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HomeMy WebLinkAbout030-1095-90-117 Wisitonsin °Deprrtment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 506137 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: Jenkins, Ronald St. Joseph, Town of 030- 1095 -90 -117 CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range/Map No, Ir> Q I e,'S Z 32.30.19.348D2 TANK INFORMATION n ELEVATION DATA TYPE MANUFACTURER .+J S CAPACITY STATION BS HI FS ELEV. Septic +� S Benchmark lJee e$ cst 2.3 94.75 1#.41 Dosing Al . e51-- �/ b 17. .z5 Aeration e} T, u - �� �r.. C; «r�S Bldg. Sewer J Holding St/Ht Inlet S. q�. �$ t • v 7 TANK SETBACK INFORMATION St/Ht Outlet S. TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > � r Dt Bottom Dosing 1V Header /Man. r •�� o' • �, Aeration Dist. Pipe Holding Bot. S stem Q Final Grade IV PUMP /SIPHON INFORMATION �� 3.1 S Manufacturer Demand St Cover 5 ' ZS G M rr;1 0 Model Number TDH Lift Friction Loss System He TDH Ft �t2 ( / r WDepth Forcemain Length Ia. Dist. to Well J SOIL ABSORPTION SYSTEM BEDITRENCH Width i Length ! N . Of T nche PIT DIMENSIONS No. Of Pits Inside Dia. DIMENSIONS 1_ $'• 75 Z f SETBACK SYSTEM TO `P P/L J 6 LDG IWELL LAKE /STREAM LEACHING Manufacturer: Z INFORMATION e Of System, CHAMBER OR T Yp Y roc. 1 y � � +� j � UNIT Model Number 64bv%Je-.�O�� 1 DISTRIBUTION SYSTEM Header /Manifold , Distribution x Hole Size x Hole Spacing Veto Air tak /z �J Pipe(s) \ d Length Dia Length Dia ` Spacin SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over / Depth Over xx Depth 1 xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil / s Yes No Yes ?- No i5 I COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: ! l+� 7 Inspection #2: 1 I Location: 446 Rolling Hills ane Hudson, WI 54016 (NE 1/4 SW 1/4 32 T30N R19W) NA Lot:3 Parcel No: 32.30.19.348D2 1.) Alt BM Description = ; `� �� Je.,, T:pl G,�- P. tu, t (Q.Vj 2.) Bldg sewer length= - amount of cover = / EZ Ca.7 Q,►A Sc, (,g i �" 41e ta Plan revision Required? Yes No 3 1 Use other side for additional information. (1 Date Insepctor's Sign ture Cert. o. SBD -6710 (R.3/97) I r — commerce .Wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 sco n c' n Madison, WI 07- 7 2 Sanitary Permit Number (to be tilled in by Co.) Department of Commerce 5 a 3 v Sanitary Permit Application State Transaction Number 1 In accordance with s. Comm. 83.21(2), Wis Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different thanmading address) submitted to the Department of Commerce. Personal inlbrme condary - -R p ` u ses in accordance with the Privacy Law, s. 15.04(I)(m ). Stat u ._ L� ll �C� l 1 � ►v b 1. A o Application Infor — Plea Print All In •m ti n 7 f t N 2 Pr ly Owner's Name - -- -- -- Parcel # �r1%,,\A. T, H 1 '�1S APR 1 7 2007 030 - 1675 - 90 - 11 `7 Property Owner's Mailing Address Property Location ,Q D e ) l • \ Govt. Lot ST. CROIX COUNTY 3 6 U "i" City, State Zip Code er A M— y,, 5 LJ y,, Section J circle one tth1 77 J 7Z/ f i� f J (! D T_ ,3 _ N; R E ot�W 11. Type of Building (check all I t hat apply) o k "-b of # Subdivision Name X I or 2 Family Dwelling - Number of Bedrooms __ fJLMs -� _3 ) 6390. � ll fJ , Block El Public/Commercial - Describe Use __ - - -__ __- _ -- ._ - - -- ❑ City of ❑ State Owned - Describe Use / CSMM Number j� El Village of '� �,6� 2 '✓ �(p f /7 �l�iN (J �J+� Town of I11. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ,� y ❑Replacement System ❑Treatment /Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B• ❑Permit Renewal ❑Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner t f� IV. Type of POWTS System/Component/Device: Check all tha a t pl f' N - Press In- G round ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil CIA^46Q, ❑ Holding Tank ❑ Other Dispersal Component (explain)_ ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Inform 'on: i Design Flow pd) Design Soil App (cation te(g 1 1) Dispersal Area Required O Disperse Area Pr ' osed (st) System Elevation / VI. Tank Info • pacity in Total # of Manufacturer l Gallons Gallons Units v V y New Tanks Existing Tanks �✓ C G td¢J G 1 d' f� a U `n an w C7 a Septic or Holding Tank r O f o Dosing Chamber / Vlt. Responsibility Statement- 1, the undersigned assume respqsibility for installation of the POWTS shown on the attached plans. Pl Na rmt) P tuber Signal rre MP /MPRS Number Business Phone Number r Plumber's Address v (So-eel, City, State, Zip Code) 1 Z,6 - /j o VIII. Count / epartmend Use Onl Approved roved Permit Fee Date Is ued Issuing t Signature .50 q//7/07 Ow wen R son for Denial IX. Conditiffalra" Weasons for Disapproval t 1 , ;& - . Ire I. Septic tank, ettkterlt filter and (� dispersal cell must all be services / mairttalned �Jt✓ 1 p�� f OG a a as per Mmagement plan provided by plumber. J 2 AN setback requirements must be maintained r nFW d.ttach l complete p ens or re system and submit to the County only on paper not less than 8 112 x I I inches in size SBD -6398 (R. 01/07) Valid thru 01/09 a a A4 J l3au ie mees r �Cxaiion &CeAse ��Q'o v Bm A rop.4 Zozo& F ;pe 1 0. (3m; Tp Q� T12 1 30` � \S �pN�GKa � k { o Ma A4 me , Cor,&4ion 4;cemse- o4uqa� 6 ml- A rop,4 1�ao Pry l o o. () B ;k ® Top o? FL nN F 80) b� F Ern � 3 b 8 S yy � IgN�p s I_ t L 91 -� EC' IVED Wisconsin Department of C mmeroe S I VALUATION REPORT P 1 3 Division of Safety and Build s <j ? ' ; } ; ,� n(�1� in acNca om 85 S. Adm. Code Coup St. Croix Attach complete site pla on paW fcA MMMMI X 11 ' s in e. PI must include, but not limited to vertical- ce int and Parcel I.D. Pending percent slope, scale or d' and n ne st road. Please { print all informal7on. R viewed by -Da j��{ / Personal information you provide maybe used for amrodary purposes (Privacy Law, . 15.04 (1) (m)). 'Z O $� Property Owner Property location David Austr Govt. Lot NE 1/4 SW 1/4 S 32 T 30 N R 19 ®)0 ian Property Owner's Mailing Address ;Lot Block # Subd. Name or CSM# 1232 Rolling Hills Trail Austrum s r f City State Zip Code Phone Number ity ®Village ■ Town Nearest Road 1214 Hudson WI 1 54016 ( ) Rolling Hills Lane E] New Construction UseEj Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement [] Public or commercial - Describe: Parent material Loess over outwash sand Flood Plain elevation if applicable A ft. General comments Site suitable f r a below grade conventional system and recommendations: ❑ Ong # ® Boring El Pit Ground surface elev. 94.45 ft. Depth to limiting factor X96 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 'EfW 1 0-12 10yr3 /2 - sil 2msbk mfr as 2f .6 .8 2 12 -20 7.5 4/6 - sil 2msbk mfr cur 1f .6 .8 3 20 -26 7.5yr4/6 - is Osg ml cur .7 1.6 4 26 -96 7.Syr4 /6 s O ml _ - 7 1.6 (Q �3 F 2 Boring # Boring 102.40 >98 E) Pit Ground surface elev. ft. Depth to limiting fador in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Efi#2 1 0 -10 10yr3/2 - sil 2msbk mfr as 2f .6 .8 2 10 7.5 4/4 - sil I 2msbk mfr cur if 96 .8 3 15 -25 7,5yr4/4 sicl lmsbk mfr cur if .2 .3 4 25 -34 7.5yr4/6 - sl lmsbk mfr cur - .4 .7 5 34 -98 7.5yr4/6 - s Osg ml - - 7.6 .8 *Effluent b > 30 < �0 >30 < 150 mg/L ' Effluent #2 = BOt < 30 mg& and TSS < 30 mg& CST Name Print) ignature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 11/12/05 715 -246 -2454 Pro perty Owner Austrw Parcel ID # Pending Page 2 of 3 Boring 3� # E] Pit Ground surface elev. 100.20 ft. Depth to limiting factor >98 In. Soil Applicat Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/2 - sil 2msbk mfr as 2f .6 .8 2 10 -18 7.5w4/4 sil 2msbk mfr cw if .6 .8 3 18 -23 7.5yr4/4 - sicl Imsbk cw _ .2 .3 4 23 -35 7.5yr4/6 - sl 2msbk mfr cw - .6 1.0 5 35 -98 7.5yr4/6 - s Osg ml - - 7 1.6 F Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rabe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Ef #2 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2 Effluent #1 a BOD, > 30 220 mg/L and TSS >30 150 mg/L ' Effluent #2 . 1301), : < 30 mg/L and TSS c 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.9330Teet(P_0?M) Scale 1 " =30' David Austrum BM1 Top of iron pipe 100.00' BM2 Top of iron pipe 103.30' 8194.45' Lot 3 132102,40' 83100.20' NOO 83 BM2 1 1-+19' 102' 7% slope 189' 1 100' 159 171' 98' a. 5 81 8' 94' SE lot comer f 8 I 5578 VOL 20 PAGE 5140 KATAGEEIT H. VALSH REGISTER OF DEEDS ST, CROIX CO. MI RECEIVED FOR kECORD 01/03/2006 02 :10PM CERTIFIED SURVEY MAP CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE 1/4 OF THE SW 1/4 OF SECTION 32. REC FEE: 13.00 T30N, R19W. TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN, COPY FEE: 3.00 INCLUDING LOT 1 OF A CERTIFIED SURVEY MAP RECORDED IN VOLUME 5, PAGES` 2 PAGE 1552 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. PREPARED FOR: CURVE DATA TA13LE (ALL LENGTHS ARE IN FEET) DAVID AUSTRUM Curve Radius Central Chord Chord Arc Tangent Bearings 1232 ROLLING HILLS TRAIL Number Length Angle Bearing Length Length Tangent In Tangent Out HUDSON. WI 54016 Ct 200,00 24'55'50" S55 15 - 30 "E 86.34 87.02 S67'43'25 "E S42 47 "E C2 200.00 46'37'33" S66'06'21.5 "E 158.30 162.75 S42'47'35 "E 58925'08 "E NOTE: C3 233.00 27'00'02" S56'17'36 "E 108.79 109.80 S69 "E S42 47 "E LOTS MAY BE C4 167.00 46 S66 "E 132.18 135.90 S42'47'35 E S89'25'OS "E SUBJECT TO FUTURE SPECIAL N1 /4 COR. ASSESSMENTS FOR SEC. 32 ANY UPGRADES AND IMPROVEMENTS TO N Q THE ROAD. I B.0 9 °�°�° 0H d ©l . ¢@5 Pa. 10910 q�Di o ------------------- -------- - - - - -- m iii � �� I R -N88 37'57'W 658.21' N89'39'20 "W 658.38' I = 1.2't NORTH 1 33' _ R ° 4 ��0 r sernc AREA, 41.16'-' i S �\ FENCED POOL AREA i r LOT 2 � OUSE 33• TOTAL AREA: ��VEWAY i i r `� 4.234 ACRES . l: (184,449 so. FT.) `�-� g I i �'Z AREA EXC. R_/W -1-P. TAW � r ° t!� „ 3.951 ACRES 9 i-3- N (172.110 SO. FT.) ° a N Z WELL s g + i ocpfr 29 • t � _�. 38.84''�� \ io S893919 '"E 537.61' ._ _ _ Sjt ►`��t �(� $ `$� - - - -- LOT 3 Y r'' \ t� TOTAL AREA: Q' "on, ,gym \ 3.676 ACRES = pp o \ \ (160.139 SO. FT.): — \ : N I S i � AREA EXC. R/W 3.000 ACRES o+ ( A F�ND \ ` +R. ^�' (130.718 SO. FL) : coo 0.41' FROM ' p 2.X ._. ._IOU' ---- a POSITION �_���077 C>vX P_FOUND -- --- — FROM COMPUTED 0 _ �. , �d° �t �O- 6 6 � S89 '25'08 "E io o to J m �S UvAI — Llly] �— 22i 66'� Z / �MOC�,° 6 S89'25'08 "E c 1 Q pa - 9 qp. ROLLING HILLS LANE ° I L�,04 it _ ° 0[t� N 5 EACH PARCEL SHOWN ON WOO.. lajo (Pa ° 9 FD 9 4 z THIS MAP IS SUBJECT TO -------------- -- N STATE. COUNTY AND ""01111 + + ++ + + +un,, S1 SEC. 32 1p TOWNSHIP LAWS, RULES AND ` SCOT /,-" REGULATIONS (I.E., .......S / N LEGEND WETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, = ` * ' TY A ' • .y * FOUND ALUMINUM COUNTY Q ETC.) BEFORE PURCHASING = DODGE SECTION CORNER MONUMENT OR DEVELOPING ANY S -2484 PARCEL CONTACT THE ST. CLEAR LAKE,s € FOUND 1-1/ OUTSIDE o S� CROIX COUNTY ZONING e 3!n. ,.= Q. 0 DIAMETER IRON PIPE OFFICE AND THE TOWN OF e' m ►�o ST. JOSEPH FOR ADVICE. 5URV SET 1 OUTSIDE DIAMETER BY O 18" LONG IRON PIPE. WEIGHING SCALE IN FEET 1" - 150' 1.13 LBS. PER LINEAR FOOT Zia YOS A SOIL BORING 150 0 150 RED e os • • • . . • • • • • ROADWAY SETBACK LINE THIS INSTRUMENT DRAFTED BY: VALLIAM KANE JOB NO. 6562 -01 DATE: 11/18/2005 SHEET 1 OF 2 SHEETS Vol 20 Page 5140 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer J Mailing Address ��& C/'�5T IA e l� �T i ✓ Property Address �7 d t' lS L (Verification reqiAred from arming & Zoning Department for new construction.) City /State 61 Parcel Identification Number 036- h 9Y- 70 - 116 LEGAL DESCRIPTION Property Location 1 /4 , S!J '/4 , Sec. &,A , T -30 N R3W, Town of Jo SPWA Subdivision , Lot #. Certified Survey Map # /j a08 , Volume ��} , Page # "J Warranty Deed # X/ `7 Volume , Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 Planning & 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 forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I /we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Numbe f be oo 1 �j13/ of IG ATURE OF APPLICANT(S) DATE ** *Any informa ion that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with t ' application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08105) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Permit # �— _ Septic Tank Capa to a l ❑ NA Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Z Number of Bedrooms 11 NA Effluent Filter Model 'de ❑ NA Number of Public Facility Units l NA Pump Tank Capacity 10o 0 NA Estimated flow leverage) © al /da Pump Tank Manufacturer al NA NA Design flow (peakl, (Estimated x 1.5) U gal /day Pump Manufacturer NA Soil Application Rate g al/day/ft' Pump Model Standard Influent /Effluent Quality Monthly average* A V 9 Pretreatment Unit �A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD,) 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS► 5150 mg /L ❑ Disinfection Pretreated ualit El Other: V ' Effluent Q Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L 14 In- Ground (gravity) ❑ in- Ground (pressurizedl Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean► 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size !iE ❑ N A other: Other: ___ ❑ NA Other: ❑NA 0 N 'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tanks) At least once every: El month(s) .-� ear(s) (Maximum 3 years) El Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(sl At least once every: ❑ monthls) 14 years) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ❑ months) % year(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(sl ❑ year(s) E NA Flush laterals and pressure test At least once every: ❑ month(s) Other: ❑ year(s) c NA At least once every: ❑ monthis> Other: 13 year(s) NA NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or cert ifications: 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 r. leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal ceills) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the 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 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 any service event. Page of , START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankis) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tankis) 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 be discharged to the dispersal cell(s) in one large dose, overloading the cells) and may result in the backup or surface discharge of effluent. 'To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade 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; meat 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 sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant 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 will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank; may be installed as a last resort to replace the failed POWTS. t ,!Yf17.1 ❑ Mound and at -grade soil absorption may be reconstructed in place following removal of the biomet at the infiltrative surface. Reconstructions ofsuch systems must comply with the rules in effect at thattimeChr +a r' < < 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 k PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name a Name Phone - b �1, , Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name + ,. -,,ry, Name - C C�uv ' t J" Phone Phone$ This document was drafted in compliance with chapter Comm 83.22(21(b)(11(dl &(fl and 83.540), (2) & (3), Wisconsin Administrative Code. !1 + ` , I 6 1 ?3 STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS i ST � CROI K CO., WI Document Number I . _ L -- -::- _u — RECEIVED FOR RECORD This Deed made between David C. Austrum and 01/30/2006 10:15AK Murlona D. Austrum husband and wife ! WARRANTY DEED 1 EXEMPT # and Ronald Jenkins and Kathleen Jenkins Grantor, 7TRANS 1 300.00 husband and wife, as survivorship marital COPY FEE: propgrty, CC FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following I described real estate in St. Croix County, State of Wisconsin: j Rt c otding Alf t 7 Name and Return Address i River Valley Abstract & Title, Inc. 1200 Hosford Street Suite 201 Hudson, WI 54016 03c>— %_ J140 - C 1 Parcel Identification Number (PIN) f This is not homestead property. (is) (is not) Part of the NE 1/4 of the SW 1/4 of Section 32, Township 30 North, Range 19 West, Town of St. Joseph, St. Croix County, Wisconsin, described i ! as follows: Lot 3 of Certified Map recorded I January 3, 2006 in Volume 20, Page 5140, as Document Number 815578. � f I ) Exceptions to warranties: Sebject to easements, reservations and restrictions of record. G Dated this <:2 day of January 2006 I i (SEAL) (SEAL) DAVID C. AUSTRUM (SEAL) (SEAL) I * 1 * MURLONA D. AUSTRUM AUTHENTICATION ACKNOWLEDGMENT Signature(s) ! State of Wisconsin, i jl ss. St. Croix Countyr.��� f authenticated this day of Personally came before me this o1 day of I January 2006 , the above named I David C. Austrum and ``,���►nnm:p��� Murlona D. Austrum, j TITLE: MEMBER STATE BAR OF WISCONSI • , W(9 to f not I p • . O� A q y '. 2 • me known to the person s who execut d the foregoing ! authorized by §706.06, Wis. Stats.) = O :.� �C 'LL instrument nd cknowledge the same. ! THIS INSTRUMENT WAS DRAFTED BY STEPHEN J. DUNLAP ` ''A��rF • ,,,`�r ' Q O ct 1 IIIII1111N 0 " Notary Public, State of Wisconsin Hudson Wisconsin My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not U a necessary.) - �O .) _.. _ * Names of persons signing in any capacity must be typed or printed below their signature STATE BAR OF WISCONSIN WARRANTY DEED Wisconsin Legal Blank Co., Inc FORM No. 2 - 1998 Milwaukee, Wis. i; o d F = O (D 3 tD ry W 'p � • � 3 m 3 rt o U U 0 n z O oo N Cl) N Ow • CL (D Di 7 7 a ita W N O r, N N O v y _0 (o O to cc CD CO C) 4 p _ O O z N M O � ID v — C Z o D OW' 7 3 - Q A = N \ N L o = n 0 0 0 0 p a N -' T N M Z �L p o W rye G W Z Vy in in co o D N u M O O co p� p1 A t++d a U) m v o \r N C 00 o Z Z o c D O N. N C 0 ! N• N En 0 N CD cn C �M O CD V O O 7 N a a n m ° - b O U N _ O ' Z Cl z = p rn OD A m W N z o a 3 A N 0 :: (n � C W y Z < 0 v� ZF CD ma n c ^� O N 0' 0 T CD O O p N C (D N 5 Z O 61 O o O O f0 3 =r 7 IQ 3 Q (D. 7 O : O S O W CD p A S C D d O _ N (D N I = N N t = O N N N 3 ti 0 =r w i CD to O N 0 o CD a CL ?