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HomeMy WebLinkAbout030-2071-10-000 , n ■ o ■ n e 2 F ■: c , o m 7 � $ $ 0 7&/ 0 @ E R§ S wk\ ok� CO / k 2 CD ; / ' / 0 2 ° i % _ , = G = : § / { & 2 § \ ■ ® E E § 8 7 g (A W : a © U @ v E e / A / \ 2 i a R Q 3 o f \ 7 @, o ! @ z ° K I' § o e : / § / /z n r ■ . f 2 9 & c § i M ; E- 2 / 0 0 0 \' " § / I ) 2 / a \ƒ \ 7 7 E v t 0 . N) k A z � \ � o _ J $ \ 7 ( C . m } k . % ; CL . 2 2 - / § - � z R [ ■ � : § / m E CD z \ � D . � C.0 � Jc 2 / A 0 § a WCD 0 (n _ . 0 0 e i )_ RR � \ $ GL ( G � � 7 D 2 � ° / 7 � \ , � % COMMERCIAL TESTING LABORATORY, INC. x'514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 F 715 -962 -3121 800 -962- 5227 ` FAX - 715 - 962 - 4030 i ST. CROIX ZONING REPORT NO.'. 38582/01 PAGE 3. ST. CROIX COUNTY REPORT DATE'# 3/25/ COURTHOUSE DATE RECEIVED' 3/23/93 HUDSON, WI 54016 ATTNS THOMAS C. NELSON OWNER'# Joe Schettle LOCATION'# 1230 Hwy 35, Houlton COLLECTORS M. Jenkins DATE COLLECM, *f 3 -22 -93 TIME COLLECTED! 3 '#00pm SOURCE OF SAMPLE'# Outside faucet DATE ANALYZED43 -23 -93 TIME ANALYZED22.00pm COLIFORMS 0 /100 ml INTERPRETATIONS Bacteriologically SAFE NITRATE -NS 2 ppm Above 10 ppm exceeds the recommended Public Drinki Water Standard. Coliform Bacteria /100 ml Nitrate- Nitrogen, mglL- t cc) T LAB TECHNICIANS Pam Sane m cr?, ` OF .NDEVFNp E,yr WI Approved Lab No. 19 Means "LESS THAN" Detectable LeveL Approved by'. j PROFESSIONAL LABORATORY SERVICES SINCE 1952 I� ST. CROIX COUti'1'Y ZONING OF 1 CE St. Croix County COUrt_iaouS-e U 911 4th Street Hudson , 111 54 16 � _ � Jd' �C t) , G- 4GEl I� The St. Cro Count Y 9 Zonin Office offers the service of Septic and water inspections to Lending Institutions, Izealty Firms, and private individuals. ; Completion of this form is esse nti_<z_1 so that the =ov rtv care he located Please provide the following information, enclose ahEjroPriate fee made payable to St. Croix County Zoning office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and for re received. WATER TESTING- --- - - - - -- - - - - -- - - -' �- - -- -FEE: $ �S.OUtz (For nitrates and coliform bacteria) WATER TESTING ! I FEE: $175.00_ ( For VOC' S) SEPTIC SYSTEM INSPECTIOII ------- �- - -FEE: $25.00 (Determines if system is propgr),y function3.11y at�time of inspection) Property owner's name s1 ;, ��b�I �L�/ jpl� Property owner's address S7 SfP Legal Descri tion �E l/�1 of the 1/4 of Section ( , T -Ra me Town of S7: ps Lot Plunger Subdivision HL ` 9 Ale �ed 7o c0 ATa- fe! e r FIRE NUMBER LOCK �C� _LOCK BOX _�aU�il�l;�t 6L r 5��� �7Q6 -JfW k r' Color of house Real sign by house ? - __I f so, list firm: s, PLEASE INCLUDE, IF AT ALL POSSIBLE, A NAP, i . e , CUPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF ,711E LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times :,ater 1inef: are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrzmyernent with this . office to ensure time when entry ray be cjained / Firm or individual rey estin services: ;T4 R - ec L 17 -0 0 r�r Telephone Number 9 -/�19 _,_ A Win nC'• REPORT TO BE SENT TO: So . - e C _. Closing date -3 l - � _ ,__------------ _ -_ -.� Signature eD 0 , r jov� J � i I • ^. ST. CROIX COUNTY r WISCONSIN S ZONING OFFICE r ' , ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 March 25, 1993 I Jim Jerome Realty World, Pauley & Johnson Inc. 1940 S. Greeley St. Stillwater, MN 55082 Dear Mr. Jerome: An inspection of the septic system on the property of Joe Schettle, located at 1230 Hwy. 35, Houlton, WI was conducted on Mar. 24, 1993. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we. receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Should you have any questions, please contact his office. cerely,: 1 1 ' I �r Mary J. Jenkins Assistant Zoning Administrator cj NOTE: House has been vacant for an undetermined amount of time. Parcel #: 030 - 2071 -10 -000 05/02/2006 08:47 AM PAGE 1 OF 1 Alt. Parcel #: 36.30.20.618B 030 - TOWN OF SAINT JOSEPH Current rk ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner ROBERT C & JOANN M BAKER O - BAKER, ROBERT C & JOANN M 1230 HWY 35 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1230 HWY 35 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 4.000 Plat: N/A -NOT AVAILABLE SEC 36 T30N R20W NE SW 4 A W OF HWY 35 Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 30N -20W Notes: Parcel History: SCE Date Doc # V y Type 07/23/1997 1010/238 J 07/23/1997 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 110,400 158,600 269,000 NO Totals for 2006: General Property 4.000 110,400 158,600 269,000 Woodland 0.000 0 0 Totals for 2005: General Property 4.000 110,400 158,600 269,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 219 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 wisconsin Department of Gorrxnerce PRIVATE SEWAGE SYSTEM count Safety all Builli Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit III Personal information you Proms n be used for secondary purposes (Privacy Law s.15.04 (1)(m)). 384259 P rmit o er's ame: City p Vi lage Town of: State Plan No.: a�Cer, �o�ierl� 5t. Joseph Township CST BM Elev.: Insp. BM E ev.: BM Description: Parcel Tax No.: 6� r r Py � 030- 2071 -10 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS Ell Septic Benchmark (p• `io Dosing It. BM `�e '� Z- 3� Z02-34 ' 2� •a' Aeration Bldg. Sewer Holdi St Ht Inlet Ky ANK SETBACK INFORMATION St/ Ht OutletL TANK TO P / L WELL BLDG. V e t take ROAD Dt inlet �~ Septic 3 ^- ST ZI NA Dt Bottom TOO NA Header/ Man. r - Dosing ' . o le - (,6 , Aeration NA Dist. Pipe to . 9 Bot. System 9.7-8 Holding - 3 839 PUMP/ SIPHON INFORMATION Final Grade M ufacturer Demand S over Model b TD ift Friction System TDH Ft t��e�" Forcemain Length la. H Dist. To well �► SOIL ABSORPTION SYSTEM BED /TRENCH Width Len th N Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth 1 EN I N 3 66 °^� DIME N I N LEACHING Man dur r. SETBACK SYSTEM TO P / L BLDG WELL LAKE/ STREAM CHLUNIT ER . / e Num r: INFORMATION Type Of �S' `� (dp OR System: DISTRIBUTION SYSTEM Header /Mani old tf Distribution Pipes) x Hole Size x Hole Spacing V ent To Air Intake Len�th��� Dia. Dia. SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Depth Over P Yes C] No Bed /T rench Center Bed / Trench Edges Topsoil III ❑ No ❑ / s present, COMMENTS: (Include code discrepancies, person ection #1: 07106/0/ Inspection #2: ---E -- Location: 1230 Hwy. 35, Hudsop, WI 54016 (NE 1/4 SW 1/4 36 T30N R20W) - 363020618B 1.) Alt BM Description = �jc e'en ' n, 2.) Bldg sewer length = ?/ - amount of cover 1 ` a.J —- fyo .0 to Jl S� - e;� k. an revision required? ❑ Yes O o} Chi� Use other side for additional information. cert No Date Inspector's Signature SBD -6710 (R.3197) Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing. this application PO Box 7302 N Visconsin Personal information you provide may be used secondary purposes Madison, WI 53707 -7302 Department of Commerce (Submit completed form to county if not [Privacy Law, s. 15.04($)(rh)J state owned.) Attach complete plans (to the county copy only) for the system, o less than x 11 inches in size. County State Sanitary Permit Number ❑ Che k'i revision to s application State Plan 1. D. Number I. Application Information - Please Print all Information; : ti "cation: Property Owner Name �T C{ rry Location 9 ,0 a 15 r _ ,a.. 1/4 5401/4, S T ,N, R or pe Prorty Owner's Mailing Address l h. � tNumber Block Number o GU 3 s /Y!� OVA City, State Zip Code Phone Number Subdivision Name or CSM Number /duo �/ ( S) ' ra II. Type of Building: (check one) ❑ City ® 1 or 2 Family Dwelling -No. of Bedrooms -3 ❑ Village ❑Public /Commercial (describe use):_ IS Town of ❑ State -Owned 5 ;" rs Nearest Road ui 3 s' Parcel Tax Number(s ) d 30 - z o;Ft- /o - 0 2 III. Type of Permit: (Check o nly one box on line A. Check box on line B if applicable) A) 1. ❑ New 2. X Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) Ili Non - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: w'� s 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4, Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (GalsJday /sq. R.) (Min. /inch) Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks E Ti 0 ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, a ssume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) PI er's Signature (no stamps): 1MPRS No. Business Phone Number Plumber's Address (Street, City, State, Zip Code) 1 tL, z IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination A 2 Z S d d 6 L zpQ X. Conditions of Approval /Reasons for Disapproval: /� ,T•Ie ek.St�,�, �r.(:Ncr wr ay o a �y lut [cri �g� i SySf�c� Cl�,J�7`:.� i 5 Y P n fYOn. Ohr��.1 r� Z) +' �T ltt Plt.T ti lT[V // • Jt �h.Sl"Q / /fJ 7O lVrIhik le AC ✓�([�Q.SC �� �ar +�C -105 '� /Nk .0 S�QI� �e Per kKAKct T0.L!<k��tS Vf40." S. SBD -6398 (R. 07/00) -- -------- , r Pmi AL - _ - -_ 17/Awr -7 r7* T --- T ' --- T -- T_ 7 + PRA 4y 4 1 3eo -4- 4-- 0—f O i AC I ' s � � I , � � i } � � - � � � i I - - - -- -- -- � -- - --- r - - - -� ._ �, I ! _t " t ! � - I i ; � � i j �,�`) ' , _ � i i { � � � � � � I � �� t i 9 r ! � � j ! I y I - _ ! ' i � T t j t 1 � j � , 1 _� � �i I f I I ! � I , fi � -- - _ � ___ -- ._ i -_ I r .. -- � I r - . , _ - __ - - � � __ _ ! � i � - � - t I - - -- - , - -- r -� -- - I -- - -- -- -- - +- -� -- 1 � � i < _. � � ' . { t F i- I - -- -- - _ f 1 I � t I � � � ;_ t ._ t � � } � �� t -. r � __ — - _ 1 ; __ ._ _ - — — — — - - -- — -- i -- - - __ e o t I _ i I — �. _, __ _ . _._ — 1 � F f. , . ! � � 1 } } � i r 1 r _ . i _. — — f _ __._ _.. t ii! ' ! ! — } _ — — — — — — — — - { I _ — � I. � , _ � - - -- . �- - r - � � f , _ -- - -- -- - -_ - -_- ! r I _� -- � — — _ a _i ! � � � I � . 1 ! r 1 �. r j � f � ! i � I - - � -� — - � - - - -� i 1 ! i I ! s �. � ! � � 1 z .� � i F __ _ -- __ ___ i - r � t _ � -- } -- - ._. ; 7 q -_..1_ __ _ __..__ _.._. .. __. _. ..- _._ -. _, __. � �. � L 1 _ I , + � .. I _.. __ __- t .. _ ..__- � _. i i i 1 { + � I i i I — — -- � � -- I —— _� � � {_ __ - __ __ � __ __ _ _ __ . _ � _ _ - t . _ _ � - -�- - 1- - � - - -- - - - __- _� y 1 � . _ � t { � i _� _� f � " � � I � � l � _ _ — -. _ -, ! a � f i i —- t 1 � i ; , i _. — i �i � ����a� �� t . I I '_ � i t ; �� � 3 r � 2 j � � � —�_ -I � t } � � � _ �- i � _ __ d , _� I � � { i i f � t �� _ � i j ., I C r ' -� - - � -- _ ___ - _ _ t �_ ._ i �_ — 1 i i v '; i- i it ' _ � �_, � � i � � I r - - - -- r 1058 Wisconsin Department of Commerce L,�i(A�LUATION REPORT Page I of 3 Division of Safety and Buildings in a o- rjCe v tth Comm 85s Adm. Code Tom Schmitt :'' County Attach complete site plan on paper not less t n �G,z 11 inch ip;aiz . Plan must St. Croix include, but not limited to: vertical and horiz to reteerence poi i n and percent slope, scale or dimensions, north - end location and dista�#d nearest road. Parcel I.D. Please print a I►r�Orma�iT91k f :� R i ed�B �_ O Dat � Personal information you provide maybe used rwMndary purpc" ep� _a,#,'S: 1 .04 (1) (m) Property Owner 2O/yy , Prope Location Baker, Robert And Joann j`. G O �Fr�� Govt;W na /4 SW 1/4 g 36 T 30 N R 20 W Property Owner's Mailing Address L pt # Block # Subd. Name or CSM# 1336 State Hwy 35 '� na City State Zip Code Phone Number j City _,j Village fd Town Nearest Road Hudson WI 1 54016 1 715 - 549 - 5773 St.Joseph I State Hwy 35 New Construction Use: 0 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD 16 Replacement -I Public or commercial - Describe: Parent material Outwash Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a conventional system with a 0.7 gpd /sgft rating. Possible system elevation for step trenches are (high) 98.2' (low) 97.4'. a Boring # 1 Boring { Pit Ground Surface elev. 101.62 ft. Depth to limiting factor >105 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 10yr3/1 none sl 2mgr mvfr cw 2m .5 ✓ .9 ✓ 2 5 -29 10yr4/4 none Is 1 msbk mvfr gw 1 f .7 1.2 ✓ 3 29 -105 10yr5/4 none ms Osg ml - - -- - - - - -- .7 r 1.2 Q�• 4Y !. en, . 6 Fil Boring # j Boring Pit Ground Surface elev. 101.87 ft. Depth to limiting factor > ' in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -5 10yr3/2 none sl 2mgr mvfr cw 2m .5 ✓ 9 ✓ 2 5 -12 10yr3/3 none sl 2fsbk mfr cw 1f .5 ✓ .9 3 - 12 -24 10yr4/4 none Is 1 msbk mvfr gw - - - - -- .7 / 1.2 ✓ 4 24 -98 10yr5/4 none ms Osg ml - - -- - - - - -- .7 ✓ 1.2 / N {I * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD <30 mg /L and TSS <30 mg /L CST Name (Please Print) Signature: -� CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 6/5/01 715 -549 -6651 i Property Owner Baker, Robert And Joann Parcel ID # Page 2 of 3 3] Boring # j Boring Pit Ground Surface elev. 99.96 ft. Depth to limiting factor 101 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -4 10yr3/1 none sl 2mgr mvfr cw 2m .5 ✓ 9 / 2 4 -11 10yr3/4 none sl 2fsbk mfr cw 1f .5 ✓ .9 3 11 -23 10yr4/4 none Is 1msbk mvfr gw - - - - -- .7 ✓ 1.2 ✓ 4 23 -101 10yr5/4 none ms Osg ml - - -- - - - - -- .7 ✓ 1.2 / / 9 04 4] Boring # 16 Boring Pit Ground Surface elev. ft. Depth to limiting factor >84 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDjft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 - 0 -4 10yr3/1 none sl 2mgr mvfr cw 2m .5 V .9 ✓ 2 • 4 -16 10yr4/4 none Is 1 msbk mvfr gw 1 f .7 / 1.2 ✓ 3 - 16 -84 10yr5/4 none ms Osg ml - - -- - - - - -- .7 ✓ 1.2 ✓ This boring was done to verify the soil for the existing system in case a valve is to be added between the new and existing system. F-1 Boring # -A Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD <_30 mg /L and TSS <30 mq/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or nPal1 ,,,otPr;ol ;,, �„ of +nmotP fnr..,o+ „1­. r to t t4— ,rA,.—r,,,P„t t Anu_1Af_z 141 — Try 3W3 411, B/ J/a -e� l ( ply tol��104 to io VO cl�-G 'Fc��' � I`OD9r►'' ( /�G�� Q �'!A•lnhlaq q�: �10MaS Ji �� %� T /v?30 3 S' /yam S�✓� S 3 T3 o ey4- ?ol%J 5 66 37 �w�slip � ST • Jos ! � i ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR IITI1,? 7ATION OF AN 17Y] P -TI Nt. f;G;l T]C TANK This is to certify that I have inspected the septic tank presently serving the adiek : PAL residence located at: r 1/4, cSLU 1/4, Sec., T R Town of T1 7dS Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced / ,BOO/ Did flow back occur from absorption system? Yes No /t (if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete I Steel other Manufacurer (if known: A o f Tank (if k nown) : APpRoX I PYR S. ACAUIAI SCya, r_ 7 (Signature) (Name) Please Print (Title) (License Number) (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certifications In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the . requirements of ILHR--83, Wis . Adm. Code (except for inspection opening over outlet baffle) Name �1)itrAUi.V Lfe_& 7 I TT S ignature - 5/88 I — I Page of MANA EMENT PLAIN This Private Onsite Wastewater Treatment System (POWTS) has been designed and is to be installed and maintained in according to Comm 83, Wis. Admin. Code, the in- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems (SBD- 10567 -P; June 11, 1999), 1. This POWTS has been designed to accommodate a maximum daily flow of ysQ gallons of domestic wastewater -per day. The quality of influent discharged into the POWTS treatment or disposal component shall be equal to or less than all of the following: a monthly average of 30 mg/L fats, oil and grease a monthly average of 220 mg/L BOD 5 a monthly average of 159 mg/L TSS. Wastewater shall not be discharged to the POWTS in quantities or qualities that exceed these limits or that result in exceeding the enforcement standards and preventative action limits specified in ch. NR 140 Tables 1 & 2 at a point of standards application, except as provided in Comm 83.03 (4)m Wis. Admin. Code. 2. The owner of this POWTS is responsible for system operation and maintenance. The following maintenance shall occur within three (3) years of the date of installation and at least once every three years thereafter: 1. The septic tank shall be pumped be a certified septage servicing operator, licensed under s2.81.48, Wis. Stats, unless inspection by a licensed master plumber or other person authorized to make such inspection, finds less than (1/3) of the tank volume occupied be sludge and scum. More frequent pumping may be necessary to prevent solids from exceeding one -third (1 /3) if the volume of the tank.. Wastes shall be disposed of by the pumper in accordance with ch. NR 113 Wis. Admin. Code. At each pumping the pumper must visually inspect the condition of the tank, baffles, rizers, and manhole cover and verify that any required locks are present. 2. The soil absorption component(s) shall be visually inspected by a licensed master plumber, certified septage servicing operator or POWTS inspector. Inspection shall check for evidence of discharge of sewage to the ground surface and for ponding of effluent in the distribution cell. 3. The tank filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. The filter cartridge shall not be � r removed unless provisions are made to retain solids in the tank. Cleaning of the filter at more frequent intervals may be necessary. 4. Any pump, alarm or related electrical connections shall be visually checked for defects and tested to confirm that they are operating properly. 5. Reports for all system maintenance shall be submitted to St. Croix County Zoning in accordance with Comm 83.55, Wis. Admin. Code. 3. Defects or malfunctions identified during maintenance described in item #2 above shall be repaired in conformance with Comm 83, Wis. Admin. Code. 4. Anytime a failure or malfunction occurs, it shall be reported to the owner of this POWTS. Repair or connection of such failure or malfimction shall comply with Comm 83, Wis. Admin. Code. 5. No one should enter a septic or other treatment tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within these tanks may contain lethal gases and rescue of a person from the interior of the tank may be difficult or impossible. 6. No product for chemical or physical restoration or chemical or physical procedures for POWTS may be used unless approved by the Department of Commerce in accordance with Comm 84, Wis. Achnin. Code. 7. In the event that this POWTS or a component of this POWTS fails and cannot be repaired, the following contingency plan is proposed: The failing compQnent shall be replaced, This may require a new soil evaluation to determine where a new soil absorption c component can be. 8. If this POWTS is replaced, or its use is discontinued, it shall be abandoned in accordance with Comm 8333, Wis. Admin.. Code. 9. Name and number of local health agency St Croix Coun Zoning= 715- 386 -4680 10. Name of service contractor in case of failure or malfunction 4chmitt & Sonc Excavating 715 -549 -6651 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owner/Buyer & p z e T 13A r -a 1 Mailing Address ,U 4 3 uD sanr � Property Address 1130 1140X 3 -6 (Verification required from Planning Department for new construction) City /State yNDSnAv L/�i' Parcel Identification Number 036-140 -/40 LEGAL DESCRIPTION Property Location AW . V4, 5 I ` /4, Sec. 3 G • T 3D N R Town of 5'7, sgall Subdivision - A (A . Lot # &,4 Certified Survey Map # . Volume . Page # Warranty Deed # Volume Page # Spec house ❑ yes ® no Lot lines identifiable ® yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the fimction of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three y expiration date. AP"AC DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the propelIX described above, by virtue of a warranty deed recorded in Register of Deeds Office. DATE « « « « «« being revoked b the Zoning De * * * * ** Any information that is mis- represented may result in the sanitary g Y g artment. p ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed & 5 c s DOCUMENT NO. (i STATE LIAR OF WISCONSIN FORM 1--188» T1#16 spAee Rgb�"vfo poll 11(COROI"e OAIA f � , WARRANTY DEED - 499366 VOL 1010►WE 238 � I SEPH R. SCHETTLE AND OFFICE This Deed made between JO $E = M " • -•--- ���� . ............................... REGISTERS BEATRI , HUSBAND AND WIFE ` WdkwR0004 : ............................................................................ ............................... ...... ................. .. . ... ..... . ... .. ....... . .. ................ .......................... Grantor, MAY 201993 an d...........ROBERT•...... BAKER AND JOAN......... BAKER ................ ........... .. d 8:30 A. ...... ............................... ....................... ............................... Grantee. I 1 /�"�airre Witnesseth That the said Grantor, for a valuable consideration..._.. i tlfDMd� ................................................................................. ..... ••- •...................... SAINT CROIR._..•... "`T" " ,a TO conveys to Grantee the fcllowinq described real estate in ............ . County, State of Wisconsin: S 1 Tax Parcel No..... - 2071 -0 .......... ... .... i ALL THAT PART OF NORTHEAST 1/4 OF SOUTHWEST 114 OF SECTION 36, TOWNSHIP 30 NORTH, RANGE 20 WEST LYING WEST OF STATE TRUNK HIGHWAY 35 �3 .i F� This .......1.5 ............... homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; iAnd .............................. ......... ....----........................----................... ............................... i warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except. { and will warrant and defend the same. 1� 'i Dated this .......... ...... day of . • - -• APR ............................ 19..93... I IL .............._..... ................. (SEAL) ........... ..........._._......... .........................(SEAL) ....... 88 ! §EPH R. SC ITTLE i y �,..... ................................... ............................... c!_., t•, L.'...... 8888 . .......... (SEAL) 8888_. _ _ .._..(SEAL) BEATRICE V. SCHETTLE i1 . •••--•---• ........................• ••- •.........- ••- •- ••-- ........ • . ................................................................ AUTHBNTICATION ACKNOWLSDOMBNT MINNESOTA signature(s) ............................................................ STATE OF A as. ....– ..... ................ .............................. I ...................... RAMSEY ....._•- --••-- ---• ................County. authenticated this ........ day of .......................... 19 ...... Personally came before me this ... day of APRIL.. ..__ 88 8 8 _., 19.93. -. the above named - — .................... .............. 9 OSEPH R xj5..l,�?R..AF.I�.TI�TG.Y. ....... ........................................ ...................... •-- •• - -• - - • - • - •--- ...SCHETTLEa.. HUSBAND ..AND.. FIZZ ............ .. - •••• - 1 TITLE: MEMBER STATE BAR OF WISCONSIN (If not ... -•- .. -- • _ ------- 8888 ... .. ........... .............................. authorized by 1 708.017, Wis. Stats.) to me known to be the person z .......... who executed the i foregoing Instrument and acknowledge the same. i THIS INSTRUMENT WAS DRAFTED eY i RATIONAL TITLE RESOURCFS CORP ...... ... ..... .. .. ........ ... .. .. ......._............ 888,8. 450511�TE BLARAt',TA1f;$1' YOtS(1_ • ....... RZTE- •BEAR- •LAKB,- M -.5513 0 .............. ......... Notary blie .............. ..................... County, WIL (Signatures may be aathent%ated scknowleC�. Both MY Commission is permanent. (ii state expiration are net necessary. . date: ............. ............. .......... x ., It . .) -. _-- ..— _8_8_88_ � .1. tB10A a.QUEMfF1El{.NAf � Q g y ry _ _ ..._ - -. -- -1 d prrmna 810.7 on.i � E i'iin�N .�r their AiRMU. S. - My Comm. Expup June ,fl, f