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HomeMy WebLinkAbout030-2040-00-100 C) v) m c ti 4 0 (D h o � � 1 E o � o. 3 m M m .6 0 D a o o E c a> •- a�iavTic i Zt v � a Q > p N o O O O N O C O N O amn -0 - C Z N d E C O m w v CL cc LL O > N d (0 3 2 Q rn m.G�o v d (D J r' Z tl� Z 0 O Z y d 04 M W a m N H Z c O L p Z d c v r o : d Z V O E C p to F- r U z C E 'O Y �_ co N U O 7 N • t �' o L o 'a a m o 0 O Z c Z N _ z o C m R E N '. Qr 41 — d C d co W CL C o D D a o °' a C7 0 •N �aaa Z !6 C N CL ° D 0 y p m M J U I) m o o } N N N O O N cj� L O O = � '� N C N Q N i Q Z U) Q O O r+ M H O 3 � y c E 0 H 3 D C 70 0 L LLJ M N D. N W N N U O N M� _� M .y0.. lly O� O N O N U • Q � N in � � ° Z dt a a _1 E c c Pam Quinn From: Pam Quinn Sent: Wednesday, March 30, 2005 1:39 PM To: Kevin Grabau Subject: newer installation complaint Had a guy call who didn't leave a number to contact for follow up, but yesterday I went by the septic system he was referring to on 27th street and Cty. Rd. E, next door to old Family of Christ house /church. Anyway, he wanted us to check on ponding over system area and although it appears in a low spot, Tuesday there was no water over dispersal area. He just now left a voice message and thinks that someone erred in location and that there is ponding now after rains (I guess). Since he didn't leave any contact information before, I had no way to follow up. Left #651 - 402 -5300 cell/ 651- 282 -2663 office number. File shows Dennis Gille did a revision to relocate system - would you field this since you know what it looked like at installation? Thanks! 1 PAMELA QUINN, ZONING SPECIALIST ST. CROIX CO. ZONING DEPT. PAMQ000. SA/NT-CROIX. WI. US ( I l� cY Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453390 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal infoftatioo 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: Wollack, Edward I St. Joseph Townshi CST BM Elev: Insp. BM Elev: BM Description: Sectionfrown /Range /Map No: c�v .� f )l�•� y QllC�. . ;�o,,s gr . ( 25.30.20. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �"���� Benchmark Dosing Alt. BM Aeration Bldg, Sewer Holding 7 St/Ht Inlet 1( r qo / TANK SETBACK INFORMATION St/Ht Outlet l• �v TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , S� Dt Bottom Dosing Header /Man. ( I . V 3 Aeration Dist. Pipe ��r g3 Qg r Holding Bot. System / ! .20 ( 0 � / — 7 7 , U r 13,Ig �S$ Final Grade PUMP /SIPHON INFORMATION Manuf cturer Demand St Cover -- -- - - -- GPM (v• /�, �e • t'Io / Model Nu er l TDH Lift i riction Loss System Head TD Ft For6emain Length I Dist. to Well SOIL ABSORPT SYSTEM CH Width r Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 ( � 2) SETBACK SYSTEM TO P/L ( BLDG WELL LAKE /STREAM LEACHING Manu to r: INFORMATION CHAMBER OR Ty p O O f System: r UNIT Model Numbe DISTRIBUT TEM Header /Mani u Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s Lengt Dia Length Dia i SOIL COVER x Pressure. Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil PUR Yes [R No L Yes No COMM,�� �/SC (In de co a discreRengie §( erspps pre,�s t,Cc.) „ • Inspection #1: Inspection #2: --- - Af Location. 1341 27th St. Houlton, WI 54082 (NE 1/4 NW 1/4 25 T30N R19W) NA Lot 7 Parcel No: 25.30.20. 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = 4 5 r �( -- - - - - -- - -- - - -- - - -- - -- Plan revision Required? _ es No < 77��� / 1 Use other side for addition for o SBD -6710 (R.3/97) Insepctors Signature jCr e No,� �_ Safety and Buil ings ounty 201 W. Washington ve., P.O. Box 7082 N visconsin Madison, W1 3707 7082 Sanita Permit Number (to be filled in by Co.) Department of Commerce (6os) , 2 I �sa� 2 20 4 53 State Pan I.D. Number Sanitary Permit Applicatio Si CROIX, (_G - , In accord with Comm 83.21, Wis. Adm. Code, personal informatio ro "NING OFFIC may be used for secondary purposes Privacy Law, s 15.04(1)(m) Address (if different than mailing address) I. Application Information - Please Print All Information V 131Y/ 27 9 1r . Property Owner's Name ' r •' / , , I Parcel # Lot # Block # f e .r ,S* G<JGt�c� �J 3 s- zo yo- do oeo '7 Property Owner's Mailing Address Property Location M r �., SAL /s, section City, State Zip Code Phone Number w S YO 7/s- 67 8 - 20o (circle o e) IL Type of Building (check all that apply) T 30 N; a E ot� L� ❑ 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number 7 ❑ Public/Commercial - Describe Use 7G sS'YO ❑ State Owned - Describe Use ❑City []Village ST III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' New System J9 New ❑Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. ❑ Permit Revision Permit Renewa ❑Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner �C 3 6 1 0 7 /j , s /b (/ IV.Typeo f POWTS S stem: Check all that a i iZNon - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑' Constructed Wetland ❑ Pressurized In- Ground ❑ Hording Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (so Dispersal Area Proposed (so System Elevation vo t g7/ 1 9/0 VI. Tank Info Capacity in Total Number Manufacturer N Prefab Site Steel Fiber Plastic Gallons Gallons of Units , ^ A _ Concrete Constructed Glass New Existing Tanks Tanks G ` C ptic /Holdinl;Tank 42 2 Aerobic Treatment Unit !�` Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installafillp the POWTS shown on the attached plans. Plumber's Name (Print) Pl is Signatur M P umber Business Phone Number FhNi'S Z 7 rai 8' G 6 37 Plumber's Address (Street, City, State, Zip Code) 3 7 2 / Vo S T A .e .i SsS�ov / VIII. Court /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (' ludes Groundwater Date Issued Issuin Agent Signature (N Stamps) Surcharge Fee) � ❑ Owner Given Reason for Denial , 0 2 IX. Conditions of Approval/Reasons for Disapproval r- Attach complete plans (to the County only) for the system on paper not less than 81/1 z 11 inches in size SBD -6398 (R. 08/02) eA l- , 4 s zz l<v*7 1 S,6'�S.Z.5 Nof ;2,—'c.. 4kie- 9 8'1.,�� � .+� 9 z q qO 0 ? 5D s r fT' AD A • - cafwc ° P z� Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code • County ST 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 Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 63p ,2 0 v o el u - ego � Please print all information. ev' wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). QZ ( j Property wner Property Location r h Govt. Lot 1/4 1/4 S T` O N R E or �� � � its"" 3 �a & - ( ) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 87G 51 `'` dm-t City State Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road �7 .2 ' r New Construction use: ❑ Residential / Number of bedrooms Code derived design flow rate L00 GPD ❑ Replacement ❑ Public r commercial - Describe: Parent material • Flood Plain elevation if applicable ft. General comments and recommendations: F-1 Boring # 9 r 0 ❑Boring t/ p � p / Pit Ground surface elev. ft. Depth to limiting factor /_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Z -fi V 0 Yom/ es /0 ' ineoe-1 a �. -- 7 / 2 -, oyPs /4 7 / Z. FZ--1 Boring # ❑ Boring 29 Pit Ground surface elev. ft. Depth to limiting factor 7 //t r 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 L- I S Ib me caw 7 12 Ja - 36 d 3✓ LS /qzr 1nv1= aw �--- Z * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) ignat CST Number �� Address Date Evaluation Conducted Felephone Number '3S77- P`/OS -e-s c 5-000 / 2 —o Y h 126 F = CL 37 SBD -8330 (1107700) Property Owner Parcel ID # Page of 13-1 Boring # ❑ Boring g pit Ground surface elev. � 31 ft. Depth to limiting factor — '-'1 5 Y in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 9 © 3 ?— J O A10 Qj i'dr- 17 Yniv /0 MCA F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. F — SoT Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. El Pit 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 * 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 a 9 pp P equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Fes. Sc�, YO ' 97.9 r PrOAS -� 0 ci —Q r Safety and Buildings Divisio County r _ 201 W. Washington Ave., P.O. Bo isconsin Madison, (608) ) 261 - 7082 Sanitary Permit Number (to be filled in by Co.) 1-654 6546 Department of Commerce Sanitary Permit Applk,atic4FI M ° �1 �� D State Plan I.D.IN h r In accord with Comm 83.21, Wis. Adm. Code, personal information you provide N N may be used for secondary purposes Privacy Law, 15.04(1 trl) t Addr s (if different than address) ��D %EiG Project 13 27 n mail sTt I. Application Information - Please Print All Information — 2- Property Owner's Name n r� ifi�� �t i��i - _ P el# t# Block Property Owner's Mailing Address Property / ation 6 r o ity, State Zi p Code Phone Number 'A " e) V 0 T3 S II. Type of $wilding (check all that apply) � / S G t� '7 ubdi n Name CSM Number ❑ 1 or roily Dwelling - Number of Bedrooms _ !,� ❑Public/Co ercial- Describe Use /) / 7�� ❑State Owned- be Use �( � �5 �Z A City ❑Villa [IT of 7tnk e IL III. Type of Permit: ( k only one box on line A. Complete line B if applicable) E A. New System ❑ cement System y ❑ Treatment/Holding Tank Replacement O El Other Mod tion to Existing System B, List Previous Permit Number and Date Issued ❑ Permit Renewal El Permit Re El Change of El Permit Trans to New Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a Non - Pressurized In -Ground ❑Mound >_ 24 in. of sui soil ❑Mound < of suitable soil At -Grad Single�ss Sand Filte Constructed Wetland ❑Pressurized In Ground ❑Holding ❑Peat F' r ❑Aerobic Treatmen t Recirculating Sand Recirculating Synthetic Media Filter thing Chamber ❑ D "ne Gra 1 -less Pipe El O er expla V. Dispersal/Treatment Area Information: h Design l w (gpd) Design Soil Application Rat gpds� Dispersal A equire (sf) Di�nersal Area Propos Syste E a VI. Tank Info Capacity in Total Number Ma cturer Prefab i Steel Fiber O Flastic Gallons Gallons of Units Concrete Glas New Existing Tanks Tanks ptic r Holding Tank Aerobic Treatment Unit ,' ` Dosing Chamber VII. Responsibility Statement I, the undersigned, Ame responsibility for in f the POWTS sh on the attached plans. Plumber's Name (Print) um s Si r umber Business Phone Number 0,1511 12 i G: the 2Z A/ - 7 / >�' =.2fo P G� G 17 Plumber's Address (Street, City, State, Zip Code) VIII. un /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Age a (N Stamps) Surcharge Fee) ih� '' l ❑ Owner Given Reason r Denial � -G � IX, Conditions of ApprovaVReaso for Disapproval OWNER: /u p lc tank, effluent filt and 0 �'O 22,1 , SYSTEM dispersal cell must all serviced / maintained J as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches In size SBD -6398 (R. 08/02) J 211 y / Air SArs 2s - 'r-70 gle2o w fib? y . s ST, Joseez A 0 %, l `fay Sc:1l,� Zclo r 5�4— U LJ 6Ci - ®�h, /oO c y' ° 277 9. b 0 1 9. ` 1 P � 1 Ofbs.� r r ,.s Ill r� R amint 1178 M, Wisconsin Department of Comm FE E ALUATION REPORT Page 1 of 3 Division of Safety and Buildings in 85, Wis. Adm. Code Tom Schmitt County Attach complete site plan on per not I ' iz . Plan must St. Croix include, but not limited to: ve ) direction and percent slope, scale or dimemsions, north ars nce to nearest road. Parcel I. D. C f Please print all information. Re ' wed B a Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). / [ / Property Owner Property Location Family Of Christ Lutheran Church Govt. Lot NE 1/4 SE 19 S 25 T 30 N R 20 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# - r k - 6 y 277 Cty Rd. E 7 CSM Pen mg Approval S City State Zip Code Phone Number City Village Town Nearest Road p I WI 54082 715 - 549 -6323 St.Joseph 27Th St Saint Joseph i1 t bJ f+� New Construction Ilse: 16 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD _f Replacement J Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd /sgft rating. Possible system elevation for area I is 94.5'. A �- 8 3 n t tc P lam¢- > ( 6 " ka4q.J W �l 6 - - 7S ;,-Je n Iff Boring # I Boring 0 a " 0 Pit Ground Surface elev. 99.07 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11 *Eff#1 *Eff#2 1 0 -8 10yr3/2 none Is 1fsbk mvfr gw 2f .7 1.2 2 - 2 10yr3/4 none Is 1csbk mvfr gw 1f .7 1.2 3 32 -96 10yr5/6 none ms Osg ml - -- --- .7 1.2 s Boring # I Boring t►" Pit Ground Surface elev. 98.24 ft. Depth to limiting factor 97 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 1 0 -10 10yr3/2 none Is 1 msbk mvfr as 2f .7 1.2 2 10 -19 1Oyr3 /4 none Is 1msbk mvfr gw 1f .7 1.2 3 19- 10yr4/4 none Is 1csbk mvfr gw - - -- .7 1.2 4 28 -97 10yr5 /6 none ms Osg ml — - - - -- .7 1.2 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS <-0 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 11/1/03 715- 247 -2941 Property Owner Family Of Christ Lutheran Church Parcel ID # Page 2 of 3 3� F Boring # Boring I' Pit Ground Surface elev. 98.07 ft. Depth to limiting factor 98 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -13 10yr32 none sl 2csbk mfr as 2f .5 .9 2 13 -18 10yr5/3 none sl 2fsbk mfr gw 2f .5 .9 3 18 -37 10yr4/4 none sl 2msbk mfr gw .5 .9 4 37 -52 10yr5/4 none sl 2fsbk mfr gw - -- .5 .9 5 52 -98 10yr5/6 none ms Osg ml ---- ____ .7 1.2 , 7 ❑ 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 *Eff#1 *Eff#2 F I Pit Boring # Boring _ Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD *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 need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. • 0 ,. 4 ®� /Ml 0 0 r �,► vo , $ OEP S� do 77' /too a6e� rc►,� �r � � �; i o �' G l�,�s f ��� ►ma 6y ; T �Q � �'', .�� �,�,r� a� T S� r?CI a \ h e� ,edk / ® 1 ��r sJ OS ��P -• r 07/08/2004 12:44 7152687080 GILLE TRUCKING PAGE 02/02 ST CROIX COUNT SE TANX MAINTENANCE AGREEMENT AND OWVERSI -IJP CERTIFICATIO! 1l FORM Qwner/$tlyt7r + / L° !Vie - h C W u ✓ � pY1 6 Mailing Address -,Z? f 9 e �Z s Property Address 9 3 4 L (Verification required from Planning Department for now: ranstruction) � City /State _ i Parcel Identification Nub nber ��m LE riDiribIr ,°PLO ( 030-- 2 0L 1 6 'au t�r�Q� rD Property Location (�f/�_ y,, % Sec. s , T 30 N_R 20 W19 of S k i U J Subdivision L.6 , Lot # 1 _, Certifled Survey Map # - 76 s 5-�I CJ, Voltune I , , Pag # 7 7 Warranty Deed # CO 3 S Volume page # Z . Spec house & yes ❑ no Lot limes identii i.able a yes ❑ no S hnproper use And miA'nt9=ce of your septic system could result in its pri mature failure to handle wastes. Propermaintenauce consists of pumping out the septic tank every throe years Or sooner, if heeded b a licensed can affect the fire 000 of the septic tank as a trel►tament stage in the waste di �. tl s Y stem What you put into the system She property owner agrees to submit to St. Croix Zoning Department i certification form, signed by the own Master Plumber, journeyman plumber, res4ieted or a licensed er and by a pumper veti icing that (I) the oa -site wasuewaierd' is in proper operating eoaditiou and/or (2) after inspection and pumping (if aeces tary), the septic tvik it lea than 113 AM of sl set I/we, the undersigned have read the above regttire'nents and agree to maintai,a th+ private sewage disposal system with the standards set forth, herein, as act by the Department of Commerce and the Department of N,,tural Resources, State of Wisconsin, Cenifica stating that your septic system has been tttaintaine(l gon days of the three year expiration date_ fk must be completed and retu :d to the St. Croix County Zoning Office within 30 SIQNATUIM OF APPLICANT �— / 1 1011. DATE Q"ER C1i.RT TVTd- A nON I (we) certify that all statements on this fiorm are true to the best of my (our) knowledge. I (we) am (arc) the ownet(s) of the property described above, by virtue of a watzanty deed recorded in Register if Deeds Office. SIGIAT" P APPLICANT O DATE wow *w: Any infornintion that is mis- represented may result in the sanitary patmil being revoked by the Zoning Departme * Include with this A pplicat ion: a stamped warm,. P t deed tY from the Register of Deeds o Of the ce office a copy itified survey map y ap i eferenc� . � s made in the warranty deed P'DWTS [IWN£WS MANUA & MANAGEMENT PLAN E j crfv t�wraer 1 ISYS M'S I1�CAT1Q C Swat; Tank epealty liZCaO a CI NA ado "Carsic Manuftaturer 13 NA l7 woo Filter Nlemaamurer Number of sedAMOMS Q NA � Q I� A Ef!'iurrre< 1` t ger -cdel boo Number at publin ltejlity units C! NA �. �[ itlA i¢snrrrp I'8nlc Gopaotty `� `- ---- l � nrA PUTT -mated iflow (aver.-Ias -- - -- w--N- _ oat --- - ---- -- �~- - --M- -- � .�q �rda, Pump Tank Manufacturer Q ILIA D9019at BOW (peak), tEstfrast8d x 1.67 DO Pump Manufacturer Emil Asppllctlt�lan Rats 7 � _ .� l�l� a ...., � r , ,, ,_ . � _ _.,-� � _ , ,�. ^ . 13 NA aall lfr�? PUMP M odel Q WA Stansl'sral InflusrtWEffitionr Quality moatl�ly avera Rretreati-ne t•Is►rtft ��' Pats, C1i & Qta<ase (FOG) X30 mg /L }� NA l3artdlQrsvail°fl'tar 13 beat Ritar I3iaotssrtricr3i flxygert Demand (800,,) =0 rn0 l� NA f_1 Meuhsnicrsi Aeration Q Wetland Total Suspenciead Sa Ws fTSSI 5188 s1Ftglb _lRf A3elnfaaa cra Q Others prmtneat8d Effluent: Quality - ----- �•-..R, ---,.- Y MantFtty ravercrgg 1�}slpersa) Cell {a} 0 NA iBlnchvarnlcsai Oxygen Demand (3012 %30 1x1011., Q in- Ground (gravity) 0 In- Ground 1pressudzed) Tatal Suspended Solids a TSB) S30 mall. 0 NA C3 At-Grade 13 M _ Fanal Corifunn fgaon istdc M. 9pn) 510 efoll00MI r,� DrIP.LD76 a Other. lVlz� .1muEn EfE iuent p'Br CioIa SI a in tile. N/; t Cher. N � NA othesw !� NA D WA 'Values trp7deltarrdamestin WaestewaWr find sapOr tank effbaaroi Other. � CT NA M�l•111(,T 6.�.i9 serving Evem Service Frey""" inspect: aantdition of tank At legal anon every; 3 �aert s IM arcirnnarrt s years} 1»t NA Pump out eiortrtatatp af tsctlrlol When com-WNW siudgo and sgirrm egerala one third tY of tarot valiimra Q NA Inap,aut dlslaersa( Bali #aa) At feast Bonus every: rTaortthla) {Maxlrnurre � gaara) C3 NA _ ear s) _ 'Clears aef lutsnt filter At least tan ®e aaysryc nianth Q NA ear s) Inspect p ump., Pump comtrals & slop At least onus every,, Ri nsthtel 0 N _ _ . e sr . i r Flush laterals and prasraure lost _ At least rmom every: � � .. R• h is Cl I1iA At lersen arise esvicepy^{ Ban} Q NA D TIA MAINTENANCE INSTRUCTION$ InsPeCtlans of tanks and dispersal calls shall be made by an Indivldtt al narrylrig ones of the following licenses or vertiflotatlona: Master Plumber, M-asrsr Plumber Restricted Bawer, POW Insparaor; POWT$ Mtalmaln Septage Servicing oparatmr. - rank Inspeatlonn rrsuel: include a visual In$pectlon of the tink(s) to ldraniffy any raiasing or bralam hardware, Identify any cireakae or lacks. measure the vvlrstrre of combi sludge and scum and to ohsbk fo ony bsok up sir pondIng of of-fluent on the ground surface_ The dispersal r ail (s) shills be vilaually #napeeted to abook x1ja mffluent levels In the abservallon pipes and to shack far any pending of effluent on the ground surface. The pending Of effluent on The gmund ourfacs may Indioate a falling c andiflon and requlr©a'the imrt�etrllste natlflrsratiOn Of thO focal rrergular ry euxborTry. wlorc►n xfae araml,Tnad aaourculatlon nt sludge and euum in any wilt equals ana -ihlyd fV or more of the tank voluMs, the entm rmmants ar the tank shall bs rernnved by a Saeptaasa Serviaing Operator and disposed of in Annnrdanae with chapur X14 11 WlaoamnTr► ,+e3,d► InIstrativ a Coos. All other servlaes, including but not ilmitsd tv the senrlc 7o of alMmut fr'Iters, mechanical or preasur)aed components, pretreatment traits, and any servrining at Intervals of S1 a mc;nths, shail be performed by ra certified pow Ts "Oh"47her. A zaarviese reaert Ai"►rtll krm IJr9VIrisd T' a the local reg.talatary BUTharPtx vrstithln 10 arayts of o rnrplaxlon al amy ssrvTere aystst. t�MW l�ufat3 WARr SP AND OPERATION 1 new uaanucl uotleta„ rirlmr xa zsee *�i' aPrta.,l�f:a�fl7 l� txYraerstt•ti rrantr>Iaa3rxt tankful for the pra narime of paianfimg gradu4v or c0atir dakerpittat •rlrrat iRay t►axlrnntia?1ym traatrr ont grualm 3 al X4 , or a vivrasm t1ns; rdhopArildt 4e111M. #t' 1dab raeam"filraatllnrm are dUt"afh93d t @x$ attnte mr; of11h ao t.arikW e amavod by a sup axge smrr+Itslrara opMrtarmx ;aiiltat' x us ttatQu systam mart tY ;s Shull riat anour�anrl'»aa Emir ccn dltTvas Ewa I'saerir; tat Z11e Ir0111=14VO murramra. urlgg pausrsr caLItM1363 PtIMp T anw: may mill 13 brivue 140, I ull'Ixtohmistor lcv� �la. ill hon Imuvur to raatamd Vis exaces igagTmyo fi�zar vytll bi i0so@twrgaa to tha dlspersaal tsplif"I In true lair' a dcS6, alVarlundia t.7tca cafff ni and rriul�' rzouli, In tlis a• lssalar�t �r.rtt aaaa.�l�garjiaibr�j�s � it W Off Itlant. YD svlsaid thle azta -AtIon hu a the li al'r mnt!a;5 at t4a Tramp tftt rrzinlemaarl 4V a g apftile $wrvlathl { lotiS'iftr plrlar to ram rltlr 1'sa tar 'tra tha afflu +Ya't ptsr ar v a #xIumbrsr rar POWTS llll Intmirulr to aw7at In manually ap.1Aratff o tho 13111rrp >yfxss xt a'o Ix restm at 110r ltaurals wlthln the punip2 umki, 00 ryrir drive -a)- po rrallycles over m fa arias: 41a plDrasl >em316, Do not Thbra or park aysr, or cilb swiss dleturb of allinpuatk The mreat w1t h'Ift 1, i 'rsmt down slaps oil mly rrfr and or: mgrads rwH dlSuI'1(1'Son ars7 R aclrarallsar'l or artimlnatirm of the fZ114MIng fr:irn Maas WastawaL S'rrORITI may Imprim tho Parrforrrranm and 7` alrarlg ft 11i'a ex!` 1010,: 1 arrr91;1rrtiasl ligby w1jaes,` dlgart ttr! bUtlte,' aci:WA euvtatisy a, ght,01 1Fi13310; ,sifnpOM, 019I11leaarltants; top, 'Ptlurrrsta'Ciaal t'lraalfx jVUI` p 12LItsl131 water; 'Irmit cid vfmatarll o imeling; pso'1111% gransa; l't®rbtcloca; utt; pdtl iltit,r produrnr, pt'imttuldes; sarctlT aa°y rtapkS asF raaral ,rrrlra; and vfr -mor md1h!mrr6r brfnaa. A'sANlm ea Wham ara thm raP.WrS facts imc(feir re psrmariarzty taken rain: srf umn iYao thvx zcrllmuvtujQ ma;s shall' Jim takers to hwura 11191t tf§a s3rlri max Ii trrcxrae rlyr wilts aaiferly Rkaerrt maed trs oolnpffanmr vintl, nl'>:mprter comm 83.23. Mti>aesrialm Misr Mall uativa Cadet s All lsllslrrtl to ra:r he Grad laltea shall biD disnpnsaatuttad and ttrsa asYsnrndeflud pyoa oparilmos am%led. � '1'I�aa rsuxrE;Qlatet acs cal! i;ankaa acrid iclres �alit3ll lae ruresactttad argrf prciram►'Iy ailspCrsrael �� tt�' � S�BepS�augta iyersr9ra`Inp I:sradrstrJx °.. + Mfor l urpr.�lrag, miI Tanks 811d .plus r hea lam axnava►ted arid ram ovro,d of •rlxaalr t twors raatm.oved and tho xraid spataea firlind VVI'l gull. gretyrat or a nat'haar Inartsmilyd motor al. COO IMIRSNOY PLAN If fho tr'GWT3 ftft anti aml at be repalratd the fialicawfmg rrm usuraea b ave 'brand, or T imor be ftkpra, 1's► - plovIde u aatade p aimplirare a'[3ralatara i�rit: aryr�r:arrt: s ar l t11a2Ltis J'gplFrss4Crtar►7'� Far Ilia$+ 'liffors aviol11m1ud wind mviy Um t.Alfl od far tbo Woutla n of at replanmment sall alm arpxlar zay8taar7ta. "r'I71a r'wlrlsraaYriaritered shrr lr- R!' 17aa3 prat eL11t611 53vid af9rTJpaution frnLl A CYIa�L�'.t� 11,�1J l't l�f *t Q r 11�CIlPll1 r+ai,�1Lllrsd sti'li'Jaltxl4a 'FraYr17 aaaalaftg z324C, prcl;aaaad iati`LrEl'f,Lq'rar )ratw linta8 rJl'rd uualLlar IxiaYluraes Zta grcrrabt 1198 aarrplalurirrrisrtt rtrrarx wlI c • to u It t1 g Ys a*mmmnx araa. Em TsaarMint sy'mttarara rnt�' c rtb411�1�'t In °tltri ala3r�l lttr a i'rasrhr scctl tttrtti o�li,ra +asut� Itrra11 1cY# 2b a l.rLxa�rlla;lti sx at f Aa1 P . aarl'qtt]t w 1; tho rides fri riff lat at that 11tY'i G( A asttttalalu ra(atara►a►xem srelm lo but uVellattle (Als 'Eta tiermair andAlf twIl 1lrlai7art'l+�rtul. I�ar,r +lrai� raduflmcatarr ha ZaL7,'W'1r z,aohriology a holdN9 I'sht may. be TV sl;ailed ft a 1'$mt; rx -omrt; $6 rtaptaciw Tho f allaad FI"lWTS" 'l ra V flag not an agvxsItMed t tIfy U vulrarl�ls replimntamen t assts , uparr !�t"I ra s of th POWTS a loll Brill rftx, a f v cratYta nsxtt �aa p Lrrrrrttd t�ra8% a Ita- ble to kr. [� rtai trnec;trrt1: as t 3�isl��Srt;q 'lnixl / my fxtx t �d arts as !asst lacin to IEPIRUS 9e�5WFS„ Mound and eiVorrAda soli rabarsrls'CYiarr aayrit;rrrrrs MdV bm raa0n8tz!ta4tMd try jP1801a 'Fr~}liavuitng raarrroxl'81 df thra binrrrat at tllr' lkai'ifilrAxlvaa slarFaxctur. iacarraairu�a tvrir of sfar h Sve tar' s Mumv mrapf"r 'tv tl'e'I2ra ztrlas In e'11'aant at. that lime. c <WAHNINQ> > SEPTIC, PUMP AND (l'THR1+l;WIFAI�11415 Ir TANKS WXY CONTAIN LgT,Cil'AL 4JtS595 ANDICIR 1NSI3PROILWT 0041 ?N.. DD NQ'1 RNTER A SEPTIC,. lxlJilltF OR C1'CH911TSIIrATMl$I1lT TAN'X UNDOR ANY 0140DCl'MSTAND496. 0 SA ITH MAY REiSF1M RESQUE {3.1r ill FEROOnl lartOM TWO I i11`fMOR OP A TANK MY 3% VIIalcICULT OR IMPOSSIraM, ?4 t�l f.4�. --- E MAO)e� � =zep = (fR 8 P mss Ism— Oplamm IM&FE) L Ir L Ha: ULATWXY AUTHOSIT Ne Nonats 'r'I�lai efciexuiti7ririx wr,te d{rarl�eacl Ya riArrlp]IaituarnYlrlh axltre�zctr �uraortr isa3, 'Z;iwi:�ll�)S t;13.I�+�txi. {?,y 7sti daf.' �rUSm> aoricflrs ,ilrJrdYa�il7:rs'tltr+Q; Nelda, r U. 2613 P 2 ?68365 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEED This Deed, made between Family of Christ Lutheran Church RECEIVED FOR RECORD _ Grantor, 07/09/2004 01:00PK an d WHITE PINE INC. AND EDWARD F. WOLLACK WARRANTY DEED DONN K. WOLLACK Grantee. WARRANTY if Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin REC FEE: 11.00 TRANS FEE: 239.70 (if more space is needed, please attach addendum): COPY FEE: Part of NE 1 /.bf SE t /,and part of NW 1 /af SE 1 /af Section 25, Township CC FEE: 30 North, Range 20 West, St. Croix County, Wisconsin described as PAGES: 1 follows: Lot 7 of Certified Survey Map filed June 10, 2004 in Vol. 18, Page 4770, Doc. o. 79BW. Recording Area *lair:^ and Rewrr! Addrwf c 030 - 2040 -00 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights - of - way of record, if any. Dated this day of July 2004 r • * * Family of Christ Lutheran Church * * AUTHENTICATION T FKNOWLEDGMENT Signature(s) STATE OF t 1 , ) ) ss. County authenticated this day of me . Tr - Pu b1tc Personally came before me this y of WON -4 Sin __ July _ 2 the above named f W �$ Family of Christ Lutheran Church * St at e TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me wn to be the person(s who executed the foregoing authorized by § 706.06, Wis. Stats.) inst t and ackno le a same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, WI 54016 Notary Public, State o My Commission is erma en t. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) �� ) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, WI STATE BAR OF WISCONSIN 800 - 655 -2021 WARRANTY DEED FORM No. 2 -1999 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SAINT JOSEPH COMPUTER NUMBER 030 - 2040 -00 -000 Parcel Number 25.30.20.489A -10 OWNER NAME: First LUTHERAN CHURCH Last FAMILY OF CHRIST PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 25 TOWN 30N RANGE 20W 1 /4160 1 /440 Line Description Line Description TOTAL ACREAGE 19.000 PLAT LOT BLK 01 SEC 15 EING LOT 6 OF CSM 10/2829 1 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit l, Es ^.__s- J- -4. 0 VOL 18 PAGE 4770 KATHEEMF H. REGISTER OF DEEDS ST. CROI X CO. VI RECEIVED FOR fiECORD 06/10/2004 03:15PH CERTIFIED SURVEY MAP RRr FFA. 13 00 COPY FEE: 3.00 CERnFrEV SURVEY A"w PAGES: 2 LOCATED IN THE NE -SE AND THE NW -SE OF SECTION 25, T30N, R20W, TOWN OF ST.JOSEPH, ST,CROIX COUNTY, WISCONSIN. BEING LOT 6 OF THE CERMED SURVEY Ad4P VIDLUAIE 10, PAGE 2829 AND PART OF OUTLOT 1 OF THE PLAT OF BIRCH PARK. PREPARED FOR: NOTE: BEARINGS FAMILY OF CHRIST LUTHERAN CHURCH ARE REFERENCED TD THE EAST LINE O WOODLAND... HILLS.. THE SE 1 /4. I I UNPLATTED LANDS (RECORD BEARING). I ' I :I E 114 CORNER OF LOT 10 1 ' 1 LOT 11 SECTION 25. (FOUND ............ • I : I ST. CROIX COUNTY I : I ALUMINUM MONUMENT). I :I ` ,nh C . H. acn I I E -W QUARTER LINE : N89'38 24 E 558.82 r _569'38 2 "W — . — — — r... .. — 250.00 in 233.01 1 L Q]' • .J • Awvsu &&sE" ' S89 "E 431.79' 1 = N S 89'07 "1V - 254_40" p { I C.S.M. V 10 0�_ vc o .... HIrTIjWAY. �T9AClS...... �� v1 ;cn f ,/1 N �� LOT L IN E S C.• S, M•.. !!R4, ... I : �n O W PAG 2829 p > o JN N ;� ti o 7.65 ACRES o j • PAGE .85,3 ."I I : : 2 of :9 333, 178 SOFT. 'P cq � i wl N89*38 24 51 6.02 n 6.86 AC. EXC. R/W 1* COMMOM DRIVEWAY v I 500.00' v� AND DRIVEWAY EASEMENT �I w Aff I 16.02': �y� Or N89'38 24 E °I 5 100: LOT 7 r 0 299.034 so. FT 3p" E N 233.01 ' I. 3.31 ACRES w o L. 8. 0. 915.55' N 6108 1 144,371 SOFT o o "� „� .F �6 35 33.07' I I ^ 2.77 AC. EXC. v w CO o 166.9 X 166.99 EASEMENT . (.6 O ` . -, �' ,= 120,505 o q V , SQ.F T. m z b�5 %i• 0 —:— — — — — — — —� B. M. TOP OF PIP E y`L DRAINAGE ro roc; d ►/ T V " ; ^ ° I :OI Z N89'S3 29 E 343.38 �J 906.3 EASEMENT ��� •O� yi,`� •,��. ° 1 499.95' 78.73 121.22' 508.28' �'\ 1 # •• 1 , 300.00 \1 - 9 9 - 9 5' 275 \ SB9'53 29°W 5.23 589'53'29"W LOT 1 O � 5.10 ACRES 222,241 S OFT I J c7 i r, LOT 4 C. 5. M. LOT 9 $ 4.73 AC. EX i p .....3_DO ACRES ,. v 205.924 SO FT. r� ca I C7<l 30,842 SQ. FT. �' 2 ; &b + . B.O. 9049i k /aW 75' SETBACK y O. H. W. M, h O1 100 UN 1 0 2004 w 0 517.50' 33.00' 226.93' 92.00' x 484.50' .. ..... I ; 11 not reoormw vAd*v 30 days of ; 58 744.43' y I apprpvN dab spprovil ihaH ba LOT 3i 3 C.S.M.: _/' C.T H... Y ... 1 I NOTE: LOTS MAY BE SUBJECT TO " " " " " " " " " LOT 2 C. S. M. VOL. 3 ,,, I : v . Z FUTURE SPECIAL ASSESSMENTS VOL. 3 .......... let OF I ; .............. PACE 853 I FOR ANY UPGRADES AND : SECTION 25. IMPROVEMENTS TO THE ROAD. .................... 00 b PA 85J "6 . (FOUND ST. CROIX co COUNTY ALUMINUM ° Z © = LOCATION OF PROPOSED DRIVE. MONUMENT. �S O SET I' O.D. X 18" IRON PIPE NOTE: THE PARCELS SHOWN ON THIS MAP WEIGHING 1. 13LBS PER LINEAR ARE SUBJECT TO STATE, COUNTY AND JAMES M. FOOT. TOWNSHIP LAWS. RULES AND REGULATIONS • = 1 " IRON PIPE FOUND. (I.E. WETLANDS. MINIMUM LOT SIZE, ACCESS WEBE R T O PARCEL, ETC.). CONTACT THE ST.CRO/X CO. ZONING OFFICE AND THE APPROPRIATE TOWN SPR24GALLEY• Q. 1 " =200' BOARD FOR ADVICE. 0 100 200 400 SHEET 1 OF 3 O Uti - - 2003098 THIS INSTRUMENT DRAFTED BY JIM WEBER JAMES M. WEBER S- 1804 LANDMARK SURVEYING DATED Vol. 18 Page 4770