Loading...
HomeMy WebLinkAbout032-2064-10-025 n (n o - n = \ m } j \ \ / / ` � k i _< 3ƒ s z {/\ 0 co w ! e § \ \ f } 2 / 6 / \ % m . - 2 \ \ & \ r _ @ ` R o o n � \ § S g:° 0 P ° 2 o k . e , f E E! o S E _ g 2 2 _ [ / « y / > ƒ CL / I k \ e® a o a / S j D 0 � / ) § j « 0) / ;0 \ \ , C/) § n r c CD < c o c CD CL 3 3 0 \ 1 ! < / / j j j § g 7 T v v \ \ � \ /( \�\/ � L o a 6 \ \ F § \ \ a \ ° \ k \ , E � CD 2 \ k k 0 { \ $ 7 o R § e 2 § \ m CA ƒ \ w � ® \ �� —> 0 CL o C') 9 # ®'z % o / \� )- { 0 \ ƒ � %/ § ® ,, o . CD } ;: > i 3 \ R e / q \ CD § \ f / / � 8 � \ � \ MAY 746997 VOL 18 PAGE 4654 D KATHEM H. MAMA - ' �.._ REGISTER OF DEEDS RECEIVED FOR kEd6RD J CERTIFIED SURVEY MAP No 11/19/2003 11: 00AN /' LOCATED IN THE SW 114 OF THE SE 114 OF SEC 710N 18j 4M, MAP LOT 3 CER77F/ED SURVEY MAP, VOLUME 6, P= LOT 2 CERTIFIED SURVEY MAP, VOLUME 5, P 39 2 TOWN OF SOMERSET, ST. CROIX COUNTY, W►SCONSIN -NORTH LINE, SW 114, S£ 114, �l E SEC. 18, T. 30 N, R. 19 W _ - - S89°25'37 "E r 641.46 318.17 _ " 323.29 - -'r Ncl: i Q �Q � 2j4 41 � v � PREPARED FAR: + j W 7ERRY MEW 0 9.615 ACRES r U U T. 9.757 ACRES 418, 813 SO. F r INCLUDING ROAD R.O. W. 425 S0. R. � r l INCLUDING ROAD R. 0. W. 9.373 ACRES .` 9.512 ACRES 408,290 SO. FT. 414,345 SO. FT. EXCLUDING ROAD R.O.W. 2Z EXCLUDING ROAD R.O.W. LOT 3 LOT 2 �. t � I N X: s L o `g z 'K ONO Uz Wct Q: o�LQyh �2 Q It N W W W ~ "171? 64 f7 _ _ 1 I v v r T , ` r - 31 88 - r - 323.29 t i 662.51 1V89*2722 "W 642.19 — " 1304.65 UNf LMDS BEARINGS REFERENCED TO THAT C.SM •••••••••••••••••••......••.. IN V01- S. PAGE 1439 0 200 400 NOTES: PROPERTY OWNER ACOUIRED 7H£ ORIGINAL -. PROPERTY WITH CERTIFIED SURVEY MAPS, VOLUME 5, PAGE 1439 AND VOLUME 6, SCALE 1' = 200 PAGE 1577, THIS MAP SHOWS THE EXCHANGE OF LAND BETWEEN ADJOINING LEGEND PARCELS NO NEW LOTS ARE CREATED BY THIS INSTRUMENT. _ O SET f" X ?4' /RAN PIPE FOOT ALL CONDITIONS, RESTRICTIONS, NOTES. ETC. f.68 L$S PER LINEAR FOOT. LISTED ON THE PREVIOUS CERTIFIED SURVEY • FOUND 1' IRAN PIPE MAPS ARE APPLICABLE UNLESS OTHERWISE 1NDICA TED. ® E70S71NG BUlL DING MARK F. MAISWT IOWaH. X2624 PASSE ENGINEEMM M THIS INSTRUMENT WAS DRAFTED DA TED it b da 3- BY MARK F. MAISTRO SHEET 1 OF 2 SHEETS Vol 18 Page 4654 �� 099.9" LLST a22d 9 'TOA dVO N3S1N838 83N?JO3 N01133S uNnoo 13S 7d NI SNIHO13M 3dld NOW ONno8 ,vzX „I p ONnOJ 3dld NOSI „I OOb OOZ 0 d N 393 - I ,002 %1 1334 NI 3'YVOS saNV'1 0311v1dNn k1618 'NO£1 M618 'NO£1 61 � N01133S tl3NMOJ 3S � — — � I 91 NO1103S H3N803 b/1 S .,sa•eosl . - -- w — — — . yy ' £L6 3. Z . LZ . 6B S — — W '— — — — U -- -- — . Zb ' EL6 M. Ea . LZ . 68 N w �w�/o �wwo2 crty .6Z' U. 8' 8VE 9Z' t£E Oka+KV�l sx>e�. R►a , I�wW OWN 038 d 0 1NIOd io S 86 1 0 d3S ? WAOSAdY 5 6£bl 30Vd sa za e qSZ' OI saaae 61; 6 9 '10A NI 'W'SD 1VH1 (SPIA 1 Ol 03'ON383d38 SSNIHV3e ly6LJ 6uipnLOx9) mj4 6ULpnL:)xa) '44 'bs 6£L`9bti °- '�3 'bs 899`t3t saaDle ZS- 01 saaau OI IG ° o °o �u6�a 6u�p IDOL) ° o -4u6lj 6ULpnt�uL) °o IC IZ N • ld 'oS Z4Z9s> • 13'OS 009s£4 • I� V IH '+ A ►. A !P- 101 to 1b 10 - 1 to Irn m� rn� .o ro rn to o to l : 9 :9 0 l 0 M M 6a . M Ir. c; N �= N 1r I> -4 iD ID o iu IZ (0 o v h G N W 6£bl 39Vd s 'BOA NI ONnozi 'W'S'o 1VHl no8.q 38V Z 8 1 S10 :31ON of - oz ti 3'1V3S ON .8Z'E6z .Lt'QbE .9Z't££ �Ib130 .LL'ZL6 3.L£.5Z.68 S S a Ntf 1 a 1 d tin uo4TnoH — 'PU Tjela3tuM Z 'I2i u4naeo uL-r :.zo; paAananS utsuoast,W I A;unoo xzoao 'IS ' jasaauzos }o umol ' `M6I 2i `NO£ L `8I uotlaas 3° t/ t HS auk J° i I MS 9TIJ U pa��ao7 a ddw A3A8ns a31dLl830 0619 d3S a3uj Ile i a f CERTIFIED SURVEY MAP Located in the SW 1/4 of the SE 1 /4 of Section 18, T 30N, R 19W, Town of Somerset, St. Croix County, Wisconsin ' Surveyed for: Richard Caruth 183 Jansa Drive Y Shoreview, MN 55112 UNPLATTEO LANDS { \ { ) N89 '•W 972.68' ` M 679.39 293,29 0' Q3 '9' hb DETAI L NO SCALE dam% A A Ls� \j \ z _ N N Ir -� iZ LOT LOT 2 O r to N I M �� m 893805 SQ. FT. ? 385575 SQ.FT.* Iv m �o rn INCLUDING RIGHT -OF - WAY f INCLUDING ID I 871362 SO FT W RIGHT -OF -WAY i0 z 375896 SQ FT m N I� N EXCLUDING RIG T- OF►-WAY O M 1v w N t EXCLUDING �o m IN N w N w a - n w �o RIGHT —OF —WAY °—° A M W °- c z z t 0 1 m • v• SCALE IN FEET I" =200' 1111116�� L4 6 100' 200' 300' 400' LEGEND �AD I" IRON PIPE FOLMD Q I "X 24 "ROUND IRON PIPE WEIGHING ` V.. v 1.68 LBS. /LIN. FT. SET t 3 COUNTY SECTION CORNER, e BERNTSEN CAP t 19 . uyi2 POIN OF SEf INNING ' %- 9� 680.09' 293. _ - - - _ 6 8 .II' _ 973.38' i 293.29 --- w_ S89°?7!2 _ 5K _ 933 &0� — — -- — — — — '—"- _1304.65 SI /4 CORNER SECTION IB 4 ;& ., S.E.CORNER SECTION IS- T30N, R19W N,.R19W 3 4 3 UNPLATTED LANDS Jut 29 1984 a COMA °r a h, qp lr or 6 Volume 5 Page 1439 - 1�4 483-494 - JOB NO. 84 -29 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430375 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. Menk, Ter G. Somerset Township 032 - 2064 -10 -000 CST BM Elev: Insp. BM Elev: BM I Description: Section/Town /Range /Map No: /00 . U / 1 '2 eva pi B fy1 1 18.30.19.754A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 6111 J7. 35 io'7.3 I&a c� Dosing Alt. BM _5tu Q,l _ Cr,t � VW .4 :r 141 Aeration Bldg. Sewer 6.�5 /oU• 7 �' Holding St/Ht Inlet �.a5 99,10 TANK SETBACK INFORMATION St/Ht Outlet $ 9 y 1 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet / Septic I b not an 51 i 51 Dt Bottom 5i4e­ Dosing Header /Man. 1/ Aeration Dist -Pipe Tap b r Q ka 11A b Holding Bot. System y Final Grade PUMP /SIPHON INFORMATION `C f rat a io. 3 / 97, Ll Manufacturer Demand St Cover PM Model mber lG,v 1� TDH Lift Friction Loss 1;y Head TDH Ft Force T lin Length Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width r Length No. Of Trenches 1 PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS o�( / y SETBACK SYSTEM TO o lJ P //L JBLDG ✓ IWE LL / LAKE /STREAM LEACHINrj Manufacturer. INFORMATION 3 HAMBE R 1 1 C► d'r Type Of System: �✓ 1 y Model Number: o ne 117 139 5 ; }� S� d. DISTRIBUTION SYSTEM Header/Manifold Distribution S 3 ^� x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) A 1 / /� Length Dia Length N Dia Spacing /Vh_ A 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 a rench Edges Yes n No [] Yes F No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: )Q I ion 2: / ­:ation: 364 150th Street Somerset, WI 54025 (SW 1/4 SE 1/4 18 T30N R1 9W) NA Lot 2 Parcel No: 18.30.19.754A Description = S W &1 4 t - Ur r\w � y�c4 helms �adt rKt, 4 �i�II7Il�� length = 4 /a Ll Yes [/No No S onal information. Date Insepctor's Signature Cent. No. Safety and Buildings Division County as 201 W. Washington Ave., P.O. Box 7082 N scvnsin Madison, WI 53707-7082 Sanitary ermit Number (t6 be filled in by Co.) Department of Commerce (608) 261 -6546 3 3 *s - Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide _ may be used for secondary purposes Privacy Law, sl5.04(1 xm) ject Address (if different than mailing address) I. Application Information - Please Print All Informati n �r+ , l.0 V G 0 Property Owner's Name S EP Parcel # Lot # ck o # Property Owoet M i ing Address VUj Property Location C ity, State ON/At(- OVN J� y., ma y., Section Zip Code �ber 5 (circle e) T N; R,/4E o6V II. Type of Building (check all that apply) 5 9 1 or 2 Family Dwelling - Number of Bedrooms S Cy 1 ❑ Public/Commercial - Describe Use ❑ State Owned- Describe Use .2 n . ❑City ❑ Village jEiFownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) - A ' New System ys ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision Change of Permit Transfer to New List Previous Permit Number and Date Issued ❑ Before Expiration / Plumber Owner IV. Type of POWTS System: Check all that apply l ,IR 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 Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) yttem 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 _ Aerobic Treatment Unit Dosing Chamber VII. Res o sibili Statement - I the undersigned, su a responsibility P ty , onsiblli for installation of the POWTS shown on the attached g P tY plans. P Plumber's ame Virint , Plumb 9h MP/MPRS Number Business Phone Number u ber' Address (Street, City, S Zip Cod - VIII. County/Department Use Onl ?�� pprov.d ❑ Disapproved Sanitary Permit Fee (inc udes Groundwater Date Issued Issuin gent Signature Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial 2 IX. Conditions of Approval/Reasons for Disapproval z SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the Comsty only) for the system on paper not less than 81/2 z 11 inches In size SBD -6398 (R. 08/02) c - ,c 4 j �,Pec s l� / 4)' ate_ Nk Z 8�l . o� 9as�" i ,afr � / a Z J 0 Pie Wisconsin Department of Commerce SOIL EVALUATION REPORT E PA ) 110) Page — of Division of Safety and Buildings In accordance with Comm 85, Wls, Adm. Code County c • COQ 1 �( Attach complete site plan on paper not lees than B 112 x 11 Inches in size. Plan must Include, but not limited to: vertical and horizontal reference point {BM), d1ra Lion and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 0!)Z 20164 - 10 - 0 Op Pleese print all Information. Reviewed by Date Personal information you providtt 0 WISMI ' cy Law, s• 15.04 (1) M) PropertyCwvner 8 ill Property Location `E!°. 1 x1JAe SW 114 114 S %1 T M N R 19 W I CAKot nn� Property Owner's Malting Address a �.. 1 1 .. Lot # 8{ t)dt # Stdtd. Nana or CSM# S 50 'AUK Z- CsM VOL..S Pi&.1N39 C q, Sta te p A 'N et` ❑ City ❑ VHlage Town Nearest Road 3 SpMEIK�'T ISU V� New Construction User Residential 1 Number of bedrooms ( Code derived design flow rate _ _. __ QOb — ©IP I ❑ Replacement ❑ Public or cornmerclat - Describe: — -- --- -'--" Parent matedat _, OU11 )A-50 Flood Plain elevation if applicabiti --- General comments and recommendations: C.ON VP_ ).M0NAL- =N 'Tt4EAC HS 03 LOAD W& RATE 1 1 Boring tf eortng ( 1 pit Ground surface elev. _ 5 r n. Depth to limiting factor _10 in, A 'a (tads Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/tP In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 'Eft#2 5 11 is p b -vh 7 1. Z rA1 ''� Z ryL ;t44-90 021 r Boring # E) Boring Pit Ground surface elev. � LJ ft. Depth t.0 limiting factor f+s — 1st. caticn Rate Horizon Depth Dominant Color Redox Description' Texture Structure Consistence Boundary Roots GPDItf So' in, Munseil Qu. Sz. Cont. Color Or. Sz. Sh. 'Etf#1 'Eff#2 L 1� .rrt .5 0$ - I I o i- 7_ as z� s �• B 0.W K y S i S Effluent #1 - B00 > 30 220 mg/L and TSS >30 c 150 mg/L ' Eftent 02 a B00 30 nvt and TSS S 30 mg1L 1 CST Name (Please Print Signature CST Number h 0 HOL! STF_ Address to Evahaation Conducted Telephone Number WIM5 11096'KAVl= 0 2Q VF- F 6 v-5 WI' 5`0022 FLOT PLAN PA2-3ff_ 3 MOYYNP9: MP TWWV CAKoz LEGS : /� =y0I r c�P1 ►uH , a m Voi.S at �! • oP aF �. Pto� . i cA ED L - 5 ` r � G 2 ! Fn GE - A ve SE SO 1a. Ca+RO"D SuK5ACF- 103.S1' X" W/ 6AGKt1QE NO Comm 63 SGlwa M)OLem5 {D ACe 2 vj l �c�IT Lij o S f- N� \, 4 �o fib? 1Q4,to lO1,pp� )00.00 9Z.ys i f 51GN�17 GSt �" ZZy93Z �a � � S VA9: 06.25-03 ,v 2 Z0 4W10 -0000 Page ot„� Property Owner (1AF- . Tetetc!V_lf C„ m L Parcel ID # 5-1 Boring # ❑Boring Pit Ground surface elev. ft. Depth to limiting factor.. 75 In. Soil IkaUOn Rate Horizon Depth Dominant Color Redox Descriptlon — Texture Structure Consistence Boundary Roots GPM in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. 'Etf#t 1 -!0 3 `— L - mctblC rftyAr 4 S 0.8 Z )0 7. 3 YK V'4 is -t'b l, Z 3 17- _ Z7 19, 3 A 3 cLS -rrl 0. 0. 4 1 25- 2 la tc 5 rr�l t 0 -7S 7 .5 `IR 3 S I m �b r a5 -~ 0 4 a•� - 7 540 7.SYK I F -1 Boring t� ❑ Borin t...r Pit Ground surface elev. _ N. Depth to limiting factor . in gory Application Rata Horizon Depth Dominant Color Radox Description Texture Structure Consistance Boundary Roots GPO/tf In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'Eft #2 �i I ' Boring # ❑ Boring a (...` Pit Ground surface elev. _______ ft. Depth to limiting factor In. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Elf #1 'EtT#2 . Effluent 111 = BOD, > 30 = 220 mglL and TSS >30 < 150 mg/L ' EMuent #2 = 800, _ 30 mWL and TSS : 30 mg/L 'rhe Department of Cummerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608.266 -3151 or TTY 608- 264 -8777. SbD•i110 (R.ONO) r Mvex' , Mw Kt Fgk ' Property owner L gAm t. Parcel ID 0 b *aZ— ZO 6y _'0 - O 00 D Pape a of — T Q 0060 r i — I aorinp 4 Pit Ground auA ale 42 45 h. t]laptft to NrnMInO factor ,_.sue IN SW lwtbn RMS Hanson Depth Dominant Cola Redox Deaoiplion Teaturs avucwm Consistence Sound" Roots GPONf In. Mun"A Qu, ass, Cont. Color tar, $s, Sh. '011 Tfltt+Z 11 L . Uko s 0•� 0- X a — 51 1 Mg Ojk as a. o, _ yR 151 i 1 m ab as — o. a.` .g0 7.�bK a r -- — 1 0.4 0.1 acting 0 acting et1 13 pit Ground surface elev, Q"!_ 50 ft depth to limiting feClor Boil ApplicatIM I zon I Depth Dominent Color Redox Description T Structure Consistence acundery Roots; GPDlf[ In. Munsall tau. 62. Cont. Color tar. S2. Sh. '041 '902 o -iz to — s1 a 9 3f — s SA 0.1 1 L 2 A iq y -• g ; 0. ti a ^• 017 Alt t t � J 9arl h D ng p t3round suAau elev. h. �ePtl+ to llmitkv lactor In. pit Boll tbn Rata I i Horizon Depth Doft"N Color Redox Deacripllon Texture Structure Consistence Boundary Roots QPOft i In. Munson Qu, Sz. CON. Color Or, $1, Sts, •Etfgt i qf 's i I ii ' Eftent q1 = 800 0 30 1220 rnWL and TSG 1-30 40 mplL ' ERluird 02 a 1100, = 30 nq& and TSS $ 30 mWL I ' a I 'rho Department orContmarce 1s! an equal opportunity servios provi'rlor cmd employer. 1 r you need assistance to neeerrs services or need material in an altat'rlate format, please•contaet the 1epattmcnt &1608 151 or T V 608 - 264.8777. p i ualllola,wot � !, 4' I 4 pl,•01'� �L�AN � 3 � / = mry n1K TRMY CAICAL L yp �Ext ®P1 w sK� i e e� �>S �o�ouN suRr�a�• roa.�t' - 5(�. DOING W/ � KKFt0� Lin w comm 83 5 n3AQC p�ODI.�MS 40440 2Rw` 83 r W r � 3 Fi>'4 I BS- t� c � � t'r �o 1000 , • gZ,ys� +� `�� ' y iii h 1 � gam;, i4 151GN�n G5t 1. Z � 2 i A Z 4 3 VAIT: Ole 23-03 1V� • (� W l POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _/ of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity a l ❑ NA Permit # Septic Tank Manufacturer ,j ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units ONA Pump Tank Capacity a l 13�NA Estimated flow (average) :t g al/day Pump Tank Manufacturer ,t NA Design flow (peak), (Estimated x 1.5) al /da Pump Manufacturer ,U NA Soil Application Rate al /da /ft2 Pump Model ,J NA Standard Influent /Effluent Quality Monthly average" Pretreatment Unit I NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Fllter CI Peat Filter to Biochemical Oxygen Demand (BOD 6220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L '@Dn- Ground (gravity) O In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip - Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: 13 NA Other: ❑ NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s), At least once every: ❑ month(s) (Maximum 3 years) ❑ NA 65 y ear(s) Clean effluent filter At least once every: ❑ month(s) . ❑ NA $' ears) Inspect pump, pump controls & alarm At least once every: ❑ month(sl ONA ❑ ear(s) Flush laterals and pressure test At least once eve [3 month(s) NA �' ❑ year(s) Other: ❑ month(s) At least once every: El ear(s) NA Other: bT NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment un its, and an servicing at intervals Y 9 of s12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event., GMW (4/0 1) START UP AND OPERATION Page ,2 of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cellis) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall tie taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomet at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER, POWTS MAINTAINER i Name J' Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone This document was drafted In compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.54(1), (21 & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM t merlBuyer ax I Mailing Address Property Address (Verification required from Planning Department for new construction) City/State .,� Parcel Identification Number ;0 f 2 - `�� •lr�= " LEGAL DESCRIPTION � � � '/4, Sec. i� . T S_0 N - �_ W� Town of � Property Location /4, Lot # Subdivision , r Certified Survey Map # S� '`t S' Volume , Page # W Cl � S Volume C) 0 0� Page # Warranty Deed # ` � Spec house ❑ yes 'p no Lot lines identifiable ❑ yes ❑ no M N premature failure to handle wastes. Proper maintenance m could result in its p em ��YSTE MA11�1TE_ E use and maiatenanceof your septic system . What you put into the cyst Improper a licensed pumper consists of pumping out the septic tank every three years or sooner, if aided by can affect the function of the septic tank as a treatment stage in the waste disposal system eat a certification fom►, signed by the owner and by a The property owner agrees to submit to St. Croix Zoning DeparimverifYg that (1) the on -site wastewater disposal system masWplum� +l�ey°�pl�, restricted a licensedpumpa the tic tank is less than 1/3 full of sludge. is in proper operating condition and/or (2) after inspection and pumping (if necessary), seP is and agree to maintain the private sewage disposal system with the standards I/we, the un dersigned have head the above roquiremen eat of Natural Resources, State of Wisconsin. Certification ent of Commerce and the Department office within 30 e Zo ning set b the ix Coup nmg set forth, herein, as Y must be completed and returned to the St Croix County I � stating that your septic system has been maintained m mp da I of the three year expiration date. / E / ti DATE SIGMA F APPLICANT OWNER CERTIFICATION our knowledge. I (we) am (arc) the owner(s) of I (we) certify that all statements on this form are true to the best of my (our) ISIG described above, by virtue of a warranty deed recorded in Register of Deeds Office. (2 �,,,p ' 9 13103 a l' � DATE F APPLICANT rmit being revoked by the Zoning Department. • * «4f1 t • • • Any information that is mis- represented may result in the sanitary PC • •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I` FROM EDIIA REALLY HUDSON WISCONSIN OFFICE 84.16.1992 12153 NO.11 P. 2 d DOCUMENT NO. WARRANTY DEED THIS IPACX NXICAVIts FOR Pteoftoffla DATA STATE B". ONSIN FORM 2-19831 49(;903 8 VOL Pfflmt 07. cm W, . ...... ---- - -- Reed for Record ........ I .................... RqTHA...ANANPIVI.DUAL ........................... . ............... .... .... ................. ...................................................................................................... . .... . ... APR 5 1993 .................................................. ... .... conveys and warrants to ...... TK�k 6 ktii -- twcx ........... :20 m ........ i .................................... ................................................ ........................................................................................ : ............. I ...... ................................................................................................................. ................................................................................................................. ......................................................... I ....................................... ............... .. ...... ...................................... . ................ ............................... .... t ......... - -Oh . ........ . ............... . .......................................................................... . ..... LTS-16ork 4u& the following described rea "l In ..... ...................... State of Wisconsin Tax Parcel Not ........... . ... . .... . ..... (�PP SW 1/4 OF SE 1/4 OF SECTION 18-30-19 DESCRIBED AS FOLLOWS: A 'O'T FCERTIFIED SURVEY MAP FILED JUNE 29, 1984, IN VOLUE 10 5 1 ', AGE 14 AGE 1439 (NO. 39). bac- . II This .. JS NOT, . not) ...... homestead propert is t Exception to warranties: Dated this .........31 ....................... day of .............. March ................... ..93 ..........(SEAL) . ................. .................................................. (SCAL) ..Richard ...A,... Cap nth ............ . ............... t!: Aug. 6. 2003;12 :08PM PRUDENTIAL METRO WIDEC HOMES Gn No.0962.1 P. 2f 2/0� • c,�tt R-ltu b UKVLY NIAP Located in I / SW the 1 4 of the SE 1 /4 of Section 1$, T 30N, R 19W , Town of Somerset, St. Croix County, 'lriseonsin Surveyed fox: Richard Garoth 1133 Jansa Drive Shoreview, MN 55112 U N PL,ATTE D I.AIID9 Ike Z5 n't W 679.3' 293,29' o� OFTAIL A �_• NO SCq�6 d� , 20.80' ' 1C i N I la 0 : N .� 1z LOT 1 0 LOT 2 o a w d a I � a 6�3 ®oA so. FT. �tl55T5 Sd.FT•x, 10 LO r M I INCLUDING RIONT —OF -SWAY aE INCLU6114G 871362 50' FT RIGN1' -bF� Wav 1fl t; EnLUOINC RLGNT —OF -SWAY p 315026 so PT EXCLUOM A a te +, A iv Zi W R1GNT AI o Zz cA1� 4Z 0 5O 100 36 0 300 400 LEGEND 0 ON 21 g0uN0 loom Pin W1116"1104 k$8 LrV n m 69r CCvNTr iiOtION CoR�EA, d 6EA NTlE N GAF .� i-0 POINT OF 816114NING , •�+ ap 630.09' 293.28 } — — - 7 . its 29` 91/4 • CORNEA ~ 8EC710N S.E.CORNE SECTION tA-� T30N, "low I11'ii19w 4 a • UNPLATTEI) LA IBS 1% i Q «•+ Jul e 1984 '%ft a Yolume 5 r4p lli3'� TfITN PI M11 r 17�o1 /i5fer'S .moil T e5fing May Jo �"lollisfer °-° W9875 6901h Avenue � Fiver falls, Wisconsin X4022 0C T 2003 z - ST- C�b�1� C�l�IrJT� 2-ON\/v C, Ka w p� A bl - t t �D 2111 f-t �� Tt1IF (2E(°0 AjQy 2 �{ AYJ 1LS � Y1 e i I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ ti of 3 Division of Safety and Buildings in accordance with Comm 85, Ws, Adm. Coda CloMly 1 Attach complete site plan on paper not less than 8 112 x 11 Inches In size. Plan must 1 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road, 0 201104 — 10 - 0 00 { Please prtnt elf Information. a awed by CIA i Personal Information you provide may be used roc ncondary purposes (Privacy Law, s. 15.04 (t) (m)). � I property Owner 4 6ik4"11t; S6)MAIFER Property Location j 1EK Y t CAKUL MEA1 Rat pd SW 1145E 114 S �� T � N R 19 W Property Owner's Mailing Address Lot # Block # Subd, Name or CSM# g 50-I Z — C,5M VOLS Pte• 1W5 C ty State p Code Phone Number ❑ City ❑ Vinage 5dTown Nearest Road 50ME4SET I W I 54025 1 715 ) 5�1 - ] 3 New Construction Uss - g Residential f Number of bedrooms _ Code derived design flow rate 1 - - -- GPD ❑ Repiacament E3 Public or corn ^W dal - Des�be: -- Parent material ll -t1��1 SYi Flood Plain elevation if appllcabie ,_L11�� —__ tt General comments and recommendations: C01JVE1,1110MAL =M GAOUND T1G�a1C11LS f 0,7 LOAD W6 FtAMIG, I s Boring # El Boring t I Pit Ground surlace elev. _ v •S _ ft. Depth to limiting factor aQ _In. cal q Ilcation Rata 1 Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlff in. M unsell Qu. Sz. Cont. Color Gr. Sz. Sh. •lift#1 •E(ffM t Z 5 -11 - t z 0.b -m 7 I I 3 I I -1y 0 v 3 — S 1y` zr L l ;W -SO to y0c '/e — s! p 1 — . J.z U Boring # Boring U �(I p;t Ground surface elev. ft Depth to limiting fader _ Q In. SON • Rcatfon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDItf in. MunseN Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Eff112 I 0-1 L I( orb � s o 8 10 ANil — 4 zf as Z s 9.8 - - 7.;? 1 rn -L Z 10 5 Effluent #1 m 800 > 30 1 220 mg/L and TSS >30 < 150 mg(L ' Eftlueru #2 = BOO < 30 nVIL. and TSS S 30 mg1L CST Name (Please Print) Signs re CST Number Nl so H 4L� sYr✓ 2Z 3Z. Address Date Evalue8eon Conducted Telephone Number w1us b4fl R(VE FZ, 'FALLS WI 540? N.- - O:5 L. N2b -1'775 i� 41 r ( Prropp"Owner r!/�� tT IQ1CV � eAKDL ParcelIDp Z O `' /0 OOOO Page Z of � sj Boring # ❑ Boring (— ) pit Ground surface slay. - �l ' - ft. Depth to limiting factor.- ,_ 75 in. Soil Ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 -Ib 3 L 3f -mabA y r -c .5 0.8 10'11 7. 3 /4 -' !s as -co Lz 17 -25 7.5 V 3 r 0.s -M 0. 0. 2S !o 1 tc 5 M1 - 0."1 I.2 -7 *i, — s I z _ 0 -75 .5YR'3/ 51 lnRGtb as L Z 540 1 7.5YK Y K L'11 . 51 abK �r -- •`{ 0 •� [ I Boring # Boring ❑ pit Ground surface slay. _ ft Depth to limiting factor .__ In. Soil Application Rate Horlzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 f 0 -1z Jo 3 — sf rn ds 2 - 0.5 0.9 12-1 ' `tR 15 -rn d s g 0 .7 1. Z CA Cs - 0 1.2- 4 _ S C -� 0. 1, 2- a — 0, 4 _ C� cat d1i I 0( ❑ Boring Boring # F ❑ pit Ground surface slay. __�__._ h. Depth to limiting factor In. Sol! A p2licatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfP y In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 c ' I s i, ' Effluent 91 = BOO, > 30 c 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS _< 30 mg1L {' 1 F ii 'ncc Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or ; { need material in an altemate format, please. contact the department at 608.266.3151 or TTY 608-264-8777. SSDd330 (R.6100) i f )f i PLOT� PLAN 1211YOYiMU; ME4K TE$94 cARa dL /- = `�0 �cCePT ►vq &K NOTED a5MPVQN! Wi ?�, Von., S� P&- L s l - Toe F 4c PIPE . q.3 VE 3 c SD E- 5W Y4 oF TH E FlICE- lk / 1 SEA L- l- ' %fE aAokW0 SLLRFACE.10�.�1' F-1- 50L DOING W/ M 11010MM 83 Si lWa ptzO IM5 gg �10 A � Q a f`w G 3 B c GZC3Z- X k��'�vx <c Lo CATtvn \ of Nms>E `t2- 1 0 4 4, to I r o. ►06.00 102,06 100.09 ' ! ^� i �f i y, h ;! S1GN�{7 C5t ZZ , I PATE: 06.25-03