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Home My WebLink About032-2159-90-000 Wisconsin Departm3nt of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Build;4ig Division • INSPECTION REPORT sanitary Permit No: 463018 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: P.C. Collova Builders, Inc. I Somerset Township 032 - 2159 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: _ Section/Town /Range /Map No: /tom m I os'( 12.31.19.1377 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � � 660 Benchmark DsokV Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet C;, I S AY) ,� S TANK SETBACK INFORMATION St/Ht Outlet S ' ✓�Q ' �-- TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , AJ }^ — Z –7 + Z Dt Bottom ` \ Dosing Header /Man. -7q * 51 Dist. Pipe '7. -- Pot. System Q p � PUMP /SIPHON INFORMATION Final Grade 3 .5( /DZ - Manufacturer Demand St Cover P% GPM Model Number (7 Y TD Lift Friction Loss S stem He DH Ft ------ �� Force Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Di a. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: Q n INFORMATION Type Of System: CHAMBER OR /1J t I n UNIT Model Number: S r DISTRIBUTION SYSTEM / sc C T - 2, Z. T Header /Manifold / � Distributi n x Hole Size x Hole Spacing Vent to Air I ake. Pipe(s) Length Dia Length Dia Spacing /a SOIL COVER x Pressure Sy Only xx Mound Or At -Grade S ystems Onl Ys Y Y Y Depth Over Depth Over xx Depth of xx Seeded /Sod xx Mulched Bed/Trench Center [ Y Bed/Trench Edges \ Topsoil � Yes [] No Yes 7"No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 729 224th Avenue Somerset, WI 54025 (SW 1/4 SW 1/4 12 T31 IN R1 9W) Wild Turkey Retreat Lot 9 Parcel No: 12.31.19.1377 1.) Alt BM Description = 6 111, L c �`-- 2.) Bldg sewer length = - amount of cover = , L4 �, Plan revision Required? i Yes No �41 64 I II Use other side for additional information. __; L. - -_. -- __ SBD -6710 (R.3/97) Date Insepct Sign re Cert. No. - g - Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 v Air Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) 4s ,cons n (608) 266 -3151 Department of Commerce � State Plan I.D. Number Sanitary Permit Application . 0 o tout In accord with Comm 83.21, Wis. Adm information u . Code, personal Y P may be used for secondary purposes Privacy Law, sl ject Address (if different than mailing address) I. Application Information - Please Print All Information property J 's Name Parcel # Lot # Block # Property owner's Mailing Address ZONING OFFICE pro ms On j 2 1 (� ') � 0 X / � yil 54, Section / City, State Zip Code Phone Number aC wi SyOCo �� rd ) T �1_ N. � E r W M Type of Building (check all that apply) Subdivision N CSM Number -,J�,c 2 Family Dwelling - Number of Bodtooms Ch / t4-1-1 e p - Describe Use City_ Villagt o e State Owned - Describe Use III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A w System Replacement System Treatment/Holding Tank Replacement Only other modification to Existing System List Previous Permit Number and Date Issued B. Permit Renewal t Revision Change of Permit Transfer to New Q' Before Expiration Plumber owner 7 6 3 j IV,Tneoirpolvis S stem: (Check all that appl ' - Pressurized Lt- Ground Mound >_ 24 is of suitable soil Mound < 24 in. of suitable soil At -Grade Single Pass Sand Filter Constructed Weiland Pressurized In -Ground Holding Tank Peat Filter Aerobic T Unit Recitculati %Sand /F_ilt_er� J Recirculating Synthetic Media Filter ZZ ching C3tarttber Drip Lane Gravel-less Pipe Other (ex Plain) f7�� V. Disp ersauVIrematment Area I ormatioa Dispersal Area R {sf) Dispersal Area Proposed (sf) System Elevatio Design Flow (gpd) Design Soil AppGrtiom Rate(gpdsf) petsal exprtred 1.67, J� O � � �Y3 VL Tank Info Capacity in Total Number Manufacturer Prefab Site feel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Sepee or Holding Tank Aerobic Treatment Unix Dosing Chamber VII. R onsibility Statement- 1, the undersigned, responsibitity for installation of the POWTS shown on the attached Tans. Plumber's N (Print) Plumbers Si MP/MPRS Nu usiness Phone Number r B C - 61 Plumber's Address (Strut, City, State, Zip / /� • I[�(�� VIII. Co /De artment Use Only t �tm (No Stamps) - - - TJ Sanitary Permit Fee Cincludes Groundwater Date Issued Sign PProv Proved Surcharge Fet) v for Denial l IX. Conditions of Approval/Reasons for Disapproval 3 \ n _ _ r _ t � 4 0— SYSTEM OWNER: l K s� I, 1 Septic tank, effluent filter and dispersal cell must all be servvjced I maintained �a (�. . v uA,X as per management plan provided by plumber. - 2. All setback requirements must be maintained as per applicable code /ordinances. Attaeh complete plans (to the County only) for the system at paper not less than 8112 x 11 inehes is she Soil Test and System PLOT PLAN PROJECT P.C. Collova Bldrs. Inc. DRESS P.O. Box 489 Somerset Wi 54025 E 1/2 SW 1 /4S 12 /T 31 19 W TOWN Somerset COUNTY ST. CROIX 10/26/04 BEDROOM 3 MPRS Shaun Bird 226900 DATE CONVENTIONAL )00( IN -GROUN PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 IL BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Plans Designed Using Conventional Powts SYSTEM ELEVATION 96.8/97.0 5' below qrade Manual Version 2.0 Well is to meet all Alt. BM Top of survey iron Q 96.0' setbacks required by WDNR * B.M. 60' Property Line Alt .M. 100' 2 -3' X 69' cells Vents -2 481' perry I with >3' spacing -3 4% Slope 0 ' 2 -3' X 69' Cells with >3' Spacing 35' B 30' -1 2 Property ST Line 25' Pro 3 Bedroom House jLong ent Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area C " Grade at System Elevation 34" Pro Town Road Soil Test and System PLOT PLAN PROJECT P.C. Collova Bldrs. Inc. DRESS P.O. Box 489 Somerset Wi 54025 E 1'/2 SW I /4S 12 /T 31 19 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE10 /26/04 BEDROOM 3 CONVENTIONAL XXX IN -GROUN PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL . H. R. P. Same as Benchmark Plans Designed Using Conventional Powts SYSTEM ELEVATION 96.8/97.0 5 below qrade Manual Version 2.0 Well is to meet all Alt. BM Top of survey iron @ 96.0' setbacks required by WDNR (A B.M. 60' Prope Line Alt. M. 100' 2 -3' X 69' cells Vents tB -2 481' perty I with >3' spacing CD CD B-3 4% Slope 0 ' 2-3'X 69' Cells with >3' Spacing 35' B -1 20' Property ST Line 25' Pro 3 Bedroom House Vent >6 9$ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 11 " 34 Grade at System Elevation Pro Town Road Wi4consin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis . Code County Attach complete site plan on paper not less than 8 1/ 11 inches in size. I u 4 include, but not limited to: vertical and horizontal ref, ence M), diredi parcel I.D. percent slope, scale or dimensions, north arrow, an locati o n e ro� Please print all inf rmation. e wed by Date Personal information you provide may be used for seco dary pu g (Privacy Law, s. 1 (1) m) Property Owneroperty ovation I P/_1 e, hQ/ Govt. L I/4 4 S , T N R E (o W C✓ Property s Mailing Address J G 4Lot Block# Name or M# State Zip Cod Phone Number _ ❑_ VillageN est Road New Construction Use: Residential / Number of bedroom Code derived design flow rate GPD ❑ Replacement Public or com rcial - Describe: - -- Parent material — Flood Plain elevatio if applicable � ft. General oorr 6 f and recommendations: (J M Boli # Boring O —R it Ground surface elev. 1 v ' .� ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color J•�/ Sz. Sh. 'Eff#1 'Eff#2 0-H lo .�-- �` �- �.✓/ nib , C. 5' 1�� 9 3•� Boring A- ®� # �' I t Ground surface elev. ' � � ,i ft. Depth to limiting factor � � 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 ' v ' Effluent #1 = BOD > 30 1 220 n4L and TSS >30 < 150 mg/L ' Effluent #2 = BOD _< 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Condu d Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �� 715- 246 -4516 Property Owner _ Parcel ID # Page of Boring # Boring �`� 2 , pit Ground surface elev. " �"ft. Depth to limiting factor z (� in. A ca6on 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 f L^ D 1 M6 - 12- M i' l✓ f .. �,/ '� 1 F -1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 F - 1 ❑Boring Bonng # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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 I •Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (RAM) Safety and Buildings Division County N) Pisc�nsin 201 W. Washington Ave., P.O. Box 7162 -S ^ L-) )! Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (�8) 1 1 4 ( o 3 O I Sanitary Permit Applicat n I►/�� Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal inform 'on yo de tray be used for secondary purposes Privacy Law, s15 lx� �� jest Address (f different than address) L Application Information - Please Print All Information CRo ZON Prim' '" , J J t Par+eel # N Block # Property Owner's Mailing Address Property Location ,� �2 City. State Zip Code Phone Number 'A Section T �� . " 72 44 a of Building ( all that apply) `�"/ Family Dwelling - of Bedrooms Subdi .ion Name CSM Number Public/Con unescial - se n State Owned - Describe Use City_ Village ofs0 IIL Type of Permit: (Check only Ate box on line A. Complete line B if applicable) 032 2 - o - atm 3 } i A System Rep System Treatment/Holdiag Tank Replaceawnt Other Modification ��M B • Permit Renewal Permit Revision Change of Permit Transf o New List Previous Permit Number and Date - - -i Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that a pFW on - Pressurized In- Ground Mound 2t 24 is of sui soil Mound < 24 i f suitable &(-Plain) trad" ingi and Fil Contra Wedand Pressurized im Holding Peat Filer is ` R Sand Flt Recirculating Synthetic Media Filter Chamber lane vel4 Pi '% V. D' ersai/Treatment Area Informa on: Row (gpd) Design Soil Application Rate(gpds) Dis (sf) Di ;7 ev � 6 L 3,� VL Tank Info i in Total Number anutacturer Site S Fi plastic Gals Gallons of Units Con Cons New isdog Tanks nks Septic or Holding Tank Aerobic Treatmeat Unit Dosing Chamber VII. Responsibility Statement - 4 the undersign po.Mbd19y for hhstallatioa of the W 13 shown on the attached plum P1 s Name (Print) Pltttaber's MP/MPRS Number Bttsiaess Phone Number �z � b 9 r tom.. Plumbers Address (Street, City, ,Zip - 14 �-� IIIOnly S� ! V. n /De artment Use Approved Pro Sanitary Permit Fee ('inch Groundwater Date Issued t Signature (No Stamps) Surcharge Fee) Given R r Denial K. Conditions of Approval/Reaso for proval ?� n / SYSTEM OWNER; > XJU�1nn 1 Septic tank, efflu #alter and -rp�� -b dispersal cell must all be serviced / maintained as per management plan provided by plumber. A•e � a xjk ( ^x M r ' . All setback requirements must be maintained ► ?�D as per applicable code /ordinances n f� 2. I r RQ Attach complete pleas (to the County only) for the system on papRr n\�2� 81/ s� _ e� i � .� R �� • �� A* r 1 f �� < .f/ i� k +� i P T PLAN PROJECT P.C. Collova Bldrs. Inc ADDRESS P.O. Box 489 Somerset Wi 54025 E� 1/2 SW 1 /4S 12 / 19 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/3/04 BEDROOM 3 CONVENTIONAL XXX IN- ND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V. R.P. Top of 2" pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Plans Designed Using SYSTEM ELEVATION 94.0/93.8 4. elow qrade Conventional Powts Manual Version 2.0 Well is to meet all Alt. BM Top of 2" Pipe C 100.0' setbacks required by WDNR Vent >6 „ Standard Biodiffuser of Cover Leaching Chamber :,►' ith 3 1. 1 ft2 of Area r ��,� /✓ 6' Long Grad System Elevation C ` 34" Alt. B • x 481' P1 Dperty 1 15' M. 1 2 -3' X 69' Cells with >3' Spacing B 3% -3 Slope Pro 3 1 S Bedroom House 1 50' 00 A L 30' B -2 125' C, p IF Pro Town Road P T PLAN PROJECT P.C. Collova Bldrs. InJ3N/R ADDRESS P.O. Box 489 Somerset Wi 54025 E 1/2 SW 1 /4S 12 19 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 BEDROOM 3 CONVENTIONAL XXX IN- ND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Plans Designed Using SYSTEM ELEVATION 94.0/93.8 4.5' below qrade Conventional Powts Manual Version 2.0 Well is to meet all ' Alt. BM Top of 2" Pipe @ 100.0' setbacks required by off" WDNR Vent >619 Standard Biodiffuser of Co Leaching Chamber ;rr with 3 1. 1 ft2 of Area r / ✓ 6' Long 11 " Grade at System Elevation 3 4" Alt. F Dperty 1 B.M. lot 15 2 -3' X 69' Cells with >3' Spacing B -1 30 -3 Slope Pro 3 1 35' Bedroom House 159 150' 30' B -2 125' Pro Town Road 4f OP x • , "''s vWsoorrsar oeparfrrrerrt of Corrtrrter+ce SOIL EVALUATION REPORT Page of oivlstw of safety► and etddurgs in accordance wife Comm 85, VlFis. Adm. code Aftch complete ale plan on paper not less than 8112 x 11 bx4m in size. Plan must irrckrde. but not M*ed 10: verfcd and horizontal reference port (BM). diradion and parcel I.D. percent slope. some ordirnenslorrs. north arrow. and Wo and dtstaroe o na to road. Please Pint all lnfornlallon t Owe F%MW d Mdomaisoe you t>rovds tray be used ro: sec -dery purposes �PmecY Low. s. ts.oi (t) (m)). Prop" Location Ply 114S T N R E PropeAyqM�WBMa1ftAddress a C& a( we z code Phone Ntxrtber ❑ city ❑ veep 0" Obarest Road L e G - MS (Z) S) Sf/ Er9 Z 'v /010 NewOonslnu to Use: ReWderdial / Number of bedroorns Code derived design lbw raft GPo ❑ Risplacerniat ❑ P ubic qr c - t)esrlbe: - --- -- P81ant..r�w f%lr.,� 7Rood ;6 18 "vadown if General convnerds - ,,w L and y 5� aa-oe v�-� F Bolkv soft Ph Ground surface elev. ft. Depth Ito �B �� =�— b ' Sol Rafe H�m Depth p Rsdax Oesaiptiont Texture Structure Consistence Boundary Roots GPDff In. Mursell flu. Sz. Cont Color Gr. Sz. Sh. 'Eff!!1 - EM f D = /Z � s - El saft Fal ,i5 Pit Ground surface elev.Xx�' ft. Depth 10 Nrniting Rate Had= Depth p�nan( %W= Description Texture Shia" 8ourtdary Roots GPM in. Mutsell flu. Sz. Cont. cow Gr. W- Sh. •Etf Min T:j � 9�0 I •�O S • EMuent #1 = BOD > 30 <_ 720 mglt. and 50 rrgll ' ewwnt 82 _ BOD :S 30 nv& and TSS <_ 30 mgll. s M NumbeENuwndw Print) c l/ i ✓t pate Evakiation Catduded Telephone Address Property Owner Parcel ID # Page of F-31 Boring # ❑ Pit Groundur aoeelev� fL Depth i<, Soil q fte Horizon Depth Dominant Redooc Description To,*" Structure Consistence Boundary Roots GPDW in. Muruell tlu. Sz Coat. Color Gr. Sz. Sh. •EW1 ' ev 9. SorkV F # ❑ BorkV ❑Pit Ground surface elev. R DepBr to &dft fador in. �p Rake Horizon Depth Dominant Color Redwc Description Texture Struck" Consistence Boundary Roots GPDRf in. Munsea Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft#t 'EW2 F-I Boring # ❑ Boring ❑ Pit Ground surface elev. ft Depth to firrdtlng factor Rake Horizon Depth Domiru-0 Color Redact Description. Texture Structure Consistence Boundary Roots l 1 * in. Munsell Ou. Sz. Conk. Color Gr. St Sh. 'E1F#1 Effluent #1 = BOD > 30 220 mglL and TSS >30 < 150 nV& ' Ef jant #2 = BOD, < 30 nV& and TSS 130 nglL 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. seoauotrceool 1 . M ' Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc Shaun $f Address P.O. Box 489 Somerset Wi 54025 QMA #226900 Lot 9 Subdivision Wild Turkey Retreat Date 9/ 6/02 E 1/2 S W 1/4S 1 2 T 31 N /R19 W Township Somerset n Boring 0 Well PL Property Line County ST. CROIX B VRP Assume Elevation 100 ft. -,:Top of 2" Pipe stem Elevation 94.0/93.8' *HRpSame as Benchmark Alt. BM -;= Top of 2" Pipe @ 100.0' 0' Pro ert Line a� Please Note: Tested area may not be suitable for desired building area. Check system location M' o before excavating. Also, 15' survey was not completed B. at time of test. Set backs 15 0 ' from lot lines may change. 98' 3% 70' -3 Slope 5' 99' 150' 0' 125' gy p, i S a S 04. Pro Town Road �� "'` 7 t WILD TURI LOCATED IN THE NE 1/4 OF THE SW 1/4 LEGEND TOWNSHIP 31 NORTH, RANGE 19 WEST, TC $ PR D DRIVEWAY v-- --'�' DAI RNAGE EASEMENT NOTE: �- LOCH ONS BUI G SETBACKS COUNTY SECTION MONUMENT NO OWNER OR RESIDENT SHALL DO ANYTHING WHICH WOULD INTERFERE W (FOUND AS NOTED) OPERATION OF THE APPROVED COMPREHENSIVE WATER DRAINAGE AND SO c Y � �O�FOUN 3/4' IRON REROD _- PLAT. THIS INCLUDES BUT IS NOT LIMITED TO BUILDING UPON, OBSTRUCT 3 D 12' UTILITY EASEMENT EXCAVATING OR PLANTING IN ANY POND EASEMENTS, WATER DRAINAGE DI T SET 3 4 BY 18' IRON REROD WATER CULVERTS, BERMS OR GRASS SEEDINGS. WEIGHT G 1.50 POUNDS PER - - -- DRAINAGE EASEMENTS CUl1N " TY as 121742 s4 F CON BUILDABLE GENERAL NOTICE ZCNI;�G OFFICE LINEAR FOOT AT ALL OTHER as 2.79 NERS AREAS -- CONTIGUOUS BUILDABLE EACH PARCEL SHOWN ON THIS MAP (PLAT) IS SUBJECT TO STATE, COUNT ■ SET 1 1/4' BY 18' IRON PIN BOUNDARY RULES AND REGULATIONS (I.E. WETLANDS, MINIMUM LOT SIZE, ACCESS TO WEIGHING 4.172 POUNDS PER PURCHASING OR DEVELOPING ANY PARCEL OF LAND, CONTACT THE ST. CF LINEAR FOOT HWE HIGH WATER ELEVATIONS AND THE APPROPRIATE TOWN BOARD FOR ADVICE S 00'08' NORTH -SOUTH LINE 1/4 SECTION LINE 2650' - 2517.- 298.12' 296.04 i tease' - - - - - -- r - - - - -- S 247.28' -- 338.89' - -- _ 238_ - � I� t� Ln a N ® ®m I w i y>'�•1' m A .ap � E _ I LL q E--4 gj O I m t-i N Q bH t / 2 p u�l r-1 (n U w � �, I t 1 I Irz �m M ®_ � � I I- t--1 p O Nt a W N O S W/ ' Go V o a 1 rn I Y W 4t .ap=se m x F] r o i ''� ®m /!? E O Jill i0 I / lV LL ! S T / C! o O 0 f3 iltl;l I 88 I I A14 _ xH 001o -A4 'r L O '1/ . — —tb J — _ 5 Ib t^ 00 O I ® a6 ti , I o — V� \ 15 l � a � M �� _ L . — � r ® - �996Z - - - -- � 173.58 - -Lt � �GrI35 n tm.se� w wil M JAW= - - - p j So crfou MYQL ISI.7L13 .LZ.9z.00 N Q 2 4- \ 219.85' �. �9c•ea = - oti•er i - - - - ^ ' 4 ' Z 252.88' Js l j / E-+ 1 % m `d r .F I lqy Lu d S 00'03'40' E ` m m 17 I Q _�_ �' A► t £La0 M dg W I w F 456.62', — 139.e1' I I Iby; I Ib t rs, w ? 100' 1 I Lis" & ��' Y 3 h'8 ,= d CO < I stye N�f „ I n �i d ti t Ih m a l I n I ®� Q 11 . y, S' �� ^ E•+ to c I 07 b �! a� 04 // 1�6 N I40 Qa y ui c� I H I� M L r• Q ,,,� n -4 (!I U W I '! t4 I 100' I N O X85 I ' E-4 tO 04 r- I �iI It ¢ `� s I da I I a 3'h r`ej M � 7 M O le I I E rn i 7 " I 3 i I $ I n I '!4 . $ •°� `�C &, �- — — 219.92' — 241.09' 459. tx tt' ;� I I .L£,9GZ0 N I 9r D=gr N 00'04'13' W 676.92' I LL a�I m� I E� ", Q s I� z I M ? �1� ,� I INS I 00 °' IC4 OD I � � r•I ,�� I `I� I I I � � I - - - - -- 860.71_ — — — - - — I � I I -- 481.90 I — --� 240.' UNPLATTEO LANDS WEST LINE OF THE E 1/2 OF THE SW 1/4 N 0O , 04 „ ' h 2654.74• Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. f ge into system is not exceed those required as per Comm. 83 ncy Plan If system fails, determine cause of failure, use alternate area and install new tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P. C. Ga 1' 0 14 BUi IU fg -YnC► Q Mailing Address �0 �X g l ilmocgt+ Property Address '77Q9 (Verification required from Planni g Department for new construction) City/State uj I Parcel Identification Number 032 - Zt - 7o - °t° 13 T:�) LEGAL DESCRIPTION Property Location 5 y,, 8W 1 /,, Sec. I a , T 3 i N -R 1 9 W, Town of Subdivision Wd Lot Certified Survey Map # Volume , Page # Warranty Deed Volume Page # Spec house ❑ yes K no Lot lines identifiable ® yes ❑ no SYSTEM NLA=NANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenancc 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 masterplumber, joumeymanplumber, restrictedplumber 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. I/we, 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 rctumed to the St. Croix County Zoning Office within 30 of the three year expiration date. P. C. COLLOVA BUILDERS, INC. (715) 247 -2742 VA A �' rA , (jQ P.O. Box 489 / / Q SOMERSET, WISCONSIN 54025 SIGNATURE OF APPLICANT DATE OWNER CERTMCATION I (we) ccrdfy that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of ;GOATURE rop OF APPLICANT erty described above by P.O. Box 489 virtue of a warranty deed recorded in Register of Deeds Office. . C. COLLOVA BUILDERS, INC. (715) 247 -2742 / t / 0 SOMERSET, WISCONSIN 54025 DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revolted 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 FROM P C COLLOVA BLDRS, INC PHONE NO, : 7'1-5 247 2747 Opt. 28 2002 02:14PM P1 4VI Aw 11 U1 rA4 Ili 411U AU*I AZ%YA.YLQSL U MLLW-j Lj&j U Z) J. V p & 7 Z.fvo WAZSLANTY D DIM 9fi Go., vz Fm gwam Kb11�Q11lea,Ds Q rtea. at - Da - i12 ISM All WANIF JIM Im I&- A "Aammis emmatim, i>r01P1 i s so C3ftvjML s CF00m, fors vww"e*rikrU*0' eamma 42 am- 9W4 of Wb=dlm (Lrtt*ry %;ago is Mv&d,;ftw wjAhVd*%dw-)' 41:3qf4W114v'13vWov !.TWAvW;.'W4wt MMIOW984.11,CrCL 1 Iwmd6 but cgwn!y. vow1b. k1am � 3A%m AAjjas l ap : .L c- q./ P. 0. m&rImvq e,!;14hI*-0f-way uf "&at& If wqj Did 1A STATE CE WIN W::0' NSIN b4lvkb"v aushsstd•at ism , rrnL. mimm vrxr: mxof W.'scom. 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