HomeMy WebLinkAbout032-1027-90-075 I
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 453348 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
•
Personal information you provide may be used for secondary purposes [Privacy Law, 1.15.04 (1)(m)i.
Permit Holder's Name: City Village X Township Parcel Tax No:
Reeck, Tom I Somerset Townsh
CST BM Elev: Insp. BM Elev: BM Description. Section/Town /Range /Map No:
/0d�d V
�1� -� �6 Z 10.31.19.
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Bench
Dosin � !� /s r Alt. BM
Aeration Vj/ 6 Bld wer 3U- L �
Holding St/Ht Inlet 1ie1 4 _' 0 _
TANK SETBACK INFORMATION SUHt Outlet r TANK TO � WELL BLDG. Vent to Air Intake ROAD Dt Inlet —
Septic g o t j G Dt Bottom
Dosing 6 H eader /Ma n.
Aeration Dist. Pipe 3 ��
Z �•�
Holding Bot. System y G{ 1
PUMP /SIPHON INFORMATION Final Grade ln,, << S 2
Manufacturer errand St Cover
GPM
Model er �(
TDH Lift Friction Loss He TDH Ft
Forcemain Length Di Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS (O ---
SETBACK SYSTEM TO P/L JBLDG WEL LAKE /STREA LEACHING anufacture
INFORMATION T f S stem: t CHAMBER 0
yp y / Model Number:
D BUTTON SYSTEM S
Header/ nifold IDistribution I x Hole Size x Hole Spacing Vent to Air Intak l
9 --1— r 1 -e 9 s / _ Q � �p I 9� ��
Len th Dia Len th _/�_ Dia acin --
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
xx Depth of eded /Sodded xx Mulched
Depth Over Center Bed/Trench Edges Topsoil
Depth Over Depth Over xx Se
0 Yes No Ell Yes o ��
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 / b Inspection #2:
Location: 2291 50th Street Somerset, Wl 54025 (NW 1/4 NW 1/4 10 T31N R19W) NA Lot 3 Parcel No: 10.31.19.
1.) Alt BM Description � Sc ccKp tf i t" 14'w,�7 ,
2.) Bldg sewer length
- amount of cover = / l / �Z",ko 1 � � 4154,el
Plan
-- — - __
revis
Use other d side for ad tional information.
No
SBD -6710 (R.3l97) Date Insepctors ature Cert. No.
Safety and Buildings Division County T �J
201 W. Washington Ave., P.O. Box 7162
N isconsin Madison, WI 53707 — 7162 Sanitary Permit Nu to be filled in by Co.)
Department of Commerce (608) T66 -3151 5 3 mber
Sanitary Permit Application State Plan I.D. Num r -
as o
in accord with Comm 83.21, Wis. Ad- Code, personal information you provide - - r o - 1A A tr /7
may be used for secondary puq*= Privacy Law, sl5.04(ixm) Project Address (f diffenert mailing address)
1. Application Information - Please Print All Information a, , 1 is
s
Owner's Name -
Parcel # Lot # Block #
E e
Property owners Mailing Address Property Location
City, State // l� Zip� Phone Number' / V4, i A. Sectio
v'5 e. f'd X y " i S ! ® 7/j Z9 V J,9 Z4 T J N; R/_23 r W
IL Type of Building (check all that apply) U W
I or 2 Family Dwelling - Number of Bedrooms 120 C / Q�{� Subdivision Name CSM N uu mb be er
Publicicommescial -Describe Use kJ ! i
State Owned - Describe Use ' ,(/1•Lf City_ Villa P o f/G. cTO.*-r'e'
III. Type 't: (Check only one box on line A. Complete line B if applicable)
New Sy Replacement System Tneatment/Holdiag Tank Replacement Only Other Modification to Existing System
B • Permit Renewal Permit Revision Change of Permit Transfer to New List Previous Permit Number and Nate Issued
Before Expiration Plumber owner
I[V. S m: (Check all that apply)
- I'rrssuri nd Mound 2t 24 in. of suitable soil Mound < 24 in. of suitable soil At -Grade Single Pass Sand hitter
Constructed Wedand Pressurized In olding Tank Peat Filter Aerobic Treatment Unit Recirculating Sand Filter
Recirculating Synthetic Media Filter Leaching Chamber Drip Line Graveld Pi _ Other (ex lain
V. Dispersalfrreatment Area Info
Design Plow (gpd) Design Soil Application Raw(gpdst) I Dispersal Area Required ( Dispersal Proposed t) S
t ( System Elevation
VL Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks
or Holding Tuck
Aerobic Treatment Unit
Dosing Chamber
VII. Res onsibility Statement- I, the undersigned, assume respousibllity for of the POWTS shown on the attached plans,
n umber's NameTtint) Plumbers Signature M umber Business Phone Number
o'e.-Itic r7CcW A, l_s Zz Z67Z• V 7s? -p7 Z i
Plumbers Address (Street. City, State, Zi
1 to) I r_
?b o t '' G?V 44r- , V 6?f3
VIII. Conn /De artment Use Onl
Sanitary Permit Fee (includes Groundwater Date Issued
Approv Disapproved Surcharge Fee) C/o / Agen ign u S )
Owner Given Reason for Denial
DL C.
Conditions of Approval/R 3 �G�'1��27.�+ �� G�d�i6h�
Y �OWNER:
Se tp is tank effluent filter and
F� �d-yt m aint a ined
C iscT�pers — al cell must all be serviced /maintained
as per management plan provided by plumber.
2, Awsetback requirements must be maintaine
as per applicable code/ordinances. .
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Attach complete plans (to the County only) for the system onp2 less than M x 11 inches in size
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ST. CROIX COUNTY
- WISCONSIN
N N NN M N N■ \���� ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
-
Hudson, WI 54016 -7710
(715) 386 -4680 • Fax (715) 386 -4686
EROSION & SEDIMENT CONTROL PLAN Parcel # 10.31.19.pending
For 2391 50` St., Lot 3 (Somerset Two) — Owner(s) Tom Reeck
Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion
prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requires the
building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site
has been stabilized. Erosion control is a requirement of the conservation easement recorded for this lot.
The Owner is responsible for notifying all contractors performing construction on this site that an Erosion &
Sediment Control Plan is in effect and the following activities will be required in order to maintain compliance
with the plan:
1. The primary rima source for construction site runoff will be the house foundation excavation, driveway and any
soil stockpiled until final grading and stabilization has been completed. Septic system installation adds to
temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch
as recommended in #5 below. Maintain existing vegetation wherever possible to minimize erosion and
sediment movement. Surface drainage is toward a mapped wetland with a buffer of >75 ft. for construction
activities. Contaminate runoff must be contained within the property boundaries.
2. Route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded
ALONG CONTOUR between excavated areas and any potential receiving waters (includes drainage
ditches). Do not allow diverted runoff to be directed onto slopes adjacent to the wetland. (See specification
sheet for Temporary Diversions provided by Zoning Dept.)
3. If excavating contractor grades the site to create temporary diversions (see #2) to contain sediment and
leaves adequate vegetative cover to protect areas of concern, installation of silt fence may not be necessary.
However, silt fence or other approved sediment control products will be required if sediment cannot be
contained on owner's property with diversions and vegetative buffers. The POWTS or Building Inspector
may evaluate ESC plan effectiveness and make recommendations to owner for any action required to
comply with applicable regulations.
4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy
equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property
during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach
waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple
access points and sediment tracked on public roadways must be removed at the end of each workday.
5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation - do
not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If
weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until
grass /vegetation can get established. Erosion control matting can be applied any time of year and if
installed properly, will provide protection even if seed germination is delayed.
The owner of record during site construction will be responsible for compliance with the ESC Plan. Please feel
free to contact me with questions regarding erosion & sediment conPaJinstaAatioD.
Pre aced by: Pam Quinn, Soil Erosion Ins ector #665054 �
Owner acknowledgement of ESC Plan requirements: .
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Wisconsin Department of Commerce SOIL .EVALUATION REPO PAID Page Of
Division of Safety and Buildings
in accordance with Com 85, Wis. Adm. Code _
[]i�
C ou n ty S , C �I k
Attach complete site plan on paper not less than 81/2 x 11 in es iREGE 1 � kE P
include, but not limited to: vertical and horizontal reference pont (BM), direction and parcel I.D. Pa. r` G F ; 1
percent slope, scale or dimensions, north arrow, and location 3nd distance to nearest road. a - 10 a7 - - 06 D
Please print all information J UN i 0 2004 Re ' ed b Date
Personal information you provide may be used for secondary purpos
4
(Priv W a
Prope
Owner `0 1RMFWW1W9ation n M,
't a- Govt. Lot 114 P 0 SI S T 31 N R I j E (or
Property Owner's Mailing Add re Lot # Block # Subd or CSM#
19 �! -? I� �, 3 Vo 1'8 Q. tf t 9 a
City State Zip Code Phone Number ❑ City ❑ Village ® Town earest Road
(vs SYc:gkb ( -38a e- SO-rl) 5 t V
�a New Construction Use:9 Residential /Number of bedrooms _ _ Code derived design flow rate V O GPD
❑ Replacement I] Public or al - Des 'be:
Parent material U" W A. 5 w _ / 6, If/ Flood Plain elevation if applicable ft.
General comments -'T r h i.t. " 77 O f ` Ow• (^► S "
and recommendations:
.5 e- — t', 1 6;-4 e. a
- tra C91j7 T,y �9a.99
' Boring # Boring
®, pit Ground surface elev. 1 10 , �� ft. Depth to limiting factor / b in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2
I O -I YlZ a Q w
a -2� o �IP- � �y m ;t �. C w t�
Boring # ❑ Boring
I I R Pit Ground surface elev. 7.10 ft. Depth to limiting factor in.
Sal Application Rate
Horizon 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
I
0 -9 10 Fy - atu a2F 1.
a - O ?.5 Y 5 �� �, tom► w 1w t'- ► 7
` 10 -0 is 1 Rsl
Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD 5 30 mg& and TSS < 30 mg/L
CST Name (P1eaSe Print Z_ Signature CST Number
� r k L a Zi 7
Address 1 . r .may D to Evaluation Conducted Telephone Number
;c v 3 Iv
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Property Owner C. /L. Parcel ID # Page C of _V
F-31 Boring # ❑Boring ►
pit Ground surface elev. 7 9, V o ft. Depth to limiting factor / / D in.
Soil Application Rate
Horizon 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
�lo 01R S L SDK- MFV- Qw I .tD
.2 #"
a b- o to y �.,k w►� r^ e r . ID
3 db -V - 7 6 10) j wt L Cw OF , 1
FT Boring # {t ❑�� Boring ��
rp pit Ground surface elev. ft. Depth to limiting factor S in. Sal • catjpn Rate
Horizon 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
3 1 y -yo 7 6*19-41 �tQawy a-5 r Cw I JF 1. t7
yti -1� 7,5Y w+c_ — -- ,7 l
F-1 Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit
Sal AlDplication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fi=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
' Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD < 30 nipt and TSS 1 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.
SBD -8330 (R.07 /00)
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SCALD IN 11 tr trb 250 faot O.H.W.M. Ordinary HTgh Water dark P(,, �
A ePec'ial a ptb" um permit is raqulrad far the drstulbmaa of siapas 2OX or grmter not an re an tha
.q*r" d plOt 'ar CU. permit Is � , iv for thraygi� the zoning atfloe and Is rewlawed ihroygh a pubrla
hooting procaoe by the SL Croix County Board of Adjustment.
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I WC V 2 1 E V # Rd uffj LOT # TOTAL AREA AREA TO O.H,W M FA F
�� zse6.eo• AND EX. R.O.W. 0 4.
O rl�sT LOT 1 140,707 erg, ft. 130,idB6 aq. ft. a f g
\ ow-,1 a
3,23 acres 3.01 acres � o
y� LOT 2 596,279 sq. Pt. 809,033 sq,
JOB W057=36 13.89 acres 11.70 acres , a
Propared bar. LOT 3 340,578 sq. ft 1313.626 sq. ft,
- 3.23 acres 3.04 acres m
LOT 4 877,148 sq . !t. S3H,851 sq, ft.
Phcna ft ( 248•-4319 20.14 or 19.25 acres
-%4
t=ux NO- M) 2% --tea NA iN
R.M aox
Now 143; nd. YMr 54017 =AWNCS AFW- REFERMCED TO THE NOrt1H LNE OF
Shag 1 or 2 THE NW 1/4 OF SECTION 1% T0VdMIP 31 N„ RANGE
to W, WHICH IS ASWV= TO BEAR SW32'53'E
S'� 29Z6- 5SL -SiL 441ws assac e90:6D bD LO unr
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND,
OWNERSHIP CERTIFICATION FORM
Owner/Buyer ] K e e r- /C
Mailing Address / y Z 70 "1 ' yV
Property Address '�aq/ _ '5 �. ,67
(Verification required from Planning Department for new construction)
City/State 05e'£o /d, r�� Parcel Identification Number 2 a
LEGAL DESCRIPTION
Property Location Nu' '/4, %4, Sec. Jd . T 1 N -R q W, Town of /u,
Subdivision 9 L Lot #
Certified Survey Map # Volume f Page # Z
4i � LU
Warranty Deed # , Volume a `� . Page # ( 0
Spec house ❑ yes Pf no Lot lines identifiable yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of 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 system
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 wastewater disposal 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 the three year expiration date.
SIGNATURE OF 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 warranty deed recorded in Register of Deeds Office.
SIGNATURE OF APPLICANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * **
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
� T
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page —/_ of Z
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner G ^� W e F Septic Tank Capacity 10,4 al 13 NA
Permit # L f Septic Tank Manufacturer fsd w 13 NA
DESIGN PARAMETERS Effluent Filter Manufacturer Z 4 ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model / 4/0 0 ❑ NA
Number of Public Facility Units C)CUA Pump Tank Capacity a l OZNA
Estimated flow (average /0PA',f3P_ — l al /day Pump Tank Manufacturer WNA
Design flow (peak), (Estimated x 1.5) � gal/day Pump Manufacturer PNA
Soil Application Rate . 7 al /da /ftz Pump Model )kNA
Standard Influent /Effluent Qual ity Monthly average* Pretreatment Unit 6tNA
Fats, Oil & Grease (FOG) 530 mg /L to V ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD 5220 mg /L N ❑ 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 Vln: S3round (gravity) ❑ In- Ground (pressurized)
Total Suspended Solids (TSS) 530 mg /L P( NA ❑ At -Grade ❑ Mound
Fecal Coliform (geometric mean) 51 ' Watul 100ml ❑ Drip -Line ❑ Other:
Maximum Effluent Particle Size Y. in dia. ?NA Other: ❑ 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: ❑ earlsj(s) (Maximum 3 years) ❑ NA
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
4B- year(s)
01 months) / ❑ NA
Clean effluent filter At least once every: , f— year(s)
Inspect pump, pump controls & alarm IAt leas once eve ❑ month(s) �Z�y�s �✓ A
f3-year(s)
❑ month(s) NA
Flush laterals and pressure test At least once every: - e- year(s)
Other: At least once eve 11 month(s) ❑ NA
every: ❑ year(s)
Other: ❑ 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
units, and any servicing at intervals of 512 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 (4/01)
Page 2 of
START UP AND OPERATION
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 cell(s) 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 be 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:
J� A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
v 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
technolog a holding tank may be installed as a I resort to rep the failed P S.
n f e it h s not an valuat to entify suit be rep
am area Upon f ilur f the OWT a it site
/ v val ion us a pert rmed o Ioca e a itable r pla ant area. no replacement area is i able a holding k
may a inst d as a las re rt to repl the failed S.
❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat 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
Name !o w NS �:G �F.�n j Name C w ;"_
Phone
SEPTAGE SERVICING OPE RATOR (PUMPER LOCAL REGULATORY AUTHORITY
Name - 74 _ ; — Co u,7 ti,' 7 a �✓ Name S . �,')c s ,,,, L
Phone 2 / f - 3PL — 611V Phone 5 -,35% -q b 8a
This document was drafted in compliance with chapter Comm 83.220(b)(1)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code.
CERTIFIED SURVEY MAP
Located in part of the Northwest Quarter of the Northwest Quarter of
Section 10, Township 31 North, Range 19 West. Town of Somerset, St. Croix
County, Wisconsin.
NOTES:
The parcel shown on this map is subject to State, County and Township laws, rules and
regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or
developing any parcel, contact the St. Croix County Zoning Office and the appropriate
Town Board for advice.
A special exception use permit is required for the disturbance of slopes 20% or greater
not identified on the approved plat or CSM. This permit is applied for through the zoning
office and is reviewed through a public hearing process by the St. Croix County Board of
Adjustment.
An erosion control plan will be required by the St. Croix County Zoning Office prior to
construction on these lots.
Access Caution: No additional platted lots may take access through the 66' wide portion
of Lot 2 unless all structures conform to applicable setbacks and county road standards are
achieved.
Lands under navigable waters are subject to rights of the public under the Wisconsin
Trust Doctrine.Contact an attorney regarding extent and quality of these rights.
SURVEYOR'S CERTIFICATE:
I, Gerald C. Ripley, a Registered Wisconsin Land Surveyor, do hereby certify that by the
direction of Mike Germain, I have surveyed, divided and mapped a parcel of land located in
part of the Northwest Quarter of the Northwest Quarter of Section 10, Township 31 North,
Range 19 West, Town of Somerset, St. Croix County, Wisconsin, described as follows:
Beginning at the Northwest corner of said Section 10; thence, on an assumed bearing along
the north line of the Northwest Quarter of the Northwest Quarter of said Section 10, South 89
degrees 32 minutes 53 seconds East a distance of 1333.33 feet to the east line of the
Northwest Quarter of the Northwest Quarter of said Section 10; thence, along last said east
line, South 00 degrees 28 minutes 30 seconds West a distance of 1320.38 feet to the north line
of a Certified Survey Map recorded in Volume 9 Page 2565 in the St. Croix County Register
of Deeds Office; thence, along last said north line, North 89 degrees 13 minutes 41 seconds
West a distance of 1332.09 feet to the west line of the Northwest Quarter of said Section 10;
thence, along last said west line, North 00 degrees 25 minutes 12 seconds East a distance of
1312.93 feet to the point of beginning. Containing 1,754,712 square feet (40.28 acres).
Subject to 50th Street (A Town Road) along the westerly line of the above described property.
Also subject to all easements, restrictions, and covenants of record.
I also certify that this map is a correct representation to scale of the exterior boundaries
surveyed and described, that I have complied with the provisions of Chapter 236.34 of the
Wisconsin State Statutes and the Subdivision Ordinance of the County of St. Croix and the
Town f Somerset in surveying and mapping the same.
Gerald C. Ripley -Regis ed isconsin Land Surveyor No. 2371 15atd `% %1111 hi
JEO Consulting Group
Land Surveying and Civil Engineering
P.O. Box 325 82371
New Richmond, WI 54017 NEW
Sheet 2 of 2 % !
Vol 18 Page 4692 �� St1RV��O
�, /Ittll��
U 2567P 124
STATE BAR OF WISCONSIN FORM 2 - 1999 7 6 1 '9 2 a
Document Number WARRANTY DEED, KATHLEEN H. WALSH
REGISTER OF DEEDS
This Deed, made between Grand Properties. LP ST. CROIX CO. .
Grantor, RECEIVED FOR RECORD
and Thomas B Reeck and Diane R Reeck husband and wife 0510 fn@4 10:00AN
Grantee.
Grantor, for a valuable consideration, conveys and warrants to Grantee WARRANTY DEED
the following described real estate in St. Croix County, State of Wisconsin EXEMPT i
(if more space is needed, please attach addendum): REC FEE: 11.00
Part of the NW ' /. NW 1 /af Section 10, Township 31 North, Range 19 TRANS FEE: 188.70
West, St. Croix County, Wisconsin described as follows: Lot 3 of COPY FEE:
CC FEE:
Certified Survey May filed JggRM 28 2004 in Vol. 18, Page 4692, Doc. PAGES-. 1
No. 99. St. Croix County, Wisconsin.
Recording Area
Name and Return Address
' - HE RIVER BANK
PO Box 188
.)sceoia, Wl 54020
0jj!2:T027-"WUUU L /0
Parcel Identification Number (PIN)
This is not homestead property
(is) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this day of April 2004
Gr operties,
* — By: * Ichael J. ails
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Grand P roperties, LP STATE OF _ _ _ _ ___ _ __ )
By: Michael J. G erm ain — _ — — _ ) ss.
0^ __ _ _ County )
authenticated this day of April , 2004
Personally came before me this _ day of
the above named
* Kristin Ogland
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, _ _ _ _ to me known to be the person(s) who executed the foregoing
authorized by § 706.06, Wis. Scats.) instrument and acknowledged the same.
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristina Ogland
Hudson, WI 54016 Notary Public, State of —
My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.) )
* Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, WI
STATE BAR OF WISCONSIN %00- 655 -2021
WARRANTY DEED FORM No. 2 - 1999
V01- PAGE 4692
KATHL15CH H. MALSR
REGISTER OF DEEDS
ST. CROIX CO.. MI
CERTIFIED SURVEY MAP
R
Located in part of the Northwest Quarter of the Northwest Quarter of CERTIFIED SURVEY MAP
Section 10, Township 31 North, Range 19 West, Town of Somerset, St. Croix REC FEE: 13.00
County, Wisconsin. LEGENt2 COPY FEE: 13.00
Prepared for and at the request of- PAGES: 2
Mike Germain Section Comer Monument
712 Rivard Street of Record
Somerset, WI 54025 • Set 1" x 18' iron Pipe weighing
Drafted by. Howard H. Herrlld 111 1.13 pounds per linear foot
25o O Found 1.25" Iron Pipe
a
• ... • ... Building Setback Line (100' from Right of Way, 75' from
GRAPHIC SCAM O.H.W.M, and 50' as shown)
SCALE IN FEET inch = 250 feet O.H.W.M. Ordinary High Water Mark -
See Sheet 2 for General Notice Statement, 20 % Slope Disturbance State m ,Erosion Control Note,
Access Caution note for Lot 2, and note regarding navigable waters.
OVP77lNE3 GIURNER
tw 10 -31 -19 UN PLATTED LANDS
(FOUND ALVMIN41M S 89 32'53' E 2666.66'
NaVUMENO S 89'32 E 1333.33'
,m 33.00' 1300.33'
525.70 I 774.63'
/
55&70' • NORTH LOVE OF THE NW 7/ I
�± LOT > h Ir S89'32'S3 "E 395.24 , . i
3.00' 362.24'
z 6.DD• LOT2 � �Io
(D o 3.OD 362.20 g �Sj ,� : io N I ➢
i o .
1 8932'53 "E 395.20' �ej ,� N C BIZ
N - = LOT3 �, 0.
o! �� SS• EAST L /NE OF 7HE NW
M _ �� 1/4 OF THE NW 1/4
Z $ 55 21.3 g
521.30' Cb " 778.41'
I -r 3.00' 1 1 99.71'
)I Pi N 89'23'17" W A, 1332.71' �
{ern �
to I = AppROVED� ... _ Ic
It' N I xesT LINE Lip 7N*T/1vZQfSFCOUNTY Z
I D v� Plotrrrim 7nninf >+W Parks CWf "ee - 0
` ,��11 / ► �+r I
p N r -
{o w t 2 8 200 ��� ••• �ti I� a , . t
Rot"
!f not raoordea vv►min 30 days of &2371
50TH sr �pyai dale approval shah be NEW I r'
�� ru ��cr vrrld RK _Z: ( D
XYI I 6 6 ���IyO UR�1O�`
33.00' .......... ......... .........:1299.09. �t�I1g1���� iR7��3
(� Q.16J. 1}a8�
Itn
TOT 1 N 89'13'41" V1f 1332.09'
Noo'25i2'E C.S.M. VOL. 9 PAGE _2 _LOT 2
1312.1
(m I /I T r/� AREA TO O.H.W.M
m
I I R�'�y F LOT # TOTAL AREA AND EX. R.O. W.
7 NOO'2512'E
2686.90' LOT 1 140,707 sq. ft. 130,968 sq. ft.
\ SOUTFIT CQ?NER 3.23 acres 3.01 acres
�=A 11 -f9 LOT 2 596,279 s ft. 509,533 sq. ft.
M 13.59 acres 11.70 acres
JOB "057SU136 LOT 3 140,578 sq. ft. 130,826 sq. ft.
Prepared by: 3.23 acres 3.00 acres
J � Cons fng Gmup, Ina LOT 4 877,148 sq. ft. 838,651 sq. ft.
Phone No. (715) 246 -4319 20.14 acres 19.25 acres
Fax No. (715) 246 -3830 NO TH
P.O. Box 325 BEARINGS ARE REFERENCED TO THE NORTH LINE OF
New Richmond, WI 54017 THE NW 1/4 OF SECTION 10, TOWNSHIP 31 N_. RANGE
Sheet 1 of 2 19 W. WHICH IS ASSUMED TO BEAR S89 32
Vol 18 Page 4692
1187
Wisconsin Department of Co erce R� ( l � — t SO L EVALUATION REPORT Page 1 of 3
Division of Safe and Buildin t
9 in accord (an(�ce with omm 85, Wis. Adm. Code Tom Schmitt
Attach complete site plan paper rfd tn' /: to f Y a in ¢e. Plan must County St. Croix
include, but not limited to: rtical a horizontal reference pant (B ), direction and
percent slope, scale or dim sions, north (gcatidn and direction
to nearest road. Parcel I. D. �7
g T c U 3 �-- .�- /-� 0 7�
Plea a pr4ga Reviewed By Date
Personal information you pro ' used fw secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Grand Properties, LP Govt. Lot NW 1/4 NW 1/4 S 10 T 31 NR 19 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
712 Rivard Streeet, Suite 300 3 1 CSM Pending Approval
City State Zip Code Phone Number J City J Village 0 Town Nearest Road
Somerset WI 54025 715 - 247 - 5900 Somerset I 50Th St.
_f✓ New Construction Use: 0 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement —J Public or commercial - Describe:
Parent material Outwash Plain Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a conventional system with a 0.7 gpd /sgft rating. Possible system elevation for Area I is
96.0'.
Boring # Boring
1/ Pit Ground Surface elev. 99.30 ft. Depth to limiting factor 96 + in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz
*Eff#1 I *Eff#2
1 0 -7 1 Oyr3 /3 none Is 1 msbk mvfr cs 2f .7 1.2
2 7 -14 1Oyr4/4 none sl 2msbk mfr gw 2f .5 .9
3 14 -19 7.5yr4/6 none Is 1 msbk mvfr gvv ----- .7 1.2
4 19 -96 10yr5/6 none ms Osg ml - - -- --- - -- .7 1.2
Boring # I Boring
N Pit Ground Surface elev. 98.60 ft. Depth to limiting factor 97+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
*Eff#1 *Eff#2
1 0 -9 1 Oyr3 /4 none Is 1 msbk mvfr cs 2f .7 1.2
2 9 -16 7.5yr4/4 none Is 1msbk mvfr gw if .7 1.2
3 16 -23 7.5yr4/6 none Is Osg ml gw -- .7 1.2
4 23 -97 1Oyr5/6 none ms Osg ml -- ---- - .7 1.2
* Effluent #1 = BOD 5> 30 <_ 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <,O mg/L
CST Name (Please Print) Signature: �/ CST Number
Thomas J. Schmitt moo '``" i 227429
Address Tom Schmitt Date Evaluation Conducted Telephone Number
1595 72nd St., New Richmond, WI 54017 1223/03 715- 247 -2941
I
Property Owner Grand Properties, LP Parcel ID # Page 2 of 3
a Boring # J Boring
1/ Pit Ground Surface elev. 95.90 ft. Depth to limiting factor 97+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD
*Eff#1 *Eff#2
1 0 -11 10yr3/4 none Is 1 msbk mvfr cs 2f .7 1.2
2 11 -18 10yr4/4 none Is 1msbk mvfr gw 1f .7 1.2
3 18 -30 10yr4/6 none Is 1 msbk mfr gw - - -- .7 1.2
4 30 -97 10yr5/6 none ms Osg ml — — .7 1.2
F—I Boring # Boring
J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
*Eff#1 *Eff#2
F—I Boring # J Boring
_J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
*Eff#1 *Eff#2
* Effluent #1 = BOD 5 > 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.
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SCALE IN Fes. C Inch 5' 250 fact O.H.W M. Ordinary High Water Mork �r
A special exception use permit Is required for the disturbance of slopes 20% or greater not identified on the
approved plat -or CSM. This permit is applied for through the zoning office and Is reviewed through a public
hearing proceee by the St. Croix County Board of Adjustment.
�to-it 19 UNPLATTED LjNNDS
(fixaVV ALUM 414
zese.es•
Kanru,�ivrl S 88'32'5389E2 53 E
33.OW 1333.33'
13Q0.33
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y J
� I �� °,�.• ,•! Y ♦ `;� • 'or�nr LINE or TNF NW f/Y N
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1299,09-
IfJrf TLO_C 1 N 89'13'41 Vr 1337.09` --
` iyQa•z5tiz-E`�C.S VOL. 9 PAGE rt
I 1 1312.93' .�25��J -� QTz °
I 1 /•1 AGiFNm
,, AREA TO 0 H W.M g.
3� ld- .Tl -19
1 7 NOO mw rests rr a LOT # TOTAL ARE
AND EX. R.O.W. o
7HNE'S �+ rt
1 2686.90• LOT 1 140,707 sq. ft. 130968 ft a
5GY/T CQk9MER , sq, . 3,23 acres 3.01 acres v o a•
SFG 10- J /.-/9
� u�kVt/w/ LOT 2 596,279 sq. ft. 508,533 9q, ft,
JOB IM057SU136 13.69 acres 11.70 acres .
Prepared by. LOT 3 140,578 sq, ft. 130,826 sq. ft.
3.23 acres 3.00 acres
LOT 4 877,148 ft.
Rhone No. (715) 246 --a318 1338,651 sq.
Fax No. (715) 246 -3530 NO TH 20.14 acr s 19.25 ocre9 s �+
P.O. Box 325 BEARINGS a °
New Richmond, WI 54017 RINGS ARC REFERENCED TO THE NORTH UNE OF
Sheet 1 of 2 THE NW 1/4 `�
OF SECTION 10, TOWNSHIP 31 N.. ftANCE � 0
5•
19 W. WHICH IS ASSUMED TO BEAR 586 "E. "'