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HomeMy WebLinkAbout030-1093-10-500 ' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix 'Safety and Building Division INSPECTION REPORT Sanitary Permit No: 395144 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: Junker, Jim St. Joseph Township 030 - 1093 - 10-500 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 6 Benchmark ' /Q Z Dosing Alt. BM '5—/0 Aeration Bldg. Sewer Holding Ht Inlet q /., o TANK SETBACK INFORMATION Ht Outlet , TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > Dt Bottom oa 6D �Sd Dosing Header /Man. t� Aeration Dist. Pipe olding Bot. System Y P2 0 PUMP /SIPHON INFORMATION Final Grade acturer Demand St Cover G Model Number TDH TT7- -- " '- F riction Loss System d TDH F Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM I S S 1 `. BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 13 -7b " Z SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM L ACHING Manufa urer• 4^ INFORMATION HA B OR Type OfS�ys~tem: ' (, > /S--O ModeyNumber: f DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake / !/ Pipe(s) Length Dia 7 Length 312-.5 s Dia Spacing 7 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 Bed/Trench Edges Topsoil Yes [W No � Yes ❑ No 1 COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:/ Z7 / e'L Inspection #2: Location: 487 Perch Lake Road Hudson, WI 54 (NE 1/4 NE 1/4 32 T30N R19w) NA Lot 4 Parcel ' No: 32.30.19.340840 1.) Alt BM Description= G� S iin5 / o: / p( r`) 4 we al y�y� 2.) Bldg sewer length =-<, r �' S.� hem �; � �Cc l� let e, �e, gq etd ` amount of cover = 6 "Id i od ) 6 fj pl " er LV r`ws {� l� i,.iw� n. l� Soi / 1/s6 f Z7 /.- G :►� 3��Ibse� r��O�s %tis D ]0�01� fJ S Plan revision Required? Yes [k NNo Use other side for additionaVinformation. Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) Sanitary Permit Application Safety & Buildings Division Washington Ave. Wa � ' In accord with Comm 83.21, Wis. Adm. Code 201 W. PO Box 7302 1*6c See reverse side for instructions for completing this application Madison, WI 53707 -7302 Personal information you provide be used for secondary purposes Department of Commerce [Priyacyw, �: 15.4( })(m)J (Submit completed form to county if not state owned.) Attach complete plans (to the cou copy-only) fol the systqh,,Ap paper not less than 8 -1/2 x 11 inches in size. County VState San i P ' Number ty. ck revrs}gn previous application State Plan I. D. Number I. Application Information - P se Print all formation l Location: Prope vner Name ? Po 01 A Property Location ' ST 1/4 1/4, S T ,N, R 9�- (or Property Owner's Mailing Addddress �'ONttVG O11:111 � Lot Number Block Number 2 � ,�/ c City/Sta Zip Code }' er Subdivision Name or CS IJ E S� ( ) 8 ( v. I r�P ��J II. Type of Building: (check one) ❑ city I& I or 2 Family Dwelling - No. of Bedrooms : ❑ Village ❑ Public /Commercial (describe use):_ 0 Town of ❑ State -Owned Neares Road 2 3 �S 1 P " Tax Nu �r -. 1 —5-220 III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) 20 Q A) 1. ff New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. — ddition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ! . F X Non - pressurized In- ground Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: , e 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate X. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ s ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the un rsigned assume responsibility for installat' n of the POWTS shown on the attached plans. Plumber 's a rint) Plumbe 's Si r no tam 7 MP/MPRS No. Business Phone Number P umber'srAddres treet, City, State, Zip C de) IX. County /Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issu1 Agent Signature (No stamps) A pproved ❑ Owner Given Initial Adverse Surcharge Fee) a p Determination I X. Conditions of Approval /R asons for Disapproval. Mk - tom C' �s SBD -6398 (R. 07/00 -" EP,oS 1 cN AA4- & -27337 W;consin Department of C ommdree $ ALUATION & R EV 4blon pf S 9 'Safety and Buildings R Page 1 of 3 s� in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper notless than 8 1/2 x 11 inches in size. Plan must lnclude, 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. Pleasid6 int all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location T ty > }ME �rUD oR1� l-� Z �� 6evt -- W Nf�: 1/4 tie 1/4 SSZ T 30 N R 19 E (or W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# lLI Zb. 3 1 Z Z 5 �'�- - oS� Csn-r City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road - 7'j\ - LTL - Lf� kj l tiU I sql e9 IS) as 7 - 6 s o sT �sC� L� r 1ZeH l.►�k� 2n. New Construction Use: 2 Residential / Number of bedrooms ? Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material C L L 0 V 1 Flood Plain elevation if applicable N 1Q ft, General comments and recommendations: Z, - r4M) -1ZJb 1i IGH CPMIF�QtT`f S 1 flEk)WD M Leftelq- C1•}*JaeQs , 13 cTTp1y OF ° L- L-LL.S 1'0 a Boring # ❑ Boring pit Ground surface elev. g 3 S •O ft. Depth to limiting factor ? Z$ 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 Si 1 z 'RS blz 2 9 - �lo ti�`tR316 — si Zm t cw 3 q0 -q IOKfZ alb — si 1 1cSbk `F ' " ",cs . z. -3 tl8 -� Z.S`i231 — Sd6� O S9 X, "I 1. Z �V F -11 ❑ Boring P Boring # pit Ground surface elev. g 3 � -� ft Depth to limiting factor in. 0 ) Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence —.Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 C) - 9 I � t — s i � Z, b `Fi-- c S. Z °I -�0 ► p`'I 2 31 b S i 1 Z- M S i. c!.>J — . 5 • `d 3 Flo s 1�`i 316 — s11 1 c S bk �s _ • Z • 3 4 S - ) a '�- S�2sty - SdGr• v s m I - - L -Z Effluent #1 = BOD > 30 < 220 mg/L and TSS >30. < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sign to CST Number Arthur L. Wegerer 01-$5 � 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. 1- St. River Falls, W I 54022 715 -425 -0165 r ' 4 - Property Owner -�y��) �'LL312 Parcel ID # Page 2 - of 3 F- Boring # ❑ Boring �a ® Pit Ground surface elev. V �3 �O ft. Depth to limiting factor Z-6 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz In. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 0- 10 `t IZ 31 Z 1-Z m'fl c S . S 3 y -tY IbvilL 3A, 10 6Z h, �!^ C S - - L / qn 12� a 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 ❑ 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 I •Eff#2 F Effluent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608- 264 -8777. SBD -9330 (RAW) r PLOT PLAN Page 3 of 3 w* Scale 1'= WD' 0 �b g.Z / i n : S•3 1g � 1 0 • CS / PM-LrH F R- �"- �� �"kC RD, • c6 Lb7 Z , L 40 Al4 - 2 � 831 - u oN 3 �� �A eve r L4_1ct p 715- 425 -0165 220254 O l - - CST Signature Date Telephone Ito. CST No. Job NO. - - _ _ _ __ �, � ` a v � �� � �� �� � � _. M � �` ��, �� � "� _ , _- _ _ __ _ o �' _ � � � � � N _ �. �� _ �a -� � � -� � �. � �� ��o � - \ � �� s _� ,� -- oYy � , \ � ��� �� �, � �� � �� �� � - �� -� �. � � i � � _ _ �� -� � � \ c � --� \ 1 _� M ® '`� i I 4 , f - - h 1 V .......... _ r i I i i t, • y 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 Design Specifications Sanitary Permit Number 57 Ll Number of Bedrooms Design Flow - Peak (gpd) 0­0 Estimated Flow - Average (gpd) 24 t Septic Tank Capacity (gal) Soil Absorption Component Size (ft2) z Type of Wastewater Domestic Table 2: Soi Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorp ' n Component Design Flow - Peak (gpd) Z 2 Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect 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 sep ' d outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filter all be cleaned as necessary to ensure proper operation. The filter cartridge shou not be remove un ess provisions are ma e retain s` of n the tank that may slough off the filter when removed from its enclosure. If the A 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 tightness 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- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior 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 Absorption 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 occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's 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 i r + i 2 F tv.. � - ^�� t. v + _ �^". t`^I.�.'�vy r �..`b c yA h• . � �I Tt 7 ��^ ,;�.fl So-'�Y'3. �\ � '\.r�R�''.� z9...� � F,•i , a 1�;��..h,:,t, \,�, '�i t I �2��,a �,2- x r �;• �t.'c��F'•' �,<��;'^ �,.�n� 1 !�l' l r�1+! n • ..� F` r C o ( Y ^ '1 IleJ• tab Y f �` n nY�-i 1 )1 �.'Z w � N .t` r }-�. e•r �� �� \v �� sMn.c +„ t��,.i• 5 ��v3'^ v r.t ,3 �;��- ^Ss'v+ ` ry^: l +�����1 l � w 1 _ Z o� DZ' t •.��S v •£, e.l�� 1 1v � ( r • �Z� � q I � �rl 1 "�t',�- �1 -�,�i �-.ti� X �.�._�...� " � • W . d .�+g+"' r -. ��;"n � awv t f'� i \'S .C' f,, t q �< S.. � :Lh .J,td. yn � Y'.. t°. � "`.X a•F h, ,_ ". .w'•�. \'i.��l�l` 11 lJ^1� fY �Z F. i D� T l "L �t^� ����..,I��y`�^'4 �r� -+`�C� - .•S�I�Y��_; rl� '1�1_R .-� lt�t'J RR"`F`:aw.,1��yS.`.�J 1 �I�t\ � �1� Ij: A.:. � y e t Tvc1� Y 1va1 �� ll� � tii;� \ C'r` <• ��_'.�..�.1 C"���r � t 3.�. ( `' l � �:�`tn il,� �,o��� 1� �el�� T �1! Y - :t. r Y IY)V; {1M /^' ib - r - r t..r.J H �t,�c� ,.y ^t;r: �'•' v � µt j �,+ "�- t 'h � i r y tt>r t �.. �` i �,.N^l+,1 - i 1 I�r�"s�i t.:)• �1 r� ,j�. alw • 4`<<F�µ� 4�e)fIIC' [4�Fy �� i..u,Ch�{1v.yl y �Ew\ I � ..k�t c117_.. t �1'q,Y �"^. t �'�k '1.;F t`�`^ )'T �i'p1t �t �+\+•. 5 w A c �t 't+ t��.v«.t �.+r t .., F � J I 1 1 1 (� 1 M'. Y� 11 (( ''••S'[ 1{ G I 11 � �y. \ G � �K - .• i�.,V•� x+ in\ - �G _: �1V M�5 `NW�F �'" r' ^�A \. T �ti^" } J'� � �>�`WT y��.pt� a,.Z..a��-v�. W. h .. .£ v )')\ �+Q'r.Yh. '� lY ? L :. \ � r � y 2 ^ \ Ae, 1+ + .rw.L, h C ,.-,,. r'E .._ n < \ �+�.y �v ' r r� { „�` ��, \ ` �� "1' �A , � , \ r'E S£»» 2' � '� • ? `� •T'"' � �'e -S ,� .< �... 'n, r Y f i' .'' - n'�:^`v",.'�k�Jt'" �. i� � '^"`. .:.,, r - �x: ,K ..>;;e� f : N, ? ...�tf�, > ��m S'l " kxr�d.�wiY ��Y�?br�wnc „ : �'S7et.:m>•�� ::o; �h.an4]C:�c�i'L~t.. -.. �tt',4.�r.�.ws � �.�.v'.:;'S Y v x,F :• .�... � • . 1 1 n 1 I ' 1 � 1 1 • I 11 r r • 1• I • 1 1 ul . i I r I r • r • r r • 11 r r r 1 � • • 1 r r • • • • r.., II •. 1 r •• r'. II • r r • 1 • 1 r : � r •1 '. ( (' 1 r • r 1 � �• 1 � •1 r 1 � •. 1 1 / • 11 I 1• • r J r • r /- r l 1 1 • 1 1 r 1 • 1 b r S v.) W I� CI itch buff -D m 4n r� rch 1-.4 ke 1� cxrcl Rock serf ; me„ t. Ir P IOD ... � � l 3 O n �` o -Z s s" 4 rn 41 Lh q I I argdej 4r�•4s . Usc e - rnq glc,hl JrlVe.,kAj Cjjfc, �, �p 2.� J 1 ��, -•fir' l. (s r S ►'� 4n � �P 9D t) S e c� G� 1^4 I x'14 �j � Cw& appropriate bases below. and mmpkte the site diagram with neorasaty iatormation: Site tics Q North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. a 0 Location of cslsting dratuagoways, strums, rivets, lakes, wetlands or Wells- 0 H Location of storm scwcr inlets. Qf nee gradient and direction of slopes Wore grading operations. The dient and direction of slopes after final o bons. !lam �� � pet Q' Location of cdsting and proposed buildings and paved antes. [/ 0 Overland runoff (sheet flow) coming onto the site from adjacent areas_ Fr MW Lbnagi Practices 13' O Location of tempowl soil storage piles. Note: Although not specifically required by 004 it is rawmmended Amt soil storage piles be placed behind a sediwast fence or more than 25 feet from any downslope road or dMLwgeway& l/ Location .of gravat access ddve(s). Note Recommatded gravel drive design is 290 3 Inch aggregate stare laid at least 7 feet wide and 6 indrra 50 cot or to the house undadi Whkh third, Drives should extend from flu roadway f jo m ever is less). ) [/ tie Location of sediment fences filter fabric fence, straw bale font) or vegetative strips that will prevent eroded ( soil from lcavittg the sits O a Location of sediment barriers around an -site storm scwer inlets. O a Location of diversions. Nore. Although not specifically required by Cede, It is . recommended that cons eaMted flow (drainageways) be diverted (redirected) around distrrbed areas. Owrland runoff (shed flow) —/ from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. GX 0 Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note Such practices include malwaining existing veguattorr, placement of additional sedbnent fences, / diversions, and re- veWrtadon by vl sawing or by seeding with use of erosion conm mats. a 0 Location of practices that wilt control erosion in areas of concentrated runoff flow. Note: UaW4bU&W dra&tageways, ditches, divosion4 and inlets should be protected fronn erosion duo* use of such ctices inlhaunel abric or straw bale barriers, aysion conW mars, staked sod, pm as f and rock Rp .When useq a given in-<hanad barrier should not receive drainage from more T han two aura ojunpavrd area, or one sac ojpavcd ama. In-Oannel practt ees should VP_s be installed h permnial rmeems O Location of other planned practices not already noted. Indicate mmagrment st=9W by checking (W) the appropriate b= 00/ NWaagMent Suaboda O M" Temporary stabUiation of disturbed areas, Nate Although net speafic required b Code, n i$ recommended that disturbed areas and soil piles Je t inaetive for extended periods of time be stabilized by seeding (between April Ist and September 15th), or by other cover, such as Carping or mu l c hi ng . Permanent stabilhation of site by rc�vegetation or other mesas as soon as passtbla 0 ❑ Use of downspout aaftr sump pump outlet cumiouL Nate: Althou not S pecifically tea/ u' teed b it is rreomtrt 8h pe�f � ended that ow 4' nQ Y � d and au Il h� Pou tap pump outlets be ro[[[ad to stable arras such as established sad or pavement: 4 Trapping sediment deft de.raterW operations. NOW Althauglt not apsCJicatly requkW by Cady it is recommended that Mediment-ladm discharge wend' frmm / PumnPing oPffadow be ponded behind a sediment barrier weffl most of the sedlmtot sealer ottt: f� Proper disposal of building material waste so that Mutants and debris are not tamed po oit4lte Maintenance of erosion control practices, Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the baniees height. a Breal s and gaps in sediment fences and barriers will be ircd Immediately. tely, D000mposing straw bales will be replaced (typical bale life is three months). All sediment that moves off-4ite due to construction activity will be cleaned up before the and Of the same workday. • All Sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Gtavel access drives will be maintained throughout construction. All Installed erosion control practices will be maintained until the disturbed area they protect are stabilized. ^t..a;1:,: >nR., x "' yx,.vf. ; :,, x...:�.f :i„ .ly ::'S�•;'... .}�,:ai" Y��y' ":'K••.`! .`s:& \ '¢ °f :;T. .:.'}.:•• v ..,.. ^: �, ,) �, .•� • �:. 4 : :��. 2'My }� Y? k2 yI,• ,'� <: , �•� `X a. e7fr'2 i ++�§.' :ia1'+ :,:w .•>...a �. 'iu .ns �'�� '➢. ,.s}e. ••,: � w"' } ". •�• :ti'�. •.Jrvz��.'•,� •e:. wti.:.•, y :o- e>,•e. �e• to . .... erstan, 0 .. - Alte itc Olf : MICmrosiou '� ti" r }. . errbde ,d :iltac"iacoept�2ponsitiillM ° ford 'n ovtitli "�ae b .,! ., :� :... ? e,.� ..F.\ •J. !'.a 1..•: y2. '• :'::1CYk::•:• n ii2 }' :. : y. :,~'i.•','' "'� A•Mit:< .2. •: .. . .T v w s ::: Kp••n..v .,e..b�•, :.°Trao, a` '�<• �. ` ,.. � <, `:dK � \. 2 ��.. • ^ e Ott :.i�'„t.•. .. 2 •.. 2.:•.' .e:. >:: V,. �•r>. .. � `,, i a zi , '>n�•, i�' y x'`w v.,"N3, ..:, � � � � ^•i &i�.i :lt't,X 3, ';.;� •• . J,.y' ">:i' A �,., . 'R. • y, ,.. `.. J. A b uaattan Per of t he 0 University Wisconsin- F�etrsi Rat Steers$ f art, , UWF.X Water Qrealrty Education SpecmCrst (12!91). 7 t publication may be frerJy duplicated Additional copies are available Mmugh the UWF.X EAvtronmoual Resouma Gate►•, 216Ag.Xfall, 1450 Linden D►ivt; Madison WI, 53706. 6O81262.3652 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND / OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Add ss 4S © t� r Verification required ) en or new construction City /State I bt Parcel Identification Nu ber 03 LE GAL DESCRIPTION ' � I operty Location ' /a, ' /,, Sec, z , 'f -RZ�LW, Town of Subdivision lot Certified Sury ap # �o���a( ,Volume ,Page # Warra Deed_# (e , Volume l�O , Page # Spec h use O yes k (no Lot lines identifiable �0 yes 0 no SYSTEM MAIN Improper use and maintenanceof 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 wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (i1' 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 stating that jthr�ee eptic syst as maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of -th`e year ti on te. APPLICANT OWNER C RTIFICATIO c rtify th atements on is orm are true to the best of my (our) knowledge. I (we) am (are) the owners) of the ope described y virtue a arranty deed recorded in Register of Deeds Office. I ATURE APP AN( — DATE * * * * ** Any information that is mis•re resented may result in the sanitary •••• *• P y ry 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 i rl?.. 18 i 0PA;5E 571 r Document Number WARRANTY DEEP 649767 KATHLEEN H. WALSH This Deed, made between LLOYD W WALDROFF and JUNE M REGISTER OF DEEDS ST. CROIX Co., WI WALDROFF RECEIVED FOR RECORD husband and wife, 06- 28-2001 11:50 AM AND JAMES L JUNKER and DEBORAH G JUNKER Grantor, WARRANTY DEED EXEMPT M 17 CERT COPY FEE: husband and wife, as survivorship marital property Grantee, COPY FEE: TRANSFER FEE: Witnesseth, That the said Grantor, for a valuable consideration of one PAGES: FEE: 10.00 dollar and other valuable consideration, conveys to Grantee the following PAGES: 1 described real estate in St. Croix County, State of Wisconsin: This homestead proper FHUDSON Retur Address Together with all and singular the hereditaments and a ALL appurtenances thereunto belonging, And Grantor warrants that the title is good, STREET indefeasible in fee simple and free and clear of all encumbrances except 54016 easements, covenants and restrictions of record, as of the date of the original Land Contract and will warrant and defend the same. PART OF THE NE 1/4 OF THE NE 1/4 AND PART OF THE SE 1/4 OF THE NE 1/4 OF SECTION 32, T30N, R19W, TOWN OF ST. JOS ' ST. (Parcel t 30 93 1 030 - 1 0-100 CROIX COUNTY. WISCONSIN FURTHER DESCRIBED AS: OT OF 030-1094-30 CSM FILED IN THE REGISTER OF DEEDS OFFICE FOR ST. CROIX COUNTY ON JUNE 20, 20011 IN VOLUME 15, P AGE 41 1 1, AS DOCUMENT NUMBER 64 THIS DEED 1S GIVEN IN PARTIAL SATISFACTION OF THE LAND CONTRACT IN VOLUME 1173, ON PAGE 302, AS DOCUMENT NUMBER 542466. Dated this day of 20 v J LLOYD W WALDROFF Y* IVKE M WALDRO F AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN COUNTY OF ST. CROIX authenticated this _ day of Personally came before me this'll of' J `rQ 20.0 J the above named LLOYD W FF atui, JUNE M WALDROFF t s rr v v signature to me known to be the persorjq� e:pc tedJheforgoing instrument acknowled e" �s e. " W type or print name '� 0 TITLE: MEMBER STATE BAR OF WISCONSIN signature pr - type or print name (If not, authorized by §706.06, Wis. Stats.) Notary Public ST. CROIX County, THIS INSTRUMENT WAS DRAFTED BY MY commission is permanent. (If not, state expiration date. Robert F. Wall 'Names of persons signing in any capacity should be typed or printed below their signatures. . f . SURVEYOR'S CERTIFICA "f E I, Douglas J. Zahler, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Jim Junker, I have surveyed, divided and mapped part of the NF,1 /4 of the NF, l /4 and part of the SE1 /4 of the NEI /4 of Section 32, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin; Described as follows: Beginning at the NL corner of said Section 32; thence SO 1'43'44"W, along the east line of the NE 1/4 of said section, 1402.03 feet to the northerly right -of -way of County Trunk Highway "E "; thence N76°25'42 "W, along said right -of -way, 287.04 feet to the south line ofthe NEI /4 of the NEIA of said section; thence S89 ° 51'10 "W, along said south line, 642.60 feet to the southerly right - of -way of said County Trunk highway "E" being a point on a 5789,58 foot radius curve, concave northerly, whose central angle measures 0 °10'01 ", whose chord bears N75°23'07.5 "W and measures 16.87 feet; thence westerly, along the arc of said curve and said right -of -way, 16.87 feet to the southerly extension of the centerline of the town road (Perch Lake Road); thence N04 ° 58'00 "E, along said centerline, 1131.25 feet to the point of curvature of a 202.50 foot radius curve, concave southeasterly, whose central angle measures 58 °47'37 ", whose chord bears N342 1'48.5"E and measures 198.80 feet; thence northeasterly, along the arc of said curve and said centerline, 207.79 feet; thence NO I ° 09'06 "E, 36.49 feet to the north line of the NF 114 of said section; thence N89 "57'36 "E, along said north line, 769.36 feet to the point of beginning. Parcel contains 27.657 Acres (1,204,729 Sy. Ft.). Above described parcel is subiect to: right -of -way for County Trunk Highway "E", right -of -way for town road (Perch Lake Road), and all easements of record. I also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully compiled with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the Town of St. Joseph in surveying and mapping same. of w /,S S & Douglas land Surveying �S 2145 * DOUGLAS d, y2 2920 Enloe Street * S 21 5R Hudson, WI 54016 HUD N, W[ . ,1 Each Parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e.. wetland, minimum lot size, access to parcel, etc.) Before purchasing or developing any contact the St. Croix County Zoning Office and the Town of St. Joseph for advice. �AI'i O p � 0 VOL. 15 PAGE 4111 �� £dM �cnz N 1 f 648881 s FILED JUN2020 31 PM40 H.1d4SM VIA p�tetdoeadt CERTIFIED SURVEY MA LOCATED IN PART OF THEN 4 OF THE NE1 /4 AND PART OF THE SE7 /4 OF THE NE1 /4 OF SECTIO T30N i R19W , TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. OWNER: CURVE DATA TABLE (ALL LENGTHS ARE IN FEET) Curve JENNIFER HALLET Number Length Central n earn Chord Arc Tangent Bear ng ang Bear Length Length Tangent 1n Tent out PREPARED FOR C1 5789.58 00 °10'01' N75 °2307.5 "W 16.87 16.87 S75 °18'07'E S75°28'08 "E JIM JUNKIER C2 202.50 58 °47'37" N34`21'48.5 "E 198.80 207.79 N04 °58'00 "E N63 °45'37 "E 1416 -3 12 STREET C 5639.58 00 °16'26" N7(°1729"W 26.96 28.96 N76 °25'42 "W N76 109'16 "W TURTLE LAKE, WI 54889 C 169,50 85 °4744" N47 °51'52 "E 230.75 253.81 N04 °58'00"E S89 °14'1 6"E C5 396.00 30 °4938" N °20 '55 "E 210.50 213.06 S89 °14'16 "E N59 °56'06 "E SCALE IN FEET 1'= 200' M�1pdQ_ti 4_l�D_�1MD� 200 O 200 OVEHIET) __OO_4_GJC�G_p_� N1/4 COR. NORTH LINE OF THE NE1 /4 — 2662.52— W o sec. 3�� ' N8!StW' 6 "E 769 i Nes_57'ss 'E N I 1893.16' — 271 16'� _ _ NE COR. I w a N01 °OS,06„E S89 °14'16'E 14.61_�:�C`'� 160.07' . EC. 32 i z o *- 36.49/x` �' 188.70' y 127.91 W ¢ �/� W �o �, 0 18'± a o o:, w LU �z��'� T4 Z J LOT 3 90 ACRES �^ i c �in (321 Q �i a 4.882• CRES , 5 SO. FT.) INC. R/W c�i 1 C0 % 7.083 ACRES M (�o a a ; (203,942 SQ. INC. R/W $ `�1 (_wj log N o 3 991 . AC !367,648 SQ. FT.) EXC. R/W '� 01 �"+ h (173,848 SQ. FT.) EXC. f /y■ 33.04': 442.70' N 0 1 �i W i ; ' > 111-474 475.74' i n' LOT 2 0 g 3 al l 1 �� ■ CNI a 1 1 � 4.133 ACRES BENCH MARK: TOP OF 0 1 �? 0. H $ Z N (180,041 SQ. FT.) INC. R/W IRON PIPE, ELEVATION d' I 1; 6. i Q g 1 • 1 � 3.815 ACRES � 831.4 ey O 1 c �i � $ (166,201 SO. FT.) EXC. R/VV Ln A + =o n a Oi W j 6 N800t72'00"W g SS �N 09 n' N D6'V66'JOINT 69�IpgN1 aiQi NOTE: D EWAY EASEMENT, . 8 LOTS MAY BE SUBJECT 50 2C'' 328.35' 1 TO FUTURE SPECIAL S69'53'62"W 378.55' ASSESSMENTS FOR ANY Ste! pO UPGRADES AND c7 IMPROVEMENTS TO THE �j ROAD. LOT I a n c) M 11.452 ACRES co a CD p (498,840 SQ. FT.) INC. R/W n Z C Z 9.879 ACRES w ^pleb 2 (430,320 SQ. FT.) EXC. R/W \ '`is, o LL O w Lu z \ r \ SOUTH LINE OLD °� ■�■ uC. Q ` N>s: .�1 /4 OF THE NE1 /4 2542 � 615 J r LEGEND N89 "W 642.6& FOUND ALUMINUM COUNTY �� C 4� - w Z87 SECTION CORNER MONUMENT ' `� ` ` ■ 1 FOUND V IRON PIPE O SET V X 24' IRON PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT ' • ' ' ' ' ' .. ' ' • . ROADWAY SETBACK LINE (100 FROM RIGHT -OF -WAY) ~ 75' SETBACK FROM THE ORDINARY HIGH WATER MARK (O.H.W.M.) INo ` �-- PROPOSED DRIVEWAY � a c 0 o EXISTING FENCE N 11 1 oIr THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO, 6005 -01 DATE: 05/172 SE C 32 2 001 tn� C VOL. 15 PAGE 4111 S1„IED 648881 FE'AUG 2:9 s JUN 2 D � 3 Krd� d� ' b 1 guivvEy CERTI LOCATED IN PART OF THE NE1 14 OF THE NE1 14 AND PART OF THE SE 1/4 OF THE NE1 /4 OF SECTION 32, T30N, RI 9W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. CURVE DATA TABLE (ALL LENGTHS ARE IN FEET) OWNER Curve Radius Central Chord Chord Arc Tangent Bearing JENNIFER HALLET Number Length Angle Bearing Length Length Tangent in Tangent out C1 5789.58 00 °10'01" N75 0 23 1 07.5 "W 16.87 16.87 S75 °18'07 "E S75 0 28 1 08 0 E PREPARED FOR C2 202.50 58 °47'37" N34 0 21'48.5 "E 198.80 207.79 N04 N63 0 45 1 37 4 E 1416 --3 3 1 1 /2 S JIM /2 S TREET C3 5639.58 00 °16'26" N76 °1 7'29"W 26.96 26.96 N76°25N76 N76°09'16"W TURTLE LAKE, WI 54889 04 169.50 85 0 47'44" N47 0 51'52 "E 230.75 253.81 N04 0 58'00 "E S89 0 141 6 "E C5 396.00 30 °4938" N75 °20'55 "E 210.50 213.06 S89 °141 6 "E N59 °5606 1 E SCALE IN FEET I"= 200' MM G°pU77132 MAHN 200 O 200 OC�It H[910 Mv @UNIEM N1 /4 COR. 2662.521- NORTH LINE OF THE NE1/4 / SEC. 3 N89 0 57 ' 36 " E 76 w Z N89 °57'36 "E - NE COR. 1893.16' 271.16'- - --338.13 C 160.07' • EC. 32 O U v " S8 14' 16'E 14.61 N w �, N01 °09 06 E 186 ,/ �- .70 127.91 w co b 36.49'/c, / /- Z0� CA) . LL w m ; .64 ACRES .49 ACRES a: O i O.H.W.M. 818.4 w It Q O w °� i � 11 i CP-i POND �bT 4 N q� Z � o LOT 3 a 7/390 ACRES OD 5 SQ. FT.) INC. RAN u) Q � Q �/ �/ i r' -' 4.682 ACRES ' N (32 7.063 ACRES fO ul @11 I Q t' Ifs t (2p3,942 SQ. F'`1; NC. R/W ! 067,646 SQ. FT.) EXC. R/W m CC,,), �I I Q I N ) 3.991 ACR E y a 1 2 1 Q V I (173,848 SQ. FT.) EXC. 2 0 .0 1 33.04' : 442.70' m 8. o (5 i I �'i 1 1 r y o 0 0 1 QO 1 ; !- N87 °4748 "W 475.74' o N '° I i I W w '' O gig O a I �' '� g : LOT 2 c 3 I �� i n BENCH MARK: TOP OF O �I C� m 4.133 ACRES IRON PIPE, ELEVATION ! r � 1 CL ° O I I N N I 1 C L r° I IM; �; i HIo Z 3.815 ACRES 1 (t 80,041 SQ. FT.) INC. RNV �i 831.4 iv 1 Qo I l o N N v r• I al � ; (166,201 SO. FT.) EXC. R/W cn p q ° lUnl �} c co -Z ci ; I N85 " 00 \ Cr�2' 12 to AU 6 17.00 5� i CL DI i y N .56' 66' JOINT s6 g °0 8 3 1Ln�fJ IVEWAY EASEMENT �� -1. ! n I I NOTE: d 328.35' 0 d �I LOTS MAY BE SUBJECT I ih 9 °53'52 "W 378.55' N TO FUTURE SPECIAL to �I OI ASSESSMENTS FOR ANY O UPGRADES AND 0 IMPROVEMENTS TO THE b : V�� LOT 1 v ROAD. o N 't ?jc\1 11.452 ACRES v w t : (498,840 SQ. FT.) INC. R/W Z Z 9.879 ACRES w S (430,320 SQ. FT.) EXC. RM/ w t��tS Z \ � ---- SOUTH LINE OF THt' f 1/4 OF THE NEi /4 u N7g" 2 ►N� =5, y a' ug P ILO - - - -- 4 528.09, H89 %V 642.` ` 8'° a - 14 + - LEGEND FOUND ALUMINUM COUNTY �� ��� ry ry \ �• 1 • SECTION CORNER MONUMENT FOUND 1" IRON PIPE O SET 1 X 24 IRON PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT • • • • • • • • • • • • ROADWAY SETBACK LINE (100' FROM RIGHT -OF -WAY) b -- -- - 75' SETBACK FROM THE ORDINARY HIGH WATER MARK (O.H.W.M.) ;I� PROPOSED DRIVEWAY TIN EXISTING FENCE � 1/4 COR. THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6006 -01 DATE: 05/17/2001 SEC. 32 VOL. 15 PAGE 4111