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HomeMy WebLinkAbout032-2168-09-000 i Parcel #: 032 - 2168 -09 -000 01/06/2011 02:38 PM PAGE 1 OF 1 Alt. Parcel M 22.31.19.1429 032 - TOWN OF SOMERSET Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner 0 - VANASSE, KYLE J & SUZETTE JO KYLE J & SUZETTE JO VANASSE 2014 60TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description " 2014 60TH ST SC 5432 SCH DIST OF SOMERSET SP 1700 WITC Legal Description: Acres: 13.440 Plat: 09- 076 - PONDEROSA THE LTS 9/10 032 -03 SEC 22 T31 N R19W PT SE SE PONDEROSA,THE Block/Condo Bldg: LOT 09 LOT 9 (13.440AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 22-31N-19W SE SE Notes: Parcel History: Date Doc # Vol /Page Type 10/01/2003 742086 2425/265 QC 09/28/2003 732442 9/76 PLAT 2010 SUMMARY Bill M Fair Market Value: Assessed with: 65415 442,200 Valuations: Last Changed: 10/12/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 13.440 66,800 344,000 410,800 NO 10 Totals for 2010: General Property 13.440 66,800 344,000 410,800 Woodland 0.000 0 0 Totals for 2009: General Property 13.440 100,200 311,400 411,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 09/13/2005 Batch M 05 -10 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 1 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Bup!ding Div%sion INSPECTION REPORT Sanitary Permit No: 430474 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)]. If Permit Holder's Name: City Village X Township Parcel Tax No: Vanasse, Kyle Somerset Township Q 3 2 — 2 0 - 1 20 J CST BM Elev: ' Insp. BM Ele v: BM escription: / Section/Town /Range /Map No: CSb • O CSO • c7 =CST 6 l 22.31.19. TANK INFORMATION U ELEVATION DATA b TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I ^ [ZW Benchmark 0 ,, Z) i W Dosing Alt. BM / IL • Aeration Bldg. Sewer 5D lot.o Holding St/Ht Inlet ` pry TO • �•{0 TANK SETBACK INFORMATION St/Ht Outlet �D• �S 99. !3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > Dt Bottom Dosing Header /Man. I ff . Y7 Aeration Dist. Pipe o 8% 1 Holding Bot. System ;3 9 / / PUMP /SIPHON INFORMATION Final Grade pp Manufacture Demand St Cover GPM Model Number TDH Lift P action tem Head T Ft Forcemaifi Length Dia. Dis . o e SOIL ABSORPTION SYSTEM / -I, Width Length No. f Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 4.Z 6A Z) SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Mau INFORMATION CHAMBER OR Type Of System: I Y UNIT Model Number. � � t DISTRIBUTION SYSTEM f Header /Manifold II Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe( , 5-0 I Length �/ Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 0 Yes [:j No [� Yes iJ No COM M ENTS: (Include co crepesq!es {jE s resent, etc.) Inspection #1: Y �� � Inspection #2: A- -( isn (- ^v L cation: 2014 60th Street Somerse (SE 1/4 SE(,1,/, ''4� � 22 T31 N R Ponderosa Lot 9 ,� on,�,. , , � 1'L Parcel No- 22.31.19. r 1.) Alt BM Description = "'' �L• • �'�"e— �l 4) -4JC>�'C�'" I 0.60 • '� i 2.) Bldg sewer length = �8 - amount of cover = 4Z 4-- n' AI-N,3) NO Plan revision Required? Yes No Use other side for additional informati 0 V? [�� _ _ 1 _ -- Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division Counb Nvi sconsin m 201 W. Washingto p p Rnx 7 Q$ M Madison, 537 ?f(7 v Sanit ry Permit Number (to e filled by Co.) Department of Commerce (fig) 61 State, Plan I.D. um Sanitary Permit Applicati n� ; ' Z'0"_ In accord with Comm 83.2 1, Wis. Adm. Code, personal informati n you provide i may be used for secondary purposes Privacy Law, s 15. 1 xm) ; Proj t Address (' different than mailing address) 1. Application Information - Please Print All Information - - -= a! a6J 7 w STr Property s Nam DI P # ��` Lot # Block # _ I O - /OS — U/ d Pr Owner's ailing �y s ��� � operty I.ocat � 2 l ? + 9A^' 2 a !D '4_ '/., Section City, 'State Zip Code one um r A circle r 'G,� N; R�E W . Type of Building (check all that apply) or 2 Family Dwelling -Number of Bedrooms !- Subdivision Name M bet ❑ Public/Commercial - Describe Use mD ❑ State Owned - Describe Use � - D1 ST' 6� _2 l��6A ❑City ❑V111age ownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) - A. Ne w Sy ❑ Replacement System y ep ys ❑ 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 appl PNon - 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 T thing 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) Dispe1W Area Proposed (sf) System Elevation VI. Tank Info Capacity in Total Number Manu ter Prefab Site Steel Fiber Plastic Gallons Gallons of Units w/� /b Concrete Constructed Glass New Existing Tanks Tanks f ( Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement I , the undersigned, ass me responsibility for instal lation of the POWTS shown on the attached plans. Plumber's 1 wme (Print) i Plumber's Si r MP/MPRS Number M ss Phone Number 1� ;2z_�? : lu (nber'lr.xddress ( trmet, City, State, Zip Code VIII. ounty /De artment Use Onl pproved ❑ Disapproved Sanitary Permit Fee Qncludes Groundwater Date )Issu ing Ag Signa Stamps) Surcharge Fee) pQ ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval STEM OWNER: 7 Septic tank, effluent filter and / � �,//�''G�� dispersal cell must all be serviced / maintained �� t�� (!y as per management plan provided by plumber. 2 All setback requirements must be maintained as per applicable code /ordinances. / :AL VO . l 1' . Attach cotttttkte plats (to the County only) t the system or paper t less than g1l2 x 11 trcb to size ' t'YL. SBD -6398 (R. 08/02) �.� mom NNW. ME P-41 MMmMMmMEMM oppmrom om MM 'ESEMMOMMINEEN■ MMmMMMMmMMmm=ME MMMmmMMMMM� mmewwwIris. -mm :Gil : f.�MENNEN�� Emponommommomm ME MEMNON mom ■.RRIFF-A■■■NNES A' �F-lqw■■.■■■■ ill" _�!/�. J����������S�ta���l� ■� ■���� MlImMMMMSMMM ME MMMMmMmMvMMMMM RIMEREANNEMINME ■I�H�������� ■ sI����I���1����� IMMEMEMMMME IN IN lMM llmllm@lmMMmM minmomml1mm1■mommm 11O�1� /�rij: siommmlimmisommom lm m ughril ummommom MINEMON 'E.NSEENEN MEMWA IN 129,101111 Iff 0 INN Ellosloomm- VA 111,13111111 INN Elm"IMMEMEENE 0 V M, rim No MEN l �omi EMCEE i0h/li►00,!!��I /NONE R oom 049,am�,��MEMO MINEMENIMEM M ■fir, a SOMEONE R!Kllli /pm■ %mmmm IN MEN MEN OEM ■■ENNERSOMME REENE EMENEEMM En ■NEEMEM■NEENONO mommommom mmwwmm� ■EMMMENNEENNEMENE��n�������� �' � /G,�Scy � / /j1•�kr � r'7`m s T � ,s�p��"n',;�(e��8�11 / �.(���yS _ J _ _ , �ff I I � x IZA 1 s' - ® ,E7a:✓��/ �JI,�e�o?� o�' �J��s1 -.r- t�%'�7 / - •� / 2J.�S / _ - _ �. _ IRV /0 46 l7 so• � ,�t��s _ _ - _ L-oT - 7 0 - _ 1 78 ��, 7 7 ✓ e s Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County � Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must �. include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ? percent slope, scale or dimensions, n arrow, and location and distance to nearest road. Please pr nt a/ "�F"� eviewed by Date Personal information you provide may be sed for secondary purposes (Privacy taw, s. 15.04 (1) (m)). Property Owner ;iN 1 7 Property Loca on * Z9 Apt Govt. Lot ) 1/4� 1/4 S T or Prope y Owner's Mailing Address "` ' C�(_- L Block Su , O y Sta a Zip Code Phone Number tn ❑ village arest ad New Construction Use: ( Residential ! Number of bedrooms Code derived design flow rate _ l�5` GPD ❑ Replacement // ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable General comments / and recommendations: !b v o 3 F 71 Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting facto in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 i -3 - 9 \ / / - 3 Vr 17 Boring # Boring ❑ Pit Ground surface elev. -O-: ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 A � 7 V ,_ _ _ * EYluent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg /L ffluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Na a leas Pri Signature CST Number Address ,o ��aealuation Conducted Telephone Number i SBD -8330 (R07 /00) Property Owner / SS Parcel ID # Page `- ;2z of D 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 /ftz in. Munse Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 J oc' 7 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 a Boring # F1 Boring Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) o' I i r� C �D APPROVED 3T. CROIX COUNTY �. ���C.OfV$1h �' t - ---•s r .� nin end Parks com 'lan�inn Zo 9 mittly a•` E 1fr Tv R. ,•, 68Q420M AUG 2 8 2002 DODGE VOL 16 PAGE 4358 It not recorded within 30 days of KATHLEEN H. WALSH approval date appfovW snail be REGISTER OF DEEDS null and void " ST. CROI X CO., WI RECEIVED FOR RECORD C E RT I F I E D S U R V E Y M A P ee- se -zeez 9$15 AM Located in port of the Southeast Quarter of the Southeast Quarter of Section 22, Tow I16&tGd1R8 a MAP 19 West, Town of Somerset, St. Croix County, Wisconsin, being Lot 2 of Certified Surve R1 me e 2742, Document No. 515270 as recorded in the St. Cruix County Register of Deeds Off OES1 E 2 3 0 Ntl11 00 00 Z OWNER: O K Vonasse _ 2010 60th Street Somerset, WI 54025 > Q Drafted By. Howard H. Herrild 111 WEST LINE OF THE v g i SE 1/4 OF THE SE 1/4 � ,^; � � z UNPL A TIED LANDS l y • � r�yl I N 00'09' 12" E 659.47' 5 v, S� iy o� 4M 0 0 q �Zt y $ I n ^ r CD -n ON O,n ;0 C; N C Aw Z �x 0 0 0. t o 0 y IA I�t A IV I�C z � 1l' l� I� a pp p zZ to m U 4r H Q �a J � r N m v V m 0 r_ iJi ' rn D ,v M . Ui � W C AO N. 1 to N l C 0 0, � 100' 1oNrM �� o iDw> IW p C > vcn I� I� NA 0 C� ;�1 Z i o I I�Q>� + w m oo I My m e 'p m ,73 I � t I . �. ,PROPOfED 0D L4 c — s o o- e `� a sss.a ,x .165 .as i NOU'00'09 "w V� 4•, o `.4 --u u, 294,0 ?' -Sd 000 09 E JL2S.72' a S 00'00 0 E 6 59.48 _ti S00'00'09 "E 2651.44' @--Q jJI S _T R E E T I S EA ST IN TH J08 M WI057SU* 1/4 o f SEC. 2 I 0� z SERENITY pre by. ^ — --- — )" JF O ConsulbngGraup,Inc . NOTE: The parcel(s) shown on this map is /are subject to Siate. County and ..Pho,•c No. (715) 248 -4. 519 Township as, rules and eguletions ( i.e. wetlands, min mum lot size, access Fox rlo. (715) 246 -3630 to parcel, etc.). Hefore purchosing or developing any parcel, contact the St. P.0 Oox 325 Croix County Zoning Office ono the appropriate ]own Board for advice. New Richmond, W 54017 - Sheet 1 of 2 Vol. 16 Page 4358 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEhOM AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 4 1 e f .Su 2 e ft V u/7 a SJ'e- Mailing Address 16 — S4 - .So•n e y e T S 'J ao 1 `f' � D , L o- -� e d d t Property Address d t' �n !' 4 s -� (Verification required from Planning Department for new construction City/State So ►m fl 5* kf- U T Parcel Identification Number - AL DESCRIPTION PW C" w '1 asI - / LEG I Property Location SF V4, s C %, Sec. L 2 . TAN R_LJ_W, Town of S o en eJ Let Subdivision TIA Pa n d kr o 76, - 75 - , ) 2 Lot # ! Ce urvey p # off,, C,SY� . Volume . Ze # , �eed # :Z ©�la . Volume Page # G6 aU » � - - Spec house ❑ yes IN no Lot lines identifiable ® yes ❑ no S-YS= L MAINTENANCE Improper use and maintenaanceof 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 maswplumber, journeyman Plumber, restrictedplumber or a licensedpumper 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 the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this I (we) am (are) the owners) of the property described above, by virtue of a war SIGNATURE OF APPLICANT DATE s «s « «« y • nP « « « « «« An information that is mis- ntc4 ho Zoning fi «« Include with this application: a stamped —: a Dopy of the deed POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I/ of FILE INFORMATION SYSTEM SPECIFICATIONS Owner , Septic Tank Capacity gal O NA Permit # q 3 o Septic Tank Manufacturer" O NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units NA Pump Tank Capacity al M NA Estimated flow (average) al /da Pump Tank Manufacturer_.- 16 NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer 45 NA Soil Application Rate gal/day/ft' Pump Model C2 NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg /L O Sand /Gravel Filter O Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L O NA O Mechanical Aeration O Wetland Total Suspended Solids (TSS) 5150 mg /L O Disinfection O Other:' Pretreated Effluent Quality Monthly average Dispersal Cell(s) O NA Biochemical Oxygen Demand (BOD 530 mg /L $ In- Ground (gravi O In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L It NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu/100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia? O NA Other: O NA Other: 0 NA Other: O NA * Values typical for domestic wastewater and septic tank effluent. Other: O NA I MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: monthls) (Maximum 3 years) O NA p ear(sl 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: g ea t 1 (s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: 0 month(s) 0 NA ;0 year(s) Ins Inspect pump, pump controls & alarm At least once eve 13 month(s) lNA P P P every: ❑ year(s) O month(s) 8 NA Flush laterals and pressure test At least once every: ❑ year(s) Other: (s) At least once every: 13 year(s ) NA Other. 0 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 tankis) 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 Cade. 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 t,�7 of-2— 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 collie) 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. I 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 9 P 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; herbicide#;_ 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 Servicipg 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 fail OWTS. i 1 / /I The has n b en evalua identify a stable placement a. Upo failure POWTS a soil and site f l {-/ /� ev at n mu be erform to to to a suit Is replace ant ar If no replac area is a ilable- a tank m be nst ad as a st sort to rep ce failed POWTS. ❑ 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 Name Phone — — Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name J Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(01 and 83.64(1 (2) S (3), Wisconsin AdmNtlstrative Code. LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SOMERSET COMPUTER NUMBER 032 - 1059 -90 -120 Parcel Number 22.31.19.299A -20 OWNER NAME: First KYLE J Last VANASSE PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 2010 60TH ST SECTION 22 TOWN 31N RANGE 19W %160 SE 1 /440 SE Line Description Line Description TOTAL ACREAGE 16.770 PLAT CSM 16/4358 LOT8 BLK 01 SEC 22 T31 N R1 9W PT SE SE 15 02 FORM LY LOT 2 CS 2 �. 03 8 SM 16/43 17 04 —" 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit I • 7 42 86 \� U 2 4 2 5 P 2 6 5 KATHLEEN H. NALSH STATE BAR OF WISCONSIN FORM 3 - 1999 REGISTER OF DEEDS QUIT CLAIM DEED ST. CROIX C(3., wI Document Number RECEIVED FOR RECORD This Deed, made between Kyle J. Vanasse 10/01/2003 12:10PM QUIT CLAIM DEED EIENPT # Grantor, and Kyle J. Vanasse and Suzette Jo Vanasse, husband and wife REC FEE: 11.00 as survivorship marital property, TRANS FEE: COPY FEE: 2.00 CC FEE: PAGES: i Grantee. Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 9 of The Ponderosa Plat as recorded in Volume 9 of Plats at Page 76 as Recording Area Document No. 732442. Name and Return Address Judith A. Remington REMINGTON LAW OFFICES P.O. Box 177 New Richmond, WI 54017 Part of 032 - 1059.90 -100 Parcel Identification Number (PIN) This Is not homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Dated this day of October 2003 /44 4 0 C 4a • • KMLE J. VANASSE AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. ST. CROIX County ) authenticated thi day of . ' Personally came before me this 'l day of October , 2003 the above named • ' / t Q t • s Ky1e J. Vanasse TITLE: MEMBER STATE BAR OP (If not ,, L to in known to be the person(s) who executed the foregoing authorized by g 706.06, Wis. 'S 3nrymen� and acknowledged the same. THIS INSTRUMENT WAS' ..:- ,— Judith A. Remington, Remington Law. . •.: L�' -* bihti k Public, State of Wisconsin P.O. ox 177, New Richmond, WI j( �,; G Commission is permanent. not, state exprratton ate: (Signatures may be authenticated or aclmowleagd th a E.n4es • Names of persons signing in any capacity must be typed or printed below tlteif signature. M minion Protasslonals company, Fond du Loa, M STATE BAR OF WISCONSIN e00 - 2021 QUIT CLAIM DEED FORM No. 3 -1999 60th St. 6 p_ T H —A_ S 00'00'09" E 365.46' N 00'00'09" W 1619.74' CO N 00'00'09" W E �,� 66J00' z -- -- -- -- _ z _I 299.46' o - - - - - -- i :t o S 00'00'09" E 365.46' o o I M I kzy z D OR 00 00 I 1 I QI w t o O = 00 00 i 1 �I I I o v N w N L4,j Q �1 �61 N 00 Q i I L I I I 'o) I (n I ~ O v l 1 I 00 w Z v CSI U ' I I C „ ° � = QI d� u � J J � r z C JI S 00'00'09" E 294.02' 6 6' i N 00'32'05" W 299.51' 5 QI i 07 04 w ,I �I Pa W J, I ao ca <0 3m IN 3 1 S `a. 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N al p , c UFO C m a> 'D ` W V C N y O U p C y E W r pl E y , O N Z � u a ap N p 0 Ol0 O � v+° W I) y 0 w 0 O oo 0 V alNO p NN C 0 't �'+ c U) ai � t a, D `'� .� t o+ 111 N v, c 0 • V) m y . a, v a, , 'D a, a,) , v mN0 o�t'M�,00C —° t E v o >° a p D 0% U ) a� o C U a, a, H r o� V) p• a c i` `00 0 onm 00 0IV c �. •• 0 0 3vo ~,�,� o 0 n ' m o DZ T o o c a 7 oc� 0 0 o� p ao� 0 0 0(n o! UO,.vztn. - d , APPROVED ST. CROOt COUNTY .^ ,. A Planmm ZriniMl and Pt!tts Cpnmitte' �;� * , /N TYG' 68640'5 AUG 2 8 2002 vvVC� `, VOL 16 PAGE 4358 if not recorded wnnio 30 days of KATHLEER H. WALSH approval date approval shall be .'' •.. c..> REGISTER OF DEEDS null end void "'' ST. CROIX Co., NI RECEIVED FOR RECORD C E R T I F I E D S U R V E Y M A P 08- 2e -2e02 9=15 AM Located in port of the Southeast Quarter of the Southeast Quarter of Section 22, Tow F 103ES I18iRtlhURV a MAP 19 West, Town of Somerset. St. Croix County, Wisconsin, being Lot 2 of Certified Sur". A t }B e 2742, Document No. 515270 as recorded In the St. Croix County Register of Deeds Of : t 2 Z OWNER: — _ — Kyle Vonosse 2010 60th Street N Somerset, WI 54025 LL Drafted By. Howard H. Hensd III `y WEST LINE OF THE o g SE 1/4 OF THE SE 1/4 °� ��' C/NP(AT7�0 CANQS I o N 00'09' 12" E 659.47' ax • o " � �J A !/�� E m 110 1% l� L �/ ` ' 7i �A1+1� A $ o a ' IA %� � I�OP I� I� = �, Iw m I I OD v A N m m �y C m 2 O N• iO 01 1 M rrt m r -4 m N C h v Io � to N j r, a FPS ( q ..t N \ •y N 1 -- p N o - g m (� 2 1 � +p N e o I z 1 a v ? ^ n a %-J c rn i r S 00'00'09 `� 65948' $ 165.46 19 4.07'1 rr 107 N00'OU'09 "W 6 a 1e -. a, 2 4.0 U3Oq V O9 J�25.72' of S 00'00 0 E ,4 _^ S00 "E 2651.44' I - g 0 - Q T S_ T R E E T - JOB [ EAST LINE OF THE ,roe N W1057SV* 1/4 OF SEC. 22 Prepared by. SEREN /TY J E D ComIting Group, Inc NOTE: Fhe parcels) snows an this mop is /are subject to Siale. County and - Phor,e No. (715) 246 -4319 Township iaws, rules and .egu�ntions ( i.e. wetlands, minimum lot size. access ra- No. (715) 246 - 3630 to parcel, sic.). Before purchosing or developing any parcel, contact the St. P.0 Oox 325 Croix County Zoning Office and the appropriate Town Board for advice. New Richmond, WI 54017 Sheet t of 2 Vol.16 Page 4358 II ` 0 ` ! TNIa 0- - -6*V4D rOR 1119CORDINe OATA DOCUMENT NO. ;STATE BAR OF WISCONSIN FOBIft fi -1Y6i ; yl 1� PERSONAL REPRESENTATIVrIl DEED 516534 C . George E. - Norman and Esther Day _.as . _- _•_,,,_- I U . dlbrRLt �� co- personal reresentatives_ ........... ...._.........._.._............ II • - ....... ......................XKs."undAm umella. of the estate of ;� MAY 11 1994 ;4 � I 101i.i.1i,*i ..d_.... Haxxiau __a1.k1 a..leti2.li a..Har.Yl�eus . .......... . . .• i 1:00 - -- F. at M -------- •- ••••- ••- •••- •--- ........ -• -- j 1 ................................ ..._•••-••--•--•......... ......-- -----•-- ............... ( Decedent"), I. - 1 I for a valuable consideration convoys, without warranty, to K Y�st ., l ,t..Yaiatta.asl...._li...z;_iag 1i3,- man . ............................... .... _ .. Grantee , Rerun" TO 1 ........................................ ............................... .......................... it '.� the following described real estate is ,51.9 .... rAr ix.........Connty, I First National Bank S sconsin (hereinafter called the "Property"): New Rih wnd, WI 54017 v Lot 2 f Certified Survey Map recorded in Vol. " 0 page 2742 document number Tax Parcel No 51527 , being part of SE 1/4 of SE 1/4 of j on 22 -31 -19 ,'T' RAN i FEE c s a f Knowledge is a Fire's Worst Enemy i S - f h uv�der n9 P r8S a is 4 - , h� �'. Va � s se O i I� 11 estate and interest in the Property which Light Water Foam Products 3M to and interest in the Property which the � 1 11� i i 2 . % six�(sEAL) - --- - - - -e. . ....... . .. -- (SEAL) • �Ge, axge_. ��... lYsa >~ooan- _ .... ... ............. ------ F. Aiher.• DALy--------- .-- •.- ..- .-------- . - - - - -. . P.rwe•1 RepresentaHn Personal Representative AUTHENTICATION ACKNOWLEDGMENT Signature(s) ....................................... .. .... _............. STATE OF WISCONSIN - ss. ---- ..... - ................ ........ -- ..................... - .. ........ ....... ..... U. ... Ct r QAA ........... county. authenticated this ........ day oL•-- . ----- _-------------- 19 ..._ Personally eame before me this ..._ th...day of ........ .................. MijY_........ 1a..� 4. the above named •-----....--•--•-•-•-------•----•----....•.... . ................................ G o E. NormanAM ... calh41•..oxy... .. ..... .............. ' - ._.... ...to. a!�.. known ..to_.l?e.._th4..84r44n§4�..... ------- .---- ••---- -. - - -- ._.... TITLE: MEMBER STATE BAR OF WISCONSIN rep ;eaentgt_iyeaand _,•,____•_ -_ -,- Itnot. ........... ... ....... .. "••� \. � . e , w T _.... } authorised by ; ?08.06, Win. Stab.) S *O e�ecn d 1 !i W me known to M the person .. s... ->l. � foregoing ins meat and ,4�,. i IS INSTRUMINT WAS DRAFTED BY �i :; '* 'MIS ' BAKKE NORMAN S C . ,i , i'; NEW RICHMOND WI 54017 '--- • -- Q¢t��r�t..Ll�_._Y.xisr.�'i#� ..I- - ��� - - -•- �. .... ... --------• --- ...........• ..... ........... ........ Notary Public @f : .---- -••- -.....S t-t. -�wl:Q CD , W 3 tt. > rat�uF (Signatures may M My Commission is permanet authenticated or acknowledged. Both r ;. . are not necessary.) date: . ............... NOVem�es' i6n__, 1st.,9 ,` j r e_ - _'r' - KA, $ •Name of pomm signing in any eapseity should be typed or printed bebw their siesstures. � �M����..•'� r i I f IMATR BAR OF WISCONSIN Wlecowin LsaRi ; Inc• AL RZPSBSENTATIVi'S DEAD - FORK No, 4 -1114! Milvaakw, — — 1 _ - . _. . _.. - �. _ ....:.... �, �. �., .....a. : y..c..,..e...r..., a. ,.. +au:. _ - 'r1L V:f — ra � ' .,aqpi ,4 W � �'Gs� v oLrti /V-./ .c:. ., L / 14 ), ,Cyl�' Z• Zo cw LO Q� CERTIFIED SURVEY MAP Located in the SEa of the SE' of Section 22, T31N, R19W, Town 00 Somerset, St. Croix County, Wisconsin. 9 FILED o OWNER S AP.R 1 1 1994 A, 11 Estate of Willis Harvieux JA O'CONNELL in care of Regis'er of Deeds George Norman SL Croix Co., WI 1200 Heritage Drive New Richmond Wi. 54017 0 y •• .n E C o A y I L' I L Section 22 eo a M Co EFD, IFIL0 S►JR%✓ JUNPI Al i i Ed J.r�l. = m o - - - -- --- o - - - -- -- - - - - -- - - o w VOL. 7 W o "r y to LAND . H I V ID.. I -- iv o 0 0 I VOL. 4, I�G. 943 �'- -- N C ° North line of the SE} of the SEJ of Section 22 = ° o rt I N89 ° 22'07 "W 1320.53' w l s is �• �' s 0 0 4' 663.92' 326.48' 297,13' o 1287.53' m • w .vim w 66' s CD ° o -n 20.00 Acres Inc. W R I N I� H O C" 871,411 Sq. Ft. Inc. R/W o z rt I L I o o 1 o v 19.51 Acres Exc. R/W o I Z + — _ � - 849,649 S Ft. Exc. R/W r o n I — If ° - - v �, N LOT c Z 10) i _ s o I0 I - 0 a rn S89 °22'01 "E o aa' 1322.32 to 33' I C1) 0 C r -ti 6' 1289.32' I J T C7 ,N g w 00 - N I Iv . LOT � -7 0) �_, :� 20.00 Acres Inc. R/W IC, y 0 a+ rn N 0 871,401 Sq. Ft. Inc. R/W ; - ILD rt to 19.47 Acres Exc. R/W FOUND =' N 848,081 Sq. Ft. Exc. R/W rl ; N88056 11E Li 10' BARN 255.951 Housi w 1035.37' \, South line of the SE{ L� 588 °42 27 "E 1324.3 of the SEJ of Section 22 L r � SE Corner — �0C) i H ��IERlU� 22 .•,: :;;,, Section ' — �. UNPI X11 1 r- LEGEND . ?� — — — = Aluminum County Section l Monument Found i r 0 1 Iron Pipe Found 1� 0 V x 24" Iron Pipe Set, ' �'`� r " "•' ;z.�. ...K(AX COUNTY weighing 1.68 lbs. per linear foot pl a bensive f oiling and - ----w- Existing Fenceline 17.' VV%s Cornn*tee SCALE IN FEET •••••••••• 100' Roadway Setback line !V not recordod 100 50 " Y 0 200 400 600 W AOVA tnt drafted b Ed Flanum Job No. 94 -08 `' Or*va "" VOLUME 10 FAGE 2742 shad be !+ .R. vni,l ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM I Owner/Buyer 2 e �} 2 V aii A Sl'e_ Mailing Address Z016 6 S4 S©.n e r e &) T S Zq ..D Properly Address L o f' o "� ��n el0 s d � St (Verification required from Planning Department for new construction City/State So ✓n e/ s of (,� "£ Parcel Identification Number J .eyf,,;- < r / LEGAL DESCRIPTION f 4;� 032 - l ©SI- a - / 2v Q . 24JA zo Property Location S V4, S r V4, Sec. Z-2- T 31 N -R _L_tW, Town of S o m e -.itt Subdivision *�k Rf o S Plnkf 7(0 - 7 Z Z Lot # t Ce urvey Map # X107 CSm Volume . Pjge # - _ypeed # ,Z, ©LLD . Volume . , Page # , Spec house ❑ yes IN no Lot lines identifiable ® yes ❑ no 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 mastor 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. 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 returned to the St. Croix County Zoning Office within 30 of y e iration date. ,AV V / SIGNA OF 4PPLICANT DATE OWNER CERTIFICATION I (MCC) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of properly cr a by virtue of a warranty deed recorded in Register of Deeds Office. y 1/yl� i0 � /0 SIGNATr OF AVPLICANT 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 �l � o b Z� I� 3� ���