HomeMy WebLinkAbout030-2029-50-030 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
488280 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Persona 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:
Park Place Storage I St. Joseph, Town of 030- 2029 -50 -030
CST BM Elev: Insp. BM Elew BM Description: Section/Town /Range/Map No:
r 22.30.20.444A3
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV.
7eptic 3 � Bench rk
,� - zr — 3 C4 I � z ' to 'pz o0
Dosing Alt. BM
Aeration Bldg. Sewer
Holding t t n et
S t /H O ut le
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent o Air Intake ROAD Dt I
p
e ic ZS � 4 j J f B
osing Head er/Man.
Dist. P ipe
J;i old ing o . system
F inal G
PUMP /SIPHON INFORMATION
m anufacturer Demancl St Cover
Z
GPM
m odel um er -7
JUH 11- lon oss ys em a � � � 6 • �� �� �3S
orcem I
DIMENSIONS
\ i
INFORMATION CHAMBER OR
Y����� I UNIT
DISTRIBUTION SYSTEM
Pi e s
Length _ Dia - Length ~ Dia ' Spacing \ \ J ��
x Pressure Systems Only xx Mound Or At - Grade Systems Only
Bed/Trench Center \ Bed /Trench Edges Topsoil Yes No Yes No
COMMENTS: .P ersons P Include code discre encies resent, etc.) Inspection #1: / Inspection #2:_ /
( P
Location: 1441 7th Street Unknown (NE 1/4 SE 1/4 22 T30N R20W) NA Lot 3 Parcel No: 22.30.20.444A3
j ) "` ✓` ��
1,) Alt BM Description =
2.) Bldg sewer length =
- amount of cover = it
Z4}
T
Plan revision Required? ; !] Yes )< No i i Z`
U � ! '�
se other side for additional information. '1 rr
� t0 --
-- 1 Date--L - -- - - -rnsep #Signa pert' NO-
SBD -6710 (R.3/97)
Safety and Buildings Division Count • C 1
201 W. Washington Ave., P.O. Box 7162
I,S�O�S,i� Madison, WI 53707 - 7162 Sanitary Permi er to Iled in by Co.)
(608) 266 -3151
Department of Commerce
Sta Plan I. umber
id
Sanitary Permit Application f )_ ,� � -� , �4 ���
In accord with Comm 83.21, Wis. Adm. Code, personal information you prove
may be used for secondary purposes Privacy Law, sl5.04(l)(m) oject Address (if different than mailing adtiress)
I. Application Information - Please Print All Information
Property O is Name Parcel # L o Block #
Zv r
Prope Owner's Maili g Address Property Location
%4, Sectio
C' , D� State Zip Code Ph4 u r
,
�J U N QN R
1I. Type of Building (check all that apply)
Subdivisn Natryg Number
El I or 2 Family Dwelling - Number of Bedrooms
P iblic/Commercial - Describe Use !'f' f r p
❑State Owned - Describe Use ❑City^ ❑Villa 50 4-Ahip .6
III. Typ f Permit: (Check only one box on line A. Complete line B if applicable)
A ' System El Replacement System [I Treatment/Holding Tank Replacement Only El Other Modification to Existing System
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
IV. Type of POWTS System: Check all that appl
❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of citable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑
Constructed Wetland ❑ Pressurized In -Grown ding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter ❑ Leachi g Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain)
V. Dis ersal/Treatment Area Information:
Design Flowtd) Design Soil Application Rate(gpdst) Dispersal Ar (sf) Dispersal Area Proposed (sf) System Elevation
'.
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank
Aerobic Treatment Unit
Dosing Chamber
VII. Responsibility State m - I, the unde a assume responsibility for installation of the POWTS shown on the attached plans.
Plum is Name (Print), Plum r' rgnature MP /MPRS Number Business Phone Number
�- �-z-� �J� = 6 -y
Plum is Address (,c4reet, City, State, o
� )V)
II. Coun /De artme t Use Onl
Sanitary Permit Fee (in des Groundwater Date Issued Issuing gent afore o tamps)
Approved ❑ isappro Surcharge Fee)
❑ O iven Reason ial
X.
Conditions a ppro 1 �f, G �� u I�
SYSTEM NER: / I t^� - n
1 Septic tank, effluent filter and
dispersal cell must all be serviced t maintained
as per management plan provided by plumber. GpLk S 0� ce
2. All setback requirements must tie maintained n n�
as per applicable code /ordinances. 1 SS uR
Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in sic
SBD -6398 (R. 01/03)
PLOT PLAN
Park Place Storaae ADDRESS P.O. Box 326 Loretto Mn 55357
/4 SE 1 /4S 22 /T 30 N/R 20 W TOWN St. Joseph COUNTY ST. CROIX
YSTEM ELEVATION N/A GPD 2 88
JNVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK XXX
MOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE 3000 gallon LOAD RATE ABSORPTION AREA # of chambers
kk BENCHMARK V.R.P. TBD ASSUME ELEVATION 100'
❑ BOREHOLE O WELL *H.R.P. NW corner of property and Well
150' Property Line
Scale = 1/4" = 10'
300' The access to the dump station
RV Dump Station
7th S (to be installed and is to act as the service road for
designe b y others!);', the holding tank
10 RV's per day
HT Pro Office with 1
Tank is to be employee and 1 floor
properly bedded and drain
provided with Most of the
lockdown cover with building is
approved warning
label storage units
Prior excavation on
Calcs: this site has shown
no need for
10 RV's @ 25 gpd /RV = 250 gpd anchoring holding
1 employee @ 13 gpd /employee = 13 gpd tank
1 floor drain @ 25 gpd /drain = 25gpd
Total gpd = 288gpd
Tank Size = 288 gpd X 5 day capacity= 1440 gallons
Using a 3000 gallon holding tank for extra capacity
COPI
' Safety and Buildings
4003 N KINNEY COULEE RD
Commerce LA CROSSE WI 54601 -1831
t i scons i n TDD #: (608) 264 -8777
www.commerce.wi.gov /sb/ www.wisconsin.gov
epartment of Commerce
Jim Doyle, Governor
Mary P. Burke, Secretary
July 05, 2006
CUST ID No. 226900 ATTN: POWTS Inspector
SHAUN R BIRD ZONING OFFICE
BIRD PLUMBING INC ST CROIX COUNTY SPIA
1008 192 ND AVE 1101 CARMICHAEL RD
NEW RICHMOND WI 54017 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 07/05/2008 Identification Numbers
Transaction ED No. 1286773
SITE• Site ED No. 659025
Park Place Storage Condominiums Please refer to both identification numbers;
7th Street above, in all correspondence with the agency.
Town of Saint Joseph,
St Croix County
FOR:
Facility: 674218 PARK PLACE STORAGE OFFICE / STORAGE UNIT
7TH ST
HUDSON 54016
Object Type: POWTS Component Manual Regulated Object ID No.: 1083868
Maintenance required; 288 GPD Flow rate; System: Holding Tank Component Manual, SBD- 10571 -P (R.6/99)
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements..
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Holding Tank Component Manual for Private Onsite Wastewater Systems" SBD- 10571 -P (R.6/99).
• A notarized Holding Tank Agreement between the local governmental unit/Municipality and the property owner
is required prior to the issuance of a sanitary permit. A Holding Tank Servicing Contract may also be required if
no other service provider for the holding tank has been identified.
• A service drive or road is to be provided to the service access opening or pump out port. The minimum COD1dh
measured distance required is 25 feet. APP
• The well must be a minimum of 25 feet from any POWTS tank. chs. NR 811 & 812c PARTMENT
�ON SAFTI
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the al
requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CORRE
• Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated
county official in accordance with the provisions of Sec. 145.20(2)(d),.Wis. Stat
f
SHAUN R BIRD Page 2 7/5/2006
• Comm 83.22 of the a roved plans, specifications and this letter shall be on -site during construction
(7Z A copy PP L n Q
and open to inspection by authorized representatives of the Department, which may include local inspectors.
• The plumbing for this project discharges to a private sewage system. The approval covers only
domestic /sanitary wastes directed into this system. The Department of Natural Resources must be contacted
regarding the treatment and disposal of all industrial wastes.
Owner Responsibilities:
• Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
Comm 83.54(1).
• Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. Comm 83.54(4) shall be considered a human health hazard.
• Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county
for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
All permits required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible
for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 60.00
Fee Received $ 60.00
Balance Due $ 0.00
Charles L Bratz
POWTS Reviewer II , Integrated Services WiSMART code: 7633,
(608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday
charlie.bratz@wisconsin.gov
cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544
i
RECEIVED
Cover Page JUN 2 6 2006
SA FETY & BUILDINGS
Shaun Bird
Bird Plumbing Inc.
1008 192nd Ave
New Richmond Wi 54017
715- 246 -4516
Date: 6/22/06
Owner: Park Place Storage
Location: $E1/4 SE 1/4 S 22 T 30 N, R 20 W 7th St. St. Joseph
System type: Holding Tank
Manuals Used: Holding Tank Component Manual
Page#
1. Cover Page
2. Holding Tank Plot Plan
3. Holdin)andConti ec ion
4. Mainta n y Plan
Signature
License n
'�nar�ly
�
coti, , TFRcE
�
k �D�NGS
- ONDEN ,..
PLOT PLAN
PROJECT Park Place Storaae ADDRESS P.O. Box 326 Loretto Mn 55357
$E 1/4 SE 1/4S 22 /T 30 N/R 20 W TOWN St. Joseph COUNTY ST. CROIX
YSTEM ELEVATION N/A 288
GPD
CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK XXX
MOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE 3000 gallon LOAD RATE ABSORPTION AREA # of chambers
BENCHMARK V.R.P. TBD ASSUME ELEVATION 100'
❑ BOREHOLE O WELL *H. R. P. NW corner of property and Well
1 SO' Property Line
Scale = 1/4" = 10'
7th St RV Dump Station
300' The access to the dump station
(to be installed and is to act as the service road for
designed by others!) the holding tank
10 RV's per day
HT Pro Office with 1
Tank is to be employee and 1 floor
properly bedded and drain
provided with Most of the
lockdown cover with
approved warning O building is
label Well storage units
Prior excavation on
Calcs: this site has shown
no need for
10 RV's @ 25 gpd /RV = 250 gpd anchoring holding
1 employee @ 13 gpd /employee = 13 gpd tank
1 floor drain @ 25 gpd /drain = 25gpd
Total gpd = 288gpd
Tank Size = 288 gpd X 5 day capacity= 1440 gallons
Using a 3000 gallon holding tank for extra capacity
r — -
r BOLDING TANK CROSS - SECTION
Approved Weather Proof
-lent Cap Junction Box
4 C.I. Approved Locking Manhole Cover
_ With Warning Label Attached
Vent Pipe
Minimum 12"
Final Grade
4" Minimum
Approved Joint
18" Mi ni mu;
Water Tight --°'
Seal High N `'
SPECIFICATIONS
Al 4.m S'4i r- n ../-
Ins j L'17
TANK New .Existing _ Approved Joi
Manufacturer: cturer: w/ C. 1. Pip(
S
xT, Tank Size; .3 rP Gallons Extending 3'
<.
Onto Solid
Q_ 's ALARM Manufacturer:
Model NuTwer:
e. Swi tch Type : ly) 2
NUMBER OF BEDROOMS ?` 7
GALLONS PER DAY �
O
3 of Bedding Under Tank 1� f
Owner's Name:
Address:P v,,' .5's
7
Legal Discriptio
Township /Muni ipalitY: s.
County
PLUMBER /DESIGNER
Signature:
License Number:
Date:
a ,
HOLUti 'TANK MANAGEMENT PLAN
Thi Private O
nsite Wastewater Treatment System ( POWTS) has been designed, and is to i D - 105 P
m
maintained according to m 83, Wis. Admin. Code, the Holding Tank C omponent Man
6/1111999), and the f County Sanitary Ordinance. )
o
1. This POWTS is designed t accommodate an estimated domestic wastewater flow of gpd.
ration and 2. The owner of this POWTS is responsible for system Maintenance Agreements. maintenan including all provisions in
the attached Holding Tank Servicing Contract ar
3. Each time the wastewater in the second tank reaches a leve below t e i nlet cal i nv er t er emp the tank's e
alarm will activate), the pumper listed in the current Servi Contra
contents and dispose of them in accordance with NR 113, Wis. Adm. Code.
4. At each service event the service provider should visually inspect the condition of the tank, risers and
manhole cover(s) and verify that the alarm system functions and manhole locking devices are present
Discrepancies are reported to the owner in a timely manner for corrective action. All corrective actions
shall comply with the county sanitary ordinance and Comm 83 and 84 Wis. Adm. Code.
5. All service events or inspec§dns of this POWTS shall be reported to the county within 10 business days.
6. The owner may not remove any of the wastes from the holding Wis es. The discharge of wastes
(s), cause such wastes to be
or or
removed by any person not authorized to do so under Ch. 281,
from this holding tank to the ground surface, including intentions( discharges and discharges caused by
neglect, constitutes a failing POWTS and may result in issuance of correction orders or a citation by the
county or state.
7. No one should enter a holding _tank for any reason without being in full compliance with OSHA standards for
--
entering a confined space. t "atmosph re within these tanks may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
8. In the event that this POWTS fails and cannot be repaired, a code compliant - replacement holding tank may
be installed in the same location (a new sanitary permit is required for such a replacement). Connection to
municipal. services would also be considered at this time if they are deemed available to the property.
9. if this POWTS is replaced, or its use discontinued, components no longer in
use it shalt be abandoned in
accordance with Comm 83.33 Wis. Adm. Code. `
10. it there is a problem with, or question about this installation, the following persons should be contacted:
�5/ ✓ � - a Phone:
a - Installer ........................... —
b. Service Provider ................ Phone:
c. County Zoning or Health DeptS .L'r w ✓�
11.
Project:
Transaction umber:
4,.
f
1033
Wisoonsin Department of Commerce SOIL EVALUATION REPORT Page t of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt
Attach complete site plan on paper not less than 8'% x 11 inches in size. ounty e. Plan must St. Croix
include, but not limited to: vertical and horizontal reference paint (BM), direction and
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.
30 -2029
Please print all information. !xfewed B � Dat Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). _ at"Y
_71 O gZ
Property Owner Property Location
Lentz, Henry & Bemice Govt. Lot na NE 19 SE 1/4 S 22 T 30 N R 20 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
123 State Rd. 35 3 na CSM Rem (S 7
City State Zip Code Phone Number I City l Village Lej Town Nearest Road
Saint Joseph I WI 1 54082 715 - 549 -6486 St.Joseph 7th St.
✓6 New Construction Use: I Residential / Number of bedrooms Code derived design flow rate GPD
Replacement ✓:j Public or commercial - Describe: unknown
Parent material Sandstone residuum Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a mound system. System elevation to be established from contour line established at
elevation 100.36'.
Boring # � Boring l
✓l Pit Ground Surface elev. 100.36 ft. Depth to limiting factor 37 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
1 0-9_ 10yr3/2 none sil 2mgr mfr cs 1f .5 .8
2 9 -18 10yr4/4 none sil 2msbk mfr gw 1f .5 .8
3 18 -27 7.5yr4/4 none grscl 2msbk mfr gw - ---- .4 .6
4 27 -37 7.5yr414 m35 46/2 grsl 2mbsk mfr cs - - - - -- .5 .9
5 37+ 10yr714 sandstone ---- - - - - -- -------- - - - - -- mevfi - - -- - - - - -- NC NC
a Boring # J Boring
g/j Pit Ground Surface elev. 100.20 ft. Depth to limiting factor 43 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
1 0 -9 10yr3/2 none I 2mgr mfr cs if .5 .8
2 9 -29 10yr4/4 none grscl 2msbk mfr gw if 6
3 29-43 7.5yr4/4 ii2 5y x4/46/2 grsl 2msbk mfr cw
4 43+ 1Cyr5 /6 sandstone ---- - - - - -- -------- - - - - -- mevfr - - -- -- C
RT
CIO CQtI
.`
* Effluent #1 = BOD 30 < 220 mg /Land TSS >30 < 150 mg /L *Effluent #2 = BOD <30mg/Lan mg /L
CST Name (Please Print) nature: CS 9
Thomas J. Schmitt 227429
Address Tom Schmitt Date Evaluation Conducted Telephone Number
586 Valley View Trail, Somerset, WI 54025 4/4/01 715- 549 -6651
r
r • Property Owner Lentz, Henry & Bernice Parcel ID # 030 - 2029 -40 -000 Page 2 of 3
3� F Boring # Boring
✓j Pit Ground Surface elev. 100.01 ft. Depth to limiting factor 45 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -9 10yr3/2 none I 2mgr mfr cs If .5 .8
2 9 -26 10yr4/4 none grsl 2msbk mfr gw 1f .5 .9
3 26-45 10yr3/4 m2d 10yr6/2 Syr4 /4 grsl 2msbk mfr cvv - - - - -- .5 .9
4 45+ 10yr7/4 sandstone --- - - - - - -- --- ----- - - - - -- mevfi - - -- - - - - -- NC NC
❑ Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPM
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 GP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = 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
,,,.A.7 7„ — .ItP, +. f —.* ..1.+... — *Ha .* 1 G1 — I FnR_'>FA_9^7'7 7
I I i I
I I
i
L
i
I
--
Art
"L.� 8do - -- -- �—
I ,
I
I
i II i
I I
I
I
I
I
I
I
I
Yp
h - - -
I NO I
s`
a
I
I
071
;r-
fL. L
Q � I
I I
I I
3
Berh;te l.� fz y
raga,. ,ed, 3 s -6 STr s da y
� I
/X/
r
5 - -
�I
II,I
,: i �_- I _ � -- -
' I � j � �
i
i
� �
� ., �
I 1�.
- —
i t __ i
.. _
i '
:- ___
r r
��
� �
_ ,
I - _ , -_
I
__
+ ' � , ; �
�� -- � � _ _
�. ! � i f-
� �
I
I - � i
',
--
,_ , .
- _ _. _ _�.
t --
r � _ ,_ _
- __
r �
—,- -__
�� ��
s ._
,,
f_ i f"
I
i i i �
i � � � � � �
r � � i
f
C �-
Wl!4 CORNER
SECTI 22
N85 �8'17"V�/ 181 1 .76' EAST -WEST QUARTER LINE OF SECTION 22- N8 48'l 7-W 82.
'v S.T.H. 35 & E4
_S8 9°4 9 17 "E 967.
b1W-2o2- sa --0 /0 o
;�
�I
80' LOO -T iI yy� N HOUSE
Loo I T 12
l I ------ - - - - -- C4 - - --
LU 2 o 2 q - - �jc�:� FARM
a
� o OUTBUILDING
W -
1 P "•
N
80. 26 C14
CQ CID
nn � cc�,� o N P
lsoc u 0 N N
���� �; ----------- - - - - -- - - -° PARCEL A
38.06 ACRES
I �
2-o c)
I 0)
I �
M T J11
I
t
+I
i
N SOUTH LINE OF THE NE1 /4 OF THE SE1 /4
t
8 °43'1 WE 83
TOTAL BOUNDARY
P.anCEL Ca= L >��iD LCCAD IN PART OF NEi 4 CF Tr-iE S,=-1, CF SECTION 22, IN PART CF THE tip!`/
� S�`.1 `4, PART Cr T' S` \,(!.'4 CF THE S�.�il 4, PAR T C F T� :E NEi;- CF THE S��`J114, PART CF THE Sc
HC S�.b'1 4, PART CF TAE \i`.`'!1 '4 Cr THE SP 4, ,AND 7, S\,`/1,'4 CF 7HE SE1 /4 .ALL IN SECTCN 23, r
Pa.i;7 Cr i rE NE1 4 Cr 1, :E INI 1.4 CF SE07CN 26, ALL IN T3CN, R20W, TO'evNJ CF ST. GCSE =H, ST. t
C"UN'"'. `,`r ;SC^NSITJ; C ESCRISED AS FCLLC`,`iS:
EEGtN iING -'.T TIE SvU7H ^U, R : =R CCRI` EF: CF Sr• L SEC ; -CN 23, THE. -,CE S8S° �8'E r LC�JG
T .'E SC U - ^ LINE Cr T-tE, SE' s a- S ,=.)D S ECT;CN 23, 1::29 ^ 95 FEE I TO 7HE c =.S T 1211\1 'CF SAID
SE1 ?; THE�i�.E �i CO v .^..S , i, - .L:.J�:G L I -� ,;D E-•S? Li>`iE AN
T. EA L;i +c
..r i ��`.`il .s `,F T--c �c1 26c2.8o = =_=T TO T-;E "'=�T UARTA Ll'�ic CF SAQ
l.. ,v ti �. 4, EI - ,/ v 1 L
C : °r -7.1`.'�C A; •r.I Its =A CT _ . !-t a.11---- I is Ic
s 9 p C�C�C�O
F1LED o� MAY 9 2001
ppR 2 H w 10 f 43623
�M�.,w, C E ' RECo EY MAP
ti LOCATED IN PART OF THE NW 1 f4 OF THE SE 1
PREPARED FOR AND IN PART OF THE NE 1/4 OF THE SE 1/4 ALL
HENRY LENTZ IN SECTION 22 MON, R20W TOWN OF ST. JOSEPH,
123 HWY 35/64 ST. CROIX COUNTY, WISCONSIN
HOULTON, WI 54082
CTR. SECS S.T 3 & 6 — —2633.72'— — — — �E1/4 COR.
SEC. 22 �S89 °59'26 "W) (7� (S89 °59'26°W) SEC. 22
N89 °48'17 "W NORTH LINE OF THE SEi /4 O ; N89'48'1 7"W {
1304.90 N89 0 4 '17 W 50 .57' 0 1328.82'
p (130 Q
S00 °02'44 "E 31 .67'
75_28' _____ 0 n n
(S00 °05'01 "E) 8I0 _ `` O ''� D.O.T. SETBACK q n 91 4 / �ti�ti 3.000 ACRES m
(130,680 SQ. Fr.) - D
d04 2 / S o 0 0 0 w -�
00 0 b o• D
o
S89'48 7 505.12' o o Q o c
o �1 l 75'a► 1 cn —�
N A n W 0 IQ 1 5
° 1 °
0 LOT 2 N o-k w w m
3.000 ACRES cn r'3 0 w ea y
8 _ (130,680 SQ. FT.) o - of m
-- - - - - -- �p 0 m
lO I �� L4 �
1 O I g co WNN s 11 P I 40' 40' S89 °48' r I I o o cn a
I� I= ICI of p
W A i, N
Qp
b� I� LOT NIT �mg 6mm
ACRES
N M
��� i .� 8 0' (13.000 ) 0 I I [N—]t w w 0?
�I�I� A ° w o.
N
S89 °48'1 7 "E 466.49' N I I to
C9 1 0
I 143,3 1 2 I � 0 W 1 0 D
S, E EASEMENT o' w v
H I 66 FOOT WID ip CQ 4 N m
FOR FUTURE PUBLIC ROAD co 02 �
0 0 0
LOT 4 A
o N INC. EASEMENT rn cn Cn co 0
o I 6.000 ACRES 4 p og o 00 0
I (261,360 SQ. FT.) ,' K) w � 1 N cu
�O4 4 o m. EXC. EASEMENT — w -1 0 _
m Irl -
0 1 5.391 ACRES ° m fO
— — — — W (234,849 SQ. FT.) 0 In rri
I
t0 cn cn ^ to ^ co —I
I WEST LINE OF THE � " � C.0
D APPRO!/Ei9�° NE1 /4 OF THE SE1 /4 ° A w 13
N m m ST. CROIX COUNTY S89 °43'25 "E 539.40' - - - 1 -k 1 (9 0
C Mq UPlannino Zoning and Parks Committ x rn rn corn q M c
M
1 APR 2 5 2001 30 U[�]pLa�i'CED RIGID` 5
oAm
W m M @ R[D V D4a[Ep@) LEGEND
�n 0 x If not recorded within 30 days of FOUND ALUMINUM COUNTY
-n Z approval date approval shall be SECTION CORNER MONUMENT
z m m SURER I NOTE: 0 FOUND 1" IRON PIPE
co
0 p LOTS MAY BE SET 1 X 24 IRON PIPE, WEIGHING
P S & N LAND SURVEYING SUBJECT TO FUTURE 1.68 LBS. PER LINEAR FOOT
Z O DOUGLAS J . ZAHLER SPECIAL
N 2920 ENLOE STREET ASSESSMENTS FOR m RAIL ROAD SPIKE
N m HUDSON, WI 54016 ANY UPGRADES AND ............... ROADWAY SETBACK LINE AS
IMPROVEMENTS TO SHOWN
THE ROAD. x EXISTING FENCE ,
SEE D.O.T. NOTES ON SHEET 2 ( ) RECORDED AS
SCALE IN FEET I"= 200 DOT NO. �-- PROPOSED DRIVE
55.35. 3230.2001 . SOIL BORING
200 0 200 H—X SHEET 1 OF 2
THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6010 -02 DATE: 03/09/2001 REVISED 04/18/01
Vol. 15 Page 4072
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner /Buyer � T 1 (� -Z-c�� �`� r c-
Mailing Address (� 1 3 Z �, p Wri 5 S 3 J-
Property Address
(Verifica ' ired from Planning & Zoning Department for new construction.) PVT
City /State Parcel Identification Number Q .2 : :A ;150
0 30
LEGAL DESCRIPTION / A _3
c 6
Property Location N � '/ , '/ , Sec 2 � , TN R2DW, Town of J� s
O PT Subdivision 2 ,Lot #
Certified Survey Map # �`� ,Volume Page #
Warranty Deed # ,Volume 3 ,Page #
Spec house 0 y no Lot lines identifia es 0 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.
Uwe, 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.
Uwe certify that all statements on this form are true to the best of y /our knowledg . I /we am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Regist eeds Office.
N r of be rooms )A
, 2
/ 4
SIG RE OF APPLICANT(S) DATE
** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * **
Include with this 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. 08/05)
HOLDING TANK SERVICING CONTRACT
Contract Date
G — Z g . c) This contract is made between the
Holding Tank Owner(s) Name(s) and Pumper's Name
We ack owledge the installation of (a) holding tank s) on the Toll°j�ing property: Provide legal descriptions:)
IU / �S r� S 2 Z I v Z Q i.�.�
L Z Su
--------------------------------------------
1. The owner agrees to file a copy of this contract with the local governmental unit that has signed the
pumping agreement required in Comm 83.52(1)(c)1. Wis. Adm. Code and the approved Holding Tank
Component Manual. This agreement will also be filed with the St. Croix County Zoning Department.
2. The owner agrees to have the holding serviced b the pumper and tees to permit the pumper
gr' 8 �s ) Y PAP 8u
to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner
agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the
pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the
holding tank(s) as mutually agreed upon by the owner and pumper.
3. The pumper agrees to submit to the local governmental unit that has signed the pumping agreement and to
the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further
agrees to include the following in the semiannual report:
a. The name and address of the person responsible for servicing the holding tank;
b. The name of the owner of the holding tank;
c. The location of the property on which the holding tank is installed;
d. The sanitary permit number issued for the holding tank;
e. The dates on which the holding tank was serviced;
f. The volume in gallons of the contents pumped from the holding tank for each servicing;
g. The disposal sites to which the contents from the holding tank were delivered.
4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a
change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a
new service contract with local governmental unit and the County named above within ten (10) business
days from the date of change to this service contract.
Owner(s) Name(s) (Print) Owner's Signature(s) Subscribed and sworn to me c o
- in this date:
t�.�0 7GIv 6 `Z�Todaa s Date
0� Y
Pumper's Name (Print) Pumper's Signature otary Public Signature
Pumper's Registration Number Commission Expiration
J 2 0 8 0 P 1 0 5 - 7ID __3 Z23 4B a 1,
KATHLEEN H. WALSH
TRUSTEE'S DEED RE GISTER OF DEEDS
ument Number ST. CROIX CO., WI
RECEIVED FOR RECORD
HENRY J. LENTZ, as Trustee of The Henry J. Lentz Family 12/23/2002 09:30AN
Revocable Trust dated May 24, 2000, and Bernice A. Lentz, wife of
Henry J. Lentz, for a valuable consideration conveys without warranty to EXEMPT #
Park Place Storage Condominiums, Inc., a Minnesota corporation,
Grantee, the following described real estate in St. Croix County, State of REC FEE: 11.00
Wisconsin: TRANS FEE: 750.00
COPY FEE:
CERT COPY FEE:
PAGES: 1
That part of NW %4 :Ds ' nd NE %< SE' /< ,Sec. 22- T30N -R20W described
as follows: Lot 2 d 3 f Certified Survey Map recorded in Volume 15
of Certified Survey , page 4072, as Document No. 643623.
—�
Recording Area
Bernice A. Lentz, wife of Henry J. Lentz, joins in this conveyance to relinquish Name and Return Address
any homestead and /or marital property interests, but does not join in any
warranties DAVID J. ESTREEN
304 LOCUST ST.
HUDSON, WI 54096
2029 413-ON 0 3 0 - Z L - -S0 -
630- eZQ - Sa -03o
(Parcel Identification Number)
w'^
Dated this 17 day of December, 2002.
THE HENRY J. LENTZ FAMILY REVOCABLE TRUST,
dated May 24, 20 0
*Hen J. L rus ee
*Bernice A. Lentz,
ACKNOWLEDGMENT
STATE OF WISCONSIN
ST. CROIX COUNTY M
Personally came before me this 1 day of December,
2002, the above named Henry J. Lentz a�,,,Trustee of The
He J. Lentz Family Revocable''1 rust; Bernice A.
Le , to me known to be the 'persons ,wlig zecuted the
oing instrument and 3ckno%ki'pdg6 %e'se(dr
Ln
signature,: rw .t
type or print name .'��C o
Notary Public St. Croix Coubty �Wioconsin ' •►
My commission is permanen (W 4 date:
THIS INSTRUMENT WAS DRAFTED BY
ROBERT F. WALL '
*Names of persons signing in any capacity should be typed or
LentztoParkPlace Condo TrusteeDeed02-1 printed below their signatures.
8 )674
KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIX Co.. WI
RECEIVED FOR RECORD
07/14/2006 11:55AM
Document Number Document Tide HOLDING TANK AGREEMENT
EXEMPT #
St. Croix County REC FEE: 11.00
Holding Tank Agreement COPYSFEE:
CC FEE:
tate Plan Transaction Number - L2- PAGES: 1
g4-y K PtCe,.« o
Name -- (Owner) Typed or prints
being duly sworn , states, under oath, that:
1. He/she is the owner /part owner of the follr+w:no parcel of land located in St.
Croix Co-rnty. Wisconsin, recorded in Volume � � . Page O i Document
Mum¢ St Croix Co Register of Deeds Office: Recondln Arne
y ) d is h yjL tt iL n th, ' rS %. of a � ' of Section 2 Z a and Retu Address
o f lan3 Located �/.
T areal N — R Z J W, Town of �T� c1t�1�/ St. Croix ��5
County, Wisconsin, being duly described as follows (include lot no. and C
subdivision/CSM or detailed legal description): L o ff$ 3
agl Hof I S �f o7 �- C��•
Agreement Date: 2-
4� Parcel Identification Number (PIN)
We acknowledge that application Is ben �W L j nit 6 �a� property or that continued use of
the erdsti� promise* requires theta holding made for the Installation oT(a a) on the a described
a municipal tank be installed on the property forthe purpose of proper containment of sewage. Also. the property
cannot now be served
by opal sewer, or any other type of private onalte wastewater treatment system as permitted under Ch. Comm 83.
Wis. Adm. Code, or Ch. 145. Wis. State.
As an Inducement to the county to Issue a sanitary permit for the above- described property, we agree to do the following:
1 . Owner agrees to conform to all applicable requirements of Ch. Comm 83, Wis. Adm. Code relating to holding tanks. if the owner falls to have
the holding tank properly serviced In response to orders issued by the governmental unit or the Department of Commerce to prevent or abate
a human health hazard as described In s. 254.59. State., the governmental unit ( Town) may enter upon the property and service the tank or
cause to have the tank to be serviced and charge the owner by placing the. charges on the. tax bill as a special assessment for gurrent
services rendered. The charges will be assessed as prescribed by s. 88.0703, State.
2. The owner agrees, pursuant to s- Comm 83.54 (2). and Comm 82.40(3Xe), Wis. Adm. Code. a,water mater Installed In the structure.
The water meter shall be Instatied by a plumber authorized by the DepartmenN of Commerce to make such'inataipstions. with said Installation
complying with state reout - - lecturers specifications. The Owner agrees to wbe financially responsible for the purchase.
Insta" ster motor, and agrees to allow the governmental unit or the Department of Commerce to enter .
the a to to read aruUvr Inspect the water meter.
t -� t�be� .
3. Owne Incurred by the governmental unit or county for inspection, pumping. hauling. or otherwise
servic such a manner as to prevent or abate any human health hazard caused by the holding tank.
The % �
`
� ) l i any costs which shall bs'paid by the owner within thirty (30) days from the date of notice. In
the ev inn thirty (30) days. the owner specifically agrees that all the costs and charges may be placed
on the 1 a ,) �' CC C� abatement of a human health hazard, and the tax shall be collected as provided by law.
4, file a o -- 2 ��� J �.A fi unit The owner further agrees to filed copy of any �changes the contract, or a
copy of 1 ract, with the governmental unit within ten (10) business days from the date of change to the service contract.
S. The owner agrees to contract with a person licensed under Ch. NR 113, Wis. Adm. Code, who shall submit to the county on a semiannual
basis a report detailing the seMchv of the holding tank. The governmental unit or county may enter upon the property to Investigate the
condition of the holding tank when pumping reports and meter readings may Indicate that the holding tank is not being property maintained.
S. This agreement will remain In effect only until the county office responsible for the regulation of private onsito wastewater treatment systems
certifies that the property is.served by either a munldpal sewer or a private onsite wastewater treatment system that complies with Ch. Con n
83. Wis. Adm. Code. In addition. this agreement may be cancelled by executing and recording said certification with reference to this
agreement In such manner which wW permit the existence of the certification to be determined by reference to the proporty.
7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner she! emeM
to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which z; p the
agreement to be determined by reference to the property where the holding tank Is Installed.
Owner(( *) - Please Print Subscribed and swum to before me on this��
Notarized Owner's Signature(s) Notary Public
Coe tai 11nH Title - Please Print fdy Commission Expires
1
3 ��U 7
Gov on nit Offjoa Signature Drafted by:
Personal Inlon1hation you provide may be used for secondary purposes (Privacy Lew a. 15.04(1)(m))
"THIS PAGE 18 PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE"
This (nfomstlon must be completed by au&Wdor , reels I'l mbar address. and Ell( (il requked). Oliw kub m 4fan such as the
grsnikV deuaos, Nagal description, era awy be placed on this lJrsf pa17 ✓ ere oWumonr or may be pieced on addlio oW pages of Ow
c Iocument UgW use of fte aftwPago adds one page to ~ document and Wlsocnsin Statufos, SR5f7.
P- Y
s • FILED o, ` 9
ppR 2 xwl+ to 64.362.3
ti
CERTIFIED SURVEY MAP
LOCATED IN PART OF THE NW1 14 OF THE SE 14
PREPARED FOR: AND IN PART OF THE NE 1/4 OF THE SE 1/4 ALL
HENRY LENTZ IN SECTION 22, TSON, R20W TOWN OF ST. JOSEPH,
123 HWY 35/64 ST. CROIX COUNTY, WISCONSIN
HOULTON, WI 54082
MG'][;' LL%44C�D 0:AHM)@ OO �'Ii G(ICED C3W OO VH[ED3g5
------------------------
CTR. SEC. — — -- S.T.H. 35 & 64- - 2633.72'- - - —
- — — ` - E1/4 COR.
SEC. 22 � 1S89°59'26'W) — — ' — ' -
NORTH LINE OF THE SE1 /4 Un (S89°59'26"W SE 22
N89 °48'17 Q ,1 N89 °48'17W
O (130 N89 - r W 50 '" "' O O 1328.82
�-- NC
—� Soc 044'E � 75.28'
0 31 .6 — O
0
(SOO °15'01'E) 810, t —2 O D.O.T. SETBACK c c:
C OT 7
0 m
1 I N c �F (130,6 O ACRES f.) p o
[LOU 2 I g o
N S89 48 - 17 - E 505.12'
I S I 7S
o n w O D
■ LOT 2 C2 C CO
3.000 ACRES ro A m
CA n5 w q
(130,680 SO. FT.) C2
C Z
Ip l l Z u
1E§ 1�
S N N
I 89°48'17 "E 503.66' ° p a ro °
I
� I�i� :g C A 3
Id I � Im I w � ,. .�O" -1 a
� OT3 I�I�
1004T I A as s ro R11Q��
m I c 3 o,6ao SO. Fr.) $ I I w rn
y ~ 1�1 a r4
cro
S89°48'1 7 "E 466. g
r
49 N I I o
g
66 FOOT WIDE EASEMENT A oD 0
FOR FUTURE PUBLIC ROAD ig N
i
LOT 4 A
in N INC. EASEMENT �i
ryr� ^ ^rn-I
(�5 c2 6.000 ACRES
V A
I
cn S i (26, ,360 SQ. FT.) V c5
6 A EXC. EASEMENT �
ra a
5.391 ACRES 4 . rn
rr� -9) (234,849 SO. FT.) m m m m
D m I WEST LINE OF THE cn T rn r'3! A ro
N ➢ i APPROVES NE1 /4 OF THE SE1 /4 $ a2 1 4 E 1 0
rn m ST. CROIX COUNTY S89 °43'25 "E 539.40' — — — —� a `�
C rA %lannina Zoninq and Parks Cpmmitt
� � ---- o co
'� —"— x m , m
o � m APR 2 5 200i 3O MGI]pCt G144CD [_ [n� _ 22 '±
m m T O[` W (ED Cg3S`l OO 4GJC�G � LEGEND
O M If not recorded within 30 days of FOUND ALUMINUM COUNTY
- — — ' — — — — — — — -
X T Z approval date approval shall be I
r. SECTION CORNER MONUMENT
m C-) SURV arov "R NOTE: FOUND V IRON PIPE
o O S & N LAND SURVEYING LOTS MAY BE SET 1 X 24" IRON PIPE, WEIGHING
Z O DOUGLAS J. ZAHLER SUBJECT TO FUTURE O 1.88 LBS. PER LINEAR FOOT
4 N 2920 ENLOE STREET SPECIAL
�!`� m HUDSON, WI 54016 ASSESSMENTS FOR m RAIL ROAD SPIKE
ANY UPGRADES AND ................ ROADWAY SETBACK LINE AS
IMPROVEMENTS TO SHOWN
THE ROAD. EXISTING FENCE
SEE D.O.T. NOTES ON SHEET 2 ( ) RECORDED AS
SCALE IN FEET 1' w 200' DOT NO PROPOSED DRIVE
55 A solL BORING
200 0
200 H X
SHEET 1 OF 2
THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6010 -02 DATE: 03/09/2001 REVISED 04/18/01
Vol. 15 Page 4072
4 B a�D674
KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIK Co., WI
RECEIVED FOR RECORD
07/14/2006 11:55AN
Document Number Document Title HOLDING S ANK AGREEMENT
St. Croix County REC FEE: 11.00
TRANS FEE:
Holding Tank Agreement COPY FEE
CC FEE:
PAGES: 1
tats Plan Transaction Number -7 7 3
Name — (Owner) Typed or printe
being duly sworn , states, under oath, that:
h
1. He/she is the owner /part owner of the follovvi— parcel of land l9cated in St.
Croix Count- Wisconsin, recorded in Volume,_, Page C 7 .Document
Numii St. Croix Co Register of Deeds Office: Recordin Area
p a and Register ,ld dress
parcel oflan located in th '/4 of the '/4 of Section 2 Z , a ( r
T3 L, N - R �-y W, Town of � Z_ , St. Croix �����
County, Wisconsin, being duly described as follows ( clude lot no. and �� �� 96) (Q e-,/
subdivision/CSM or detailed legal description): / p f
�� Z
/ �- � p J
i/ S D
Agreement Date: !� D l / / Parcel Identification Number (PIN)
We acknowledge that application is being made for the installation oT(a�fiofding lank(s) on the aMve described property or that continued use of
the existing premises requires that a holding tank be Installed on the property for the purpose of proper containment of sewage. Also, the property
cannot now be served by a municipal sewer,. or any other type of private onsite wastewater treatment system as permitted under Ch. Comm 83,
Wis. Adm. Code, or Ch. 145, Wis. Stats.
As an inducement to the county to issue a sanitary permit for the above - described property, we agree to do the following:
1 . Owner agrees to conform to all applicable requirements of Ch. Comm 83, Wis. Adm. Code relating to holding tanks. If the owner fails to have
the holding tank properly serviced in response to orders Issued by the governmental unit or the Department of Commerce to prevent or abate
a human health hazard as described in s. 254.59, Slats., the governmental unit (Town) may enter upon the property and service the tank or
cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current
services rendered. The charges will be assessed as prescribed by s. 66.0703, Stats.
2. The owner agrees, pursuant to s. Comm 83.54 (2), and Comm 82.40(3)(e), Wis. Adm. Code, to have a.water meter installed in the structure.
The water meter shall be Installed by a plumber authorized by the Department of Commerce to rhako such' installation, with said installation
complying with State regulations and manufacturers specifications. The Owner agrees to :bo financially responsible for the purchase,
Installation, maintenance, and repair of the water meter, and agrees to allow the govemmental unit or the Department of Commerce to enter.
the above - described property on a regular basis to read and/or inspect the water meter.
3. Owner agrees to pay all charges and costs incurred by the governmental unit or county for inspection, pumping, hauling, or otherwise
servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank.
The governmental unit shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In
the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed
on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law.
4. The owner, agrees to contract with a person who Is licensed under Ch. NR 113, Wis. Adm. Code, to have the holding tank serviced and to
file a copy of the contract with the governmental unit. The owner further agrees to file a copy of any changes to the service contract, or a
copy of a new service contract, with the governmental unit within ten (10) business days from the date of change to the service contract.
5. The owner agrees to contract with a person licensed under Ch. NR 113, Wis. Adm. Code, who shall submit to the county on a semiannual
basis a report detailing the servicing of the holding tank. The governmental unit or county may enter upon the property to Investigate the
condition of the holding tank when pumping reports and meter readings may Indicate that the holding tank is not being properly maintained.
6. This agreement will remain in effect only until the county office responsible for the regulation of private onsite wastewater treatment systems
certifies that the property is.served by either a municipal sewer or a private onsite wastewater treatment system that complies with Ch. Comm
83, Wis. Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this
agreement In such manner which will permit the existence of the certification to be determined by reference to the property.
7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shag ement
to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will p r the
agreement to be determined by reference to the property where the holding tank Is Installed.
Owner(s) Name(s) - Please Print Subscribed and sworn to before me on this '• y
CP co �►`.
Notarized Owner's Signature(s) Notary Public = p •. , �`
Gove ntal Unit O Title - Please Print My Commission Expires V
f
�Zo- 3 v, jt)o
Gov ental nit OW Signature Drafted by:
�� � ' lX
i Personal Inforlhation you provide may be used for secondary purposes [Privacy Law a. 15.04(1)(m))
"THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE"
This information must be completed by submitter document title. name & retum address. and E[ (if required). Other Information such as the
granting clauses, leagal description, etc. may be placed on this first page of the document or may be placed on additional pages of the
document. V2W Use of this cover pag adds one page to your document and Wisconsin Statutes, 50.517.
Safety and Buildings
4003 N K
commerce.wi. OV INNEY COULEE RD
g LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
1 sconsin www.commerce.wi.gov /sb/
Department of Commerce www.wisconsin.gov
Jim Doyle, Governor
Mary P. Burke, Secretary
July 05, 2006
CUST ID No. 226900 ATTN.• POWTS Inspector
SHAUN R BIRD ZONING OFFICE
BIRD PLUMBING INC ST CROIX COUNTY SPIA
1008 192 ND AVE 1101 CARMICHAEL RD
NEW RICHMOND WI 54017 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 07/05/2008 Identification Numbers
Transaction ID No. 1286773
SITE: Site ID No. 659025
Park Place Storage Condominiums Please refer to both identification
7 th Street numbers, above, in all
Town of Saint Joseph, 2-2-- 3 D . 2 O . correspondence with the agency.
St Croix County
FOR:
Facility: 674218 PARK PLACE STORAGE OFFICE / STORAGE UNIT
7TH ST
HUDSON 54016
Object Type: POWTS Component Manual Regulated Object ID No.: 1083868
Maintenance required; 288 GPD Flow rate; System: Holding Tank Component Manual, SBD-
10571-P (R.6/99)
The submittal described above has been reviewed for conformance with applicable Wisconsin
Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY
APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible
for compliance with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the
Department per s.145.06, stats.
The following conditions shall be met during construction or installation and prior to occupancy
or use:
Reminders
• This system is to be constructed and located in accordance with the enclosed approved plans
and with the "Holding Tank Component Manual for Private Onsite Wastewater Systems"
SBD- 10571 -P (R.6/99).
• A notarized Holding Tank Agreement between the local governmental unit/Municipality and
the property owner is required prior to the issuance of a sanitary permit. A Holding Tank
Servicing Contract may also be required if no other service provider for the holding tank has
• SHAUN R BIRD Page 2 7/5/2006
been identified.
• A service drive or road is to be provided to the service access opening or pump out port. The
minimum measured distance required is 25 feet.
• The well must be a minimum of 25 feet from any POWTS tank. chs. NR 811 & 812c
• A Sanitary Permit must be obtained from the county where this project is located in
accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the POWTS installation is required. Arrangements for inspection shall be made
with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis.
Stat
• Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on -site
during construction and open to inspection by authorized representatives of the Department,
which may include local inspectors.
• The plumbing for this project discharges to a private sewage system. The approval covers
only domestic /sanitary wastes directed into this system. The Department of Natural
Resources must be contacted regarding the treatment and disposal of all industrial wastes.
Owner Responsibilities:
• Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring
that the operation and maintenance of the POWTS occurs in accordance with this chapter and
the approved management plan under s. Comm 83.54(1).
• Comm 83.52(2) A POWTS that is not maintained in accordance with the approved
management plan or as required under s. Comm 83.54(4) shall be considered a human health
hazard.
• Comm 83.55 The owner is responsible for submitting a maintenance verification report
acceptable to the county for maintenance tracking purposes. Reports shall be submitted at
intervals appropriate for the component(s) utilized in the POWTS.
All permits required by the state or the local municipality shall be obtained prior to
commencement of construction /installation/operation.
In rantin this approval the Division of Safety & Buildings reserves the right to require changes
g g pp
or additions should conditions arise making them necessary for code compliance. As per state
stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for
designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed
below, or at the address on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who
are responsible for the installation, operation or maintenance of the POWTS.
I
` SHAUN R BIRD Page 3 7/5/2006
Sincerely, Fee Required $ 60.00
Fee Received $ 60.00
Balance Due $ 0.00
Charles L Bratz
POWTS Reviewer II , Integrated Services WiSMART code: 7633
(608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday
charlie.bratz @wisconsin.gov
cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544
Parcel #: 030 - 2029 -50 -025 07/06/2006 08:17 AM
PAGE 1 OF 1
Alt. Parcel #: 22.30.20.444A2 -A 030 - TOWN OF SAINT JOSEPH
Current X, ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
01/19/2004 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - PARK PLACE STORAGE
PARK PLACE STORAGE C - CONDOMINIUMS INC
CONDOMINIUMS INC
PO BOX 326
CORCORAN MN 55357
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: — -- Acres: 0.000 Plat: 01/90 -PARK PLACE STORAGE CONDO'S 030/04 L
SEC 22 T30N R20W N1 /2 SE1/ B Block/Condo Bldg:
CSM 15/4072 EXC PT TO PAR GE
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
030 - 2029 -50 -030 22- 30N -20W NE SE
Notes: Parcel History:
Date Doc # Vol /Page Type
12/23/2002 703388 2089/105 TD
05/25/2000 623604 1513/378 QC
07/23/1997 803/539
2006 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: st Changed: 04/26/2006
Description Class Acres Land L862,40v0j1,038,400 Total State Reason
COMMERCIAL G2 4.360 176,000 NO
Totals for 2006:
General Property 4.360 176,000 862,400 1,038,400
Woodland 0.000 0 0
Totals for 2005:
General Property 4.360 176,000 0 176,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 030 - 2029 -50 -030 07/06/2006 08:17 AM
PAGE 1 OF 1
Alt. Parcel #: 22.30.20.444A -3 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
01/19/2004 00 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner
0 - PARK PLACE STORAGE
PARK PLACE STORAGE C - CONDOMINIUMS INC
CONDOMINIUMS INC
PO BOX 326
CORCORAN MN 55357
- - *-
Districts: SC - School SP - Special Property Address ( es). - Primary
Type Dist # Description
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: cre�A — s: 3.000 Plat: 4072 -CSM 15/4072
SEC 22 T30N R20W N1/ E114 BEING LOT 3 Block/Condo Bldg: LOT 3
CSM 15/4072 ASSED WI H P 444A2
030 - 2029 -50 -025 Tract(s): (Sec- Twn -Rng 401/4 1601/4)
22- 30N -20W SE
Notes: Parcel History:
Date Doc # Vol /Page Type
12/23/2002 703388 2089/105 TD
05/25/2000 623604 1513/378 QC
07/23/1997 803/539
2006 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations Last Changed: 02/28/2005
Description Class Acres Land Improve Total State Reason
Totals for 2006:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
I
Parcel #: 030 - 2135 -11 -000 07/06/2006 08:17 AM
PAGE 1 OF 1
Alt. Parcel M 22.30.20.2019 030 - TOWN OF SAINT JOSEPH
Current XI ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
01/19/2004 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - PARK PLACE STORAGE
PARK PLACE STORAGE C - CONDOMINIUMS INC
CONDOMINIUMS INC
PO BOX 326
CORCORAN MN 55357
Districts: SC = School SP = Special Property Address(es): ` = Primary
Type Dist # Description " 1443 7TH ST UNIT 11
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 01190 -PARK PLACE STORAGE CONDO'S 030/04 L
SEC 22 T30N R20W PT NE SE BEING PARK Block/Condo Bldg: LOT 11
PLACE STORAGE CONDO'S'04 LOT 11 & INC
COMMON ELEMENTS Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
22- 30N -20W NE SE
Notes: Parcel History:
Date Doc # Vol /Page Type
01/19/2004 752127 01/90 CONDO PLAT
12/23/2002 703388 2089/105 TD
05/25/2000 623604 1513/378 QC
07/23/1997 803/539
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/31/2005
Description Class Acres Land Improve Total State Reason
COMMERCIAL G2 0.000 0 47,000 47,000 NO
Totals for 2006:
General Property 0.000 0 47,000 47,000
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 0 47,000 47,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 030 - 2029 -50 -030 03/12/2008 03:57 PM
PAGE I OF 1
Alt. Parcel #: 22.30.20.444A -3 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
12/24/2006 00 6
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - PARK PLACE STORAGE CONDO, RETIRED
RETIRED PARK PLACE STORAGE CONDO
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 4072 -CSM 15 -4072
SEC 22 T30N R20 T 3 Block/Condo Bldg: LOT 03
CSM 15/4072 . OOAC) & THE S 140FT O
THE E 765F OF LOT 2 CSM 15 -4072 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
22- 30N -20W SE
Notes: Parcel History:
Date Doc # Vol /Page Type
12/23/2002 703388 2089/105 TD
05/25/2000 623604 1513/378 QC
07/23/1997 803/539
2008 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 12/05/2006
Description Class Acres Land Improve Total State Reason
Totals for 2008:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2007:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 030 - 2029 -50 -040 07/06/2006 08:42 AM
PAGE 1 OF 1
Alt. Parcel #: 22.30.20.444A -4 030 - TOWN OF SAINT JOSEPH
Current XI ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - PARK PLACE STORAGE CONDOMINIUM INC
PARK PLACE STORAGE CONDOMINIUM INC
6415 CTY RD 19
CORCORAN MN 55357
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Descriptio Acre 6.000 Plat: 4072 -CSM 15/4072
SEC 22 T30N 20W N112 SE1 /4 BEING LOT 4 Block/Condo Bldg: LOT 4
CSM 15/407
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
22- 30N -20W SE
Notes: Parcel History:
Date Doc # Vol /Page Type
09/07/2005 805662 2883/099 TD
07/23/1997 803/539
2006 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
COMMERCIAL G2 6.000 124,700 0 124,700 NO
Totals for 2006:
General Property 6.000 124,700 0 124,700
Woodland 0.000 0 0
Totals for 2005:
General Property 6.000 124,700 0 124,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
'vV1'4 CORNER
�sEC 22 — — — —
N$5 18'17"1v " — /l 8 1 76' EAST -WEST QUART+ =R LIME OF SECTION 22- N89048'1 7 w 82'
S.T.H. 35 & 64 —
_S8 9 0 4 8 17 "E 967.
1 I °
C O
1 80 I L�04 � H ouse
CM
C-)
a W - FARM
I Q I 0 OUTBUILDING
------ - - - - -- O - C-11, -� = I X04 �
a N
O � N
I : C ------------ - - - - -- - --
o M
� ( I � r o N
80 �_ N (D %R@ciTo@Bll
CC) N
--------- - - - - -- PARCEL A
1UV i - O 38.06 ACRES
"
IOU
I �
I �
L &T
I
I
I +I
I
N SOUTH LINE OF THE NEIA OF THE SE1A
SO
1l VL� ------ - - - - --
r
�8 °43'19 "E 83x.02'
TOTAL BOUNDARY
A P. >RCEL CF LAND LCCATED IN PART OF NE ,4 CF T riE S,=1%4 CF SECTION 22, !N PART CF THE ti\iV
nE SV,1 `4, PAIR T CF T'--E S\Ai! ;' CF Tl Sb�i 1 4. P R T F C T E NE1 / Cr THE SN %11 i4, P ;'.R i CF THE SE
HE S`•.'Y' =.4, PART Cr T E N\,`i1 '4 CF TINE SEE-1:4, AND T iE S` /1,'4 CF THE SE1/ 4 . +LL IN SECTCN 23,
PA+R? CF 7HE NE1 1 CF T'.:_ ;x,1,`1,1 CF SEC T!CN 26, ALL ii�1 T3CN, R20LV, TCV` Ni C ST. JCSE ST. t
CCIriT`', bV:S CONS ;N; CESC,FISED AS FCLLC`�`:S:
l EEIGINNING A. T 7HE SC U71-i U -%p cR CCtR- NE=i CF `r:;L ScC T 1CN 23, THENCE S8S °� cE'E ALC��7G
T iE 's- U, LiNE CF 7HE SE' CF S A.1D SECT;CN 23, 1::29 ^ 95 FE 1 TO THE c =.BT LINE CF
CF I, , SE1 �; TI HENCE �;CC .s ., T i, - .L:'NG L Ti Sz ;D -SST Li9`;= ?ND T :E EIS T Lit +"
- F 1 ":� �l`. � -4 - F 1 7E SE 4. 2 = e2. e6 E= 1 TO I ` E - "'-- T EST Q UARTER LII i; CF SAM