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030-2065-70-000
ST CROIX COUNTY PLANNING & ZONING July 21, 2010 File Reference: #SE0224 Jeff Thiel 1248 Hwy 35 N. Hudson, WI 54016 RE: Private On -site Wastewater Treatment System ( POWTS) Compliance Code Parcel #030 - 2065 -70 -000 (Computer #35.30.20.606E), Town of St. Joseph Administration Dear Mr. Thiel: 715 - 386 -4680 On July 20, 20101 visited the above property to obtain photos to document that Land In on violations noticed in my May 14 letter have been resolved. plane' The following compliance activities were completed by Todd Featherstone, 71 6 -4674 licensed plumber and POWTS installer: Property 1. The fire ring and extra patio blocks were removed to allow access to both of - 386 -4677 the septic tank manhole covers and the effluent filter for cleaning and Rec maintenance. New iron covers have been installed on both access 715 -15- 386- openings for a more aesthetically - pleasing appearance. 7 2. The electrical wiring for the pump and alarm are now properly connected and a code - compliant junction box has been installed. 3. The dose tank cover has been raised to meet the minimum 4" above grade and the vent inserted in the cover is now 12" above grade. The cover has a locking device. Thanks for your cooperation in scheduling Todd to come out and resolve the POWTS code violations and making sure your system is back in compliance. If you have any questions regarding maintenance on the POWTS, feel free to contact me at 715- 386 -4680. ely, Pamela Quinn, POWTS Inspector #665054 Zoning Specialist CC: Leroy Jansky, Dept. of Commerce Todd Featherstone, POWTS Installer File — BOA #SE0142 & #35 -04 ST. CRO /X COUNTY GOVERNMENT CENTER 110 1 CARmicHAEL ROAD, HUDSON, W1 54016 715386 FAX PZ9C0. SAINT-CROiX. W1. US WWW .CO.SAINT- CROIX.WI.US Jeff Thiel 1248 Hwy 35, Town of St. Joseph — 4SE0224 & Sanitary permit #463444 Ins ection vent i e 4 white PVC for the stormwater tank is visible above the patio Septic & dose tank are underneath patio. Dose tank manhole with broken electric LB connection and ex osed electric cables in foreground. d r . W M.. < r R d I N " New manhole covers — patio brick to be replaced with limestone & gravel landscaping Jeff Thiel 1248 Hwy 35, Town of St. Joseph — #SE0224 & Sanitary permit #463444 1 . 3 2010 - View of POWTS dis ersal cells and observation pipes on slope below house Manhole cover for dose tank without lock/chains and vented observation pipe — electric cable for pump and alarm are exposed. The DCOMM code violations are being corrected by the original plumber as of 6/7/10. STe CROIX COUNTY 0 4-k PLANNING & ZONING MIAMOM May 14, 2010 File Reference: #SE0224 Jeff Thiel 1248 Hwy 35 N. Hudson, W1 54016 RE: Private On -site Wastewater Treatment System ( POWTS) Violations Code Parcel #030- 2065 -70 -000 (Computer #35.30.20.606E), Town of St. Joseph Administration Dear Mr. Thiel: 715 - 386 -4680 On May 10, 2010 1 visited the above property to obtain photos for your special Land In ron exception request for a mechanical lift. While taking pictures, I observed a & damaged electric junction box and wiring running into a manhole cover at the base 71 P of a brick patio and stairs. Apparently after the Private On -site Wastewater 71 6 -4674 Treatment System ( POWTS) was installed in 2005, the retaining wall and brick patio were built over the top of the septic tank and part of the dose tank. Leroy Property Jansky, Dept. of Commerce Wastewater Specialist, inspected the POWTS on May - 386 -4677 12 th and confirmed several code violations are present. Recyc Based on the sanitary permit's site plan and inspection record, the existing patio 715 -386- fire ring appears to be on top of one of two concrete manhole covers for the septic tank (I have enclosed cross - section drawings for your review). Per Comm 83.54 (3), the tank(s) must be accessible for required servicing and inspections and Comm 83.52 (1) holds owners of POWTS responsible for ensuring proper operation and maintenance of their wastewater treatment systems. There is no record that the tanks have ever been serviced. Luckily, the Dept. of Commerce doesn't consider the patio a "structure" that has to meet minimum setbacks; the deck and house meet the minimum 5' setback to the tanks per Comm 83.43 -1. The following compliance activities are required: 1. Debris from the fire ring must be removed to see if the cover on the manhole can be opened. If so, then arrange for the septic tank to be cleaned out by a certified sewage pumper and have both the septic and dose tanks inspected. If the effluent filter, which is normally connected to the outlet of the tank, is not accessible for cleaning and maintenance, the brick patio will have to be altered to gain access to the manhole. Please note on the septic tank diagram that the filter access opening must extend at lea 4 least inches above grade with a locking device for the cover. 2. The electrical wires for the pump alarm are not connected properly, the wiring is lying exposed on the ground, and the junction box is not code- Sr. CRoix COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON, WI 54016 715- 3864686 FAx PZPCO.SAINT- CRO /X. W1, US I -A-, -- ..., i c s is o a ca a vio a ion an azar . ease see p mbers who are qualified to make the necessary repairs to bring the POWTS into mpliance. Todd Featherstone did the original installation, but any of the qualified plumbers ay do the work. The pump should be tested and confirm that the floats are set at elevations in approved design, which is on file here at the zoning office. 3. Th tank cover must be raised to meet the minimum 4" above grade and the vent inserted in t er must be 12" above grade. The cover must also have a locking device as shown in the sed diagram. Finish grading had not been completed at the time of the POWTS insp ns in 2005. 4. Only t ee of the required four (4) observation pipes are visible on the dispersal cells. Have the plumb inspect the system for any sign of ponding and locate the fourth PVC pipe (if it is still there). bservation pipes are allowed to be below grade, but only if each one has a watertight cover readed cap is one option), or they must be at least 12" above grade. Please I e know when the tanks are pumped and which plumber will be performing the repairs. At this p t, we should probably schedule a brief meeting to discuss ways to address the zoning vi ' ions that were never abated by Mr. Johnson in 2007/2008. We can review the options for adding er- the -fact variance requests to the current special exception request for a lift. I'm very sorry that ou inherited these violations by virtue of purchasing the property. an provide copies of the permit site plan and inspection report to assist with the compliance activities r ed above. If you have any questions regarding compliance with POWTS regulations, feel free to con a at 715 - 386 -4680. Sin Pamel uinn, POWTS Inspector #665054 Zoning ecialist CC: y Jansky, Dept. of Commerce To Featherstone, POWTS Installer File BOA #SE0142 & #35 -04 Sr CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON, W1 54016 71X386 FAX sconsp DmptirtrNE�'n ±,of Commerce l PRIVATE SEWAGE SYSTEM county: St. Croix oafety and Building Division INSPECTION REPORT Sanitary Permit No: 4fi32W GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. K&61 6 V", Permit Holder's Name: City Village X Township Parcel Tax No: Rolland, Ann N. St. Joseph, Town of 030 - 2065 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: /) Section/Town /Range /Map No: 9q�, yZ �,,� 'C ;- K 35.30.20.606E TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark . 31 root- 9� � , Dosing Alt. BM c � N► c.o � /� /coo , z-t- pe ,, � ,/� Bldg. Sewer �� uCJ //,99 996 Holding �� St/Ht Inlet rh 1 N 1,7 TANK SETBACK INFORMATION St/Ht outlet c TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 66 UP Septic r f Dt Bottom Dosing /� , �i / Header /Man. `T I f O c * 1 _b Aeration Dist. Pipe 9 /40 1 31 1 Holding Bot. Systern Final Grade PUMP /SIPHON INFORMATI �� yep-- /0. S 9 9 r. 3 Manufacturer and St Cover r ,/ ��� 0 5 GPM _ rf S an RK �D c YJ / Model Number 1 i 1 2- -L% TDH Lift Friction Los System H ad TD Ft �, iZ / ,g y 3 Forcemain Length i Dia. f Dist. to Well A o o SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length No, Of Tr PIT DIMENSIONS No. Of Pits Inside Dia Liqu Depth DIMENSIONS �3 I (A t Z t �� SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: �� INFORMATION CHAMBER OR � Type Of System: + I ' Z I 7 <6 f UNIT Model Number: 11C 4 DISTRIBUTION SYSTEM `7 `F' /lo 3 Header /Manifold i/ IDIstribution Hole x Size x Hole Spacing Vent to Air Intake I ��// Pipe(s) ! d 6e, Length I Z Dia T Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over J Depth Over I x x Depth of T eeded/Sodded 1 XX Mulched Bed/Trench Center ` G� Bed/Trench Edges \ Topsoil Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 4 4 / 24 Inspection #2: Location: 1248 Highway 35 N Hudson, WI 54016 (Government Lot 2 35 T30N R20W) metes & bounds Lot Parcel No: 35.30.20.606E 1.) Alt BM Description = T O �� � �� G; r"� o''` 2.) Bldg sewer length = /6 f 5 /0 !D -' DW7U1/j, o f - amount of cover = / ✓ / 5 -gyp Plan revision Required? Yes No Use other side for additional information. Date Insepcto s Signature Cent. No. SBD -6710 (R.3/97) _j 6L VL 64 � b I / rt f W IN 3� a Z YN o�� =� 201 W. Washington Ave_ P.O. Dox 7082 ST. CROIX COUNTY � isco nsin Madi um, Wl 53707 - 70X2 Sanitary Percent Number (to be fill in by Co.) Department of Commerce (608) 261-6546 State Plan l.t). Number cwror Sanitary Permit A licati n RLCE1 p ' In ad with C(vmt 83.21. Wis. Alm Codee cxrtrat you provide may he used for sec purposes -'115- Xm) ST CR MAY 0 3 OIX CG T7Z ess(if differed than mailing addrm) L Application Information — Please Print All Informs 'T O �c✓ 3 5 A ©� - Pn>ty E?wrrcr'r�Vanrc I FF /CE ANN ROLLAND 3i# 065 -70 000 4 b c Properly Ownfx's Mailing A4*uci Property Location i 1045 - 174TH ST. S v,, NW �;,, seoticrer 35 1 city, State Zip Code Phone Number HAMM W I 1 54015 7 - 30 N . R �w ) IL 'Type of Building (check all that apply) ✓ _ N i or 2 Family Dwelling - N 0 1 , B,&, 3 BD RM PER SUBMITTED HOUSE PLANS S u M 'sion Nam CSIM Number 0 PubheCortntcscud - Desorilx t)se _ ,/ VOL. 417 PG 11 U(VIfl`8 63' TRENCH 11) 68.75 TREN (17CHA Ucay_LIvillage X� Towmehipof ST. JOSEP 2 T6 CHAMBERS 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) ! A- X New System U Roacernent SyMcm ❑ Treatnxad/Holdmg Tank Replacentcxit Only E>drer Modification to Existing 3vs m. ! B n Permit R etmr - change of U Permit Trander to New list Previous Permit Number and Date issued tMtorc hxper CHG TO L IFT STA TIO r t7vnxr 463298 2/1 /2005 IV. Type of POWTS . tem: Check all that 1 - 4 INFILTRATOR 4' CHAMBERS I..I N.n —Pre %%rived Tn4irmind I Lineud > 2d in- nFsuitahfe GOi! I) Mound < 24 in. of suitable soil U At-Gradc U Single ft's Sam Filter I cm ucted wetland U r D Prx�rvod Indireund U holding'..* U al Pe Mihtr n Aerobic Tredment Lint U Rom;ulaUng Sadei Filter Re6rcariating Syrrdw is Media Fiber L Kzaehmg chamtw ❑ Drip Lure ❑ Gravel -im Pax: U Otter (explore) V. Dis rsat(I'reatment Area Information: Design Flow (gpd) Design sail Application Rate(gpdsf) Datpersal Area Required (sf) '76 Area Proposed tst> System El - 987.0 450 .7 642.86 UPPER 990.0 Vt_ Tank Info C'.apacity in Tout Number Manufatitureprefab Site Steel Filar Plastic Gallons 091tom ofI!nits cnerete Constructed Glass New Extstu� Tanks Tames Septic fm 11okliM Tank X 100 1 W I E S E R YES S Aerobic Treatment t 7ni! t.J Z 160 t l 4, X 1000 1 I W{ SER YES VII. Resp onsibility Statement- I, the artia Nwy for or fie YOWYS shown as the attached purse. PlunAw's Name (Print) S' MPlMPRS Number 1kninecs NUN* Nurrrher TODD FEATHERSTONE 242514 1 714- 381-1704 Number's Address (Sttee1, City, Slate, C ale) PO BOX 467 HUD W I 54016 DATE: 4 -2 2005 VIIL tomn lDe artment Use Onl vet U Disc sanitary Pernnt Fee (irrclttdes Dale Issuing Silgtaturc (ti S Surehugc Fee) ` / /,0 U O "Resort ear Denial I 1 l9d IX, Conditions of Approvalffleaseus for Disapproval TB4 OVII t Sa c tonic, slHluMit ANar sod ale disposal ad Must all as per et o a e rwnt plan p a "'do by pkm*W. 2. Al avftw* nquinnMnb nwat ba nwkftU lad n par applieabla code / adMtana m . Attach carte plam tin the t: w.tr 0*5 ear um a Sum w paperiwL tea th" um 1 11 ides in Hue ROLLAND. REVISE. LIFT STA -max I �: � �. �; it.�v:. l..t:�t,�,r:. 7nC' 135' 1nsq =`'�'. .+. .a:: ?!�}1N.�. v�rnF!nn t� �... a x� . , - ��; a •:.srs` •asap t +A l la�09 03 - TUE" 15:03 FA% 715 586 .:4..86 :...:........ :ST CRY CO ZONIN ...... ............................... .................... 001 ....... v�S Arf � � � ,r4NQ rar T F OSS SECTIOrJ A G SPECIFICA'r'Ipk3S VEIJT CAP 4 C.I. VEMT PIPE WEATHERPROOF I APPROVED LOCLKIMIC- L5' FROM DOOR BOX M "HOLE COVER WIAU]OW C19 FRESH r2 "MlLL. AIR IUTAKE I i I GRADE. t t Y M1AJ� I AiU. COIJDULT INLET FROVIDE I -`�' AIRTIt.MT 5£A L, i I * A 1 III I I I t II A LARM a I II. I I C *APPROVED i Ow JOINTS WITH I LLEV. F7 APPROVED PIPE 3' ONTO PUMP J —�` OFF o SOLID SOIL COMCRETC BLOCK KISEK EXIT PERMI OUL!J IF TA M AUUFACT U REtt HAS Sur," APPROVAL SEPTIC DOSE TA Al KS MAIJUFACTURER: I�wmarR OF DOSES: PER DAS TAWK SIZE: GALLOMS DOSE VOLUME ALARM MAMUFACTUIZEIt: L-eF LALCLUUIMG SACKFLOW: �!� (.ALLOWS MODEL IJUMGEIt: f,eL f CAPACITIES: A= —� I►ICiKsoot GAU.OrvS SWITCH TyP[: D = °? INCITES OR - -_ GALLOW PUMP PkAMUFACTURTKI E C - It�LHE5 OR GALLOIJ5 I MODEL. MUMBER: 0 1WGHES OR GALL004 i swlTtN TypE_ _ `vL � j }�_ MOTE: PUMP A►JD ALARM ARE TO b[ MWIMUM DISCHARGE KATE V6 GPM INSTALLED Old 5EPARAT[ CIRCUITS VEICTItAL DIFFEREMCE DETW EEAJ PUMP OFF AUG 013TIttr4UTIOM PIPE., "• FEET i + MIAtIMUM METWORK SUPPL,!l PRES It . . . , . . . . . FEET i # _,Z FEET OF FORCE MAIM X l F joprt FRICSkom FACTOR. •�. FEE7 TOTAL. OtJWAMIC. HEAD FEET 111 me-p AV IMTEKMAL. DIM 510KIS WK: LELJ&TH K✓ ;WIdTI4 — LIQUID DEP'ri, , .5� ,.�. I BlokIED: LICEAISE MUM SERL"'� DATE: l i PUMP CHAMBER CROSS SECTION.max I C 1— HEA n 53 A I TY CURVE Model "53 55 .57 59" MODELS 55 -57 -59 25 Ft. Meters Gal. Ltrs. 20 5 1.52 43 163 6 ° a 10 3.05 34 129 W 1 5 . 15 4.57 19 72 4 Lock Valve: r19157ft. (5.9m) 0 Q 10 ' 15/ - 6 1 — 6 5/.52 2 5 �l 4 5/8 '-- 1 112 —11 1/2 NFT 0 3 15/16 U.S. GALLONS 10 20 30 40 50 LITERS — 0 80 160 4 1/'6 FLOW PER MINUTE 009897 — CONSULT FACTORY FOR SPECIAL APPLICATIONS I • Variable level Float Switches available. • Variable level long cycle systems available. • Available with special cord lengths of 15', 25', 35' and 50'. la 1/1s l • Alarm systems available. } • Duplex systems available. l 3 „j32 llw I --r Sawa SELECTION GUIDE swaseal ContrdSaNcBon tyw 1. ktteO float operated awher al wish, no external control required. Moo) vatr-ft moos Amps &nPlax 1 Duplex GsA UML 2. Ss4e PIOOybeck variable level float swkh or double pgmft& enable level M53155 a M57159 115 1 flub 8.11 1 or 1 d 7 ' — Y Y tkat =k tl. Refer t0 F�77' N5V55 aN57159 115 1 N 8.0 2 or 6 3 or 4 8 5 Y Y 3• McChernCal alf8rnet0►'M Pak 10.0072 or 100075. BN53 115 1 Auto 8.0 13or4&S Y Y 4. See FMO712 for correct model of Electrical Alternator. ` OW 115 1 Auto 8.6 N Y 5. Varlatlle level control wAch 10-0225 Used as a i 0 *W activator, *0 EleCblcei ` BE53157 230_ 1 Auld 4.0 Y Y A (3) or (4) float system. D53155 a D57159 230 1 Auto 4.0 1 or 1 a 7 v Y 6. Four(4) hde J- Pak, peation box, for waterdo t COrimbon orwire" *nplex or E53155 a E57l59 23D 1 Non 4.0 2 or 2 a 6 Y Y 2 pump operation, PM 10-0002. • g„oe pWvback switch k4 ded. 7. Two (2) hole J- Pak, )unc m box forweterti conrledion orsplice, P/N 104003. Forinloanationon addNonalZoelerp ukmre*loca elogon PWybadiVxiaWeLoWFkm#SWddw, FM0477; All Installation of controls, protection devices and wklnq should be done by a qualified Elech WAltemalor, FM0486; MsduuiicalAltomator, FMO495; SunoSe ffapBasins,FM0487;andSin*Rees Neenseddeetri clan. AN* Wtblwl andsa" codesshouidbefotlowedineWmgthemm Simplex Pump Cor"Alarm Systems, FM0732. recent National Electric Code (NEC) and on Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety favor is engineered into the design of every Zoeller pump. nw. TO. P.O. BOX 1047 ' LoLAvfpe, KY 40256-0347 Afenufac9�rersaf . . Sri TO. 3649 Cane Run Road r • P SI s Louravft, KY 40211 -1961 AA*w f=r IM nlfp :�n ww.:osxercorn PUMP !O. / 778 - 1 74- 24 PUAfP FAX(1U2)77h7624 1 MODEL 53.max Safety and Buildings PO BOX 7162 commercemi.gov MADISON WI 53707 -7162 TDD #: (608) 264 -8777 i sco n s i n www.commerce.wi.gov /sb/ j Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary January 21, 2005 CUST ID No.242514 ATTN.- POWTS Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA PO BOX 467 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/21/2007 Identification Numbers Transaction ID No. 1098509 SITE: Site ID No. 694022 Eric and Ann Rolland - Dwelling Please refer to both identification numbers, Hwy 35 L above, in all correspondence with the agency, Town of Saint Joseph, 54082 St Croix County S1 /2, NW1 /4, S35, T30N, R20W FOR: Description: New Non - Pressurized In- Ground System / Individual Site Design / 450 gpd Object Type: POWTS Individual Site Design Regulated Object ID No.: 1000321 Maintenance required; 450 GPD Flow rate; 82 in Soil minimum depth to limiting factor from original grade; System(s): Non- Pressurized In- ground; Biofilter 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, 0. stats. G The following conditions shall be met during construction or installation and prior to occupancy or use: Pic DE P NF 1. This approval recognizes the submitted plans as an Individual Site Design that does not fully conform to DIVISi the approved `In- Ground Soil Absorption Component Manual For Private Onsite Wastewater Treatment fi7 Systems" (Version 2.0) SBD- 10705 -P (N.01 /01). Whereas the component manual does not permit installation of an in- ground dispersal component on slopes greater than 25 %, the proposed dispersal cells SEE CCI' RE will be installed on a 34% slope. The construction techniques described in your January 20, 2005 letter will provide a safe installation procedure. The sandy in situ soil found at the system elevations will emphasize mainly vertical wastewater movement, preventing breakout along the down slope surface. 2. This system has been reviewed and approved as an Individual Site Design. The system shall be constructed in accordance with the approved plans and ch. Comm. 83, Wis. Adm. Code. 3. The observation pipes installed on leaching chambers shall have the following characteristics as specified in the approved component manual: a. Have an open bottom. b. Have a nominal pipe size of 4 inches. c. Anchored to the leaching chamber in a manner that will prevent the pipe from being pulled out. l r TODD C FEATHERSTONE Page 2 1/21/2005 d. Extend from a distance greater than 4 inches above the infiltrative surface through the top of the leaching chamber up to or above finish grade. e. Terminate with a removable watertight cap, or f. Terminate with a vent cap if greater than 12 inches above finish grade. 1 located ass specified in the approved mounds component manual. stem com 4. The observation pipes shall be p pp Y P That is at opposite ends of the distribution cell and 1/5 to 1 /10 the length of the distribution cell PP � g measured from the end of the cell. 5. The following adjustment was made to the POWTS OWNER'S MANUAL & MANAGEMENT PLAN as specified in the approved component manual: Estimated flow (average) = 300 gal /day Design flow (peak) = 450 gal/day A co of the approved plans, specifications and this letter shall be on -site during construction and open to copy PP p P g inspection by authorized representatives of the Department, which may include local inspectors. 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 $ 300.00 Fee Received $ 300.00 Balance Due $ 0.00 P ter E Pagel Private Sewage Plan Re wer , Integrated Services WiSNiART code: 7633 (608)266-2889, M - F, 0630 - 1500 Hrs pel2agel@conimerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 i From: To: PETER E. PAGEL 4 Date: 1120/2005 Time: 4:21:50 PM Page 2 of 3 FEATHERSTONE EXCA VA TING, INC. P.O. BOX 467 HUDSON, W 1 54016 OFFICE: (715) 381 -1704 FAX: (715) 386 -6885 January 20, 2005 Wisconsin Department of Commerce Safety and Buildings Attn: Peter E. Pagel Private Sewage Plan Reviewer, Integrated Services P_O. Box 7162 Madison, W1 53707 -7162 RE: Transaction ID No. 1098509 Site ID No. 694022 Eric and Ann Rolland — Dwelling Hwy 35 Town of Saint Joseph, 54082 St. Croix Co - SV2, NWl /4, S35, T30N, R20W Dear Peter: This letter is in response to you letter dated January 20,.2005. Anticipated waste water movement will be vertical as installation of the system will be in sandy soils. Wastewater movement in these conditions has very little lateral movement. The equipment used will be of the excavator type with a leveling blade to assure a level trench bottom and for safety. Installation techniques to be as follows: A. Lowest trench excavated first placing excavated soils uphill from the trench. B. The upper trench will be excavated next and backfill of the lower trench will be conducted with equipment at the time of excavation of the upper trench. C_ Backfill of the upper trench can be finished from above with the excavator to complete the project" (See attached drawing) I hope this answers your questions and if I can be of any other help please do not hesitate to contact me. Sincerely, Todd Featherstone, President Featherstone Excavating, Inc. ID# 242514 r F-111. 1 V, rC 1 r-m C. t 6Z&L ' Date: 1120/2005 Time: 4:21:50 PM Page 3 of 3 q)t f X l COP r Feathestone Exavating, inc P. O. Box 467 Hxdses, W1 54016 715481 -1704 65143&1987 December 29, 2004 s AN .� 0 2005 Madison S & BD Attn: Reviewer PO Box 7162 Madison, WI 53707 -7162 Re: Ann Rolland Property Located off Hwy 35 at Government Lot 2, Section 35, T30N -R20W, Town of St. Joseph, St. Croix County, Wisconsin Dear Reviewer: I am enclosing my personal design for a chambered system for the above property. I am able to install this chamber system safely without any risk to the surrounding environment or danger to myself or my equipment. If you have any other questions or concerns please feel free to contact me at: Office: (715) 381 -1704 Cell: (612) 366 -4100 Thank you for your consideration in this matter. l�hully Sincerely, "o OF LZ ! 1NGS Todd Featherstone, President Featherstone Excavating, Inc. * /VDC7tV Install Lic. No, — 242514 Ij PO Box 467 M Hudson, WI 54016 i i APPLICATION FOR REVIEW t>epartmeatotCommeree - Complete all pages- POWTS Safety S Buildings Division NOTE: Personal information you provide may be used for Bureau of Integrated Services secondary purposes [Privacy Law s. 15.04(1)(m), Stats.) For plan status, check our website at http f/www commerce state wi us/ SB /SB DivReviewStatusSearch.html Several counties have been delegated certain authority to review plans in lieu of Commerce. For a current list of those counties and their delegation check our website at http:ihvww.commerce. state .wi.us /SB/SB- PowtsPmgram.htmi. 1. Project Information -Fill in all known Information. Confirmation of assignment to a reviewer. Pmject/SiteName ANN ROLLAND- ERIC ROLLAND Tra nsacti on ID: Location, Number & Street of project (if unknown, indicated nearest road) Previous Related Trans. ID: HWY 35 Estimated Completion Date: Legal Description: GOVT LOT 2, S35, T30N, R20W Assigned Reviewer: County ST. CROIX ( ) City () Village ( *Town o 6T. JOSEPH Assigned Office: Mail to your office of choice below: 2. After plans are reviewed, please: (check all that apply) Green Bay, Hayward, LaCrosse, Madison, Shawano, Waukesha - Gall customer 1, 2 (circle number)' _ Requesting party will pick up NOTE: We reserve the right to re- distribute plans to 2 Mail plans to customer 1, 2 (circle number)' another office if needed to reasonably balance dumaround times. 'Refers to customer number from below 3. Complete the following deslgnerlowner /requesting Information. Utilize the check boxes when designer, owner or requesting party Is the same to avoid repeating Information. Designer Information (Customer 1) Commerce Other Please Specify (Customer 2 Commerce First Name Last Name Customer Number First Name Last Name Customer Number TODD FEATHERSTONE 242514 Com an Name Company Name F� I RSTONE EXCAVATING, INC. Address Address PO BOX 467 City State Zip +4 (9digfts) City State Zip +4 (9digits) HUDSON, WI 54016 Phone Number (area code) Fax or Internet cell phone Phone Number (area code) Fax or Internet cell phone 715 - 381 -1704 715 - 386 -6885 N/A Check others if applicable Check other; if applicable ( ) Owner ( ) Owner 4. Information and Plan Submittal Checklists. POWTS scheduling is not available. Plans will be assigned to a reviewer after receipt of plans. If you select a specific office your estimated completion date may be considerably greater than what would be possible in another office. Submittals received Without a specific office indicated on the form may be assigned to offices other than the receiving office depending on reviewer availability. To obtain a submittal checklist call the material order unit at 608 - 266 -1818 or one of the full service offices fisted below_ You may email - technical code questions to powAs tec h@coirnnuw ve.state.wi -us. Madison S&BD Hayward S &BD LaCrosse S&BO. Shawano S&BD Green Bay S&BD Waukesha S&BD 201 W Washington Ave 10541N Ranch Rd 4003 N Kinney 1340 E Green Bay 2331 San Luis Place 141 NW Barstow St 53703 Hayward WI 54843 Coulee Rd Shawano WI 54166 Green Bay, W154304 4 Floor PO Box 7162 715 - 634 -4870 LaCrosse WI 54601- 715 - 524-3626 920 -492 -5601 Waukesha WI 53188 - Madison WI 53707 -71132 Fax 715-6345150 1831 Fax: 715- 524 -3633 FAX: 920 -492 -5604 3789 608- 266 -3151 Email•. 608 -785 -9334 Email: Email: PlanSchedule@ 262 - 548 -8800 Fax: 608-267-9566 PlanSchedule@ Fax: 60 8-785-9330 PlanScheduk:i@ commeme.state.wi.us Fax: 262-548-8614 TDD 608 264 - 8777 cornmerce.state.wi.us Email: canmerce.state.wi.us Email: PlanSchedule@ Email: PlanSchedu(eC PlanSchedule@ commerce.state.wi.us commerce.state.wi.us commeme.state.wi.us MAKE CHECKS PAYABLE TO DEPT OF COMMERCE TOTAL AMOUNT DUE ; 175.00 Attach check here Review Code 7633 380-10677(R.12(03) THIS FORM IS VAUD ONLY FROM 01710112003 to 0110112005 FOR THE MOST CURRENT APPLICATION, CHECK OUR WESSRE AT www, commerce. state .wi.usrSB /SB- DivFormslPOWrS o� 0 N s m S -c +113 Z5, o A —1 of O 2 t/�$ m m Ao ;�2D2 V�cn�� 9g���� mpA�o, m m 3 m o a gIta oa 'a ° —��aa coo m o $o ;I c S ro om 3 a c�c raoaacf�5a3 0 Q N o m o .m m s am d c AR 3A^m v we 'x c ac a M- - p D ° 0C° C7� A� 3 ° N w oa an 3 r�i o W 'S 1 o p m S. s C d4 ca CL 5 fli C nd' roo -n 77O;u v oN^ v 3 ,� a �c�vm3om o r m n _� omm�3��� vv '�; 9 O� T o�4�w�'eocn m 3 3 0 o d mc w� a�o=�'°° ' 39 x R o a a °� N ., g N �- rod 1D o mA3m °m�3��ymO y3 d En ° o fa J� 3v,Nm2'O�P�P 4WD — W _o mQQ�o3o ao v 0 � G .n•.• O t N 0"n fn�cm � � Z Zt C_ y w- T m CL e 3 $m� �mv�8 v (n o 02 N a Z A m m rc N Z N 0— < a 4 c m 3 m _ p s 9 p 0��7 G1 7'S7 G7 O IC 'p O p C) "a p 0 m mmom. 0 'nmm o ar CA V ®cncn f 2 mcno, m= mro o3Ap m N p Wq c tb o o$ a n m ag n_ ° 3 'm m �og 2. _m m m - (yp rn o j � ^ Zm I(o Ip •{pXp y O G m ? O G ^ m tl m A'O O p� N O a � N m O? 7. 3 8 N M m a ^q Cl�v O � a v o a romp gaam • a g$m ° $$a' Xa Ao°3 a°�$ o o ° 3 $ c m We "va g o m C my m m30 oa co d1 C S _ _ .l7 C �• f L G U o fD N C Q 01 U. D �I a °F 3 6� c 3 m m d 3 m<o Q a A o'$us ao 3o amp m c m v3 gom m ;F m m =in ~ 3d A OL o o ° 3 Oj T C N H M Wp N 3� C(wptNpa �M `r 04 13 O ca ' cri ? ?ff cwt} Q O O O p N p + Of 000o OSO O 9 h pOp p A ti O W e�i•± Y O O O 000 $00 tn000 000 -0 O O IV) m CD Q O OW , ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, W154016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 December 21, 2004 File Ref 35-04 Anne Rolland 1045 174' street � �� C� �'�'� D Hammond, W1 54015 DEC 2 7 2004 Re: Board of Adjustment Decision, Parcel 35.30.20.606E, Town of St. Joseph Dear Ms. Rolland: The St. Croix County Board of Adjustment (Board) has reviewed your variance requests to encroach within the setback of Highway 35 and to install a septic system drainfield on slopes greater than 12 percent in the St. Croix Riverway District After the heating on December 16, 2004, the Board approved the variance requests with conditions. The enclosed document is the formal decision regarding your application. You must obtain a building permit from the Town of SL Joseph prior to beginning construction of the home. Should you have any questions or concerns, please contact Jenny Shillcox at 715- 386 -4682. Sincerely, David Fodroczi Planning and Zoning Director js Enclosure cc: Marie Schmit, Clerk, Town of St. Joseph w/ enclosure James Filtdns, Ogden Engineering Company, Inc. w/ enclosure Eunice Post, Wisconsin DNR w/ enclosure Pam Quinn, SCC Planning & Zoning w/ enclosure Pete Kling, SCC LWCD w/ enclosure r FINDINGS, CONCLUSIONS, AND DECISION OF THE ZONING BOARD OF ADJUSTMENT ST. CROIX COUNTY, WISCONSIN Case: 35-04 Applicant: Anne Rolland, owner Complete Application Received: September 15, 2004 (highway encroachment application), November 15, 2004 ( Riverway drainfield application) Hearing Notice Publication: Weeks of October 4 and 11, 2004, and November 27 and December 6, 2004 Hearing Dates: October 21 and December 16, 2004 FINDINGS OF FACT AND CONCLUSIONS OF LAW Having heard all the testimony, considered the entire record herein, and reviewed the site the Board finds the following facts: 4. The applicant is Anne Rolland, 1045174 Street, Hammond, WI 54015, with Eric Rolland and James Filkins aging as her agents. 5. The site is located off of Highway 35 at Government Lot 2, Section 35, T30N -R20W, Town of St. Joseph, St. Croix County, Wisconsin. 6. The applicants filed an application with the Planning and Zoning Department for variance to construct a home within the setback of Highway 35, a Class B Highway, and an application for a variance to do grading and filling within slopes greater than 12 percent in the St. Croix Riverway District in order to install a septic system drainfield. 7. The Board of Adjustment finds that the requirements have been met to grant a variance for the variances pursuant to Sections 17.64(1)(b)2,17.36(5)(1)l.b and 17.70(5)(c)3 of the St. Croix County Zoning ordinance. 8. The applicants have worked with the St. Croix County Land and Water Conservation Department, Planning and Zoning Department, and Wisconsin Department of Natural Resources to address their concerns and have agreed to conditions suggested by these departments and agencies. 9. The Wisconsin Department of Transportation does not object to granting the variance and has confirmed that the Rolland property will not be impacted by any future improvements or realignments to Highway 35. 10. The applicants have submitted and agreed to abide by a geotechnica . engineering report with recommendations and construction considerations for the proposed construction. 11. The Board finds that the strict application of the Ordinance would create an unnecessary hardship due to the absence of any buildable area on the lot. 12. The Town of St. Joseph has recommended approval of the highway setback variance request. The Town of St. Joseph Planning Commission has recommended approval of the variance for the drainfield 2 to the Town Board, which will meet in January 2005. 13. There was no public opposition to the requests. 14. The Board finds that, with conditions, the request is not contrary to the public interest. 15. The Board finds that, with conditions, the spirit and intent of the ordinance would be met by granting the request for the variances, and substantial justice would be done. D On the basis of the above Findings of Fact, Conclusions of Law, and the record herein, the Board approved the applicant's variance requests to encroach within the Highway 35 and to install a septic system dminfield on slopes greater than 12 percent in the St. Croix Riverway district, with the following conditions: 1. The applicant must obtain a permit for the proposed sanitary system approved by the State of Wisconsin and the St. Croix County Planning and Zoning Department. 2. The variance for the drainfield is contingent upon receiving no objections from the Town of St. Joseph at its Town Board meeting in January 2005. 3. These variances are for the home and drainfield as shown in the plans submitted to the Planning and Zoning Department on December 2, 2004 and do not include additional decks, patios, rches walkways or Lm other accessory res mIrripwaM Qgymge not shown on the r plans The applicants shall be required to apply for and obtain a variance prior to construction or any additional structures. 4. The applicant must secure a township building permit before commencing home construction and a permit for driveway access off of State Highway 35 from the proper agency. 5. The proposed home must be earth tone in color to blend in with the vegetation and geologic features present on the site. 6. Prior to commencing construction, the applicant must submit to the Planning and Zoning Department the following information requested by the Land and Water Conservation District in its e-mail dated December 9,2004: • Route of stormwater overflow (prove it will not flow over POWTS). • Plan showing an additional row of silt fencing around all disturbed areas. 7. Prior to commencing construction, the applicant shall submit and have approved by the Planning and Zoning Department and Land and Water Conservation Department a revised landscaping plan that includes a mix of native trees, shrubs, and grasses endemic to the south- facing slopes in the area. Native trees should include fast - growing poplar hybrids and slower growing red oaks. They must be planted in a manner that fully screens the home as viewed from all directions during summer leaf -on conditions, and to secure the slopes from erosion. Planting must be done within 60 days of completing construction of the home and drainfield. 3 8. The applicant must record the stormwater and erosion management plans against the deed for the property. The applicant is responsible to provide an as -built drawing showing all permanent structures and drainage easements along with a recorded copy of the deed to the Planning and Zoning Department within 60 days of completing construction. The intent is to make the current and future owners aware of the responsibilities associated with the plans as well as the limitations incurred as a result of the plans. S. The applicant shall follow the recommendations and construction considerations in the geotecimical engineering report prepared by GN E Consultants, Inc. and submitted to the County on December 4, 2004. The applicant shall ensure that all contractors working on this project have read the report and have signed a written statement verifying this. Signed statements from an contractors must be submitted to the Planning and Zoning Department prior to beginning 0005trwtion. This is intended to protect the applicant's house and dminfreld from slope failure and future erosion problems. 9. The applicant shall install a monitoring port to ensure that the drywell is maintained and functioning properly. 10. The applicant shall submit to the Planning and Zoning Department photographs of the home and landscaping as viewed from the river within 60 days upon completion of the construction. 11. Any minor addition or change in to the plans presented for variance shall require review and approval by the Planning and Zoning Department prior to making the addition or change. Any major addition or change to the originally approved variance will have to go through the variance process. 12. Accepting this decision means that the applicant has read, understands, and agrees to all conditions of this decision. By accepting this approval the owners) are ultimately responsible for compliance with the conditions of this approval. The following vote was taken to approve: Nelson, yes; Jensen, yes; Krueger, yes, Chairperson Speer, yes. Motion carried unanimously. You shall have one (1) year from the issuance of the variance to commence construction of the home and installation of the drrinfield. You may request an extension from the Board of Adjustment if you cannot meet this timeline. Failure to commence construction or obtain an extension within one year may result in revocation of the variance, after which time you would need to apply for a new variance. APPEAL RIGHTS Any person aggrieved by this decision may file an appeal in St. Croix County circuit court within 30 days after the filing date shown below, pursuant to sec. 59.694(10), Wisconsin Statutes. St. Croix County assumes no responsibility for action taken in reliance on this decision prior to the expiration of the appeal period St. Croix County does not certify that the identity of all persons legally entitled to notice of the Board of Adjustment proceedings, which resulted in this decision, was provided to the County. If an appeal is taken of this decision, it is the responsibility of the appellant to submit at his/her expense a transcript of the Board of Adjustment proceedings to the circuit court, which is available from Northwestern 4 Court Reporters, Hudson, Wisconsin. It is the responsibility of the Board of Adjustment to submit its record (file) of this matter to the circuit court. ZONING BOARD OF ADJUSTMENT Signed: A25 Julie n Date Filed: 12/22/04 Attest: David Fodroczi, Planning and Zo ' hector 5 s - - - -- Safety and Buildings Division C-lay 201 W. Wadtivon Ave., P.O. Dox 7M ST. CROIX COUNTY VsC onsin (Nadi Wl 53707 - M92 Sanawy Pwn NNwnba (to be fiaw in Ca, Department of Commerce j a Sanitary Per .ons.�, -- Ct� f Plan I.D. Number - rru�►s M a000,d wilh e3maett 83.x1. Ws. - ,- e—wr /D9J s ©9 tray be too for seondwy Pnvacy law. s3 5. ixn y Ades (if &ffaw d= mu't®g "* > Appiitattiio.l8fermatio. - Pkase Pntatt AR Inforntioa 5T._CR�{„ G , , 3 \} Propaty (>w� s Nate 030 - 2065-70 -000 ANN ROLLAND 06 hVerty (Note's MadW Adkm Property Loasion 1045 - 174TH ST. S v� NW sat6w 35 city state 4 coat P6me Ntmtba HAMM 54015 715 - 760 -0234 T 30 N R 20 w 11. Type of Haitdh a (cltect ail! that ap*) 19 1 2 paivily DmREs _ Ntmnber .Beareoets 3 BDRM PER SUBMITTED HOUSE PLANS SubdrimmNow CSM .NVN* x U ant VAfflWCF0al -Dambe Un / VOL. 417, PG 11 ❑ tea ti . (1) 6�_ R 1 ^a 68.75 TR 0 1 CH AMB. Ock Ctvtev► Ill. Type of Permit: (C'lke& onty tae box on floe A. Cevapkte lies B if applk4k) A- Ig N.,. $VS. t ❑ Replat» SyA m ❑ Tremnwtllioblatt;Tadc RepbtvwAd Only ❑ Odw MaMeam w E-" NO — B. ❑ Perna ReaftW ❑ Pamir Revidan ❑ of U Pt wk Trrtder to New List Pteviws Patnit Nmnber and Due Ink" Bcfae Expvatieo rhw6w owns IV. TypL of POWTS Cheek di tint LEVEL ALAiM LVQr-5j DEFUSER CHAMBERS LX Non - Yreeeuriaed 1n-Gww ❑ Ataond > 24 i . of adtalde soil Q Mtxotd < 24 in of'sttitaEtt soli A!- Crtadc U Sin& PM Sand Fibs Q ContauctM walMd ❑ Primed lnAG U Holding Tw* ❑ ran r tta f l Att OW 7learreetrUtoi D R t seed Ftlaa D Recittatbttieg Srdke6c Melia Fdw Ok w irtg Ownb w ❑ Drip lint ❑ Gravef- = Pipts ❑ (=O—) V. restwwvt Area Inferwistion: /b E _ Des,so Flow (gpd) Desi$e Sao? APPUeebm R—wNk4 ni:pe"A Area RegnirM (4) n kpwxal Area P-p-ed (at) 3ygkm FJevat>et_ 7.0 450 .7 642.86 ,66-1-5 (S� 3 ' t UPPER 990.0 VI. 'Cask ISID capacity in TOW Number M&MACttM Prefab site Stud Fiber PlwUc tellers (lsltoete ctfihtits Comaale CA db KiM Glad+ New Extsttgt Taahs I TW6 Sephe w"o X 1000 1 WIESER YES NO II I Aembic Two( aw Unit Dming t hunbw VIL Responsibility Statement I, 6e de+srptei, fsr lttslaiMiwt sfM a MAW sboven w me agaraea 1t1wna i Pltnnbw's Naw(Prittt) MVMMS Nanba tltetineav tlratel4trttiter TODD FEATHERSTON 242514 714- 381 -1704 Pltus►ber•s Addteaa (Sheet, `Gl' �, State, ZiP ) PO BOX 467 HUDSON, WI 54016 t vas _..._____----------- Smany Penud Fee ( earomtdwww OW Imted r �A' r l O El ottroa criven Reason fa Deeial DL. Conditions of AnwevaMReat ew for Dke"rovid YSTEM OWNER: Q�l1't Septic tank, effluent filter an rviced /maintained IVJV -A h.0 dispersal cell must all be se b lumber. as All setback requirements must as per app ( cable code/ordinances- m aintained es. s i �� 6) C4��Ie Anaeb w" Adeph (to ate Candy ady far dwsydae T WAless *an stokILI tiao3ea "s � e fv' -, i (Z ') 6�1� \ � � 0 g ■ to o , 2 ; ] � M } qi k � 2} 0 41- 2 $ §§ Q 2 m « : & §. to 2 0 s\ E o ] , > f » 0 S / ■ G O . ' > & \ K OD © CD _ o� . � lo t ) z 0 Z 0 E� ° 2 i � 0 0 0 - k ƒ ) (0) (A j } � CD 7 2 7 e� , � 0 CD c . � \ E > o 0 _o o' ® /ƒ "04- . \ $ CD 2 N / 2 E . § 7 _ ■ U) a o $ � ■ � . k + z 9 w M 0 d ¥ E , m 2 § a ) ^ \ \ � CD � E � U) � §) ƒ ~0 c =a«w§�§2\ �) � /CD_ID M �a =,� m \ c �I[JE E � =g 2 ( ƒ%#/ °° a & ° ° E a k i � 583 / §k)CD /(g a , > f ? /�\ %�� � & � /0{ $ ICD M �(D (D -4 ' w 2 C> Q* 2$ 2 rQ ° ��� 0) 4 0 . ¥ A £ � / o � E \ ST. CROIX COUNTY WISCONSIN _. - ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 r Fax (715) 386 -4686 EROSION & SEDIMENT CONTROL PLAN Parcel # 030 - 2065 -70 -000 Site: 1248 Hwy 35, St. Joseph Township (35.30.20.606E ) Owner(s): Ann N. Rolland Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires that the building permit applicant and /or landowner follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control (ESC) Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for contaminated runoff on this site is excavation for the house, driveway and septic system, but providing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5. Maintain existing vegetation between areas of disturbance and the river to minimize sediment movement. Surface drainage is southerly toward the St. Croix River, down >20% slopes, and >I 00 feet from the river OHWM. Contaminated runoff must be contained within the proposed construction area and not allowed to enter the river. The Zoning Board of Adjustment included in its decision to approve your variance a requirement to record the stormwater and erosion management plan against the deed for the property. This must be done prior to beginning excavation for construction on the site. 2. Silt fence or other approved sediment control products are required to assure that sediment contamination of the St. Croix River will not occur. The proposed site plan indicated silt fence is to be installed below the construction areas until vegetation has been established. Silt fence (or other approved sediment control products) must be installed prior to any excavation for house or septic system construction. The POWTS inspector must be notified when installation commences so the site can be inspected prior to excavation activities. If necessary, recommendations will be made to owner for additional action required to comply with applicable regulations and/or conditions in the sanitary permit. Temporary cover is recommended if site grading exposes soils for extended periods of time prior to final stabilization. 3. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 4. Stabilize new topsoil cover over septic system with seed and erosion control blanket immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather conditions will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Feel free to contact me regarding proper methods for erosion & t co installation. Prepared by: Pamela Quinn, Soil Erosion Inspector #6650 Owner acknowledizement of ESC Plan requirements: 05 ST. CROIX COUNTY ~� WISCONSIN PLANNING & ZONING DEPARTMENT - .. -- ST. CROIX COUNTY GOVE RMENT CENTER ifNffNfN1 open* •�. _ _ 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715)386 -4680 Fax (715)386 -4686 FAX To: t�`'G From: LG— Fax: _ S r 7 f i PaEes• 3 G) Phone: S l �'4� 3 Date: 2 /-1/o i � — Re: CC: ❑ Urgent V Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle aj ut---�A- - 7 4E3 4EEP U 2 7 4� P 1 6 0 X ATHLEEN H. MALSH Documen Nu mber Document Title REGISTER OF DEEDS ST. CROIX CO., NI St. Croix County RECEIVED FOR RECORD Erosion& Sediment Control Plan 02/07/2005 11 :15AN MISCELLANEOUS late - Sanitary Permit Number - 46329 EXERT # REC . A-m oi- W- Qr / TRA FEE: 21.00 u ~% COPY FEE Name - Soil Erosion Inspector #665054 Cc FEE: being duly sworn, states, under oath, that: PAGES: 6 This is the accepted Erosion & Sediment Control Plan for the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume 417 Page 11 Document Number 291242, St. Croix County Register of Deeds Office, on January 30th, 1968: Record/n Area A parcel of land located in all that part of Government Lot No. 2, Section 35, Name and Return Address T2Q N - R 2Q W, Town of St. Joseph, St. Croix County, Wisconsin, being duly Ann N. Rolland (property owner) 1045 174th Street described as follows: Commence at the intersection of the West line of G.L. No. 2, Hammond, WI 54015 Section 35, T30N -R20W, St. Croix County, Wisconsin and the Southerly right -of- way line of Wisconsin Highway No. 35; thence Southeasterly along said Southerly 030 - 2065- 7o -0000 right -of -way line for 170 feet to the POINT OF BEGINNING of this description; thence continuing Southeasterly along said Southerly right -of -way line 2143 feet Parcel Identification Number (PIN) thence South and parallel to said West line of G.L. No 2 to the St. Croix River's shore line; thence Westerly along said St. Croix River shore line for 214.3 feet; thence North and parallel to said West line of G. L. No. 2 to the point of beginning. Agreement Date February T. 2005 Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for Issuance." Comm. 21.125 also requires that the building permit applicant and/or landowner follow erosion and sediment control procedures and maintain them until the site has boon stabilized. The owner Is responsible for notifying all contractors performing construction on this site that an Erosion 6 Sediment Control (ESC) Plan is in effect and the following activities will be required In order to maintain compliance with the plan: 1. The primary source for contaminated runoff on this site is excavation for the house, driveway and septic system, but providing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in 414. Maintain existing vegetation between areas of disturbance and the river to minimize sediment movement. Surface drainage is southerly toward the St. Croix River, down >20% slopes, and >100 feet from the river OHWM. Contaminated runoff must be contained within the proposed construction area and not allowed to enter the river. The Zoning Board of Adjustment Included in Its decision to approve your variance a requirement to record the stormwater and erosion management plan against the deed for the property. This must be done prior to beginning excavation for construction on the site. 2. Silt fence or other approved sediment control products are required to assure that sediment contamination of the St. Croix River will not occur. The proposed site plan Indicated slit fence Is to be installed below the construction areas until vegetation has been established. Silt fence (or other approved sediment control products) must be installed prior to any excavation for house or septic system construction. The POWTS Inspector must be notified when installation commences so the site can be Inspected prior to excavation activities. if necessary, recommendations will be made to owner for additional action required to comply with applicable regulations and/or conditions in the sanitary permit. Temporary cover is recommended If site grading exposes soils for extended periods of time prior to final stabilization. 3. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and /or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 4. Stabilize new topsoil cover over septic system with seed and erosion control blanket immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather Conditions will not permit seed germination, a heavy straw mulch cover will prevent erosion until grosslvagetation can get established. Erosion control matting can be applied any time of year and If installed properly, will provide protection even if seed germination is delayed. 5. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner that will permit the existence of the agreement to be determined by reference to the property where the septic system Is installed. Owner(s) Name(s) - Please Print Subscribed and swum to before me on this date: Ant /,3 N . 'R 15 t LA -,J .Z> ..� 2, ;:k ©a-sr Notary Public Governmental Unit Official Name, Title - Please Pr t My Commission Expires 8e-% PA- r»4•t -A W Qu��v� ?0AJ�,c1�S� sr / � , J mmental 131 t Official Signature Drafted by: Z / CC�fiy P,47H E K/ Qt11nJ�c� � y �)0 Imo.- a , d •. Personal informal n you provide may be used for secondary purposes (Privacy Law s. 15.04(1 xm)) i "THIS PAGE IS PART OF THIS LEGAL DOCUMENT— DO NOT REMOVE" This information must be completed by submitter document title. name & return address. and EW (N required). Other information such as the granting clauses, leaga/ description, etc. may be placed on this first page of the document or may be placed on additional pages of the document Note: Use of this cover page adds one page to your document and S2 00 to the recorrfino fee. 1111sconsin Statutes, 59.517. ST. CROIX COUNTY WISCONSIN ZONING OFFICE O41p ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ~ Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 EROSION & SEDIMENT CONTROL PLAN Parcel # 030 - 2065 -70 -000 Site: 1248 HM 35 St. Joseph Township (35.30.20.606E) Owner(s): Ann N. Rolland Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires that the building permit applicant and /or landowner follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control (ESC) Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for contaminated runoff on this site is excavation for the house, driveway and septic system, but providing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5. Maintain existing vegetation between areas of disturbance and the river to minimize sediment movement. Surface drainage is southerly toward the St. Croix River, down >20% slopes, and >100 feet from the river OHWM. Contaminated runoff must be contained within the proposed construction area and not allowed to enter the river. The Zoning Board of Adjustment included in its decision to approve your variance a requirement to record the stormwater and erosion management plan against the deed for the property. This must be done prior to beginning excavation for construction on the site. 2. Silt fence or other approved sediment control products are required to assure that sediment contamination of the St. Croix River will not occur. The proposed site plan indicated silt fence is to be installed below the construction areas until vegetation has been established. Silt fence (or other approved sediment control products) must be installed prior to any excavation for house or septic system construction. The POWTS inspector must be notified when installation commences so the site can be inspected prior to excavation activities. If necessary, recommendations will be made to owner for additional action required to comply with applicable regulations and/or conditions in the sanitary permit. Temporary cover is recommended if site grading exposes soils for extended periods of time prior to final stabilization. 3. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy inert• t n * trucks, > !er o ther r r.-. nr' vehicle 1 t t acces t he equip ment; th L.C1uGleS C8n'.E;L'•� tri:�..J, �Iel, *�; 21.,,.5, and O...e. on u., t S ` e< 1C CS ha. � cS t? p during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and /or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 4. Stabilize new topsoil cover over septic system with seed and erosion control blanket immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather conditions will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Feel free to contact me regarding proper methods for erosion & t co installation. Prepared by: Pamela Quinn, Soil Erosion Inspector #6650 Owner acknowledgement of ESC Plan requirement s: A /-/2005 bp Erosion Control Plan Document Number Title of Document All that part of Government Lot No. ownsh�3O ort h, Range 20 West, described as follows: Commence at the intersection of the West line of Government Lot No. 2, Section 35, Township 30 North, Range 20 West, St. Croix County, Wisconsin and the Southerly right -of- way line of Wisconsin Highway No. 35; thence Southeasterly along said Southerly right -of -way line for 170 feet to the POINT OF BEGINNING of this description; thence continuing Southeasterly along said Southerly right -of -way line for 2143 feet; thence South and parallel to said West line of Government Lot No. 2 to the St. Croix River's shore line; thence Westerly along said St. Croix River shore line for 214.3 feet; thence North and parallel to said West line of Government Lot No. 2 to the point of beginning. Recording Area Name and Return Address 60 4`S l ? `-IY_ Sr 030 - 2065 -70 -000 Parcel Identification Number (PIN) C� INFO -PRO (800 )655 -2021 www.infoproforms.com February 1, 2005 File Ref: 35 -04 Anne Rolland 1045 174' Street Hammond, WI 54015 Re: St. Croix County Variances, Parcel 35.30.20.606E, Town of St. Joseph Dear Ms. Rolland: I have been informed by Pam Quinn, Soil Erosion and POWTS Inspector for St. Croix County, that you have fulfilled Condition #1 of your variance granted by the St. Croix County Board of Adjustment on December 16, 2004, and have obtained a sanitary permit. As part of this permit, Ms. Quinn is requiring that you sign an erosion and sediment control plan prior to commencing construction, and we recommend that you work closely with her to ensure that proper erosion and sediment control measures are installed and maintained on your property throughout the duration of the construction. We have found that the following conditions have also been fulfilled: • Condition #2 has been fulfilled with a vote for approval by the Town of St. Joseph Town Board on January 6, 2005. • Condition #6 has been fulfilled with revised erosion and surface overflow plans submitted by James Filkins on December 28, 2004. Prior to commencing construction, you must fulfill the following outstanding conditions: • Per Condition #4, you must obtain a Building Permit from the Town of St. Joseph. • Per Condition #7, you must submit and have approved by the Planning and Zoning Department and Land and Water Conservation Department a revised landscaping plan that includes a mix of native trees, shrubs, and grasses endemic to the south - facing slopes in the area. Native trees should include fast - growing poplar hybrids and slower growing red oaks. They must be planted in a manner that fully screens the home as viewed from all directions during summer leaf -on conditions, and to secure the slopes from erosion. Planting must be done within 60 days of completing construction of the home and drainfield. • Per Condition #8(b), you must follow the recommendations and construction considerations in the geotechnical engineering report prepared by GME Consultants, Inc. and submitted to the County on December 4, 2004. You must ensure that all contractors working on this project have read the report and have signed a written statement verifying this. Signed statements from all contractors must be submitted to the Planning and Zoning Department prior to beginning construction. This is intended to protect the applicant's house and drainfield from slope failure and future erosion problems. An extra copy of the report is available at the Planning and Zoning Department for any contractors who would like to come in and read it. Finally, upon completion of the construction, you must ensure that the remaining conditions have been met: • Per Condition #5, the home must be earth -tone in color to blend in with the vegetation and geologic features present on the site. • Per Condition #8(a), you must record the stormwater and erosion management plans against the deed for the property. You are also responsible to provide an as -built drawing showing all permanent structures and drainage easements along with a recorded copy of the deed to the Planning and Zoning Department within 60 days of completing construction. The intent is to make the current and future owners aware of the responsibilities associated with the plans as well as the limitations incurred as a result of the plans. • Per Condition #9, you must install a monitoring port to ensure that the drywell is maintained and functioning properly. • Per Condition #10, you must submit to the Planning and Zoning Department photographs of the home and landscaping as viewed from the river within 60 days upon completion of the construction. • Per Conditions #11 -12, you are responsible for compliance with all conditions of your variance approval. Any minor or major changes to your plans must be submitted for review by the Planning and Zoning Department. Please contact the Planning and Zoning Department to arrange a site visit after all erosion control measures have been put in place and prior to commencing construction. We will coordinate with Pam Quinn and Pete Kling (Land and Water Conservation Department) to visit the site together to ensure that construction is set to begin. Please feel free to contact me with any questions. Sincerely, Jenny Shillcox Zoning Specialist Cc: Clerk, Town of St. Joseph James Filkins, Ogden Engineering Pam Quinn, St. Croix County Planning and Zoning Department Pete Kling, Land and Water Conservation Department From: To: PAM QUINN Date: 12/22/2004 Time: 12:22:26 PM Page 2 of 2 S - Dec 22 04 09:31a owner 7154264827 p.4 -].1/10/2004 16:19 7154257965 OGDEN ENGINEERING PAGE 02 WESER WLP -750 SEPTIC 6B' x 3' ;f TANK OR EQUIVALENT ' TRENCHS WITH aa� _ DISTRIBUTION BOX LEACH CHAMBERS Q7 rs" OAK i PROPERTY LINE __••••..••• _•a,.,•uep•• •w .••ww• •qua.•_. w__ . 9" OAK' �� r OAK 9" QAK- - - f r I 9" OAK 1 c I tY " 6' OAK • f !' 064K j-0/ e f � FOR= I 3 .. r NOTES: s t'' J 1. ALL DISTURBED SLOPES o q >127* SHALL HAVE A MINIMUM OF 4" TOPSOIL. ' SEED, AND CLASS 1. •• �, �j l f� `` l t •� TYPE A EROSION MAT. OAK , i . / /, r '7. i �._ b v� ;� l �•�/ 2. ALL DISTURBED AREAS 4� .,__ -�--• //, r WILL BE SEEDED WITH A WISCONSIN D.O.T. 111 40 SEED MIX ® 3 . .... . ; LBS./ 7040 SQUARE FEET AND MULCHED BY METHOD C WITHOUT DISK ANCHORING TO A MAXIMUM DEPTH OF 2" (OR EROSION f (MAT IF >12X SLOPE). :NGINEERING CO. PROJE ROLLAND REQUEST J°arqLwzmpq- 03_��� eating s Land Surveying F VARIAN 5n Lano, Rivsr Falls, WI 54022 SHEET TITLE: SHEET NO.: ne: ;1,') 4257831 SITE PLAN Sheet 3 Of 4 J - Safety And Buildings Division County I 201 W. Washington Ave., P.O. Box 7082 ST. CROIX C OUNTY visconsin Madiwi, W 1 53707-7082 sanitary Permit Number (to be filled in by Cu.) Departme of Commerce (008)261 Sanitary Permit Application ' Plan LD. Number ht award with Came 63.21. Wis. Mm. Code, w wal infrmnatm you provide _. may be wed fur se«ate•uy WV— Privacy taw, sl 5.04(1)(m) Project Address (if differcm than mailing address) L Application Information — Please Paint Ail lnfarmatioo PnVedy (wvWs Nance Pan cl # Iut # Block - 030- 2065 -70 -000 ANN ROLLAND Property 0%mcr's Mailing Adckrcm Property l ocaticwn 1045 - 174TH ST. S v, NW r, sediar 35 City, State 7rp Code Phone Nmnba HAMMOND- WI 54015 715 - 760 -0234 30 20 W' e_) - -- -' —... T N; R ,ex W IL Type of Building (check all that apply) I or2 Family rfwauerg - Numberoj "potboona 3 BD RM PER SUBMITTE H OUSE PLANS "NCOPiNa"1e cSlvtRtualty U rubb.'Comuxxrcial - Dmeribe Um - - - - -. - -- - -- -- VOL. 417, PG 11 ❑ �� , tr (1) 63' TRENCH Cl) 68.75 TRENCH (11 CHAMB. 0city__L6vltlaw *T—'vlvpnf JOSEP Ili. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System Roww wA System ❑ - rmtm rrUPiolei%Tank Repiw... t Only LS odw Modification to Pxisting system ll. n Permit Renewal 1-1 Permit Revision U Change oI' U Permit Tranwer to New D st Previous Permit Number and Date 7ssu Bclixe KMAration Plwrdtar Chvnex IV. Type of POWTS S tem: Check all that ap VEL ALARM LVL1 -21 BIO DEFUSER CHAMBERS LXNun - ftmwrized In-Ground U Mtwmd % 24 is afstritahle soil n Moemd <24 im of suitable soil ❑ Ai -Grade U bin9lc Pass S-M Filt1T I_ Ccursvucted Wetland U Prcmwaw i*k*ww U nom g - r tnk U Pea Filter I I Aerobic Tre wmaru Unit ❑ RtxiF"" ing Sarxi Filler U Recirculating Synthetic Media Filw [A eadlingChamtlxa U Drip lute ❑ Gravel - less Pipe ❑ Othm (egAam) V. DispenvIlTmtment Area Information: Deaiso Flow (wd) Dmgn Soil Application Rete(gpdcr) Dispersal Area Rrtp»md (cf) tli:q,esrwI Am. P.Tw-ortt (al) '4y dem FlevatiorLWR 987.0 450 .7 1 642.86 661.5 _ UPPER 990.0 VL Tank Info evacky in Total Number Manafactaara 1Refab site St-1 Fiber Plastic Gallons Galkwi% ofIinim Concrete Constructed Giaa Mew Fxaspag T;mks Tanks Jenticnrllolditrgrank X 100 1 WIESER YES NO Atsvbic Tn�iw<tlnil VII. Responsibility Statement— I, &e mriersivwd, aaaarae rearm for ieorbd orthe POVM shows ore the athched !tarot. Plumber's Name (Print) Plumber's Signature MP /MPRbS idumbcr FArante ea Irttntte M~ TODD FEATHERSTON 1 242514 714 - 381 -1704 Plumber's Addrew (Sweet, City, Statc, Zip Codc) PO BOX 467 HUDSON, WI 54016 VpI, Coup artmeat Use On I U Amroved U Uisamwoved Sanitary Permit Fee (includes Groundwater Due Issued Issuing Agent Signature (No Stamps} 9tu�ttmpc Pct) ❑ Owner Given Reastm for Demist DL Conditions of Approval/Reasons for Disapproval 11 (tor Atoacb centpMe plans the Cam0.j a*) tar the e systm as paper two ku *.a 91f1 z it torches ata t � � -- � �- � � � ti W �-- �� �. ..�~ � � �_ ©�. ,� � � � � �`, a � � ,� ,, � � a � � - --,�_ -- � , 1 �_ � -_.� � R - � 1 ,�} � ff V 1 �n \ i b f \\ 1' �j � , q vl ''1 / � _ � � � ® ii �� �� v� �� ' I �. �, � � '� ter. � � � � � � a y � `� � � � o � � � �n v � Z f � �� A SYSTEM CROSS SECTION ANN ROLLAND - PID - 030 - 2065 -70 -000 G COR ��SQ SSE MAN HOLE C TION PIPE GRADE 992.70 �• 1000 /GAL U E - ZABEL FILTER 1 Cc-p 63' 1 @ w 4 68.25' SYSTEM ELEV. UPPER 990.0 LOWER 987.0 10 BIO DEFUSER CHAMB 1 Ca- 63' AND 1 @ 68.75' O 10000 GAL. TANK 0 i 11 BIO DEFUSER CHAMB pID # 030 - 2065 -70 -000 S 1 /4 NW ' /a,S 35 T 30 KR 20 WE Lj7T_ BL.r SUB VOL.417.PG11 C O V O T 6 ST. JOSEPH f WP4SW 242514 i i l ; Z O r N 1010 I PRO OSED HOME 1000 op i< 980 -_ 6 ' x -3 THE ICH WITH LEACH LEACH-O AMBERS 970 70 80 90 100 110 120 130 140 I N I N PROJECT NAME: G EERING CO. ROLLAND REQUEST JOB NUMBER: gineering & Land Surveying FOR VARIANCES 03 -268 isson Lane, River Falls, M 54022 SHEET NO.: S TITLE: Sheet 4 of 4 Phone: (715) 425 -7631 CROSS - SECTION I Z a s 1 1 f , - POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 1 of 2 FILE INFORMATION t^ SYSTEM SPECIFICATIONS Owner ANN ROLLAND Septic Tank Capacity 1000 gal E3 NA Permit # O J► Septic Tank Manufacturer WIES R ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturiy ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model 1 ❑ NA Number of Public Facility Units F Q ❑ NA Pump Tank Capacity a l ❑ NA Estimated flow (average) q p al /da Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) 75 gal/day Pump Manufacturer ❑ NA i Soil Ap Rate Pump M ❑ NA p p .7 al /da /tt� Started Influent /Effluent Quality Monthly average' Pretreatment Unit W.L4A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODJ 5220 mg /L O NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: t alit Month aver Dispersal Cell(s) E3 NA Pretreated Effluen Qu ality Y g Y Biochemical Oxygen Demand IBOD 530 mg /L CXIn- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At - Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu 1100m1 O Drip -Line ❑Oth Maximum Effluent Particle Size Y in dia. ❑ NA Other: 'KNA Other: 1NA Other. .a NA Values typical for domestic wastewater and septic tank effluent. Other: WNA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 months) O NA !� ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third IY of tank volume O NA Inspect dispersal cell(s) At least once every: 3 O onth(s) ❑ NA jil� ❑ month(s) ❑ NA Clean effluent filter At least once every: 1-2 Mz�year(s) Inspect pump, pump controls & alarm At least once every: ❑ mont ❑ NA P P P ❑ year(s) ) ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: ❑ year(s) Other: ❑ month(s) WNA At least once every: ❑ year(s) Other: eO.NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber: Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankls) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding i of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third W or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) I Page 2 of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal ceN(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. NR evaluation mus a l or t o e r p ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ofd Name FEATH ERSTONE F Phone r �d C" Phone 1 715-381-1704 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name PINKY'S Name ST. CROIX CO. Phone 651- 436 -5788 Phone 715 - 386 - 4 This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f1 and 83.54(l),12) & (3), Wisconsin Administrative Code. from: To: ERIC ROLIAND Date: 12117!2004 Time: 2 :22:42 PM Page 2 of 2 SEPTIC TANK. MAW MANCE AGREEMENT AND l �O H�� �% A O NA 0. ROLLAND ND Ow�naBayer !G &WH% Aft= 1045 - 174TH ST- HAMMOi D, WI 54015 groywY AddM PENDING tix mw r tdtaae +rnMere+tl�,.. Iv«;ie�e. � i'i�tmgc q KqA%40No Vyt - pow Idandfin do mm*ar 03t�2065- 70-000 L g& QN ST.JQSEPH , Prnpady I.ocuiaia S x. NW V,. Soc. 35 _ T .II W. T of - WA -- . 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CROIX Attach complete site plan on p r not less than 81/2 x 11 in 4 0 - include, but not limited to: verti I anOfOg"l i Parcel I.D. 030 - 2065 - 70 - 000 percent slope, scale or dimensi ns, no on and istanoe to nearest road. Please print all i rma i ed { Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - 1 d Property Owner Property Location ANN ROLLAND Govt. Lot ---- S 1/4 NW 1/4 S 35 T 30 N R 20 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or 1045 174th Street -- -- Vol. 41 g. 1 I City State Zip Code Phone Number []C []village ■ Town Ne t R Hammond, Wl 54015 ( 715 760-0234 S.T.H. 35 ❑ N ■ 3 C derived design flow rate 450 G D ew Construction Use Residential / Number of bedrooms ode esg P Replacement ] Public or commercial - Describe: �, 3 s arent material outwash Flood Plain elevation if applicable G and recommendations: ' � Conventions 0.7 load -g��nd +*Pnches -- in General comments g S to be designed by installer ❑ Boring 3 �CQI( �: V ,� 64 l� [ �JBoriing # >84 0 rrp')'1 Y Pit Ground surface a ev. 984.80 ft. Depth to li iting factor in. Reft Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsefl Qu. Sz. Cont. Color *Eff#1 *EfW 1 0 -5 10YR2 /1 - is 3fsbk mvfr cb 3vf-co 0.7 1.6 2 5 -12 10YR /1 - Is & gr O ml cs 2vf-co 0.7 1.6 3 12 -25 7.5YR3/4 - s & gr Osg dl gs 2vf -co 0.7 1.6 4 25 -84 10YR5 /4 -- s & gr Osg dl -- 2vf-m 0.7 1.6 (Horizon 4 has 25 -30% gr) 2 Boring # ❑ Boring 992.70 >82 IF] Pit Ground surface elev. tt. Depth to limiting factor in • Soil — Application Rate Horizon Depth Dominant Color Redox Description Texture simquie Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr *Eff#1 *Eft#2 1 0 -7 10YR2/1 - is & gr 3fgr mvfr cb 3vf-co 0.7 1.6 2 7 -12 10YR3/4 - s & gr ml gs 2vf -co 0.7 1.6 3 12 -30 7.5YR3/4 - s & gr Osg dl gs 2vf-co 0.7 1.6 4 30-49 I OYR5 /4 - s & gr Osg dl gs 2vf-co 0.7 1.6 5 49 -80 10YR6 /2 - s & gr Osg dl -- 1 vf-co 0.7 1.6 * Effluent #1 = BOD > 30 220 rtg/L and TSS >30 150 mgA- * Effluent #2 = BOD < 30 mg& and TSS 5 30 mg/L CST Name (Please Print) •gnature CST Number M Jo Hollister 224832 Address Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, W1 54022 11-10-04 (715) 426 - 1775 l � u Property Owner ROLLAND, Ann Parcel ID # 030 - 2065 - 70 - 000 Page 2 of 3 Boring 3 Boring # E] P Ground surface elev. 992.70 ft. Depth to limiting factor >88 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 -5 10YR2 /1 -- Is 3fsbk mvfr cs 3vf -co 0.7 1.6 2 5-12 10YR2 /1 -- Is & gr Osg mvfr I cs 2vf-co 0.7 1.6 3 12 -22 7.5YR3/4 -- s & gr Osg dl cs 2vf-co 0.7 1.6 4 22-88 10YR5 /4 -- s & gr Osg dl -- 2vf-m 0.7 1.6 (Horizon 4 has 30 -35% gr) F Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. I Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 ❑ Boring # Boring H Pit Ground surface elev. ft. Depth to limiting factor in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. *Etf#1 *01#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. SBD- 8330Test(R.07 /00) f 11/19!2884 16:18 7154257965 OGDEN ENGINEERING PAGE 82 WEISER WLP -750 SEPTIC 68' x 3' Z TANK OR EQUIVALENT TRENCHS WITH DISTRIBUTION BOX LEACH CHAMBERS 15" OAK Vn ► , PROPERTY LINE •• ,1•••wwwww wwwwww• • OAK • ... ww wwwww.w ww.Nwww. ww• •'wwww• w•wlh• t�� .• • ` T" O IC C1:R 9.60 ' •• V�' I • / / • rz OAK ! 3 OAK 3 ' f� • / 0 f 9 ., .: , �• � � � 5 t I ,-,per OAK •i t D t 6� • 1 f 6" OAK ! ; .• / !� ,! B .. OAK � : :• � /� f � w I 6" OAK / F: // J r OAK i f •• J l l i i �� . r" OAK/ If /; ; / • � ol �l t •) OAK/ )OR =100. :!•.. o� / �aP ' "L =992.0 ♦; : ,f /; J Q �, 1 • � D •• �' / NOTES: ' • ., oAK i s" r / I 1. ALL DISTURBED SLOPES / 4 / >12X SHALL HAVE A i �' MINVJM OF 4" TOPS ^" SEED. plur% E►. 492.7p OAK .• ' �� l �� �• r •. / f J r INE PROJECTNAME: _NG ERING CO. ROLLAND REQU �' " • , 1 eering & Land Surveying FO M AR IANG " Lane, River FaUls SHEET TITLE: , WI 54022 me: (715) ars -7s31 SITE PLAN ST. CROIX COUNTY ` WISCONSIN l ZONING OFFICE i •\ ��Iln�q�e■ - unu - ST. CROIX COUNTY GOVERNMENT CENTER _� 1101 Carmichael Road Hudson, WI 54016 -7710 I I (715) 386 -4680 Fax (715) 386 -4686 February 1, 2005 File Ref: 35 -04 Anne Rolland 1045 174' Street Hammond, WI 54015 Re: St. Croix County Variances, Parcel 35.30.20.606E, Town of St. Joseph Dear Ms. Rolland: I have been informed by Pam Quinn, Soil Erosion and POWTS Inspector for St. Croix County, that you have fulfilled Condition #I of your variance granted by the St. Croix County Board of Adjustment on December 16, 2004, and have obtained a sanitary permit. As part of this permit, Ms. Quinn is requiring that you sign an erosion and sediment control plan prior to commencing construction, and we recommend that you work closely with her to ensure that proper erosion and sediment control measures are installed and maintained on your property throughout the duration of the construction. We have found that the following conditions have also been fulfilled: • Condition #2 has been fulfilled with a vote for approval by the Town of St. Joseph Town Board on January 6, 2005. • Condition #6 has been fulfilled with revised erosion and surface overflow plans submitted by James Filkins on December 28, 2004. Prior to commencing construction, you must fulfill the following outstanding conditions: • Per Condition #4, you must obtain a Building Permit from the Town of St. Joseph. • Per Condition #7, you must submit and have approved by the Planning and Zoning Department and Land and Water Conservation Department a revised landscaping plan that includes a mix of native trees, shrubs, and grasses endemic to the south - facing slopes in the area. Native trees should include fast - growing poplar hybrids and slower growing red oaks. They must be planted in a manner that fully screens the home as viewed from all directions during summer leaf -on conditions, and to secure the slopes from erosion. Planting must be done within 60 days of completing construction of the home and drainfield. • Per Condition #8(b), you must follow the recommendations and construction considerations in the geotechnical engineering report prepared by GME Consultants, Inc. and submitted to the County on December 4, 2004. You must ensure that all contractors working on this project have read the report and have signed a written statement verifying this. Signed statements from all contractors must be submitted to the Planning and Zoning Department prior to beginning construction. This is intended to protect the applicant's house and drainfield from slope failure and future erosion problems. An extra copy of the report is available at the Planning and Zoning Department for any contractors who would like to come in and read it. Finally, upon completion of the construction, you must ensure that the remaining conditions have been met: • Per Condition #5, the home must be earth -tone in color to blend in with the vegetation and geologic features present on the site. • Per Condition #8(a), you must record the stormwater and erosion management plans against the deed for the property. You are also responsible to provide an as -built drawing showing all permanent structures and drainage easements along with a recorded copy of the deed to the Planning and Zoning Department within 60 days of completing construction. The intent is to make the current and future owners aware of the responsibilities associated with the plans as well as the limitations incurred as a result of the plans. • Per Condition #9, you must install a monitoring port to ensure that the drywell is maintained and functioning properly. • Per Condition #10, you must submit to the Planning and Zoning Department photographs of the home and landscaping as viewed from the river within 60 days upon completion of the construction. • Per Conditions #11-12, you are responsible for compliance with all conditions of your variance approval. Any minor or major changes to your plans must be submitted for review by the Planning and Zoning Department. Please contact the Planning and Zoning Department to arrange a site visit after all erosion control measures have been put in place and prior to commencing construction. We will coordinate with Pam Quinn and Pete Kling (Land and Water Conservation Department) to visit the site together to ensure that the site is ready for construction to begin. Please feel free to contact me with any questions or concerns. Sincerely, Jenny illcox / Zoning Specialist Cc: Clerk, Town of St. Joseph James Filkins, Ogden Engineering Pam Quinn, St. Croix County Planning and Zoning Department Pete Kling, Land and Water Conservation Department Eunice Post, Department of Natural Resources r Dec 21 04 07:31p owner 7154264827 p -2 .11/10/2004 16:18 7154257965 OGDEN ENGINEERING PAGE 02 a'9 WEISER WLP -750 SEPTIC 68' x 3' ��► -�0� 9 TANK OR EQUIVALENT TRENCHS WITH a _ DISTRIBUTION BOX LEACH CHAMBERS A /3" OAK 5n , PRO PERTY LINE ... - -•... ......... ... . .. g.. OAK = _ Z r • •..•.[- / • 12 OAK l r I OAK `3' �r I ! • 'J J � K J j 0 6' OAK / ; • : • % j/ f� / ss .0 rA B' OAX • • : , • J i�/ r u 4 6.. OAK / : ; /,r �� 0 �•' rh OAK c f0, �� % ; 7 OAK/ E IN =9 .0 / f i• NOTES: i i �� / 1. ALL DISTURBED SLOPES >12% SHALL HAVE A /�/ f / MINIMUM OF 4" TOPSOIL, CO 2 - : SEED, AND CLASS 1, q 2, o, ` l q TYPE A EROSION MAT. OAK : I ,� - l/; ! `�/' 2. ALL DISTURBED AREAS X. WILL BE SEEDED WITH A WISCONSIN D.O.T. • # 40 SEED MIX ® 3 _ _ _ - •�.•••..- LBS./ 1000 SQUARE FEET AND MULCHED BY METHOD C WITHOUT DISK DEPTH ANCHO OF 2 " (OR (MAT IF >12% SLOPE). -ENGINEERING CO. PROJECTNAME: ROLLAND REQUEST J00NUMDER: o3��V�V eenng & Land Surveying F VARIANCES an Lane, River Falls, WI 54022 SHEET TITLE: SHEET NO.: RIC (715) 42&7631 SITE PLAN Sheet 3 of 4 From: To: JESSIE Date: 1211712004 Time: 2:13:22 PM Page 2 of 3 POWTS OWNER'S MANUAL & MANAGEMENT AN Pa of ? PL FILE INFORMATION SYSTEM SPECIFICATIONS Owner ANN ROLLAND Septic Tank Capacity 1000 gal 0 NA " Permit N / 0 2 J Z Septic Tank Manufacturer W SER D NA DESIGN PARAMETERS f Effluent Filter Manufacture rABEL ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model A100 0 NA Number of Public Facility Units NA Pump Tank Capacity a l ❑ NA Estimated flow laveragei al /da Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) ,en ySt7 gaud Pump Manufacturer O NA I ` Soil Application Rate _7 golidayfft Pump Model ❑ NA Stando Influent /Effluent Quality Monthly average* Pretreatment Unit A Fats, Oil & Grease IFOG) 530 mg /L ❑ Sand /Gravel Fifter ❑ Peat Filter Biochemical Oxygen Demand (BOD,) 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L O Disinfection ❑Other. i; Pretreated Effluent Quality Monthly average Dispersal Calls) ❑ NA Biochemical Oxygen Demand (BOD <_30 mg /L ffln Ground (gravityl ❑ (n Ground !pressurized! Total Suspended Solids (TS5) S30 mg /L *A ❑ At -Grade ❑ Mound ' Fecal Coliform (geometric mean) 510" cfu /100ml O Drip -Line ❑Other: Maximum Effluent Particle Size Y, in die. ❑ NA OtI1°r i Other: WNA Other: �NA 'Values typical for domwtic wastewater and septic frlk eflNrwrt. Other: ONA MAINTENANCE SCHEDULE Service Event service Frequency ❑ month(s) ❑ NA Inspect condition of tanks) At least once every: 3 61 ear(sl Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA ❑ month(s) 0 NA Inspect dispersal cell(s) At least once every: 3 years) ❑ monthls) ❑ NA Clean effluent filtor S �jan� 1�7t At least once every= 1 pearls) ❑ monthls) C( NA Inspect pump, pump controls & alarm At least once every: p year(sl ❑ monthisi p NA Hush laterals and pressure teat At least once every: p year(s) C3 month �' s) NA Other- least once every: ❑ ear(s) Other: Glill-NA I MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POW I'S Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identity any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for an ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requites the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third M or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of S12 months, shad be performed by a certified POWTS Maintainer. q A service report shall be provided to the local regulatory authority within 10 days of completion of any service event - GMW (4/011 From: To: JESSIE S Date: 12/1712004 Time: 2:13:22 PM Page 3 of 3 j Page 2 of 2 j START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tanks) for the presence of painting products or other chemicals that may impede the treatment process and /Or damage the dispersal cellls). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use, System start up shall not occur when soil conditions are frozen at the infiltrative surface. j During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be j discharged to the dispersal cetl(sl in one large dose, overloading the call(sl and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a SeptWe Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain Isump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. a After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: * A suitable replacement -area IVs been evaluated and may be utflized for the location of a replacemsrilt sort absorption system. The replacement area should be protected from disturbance and compaction and should not be binged upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. E3 suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. T I i N� evaluation mus pe orm t o ► P a ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND10R INSUFFICIENT OXY ©EN. DON OT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name �j( Name FEATHFRST Phone 715 - 381 - SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name PINKY'S Nam1 ST. CROIX CO. Phone 651 -036 -5788 Phon - 386 - TNsdocurnent was drafted in compliance with chapter Comm 83.22(21(bl(11(dl &If1 and 83.54(li. (2) & 131, Wisconsin Administrative Code. y from: To: ERIC ROLLAND Date: 12117J2W4 Time: 2 :22 :42 PM Page 2 of 2 .z 2 1 Z 2 Sr . C R ' SEPTIC T ANK MAINTENANCE A(3R�E�EtMEN'I' ZON/N AND FFl c n o ND ERf xir r a �; oN F�,G . ) 97 3 E RO LA 7fto x' pwntx/8uy�x AtGONA O t Mailing A 1045 - 174TH ST_ HAMMO D, WI 54415 Property Add= PENDING Wffi a eeqai,ed fim Ptmm g Dep66w hr ww city pama I MM*w 030-- 2065 -70 -000. I pwpcdy Location S %, NVV % Scc. 35 T I._.N -R 20 W. TM o f ST. JOSEPH S N/A 2 0 �(�^f1�- ��' --c� R (o . Lot # WA _. {wed swvw MAP # . Voi®e — # W Deed # 2-9 _ Z L l 2 Vole Spec boase 13 yep 13 no • Lot Now idew WAo 13 bras Q no hopmP cams mid, Me+nty= syd.= aoid iiits emme�i�meml�lowadsr lloaper ' a�etaipe�i> q�o�et�sppefc4edc��6aee�rsaratiooa�itaeededbc�stl�edp� ]�1!�ioaQll�a� i cama�t�iefue�Wiasof$ �ese��iti�kas 3oeaM�eAtsl+t�cid�wNeii�ls�s no 7 go= "PM so lUitb DgIlapdoarsotecwM=aw bydre•eaw +Pb oc :2iv�odpagwT�t (fi the onsiss . sd�m; iaae�,s s. df�► i{ ldeAm�att�mesolt�matlseDq�tia�corE '1tR�aeled:+��rs+eomio. +tr�eor see�gmteeabee�tmaed�de .�tbr.+o4eeeatetc of � **`7 12/20120 0ei* DATE I (%* aafy twsl swk=a lay on d& Sava ant= so ft bw of my #vac} lwowkdae. i t*�3► �+ {� � °€ aye br • or: ++aoe>�o�aea��cn�a� cam. 12 2Q 20 ...... A mawioadwis sa�trlbe+o.i peaoitD �boiy+detaai :""" tuft& *I& arts .pPiM&K. a du"PW wamuty awd 6aa► At R of Dft& a foe a copy of at co ifi" Mawy Mr if wG&Mwc is M& is as wa wsar dolt A From: To: JESSEE Date: 12/20/2004 Time: 12:20:32 PM Page 2 of 2 From: To: ERIC ROLUWD Dwto: 12NT12004 Time: 2:22:42 PM Pogo 2 of 2 SEP TANK MAIMZNANM AGR613MBW t AND - o HIP CAVON FORM ) 9 3 n� � O+rvnedBuyer ALGONA O. ROLLAND / ERI RO NO &W(t Addetn 1045 - 174TH ST, HAMMOND, UYl W15 PropadY Addt� PENDING - (Yen'Badion Agohad 6m pknming Dep ummt hr am cowwwd d - - Cft HAMMOND, W pMz Ida att Number 030-2065 -70 -000. LArMAL DBE v UQ Pt+opeclr Laaldoo S ,G, NW V., Sec. 35 _ T 3 �. y 20 W . TMM of ST. JOSEPH : y Sabdivioim WA Ltst # W —A --' C:erwat 9rMr 11saF R - - - - Valu s!a 417 - p"e f f 1 Vffilnoanty Deed d - , Ve" = — - p"D * - Sow boaw 13 yn h! no • Lot mar i a dfiswe 11 ym O as i �oparma a+�d eais�ea�me��wraq�tie s7srla�He�witi lerpe�s�s�oirbls+� -�P aawitee of ppe�ooC- aet the upQc teeEe� �qee !'� er seaeas if eeadmd bl a iii lielP� �Unt 7'oe pet ira iseae�as� asald:;tinAMM Matt wtefft ink a aun"NOMWladewwAwavl MW peveft *Aw gees q Ming ib agm d4pw by &e -am= and by • - ll �RaeeMid047P1ae+ 6�r�rstioesod�erraiAr�le� (i)4�w�tls sin= soparaeniBeaaedlbr(>:} �asepeaCia�ned0�1�i .4�����+"Is�t/3Jiiail�+- - urn. dr.lerrSitOb"d -h- =* io meftoedapssft=ewhmdmpdrdememodbpowtMe mwftf o raeisdas& �ecpod4 b wcia6" witby .pwt=McfCW=aaiddwDrMmmtofl l 3 meth rse�9C lustieee,teei.eiiead�t�ranow Iad:wMM•irit ZAC 12 i 2020 �U17<1Ll�lR' • D1►TH - l (� ostil� iAt aR eeteoeee� vn t`s � ors fete b >� bal d aDr (,one taO+rlo4M- f (� am (aee) dre ewnw(s) d �inoe�ora wNUdY limdseoaied L *4&lerdDvM& Qdioa. s 12 120,# 20 3KmATtwA OF APPLICAM DACE •••••• Afq i�oe � is e�.ee�amtm�T temAt i lis a�ilp� hem eewlsl y rr �i' � �� •• faelade.ds ekh .pplicaM..: a otdped wxw&wV flood 5o0 tM RrVMW41Daedt oBoa ■ carry or dw cortiGeavancy * mr if 6 is di in Or. �rae�s �aeA A y I Y SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Bu ERIC ROLLAND - M Address 8 BIRKMOSE PARK HUDSON, WI 54016 PENDING Property Address -- (V erification 'red freto for new coaskocd ) N t� Pla nning CitylSLtte Parcel Idenfifcation Number 030 - 2065 - 7x000. LEGAL DESCRIPTION Property Location S %, NW y, Sec, 35 , T 30�_ g 20 W. Town of ST. JOSEPH Subdivision N/� Certified Surrty Msp # . doh ma 417 Pap# 11 Wwranq Dead # . Votmnc . Page # i Spec bow 0 yes 0 no Lot Lines idatifiWe il yes 0 no Iim�COPaasea�, da�aiueemmoeaf7�oarsepticsys�emooald�Ltmibpoe�fii ll�oe�oLand�e�ras�.Proprtmaaro� ooh of pv=q iqg out the septic ttok every ftec yew er if meded by a boamod pmq= _VW yon pat b mo dw syaoem as sdffietttre imehooe of ffie septic lttdrss a treatment stye is dre wsz6e system. 'tbe pwpWy ewaer - p , b sabu& b nqwwlea a cewscation faom, signed by tbe: owm aadby a maslerp�amalxajauraaeymanplamibe�resltictedptamiberocaliaensodpamipe +cveffyingtbst(1)lbeoa sitewssoewattrls7s is in peopat opeaft oonaim andAK M afthqxxfm and Pn do sep&taok is lea dw 0 W of shWr- Urrc„ do undersigned hrm read do above nequkma s and agm b nothok do p&afe same &WoW sydamwi& tba sdmdttds set fati5. L�ce�ein. ss set 6g► the DeptrtcoeaR of (7amcoeroe and>he Deputmaat of Nstoal Reaom� Sloe of 11Vsa000ain. datpour = pstembasbemm "AdoedmmtbecompteeedandteI Ibdre Office 30 dayr of the dn+x year - dale - 0y_ M= COTi1?ItCAUON I (wee) certify that an statmoft on this foam are true to the best of my (am) Iao� I (wee) an (are) *0 owoeds) of tLe pooputy dam bod &bore, a wwanq deed accorded in Vz&w Deeds Office. &V ioformation dw is axis poesaa6odmay took in ffie saltary peamit ban revOlmd by tine Zoning Dom' Indwk with this app0ca6m: a stamped warranty deed from the Rues of Deeds office a aopy of 9= m ifed sm+rey reap if nkrtoce is Dade in is warnnty decd it DOCUMENT NO. WARRAir" on" !TATS Opp V1100oM111_PORM f 2 n„s .PAM 0200wvo .wt OffoaMwwa DATA Adrian L. Warren and � �_ rzc x:;=51 N� OFFICE �irren,a xi3'e arid'�n'�her o��in:_.».._�. ST. cRasx Co.. wts. granto,^.s . of._» _fit. ro� - . »._ ».» ._.._. r._»..._ .... Recd fol sct and this_ '12 h ereb y -county,, Wisconsin, and warrants to vi �1.gy Roll _�___ day of__?am.'ar=__A.0.19_2 A1 laad� u � as to 1A _ -- at_ - A_ 1n __ A M. tenant s »:._ ».._.. �»........»._._... r..__»_.»»._......_. ._.»...�»»_...._.._..._......_. .._._.». »_ _M..._..._.._._.._...._. ..._.. ». »_.._. _._..4ruttee s..». of p ®gia e► f � s Herne .In�Co for sum of Seve T housand Three Hundredand no,00- ._.-.� TO -... _ Y - , ».-._..- .._-»..- .- the following tract of land Wisconsin: _.....».»........_.._.. » »......�....._...._.__._...._» ..�.._..�....... »_.._.»...._.. All that part of Government Lot No. 2, Section Thirty -five (35) Township Thirty (30) North, Range Twenty (20) Kest, deseribed as follows: Commence at the intersection of the West line of Government Lot No. 2, Section Thirty -five (35), Township Thirty (30) North, Range Twenty (20) We St. Croix County, Wisconsin.. and the Southerly right - -way line of Wisconsin Highway No. 35; thence Southeasterly along said Southerly right -of -tray line for 170 feet to the POINT OF BEGINNING of this description; thenc continuing Southeasterly along said Southerly r t - - lin or 21 .3 eet; ence outh and pa ar lle o said West line of Govtsnt of No. 2 to the St. Cro x ver s s ore e• enee Westerly along s re a or 21 .3 feet. more or less to a point on a line drawn Southerly from the POTXV OF BEGINNING parallel to the West line of said Government Lot No. 2; thenc North parallel to the West lin of said Lot to the point of Beginning. This deed is given in performance of a land contr dated September 10, 1965. Wimaa the said tol$ hsV...= :hemp, set their' hand_I- and seal-.& this 8i11i82 - - -- A. D., 19_ n� r-;- (SEAL) UG NMD AND sMSinD M FRMINOM of . L• : i�rra._., a7h�._ � __ .��\• /f '' ,`: � 1' /' (SF.ALl.. _- i + � cis ' tiJ F+ Fa p 5s 1 o A 3 A - s a Z jU) a i H This deed is given in performance of a land contract, dated September 10, 1965. Ia Wawa Whereof the said to►$ h1�.!e_.._ set their w _ hand and waL-& this _ ...__e' ._._._ day of._ anuar _- ._.__ ., A. D., 19_ bri.�._. —( SEAL ) araxaD AND -W.A JW IN PM11811194M o: ar Jc D. Heyx Carol McDaniel ...._.._....._... . ........... .. Sta of sconsK Personally ca St. � I�O X - - Adrian Personally before me, this... his .._.__: '`:. day of-_. J�u �-..._. A. D. 1 68 , L 9 the ab ove named _. - .Warren Suzanne_ his wife _...__.._ ......... _...._. -- _ . `' � _ _ - ----•-------------------------------------•-------------------- to me known to be the person$_. who instument and acknowledged the same. THIS INCTRYMIMT WAS DRAFTED BY _ o HMOOD AND HAVES , ♦ Vii.:.. BUblic °J-t •- Cr __ - — _..C011nty, W15. Attorneys ' ' t` - �+fi a' sectice 5P.51 (1) of the VRconas . . ~ w V �C�rr ded fhdl bars Uf gpewdow dRnen summ; of *2 BONN% - It'QYlfp dq1 the sun the l[ Qlr70n w'h0. O[ 4 WARRA'2 De6D ---- R�I$COti$�� Wwoode I.aC & Blank CemMn7 r Parcel #: 030- 2065 - -000 12/16/2004 07:56 AM PAGE 1 OF 1 Alt. Parcel #: 35.30.20.606E 030 - TOWN OF SAINT JOSEPH Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner " ROLLAND, ANN NORCUTT ANN NORCUTT ROLLAND 1045 174TH ST HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 W ITC Legal Description: Acres: 2.090 Plat: N/A -NOT AVAILABLE SEC 35 T30N R20W PRT GL 2 COM AT INT W Block/Condo Bldg: LN GL 2 & SLY R/W LN HWY 35, SELY ALG HWY 170 FT TO POB: CONT SE 214.3 FT, S Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 11 b TO ST. CROIX RIVER; WLY ALG SHORE 2 14.3 35- 30N -20W FT N TO POB Notes: ni "Iva Parcel History: r1' Date Doc # Vol /Page Type 07/23/1997 417/11 J! Ofi Ll 1 3 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 6252 88,100 Valuations Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.090 86,700 0 86,700 NO Totals for 2004: General Property 2.090 86,700 0 86,700 Woodland 0.000 0 0 Totals for 2003: General Property 2.090 51,000 0 51,000 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 . ST. JOSEPH `W' PLAT 4 `- 29 -30 -N • R - (Landowners) SOMERSET'S' PAGE See Page 112 For Ad& R20W R19W' 100 ANDERSEN SCOUT CAMP RD 200 23rd S q rf 150th AVE 4W _ 2 T — —� 3 Kevin be g os� �" y� Gloria y �NRON �� �LN JI anice 40 Hinz Basel Ema 40 Ernest dt Meyers a L Moelttr , We e , Evelyn Ernest F S 7 ebu7[ � LO 74' $iriger w Law' ' tr osdma _ 114 quell- la ed_ to GS 78 $ renceat 53 2- HILLS IFOn 145th irusrY � tke tke 40 160 s 1 10 01 Plau<de a•tt +o DR ' 37 AVE 118 120 K stiaae 1, 64 35 + PaMct e 0 H s tr '��''° Tam tr Tai , _+0 3aZ 144th i z y � F ^ °� W TH 9 3saG 1 oa tr iz En Lend ox. r 142n Q b sM tr tr AVE Edward f li N o l Trust Croix 3 enn E $ g ° waeo. r B Frawley 9 w Meadows valton Q1a Gl A,� « - Q ssu s Trust t4 O q GM Inc ' _ am 5 _, 1_55 ' ¢ _ 78 47\ - la e _173 3 40 Carrob —� esn Tarr lac M8111 D 1q T BD 12 ° J i a c ti JMono t 10 z+ 14 F eau o ,7 11 90 20 <� 12 � sf Glllshom a x 1 6 159 �' HK F lo. , O G E tr L sr 55 Suss° 3, 12 10 i> •O, LTON g 3 AM- t Tea I f- lOatt 39' sc s 3 y O m 37 En* argu Vaik3 ^� ,J Martha 1�MVq �T� u H GWstrom I ��+ g N 1 8 ltZ ° F u a 201 (� et s�ahsa t7 Severson 77 r 8o G s cG , x I tr e± PB 9 Laverne 'n Thomas m tr_ y Av tr S `Anderson M , - ( t7 t] � m :1 ° 3 »m u +0 M 1 5 95. 8 — EOe 1 2-1 F EI 9 - ' . I' l `! — - — - ' - eeM mwff�_ GRID / t` Mn LIO ' t S 13 4 Gre j r � 1 ?� Dahlke 1nt GI tr , m ct s ST tr Steven is 10 ` I F CR 35 � 125th AVE 181 V & Kim v s SA S p n nas t 34 O�� Erickson y+ ME G6cJ E T Rose Donald 3 r 13 P 15 U) Nava 1z • 8 Lok D E RIVER W a 3 Sae e 1 Picard 3 S u an e42 3tatt Z I atvuet Ernest 1aN eariette p = tr, tr ACRES q a, HA Y :s dr Lynn hilts t T30N I EST wn 10 7 sea xx U o i4 B 0 - Trust s �+ p R e PH i ' 1 , J1+ I&G Stanley Virginia T29N & S ' • + . I h tt �Dahm 14 1&D 18 14 L s N 29 16 NeshTl69 m tr W T R DR 2 n + S51b 3 wNL A K= cc tr + Tat 6 1R les t � ° K w l u ` T 10 RH 2 � i � 10 i ^� d 30 � 9 � l Cr st ream Uoyd & ST '. m LLI Fast , m L%*.d �mu�le 50 Z " tr e ' t T 17f J 33 'WaidrOff W aA H J U 0� q Eckert t a< 011le nee T 1 Family LT s ° s tr LLLP y° ,tT P� 20 L 6 3 tr 32 [A 37 T "s GOLDEN ROUT L S RIVER HEIGHTS TRL F 35 OAKS LN BROOK RD LAKE HUDSON 'W PAGE 26 We're right here - in this local ar to help you, your neighbors and our h A communities. And because we're here, your de: with us are invested in loans to benef r o. ©c% f/e i s y C �9 izo v fie. Edward scTo cc sores Len;'' F 0 � �,,�� � • � 0 F w /may �'�0 ►� Q' � � � 00 t� oiorJ 200 nse d A�� r c?� 1� zfo c • (1�( John ,q/prmaJ7 Chas. k� �! � _ L'Or�p/ � V: �7 oyoe, �s .s C, h do �0 a :: eaf 74 E�nin e E • alOc Edwarwe R. C i' , Fear.iJ C 9J eta % V ' gi 25 1 L • Obi � y ,BJ�eJs �d ro„� � � � R comb s 96 Bo • 80 ; F� ° °� Lad�.rJ� •Thonas 0 3 isrrriiici. �rJdCivorl >oCo�� ° f✓o o r f L. ::Kw:dL't1► A �p (f' V� J S !o • ace. 73 2 . j �)Q•/ JO 4 R .pond s /e�h /few y Coinb E %Jnei- Ms.N.isnon o v >7 ��+ /g3 i9g is.�sb J•r./ iiarz ��� J/rs r o�� W �'�" � LQ!/erne ` .9J -v�oJ • \ C � O / <t/ya�. �iea.s�e � cS.L. T 4E /ice• C «f�CsorJ �►(} /`/orri // 30 3 L7nde� 74 w r ,eo `son N. �� d7oG renia. .ts /.ec �� ►� .Pob'. J.'L. C/a��ce • ukJ� few Ch V T E Brn !Jon cl a <� <h tz ! h irJ :0 4 \ 37.5 /l csy iOVeIQ YR VfV l2/ Q� ^ L 'C G / /Li. T 29 S6 36•< ,ig 77.6 • 4W f0 <o M 3 L. gird > • a/ �nf 6M� i • Ma, -.ma a, . Bros- • a & Zs csAv of LVi. 1 .9s�r6 Wj3COrNirl 3o.L a ?JZ.b7 �3 Kar+en•Davis :' .pepY• of G/•93 scfi tiGlt�ra/ �GSO e<J !1 frrJ�s M f0, 14 Lq v<iJ Ec.4 -e y` •l D .�Gndcs�/ B . 70 1v L >•C 66� t 9/ 7 =G / FA L. �97f _ PAGE 25 t5f C�wx Co��nfy, ✓✓ A 20 W. 9 W. Aaby Plumbing ST, CROIX leating & Electric CONSUMER'S coop aukee Thermo -Flow Heating 0 RCA COLOR TV - PETROLF g DAIRY EQUIPMENT - LP G Master Plumber W APPLIANCES .swwc•rs. BO oo /JY �,. � .�� �.. �� y �m J 73 77 E /in�i- •� 0 n M W fi s It h L /o ash /.�c /s •c 4 S Grjr /C - E t /g3 79g /S3sb C 0 qx �'f' LQ!/G�r�c r Firvi4� • \ C I /ai "a� ���C cSL. r 4E /ice C . ' . �if�sorl W V �J �� o.ri / / B�C/l.r cSn ��7- 30 3 F,�i�O�Gr f 70- ieo L . •. 'el 87.a6n es/ie4 n .Pob'. �TL• L' /�tnic6 • ;4eR• ,s s�� f"� fi 0 : .!a r � d '•xd� '� 'gel? Z a7 e✓t� Z D hrn U' `�� V M fry sic g r_v J °'7 v C 76.7 'mod ..xr .'1s�Gd • � � � s .rs T tore /a ��i • / •s.7� � � ^ L /a '' /� N sa 80 36 s s ` 776 • s0 f fo 40 3 /a d s � • .Bros. • ..,• :c .3o cs/+.z1� of (y�. 1 y(/i1COn.7i/7 4 za.47 3S Kanen Davis c o/ v Gi 93 1C.4 / Aketira/ .Qeso cts ZO 4N ,BQue.- .t3 .tom D� fii7G3 � g ` ye < 70 w L1T io oaara'Mjo �° a6/i SEE PAGE 25 �s.✓x L'ed� / A 20 iK A 10 W. MARTIN'S BURKHARDT CO - ASSOCIATION 7ENERAL STORE • • BURKHARDT, WIS. Bait Ice Groceries ........... PHONE: 386 -2702 Ice Cold Beer Petro /e um Products - LP Gas - Hardware - Appi tt ries - arm S upplies - o s - MILE FROM STATE PARK Tires Ba e f Gift T oys G BURKHARDT, WISCONSIN OWNED BY THE PEOPLE WE SERVE 4~, .• _ . 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