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HomeMy WebLinkAbout032-2121-70-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division , INSPECTION REPORT Sanitary Permit No: 408255 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: Turner, Tracy Somerset Township 032 - 2121 -70 -000 CST BM Elev Insp. BM Elev: BM Description: t 1- �o / ; �p2 s a TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ,Q D osing p osln AI C , �d a- Aeration V Bldg. Sevrer lo- 3 G Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet g. ys y3 TANK TO � pp /L W LL tBLDG . Vent to Air Intake ROAD Dt In Na ae- Septic , —7�� Q ) 1 1 Dt Bottom �a 9 7" o3 Dosing yr , rn 1 r Header /Man. �.b 1 Z 6( Aeration Dist. Pie r Df v - Holding Bot. System I ' 2 �O °•3 nal Grade PUMP /SIPHON INFORMATION MI 641. - 23 Manufacturer Demand St Cover G GPM % 9' Model Number 53 -; TDH Lift /• / Friction Los System DH _ Ft !� J , Forcemain Len th / Dia t 1 Di t. toll 66 r SOIL ABSORPTION SYSTEM BED/TRENCH Width t Length t No. Of Trenches PIT DI SIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS .Z SETBACK SYSTEM TO P/L BLDG IWELL LAKE/ST5EAM LEACHING Ma pt0vrer: INFORMATION CHAMBER O F3I I Type fsystem: 1 I ,rte t , UNIT Model Number: DISTRIBUTION SYST - of u ? 4- Header /Manifold Distribution L x Hole Size x rHolle Spacing Vent to Air Intake /l LI 11 Pipes) 4-1 1 tgji � ✓� t / 4 1 Length L Dia � I /C SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched '2- � OV'8V' Bed/Trench enter 1 /Trench Edges Topsoil FS Yes [ No [ Yes [] No 1 COMME TS: ( nclu a code discrepencies, persons present, etc.) Inspection #1:/0/�/ - 0 Inspection #2: Location: 1678 85th Street Somerset, WI 54025 (SE 1/4 NW 1/4 12 T30N R19W) North Bass Lake stE aT�s Lot 30 Parcel No: 12.30.19.1099 = ,K.�'/ r n, b 21rs t'� I >1 VI.�¢d S ;I�PiC� - 1'►^'�s. tee-- - 1.)Alt BM Description G 2. Bldg sewer length = - amount of cover = / f� �fyt &M Z Plan revision Required? 2- ! Yes Xw � Use other side for additional information. Pi g nea ture SBD -6710 (R.3/97) Date Insepctor Cert. No. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 pisconsin Madison, WI 53707 - 7162 Site Address . (4 y De artmant of Commerce 0 4z- 5 333 6 j Sanitary Permit Application sanitary Perm N�`b `r" In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑Check if Revision may be used for secondary purposes Privacy Law, sl5. 1 in I. Application Information - Please Print All Informati State Plan I.D. Number RECEIVE Property Owner's Name Parcel Number • �/� c TtJrvr er' JU p 3 Property Owner's Mailing Address Property Location ,/� / / G 7.p �� /c�/ /5/l .w�T. R01 �p� J Si�1'�54: Sly T 3 �N, it` E r1l 11"t nN" Z' Code Lot Number $dock Ngmbgr _ City, State iP (�. �- CSM Number 3v ���ti✓ /`, t C �� l 7 � -� � �,/� _ � Sub , / &SS� CGr/tt, U. Type of Building (check all that apply) '3 , ❑City 0 1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Pubiie/Commercial - Describe Use wnship yyf ❑ State Owned Nearest Road z ' X S� ( X__5� s III. Type of Permit: (Check only one box online A (numbering scheme for internal use). Complete line B if applicable) A" 1 9)N 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use stem I I Tank Only stem B. 11 Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44A Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Weiland � t 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aepobic T* tment Unit 49 ❑ Recirculating 30 ❑ Other V. tment Area Information: Y 0C2X..1_ y tc. Design Flow (gpd) Dispersal Area D' Area Soil Application Percolation Rate System Elevation I Final Grade Required OF7 Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) % -SO Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber PISS �e Gallons Gallons of Tanks Concrete Constnic G I New Existing Tacks Tanks Septic or Holding Tank OLOO ,N K Dosing lter ,Pre+ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's S' MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) VIII. Count /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse n 2!; Determination G� V Lk 2-9 IX. Conditions of Approval/Reasons for Disap f roval�I y'NSUt,r � 6k Attach complete plans (to the County only) for the system on papa not less than $In x 11 Inches In size SBD -6398 (R. 05101) 0 1J., aim a __ OA. o va JL" jai :vo - -__ $oglesa •.d• 6000.101 cc NN asib� 4 dw a U of i 0 . • os an- * 4 j u l ft. a Won :109 !� r 0011044 w.4 •. r Owe aaso** a& wipa •006 *8*000644 60004061 t _ . � cr� cr con m • ,� o � v Wiwdnsin bepartment of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 D v sion r id Human Relatiorr. of S$oty & Buildings t in accord with ILHR 83.05, Wis. Adm. Code FPARCEL Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. 032- 2045 -20 -200 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION 'P VIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Gerald Smith GOVT. LOT SE 1/4 NW 1 /4,S 12 T 30 AR 19 F W PROPERTY OWNERS MAILING ADDRESS EL LOCK # SUBD.NAME OR CSM # 11160 190th. Ave. NW na N. Bass Lake Estates First Addn CITY, STATE ZIP CODE PHONE NUMBER VILLAGE &&OWN NEAREST ROAD Elk River, MN. 55330 ( 612 441 -8888 et 85th. st. [ New Construction Use [x] Residential / Number of bedrooms 4 [ ] Addition to existing building (] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 96.5 It (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem ® S ❑ U ®S ❑ U ®S ❑ U [3 S ❑ U [2 S ❑ U ❑ S EkU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tre & ................. 1 0 -10 10yr3 /3 none 1 2cpl mfr gw 2f np I .2 ::....1:..:`' 2 10 -23 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 Ground 3 23 -32 10yr5 /4 none sil lcsbk mfi gw if .2 .3 elev. - el 7 ft. 4 2 -84 7.5yr4/6 none ms Os mi na na Depth to limiting factor +84 3 g'� Remarks: Boring # 1 0 -9 10yr3/3 none 1 2c1 mfr gw 2f np .2 2 9 - 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 18 -3 10yr5 /4 none sil lcsbk mfi gw if .2 .3 Ground elev. 4 31 -84 7.5yr4/6 none ms Osg ml na a _ .7 .8 9 9.7 ft. n Depth to limiting •.., .ter factor +84 1 , Sr fTn� 4 Remarks: � ^j � CST Name: -- Please Print Gary L. Steel Phone: 715 Address: 1554 200th. e. New Rich and WI 54017 Signature: Date: 10 -1 -98 tST Number: m02298 l_ l PROPERTY OWNER Gerald Smith SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # 032- 2045 -20 -200 _ , Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouwx* Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -11 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 3 ............ 2 11 -29 10yr4/4 none sicl lmsbk mfr gw if .2 .3 Ground 3 29 -35 10yr5 /4 c2d 7.5yr5/6 sil lcsbk mfi gw if .2 .3 elev. 1 4 35 -84 7.5yr4/6 none ms Osg ml na na .7 .8 Depth to limiting factor +84 y,2� � O Remarks: Boring # 1 0 -10 10yr3/3 none 1 2cpl mfr gw 2f np .2 4 2 10 -26 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 26 -84 7.5yr4/6 none co s Osg ml na na .7 .8 Ground elev. 15-24 sil lens mot 7.5 r5 8 sil non -con i ous i H -3 100-5. — Depth to - limiting .v / factor +R4 Z Remarks: Boring # 1 0 -11 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 5 2 11 -24 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 24 -32 10yr5 /4 c2d 7.5yr5/6 sil lcsbk mfi gw if .2 .3 Ground elev. 4 32 -84 7.5yr4/6 none ms Osg ml na na .7 .8 9 9.9 ft. Depth to limiting factor � +84 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) PROPERTY OWNER Gerald Smith SOIL DESCRIPTION REPORT Page 2 of�� PARCEL I.D. P __ p_32-2()45-20-2()() Boring # Horizon Depth Dominant Color Mottles Texture Structure �� Y Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch M 1 0 - >'< 11 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 «r 3 2 11 -29 10yr4/4 none sicl lmsbk mfr gw if .2 .3 Ground 3 29 -35 10yr5 /4 c2d 7.5yr5/6 sil lcsbk mfi gw if .2 .3 elev. 1 4 35 -84 7.5yr4/6 none ms Osg ml na na .7 i.8 Depth to limiting factor +84 42 Remarks: Boring # 1 0 -10 10yr3 /3 none 1 2cp1 mfr gw 2f np .2 k ..;. . 34 2 10 - 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 26 -84 7.5yr4/6 none cos Osg ml na na .7 .8 Ground e1 1 9.E D 0• 15-26 sil lens mot 7.5 r5 8 sil non -con i ous in H - Depth to limiting factor +84 Remarks: Boring # 1 0 -11 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 .: 2 11 -24 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 24 -32 10yr5 /4 c2d 7.5yr5/6 sil lcsbk mfi gw if .2 .3 Ground elev. 4 32 -84 7.5yr4/6 none ms Osg ml na na .7 .8 9 9.9 ft. Depth to limiting factor +84 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) L 1 o a STEEL'S SOIL SERVICE Gary L. Steel Gerald Smith 1554 200th Ave. CSTM2298 SE4NW4 S12 T30N - R19W New Richmond, WI 54017 MPRSW -3254 town of Somerset (715) 246 -6200 lot #9 -N. BAss Lake Estates First Addn. J1 =40' ✓BM. = top of 1 11 pvc pipe @ el. 100_0_ --Alt. BM.= top of 1" pvc pipe C el. 100.00 L2)s z 14'-1 3 3' 235 `fi' 119 1 'LA ?� c 3 ys A 1 ^Z fir^ Gary L. Steel 12 -1 -98 I PUMA CHAMBER CROSS SECTION 4 C I VENT PIPE —* T JEATHEO =PROOF WITH APPROVED VENT T2" MIN. JUNMON BOX � 24= I.J. MANHOLE RIStR CAP, 25' FROM WITH APPROVED, LOCKING COVER BUILDING , + 4" MIN. + + CONDUIT L AIRTIGHT SEAL + ,� PVC FORCE MAIN -- ALARM APPROVED APPROVED JOIVTS WILL BE USED � + AT ARROWS SWITCHES 4I ON PUMP OFF CONCRETE BLOCK I . VERTICAL. LIFT f' --_,. SYSTEM PRESSURE: 5' *FRICTION LOSS: P UMP : 3 . a � f TOTAL DYNAMIC HEAD jo FORCE MAIN x 1.11"/iD0' _ PID # KR 1 �l S 3v LOT _ BL SUB co V❑ T 242514 to ry W HEAD CAPACITY CURVE MODELS 53 -55 -57 -59 Model " 53/55/57/59" ?.5 Ft. Meters Gal. Ltrs. 5 1.52 43 163 20 — 10 3.05 34 129 W 15 _. 15 4.57 19 72 4 I Lock Valve: 19.25 ft. (5.9m) o l 1c ' 2 5 . I 4 5/8 . 1 112 – 1 i 1,/2 NP' � /`• U.S. GALLONS 10 20 30 40 50 LITERS I o 80 160 i t 4 1 /'6 FLOW PER MINUTE 00ee07 CONSULT FACTORY I FOR SPECIAL APPLICATIONS • Variable level Float Switches available. • Variable level long cycle systems available. • Available with special cord lengths of 15', 25', 35' and 50'. 1 to I /1s • Alarm systems available. rr. • Duplex systems available. I� ; . L I - 3 aKesa SELECTION GUIDE SingleSsU control Selection u,y„� 1. Integral float operated mechanical switch, no external control required. — .................. 2. Single piggybeck variable level f" switch or double piggyback variable level ModelVohs Ph _Moda Amps Simplex Duplex �► UL gpat switch. Reter to IF M0477. M53155d M57/59_ 115 1 Auto 8.0 1 or 181 — Y Y 3, Mechanical akernator "M -Pak" 10-0072 or 10-0075. N N57t%9 t5 1 Non 8. 2 or 2 8 6 3 or 4 8 5 Y Y 4. See FM0712 for correct model of Electrical AlWistor. ` BN53 115 1 Auto 8.0 : Y Y .-- . - ° --- •------------• 5. Venable level control switch 10-0225 used as a control activator, with Electrical SN57 715 _ 1 Auto BA -- N Y ] 53�67 23f1 1 Auto 4.0 Y Y Aaemotor (3) or (4) float system. 6 p57i59 230 1 Auto 4.0 1 or 1 b 7 t3. Four (4) hole J Pak, junction box, for watertight conriecdon or wlred-in simplex or 8 E57159 230 1 Non 4.0 2 or 2 8 6 3 o 5 Y Y 2 pump operation, PM 10.0002. . .. . • single piggyback switch included. 7. Two (2) hole J -Pak, jtmction box for watertight connection or splice, PM 1 OAW . e g�unoK Forinrormatbnon additional Zoeller products refer mcatelogon Piggyback Variable level FicalSwiUM, FM0477; All Installation of controls, protection devices and wiring should be done by a qualified Electrical Alternator, FM0496 ;Mechanical Alternator, FMO495i: Sumpl Sewage Basins, FMiDfBT and SinglePhase licensed electrician. All electrical and safety codes should be followed including the most SimpreK Pump Cordial/Alarm Systems, FM0732. recent National Electric Code (N EC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO P.O. BOX 16347 LwISViRe, KY 40256-0347 Menuracturerad. 8 S1 V To: 3646 Cene Run Road rArxav e, Kv 4oz11 -1961 ri y Pr�uvg /939 • PlJMP ! O, (5d2j 7 FAX (5MY 774,M21 PUMP M¢,:lAeww.zoeNer.rcun 0 Copyright 1998 Zoeller Co. All rights reserved. I 1 • t i 1 ...._ .._ I... 1__ ............. '...._.. 4 01 J �_ I I I I I • i i i i . � 1 I J • f l c j ! - P![4 r. i f i � s _ mFi;gw 242 14 L - i _- i I i y f f ...E - - -- - I i .......... ol - — - - I i -... 4 ; s a o m, j SOB - - r - V I A ; I. E r - } VN - o v � M �o fa Asa +r i j o � Q o 4C) o4 � pp I r n N c1' ` ~n _r4 eo O I 1 a Q o � O 0 ` N t s v f � < Ln o rr I a;h Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm $3.54 Wis. Adm. Code each Private Onsite Wastewater Treatment Systent ( I PO1N";' shal incluide information and procedures for maintaining the system within the parampters, of Comm 8:3 and 84, and the conditions of approval by the department, agent, or gov-wnment, Pun",it. Tho apprvvod plans and permits for system are on file at the county zoning or health depavirrient. This rrianagement plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption C omponeril Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (IR-6199). *rable 1: System Des gn SpecMeations; "I its ry F "ermfit Number - 67 iirn6er of W.?droorns Peak noeted, FICAV - , `,ve'ra P7 - �j f a 1! C a 1: )a i ky Zi oV Absorption C om orTnt Size (ffl) Nne of Wastawatar Domestic Table 2: Soil �`Lbsor tio Compo W ent - Limits of Reliable Operation Septic Tank Component Soil Absorpt on Comp2 Wen Peak C',;- 6,>' E)esign F�r, - �,fj, , - a , inum InVu n Particle Size (in) 118 220 150 Table 3: Maintenance Schedule Slerytic T.-ank Inspect andlor service once every 3 years y ( FWer Inspect once a year and clean at least once eve 3 ears S oli )sorpiic?n COmponent Inspect once every 3 years ---- ---------- The sep-fit.; tank shall be ma.intained by an individual certified to service septic tanks u, r s ontents of the septic tank shall be disposed of in accordance with . The r , NR 1 3,Ofif- (_ 100 a SeDtIC or Holding Tanks, Pumping Chambers, Grease lnterceptol%5: 43eds, Seepage Pits, Seepage Trenches, Privies, or Portable T'he operafing condiVon of the septic tank and outlet filter shall be assessed at least once ave�je 3 re tars by inspection. The outlet filter shall be cleaned as necessary to ensure propt-4 * "f ile filto! r cartridge should not be removed unless provisions are made to rf-Aain s�Q11d- in V­!ti Urrik ibai: mayslough off the filter when removed from its enclosure, If the Managerneni Plan for a Septic Tank and Soil Absorption Component titer Is equipped with an alarm, the filter shall be serviced If the alarm Is activated continuously. Inter FlItcr air rnis rnay Indicate surge flows or an impending continuous alarm. The septic tank sh,-,O have its contents marnaved when the volume of scum and sludge in the tank exceedo 11. "3 the vr%rna of the tank. If the contents of the tank are not removed at the time of n' ;asses.arrart, Mefritenance personnel shall advise the owner of when the next service needs to lw. 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. AAce isopenings used for service and assessment shall be sealed watertight upon the completion of service , Any opening deemed unsound, defective, or subject to failure must bompOnG �r�xrpor,-',ed ao�asz openings; greater than 8-indies in diameter shall be secured by an 6,f mcfiv a is device to prevent accidental or unauthorized entry into the tank. No ('Arf) rholdd �u4rder el Septic or other treatment or holding tank for any ri-' being in full compliance with OSHA standards for enfsrfvg� conflned. space. The atmosphere within the septic or other M 0 , , contain (*mponf of holdfng tank may con in lethal gas", and rescue of a pe,%son fironj Me h of the tank may be d1fricuit or impossible. "arrr d t� I he n d ndvurvi �nn` ,4ih�al i accor with Comm 83.33, Wis. Adm. Code when the tank. is no kvg! i usa:i as a POWTS component. Soil AbsoMtlon Compp--rlgn# , ,oraponev,t serving this structure is designed to accept domestic wa'stewater froLvi a ?evdenliai farOify. The limits of operation of this component are shown in able 2. The lorqpYlty of tr soil absorption component depends greatly on proper and timely rnaintenance, ar"d or below the limits of reliable operation. Good water CCX!30evaticn by r oc4upants and the installation of water conserving plumbing fiv:et1JN-."3 3F(I k f3efors in extending the useful life of this component. The soil zbsorptioni comNmnenfs operation must be assessed by Inspection at least yecv�:,, Thr ir shall include recording the levels of ponding, if any, in for any evidence of surface seepage or discharge r „ r,r Atu or !v iiaping sites, areas of erosion should be identified and rep.e.'Jted ski t• c uw tor repair. The surface discharge of domestic wastewater or sewage f:orn the Is pro-hittRiNJ artt+ ronsidered a human health hazard. Tfaffi c 'f'. rov'I'd, cr 4ic- - ,,,, t 9 - le soll absorption component should be avoided particularly "1 1 durrnq wirter he cernpaction or removal of snow cover over the component may lead tr,” hydrat'llk, Q'Illura tyq i - a i. This type of failure is usually temporary, but is difficult or g irsiposr,ibje to unVI ►;i,-:!Aher t*nditions improve. In general, soil compaction over this o r i af oxygen Into the soil and dispersal cell, which may lead to c'b9ging 0% the soil. 2 P lan r r' a Uoptic T ana a nd Soil Absorption 'Component > - � � . , •rr <, f v e e ,5 and .shrubs directly over or %vithin ten feet of the o s jerji ��hoahi b v old1 1 sincE. iv/ot intrusion into the component may obstruct wastewater t'loW, 3 CONVNIQEI'4t;,`it PLAN If tht P;' }V 5 fi0l 1tx4i OF measures have been, or �mtat be taken, to provide a COdt compliant ^° it,rt�d rtifla.� � � k rnr r x; is t t aE and may Im utilized f0f the Icxat3on of a replacement $oil absorptleen a, ate,,, °r � e 1? � °rr.; n2 ��r z s � i =i t � protc ad from d9stu� ba a and comparilon snd sho%M tnat bt InIlinVO upon t y rar � r 1t �t4 :ors , c � 1`rc3rrt x °��li~ at*;l isr +posed ttrvcwri, lot llnes and wells. Fallum to protect the replaternent area will "�s1dl° in tl±e rt < °r� f� >r sa new sod rl tjte tva�ivajon to osuN$h a suft4tAq replacement area. Replactment systems must t'�rnpl/ wla"t h=q rviet l'7 riffv' a - 1 64t Crne. g1tai� e rttflxrernoent area f, f, av t lilable du=. to setback and /or soil lim Bating advances Bat advances In PO WTS technology a i(:)f+jtft v zaef rte,= i,e i1,4taltr�j as a lytst resort to replace the failed POWTS, Cq The site hen rvaioted to Identety a suitable replaetmeeit area. Upon fadiu Or the POWTS a soli and site �vf l C prt r 1;'.,C i � +�' �� �'•' " }: °s; &,i o<ac* a suitable rtplaceRwnt gear if no replactanent area Is ivgg&We a holding to may t,rrt�`i� tit xeti °r� . r,�f of failed Pr.9bTS. ' -rd' f= ; r = , 018 ai; ri -r%k�n .sysorox may be reconstructed In plrte following removal of the biomat at the a.l , 2, x A, r 1,4, :fiT: or'uch ryst4ml rwst_comply with t+'e -, uks In effect at that dmt. !C is �tb ff .k '3. Stid at p q�ffl��?Il tmrlf� r s "''tt,l ; " A to y�iS' lE �YT TANKS MAY CONTAIN LETHAL. GASSES ANDIOR INSUFFICIENT O. 'Al( C) Hr)'1 f'.'�l�'EI' A OPTII!C, PUMP OR OTHIM TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH i l�`4 !R6ViA, - " tl_�SCW, C1 A PER$ON FROM THIL INTERJOR OF A► TANK MAY iL DIFFICULT Oft ADIJI*14tpi s$ POWTS MAINTAINER r Name Phom ��IY iAi �3 R 4S YC.11�"p +14! t`F';� VW!F,POLWM;t°€`FCIf AUTHORITY F -i "� .[ e p ; - - (� , �,, �, ,P From: TODD FEATHERSTONE 715.385.0885 To: ATT: TRACY TURNER Date- 8/19/2002 Time! 10!13:54 AM Paps 1 of 1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AQRBEMBNT AND OWNERSHIP CERTIFICATION FORM OwnerMuyer U VQQA Mailing A ddress _l C� Property Addraas C01 (Voir atlon rwpired from Flaming Department for new construction Cityl'Swe , �► �>_ �C l�� �aroel Identification Numbs „ 0 `0C)G - Al b]�SCRII''i'�ON Pt * ty Location ., Ak,-,-I V4. Sec. TC _ N -k_/CLW, T0" of Subdiviaian CwdfUd Surveq 1VX,ap # Volume . pop # 3 WU=Uy Dcod # . v olttcae . _ � Page # Spec Ime © yeo M00 Lot Iho idgffwble 0. no ' �Oa�vpwrwoaadenaoaeofyonraepticaya bema�onl�d�Itiaidprtofv� terraebe�.Propar'uumomwaoe 4$0n" its oat 60 sop& f & vvcq *M ym= ot aooa if =a eW by M ftwspd pampif What you put I= dw e= a&d. trp Snkcd= etas up* a* ss a teeaon, -, tape fn the warm &_jp d gswm ?ha pmpmdy. *wow specs to wbmuft u St. Qv& Zw&W Dept i o Mlft" foes, bt► de.ovdw ,,a* a p :J P veriQft*u(1)ftGn.6he plasto tecdi:peral is is In av cc Ow&dm aa&w M. aft hdvactim ad p=qft.(1fuvceh the anieie ba .than Ili Ofstadde. t►wR Mae sodietlgned have rod dw above requkemama and agree w mtiafem the pdwafe ditporal sybam, witti 66 aanft* ist � tiarada. a= set � the Depacertea�t of Cpamaereoa snd Ilea Diptttmwt of Nst�t l�aotu�eee; Sa�oe of Witoomin.. OQtt�a�cn sathts ftaat yeas septic eyum tiers beta mbmbjdnoaet be oomplet wd nt med the St. amic.cetaw left, orw within 30 A NEW daft. APPLICANT DATE I (wa) =ft dw ag wtmtmts an d& fon are trot to *a bW of my (orax) w edCL I (we) am (am) do ownettt) of deac�bod by vitaae of s anstaaty deed recorded bi Ragv w of beads Ofte. SI 'IU bit 0m cwt ATg sass lafOCmstiasa *d is mts pe�aseaiod ma retalt in dw aaakW permit be4' mvdoed by the Zoaios Deparmaeoe. «••�•• •' bduda with this apOWIon: a waved ws mq deod fioaa dae ReSWer of Deady o8ke a oopy of ft cs stitied sutvoy wrap If cetoce m b =As in *a warsaty deed 1 8 � STATE BAR OF WISCONSIN FORM 1 - 2000 WARRANTY DEED 6 - 7 9 6 2 0 KATHLEEN H. WALSH Document Number REGISTER OF DEEDS This Deed, made between Chris P. Martin, ST. CROIX Co., WI - rn ter r i ej 1-LrSor RECEIVED FOR RECORD Grantor, 05 -21 -2002 10:30 AN and Tracy L. Turner, a married person WARRANTY DEED EXEWT # REC FEE: 11.00 Grantee. TRANS FEE: 120.00 Grantor, for a valuable consideration, conveys to Grantee the following COPY FEE: described real estate in St. Croix County, State of CERT COPY FEE: PAGES: 1 Wisconsin (the "Property ") (if more space is needed, please attach addendum): Lot 30, North Bass Lakes Estates First Addition in the Town of Somerset Recording Area Name and Return Address River Valley Abstract & Title, Inc. 1200 Hosford Street — Suite 201 Hudson, Wisconsin 54016 032 - 2121 - 70 - 000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record. Dated this 21st day of May 2002 . r * Chris P. Marti * * AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ) ss. St. Croix County. ) authenticated this day of Personally came before me this 21st day of Kai' P May 2002 the above named Notary Public Chris P. Martin * Ctnta of Wiscons TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person who executed authorized by §706.06, Wis. Stats.) the for g i t men d acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY * Ka alm Michael H. Forecki, Attorney Notary Public, State of Wisconsin Eau Claire, Wisconsin My Commission is permanent. (If not, state expiration date: ( Signatures may be authenticated or acknowledged. Both are not necess December 12 2004 . of persons signing in any capacity must be typed or printed below their signature. ARANTY DEED STATE BAR OF WISCONSIN FORM No. 1 -2000 J rney Michael H Forecki 1830 Brackett Ave, Eau Claire WI 54701 -4627 Phone: (715) 835 -3029 Fax: (715) 835 -4112 Michael H. Forecki T6914201.ZFX Produced with ZipForm^ by RE FormsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 383 -9805 _ RIVER VRLLEY RBSTRRCT Fax:715- 386 -7664 Jul 15 2002 0939 P.02 LAKE EBTATe P"* f 11+4 Narchrrlat OuMtr •f Saetloh 12. T .d and raad•0 to VOlurrM 11 009 ownship 30 North. Ra n9m 19 W�St. Torn of somem t. At•d In pat Of th* Southeast Qu or• ar 0 . ! 3205% 0"Umo It CroIM Coynty, INI'KOnwInG h•feq part M Lot 1 of o C"fI4d Sums= MOO 4" near 554$6 a.crlp Lois Carf1! Y R•6istw of 0••ds Qffiios. 9 al m• it. AORTH V4 C1pIPHER -r��' SEC, f ?�i0 -19 � ` (Athy 001 - OUTA0 `. r`I � t )NPLATTLO LANDS ' 1 ' UNE4ATT - QA i ' --------------------- -- - - - - - SE 114 Or 7HE A/w 114 --�- - - - - -- - I 1' 1158.59 - -- - - -- - ------ 48� - -1125.54`• - -- - - - -- 2 ) �t C S. M. .r 'j b i I LOT 7 133.930 10. Fi. 3.07 ACRES a '3 c IaNT VOL _12 . pf1►tlQtNitY .� t 548 "W 527.52' '° • [A I t. I `fit as +t 141.637 14. 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