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HomeMy WebLinkAbout032-2115-00-000 ST. CROIX COUNTY WISCONSIN ZONING OFFICE 0 III III ■ M N - rn~■ ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ,,M, Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 Thursday, April 04, 2002 M & G, Inc. 2327 53rd Street Somerset, WI 54025 Regarding septic inspection for M & G, Inc.. Location of Property in St. Croix County: Municipality: Somerset Township Subdivision or Plat: Meadowoods Certified Survey Map: Lot: 10 Address: 2327 53rd Street Dear Applicant: A septic inspection of the above reference property was conducted on January 17,2002. This property is located in the NE 1/4 SW 1/4 of Section 3, T31N R19W, Meadowoods (Lot 10), Somerset Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a 3 bedroom home. If you have any questions regarding this, please contact our office at 715.386.4680. Si rely, Kevin Grabau Zoning Staff cc: file ~ T r Worn sin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (t)(m)). 384262 P r Ho de ' ~am ❑ City ❑ Village Town o : State Plan ID No.: b nc. IKe bermain, Somerset Township CST BM E ev.: / Insp. BM E ev.: BM Descriptio Parcel Tax No.: ~C I cv, SO CST (41/ fA Z tae 032-2115-00-000 TANK INFORMATION ELEVATION OAT TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. r 1 Septic L~e Benchmarko:-t- ~oS,7 ~~~gD Dosing It. BM 3g~ 10(.91' Aeration Bldg. Sewer b3 43. z f Holding St/Ht inlet .12 9 6 • F,f' TANK SETBACK INFORMATION St/ Ht Outlet 9.19 qf~ •S8' TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 106~ NA Dt Bottom 10, 0'4 Dosing NA Header /Man. 9 S . r3 1 ~S r Aeration NA Dist. Pipe ~0 10 ys-. 61- stem L-i - Bot. Sy I q4-30" Holding PUMP/ SIPHON INFORMATION Final Grad . 3o' Demand S Cover to(. ID r Man cturer Model Nu er GPM TDH L' Friction System DH Ft For main Length Dia. Fi DistToweil SOIL ABSORPTION SYSTEM IWidth / Lenth No.O Trenc hes PIT No.Of Pits Inside Dia. Liquid Depth -DIMENSIONS - LEACHING Manu adurer: SYSTEM TO P / L BLD WELL LAKE /STREAM CHAMBER iL N Type r 1 model Number: System: o OR UNIT DISTRIBUTION SYSTE lc.~ =/.*anit a ion Pipe(s) i i Hole Size x Hole Spacint To Air Intake ia. Spacing 1 3 ( r SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over I xx Depth Of xx Seeded J Sodded Mulched Topsoil Q Yes ❑ No xxQ Yes ❑ No Bed /Trench Center Bed /Trench Edges COMMENTS: (Include code discrepancies, persons present, (;}Bpection #1: 17-401Z> / Inspection #2: -`-i / Location: 2327 53rd Street, Somerset, WI 54025 (NE 1/4 SW 1/4 3 T31 N R19W) - 0331191058 aAparinwnnri s -1 nt in , Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code ~j 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 I*Isconsin Personal information you provide may be used for secondary purposes Madison, WI 53707-7302 Department of Commerce (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8-1/2 x 11 inches in size. Coun State Sanitary Permit Number heck if revision to previous application State Plan I. D. Number C 3 yz 6 2- 1. Application Information - Please Print all Information Location: Property Owner Name Property Location /170L 6: Tmf. ice, ~'Y '`7l / C- E F 1/4 l/)1/4, S T N, R (or Property Owner's Mailing Address i Lot Number Block umber 135-9 ALV.47UCq;)=-- 7-A- P-i 1 /b City, State Zip Code P 64 b , Subdivision Name or CSM Number II. Type of Building: (check one) ❑ City 1 or 2 Family Dwelling -No. of Bedrooms : _ 9 r 0 ToVillage wn of ❑ Public/Commercial (describe use):_ ❑ State-Owned 501-14Z--ASk?-T- Nearest Road 3 I/A S% 36 ~i Parcel Tax Number(s) III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) 3. 3(, S- A) 1. Pl New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) Permit Number Date Issued A A Sanitary Permit was previously issued ~ - S - IV. Type of POWT System: (Check all that apply) KNon-pressurized In-ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In-ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 30 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation • //YFs~ rn*r42 5 (0 V- VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks 00 - ` ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibili or installation of the POWTS shown o d plans. Plumber's Name (print) P mb 's Signature (no slam s): RS No Business Phone Number Plumber s Address (Street, City, State, Zip ode) 586Yc`,e YE cos IX. County/Departme t Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) rh Approved ❑ Owner Given Initial Adverse Surcharge FeJ,e) Determination /f' ,,r,-e , d O ( 2 / X. Conditions of Approval /Reasons for Disapproval: 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. This revision was submitted to reflect a change in system location. SBD-6398 (R. 07/00) U~ r/EN' 4t- 1 ' i ! r" - , + ' ' ~ ~ 'p'er"I~ I ' - E w r t E r ~ ~QOrQ r i q _ - aT_ lei, d -r-- - + - - - - - { - -T r - _7 v I 93,75 t? ewc 1-ifi6wS : • ' BM , i f i 1 I i : r ~ ' i f 1 i - t - fit _ - i - f-- - z I I ~ i ~ ~ + FIO~SL ' f ~ I t r- P OS E I E ~ ; ~ i i i_~- tl0p i ' I t T' + , i ' 5-Y ~ I I + r..-Tt`L-G_L~ Jqi(W i z a • r i # 1 a 1 . i i I ~ I f ~ I - - I ' fi a , ~ p r ' Y i ? ! t • i r ~ } ? t t t -i f t i ! t y r I -J- . _ E 4 4-- V I , i k 3 f 1 I. i . I , I i t _ ? - IIIf i , 1083 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less tl a es in size. Plan must County St. Croix include, but not limited to: vertical and hop~ntq r4rfgre M), direction and percent slope, scale or dimemsions, a andiah~ rrce to nearest road. Parcel I.D. 032-2115-00 / E Please nnt.'all i fo tion.``,X Date Personal information you provigrnayt)e used for urposes Privacy s. 15.04 (1) (m)). Property Owner Property Location M & G Inc Govt. Lot na NE 19 SW 1/4 S 3 T 31 NR 19 W lock # Subd. Name or CSM# Property Owner's Mailing Addre v-- Lot # BI 1359 Awatukee Trail i ef~ 10 na Meadowoods City St Code r e Number, J City _ j Village Town Nearest Road Hudson W11 $ --71 1 Somerset 53Rd St. New Construction Use: j Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a conventional septic with a 0.5 gpd/sgft rating. Possible system elevation for Area I is 94.0'. Boring # j Boring f Pit Ground Surface elev. 100.00 ft. Depth to limiting factor >122 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/3 none 1 2mgr mfr gw 2m .5 r .8 2 9-45 10yr414 none sl 2msbk mfr gw If .5 .9 V 3 45-122 10yr5/4 none sl 2msbk mfr .5 .9 t Boring # Boring 601 Pit Ground Surface elev. 99.55 ft. Depth to limiting factor >124 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr4/3 none I 2mgr mfr gw 2m .5 .8 2 8-60 10yr4/4 none sl 2msbk mfr gw if .5 .9 3 60-124 10yr5/4 none Is 1 msbk mvfr .7 r 1.2,- f iog.G v * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <.30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature- CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 686 Valley View Trail, Somerset, WI 54025 9/11/01 715-549-6651 Property Owner M & G Inc Parcel ID # 032-2115-00 Page 2 of 3 3 ] Boring # Boring 01 Pit Ground Surface elev. 100.62 ft. Depth to limiting factor > 125 in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/3 none 1 2mgr mfr gw 2m .5 .8,/ 2 7-43 10yr4/3 none scl 2msbk mfr gw 1f .4 .6 V 3 4 1 10yr4/4 none sl 2msbk mfr 9w .5 .9 v rr$ << 4 61-125 10yr5/4 none ms Osg ml .7 1.2 at Q :0 F-1 Boring # 1 Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. *Eff#1 *Eff#2 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = SOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODE ^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 --i motvri~l ;n - oIt-f f-r -1- -+-f tl,. il-rfmnr.t at 4AQ-149+-11 G 1 - TTV AnR-7(.A-R'7 7'7 r A~ r 9q~`~ rd C/ Q-t IOT R"Q BPI. Zap a~ a ~.~vc ~ ~ L. lam, Qo r4w ~h~~ : rn G zNc , raAJ Ohy p, o, a~X G8 ~s7-,,(-~ Some"-S,--Ai a~~spa ~ I/# Iley, Zrc, S~ ew-r-iJ. G✓.Z.~a s- s-V /V~ Y ylJ - 53 7-311j1A-'/P4J Mans 4 o Some.r -Af a3a S3 a 5+. -~40 3 0 ('0 6 Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 r.~rnS~n Personal information you provide may be used for secondary purposes Madison, WI 53707-7302 Department of Commerce (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach complete plans (to the county copy only) for the system, on ss than 8-1/2 x 11 inches in size. County State San' Permit Number ❑ Check if revi ' n }ire i s'-*p is-' n State Plan I. D. Number <PkI 1. Application Information - Please Print all Information ocation: Property Owner Name ` )C perry Location L 1/4,540 1/4, S T3 N, R/ (or)~p Pr4eft~ Owner's Mailing Address I "o Number Block umber v~.5 C(/ r~ Ems' City, State Zip Code Phohp Numb ft OFFKE bdivision Name or CSM Number .1 II. Type of Building: (check one) c . ❑ City Village 11 1 or 2 Family Dwelling - No. of Bedrooms :3_~ )!9 Town of ❑ Public/Commercial (describe use):_ ❑ State-Owned O ck E/r Nearest Road , 5 3 7' 3 r 1i g AS Parcel Tax Number(s) III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) -5.31. 1 c f. lp$- A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) 4 Uff Non-pressurized In-ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In-ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation y5V 7S 3 7 ,o 9~ 9G-o VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks - r /110Dd /1000 VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown o ched plans. Signature (no stamps): /114PRS Business Phone Number Plumber's Name (print) Plu er Is 1~~ VIA1 IJC/- ,1OLD-. Q.ObAes Address (Street, City, State, Zip Code) C G- e /E 1` - r' .SAO 5 IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issui g Agent Signa (No stamps) tKApproved ❑ Owner Given Initial Adverse Surcharge Fee) ~ Determination I ZZ~ 2 ~W X. Conditions of Approval /Reasons for Disapproval: ill l x v cs e o-~ 4. W. t_ . s o~q~ S 40~ - a.,e_ trl. tom' 1 A a tV t S' l5 Sr ~yCQ. t w Jl l 'psi S~.fL' +"L -T t V t S ` N ~J CXR/ fil SBD-6398 (R. 07/00) i I I Ago /iY L . i - - - - - - T ~ - - i ! i L lAl I ~ I 6o G. L. T /Ob ; I I i~ S~- - i t i I r 9 1 t PrA WIA I. Jp i" j gel i • I - Y-_ -r i - (ILI y ci/ , rt p 97 • f T , !'c7cjr T K L. YY • y~ f r { t P i . 11 t i rvll i 'r -j a + { •3 6 A 4- 1 a - I rt-- _ - - - i - - , i t a e I P E t € ' I 1 . I } r , I t ) s 1 • i ; I ~ I f 7117-1 1 , t * } 1 • I i , r 4 ! r i 11. 7 i Aconsin Department of Commerce SOIL AND SITE EVALUATION DivisionsiLSafety and Buildings Page 1 of 3 Bureau of Rtegrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches inAe Plan must County include, but not limited to: vertical and horizontal reference point (RM); direction aryl-1 percent slope, scale or dimensions, north arrow, and location and,66t4nce to 60arest r? a pel I.D. # i APPLICANT INFORMATION -Please print all infgrmP~tio& IleV edgy r Date Personal information you provide may be used for secondary purposes (Pr~acY4aw s 15.Q¢}i1<1~~j,;:~ 3 ~ a ! G ' Property Owner 7 tir~ rlfation Richard Stout Govt. Lo /"'1/4 1/4,S T ,,R E (or) ENE f SW 3 3 3 1 9 Property Owner's Mailing Address tqt # BlocfC# Subd. Name or CSM# 1353 Awatukee Trail Meadowoods City State Zip Code Phone Number ❑ ge [M Town Nearest Road Hudson Wi 54016 (715 )549-6731 Somer~tilla 232nd Ave ® New Construction Use: El Residential / Number of bedrooms 4 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6 0 0 gpd Recommended design loading rate . 7 bed, gpd/ft2-8-_trench, gpd/ft2 Absorption area required R ri R bed, ft2 7 5 0 trench, ft2 Maximum design loading rate 7 bed, gpd/ft2---8-trench, gpd/ft2 Recommended infiltration surface elevation(s) See plet plan ft (as referred to site plan benchmark) Additional design/site considerations Parent material AOB Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = unsuitable for system ®S ❑ U l21 S0 U CRS ❑ U 0 S ❑ U ❑ S E] U ❑ S P U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench 1 1 0-1 10yr4/3 sil 1 Mon0if 2 12-45 10yr4/6 sicl 2 mfi cs .4,.5 Ground 3 45-94 10yr4/4 ms os ml elev. 96.0 ft. Depth to limiting fa4tgr 44 in. Remarks: Boring # 1 - M46 . 6! 2 -46 10 r4 6 C; i r- 1 -2 ??1.. mfi GS .4 5 3 6-9 10 r4 4 Ground elev. 97.0 ft. / gZSD Depth to limiting n factor 9 6 in. Remarks: CST Name (Please Print) Signature Telephone No. Address Date CST Number 6f PROPERTY OWNER Ric-ha r(] fitnui SOIL DESCRIPTION REPORT Page 2 , o 3 PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 0-10 10yr4/3 it 1 eO mfr Cs 1f .5 6 2 10-4 10yr4/6 icl 2 mfi Cs .4 '.5 Ground 3 8-9 10yr4/4 s osg ml Cs .7 ;.8 elev. 96.40 ft. Depth to limiting factor _9-8--in. Remarks: Boring # 1 -12 10yr4/3 it 1 hoebk mfr C17 S if 2 12-4 10 r4/6 icl jw'ov' mfi CS -4 1; 3 8-9 10yr4/4 s os ml Cs .7 A Ground elev. 9 6 -7-0-ft. Depth to , limiting factor -32--in. Remarks: FHorizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Q-8 I nyrA/I -4- CS 1 f .5 .6 -40 10yr4/6 icl -2178 t:,e mfi c ---4 c; 3 0-9 10 r4 4 Ground elev. 95.3 ft. Depth to limiting factor 9 0 in. Remarks: Boring # Ground elev. Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) „30 Y U Ba • ~u G°YN eY - ♦ ma Page of MANAGEMENT PLAN This Private Onsite Wastewater Treatment system (POWTS) has been desigped and is to be installed and maintained in aexxdingto Comm 83, Wis. Admin. Code, the. in-Ground Soil Absorption Component Manual for Private OnsiteWasUnvalu"FrealmmitSyslLaus(SI3D 05674%.tune11,1999), 1. This POWTS has been designed to accommodate a maximum daily flow of gallons of domestic wastewater-per day. The quality of influent discharged into the POWTS treatment or disposal component shall be equal to or less than all of the following: a monthly average of 30 mg/L fats, oil and grease a monthly average of 220 mg/L BOD 5 a monthly average of 159 mg/L TSS. Wastewater shall not be discharged to the POWTS in quantities or qualities that exceed these limits or that result in exceeding the enforcement standards and preventative action limits specified in ch. NR 140 Tables 1 & 2 at a point of standards application, except as provided in Comm 83.03 (4)m Wis. Admin. Code. 2. The owner of this POWTS is responsible for system operation and maintenance. The following maintenance shall occur within three (3) years of the date of installation and at least once every three years thereafter: 1. The septic tank shall be pumped be a certified septage servicing operator, licensed under s2.81.48, Wis. Stats, unless inspection by a licensed master plumber or other person authorized to make such inspection, finds less than (1/3) of the tank volume occupied be sludge and scum. More frequent pumping may be necessary to prevent solids from exceeding one-third (1/3) if the volume of the tank.. Wastes shall be disposed of by the pumper in accordance with ch. NR 113 Wis. Admin. Code. At each pumping the pumper must visually inspect the condition of the tank, baffles, rizers, and manhole cover and verify that any required locks are present. 2. The soil absorption component(s) shall be visually inspected by a licensed master plumber, certified septage servicing operator or POWTS inspector. Inspection shall check for evidence of discharge of sewage to the ground surface and for ponding of effluent in the distribution cell. 3. ~tailter(asnushall be inspected and cleaned to remove any accumulated solids a facturer s specs dcaUons. to Flter cartridge shall not be removed unless provisions are made to retain solids in the tank. Cleaning of the filter at more frequent intervals may be necessary. 4. Any pump, alarm or related electrical connections shall be visually checked for defects and tested to confirm that they are operating properly. 5. Reports for all system maintenance shall be submitted to St. Croix County Zoning in accordance with Comm 83.55, Wis. Admin. Code. 3. Defects or malfunctions identified during maintenance described in item #2 above shall be repaired in conformance with Comm 83, Wis. Admin. Code. 4. Anytime a failure or malfunction occurs, it shall be reported to the owner of this POWTS. Repair or connection of such failure or malfunction shall comply with Comm 83, Wis. Admin. Code. 5. No one should enter a septic or other treatment tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within these tanks may contain lethal gases and rescue of a person from the interior of the tank may be difficult or impossible. 6. No product for chemical or physical restoration or chemical or physical procedures for POWTS may be used unless approved by the Department of Commerce in accordance with Comm 84, Wis. Admin. Code. 7. In the event that this POWTS or a component of this POWTS fails and cannot be repaired, the following contingency plan is proposed: The failing component shall be replaced.. This may require a new soil evaluation to determine where a new soil absorption c component can be. 8. If this POWTS is replaced, or its use is discontinued, it shall be abandoned in accordance with Comm a83.33, Wis. Admin.. Code. 9. Name and number of local health agency; St Cmix County Zoning - 715-386-4680. 10. Name of service contractor in case of failure or malfunction Schmitt & Sons Excavating 715-549-6651 I ' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 1`tll L Mailing Address i3sq P,r►AI r.,l~~t "rR }~~A3or) Property Address 2-37171 r~ ✓ ST R F SST / (Verification required from Planning Department for new construction) City/State Parcel Identification Number d 3~' a 11 S 6-0 LEGAL DESCRIPTION Property Location &1~- !/n, ~ w Seca Town of SOW y, Sub.., LC7t " 1C~ Certified Survey Map # , Volume , Page # Warranty Deed # foy~~z l Volume , Page # Spec house yes ❑ no Jot lines identifiable LX yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanccof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the syster can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning office within 30 days of a three year expiration date. SIG ATURE O , APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a ~%.irranty deed recorded in Register of Deeds Office. ~ Co / 1 SIG ATURE F 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 fiom the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 06/2@/2@61 01: 21 1715247,3622 REMW TEAM 1 REALTY PAGE 61 08!10.`=bi WED 11:14 FAX 716 058 4087 --REGISTER OF DEEDS ~Plk STATE BAR OR WISCONSIN FORM 2,_ 196$ vVnREtANTYDBED - KAT14LEE m. WALON , Q"rmrt rv,.nmr 16 64 16 6 RE4I&T OF DEEDS 51- + Tfri= TJvod, m&de SetW... I-_ w W-,Vn 0 RECW -xrruanr, _tt. r7t7~ g~nlFa. -e~ zoai as~a PA ""TY Do r, ~ --~8~►-.~lr.,-..~.-__ lrrrnCpre 'I~ ~fpTp - r,.ra1'Car, P91~+f5f -erat~tlf, fM a vatU.i+%. rrrosxlarsGOn, eor:•~~syy v1d Wa!rArtrs ?e vranhN tha id;ipWln~ } dmcrhed ma amass in ~St. L1S}L. Meunty, State of Nr; an wun: Plat of M . +f ~ rt.4r aA n: r u t ..,........x_,..~.,.._ e OEdoWoada Town at Somerset, a---••- LO#rrrix Ceuat _ r ;wma zstcstW., flak 1 Ira AwAT'-k- TX lA 4010 u t nana+laarsarx!gr! rJtat~BOr This S not r,wmEv.d prarim 001 rat) I 1~ !I r; e , f! f, eFaepdortytnwarran:tcs; ear~amenta, r03trictions, rightm-a£-Ray and covenanss of raecrre3. ,r :r d °...~.Q. St_ ut Jatfe~C 1i^StC11T. AUTRANUCATION ACKNOWLIDC•MENiT State Of Wia,c+nsin. St. Croix _ -Clangs aa. i; atnhrnt;s:acm zNSc ,,,,..day .i Pczba.w'ly mane baforc nl9 CIICO . uny sX _~.7.Qp.L,:f+eaooverrasltc.l =F. ME+IBERSTATI W OF WnCC;C SDj !1f not. _~T ",mrun ma Mawr, to bb ft p-,,*Pq . wha .xecuted ',he f sf4 plrsg :utnortrd by 47D8.08, Wit. SSOSi ; ~r Nk m,a nun.~t and r0knmvledye t x x0 ixt$+tdSTAVtrAa?lTWa30AmhrCDIIY A0 Janet P. Stcut Q~ t tX t- t - 7353 atlwS t~jGae Tr ~If r ov CGtL- w -~1 f~1•' f'{ Hud;Cn tiS $AQ16 p(f17rM+" NdwryPut:V:c.$tawor W,ISCOnai+ MY ocmrrt]s!tar is pe;inmert. TI qpt, sum .-pV*11,,n darn; gHro tr.. riry IX a,&"vJmtW or asttrtovnad tll dllF nacessat'rj nr,,.uw H-of raseru +s+.n o ~ r e.pac w wee ro Irpd or net,uq wlo rio0 a' p W (A W7aaWCiN v Tcrain 4NPI Bull Q4. 16C, I WnRRnn'Ct aa;,y SUN aW-4.2 - 1099 YAW&AK92, Vrfa. 1•rR. HR1-966:801 ' ,}7 0..'$ ~ a New J[_" 621' v>n.- , y ) .-i.. r f'`i+"c ~cJr. 1 , i I+•. I I roR I $219 900 ~.~y y y.,f$ "~i a I n C 1 oc ti ~:r' Y^ f : •ii % r/ i i / I/i tl~1 F.~Sl ~ll.ul Os~ 7EMPOR {3n6Y0 J ,'y.%~~Y!/sl£ "ui~ii 7P AHY.~ I I I :I.' Lot 5 SOLD COL-OE-SAC- R A ;J=--- ,1 ~ SPEC ' Ea5E1fE -7 C l-n '-s A C 133sy4 30. -r i • 7h IV, 1 i 3.07 TCt1C5 6f l7 \ ~J~{ky{(l`~~LQ~y'Jry~S{.,/tl' ?~T~of q/ 9 a HI 9 9- .,rR78- i.! I 'f 1L - 7 _ i ~ Stl3.8 ~ ur Y F r 153.962 50. ri.y O>. Lot 4 SOLD d.08 ACRES qU7 P SPEC $194,900 r_ ' i 5 Ill 645' Lot 3 S 9 OLD s 1 137770 SO: fT. 5 ! V B3 J'.16 (.GRCS ; ~m~ p~/ ' S Lot 8 $469900 o 1 5 / '3' r W 7 165.688'fO. FT. K.:. t r'.`. • 7 el.r~ ❑ 3.80 ACRES 6985, - "y O 1 / 7JT w. 387' n V y 6 a 3~; p2 9Ej I r ! 1 4 { i ~ X Lot 2 991.5 J :.1 C. X 97 .9 . X JJ 285.5' r• CI z 6a:} N31 S02 6o-T?: o Lot 10 $47 900 y970.7 3.02 ~CRCS g 9b5.3 Lot 9 SOLD SO. A:' (o 1 ff)jj 130:7360. Fl. • $219900 / 133.732.00 ACRES FT. I / 3 •1 ' ,y 378.5 fI BIO• X .'5.00/AC/5RCS ' x. 98,.7 966.7 i , 63 O - ' - 7 x2 • / -yc.t 87 • ' 932.8 {J,r~ 980.6 8Z >f 982.6- ' •X . _ _ O 976. 89 970.; ` X 5 3 992.1 3 ^ 9x8.5 , ' I ~zs' es 99,.n 1 ~ - Lot 1 SOLDX vi Lot 12 SOLD 113.609 So. A. 8 Tx_ ' .74X4 3:Q7 ~RFS ❑1 ' 9An o 990 7 130 30 0. • T 2 .9~9131 Lot 11 SOLD 7 0X771 a . rl 'p -si _ 729 50. 1 11 < 'y:,,y~~,.. t h• .Kk• _ 986. 133.00. ACRC999.I ❑ ❑ O^ .1, J .a.... r 2 , i5\yV o- ' I I .5-... x v xxo c.~. 'zcr=w,lt'4~ I w A' ,1- ( tR a sb {a F` `•i• t'°~~~~ ~ . I I e Tz' ufu7Y>•c~seA~'vvr, 3mrf,c ~ ' .r. 2-~ 2~7~15~ A Y~N,rII E_ _ ` -•b'8...~ ~ 1'7.4 { BENCH NARK: L:V y ( i TOP OF IRON PIP~.• i 1 1 96C.~a0 i I r EEEV.9 9J •n 1.• '.~Fi MEADOWOODS A W;II A RF/V W team 1 realty P.O. Box 68.103 Main St., Somerset, WI 54025 Direct: (715) 247-4449 Office: (715) 247-5900 Fax (715) 247-3622 WELCOME TO MEADOWOODS SOMERSET'S NEWEST DEVELOPMENT -Offering a tranquil blend of open meadows and wooded lots. Just 15 minutes from Stillwater, making this an easy commute to the Twin Cities Metro Area. Compliment your dream home with the perfect setting. For more information, please contact Mike, Jo or Stacy LOT # ACRES: AMT: DESC: PID#: 1 2322 3.07 $154,900 Open 032-2114-10 Sold 2 2328 3.02 $219,900 Wooded 032-2114-20 3 2334 3.16 $172,900 Wooded 032-1006-90 Sold 4 2340 3.28 $ 45,900 Wooded 032-2114-40 Sold 5 2348 3.21 $ 45,900 Wooded 032-2114-50 Sold 6 2351 3.07 $ 219,900 Wooded 032-2114-60 Spec 7 2345 3.08 $194,900 Wooded 032-2114-70 Spec 8 2339 3.80 $ 46,900 Ent/Wood 032-2114-80 9 2333 3.00 $164,900 Ent/Wood 032-2114-90 Sold 10 2327 3.00 $ 47,900 1/2Wood 032-2115-00 11 2321 3.00 $169,900 Open 032-2115-10 Sold 12 550 232nd 3.00 $179,900 Open 032-2115-20 Sold Directions: Taxes: Schools: N. on Hwy 35, West 230th Ave. To Be Determined Somereet N. On Cty Rd. 1, Left on 232nd Ave., Right on 53rd St. Legal: Lot I -12 Meadowoods { L Mike Germain Jo Hinz Stacy Swanson Carol Germain Broker-Owner Licensed Assistant Licensed Assistant Team Coordinator mgermain@realtor.com 12t johinz@pressenter.com stacyswanson @ pressenter.com Equal Housing www.mikegermain.com ®MLSP Lender 3.28 ACRES I lJ 1 / i ~ ~ ~ N43'49 N77•49,17.w • ©f l Sg75j, oh/ ; O• / 1 140 3 / of 165 137,770 50. FT- ' 3.16 ACRES f~ Ne 40 / / or ~y / N88'18'01"E 7: 6792 ~ 1 ~ S•H, N88'16'010E 395.71' /0 N. • f I cd SO. FT. (d/ //4L I cd ACRES / i ff / J 10 N f 130,732 SQ. FT. , fV i I / 3.00 ACRES 11 66., f _ I 1 I I O O 1 r 1 I A17-W I 1 11 426 641 MI 1 I~ ~r i 1 r co ri r 1 N88-1 6'01'E 472.95' w it 1 f .r ~ Ir I I 1 i i 1 M S I 1 I Q 605 S0. FT. = I z - 4 I~ 11 I .07 ACRES a 1 1 l i ao Lc I I : I 130,729 SO. FT- 1 3.00 ACRES 1 I 06.I N N I 1 T I lil) I- : ` i O 1 M NI IN IN 61 • N I N Y I Z Ir- 1 1 CI 4D EASEMENT RIGHT-OF--WAY 232nd Avenue (DEDICATED i j i I I I TO T04WV.• 1$98 S0. Fr / a 04 ACRES) IMP I r X12' uTKITY EA,r cq f ------S88'3Y33-Wr\\x\ I I N I 1098.74- r --604.54'------- - , - -428.20'---------\-fi i~ r~~s -_'-464.45' _ r • • -66.00'-' 604.53--------- 428.51'------- _ - ~M-2~~- _1329.74 - - _ Zb,"RIGHT-OF--WAY 232nd Avenue (DEDICATED 2 3 2 N D A V_E N U E - TO TOWN. 3314 SO. FT. /0.08 AC) -----------------•----a SOU7H LINE OF NE NE V4 Or 7N£ SW 114 UNPLATTED_ LANDS