .to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area wiii 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,4nk may be installed as a last resort to replace the failed POWTS. - -- ite has net • bee evaluate "' i ntify a sui.table•, replacement ,..are* Upon falkif'e o h POWYS a s> artd sits a ation st be pgrform to loca. e a s.uitsble replacement a. If ' o r cement area Is available a o d g h I in to nk m be ' stalled as a resort to re e'the failed PO D Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must • comply with the rules in effect at that time, « WARNING>> - 1.1 :,,,...;); ., SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES, • DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTAL ` ^ Pr;r3,tt rt} POWTS MAINTAINER ' Name ✓ Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY NOMOT Name Phone Phone this document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &If) and 83,64(1), (2) & IT Wisconsin Administrative Code. t ' • ` VOL .168 PAGE 403 651772 STATE BAR OF WISCONSIN FORM 2 — 1996 KATHLEEN H. WALSH DOCUMENT NO. WARRANTY DEED ST. CROIX -, wi Erick Inc_ a Wisconsin Corporation RECEIVED FOR RECORD 07 -20 -2001 10:40 AM WARRANTY DEED oys ano warrants to Amy $ er an CERT COPY FEE: a n a EIEEMPT N conv J. Sofie Jr. CONY FEE: TRANSFER FEE: 180.00 RECORDING FEE: 10.00 PAGES: I the following described reai cstwo in St . Croix County, Slate of Wisconsin: Lot 2, Birch Point in the Town of St.Josep RETURN TO 30- 2097 -20 Parcel Identification Number (PIN): This is not homestead property. (is) (is not) Exception to Wevranlies restrictions and rights -of -way of record, ifany. Oaieditiis /�� !' day of July y0 2001 -- (SEAL) (SEAL) E ksmit nc. - - (SEAL) (SEAL) - Dennis W Erickson, President • r AUTHENTICATION ACKNOWLEDGMENT . f . Signa�urgj'sj " •• STATE OF WISCONSIN 1 o -r �� o? < w St Croix J ss. J s aupt J sP, Coun tj§fXP[his = day of ,ig I �� Personally came before me this _ ___�! day of July 1 2001 the above ed Dennis W Eric son, Preident ° a 'y.!► �eueesµ _E_ r - 1c - R — sm -- T - Un, Inc. TITLE: E DAR OF WISCONSIN _ fo'me, known to be the parson who executed the THIS INST Uy AUM - N 'r WAS. O 1h'Is. Stals.) : L insirumenl d acknowted theme d TH 1NSTL•7 WAS FiAPTEO BY J D ennis W Erickson 143 St Croix Trail, Lakeland, M 1F>%''`� r+ (Signatures may be s+utheniicatod or acknowlodgad. Both a•ho K � - County, Wis. necessary.) My Ctinittllsslon Is permanent. If not, state expiration ._date• � • Name) of P1110 s signing in any Capachy ahw.rl be rypod w printed below their stonaturM, S82 NTF 0021A WAAnANTY OEEq STATE BAR OF WISCONSIN Nalco. Irw_ P.O. Box 10208. Grden Bay. Wt 64307 -0208 Form No. 2'•• 1996 v � BIRCH POINT LOCATED IN PART OF THE NWI /4 OF THE SEIA, NEI/4 OF THE SEI /4, SWI /4 OF THE SEI/4 AND IN PART OF THE SEI /4 OF THE SEI /4, ALL IN SECTION 28, T30N, R19W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. ?_ACTED _ANDS N99'SY47'W 313.41' . 8 [,N Cow" i[CTIOR O O r� • N LET 2 M Z CERTIFIED _SURVEY_ t4 P g W �{ I O I N LyN i = I I LOT q' N89'33'47•W 960.00' 255.22 I 9.99 ACRES 376.,,• 1 , 390.03 S0. F2 — 927.00'— • t I 6 N LOT 3 LOT 2 O; '1 3.32 ACRES LOT I 3 + 144.492 f0. 72 0]•751 0. % , 3.30 ACRES _ J O MS 60. IE I lJ' p' y • Z � —.I m ZI ��• 'I W d S � R mop. I f OT 5 1 M I 8 .' 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