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HomeMy WebLinkAbout032-2145-90-000 Parcel #: 032 - 2151 -20 -000 03/27/2008 08:45 AM PAGE 1 OF 1 Alt. Parcel #: 13.30.191315 032 - TOWN OF SOMERSET Current X 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 O - STRAND, NEAL T & JANET M NEAL T & JANET M STRAND 1589 86TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 1589 86TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1040 Plat: 08- 091 - NATHAN HILLS 1ST ADDN 2002 SEC 13 T30N RI 9W NW NE LOT 10 NATHAN Block/Condo Bldg: LOT 10 HILLS FIRST ADDITION Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 30N -19W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 10/1312004 776904 2674/607 WD 03/28/2003 714934 2186/129 WD 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.040 51,200 249,200 300,400 NO Totals for 2008: General Property 3.040 51,200 249,200 300,400 Woodland 0.000 0 0 Totals for 2007: General Property 3.040 51,200 249,200 300,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 09/07/2005 Batch #: 05 -7 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 rosin DepBrtment,of Cod a merce PRIVATE SEWAGE SYSTEM county: St. Croix ry and Building Division INSPECTION REPORT Sanitary Permit No: 430044 _ 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: Larson, Steve I Somerset Township 032 - 2145 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 1 00. 6 /00-0 m 13.30.19.1271 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Bench ark // as` Q� b Dosing Alt. B -57- Aeration V Bldg. Sewer Holding SUHt Inlet �, r TANK SETBACK INFORMATION St/Ht Outlet �• 0 C 11- L TANK TO PI WELL VLD Vent Air Intake ROAD Dt Inlet o Septic ` 1 � j - Dt Bottom / Dosing / 1( � �w� Header/ an. - Aeration Dist. Pipe Z Holding Bot. System 7 "/ 3 0 �� 3 Final Grade / p� �� PUMP /SIPHON INFORMATION `I�c.cGti' Manufacturer Demand St Cover GPM Mo umber .. TDH Lift ction System Head TDH Ft Forcemain th Dia. u1st. to vvell SOIL ABSORPTION SYSTEM BEDITRENCH Width Length i No. Of T nches PIT DIMEN�S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 SETBACK SYSTEM TO P/L BLDG WELL r LAKE /STREAM EACHING Man ur INFORMATION CHAMBER y rt � v+ T2 Of System: ; \ _ / > U Model Number: ( b l DISTRIBUTION SYSTEM b�o�t,cJ• , o�n�Gti Header /Manifold Distribution / / T l oe Size x Hole Spacing Vent Air I ak I L I Length I Dia 4i Length U 0 " Dia Spacing A4 4 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only � Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 2 [] Yes CJ No Yes Efl No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:/ 2 D�J Inspection #2: 1 I Location: 1589 86th St Somerset, WI 54025 (W 112 NE 1/4 13 T30N R19W) Nathan Hills Lot 10 f"'�` ( _ Parcel No: 13.30.19.1271 1.) Alt BM Description = sr �i�,�, � Bldg r t '` 2. sewer length= = {{ r t 9 9 V ��. - amount of cover = Sys 1 t Plan revision Required? Yes o Use other side for additional information. � _ �� � SBD -6710 (R.3/97) Date Insepctor's Sig ature Cert. No. f - Safety and Buildings Division County ©(S '_ w 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in o. TF Department of Comme (�8) 266 -3151 3 ©� Sanitary Permit Application State Plan I.B. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(l)(m) Project Address (if different than mailing address) _ ! 1. Application Information - Please Print Ali Information Property Owner's Na me 1 Parcel N Lot /f X67 Block # Property Owner's M ailing Address [� / f Property Location / J h W V, State Zip City, Zip Code Phone Nu`t°iPlZ1"— S � ta�loo AA0 W 141 circle one) II. Type of Building (check all that apply) 1 0' RE .0 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ❑ PubliclCotrntnercial - Describe Use _ /tfl l+# AJ M u-5 �p 11 State Owned - Describe Use _ -6a3 t � 9 eA ❑City_❑Village>4Ibwnship of / y! U! III. Type of Permit: (C heck only one box on line A. C omplete line B if applicab A. �1 X New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Rene Permit Revision ❑Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expirati Plumber Owner IV. Type of POWTS System: (Check all that apply) X Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Cha r ❑ Drip Line ❑ Gravel -less Pipe ❑ O e exp ain) V. Dis ersal /Treatment Area Information: - Qp Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (f) System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Zjs Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume resp nsibility fo installation of the P OWTS shown on the attache plans. Plumber's Na me (Print) Plumber's Si gnature MP /MTRMNumber Business Phone Number Plumb& 's Addre ss ( Street, City, State, Zip Cod / L �! �( VIII. Count /De artment Use nl Sanitary Permit Fee (includes Groundwater Dt::e Issued 1 Approved ❑Disapproved gent Signature No Stamps) Surcharge Fee) �� - ❑ Owner Given Reason for Denial �S 2m IX. Conditions of Approval /Reasons for Disapproval CtA..� 1 - , Attach complete plans (to the County only) for the system on paper not ss than 8'-2 x 11 inches in size -� SBD -6398 (R. 01/03) PLo+ I P I\J 6 - /1'-03 I� T LL �a o fife /OV Cow +vok 0 . 5y / a 07 AN �z C << *o T qf, fle a�^� bZ eo S-}- Property Owner Parcel ID # Boring # ❑ Boring Page o f El � pit Ground surface elev. ft Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary ots Sod D/rf Rate in. Munsell Qu. Sz. Cont. Color �' GP/rt= Gr. Sz. Sh. "Eff#1 "Eff#2 (o •S'a � El Borin g # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Col Redox Description Texture Structure Consistence Bounda Roots lication Rate in. Munsell Qu. Sz. Cont. Color �' GPDIfF Gr. Sz. Sh. "Eff#1 "Etf#2 Boring # ❑ Boring ❑ pi Ground surface elev. ft. Depth to limiting factor Horizon Depth Dominant Col Redox Description. Texture Structure Soil lication Rate in. Munsell Consistence. Boundary Roots GPD/ff Qu. Sz. Cont. Color Gr. Sz. Sh, "Eff#1 "Eff#2 i Effluent #1 = BOD > 30 < 220 �L and TSS >30 < 150 — mgt " Effluent #2 = BOD, 130 mg/L and TSS < 3o mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. Soo -8330 (R.6AD0) Soil Test Plot Pla Projezt Name Steve Larsen Sh ird Address 426 N. 5th St. New Richmond Wi 54017 S #226900 Lot 10 Subdivision Nathan Hills Date 1 1103 W 1/2 NE 1/4S 1 3 T 30 N /R W Township Somerset F1 Boring Q Well PL Property Line County ST. CROIX M or P Assume Elevation 100 ft. —Top of nail in tree Elevation 96.9/96.0 *HRpPower Box at Lot line Alt. BM Top of 1/2" pipe Qa 94.0' Property Line 200' 100' Alt M. 20' B -1 25' 0 ' -3 20' 30' 0 ' 97' Pro 4 Bedroom House o 101' Wisconsin Department,of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430044 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: Larson, Steve I Somerset Township 032 - 2145 -90 -000 CST BM Elev: Insp. BM Elev: T Description: Section/Town /Range/Map No: CST BM Elev: (nsp. BM Elev: 13.30.19. l2 � TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Fj Yes [ , No Yes , No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 1589 86th St Somerset, WI 54025 (W 1/2 NE 1/4 13 T30N R19W) Nathan Hills Lot 10 Parcel No: 13.30.19. 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Re Yes Use other side for additional in �] No ��� Required? 4 formation. L L_ SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. V isconsin Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 5 + eOZB 7y Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled by Co.) Department of Commerce (608) 266 -3151 Sanitary PP Permit Application State Plan I.D. Nun iber - - � - -�- In accord with Comm 83.21, Wis. Adm. Code, personal information you prov e may be used for secondary purposes Privacy Law, s15.04(1)(m) roject Address (if nifferer.t than mailing address) I. Application Information - Please Print All Information / � / ,If �� �ECEi b _ _ Property Owner's Na me Parcel # t N /O Block # Steve a 6 p r i t ®A/ MAY 3 0 2001 d3Z _'Z Property Owner's M ailing Address Property Lo , Jd City, State Zip Code �"' '�►, 1 /4, Section 1 6 (4) W (circle one) N; R /qE or(9 II. Type of Building (c k all that apply) P' 0„ S r e Tor• 2 Family Dwelling - ib m er of Bedroos �- S Subdivision Name CSM Number ❑ Public /Commercial - Describe e ❑ State Owned - Describe Use 3� ❑City ❑village �4Cownship of III. Type of Permit: (Check only o ox on lin A. C omplete line B if app ' le) ^ ,$-New System - -- y ❑ Replacement ter ❑ Treatment/Holding Ta eplacement Only ❑ Other Modification to Existing System B. El Permit Renewal 11 Permit Revision 11 Change of Permit Transfer to Ne List Previous Permit Number and Dat ued Before Expiration lumber Owner IV. Type of POWTS System: (Check all that ap ly) Avon - Pressurized In- Ground ❑ Mound > 24 in. of sX Mound < in. of table soil ❑ At -Grad _ le Pass Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ ❑ Peat F ilter ero reatment Uni Wetrculati Fil El Recirculating Synthetic Media Filter eaching Chat Line El Gr el- s Pi 0 e ) _ V. Dis ersall Ireatmet t Area Information: ff % Des i n Flow (gpd) esign Soil Application Rat e(g Dispersal Ar equired (sf) Dispersal sed (sf) em .Q An VI. Tank Info Capacity in To Number Wab Site Steel Fiber P ast1c Gallons G ns of Units Concrete Constructed Glass New Existing Tanks Tanks or Holding Tank /G� A �. - -- erobic Treatment Unit !•� - — I 1 Dosing Chamber - -- VII. Responsibility State t- I, the un dersigned , assume r spottsibility for installation of the TS sho on 4ttache p Plumber's Na me (Print) Plumber's Si gnatur MP /�'1Z3SNumber sines Phone Number � Plumber's Addre ss eet, City, State, Zip VIII. Conn a State Use Onl -- Approved El Disapproved Sanitary Permit Fee (includes Groundwater ate Issued I ui , Agent Signatu (No Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial 2- Q IX. Conditions of Approval /Reasons for Disapproval 40 C&AA r �c44 o 4 64 0 complet plans (to the Coµ ity oi for the or a gr not than 81/2 x 11 inches in size SBD- -6398 (R. 01 /03 ,'„"n`�v . � � f � � � I f < �^ * , tam , \\ , # � — f��� .� # \� C- -Ur- A,�o ti , zz6 �p� Cc ' a bra s� � tid ' U U L U N D i � ±�' -: . �,: "�' �„ ,� �. Y, �5; y ; Z, 4 0 � 3� p/terosa� r � try ' M r b s Wisconsin Department of Commerce SOIL EVALUATION REPORT DMsiorrof Safety and Buildings Page of In accordance with Comm t)5, Wis, Adm. Code Attach Compute alts Plan an paper not teas than 8 1/2 x 11 Inches In size. Plan must Courr r Include, but not M"ited too; vertical and horizontal reference point (am), direction and Pw0ent slope, scats or dimensions, north arrow, and location and distance to nearest road. Parcel i.p. Pet Pl"" print all lnformatlon. e d by p Persaud infOrrnptlon you Provide meY b® used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). �( 6 / 1 PropeRy Owner Prope tocatian GZr✓ th w,,� Govt lot 1/g►11tP A 3 T 3 O N R l E ( ) W . Property Owrtets Going Aodgess / L `O Block # Subd. Name or CBWt# ) hY fate / N 4r q0 P ode one Number Ity ❑ Village Town Nearest Road N ew c vi 5 , Construction tJ sidential / Number of bedrooms Code derived design flow rate ❑ Reptacxrrtent GPD ❑ Public or Commercial • Describe; Parent material - -- 0 - .."" d Flood Plaln�arevation if appNcabii✓ 1 General p ,; rt. A- U 5 , S 1 t 2001 IT Boring # 9oring' S� G t Ground surface elev, f t. Depth t fa Horizon Depth Dominant Color Redox Description Texture Struc Will Rate In. Munsell Qu. Sz. Cont. Color ary Roots C3PDJfN ' 'Or, Sz. Sh. •EtfM1 'Eff#i2 a e: L44Z aoring # Boring t Ground surface elev. ! ' ft, Depth to limiting factor > (/ In. 7Z ZC sou Appillcatilon Rate Horizon Depth Dominant Color Redox Description Texture Structure consistence Boundary Roots Op in. MurmW Qu. Sz, Cont. Color Gr, Sz. Sh. Ep#1 , EW2 2 173,6 l w 1-1p s ST 2 qt - " Effluent #1 = BUD > 30 -4220 mgiL arfd TSS >39 150 _ MWL fl9 t #2 = BUD c 30 rngll and TSS < 30 CST N me (wesae Pri�it) 1 nmturo nigiL Address pate Evaluation Gafadutted Telephone Number I'DC6 ksC-, 0 fLL)fj (-011 Property Owner Parcel iD # 4 0+1 Page of Boring # [] Boring Pit Ground surface elev.! / ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 0-10- j/ s f'�1 L 7-5 Y Z N - 3 3 -a l..J Boring # ❑ Boring L._.J ❑ Pit Ground surface etev. ft. Depth to Ilmiting factor 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 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 ` Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SIM-8330 (R.07100) Soil Test Plot Plan Project, Name Brian Boardman Sha it Address 824 East 11th St. New Richmond Wi 54017 TM #226900 D Lot Y� Subdivision Nathan Hills Date 10/30/01 W 1/2 NE 1/4S 1 3 T 30 N /R W Township Somerset F1 Boring () Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Nail in Poplar Tree System Elevation 94.4 *HRPSame as Benchmark Alt. BM Base of Poplar Tree @ 97.9' Soil test was done to satisfy zoning requirement, test may not be suitable for owner's desired building location t~ a� a 0 r 98 00 K, 99' 2% 101' Alt. ♦ Slope *B. B -3 ) ,70' B-1 1 25' 60' 35' B -2 396' Property Line b 0 as a 3 0 H 0 0 H 0 V 0 0 c_ 1 c s�t Uj Ll a LU r iG C O � -- 163AM - '� u L & — c O m U x �n ~ J c� UU ® N p n p x CY? z° � N a C cl CL i c �— cv E z } a g � t a 0 0 _J J A„ AE U6- tAA-5 A/ Private Onsite Wastewater Treatment System Management Plan Septic 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 Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (W) 2cm Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) 1Zroo I ZI2 9 Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 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 Tank 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 septi nk and outlet filter shall be assessed at least once every 3 years by inspection. The utlet filt r shall be cleaned as necessary to ensure op�aperation. The filter cartridge shou not b pr e 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 treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult 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 Absorption Component 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 I Management Plan for a Septic 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. -745-- 2-7 �, J C� co As c 2 + E 715 b�4 7 C O C el 3 05/29/03 09:41 FAX 612 481 8077 FAIRISAAC F Q 002 FPOM : HER 1TALE EUILDEPS FAX NO. :1 715 426 5241 May. 28 2003 01:21PM P2 ST CROIX COUNTY SEY''1"IC TANK MAMENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer -+,4n 6.41,` L. I A 24 0t- Mailing Address S tCa S t . . Property Address Np +I.m u t, u.s, 1. o+ t �� ���" ST 15 �'� 5 �� RID (Veriflontion required fmm Planning Department for new corstuction) city /State 76w.J or �o vntzZSc Parcel Identification Number 403 2- - Y GAT, F)IRSCHTIM ON Property Location 0 5 N -f /, Sec. --3, T - RLU% Town of Subdivision At rJ � Certified Survey Map # Volume fa , Page Warranty Deed # 1 ` f - _ Volum 0 , page # — Spec house's 0 yea K'no ,CgVRTTRM MAC1N7`liiVNANt`A: Improper use and maintenance of your septic system could resait to its prw mature !ailure to handle wastes. proper maintenance consists of pumping out the septic tank every three years of sooner, if needed by it licensed pumper, What you put into the system can affect the function of the septic tank as a treatment stage in the waste dispowst system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastcr plumber, journeyman plumber, restricted plumber cw a licensed pumper vnrityir,g that (1) the on -site wastewater disisal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), ttse septic tank is ors than 1/3 full oi`sludge. f /we, the tuidersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as sot by then Department of Commerce clad the Department of Natursi Resources, Stafe of Wisconsin. Certification stating that your septic system has bccm mnalnulined must be compictud atld returned to the St. Croix County Zoning Ofljce within 30 days off't-he three; year expiration data. SIGNATURE. OF APPLICANT DATE QWbMR I ERTTYUCAT�MM I (we) certify that all statements on this form arcs true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, by virtue of a warranty dead recorded in Register of Deeds Office, gid,'I A OF APPLICANT DATE? * • * * �" Any information that is mis- reprosented may rosuh in the sa.nitxry lierrait being revoked by the Zoning Department. * * Include with this application: a varnpod warranty deed from the Register of Dccds office a copy of the cetiifted survey snap if reference is made in the; warranty dcod IS 2 03 THU 07:08 FAS T lS 396 407 REGISTER 0 DET.1.•3 fit101 J 21.86E' KATHLEEN H. MALSH STATE BAR OF WTSCY)NSM F c)RM 2 - ! Sys REGISTER OF DEEDS Documontkrabtrr WARR.ANTYDEED ST. CROIX CO., W7 RECEIVEID FOR RECORD This Deed, made between Nathar Ste phen Entervriscy, LLC. a 03/28/2003 M 30AN W&eonsln LlnUted Lia Comg9ny, _ r WARRANTY DEED Grantor, and Stever A. La an d Gail L on, LL*r husband a nd wi[� REC FEE • 11.00 -_ -- - TRANS FEE: 293.30 — — __ -- COPY FEE CC FEE: -- -- - - - - -,. . - -- - ---r- — ----- ^ PAGCIS t 1 Grantee. Grantor, for a voluble consideration, conveys and wamnts to Grantee the following described real mah: in S t . C ro ix _ _ County, State of NVisconsin (if morn space i% needs -lease attach addendttnr): Lot 10 Plat of Nathan Falls First .+ dAition .'r . , be Toxin of Somet ;set. Xtcvl urea N.nte and Retum Addrdss ,-- Psrcci Iddncittcariun Nurnber(FRJj Is not_ horr 'AM property. � ~ lis) its not) Execplioris to warranties: municipal and zoniug ordinance,; and e;asemetits r f record. r Dated th Q: day of 2003 — N yTILANiEL STEPIMN ENTERPRISES, LLC t�l'f — ` Ev.:_Cfrian K. 3oardnik ble mbtr AUTHENTICATION ACKNOWLEDGMENT Signrtture(.$) STATE OF WISCONSIN ST. CROI C:ouncy I authenticated this, day of Personal(; came 6afot-o me :hia:.✓ day of Mut 2003 the above named Brian K. B oartitna u, as Mejuber of 1\atbantel Stephen W TITLE: MEMIRPR $'rATE ;,1 OF VVJSCO2,fSLN V - No ta,�yb (If not, a lbnitrson(s) w}ro eyet the foregoing 6.�36, 1'Jis. lm s c tt asttc, St+rG - � }`" �7tTS iNSTRUMENT tt'ASI)RAs= TfD13Y i1i�1�JudJth A. tlemington, Remington Law Of ices, of W isc a_a sie P.( r e c iuinn'd, !z!i SAU17 (715) 246'3A22 — � M � Carnmrs;ipn is -- -- -- -- ---- �... .— } p:rrnanen:. ( 110t. state cxptranon date: -_ (Signatures may be authenticated or arknQwlcdEod. Both ar net necessary.) • Names of perxnc signing in my dapa::.y must be typed w printed below their signamra n P p nWny. Juno du L& vwv STATE BAR OF W1947ONSIN ��� ' M�ars.~zr r WARRANTY DEE ROOM rgv.2•0I 1 NOVOY PUNIC State of vl %=nsin L — W. x 95 9.1 p1 tp 1;1 68.7 \ 9e Cj 20 974 J 959. �� .�7� f� \974.8 x 97I.1 a I 968.8 o. w 963: � �. `* ---__ , "moo ` ' � \;,, •\ x � 9519 t � c Y \\ �, i '� /\ , � a f� fvl H W. o rn n 4. T . °° 194 o F g 0 - - -- } x c 6'17 \ ._--96 r - Q 49.8 F. 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