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032-2106-50-000
o tA0 3d C d T c CD I I _ � O 0 ma Z O O O O N W • S to n CD O CD ! CD O CD (b O (D O 1 CD CD Ln o CD b 0 A� 7 N 0) to O O co N _ = O rn Z w to Ln Z D a .+ I m cn D�' a II n 03 D 3 0 coA N oM CL oo CD n r to N N N 3 0 c H� Z o z 0 0 0 . -1 '0 Cr Z I o m 1 3 E N N N o CD oaa s m V a)i CD y m d N 3 x I CL D CD Z 2 ~ m c Z Z m =+; D ° m O o ' N (� I o (n \� � rn c I m :3. $ i < o. ? Z CD � CA co o A Z o y a o I a O P G �: Z 3 m to Z CD W P I I -° fD o a m m 's o 3�ccw CD0<o I C 1 E n > w S N m C P o m C° s I ovfoNCLCL:5 o a C7 5 onm CD vN m N I CD C. Dj CD j N 3 a \Y j 0 J - m 3 � CD CD 3� CD CD co ooa o CD C cn q °CD CD 0 0 t m CD o ?k Ss� \° m r o O o 3 d I� c m o L N p N W• d D1 a � p y m N O C p CO 0 A N CL C _ 0 CA O C O 0 0 CP t O � C O N � O K (D D co D o' m c m CD c 3 d n - (D O 0. Z n r M N+ 3 2 N z �+ ° T1 T (� 01 Z (D M (�t1 3 , . 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S 7 A y D d y Co o OT O D M CD 7 0 0 0 y' A W N CD O (n 8 CD N' y Q ,. N p < �: O CD p O� a K y N p cD O »1 (D y W N `< N 7 fD ° CD 6 ch 0 N ro y z CD ��x > >�oy' CO) g5.o y o gaf° 3° m ?� m c$ o o N n 78 N° y y r a o o. -°— ' Q d y y C Q cD N d cD C 6D 7 O y" cp 'C CD 7 y p. p ' 7> O w N a' y 3 N w1' N 8 Q C ? 3 co N fl. vC cD �. 3 M y 'p y C � N q - Q �7 0) Z -0 n 6 Q � m m a a a co C, �i $, CD CL CL o m o m 3 o. Q�'y fn�a cr a p N S d =r Er C S . y +Q ON f =�• 0R o0 oo? cfDi�� °o `goo @ n 3 c Z O CD G 8 0 CD aro ti A 0 0O +a c CD CL o Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 405038 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Koch, Robert I Somerset Township 032 - 2106 -50 -000 CST BM Elev: Insp. BM Ell�ev: BM Description: /� 1061 1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic - �JIJt� Benchmark - 0 / `O 7 b � / Dosing Alt. BM D3, :s - r - . � Aeration Bld Sewer Holding St/Ht Inlet U,Vee q7-1 St/Ht Outlet TANK SETBACK INFORMATION •• ! 7- 7 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic D / / Dt Bottom / f Dosing Hea r/ In. . Aeration Dist. ' nLr I; Holding Bot. System Final Grade PUMP /SIPHON INFORMATION i O� Manufacturer Demand S oygr/ M (�! fie Model Number TDH Lift ictio ss System Head PX Ft Forcemain gth i Dist. to w SOIL ABSORPTION SYSTEM BEDITRENCH Width ,r/ Length / No. Of Trenches PIT DIMENSIO No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM EA CHI G u cturer. / INFORMATION HAMBE OR Ma Typ f S stem: • / 6 ` � UNIT Model Number: DISTRIBUTION SYSTEM N &V2 �. Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake 4 Pipe(s) D y . acing L Lf, T No Length Dia Length j Dia �p � SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over I �b epth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No I ; 1 Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1� / y Inspection #2: / / Location: 816 165th Ave Somerset, WI 54025 (SW 1/4 NW 1/4 12 T30N R19W) North Bass Lak EsTates Lot 5 Parcel No: 12.30.19.999 1.) Alt BM Description = �� x-61✓ s /gym , ��"' 7.6 2.) Bldg sewer length = /1:R � - amount of cover J F `, /No Plan revision Requiredo . Yes Use other side for additional information. Date Insepctor's Si nature Cart. No. SBD -6710 (R.3/97) 201 W. Washington Ave., P.O. Box 7162 �1Y`rc ` i slit I Madison, WI 53707 - 7162 She Address Dep artment of Commerce �/ L Sanitary Permit Application $initary Permit Number in accord with Comm 83.21. Wis. Adm. Code. personal information you provide ff oe if Revision may be used for Privacy Law, sl5. 1 m I. Application Information - Please Print All Information Sate Plan I.D. Number Property Owner's Name Pal Number 1.2 D. l 9 Property owmesUailing Address / Property Location -Ze a �l� �ol Gt/ T ?CiN City. State Zip Code Pbone Number Lot Number Bock Number / Yl3 Subdivision Name CSM Number U. Type of Building (check all that apply) oc ity t M or 2 Family Dwelling - Number of Bedrooms 3 OVillage Public/Commercial - Describe Use 0 State Owned ,pjy( /� 3 I X 9 W/ C'ir2A'�� Nearest Road M a0 zgt III. Type of Permit: (Check only one bok on line A (n eying scheme for internal use). Complete line B If applicable) A. For Cormty use 1 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to stem I I Tank stem B. ;Check if Sanitary Permit Previously Issued Permit Number Date Issued t IV. 'type of Permit: (Check all that appiy)(ntmnbering scheme is for internal USe4 2 44 R Non -Pressurized In- Ground 210 Mound 47 0 Sand Filter 50 0 Constructed Wedatd 3 1 STl'�htiyq�Q/i 22 0 Pressurized In- Ground 410 Holding Tank 48 0 Single Pass 510 Drip Line 45 0 At -Grade . 46 0 Aerobic Treatment Unit 49 0 Rec' 30 0 Other V. t Area Information: Design Flow (gpd) Dispersal Area Dispe d lication Percolation Rate System Elevati Grade rs Required / ?nM �Ogs Ra Gala./Days/Sq (MinJlnch) � s d� e lion _ T VI. Tank Info Capacity in Total Number Msmufacturer Prefab Site Steel Fiber Plu Gallons Gallons of Tanks Concrete Constructed Glass New Esisft Tanis Tanks Segue or liokiias Tank D"i8 (bamber VII. Responsibility Statement- I, the undersigned, assrme responsib for installati of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature WftAPRS Number Business Phone Number Plumber's A44ow (Street, City, Sate, Zip Code) / /� — /De ent Use onl Approved ❑ Disappmved Sanitary Permit Fee (includes Groundwater Date Issued Sigma Sump �e) � - � ❑Owner Given Itritisl Adverse �D � O G1C.vyt�ti,., Determination I%. Conditions of Approval/Re for Di sapproval eon Mq3 -(. VUR� Attach eompkte plans (to the yeasty only) fbr the system an swt kss than 81/2 x 11 inches in size r 1'n l 11+ -�° q 7,0 vh 7 �iJ 01 - SBD -6398 (R ��, s,� l',�n�.�.. • �3. �fS� FEATHERSTONE EXCAVATING ING. 368 TOWER ROAD HUDSON WI. 54016 651 -438 -1987 OR 715 - 381 -1704 FAX LINE 715 -386 -8885 '�rwRO�.�i�Iwel�Sef'r � ;G�(iiKCo� 1 AIb,•�ir e34S��ak. Es�+r.t , r ef 3' jb5 ll Ave- rood C� f r i r r r ., poF � � $1-t. r iC,ef l p����`j F k✓af r'a 4.2 �3V= 44•��� c • Af P err- of ,, � / � `J `� ✓, ■■■ ■■: ■■■ ■ ■■ ■■ ■■■ ■■ ■■ ■ ■■N■ ■ 11■■■ H ■■O ■■ ■■ ■ ■■I■ ■ ■ ■ ■N■■ ■ ■ ■■■■■ ■■I MEMEME ■■r■■■ ■ ■■ ■��� ,. MW EGA r■ Mee_ min ■s■■■ ■�a ®�� MONO E6q"- So ME MEN MORE M 'Pon ME �� ice'■ mow r ■ ■ ■ ■ ■ ■ ■■ ■N■ MOM ■ ■ ■■ ■ ■ ■ ■■■ NEON! NNE a ■r■■■reN■rr■■■■N ras■■er ■■ ■ ■MEN s ■�■ ■ ■ ■■■�■�■■ ■■■■ ■■■ ■N■■■■■■s MIN ■N ■■■sr NEON■ Ors■ �■■■■■ ■ ■■ ■■■■��■ SE WN NEON FAMM NMEMM� ME NOON■ ;.. �■�n ■ ■® ■■ MEN A; no ■� ■■■ NNii■r■E ■■�■rr ON ■■r ■ N■ .���= ■r■ ■r ■ ■ ■ r■■■■■ ■■ ■mom ■e ■a ■ ■ ■N■s ■ r■■N ■r r■r ■ .JulM24,02 0B:21a David J. Steel 7152465085 p.2 1038 Wiscanain Department of Commerce SOIL EVALUATION REPORT pap 1 of 3 Division of Safety and Buikhrigs to accordance with Comm 85, W is. Adm. Code Steel Sod Service Attach complete site plan on paper not less than 834 x 11 inches in sae. Plan must County St. Crony Muds. tit not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. per newest cent slope, scale or diamnsions, north arrow, and location and distance to nest road. 032_2045-10 P/aas, Print all '" foHMMM. Rev By Date Pema d niamea m you provide may be used for caw dsy purposes (Nivay Lew. a. 15.04 (f) (m)l. Property Owner Property LACalfon Gerald J. Smith/ Bob Kock GovL Lot SW 114 NW 1Fd S 12 T 30 N R 19 W Property Owner's Mailing Addrass lot # Block # Subd. Nam or CSM# 11160190th_ Ave. N.W. 5 na North Bass Lake Estates city State Zip Code Phone Number City Village fo Town Nearest Road Elk River MN 55330 612441 -6888 Somerset 85Th. S1 it New Constnutim VW iM Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD i Replacement 41 Public or commercial - Describe: Parent matedai Outwash f=lood plain elevation, H applicable na General comments and recarranenrJattens System elevation 95.808, trenches spaced and depth to code 5.00R below grade Boring # 11 Boring / !'m Pit Ground Surface elev. 100.5 Depth to limiting factor 144 lo Sad Application Rate Ho - man Depth Dominant Color Reda Des Wion Tedum shwure Consletwoe Boundary Roots GPDW - Eff#1 I "Eff#2 1 0-14 10yrM none so 2msbk mfr ca i .6 .8 2 Z6 10yr4 /4 none Sid 2m;3bk mfr CS 1vf .4 .6 3 7.5yr414 none Is �osg ml 9w na 1.2 4 34-144 7.5yr4/6 none cos 0 ml na na .7 1.6 �-. - �- �- =" g• `� � � (��. S�� - Gogh -an� � � >� - 2 l3orirrg ` "` Pit Geamd surface Bleu. 1 00.80 ft. Depth to limiting factor 1 m• sod Application mats Horizon Depth Dominant Color Redoie Desatip w Tencdwe Shiymnre Consistenes Boundary Roots GPDM -Etf#1 I - Etf82 1 0-14 10yr3/3 none s8 2msbk rttfr cs 1f .5 .8 2 14-32 1Oyr4/4 none Md 2rn5bk Mir CS na A .6 3 32.54 7.5yr4/4 none Is osg ml gw na .7 1.2 --- — 4 54 -144 7.5yr4/6 none - 9M osg ml na na .7 1.6 " Effluent #1 = BOD 30.c 220 m4k and TSS >30 150 mg/L ' Effluent #2 = BOD ,5 30 m9R- and TSS <..30 tng/L CST Name (Please Print) Sigrtadure CST Number David J. Steel 248956 Address StW Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 17 7/23/2002 175 - 246-5085 + 7152465085 Jul 24 02 09:22a David J. Steel .3 P Property Owner Gerald I Smith/ Bob Kock Parcel to # 032 - 204 Page 2 of 3 Boring 9 - i Boring ' 16 Pit Ground Surface elev. 100•20 ft. Deptfi to limiting factor 144 in. g Application hale Horizon Depth Dominent Color Redox Description Textwe Structure Consistence Boundary Roots Mir Eff#tZ 1 0.-15 10yr3/3 none sit 2msbk mfr cs 1f .5 .8 2 1"5 10yr414 none sicl 21mbk mfr os 1f .4 .6 3 35-48 7.5yr414 Wane Is osg ml gw no .7 12 4 48 -144 7.5yr4/6 none cos osg ml na na 7 1.6 � sc� �ic2 c�•�_ oQ ���e1Z -s a Bo " # .` Boring Pit Ground surface elev. 99.90 ft. Depth to fsnrling factor 144 in. Sol application Rata Hafaon Depth Dami„ent cow w Redox Description Texture litrtircdne ConeSslanos Boundary Roam ,E 002 1 0-18 10yr3/3 none sm 2msbk mfr cs 1f .5 .8 2 18-42 10yr4 /4 none sid 2msbk mfr cs 1f .4 .6 3 42-48 7.5yr4/4 none Is osp- MI- 9w no - J 1 - 4 48 -144 7.5yr4/6 none osg ml no no �.7 1.6 F B oring # :iii Boring Pit Ground Surface elev. it. Depth to limiting factor in. Sp] apn Role Horan Depth Domkwt Color Redox Desrxip M Teztwe Structure Consistence Bmmdwy Roots 1 *Eff#2 ' tcftluent #1 - BOD ? 30 s 220 mg /L and TSS >30 s 150 mg/L ' Eff m t #2 - SOD -c—M am /L and TSS 4-30 mg/- The Dot of Commerce is an equal opportunity service pravWer and mpk yen. if you need assistance to acmas services or .Jul .34 02 09:21a David J. Steel 7152465085 p.1 Page 3 of 3 STEEL'S SOIL SERVICE David I Steel 1564 Cty Rd GG CST POWTSM G cra d .5M,91X A New Richmond, Wl 54017 Lic. # 248956 su, Vw liIW AI Sac 12 7>0 R A'j (715) 246 -6200 T.wnoF-6a,►er-sef, (715) 246-5085 IVorfh L3 4 SSAe k4 Fs j-. L P es (�Z 9 �7 AVe— Al ti�� IJW�Sc� A = $arJ n►c�r,�' /eN��lon /d6.o0�'h rpoF r' /Y' 5&,1 � ,¢!f. jop s�u� � = aoPri+ys ' ,C,ef /3or�'n f led�..�r ons /.. At g , 132= /oo•guf"* (33 � /ov. 26 8 ` f S / a/ ° ` /c71,8 13 1 z d3 ro' 1Qr - A l f SM �., . w 1038 Wisconsin Department of Commerce SOIL EVALUATION REPORT page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Sao Service Attach complete site an on County pl pi paper not less than S%: x 19 inches in size. Plan must St. Croce include, but not limited to: vertical and horizontal reference point {Bbl), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel LD. 032- 2045 -10 Please prfntall n otT -- 4� 1 V E D Reviewed By Pate Personal information you prmWe may be used A r secondary purposes ( Aivwy Lair, s. 15.04 1) (m)). Property Owner J U L 2 4 2002 Pr rty Location Gerald J. Smith / Bob K" Govt. Lot SW 1/4 NW 1/4 S 12 T 30 NR 19 W Property Owner's Matting Address ST ' �� , ? Lot Block # Subd. Name or CSM# C Cv 11160 190th. Ave. N. W. �,r° �,_ na North Bass Lake Estates City State ZipCok f1h one umt>Lx City j Village J6 Town Nearest Road Elk River MN 55330 612 449 - 8888 Somerset 85Th. St New Construction Use: 9 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Reptaeennent Public or commercial - Describe: Parent material Outwash Flood plain elevation, If applicable na General comments and recommendations: System elevation 95.80ft, trenches spaced and depth to code 5.00ft below grade Baring # l Boring Pit Ground Surface elev. 100.50 ft. Depth to limiting factor 1 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft *Eff#1 I *Eff#2 1 0 -14 10yr3/3 none sil 2msbk mfr cs 1f .5 .8 2 1426 1Qyr4 /4 none sicl 2msbk mfr cs 1vf 4 .6 3 26 -34 7.5yr4/4 none Is osg ml gw na .7 1.2 4 34 -144 7.5yr4/6 none cos osg ml na na .7 1.6 { L j Boring # A Boring J _J 16 Pit Ground Surface elev. 100.80 ft. Depth to timiting factor 144 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W "Eff#1 I "Eff#2 1 0 -14 10yr3/3 none sil 2msbk mfr cs If .5 .8 2 14 -32 10yr4/4 none sic] 2msbk mfr cs na .4 .6 3 32 -54 7.5yr414 none Is osg ml gw na .7 1.2 4 54 -144 7.5yr4/6 none cos osg ml na na .7 1.6 " Effluent #1 = BOO 5 > 30 < 220 mg/- and TSS >30 -- 150 mg/L Effluent #2 = ROD mg/L and TSS <-30 mg/- CST Name (Please Print) Signature CST Number David J. Steel 248956 Address Steel Soil Service - Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, Wt 17 7/2312002 175- 246 -5085 Property Owner Gerald I Smith/ Bob Kock Parcel iD # 032 - 2045 -10 Page 2 of 3 F $ i Boring # Boring - -- 111 Pit Ground Surface elev, 100.20 ft. Depth to limiting factor 144 in. S 4 - *at n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft *E11#1 *Eff#2 1 0-15 10yr3/3 none so 2msbk mfr cs 1 f .5 .8 2 15 -35 1 Dyr4 /4 none Sid 2msbk mfr cs 1 f .4 .6 3 35-48 7.5yr4/4 none is osg ml gw na .7 1.2 4 48 -144 7.5yr4/6 none cos osg ml na na 1 1.6 F 4 i Boring # � Boring 1 Pit Ground Surface env. 99.90 ft. Depth to limiting factor 144 in. � 4*abm Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence boundary Roots GPD1tt' *Eff#1 *Eff#2 1 0 -18 10yr3/3 none sit 2msbk mfr cs 1f .5 .8 2 18-42 1 Dyr414 none sici 2msbk mfr cs 1 f .4 .6 3 42-48 7.5yr4/4 none Is osg ml gw na .7 1.2 4 48 -144 7.5yr4/6 nofle cos osg ml na na .7 1.6 F-I Boring # Boring �� Pit Ground Surface elev. ft. Depth to limiting factor in. /icon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe *Eff#1 *Eff#2 * Effluent #1 = BOD ? 30 s 220 mg/L and TSS >30 s 150 mg/L Effluent #2 = BOD <30 mg/L and TSS < 30 mg/L The Departn=t of Commerce is an equal opportunity service provider and employer. If you need asslStar= to access services o r Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST- POWTSM New Richmond, WI 54017 Lic. # 248956 5w //y ^/6vf f Sec /Z 72rolU R l4 (715) 246 - 6200 7ownoF -, (715) 246 -5085 lllorf�! l34SS�G./CQ i^s f a ,�'<s � �a� � zg-7 Al B¢��1 /hk/� Q� e�,�yiory 16d JP oz L , o � i � l2 ✓4,� As 19 �� 8?- = loo 8o IP';O- 133= loo.ZaFl (3 QQ. fo i ANIF 3z I ql 10 Z— +1) Vk Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 Nv isomonsin Madison, WI 53707 - 7162 Site Address De artment of Commerce Z� —O �- L� /�% ? � Sanitary Permit Ap Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, pets inf¢i Check if Revision yel 3Y MY be used for secondary purposes Privac Law, s15. 1. Application Information - Please Print Alt Informati n State Plan I.D. Number i Pro Owner's Name Parcel Number Q 2 - Z (p (� - S' o - poo IVA )cif _ 1> _ (Z.3o.!�, QQ9 ST. CROIX C Property Owner's Mailing Address ING OF ICE Property Lo 54/ u / ( / --IA, S / 3cN,R t'`l E City, State Zip Code Phone Number Lot Nu Block Number ,^ „ ���� // !/� �� j � • ,� I / �� � � v �� � � lubdivision Name � CSM Number II. Type of Building (Check all that apply.) -� ��T ! ❑ city OC 1 or 2 Family Dwelling - Number of Bedrooms L3r %L e 4U ❑ villag ❑ PubliciCommercial - Describe Use d z 5 3 2 ❑ State Owned owt>shi e� v2` 't IBC / tv // Ch vwtli'i v N eares t �S � 111. Type of Permit: (Check only one box on line A. Numbering/ii or internal use.) (Complete tine B, it app ' e.) A. kNZNew 2 D Replacement System 3 ❑ Replacement of G ❑ ition to For County use system Tank Only Existin S stem B- U Check if Sanitary Permit Previously Issued Permit Number / Date I su IV. Type of POWT System: (Check all that apply, Numberiing is for intern use.), , fc _. ?(rytit: - �3i p 6 if 44�Yon - Pressurized In -Ground 210 Mound 47 13 Sand Filt 50 © Constructed Wetland 22 Q Pressurized In- Ground 41 C3 Holding Tank 48 ❑ Single Pass 51 Drip Line t Lis• -t.Z i� 45 l7 At - Grade 46 0 Aerobic Treatment Unit 49 13 Recirculating __ 30 Cl0ftr V. Dispersal/Treatment Area Information: 7:! _, Zj Design Flow (gpd) Dispersal Area Dispersal Soil Application rc ation Rate s an Final Grade Required Propaascl Rate(Gals.lDays{Sq Ft.) (Min. h) Elevation VI. Tank Info Capacity in Total Numljer Manufacturer Piefab Site Steel Fiber Plastic Gallons Gallons of T*ks G)ncrete Constructed Glass New Existing Tanks Tanks I Septic or Holding Tank Dosing Chamber f VII. Responsibility Statement- I, the undersigned, responsibility for installation of the POWTS shown on the attached plans. Plumber's ame (Print) Plumber's Si MP /MFRS Number Business Phone Number Plumber's Address (Street, City, State, tp Code) VIII. otmt /De artment Use Onl Disapproved Date Issued Issui Ag t Signs re No Stamps) IM / Approved O Owner Given Initial Adverse Sanitary Permit Fee (includes Gr oundwater ` Determination Surcharge Fee) !� �-- Conditions -gf Approval/Reasons for Disapproval ESC t'LATJ Mc � 1 r L " L7 17' /A5 Pc E' �� /)�Ki_D Jr Ui % /lu�il - �� ✓�i�c 1� ( 5A � LllC /VVA-1 UU tVill A?&/- !'���� <_ ^/ 1?S" C�f�_ 07N T✓ e�?ntiCn/ /���>i`Z 7�)i�/ AN J jLf?:?'t' 11 (raNrtj1 , r)> y 4 l' %'' "D: r'7N I? {_2i'C 6- iTZ,vx UL&V rj S�SToYA 6�Ej�lt4l N& 7b CC �fl1J off iA/Yg i t/ l/ _ 7Z r 14 f2, Std 7 s" Attach edmplete plans (to the County only) for the system on paper not less than SIC x 11 in&es in size ff ff I f L_ ' I -- -- - -- - - - -- ' - - - - - - -t -- � f - -I - , - -- - - - 1- -- - - , - - -� - -- - -- - -1 -- -I - - -- - �_ I M LI ow— i k . k T �f - - k - -f -- -! - -- - ' t C A-1 �- I 1 I I � i L L Lt ' � I �- , � I I i I j i I I I I I � l + I I Li I F J j �_ � i � 1 � i i i ! � I i ( i � - i I I x. 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Ill mom z EMENE NONE MEN■ ■iii ■� ■ "W ■a■■i mom ■■ 3 �S / �d & G AJ0 / rx- 6- �42ktA, Lol ) A 6e.T bdawrn aZm Standard Erosion Control Plan for 1 & 2 Family Dwelling Construction Sites According to Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, a soil erosion control plan needs to be submitted and approved prior to the issuance of building permits for 1 & 2 family dwelling units in those jurisdictions where the soil erosion control provisions of the Uniform Dwelling Code are enforced. This Stan- dard Erosion Control Plan is provided to assist in meeting this requirement. Instructions: 1. Complete this plan by filling in requested information, completing the site diagram and marking (✓) appropriate boxes on the inside of this form. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Submit this plan at the time of building permit application. Site Diagram Scale: finch feet EROSION CONTROL PLAN / LEGEND PROPERTY LINE EXISTING DRAINAGE ----+ TD TEMPORARY DIVERSION FINISHED -' DRAINAGE LIMITS OF ` GRADING SILT . +� FENCE BALES GRAVEL O VEGETATION SPECIFICATION ' 10 TREE +'� >. � PRESERVATION STOCKPILED CIC y J I REMVED i . MAR 1 12002 i PI6%Ts�fi'RI�@r'fh arrow below. _N_ PROJECT LOCATION 6 T BUILDER OWNER Ko ck C WORKSHEET COMPLETED BY oM UJ /�. DATE I ` ✓ 8 '�' ��/ EROSION CONTROL PLAN CHECKLIST Check ( ✓) appropriate boxes below, and complete the site diagram with necessary information. Q Q Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. X ❑ Location of existing drainageways, streams, rivers, lakes, wetlands or wells. ❑ Location of storm sewer inlets. l,$ Location of existing and proposed buildings and paved areas. ❑ The disturbed area on the lot. ❑ Approximate gradient and direction of slopes before grading operations. ❑ Approximate gradient and direction of slopes after final grading operations. I x ❑ Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices ❑ '* Location of temporary soil storage piles. Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway. �l Location of gravel access drive(s). Note: Gravel drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less). C r El Location of sediment controls (filter fabric fence, straw bale fence or 10 -foot wide vegetative strips) that will pre- vent eroded soil from leaving the site. 1$ ❑ Location of sediment barriers around on -site storm sewer inlets. ❑ Location of diversions. Note: Although not specifically required by code, it is recommended that concentrated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow) from adjacent areas greater than 10, 000 sq. ft. should also be diverted around disturbed areas. l� ❑ Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or by seeding with use of erosion control mats. l�4 ❑ Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. a When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In- channel practices should not be installed in perennial streams (streams with year -round flow.) ❑ iXl Location of other planned practices not already noted. I EROSION CONTROL REGULATIONS UNIFORM DWELLING CODE (DILHR) PROJECTS AFFECTED MAINTENANCE AND WASTE DISPOSAL • All new 1 and 2 family dwellings in Wisconsin started • Sediment controls must be maintained until the site is on or after December 1, 1992. stabilized by mulching and seeding, sodding or • Additions to dwellings built after June 1, 1980. landscaping APPLICATION PROCESS • All building waste must be properly disposed to pre- vent pollutants and debris from being carried off -site • Erosion control plan must be submitted with building I permit application to the local building inspector in ENFORCEMENT i communities where the dwelling code is enforced • Erosion control inspections will be made during other • Erosion control plan must show: regular inspections (footing and foundation, rough con- struction, final etc.) — Location of the dwelling, other buildings, wells, sur- + face waters and disposal systems on the site with • Violations must be corrected within 72 hours respect to property lines • Stop work orders may be issued for noncompliance — Direction of all slopes on the site FOR IN;O E INFORMATION, CONTACT — Location and type of erosion control measures • Local building inspector CONTROLS REQUIRED • Department of Industry, Labor and Human Relations • Silt fences or straw bales along downslope sides and side (DILHR), Safety and Buildings Division, P.O. Box slopes 7969, Madison, Wisconsin 53707, (608) 267 -5113. • Gravel access drive • Straw bales, filter fabric fences or other barriers to protect on -site sewer inlets • Additional controls if needed for steep slopes or other special conditions STORMWATER PERMIT (DNR) PROJECTS AFFECTED — Proposed erosion and storm water pollution control • Any construction project that disturbs 5 acres or more practices during and after construction • Smaller sites that are part of a planned development — Documentation that an erosion control and storm involving 5 acres or more of land disturbance water management plan which meets DNR standards • Effective October 1, 1992 for any new or continuing has been prepared (plan does not need to be submit - project ted with the application) • Exceptions: Indian tribal lands and work done by local —Other information related to site location and per - government staff mit holder APPLICATION FF.vCESS CONNTROLS REQUIRRED • File a "notice of intent" application (Form #3400 -161) • Erosion control measures specified in the Wisconsin with the Department of Natural Resources (DNR) 30 Construction Site Best Management Practice Handbook days before construction begins • Measures to control storm water after construction • Application must include: FOR MORE INFORMATION, CONTACT — Timetable for land disturbing activities and installa- • Department of Natural Resources, Storm Water Per - tion of erosion control measures including project mits, P.O. 7921, Madison, WI 53707 -7921, (608) start and completion dates 266 -7078 LOCAL ORDINANCES Check with your county, and city, village or town for any local erosion control ordinances including shoreland zoning requirements. Except for new 1 & 2 family dwellings, local ordinances may be more strict than state regulations. They may also require erosion control on construction projects not affected by state or federal regulations. A publication of the University of Wisconsin - Extension, in cooperation with the Wisconsin Department of Natural Resources and Depart- ment of Industry, Labor & Human Relations, Ron Struss, UWEX Water Quality Specialist, Western Area, and Carolyn D. Johnson, UWEX Water Quality Specialist, Southeast Area. University of Wisconsin — Extension is an EEO /Affirmative Action employer and provides equal opportunities in employment and programming, including Title IX requirements. GW0001A Standard Erosion Control Plan for 1& 2 Family Dwelling Construction Sites I-- 06-93- 15M -10-S f I �c Indicate management strategy by checking ( ✓) the appropriate box: C� Qom Q�mr = o Management Strategies ❑ Temporary stabilization of disturbed areas. Note: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1st and September 151h), or by other cover, such as tarping or mulching. k Permanent stabilization of site by re- vegetation or other means as soon as possible (lawn establishment). Indicate re- vegetation method: Seed JX Sod ❑ Other ❑ Expected date of permanent re- vegetation: tl a Y Re- vegetation responsibility of: Builders Owne Buyer ❑ Is temporary seeding or mulching planned if site is not seeded by Sept. 15 or sodded by Nov. 15? Yes ❑ No ❑ TA ❑ Use of downspout and /or sump pump outlet extensions. Note: It is recommended that flow from downspouts and sump pump outlets be routed through plastic drainage pipe to stable areas such as established sod or pavement. ❑ Trapping sediment during dewatering operations. Note: Sediment -laden discharge water from pumping operations should be ponded behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off -site by wind or water. Maintenance of erosion control practices. l i • Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the barrier's height. • Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Gravel access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. I For more assistance on plan preparation, refer to Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW— Extension publication Erosion Control for Home Builders. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available through State of Wisconsin Document Sales, 608/266 -3558. Erosion Control for Home Builders (GWO001) can be ordered through Cooperative Extension Publications, 608/262 -3346 or the Department of Industry, Labor and Human Relations, 608/267 -9360. 3 707 -1996 9 :17PM FROM P.1 /'wr.�or�,+Oafa„e,toflrtry, SOIL AND SITE EVALUATION REPORT Pape 1 d 3 Labor and Humsn Relations 0i46on of Sorely a Guildings In accord with ILHR 83.05, Wis. Adm. Code COU NTY Attach complete site.plan on Paper not leas than 81/2 x 11 inch e ' . Plan must include, but PARCEL - # not limited to vertical and horizontal rslere 'q�t nd 79 f. slope, scale or � dimensioned, "ah arrow, and location and ista a 0� Z - 2-d 'tom �� 0 APPLICANT INFORMATION - PLEASE RINT ALL INFOR TIO REVIEWED BY DATE PROPERTY OWNER: ' PROPERTY LOCATION CROIX COUNTY OOVT, LOT S K 114 1 /#,S 12 T 30 ,N,R 1 J(or) PROPERTY OWNERS MAILING ADDRESS ZONING LOT rr eLACK# Suso. NAME OR CSM# 11160 190th. N.W. 5 Ice ftarAtes CITY, STATE ZIP CODE PHONE NUMBER OCITY QVILLAGE OVVN NEAREST ROAD ISlk River, M. 55330 ( 613 441 -8888 1 Somerset 85th. St. New Coristrudion use bs ) RetsAmdal I Number of bedrooms a (] Addition to existing building !) Replaa~l ( ) Public or commemial dtcribe Code derived daily flow 450 gpd Recommended design loading rah J L_ bed, gpol j _ hndt, WW Absorption area required 643 bed, ft 563 trench, 111 Maximum design k adimg rate _,7_ ed, gpd/ft 0ench, gpolft Recommended infilbadon surface elevations) _ _ _ 104.15. ft (as referred to site plan benchmark) Additional design / site wroWerall" ; , I t- raa S,te„ mj - 103 .9 5. - UA1 — . - €er tgepabse Parent mawial — outwas3h _ Flood plain elevation, if appikable R r S - $Unable kX system CONvemo NL mmo tu - A0t*0 PRESSURE AT -GAA SYSTEM 1N FLL ri TANK U = unsuitable for lem Ins o u SI s ❑ u ®S d u ®S ° 7 u S p U �] S( U SOIL DESCRIPTION REPORT Boring # Depth Dominant Color Molder Structure / ftz Horizon' Texture Consislerioe 8otrdaey Roots in. Munsell OU. SL Cunt Color Gr. Sz. Sh, g M0 0 - 1 r none r 2rnabk mfr Cr. 2f - 9 - 6 U 1 2 Ground 3 22 7. 5XKV6 e lev. -- 1ofc. — Izo / O Deo to liffong +Rdn w r Z�.� �> �_ qty• _k yc� Remarks: Boring # < <� 1 7 r3 3 none M _ 2msbk _ 2 • 2 -22 0 >;4 4 none Ground - elev. 1� R. Depth ID limiting feclot 7-1 + 84" Remarks: CST Namc:- doleamPrim C6ry L. Steel Phono: 715 -246 -6200 Address: 1 554 200th. Ay . New Ricbmend, W1 54017 Signature: n - if Date. - . _ Cev Cal— �sc�psin department of Industry SOIL AND SITE EVALUATION REPO Page 1 of 3 -Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. CrQix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. rn 3 Z - _- 0 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Gerald J. Smith GOVT. LOT SW 1/4 1/4,S 12 T 30 AR 19 K(or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 11160 190th. AVE. N.W. 5 na N. Bass Lak CITY, STATE zip CODE PHONE NUMBER ❑CITY ❑VILLAGE DOWN NEAREST ROAD Elk River, PIN. 55330 (613 441 -8888 Somerset 85th. St. New Construction Use [x ] Residential/ Number of bedrooms R [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate _ bed, gpd /ft 8 _ trench, gpd /ft Absorption area required 643 bed, ft 563 trench, ft Maximum design loading rate _ bed, gpd /ft gpd/ft Recommended infiltration surface elevation(s) 104.15 ft (as referred to site plan benchmark) Additional design /site considerations alt- area system of — 103-9 9, 181.4 €er trenehes Parent material outwash Flood plain elevation, if applicable nn ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem to S ❑ U ® S ❑ U RI S ❑ U U S ❑ U S❑ U [IS CR U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench :: >:. _ 1 0 -8 10 r3 3 none sl 2 msbk 2 8 - 7.5 r4 4 none asg mvfr 9W if - 7 .8 Ground 3 22 8 .5 r4 6 non elev. 10 ft. Depth to limiting factor Remarks: Boring # 1 —7 10 r3/3 none sl 2msbk mfr ?.,< 2 —22 10 r4 4 none scl 2msbk mfr Ground 2 84 elev. 1 1 Depth to g wv limiting - 5 $ factor +84" ® w Remarks: S C,0 0 o Fr�ce CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave. New Rich nd WI 54017 - Signature: Date: 4 -15 -97 CST Number: m02298 PROPERTY OWNER Gerald J. Smith SOIL DESCRIPTION REPORT Page P. PARCEL I.D. # �'� F Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 3 . 1 - 2 Ground 3 16 -24 7.5 r4 4 none s 0SQ mvfr crw na .7 .8 elev. 1 Depth to limiting factor +84 1, Remarks: Boring # 1 0 -6 10 r3 3 none sl 2msbk mfr cs 2f .5 .6 2 6 -26 7.5 r4 4 none sl 2msbk mfr CFw if .5 .6 Ground 3 26 -84 7.5 r4 6 none cos 0SQ m1 na na .7 .8 elev. 1 Depth to limiting factor +84" Remarks: Boring # 1 0 -8 10 r3 3 none sil 2msbk mfr cs 2f .5 .6 2 8 -27 10 r4 4 none scl 2msbk mfr Qw if .4 .5 3 27 -84 7.5 r4/6 none cos osg ml na na .7 .8 Ground elev. 1 Depth to limiting factor +84 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Gerald Smith 1554 200th Ave. CSTM2298 SW4 x� S12- T30N - New Richmond, WI 54017 MPRSW 3254 to of Somerset (715) 246 -6200 lot #5 -N. Bass Lake Estates N 1" +40' BM.= top of SW lot stae @ el. 100' Alt. BM.= top of 2 pvc pipe C el. 106.1' ,t � FA- e) .'L �o e 5 Q� Gary L. Steel 4 -15 -97 I 04/08/02 MON 08:02 FAX 715 386 4686 002 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer r wi r,�ry- Zg,1,-,-t 1<t3r-L . ........ .. . Mailing Address rr 0 Property Address sT C 9 �9 (Verification required from Planning Department for ruew construction) N/ ' c & VUer City/State So i� L.1 ,f- Parcel Identification Number L„EGAI DESCRIPTION Property Location S a✓ V Aa L r / , , Sec. t Z . T 3 O N -R W, Town of �ou�e r s, Subdivision �+1+� r�� S a� �c S . Lot # Certified Survey Map Volume -"— . Page # i" Wutntnty Deed # G 3 Z a Volume _ f�_ 2 . Page # S Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAIl�TEI�ANCE ImpwW use and maintenance of your septic system could remit in its premature failure to 'Dandle wastes. Proper maintenance consists of pumping out the septic tank every time years or zoom, if needed by a limsed pwx4m. Wbat you put into the system can affect the function of the septic tana as a treatment stage in the waste disposal system. The property owner agmes to submit to St. Croix Zoning Department a certification form, signed by the owner and by a amswpkm*er',Jomme3mmPhm*a, restricted plumber or a twensedpumper verifying that (1) the on -site wa2wwRterdisposal system is in proper operating condition and/or (7) after inspection and pumping (if necessary), the septic tank is less thaz►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 mid the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and reamed to the St. Croix County Zoning Office witbin 30 days of the three year expiration date. re SIONNA'TURE OF APPLICANT DATE OWNER CE IMC -ATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (AM) the owner(,) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * *** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. « « « « «« ** Include with this application; a stamped warranty deed from the, Register of Deeds office a copy of the certified survey map if a:eferance is made in tits; wattatttY deed Private Onsite Wastewater Treatment System Management Plan' aseptic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System t]esi n Specifications Sanitary Permit Number Number of Bedrooms 3 Design Flow - Peak ( pd ) S" Estimated Flow - Average ( pd) Septic Tank Capacity (gal) Soil Absorption Component Size ( ) Type of Wastewater Domestic Table 2: Soil Absorptlon Component - Limits of Reliable on Septic Tank Component Soil Absorption Com ent Design Flow - Peak s7i y I Maximum Influent Particle Size (in) 1/8 Maximum BOD 220 Maximum TSS (mg/L 150 Table 3: Maintenance Schedule Septic Tank inspect and/or service once every 3 years Outlet Filter inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic T @nk The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of'the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall,Ze cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter Is equipped with an alarm, the filter shall be serviced If the alarm is activated continuously. Intermittent filter alarms may Indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. if the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be Inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other h watment of holding tank may contain lethal gases, end rescue of a person from the interfor of the tank may be dHflcWt or Impossible. Tank abandonment shall be In accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorotion Comaonerrt The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual Inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 CONTINGENCY PLAN If the POWTS falls anct cannot be repaired the lollowlne measures have been, or most be taken, to Pro" a C OO compllant replacement system: A suitable replacement area has been evaluated and may be utilized for the Ioutbn of a rep{aoement loll absorption system. The replacement area should be protected from disturbance tnd compaction and shonid rat be Inhltged upon by required setbacks from exluine and proposed svvCwre, lot fines and wells. Failure to protect the replacement area will result In the need for a new soil and slte evaluation to establish a suluMe replacement area. Replacement systems roust comply with the rules In effect at that time. 17 A sulUble replacement area Is not available due to setback andlor soil Urnitatkans. 6arrbtS adv"s in POWTS twechnolop a holding tank may be Installed as a last resort to replaoe the failed POWTS. D The site has not been evaluated to Identify a suitable replx&4it area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suluble replacermntarea. if no replacement area Is available a holding tank may be Installed as a last resort to replace the failed POWTS. O Mound and it-grade soft absorption systems may be reconswctcd In place following removal of the biomat at the Inllivative surface. Reconstructions of such systems must 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 TNI INT11RIOR OF A TANK MAY E! DIFFKULT OR IMI►Attiltl i. . ADDITIONAL COMMENTS POWrS INSTALLER POWTS MAINTAINER Name Name Phone his - -/- y Phone S&PTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name S C ro ' o ��r— - Managomont Plan for a Septlo TanK and soil Absorption component Plantings of deep -rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 f v (!. 1552 PAGE 75 tEs32046 STATE BAR OF WISCONSIN FORM 2 -1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Dean H. Johnson and Michelle L. _ RECEIVED FOR RECORD Johnson, Uk/a M L. Dietrich, husband and wife, 10-18 -2000 10:10 All — -- VARRANTY DEED EXEMPT M Grantor, and Iren E. Winter _ CERT COPY FEE: —' CDPY FEE: TRANSFER FEE: 133.50 RECORDING FEE: 10.00 PAGES: I Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croi _ County, State of W isconsin (if more space is needed, please attach addendum): Recording Area Lot 5, North Bass Lake Estates in Town of Somerset, St. Croix County, Name and Return Address Wisconsin. EAGLE VALLEY BANK, N.A. 1301 Coulee Rd., Unit 2 Hudson, WI 54016 032 - 2106.50 _ Parcel Identification Number (PIN) This is not homestead property. oil (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this (D *" day of October 2000 + Dean John /rte _ws_ t • Michelle L. Johnson, Vkla L. Dietrich AUTHENTICATION ACKNOWLEDGMENT Signature(s) Dean H. Johnson and Michelle L. Johnson, f/k/a STATE OF WISCONSIN ) Michelle L. Dietr husband and wire, ) ss. — County ) authenticated this Ito day of October 2000 �— Personally came before me this day of the above named 6 Kristine )glan TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, __ instrument and acknowledged the same. authorized by 0 706.06, W is. Stars.) THIS INSTRUMENT WAS DRAFTED BY Attorney Krishna Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) — .) • Names of persons signing in any capacity must be typed or printed below their signature. s a ^r °" amtes.�rs canvrn. Fa eddu du 52 wl L C,% WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 -1999 < } g . \\ g { § § k k ». : � � \ \ \ 0 0 � \ I , k � S I .. . � � 6P 2 2 � \ : � \ x � 8 � � �i y fY Y d dl 4 .. ... T' Air i kd t T `s? j ,� � d h NOW- u n �a t ` 71 Y i t f. IR W a 1 t f ; ,4 1 1-11 Im 1 1 f it 4 �k a a �r I S i yy x tl .1' • 656.34' 905.40 — .169.90 w 5 ' IN r- CK W L v - 7 1 u Z \ 133,547 SQ. FT. `. C', J \ 3.06 ACRES 01 M rn Z h° W o \ ��6 ` N Z \ w b I i It I \ 6, N 143,037 SQ. FT. A \ .... ��• ACRES'�s4 ` 3.28 , 0 co ` *4 1 908.59 141,024 SQ. FT. \ �, �, \\ 3.24 ACRES ;0,935 SQ. FT. 3.01 ACRES LEGEND \ � r'�� � \ - ,�, • \ ate' 9l` � \ \\`\ \�` \ \ Co unty S Corner Mon of Set 1 -1/4" Iron Rerod wei( `� 4.3 pounds per foot. b6 °°� G 9 GC` • Set 1" x 24" Iron Pipe wei ` �P\� minimum iu of 1.13 pounds linear foot. O Found Iron Pipe 54 — — Building Setback Line — Centerline Driveway (Locatic Meander Line i SAS \ � � X— Existing Fence Line �pSE �N °�� NHW Normal High Water Elevatio 909.92 \ h� \ HWE High Water Elevation (100 %o I 22 N 136,428 SQ. FT. \ 2 .� i BEARINGS ARE GRID BEARINGS REFER 313 ACRES \ ,' THE ST. CROIX COUNTY COORDINATE / �� NAD 1983 (1991). NORTH —SOUTH Qt N�op A �� OF SECTION 12 -30 -19 BEARS S 00' s ? ° F� / G� ALL LINEAR MEASUREMENTS HAVE BE! THE NEAREST ONE (1) HUNDREDTH C ALL ANGULAR MEASUREMENTS WERE � o s THE NEAREST FIVE (5) SECONDS ANC ' / Tn THE VAI1I1 CHnwN lfc (/ Jan -18 -02 13:02 MBE 1583 in Mtka MN 952 933 7522 P.01 si'4` C +, �. �� ,� ►�- �. N� \�\ N.ii.M. r ili.f3 ` Z • +� f 1 >'/ j ! !! '' dF�'.'T� -... iwwusca s► ttao � f � f � , / . ON 70 -3 -t0 � `• •r' x ills AIL AL AL A6 I . t•. t � A � _ 4ai4110 la � +� - �'� yr` = _ l `. ��'• '�a '`. r j 41,0 FT. ar L is e ' ' ! I • `% f � M-t t \ 4 G,Q \ $Q��•FY'. f� l f f i � f !T' f I , J{,} ' 4 ` ` ` I �♦`. 3.22* I I f • `. `•ter, •i rte, ti? �~ ••• `�* 11 70 HW 2 , \, \ �v/' 3.28 ACRE i �\ 3.28* ACRES NET; �.�° `\ / 1 1 ` 1 • 1 1 U ` 1 c g m NET \\ ♦ / •17' /! , ► \ ♦ jt ••• 1\ .� 1 1 r iL 1 1 L 1 f 137.1 SQ. n 1 ACRE'S t ,+ ; � f J / W � ��"..► ay� lam... � _ "_ ... � ' 1 `. / , 1 ; ao, ��. , ; �. y • — �. 1 \ ,fir IJI I , � 132, 785. SQ. Ft.. •