Loading...
HomeMy WebLinkAbout030-2016-20-200 n (40 o ■ -0 n o Q! ƒ 2 2 0 °§ 0 m m S . �- ${/ @ m E o m .% t ) ] A § A k 7 § § CD k \ ■ 3 § ° J 7 § a) § o § / Z / § \ $ k � § � � $ e e m § \ "NA, CL z 0 0 0 0 O § § \ 7 § \ 3 / k ® � D / E § C 9 E A * z .. : Jƒ \ 9 \ 0 § § ) a I 0 k k § g E CL z m }( -1 CA 2 2 :3 _ k z , 0 § / z e Q R 0 .. 2 2 § m § 2 7 2 k % I ^ . ;4: § . � :3 "n . 0 % CD . � � $ � K � $ � 2 � ® � \ ƒ % » CD % f ? § . � jJ 2433 P 639 - 74 Z3 41210 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.. MI Document Number Document Title RECEIVED FOR RECORD St. Croix County 10/13/2003 09:45AN AFFIDAVIT Occupancy Affidavit EXEWT # REC FEE: 11.00 _ TRANS FEE: !"1 i u"Qt -\ 1 Y u Re nn COPY FEE: 2.00 Name — (Owner) Typed or printed CC FEE being duly sworn, states, under oath, that: PAGES: 1 1. He/she is the owner /part owner of the following parcel of I 1 in St. D 1 war Croix Co' nsin, recorded in Volume Page ument p r+ - ycX z,6 Number ,�83 Croix County Register of Deeds O 30 Recordin Area 3 \ t11 b 7-t-9- �� 10 L } J Name and Return Add ress A parcel of land located in the20 of theSE ' /. of Section CD �r p�Ly M i Lkl�� -1 ►�Lh n T - N - R 1 �_ W, Town of S . Tbse -i '1 , St Croix �G3 W ; 11 oW k� i v lam. r County, Wisconsin, being duly described as follows (include lot no. and L 14 u6-son W I tj 4 0 1 subdivision/CSM or detailed legal description): 9,ab I Un ybu 'k 1 l 03o - ac) \ (D - o- 3 p[,�x L Parcel Identification Number (PIN Y AA " `.you " y y Esc . 3 co IT 30 , 19 t�uALn k �n led As owner of the aboA described property, I ackn� edge that the septic system s rving this residence is ed fo a LL bedroom home, or a design flow of b= pd. The design flow is calculated by assuming 150 gpd for 2 Individuals per bedroom. There are currently occupants living in this residence; occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, l understand that if there are intentions to exceed the number of permitted occupants, the system will need to be modified to accomodate any increased wastewater flows and /or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this day of 04 "-!"' CA-Nar? 1 S . men 1 roc-. A 1Z�nrl AUTHENTIc TIOP( CKNOWLEDGMENT T� /-CU /�� Signature(s) E�A) STATE OF WISCONSIN ) )ss. authenttcated this day of �� St. Croix County. ) Personally came before me this day of the above na * L C7T - aiC" —FIB _h4 e l J Pen rl TITLE: MEMBER STA BAR OF WIS (If not, / T " X "� `7" to me known to be the person(s) who executed the foregoing authorized by § 716.06, Wis. Slats.) instrument and acknowledge the same. THIS M1STRUMt_NT WAS DRAFTED BY ``,,,��wNNflyr�� * � • •• • Notary Public, State of Wisconsin = • Commission Is permanent. If not. st�t�l,!ratiort�te: •* (signatures maybe authenticated or ackno�Medged Both are not My � � S - � 67 L • necessary.) Date: • • ; 'THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" �i���,; . • • • . `����� This kftmation must be conipieted by submAter. dwimeM name 6 mWm addre ss. and EM (it te"ked)• Ottw y w*V douses, bMW description. atc. may be placed on this *w page of the document or may be placed on additional Pages docurr w t. hWL Use of this cover page adds one page to your document and $2.00 to the regg0S ft Msconsln Statutes, 59.517. WsorxUM Department of Commerce PRIVATE SEWAGE SYSTEM Count y : • safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) SanitarypIni ��IQ.: Personal information you pmvice may for purposes (Privacy Law, s.15.04 M(m)1. 4 VV yy Permit Holder's e: / o ✓ City C] Vi la T n State Plan ID No.: Moennes, John ( A � . �ose ownshi T BM Elev.;, Insp. BM E ev.: BM Description: Parcel Ta S(� bl$- 2016 -20 -200 TANK INFORMATION ELEVATION DATA 1 36 . 720 - 1 -ItI10 0 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic S Z Benchmark (d_ Dosing Alt. BM 3 0 Ion Bldg. Sewer 114 L f lap- Holding St Ht Inlet 12. TANK SETBACK INFORMATION 1 Ht Outlet Z, TANKTO P/L WELL BLDG. ventto ROAD DI IaWt-- Air Intake Septic °'<v� / '!" 2 NA p NA Header/Man. 0 Aer 'on Dist. Pipe Holding Bot. System Y' 4rz (a , �`/ PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand St cover IV Model Num TD ft Frictl System I TDH Ft Forcemain Length Dia. Dist. SOIL TION SYSTEM BED TRENCH Width , Length o. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSKRJS� _ / Z DI EN I N L G M u u r: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM < INFORMATION Type / M ER Mo a Number System: C drr 3S S-� OR U S DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) �� x Hole Size x Hole Spacing V �t To Air Intake �� Dia. Length 3 Dia. AA Spacing /�/ SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded I Sodded xx Mulched Bed/ Trench Center Bed /Trench Edges Topsoil ❑ Yes C] No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: g l I �l bl Inspection #2: Location: 893 WILLOW DRIVE, Hudson, WI 54016 (SW 1/4 SE 1/4 36 T30N R19W) - 363019418B -Lot 11 1. Alt BM Description = S %/ pk. P� :o y�, door p — 2 2.) Bldg sewer length — 2 ' A -4-e-C - amoun of cover = 3 v6d l 4 � s g } ►. aka �l rb I ►� 3 vz( l Plan revision required No Use other side for additional inform tion. SOD -6710 (H.3197) Oat nspedo� s Sig Cert. No. �l� - 1 , (.� O W� b 0 j* R Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 14SCOnsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(I)(m) _ `" (Submit completed form to county if not r state owned. Attach com lete plans (to the count cop) only) for the s city. hS' n 8 1/2 x 1 I inches in size. Cou Statc Sanitar , Permit Number O Chcc f v Ton t revi us app ; tiun State Plan I. D. Number C-4 / o Y I. Application Information - Please Print all Information ! `4' vs ocation: Property Owner Name c ropeny Location 1/4_.5' ' 1/4 S T N, or Property Owner's Mailing Address ` 5 y 4 'G Lot Number Block Nu ber ZZ City, State Zip Code Phon u _ _- �' , Subdivision Name or CSM�Numberr II Type of Building: (check one) ./ .cs s ❑ City 1 or 2 Family Dwelling — No. of Bedrooms:_ ❑ Village Cl Public /Commercial (describe use): A Town of ❑ State -owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Neares Ro A) 1. CY New System 2. D Replacement 3, O Replacement of 4. ❑ Addition to Parcel Tax Number(s) System Tank Only Existing System 41 B) Permit Number Date Issued D A Sanitary Permit was previously issued (o , L41 A IV. Type of POWT System: (Check all that apply) 10D ONon- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground O Holding Tank ❑ Single Pass O Drip Line ❑ At -gra e Q A obit Treatment Unit O Recirculating ❑Other: o Scow � ✓ ' X 93 • - 19 V Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch Elevation VI Tank Capacity in Total # of tu ufacrer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ O ❑ D O ❑ ❑ O D VII Responsibility Statement 1, the undersigned, assume responsibility for instal ion of the POWTS shown on the attached plans. Plumber's ame ( rint) Plumber's Sig l (no slam )� MP /MFRS No. Business Phone Number _ 2 v Plumber's Address TStreet, City, State, Zip Cc e) /JX S VIII County/Department Use Only O Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signal re (No stamps) Approved D Owner Given Initial Adverse 4harge Fee) Determination a.as. CID IX. Conditions of A roval /Reasons for isapproval- - SBD -6398 (R. 07/00) O / U we - 5 SI17 - - J!iS 01 SIn� /} si�s'k /Q9 ' ,5 , 71- ,Ice 14�a' i i I Alk A. A6 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL 0 dimensioned, north arrow, and location and distance to nearest road endjW f APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION E s B 4 PROPERTY OWNER: PROPERTY LOCATION Dave Anderson GOVT. LOT SW 1/4 SE 1 T 30 ,Nlj 19 r PROPERTY OWNERS MAILING ADDRESS LOT # I BLOCK # I SUBD. NAM SM # � 706 19th. St. S. 11 na CSM CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN a'i' t ST R_O �� Hudson, WI. 54016 hl St. Joseph New Construction Use [ } Residential / Number of bedrooms 3 [ ] Addition to existing building (] Replacement [ J Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate _ bed, gpd/ft trench, gpd/ft Absorption area required 643 bed, ft 563 trench, ft Maximum design loading rate 1 L bed, gpd /ft gpd/ft Recommended infiltration surface elevation(s) 96.16 ft (as referred to site plan benchmark) Additional design / site considerations - alt. sit trenches C 95.16' & 92.06' system el. Parent material outwash Flood plain elevation, if applicable na ft \ S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK , U= Unsuitable fors stem ® S ❑ U ®S ❑ U ®S ❑ U u s ❑ U u s Ell ❑ S ZED U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour iry Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmt cfl 1 1 0 -12 10 r3 3 none mfr CIR if •S ...... 2 12 -22 10yr4/4 none sicl lfsbk mfr gw if .2 .3 Ground 3 22 -84 7.5 r4 .�- elev. _ 99 ft. Depth to limiting fa�cto84 a F 9 16. 1 6 8 e - `b Remarks: Boring # _ 1 0 -8 10 r3 3 none ' 2 8 -28 7.5 r5 6 none lfs 3 28 -96 7.5 r4/6 none s osq ml na -� Ground -- elev. 1 Depth to limiting factor +96" Remarks: CST Name:—Please Print Phone: Gary L. Steel 715 A ddress: 1554 200 ve. New R' hmond WI. 54017 Signature: Date: CST Number: 2LLE 7 -5 -96 PROPERTY OWNER Dave Anderson SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # pending Lot #11 Depth Dominant Color Mottles Structure GPD /ft ,� Boring # Horizon P Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -9 10 r3 3 none 1 if .5 .6 •f 2 19-20 10yr4 /4 none sil lfsbk mfr gw if 1 .2 .3 Z Ground 3 0 80 7.5 r4 6 none s OSQ ml na na 1 .7 .8 •� elev. 98 ft. Depth to A A ' limiti �s � �v 6-+ w f + l b tSU" JCL • C�� 36 K Z (� S Remarks: Boring # 1 1 0-10 10 r3 3 none 1 2c P1 mfr Qw if .5 .6 '' ..4 2 1 10-30 10yr4 /4 none sicl lfsbk mfr gw If .2 .3 U 3 1 30-80 7.5yr4/6 none s osg mvfr na na .7 .8 Ground elev. 95 ft. Depth to limiting factor +80" Remarks: Boring # 1 0 -12 10 r3 3 none 1 2msbk mfr qw if .5 .6 S� 5 2 12 -22 10 r4/4 none sicl lcsbk mfr if .2 .3 ,2 3 1 22-32 7.5 r4/4 none s1 lcsbk mfr Cfw na .4 .5 Ground } elev. 4 32 -78 7.5 r4 6 none s 0sa nrvfr na na .7 .8 95. ft. Depth to limiting factor +78 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Dave Anderson 1554 200th Ave. CSTM2298 SW4SE 4 S36- T30N -R19W New Riphmond, WI 54017 MPRSW 3254 town of St. Josph (715) 246 -6200 lot #11 -CSM ,IN ✓1 " =40' ./BM.= top of SW lot stake @ el. 100 Nx IV � r '� 3 c�, t �V Gary L. Steel 7 -5 -96 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 D Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (W) �Q — %49 �Du Type of Wastewater DdYmestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) .2 Z - ac s4&• Maximum Influent Particle Size (in) V 118 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 se pt' d outlet filter shall be assessed at least once every 3 years by inspection. The utlet fil hall be cleaned as necessary to ensur tio p roper opera The filter cartridge shou d 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 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 � Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer 7hoer) n f S Mailing Address Z-1 Loo 41-,% 5+ " LAA SO( W Property Address V b) bw Rio-r h ht y4L / (Verification required from Planning Department for new construction) City /State Parcel Identification Number 03O ZO 1 �0 " 2_ - Z 0 LE GAL DESCRIPTION Property Location SW '/4, S E '/4, Sec. 3io , T ZO N -R_l _W, Town of S+ S0Sej2h . Subdivision _4SL , Lot # Certified Survey Map # 'jLLfl Z `A 5 , Volume Page # Warranty Deed # , Volume l , Page # Spec house ® yes O no Lot lines identifiable K yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site 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 Zoning Office within 30 days f three cpiration date. o M NATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope described-above, by virtue of a warranty deed recorded in Register of Deeds Office. �lLb /B� SI ATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I 1446PACE 564 �a STATE BAR OF WISCONSIN FORM 2. 1996 6©ge 1 9 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Ronald N Thoennes RECEIVED X FOR RECORD F O �V.-Thoenwnes Grantor, conveys and warrants to 08 -1999 9:30 AN YARRRm DEED EXEMPT I CERT COPY FEE- COPY FEE: Grantee, IRAISFER FEE: 120.40 RECORDING FEE: 10.00 Grantor, for a valuable consideration, conveys and warrants to Grantee PAGES- I the following described real estate in St. Croix County, State of Wisconsin (The "Property "): Record' Area Name and Return Address KRI,;TINA OGLAND Zilz, Estreen & Ogland IRAN P.O. Box 359 Hudson W1 S4()16 FEE 030 -2016- 20-200 Parcel Idemification Number (PIN) This Is not homestead property, Part of SW1 /4 of SE 1/4 of Section 36 -30 -19 described as follow : Lot f of Certified Surve Doc. No. 547245_ S t. Croix County, Wisconsin. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this - 7 1 �It day of July, 1999. " Ronald N. Thoennes " * AUTHENTICATION ACKNOWLEDGMENT Signatures) Ronald N. Thoetutes STATE OF WISCONSIN ) authenticated this �_ day of July, 1999. County ) Personally came before me this day of June , " Kristin Ogtand 1999, the above named to me known to be the TITLE: MEMBER STATE BAR OF WISCONSIN person(s) who executed the foregoing instrument and (If riot, acknowledge the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristin Ogland No Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If riot, state expiration date: (Signatures may be authenticated or acknowledged. Both are not ) necessary,) *Names of persons signing in any capacity should be typed or printed below their signatures WARRAMT DEED STATE EAR OF WISCONSIN FORM No. 2 - 199a 4 INFORMATION PROFESSIONALS COMPANY FOND OU LAC, WI 600.855 -VI 5 47245 CO C7 o 0. C N < f o (AC z y r .� a O o 0 > �� ---A MMMMMMNMM� o Z _ M Bearings are referenced to the O ( South line of the SE4 of Section M m _o m 36, assumed to bear S89 ° 23'45 "W. (t Q C 0 �o o G0) I 013 '�� O H ^' IL 0 w rt 1 0 0 D � ; � L JUG 2 E cn lrn 1 -1 °° KATy� NH 1996 1 rr m 1 n '< <n �_ — MqT Registerof t1� 1 ZI N N $F� \ / / g rifOlY Co. N Ir IL w o O = 1 y i z V s HEFT a NF �� w x M 1z 7C �, N 3 �� M I q "= c o- w 4 S 8 .63 . 6. S4 C � r tr w 16 i { 5W L2 Bs ' 395, 53. ` fi w Z ft to v rso 2 w rn - 6 i N \ o o o r N. \ ° V o Q 1.� m ss H � 10) ir �' ° a 0 M -n `�, to I F,•'LS —I (n \y Ct oo N TI I ST. CROIX COUNTY WISCONSIN ZONING OFFICE N N N N N ■� sales ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road r•-' `-- _ -- Hudson, WI 54016 -7710 f T ,,w'. (715) 386 -4680 FAX (715) 386 -4686 January 29, 2004 Michael & Tracy Renn 893 Willow River Drive Hudson, WI 54016 RE: House Remodel Dear Mr. And Mrs. Renn: You have requested the Zoning Office to review your remodeling/addition project for compliance with the state sanitary code (COMM 83). When remodeling or adding onto a dwelling you are required to examine whether or not the construction involves an increase of wastewater. I have reviewed your construction/addition plans that were submitted to this office to verify compliance with the septic system sizing requirements indicated in the state sanitary code. You have indicated that the proposed addition will include one additional bedroom, a 3 /4 bath, an office, a storage area and a family room. The septic system was installed on August 14, 2001. The septic system was designed and installed for a four - bedroom residence. The system was inspected and found to be code compliant by St. Croix County staff on the day of installation. Since this project will increase the number of bedrooms to five, one more than the septic system was sized for, there are two options allowed to keep the system compliant with Department of Commerce septic codes. One is to increase the capacity of the system to meet code design requirements, and the other is to record a St. Croix County Occupancy Affidavit that restricts the number of occupants that can reside in the home without altering the size of the septic system. You have recorded the Occupancy Affidavit as required. You are limited to eight occupants in the structure, based on the design flow of two occupants per bedroom and the four - bedroom system design. If the occupant number increases above eight, you will be required to increase the septic system sizing based on the number of bedrooms in the residence and designed to requirements of the Department of Commerce codes in effect at that time. All applicable permits would be required. As a reminder, to prolong the life of the system, remember to have the septic tank pumped once every three years or when the tank becomes 1/3 full of sludge and scum. Other efforts to prolong the life of the system could be as simple as fixing or replacing plumbing fixtures with water conserving fixtures, reducing shower time, washing dishes when the dish washer is full, avoid using a garbage disposal, using a wash machine with a suds saver feature, etc. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. The property owner has met all the requirements of COMM 83.03 and COMM 83.25 and can proceed to obtain a building permit for the proposed house remodel. Should you have any questions, please contact this office. Sincerely, Kevin Grabau Zoning Specialist Attached: copy of recorded Occupancy Affidavit iJ 24 33P 639 74a' -410 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., MI Doaxnerrt Number Document Tide RECEIVED FOR RECORD St. Croix County 10/13/2003 09:45AN AFFIDAVIT Occupancy Affidavit EXE1PT t REC FEE: 11.00 TRANS FEE: M i b'1Q 4 1 rQ.CU Re-n '1 COPY FEE: 2.00 Name — (Owner) Typed or printed CC FEE: being duly sworn, states, under oath, that: PAGES: 1 1. He/she is the owner /part owner of the foll � Page parcel of 1 1 in St. Croix county W rain, recorded in Volume 1C l �ument Number L uc County Register of Deeds O 1 14) R Area lfl 11 5' d� Name and Return Address A parcel of land located in the V. of theM Y. of Becher 2 — T YOLC- -i M i LYTAC- � Re- n rl T _3Q N - R �_ W, Town of . To6 b , St Croix gq 3 Wit 1 oW tZ t v c - ,r 7 D r County, Vrmonsi k being duly described as follows (Include lot no and - )� uC�SOn w l '5 4C� 1 Vislon/CSM or detailed legal description): 40b 1 V SO Lp I1 0 3 0 - aoItu - , 3 y GJl- 17 .. No . 5►- �,a�1'S hX�& P�'� I�C Parcel lder�fi� don Number(PW As owner of the d rib d p rtty, I a� the i4 sep system 19 th Is s't�ed f Aa LL bedroom home, or a design flow of 10= $pd. The design flow Is calculated by assuming 150 gpd for 2 individuals per bedroom. 'there are currently SW occupants living in this residence; „& occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However. I understand that if there are intentions to exceed the number of permitted occupants. the system will need to be modified to a000modate any increased wastewater flows and/or contaminant loads. I also acknowledge that 1 will make this Information available to any future parties interested in purchasing this property. Dated Us � °� day of 046 % reA e- 1 -T \;>e-yn * - T'ra P\. 1�e nn * AUTHENTIC TIO aNOwLEDWENT Sipraturs(s) T STATE OF WISCONSIN ) )ss- IMF day of ek St M pw ca before me ttrta day of .�,. — '1qr cf�If E1 J pen f, TITLE: AWWSER sTA BAg F wr SCpNS t (if rot. / T ' ^ �! �f ... : to ms iawwn a be the person(s) who executed the bre9�n9 r/' authorized by l: 7N.06. Wis. stets.): .. , katrumerrt and sclawwtedpe the same. TM WSTMJMENT WAS DRAFTEP eY .• r :4 * Yy) • •• Notary Public, r ( State ► of tAflaeonsin • • (S%Wwk res may be auftn0cat•d or adAnovAeft no lL� ! MY Cott rrtscbn k perrranent. if racessery.) t } • "1118 PAGE 98 PA9TbFtM LEGAL. DOCUMENT - DO NOT REMOVE" ,��• • � • . ,,,��.`�� Tft INbmuff*n moat be ooapNbd by submNtsr: documed .111ffi snd (1f MQuktap. Otter '� • 9 N 9 cheat. IseW doeapdon, W& uay bs placed on M Rrsr pW* of dw doorrmnt or may b• placed cn sdgJotralPrpss dOpNm t. f'l ft the of ft cowr psp• adds ens pip• b yalr doour rant &W S2.W to rh• reaordna & N%mob SU&4066 x.517. c M1 } l� 1 T- v r h V ti � H oj O tl c Q 0. 0 ti O O N Q O t d I I z � ti z -� LL r 0 3 :� I E, NN �5► I I � I z y z T a m I 0 M H fn C O O z °c 0 mz`a ( z N H t C v I N a re cc r o c L c O o z D z C7 d 0 C CL G G IL .0 c z�> 3333 '" a O o O O O O z a = I W N fA J V > N N } O E m CL m a z iTi m CL M O p y CD W H ��il 00 C C H C 01 E rO O F O - 0 G U d p V fD CL N C M y N l N C N C O O N � y o p L • O o M !n H m o z a CL r `I � V +r E C C r A ciao 03aici Kevin Grabau From: Rod Eslinger Sent: Monday, November 03, 2003 12:35 PM To: Kevin Grabau Subject: Tracey Renn's letter (Affidavit of Occupancy for 6 people) Kev, Tracey Renn called this a.m. looking for a letter from our office stating that the POWTS serving her residence is sized appropriately for the number of occupants. She said that she needs the letter to obtain a bldg. permit from the Town of St. Joseph to add a 5th bedroom. She said that she had spoken to you a few weeks ago about this. Supposedly she did record the affidavit of occupancy with the register of deeds office. We should have that copy she said. Let me know if we're ready to write the lette a are waiting for more information or if have already issued the letter. Here's her num r 715 - 246 -7895 Thanks Rod Rod Esl i nger o p Specialist C �'w • �l Zoning � St. Croix County Zoning 1101 Carmichael Road Hudson, WI 54016 Ph. 715- 386 -4680 Fax 715 - 386 -4686 S S ` `��