Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
036-2000-95-000
Q, O Q) O N O c O `fl O v 0. O O a) Ca C! O) a o ., U) 3 C: Q) o N a) E E Eo o CL m R � 4 y � a) LL ° N 1 ^` C M a) . O X N a0 N O O E O L N CD N L N a) N f0 0 0`0 z . c u o o�� �- o tiE c � ! w I co '2 � 3 a) m E a E Tr E a aoE U U co co d a) N a) $ E $ Q. z v o d d a) a) ° a) ch F LU m m a m 1 u I X 0 2v' U o c d Z a C C 0.2) c a) 7 7 0. N N a d! co d' p 7 0 °' a) C a) a) a) CL L .G a) m f6 N IIP11 0 'o 0 U) c 'o 0 O z m z S z z z O N Z° I o w \i Q c N a ' w ` >> a +`+ co N Y a a a 4) 76 0 0 a .a b /1 = O C F- F- F- o O o •rr 2a.aa `-'aaa 3 o N a 00 03 a Q to J U z rn rn a) z p o p o o I m m �' d Q t ) .p ?) Q n rs: co .R.. C'4 w O `- N C O Ip C I i.a C O O p) E PE 0 o G -b .O Q) C C a O p p ti o f c a m c c c 0) � I v U) I •! ] >, Cl) M .R. j, 7 0 00 O y R R U Q�j O N O t9 O I 111VVV O M U) N 00 z_ 2 2 M O z— z- UJ cd �J 0) t n L: CL L: IL T cd A C) a O in V 0 y v 2093 in Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 3f Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), di and percent slope, scale or dimensions, north arrow, and location and dista ea Parcel I.D. 036-2090-9 -000 Please p ' p D Revie By Date Personal infonration you provide may used f �vacy �Z Zg Property Owner Property Location Derek Russell DEC 2 7 2007 Govt. Lot 1/4 1 S 31 T 31 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name Cr CSM# 1825 144th Street ST. CROIX NTY 20 Hook's Second Addition City State COU J City _j Village e Town Nearest Road New Richmond y WI 1 54017 1 (612) 216 - 2413 Stanton 144Th Street New Construction Use: *01 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD 0 Replacement -J Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable Unknown General comments and recommendations: Evaluation completed to determine potential suitability of site to allow POWTS installation to replace existing holding tank. Ind ividual site design requir - see Memo page. ❑ Boring # I Boring / 16 Pit Ground Surface elev. 99.30 ft. 10 in. Soil Depth to limiting factor Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIV in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 mi d -73 mixed fill Na Na aw Na Na Na 0 mix non e 2 73 -82 10yr4/4 none Is 0 sg ml cs - 0.7 1.6 3 82 -104 10yr5/4 none s 0 sg ml cw - 0.7 1.6 4 104 -127 10yr5/4 f2f 7.5yr5/8 s 0 sg ml - - 0.7 1.6 flow stabilized at 119" below existing grade at B -1. "Effluent #1 = BOD 5 > 30 < 220 mglL i I nd TSS >30 < 1 0 mg/L jfftuent #2 = BOD S30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signatur : CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osce 6r , WI 54020 9/12/2007 715- 248 -7767 i PROPERTY OWNER: Derek Russell SOIL AND SITE EVALUATION 2093 Page 2 of 3 PARCEL LDJ 036- 2000 -95 -000 A. C.E. Soil & Site Evaluations REPORT MEMO Soil evaluation completed to determine potential suitability of site to allow POWTS installation to replace existing holding tanks. Site appears to have potential to allow the abandoned existing dispersal cells and contaminated soil to be removed, ASTM C -33 sand fill placed within excavation, and new dispersal cells installed. Approximate elevations of existing dispersal cells = 93.99'. Soil disturbance during system installation observed to a depth of 93.22'. The influence of effluent application to soil beneath cells extends approximately 18" below cell elevation to 92.49'. Saturated flow was observed from 121" - 127 ", stabilizing at 89.38' (119" below existing grade at B -1). Redox. elev. = 90.64', accordingly, new dispersal cell elev. must be > 92.64' with application of highly treated inffluent conforming to standards established in Comm. 83.44(2)(a). An individual site design incorporating pretreated effluent, removal of existing dispersal cells and soil 18" below cell elevations, placement of sand fill to create needed separation from high groundwater and construction of new dispersal cells utilizing pressure distribution MAY result in approvals to replace existing holding tank system. I ,C�,sPcrs�Ce /� e%c� Le x s� :9.3. • So evu.. b e-Ac a"s ace ellµ a,6 �t at E /ev. at o6svvcd9�c�..,d�a�u•: 8y,.�8' �c�'' •-. + di" I aPPr�Ni Maw � �.a• -- So' Sc� bwcY Qi del "Of b C 1 0 dro c.� J1Q►/,t/•TP�' IL ,4, � M a It h� a �. �. ,Ps 33�' � o J tddl G �u Gcc ewe, -c.fc 3, -- - -Pban� _ - ��o /d,'� �t • Zi /Q� s /rrr� = 9S ZO' o APp�ok. /ocaor: aF /u. �.•cd aS;i,�j, c y n � O m 'e c ol c d m C fD m A a v 3 o m m `) 3 3 - c Cn "y c- z N Z O w Cn 2 2 N Z eo N c- f Cn C4 ° O• = '. O O M (j7 O O C tD ( 01 >•. o0 0 - s o �' o a a v ao m o o ca c CD =1 N CP W� r y O C v m d o> u CD ° o °' o m 0 w n w I m CD n�i f � cn O 3 co a i i a o $ �+ 7 N 7 N O CD lu fD N 00 I C N m v D m a it1 D m a t J co ? N CL S N N a a C 4 3 a r O .' O a H (D z z L O 0 O= w N 9 Z %D o A m n r CA D o o w °° m N a c g '', 3 O O O a O O O �• p7 - p * * * 3 T 'a * * 30 N 2 O cr O O x N CD y 'p y M 7 T Ln N (D p d 3 c o f <' 3 co -4 -4 a O Z 4 Z Z 2 Z co Z ° o D D D m o o a N o - O a O o N m m o cQ Cn T AI s O O_ O -- N - @ -1 ry N O CD C 0 N N 7a 'D c ¢ ° � .� m m CD �. C C (D N f7 CD — N d CL O. C y m CD 'i y �. o o a ? 7 .7• y (A c �_ = O 7 X 3 a A 3 9 -{ o C/) "� w m 00 ao "o m CD O a - CL z ay g g3 CD m m 41 m m m 0:D a m 2. ft 3 m 3 J fD O N C O N C O O z — cr C 7 =r O Q x r 0. O O. N O O CD O O K N O O a N CD N 7• o C N 7 ON N y, w CD o rn w o Z T 3 O • (O c0 m y x x 7 T S c a A O fD V N (p N N '00 w O O N 3 N D y CD cn �o v� ..o A m o • 0 b CD m e w e» O fn O c„ I I 0 0 CD a Parcel #: 036- 2000 -95 -000 11/02/2005 03:16 PM • PAGE 1 OF 1 Alt. Parcel #: 31.31.17.617 036 - TOWN OF STANTON Current X'. ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - EMC MORTGAGE CORP EMC MORTGAGE CORP PO BOX 141 IRVING TX 75014 -1358 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1825 144TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.600 Plat: 2106 - HOOK'S ADD LOT 20 HOOK'S 2ND ADD Block/Condo Bldg: LOT 20 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 31-31 N-1 7W 2 L)() Notes: Parcel History: Date Doc # Vol /Page Type 06/27/2005 798687 2830/385 SD 10/11/2001 658813 1736/04 EZ -U 10/11/2001 658812 1736/03 WD 07/23/1997 734/48 more 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.600 18,000 169,200 187,200 NO I Totals for 2005: General Property 0.600 18,000 169,200 187,200 Woodland 0.000 0 0 Totals for 2004: General Property 0.600 18,000 169,200 187,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 109 Specials: User Special Code Category Amount Special Assessments S P 9 Q Special Charges Delinquent Charges Total 0.00 0.00 0.00 r Y ST. CROIX COUNTY �,,.� WISCONSIN ZONING OFFICE / / M / / W / M ■ — goals ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road �• �---�— Hudson, WI 54016 -7710 ,. (715) 386 -4680 FAX (715) 386 -4686 i August 31, 2001 Julie Schmotter 1825 144' St. New Richmond, WI 54017 i RE: Water meter for holding tank Dear Ms. Schmotter: On August 9, 2001 a holding tank was installed to serve your residence at 1825 144 Street. This septic system was installed in conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes with the exception of one item. The installation of a holding tank requires that a water meter be installed on the water system in order to adequately measure the amount of water used by the structure. However, a licensed master plumber must install this water meter. Shaun Bird, the individual whom obtained approval and installed the holding tank, maintains only a master plumber — restricted service license. Therefore, he is not licensed to install the water meter. As the property owner it is your responsibility to contract with a properly licensed individual to install the required water meter. If you have any questions please contact our office, Shaun Bird, or a licensed master plumber. We look forward to working with you on this matter and appreciate your cooperation. Please inform our office when the water meter has been installed. Sincerely, F on entag Zoning Technician Cc: Shaun Bird file n y O 0 N O 3 M 0 t o c ° � � I c °.: f o � � � cn m m o m m m a A� • - 0 71 a M m 3 3 :c z UT Z o w 0 12 0 Z O c - ° CO w ;�! • 0 d 0° c o c�n I v v o CD w j 1p ° n ro o CD y N o I a s m oo m $ o Oft c > m m W c o r ° O N a 1 m � v d w CD o coo ` 1 CD CD w +' 3 o a o m l ° m a ° o p (P H N N CO 0 of m N m c cn v D a c" cn -G D m a CD m (a a u, a N CO n a c `o o` cn O rn rn cn 1 70 CD z co i 0 N N m I W Nom-. ° D °° I N o o m 3 c Q o z 0 0 0 l a o w n 3 1 o N 2 `may a c U ai t = N y N a °° m 3 a m 3 °oN b _� v m o u; .* N rn c m m cn d ° a 3 m o �' m° n V J O D D o I D Cb ° O O a o " cn "fti. CD Z m Tc fD co c N m ° a m m C � -I W Z :3 a Z o Cl) cn I I n j' z 3 j " cn w I c. m m mj 0 3 0 U z ° ° - 3 A I � o p A N Ca N m g 3 D 3 ov`n D 3 m a c CD 3 a C CD �N a G ^ I aav o: C O r. om z a �Tm Z a ° CD W CD o a o 3• CD =r =) m m o a �w=3 aim CD Q° m. CL CD j T c o �° v , �• Q a CD (D S c m m CD I ° d m 3 DN �y ti O I �En I "o 0 I m m m O I O N CD I m pq < "I ZI � A E» O f» O r v ° I ° o C ° o i. ti Wisconsi department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Dislsion Sanitary Permit No: INSPECTION REPORT 395152 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: Schmotter, Julie Stanton Township 036 - 2000 -95 -000 CST BM Elev: Insp. BM Elev: BM De ription: ov L TANK INFORMATION ELEVATION DAT TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Se Benchmark 2 S� dO Dosing Alt. BM TIA�dkvy_� Bldg. Sewer �F 0 Holding S Inlet #Z Did I TANK SETBACK INFORMATION S Outlet � TANK TO P/L WELL BLDG. Vent to Air Intake ROAD u I�I #� /O Septi Dosing Heade /Man Dist. Pipe Holding �- I i / Bot. System Final Grade PUMP /SIPHON INFORMATION facturer Demand St Cover GPM Model Number TDH Lift Friction Loss Sy Head Forceniain Length Dia. Dist. to We SOIL ABSORPTION SYSTEM 5An BED/TRENCH Width Length No. Y"\ (IONS No. Of Pits Inside Dia. DIMENSIONS SETBACK SYSTEM TO P/L EAM LEACHI Manufacturer: INFORMATION CHAMB� OR Type 9f System: ' ; r IT Model Num OD DISTRIBUTION SYS EM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) L 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 A Yes [M No j 7 Yes ❑ No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: Inspection #2: ! / Location: 1825 144th Street New Richmond, WI 54017 (SE 1/4 SW 114 31 � t✓ T31N� R1 7W) Hooks 2nd Parcel No: 31..31 ./ 1.) Alt BM Description =� ) � QVt us. �i.1 2.) Bldg sewer length = � .� I, -�� �.efte /AAO [ / «', amount of cover = 3_) 1 , l e tWCCv- Plan revision Required? [] Yes � j No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) 1 3 S afety nd Build ety ings Division County W1490 ' 201 W. WaddePon Ave., P.Q. Box 7162 onsin ,. Madison, Wl 13707 - 7142 0 Address Depolm of Commerce 3 Permit A u — safes Prmlii Numbw Go wo co In m o w mod mist 19.21, wit. Ades. al, L m 1 w IUMMEft "nom � perearet 1t. 1 L o Prla An luftemed90 . srwo tied Pi+opn"4! a Nam 'JL7 G� (n t...._a owsw 91 -16 O ny Location e ` T . �/ 3� x ba Zip Code Phone :.', ;' Lrx Number s d 4 2 Pe* DweAh+fl, - N umber of >ladtooamt „„ O - Dsmcd* Use 13 ft" Owned et M- T erl; a (Cho* a* ona bm an Nna A 4wwbaring eal wn fir tiger" p"), Cvmplsroe ft* 81f Ypp1lplhrlfi) A ' 10 New `2 Iyw► 3 C RepwWom of 6 13 Aadltlon to For tw s H• 0 it l m*my Pwmk Pavkm* Lmea Pandt Nwaber Dad lam d �►. tip ;I1;;; t miz W imm ttppW(nnmbartng schememo is for iadertml We) 0 rraa -Ptaeudaed ie mmed 2113 Mound 47 0 sand PUw so d t.oa�auoted Watisnd 22 37 Pt Mftd Ls• WV&d 4!gAwdfeg Tank 48 0 shww Pau 5113 Drip Lin 45 0 40 D Aeobia 'fY+e thew Ua 49 © 30 D over v Arm Dodo lbw we Aare Area soli Ammon FwaWatlon !taro Sysofrm Phu) C�rdt RAlA(0&le- /DgSl&t-Pt -) (Mindbr* Btevadoa VL Tmk rub Is Toda1 Ntunber Ms�rer C sag to mu p� oaAooe MUM of Twice 01846 aN c 9 Tub Job bw&Whd m of the PO%M "Wa an the Wool" pbe -7 J7 � a AA&— (fie CIW- Nme � ? v AW,i. d C3 DbWMVad ' Dawkwad 1.,na A*6W s�ma3 W* 9n�ps) D owa.e Biwa lettW �dwrsa . �`�° � , O nr. // B * �roPer�y �nt5 hto q2 Glea- v �° Pad S (�• ii �i�r� ,'S Sa�,�•�ie•� eepaer` {y �b SerJ� a �/��r�. t�e5�c�eac� - �Gt rCVc'% �. torll kof be vegu.�� tv�w fG 6. kit sfaf� IRMs bvere �� 3 be(vrN. vC�i'elepce, sf e c erb mb for &GAPolam ob a •.� ws : 3a rk WW SBD -6898 (it 03101) 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, north arrow, and location a to nearest road. J X 12 Please print all inform — �_..:_ l J , Reviewed by Date Personal information you provide may be used for second ses (Pdv* Law, s.'°i 94 (m)). Property Owner ` f EIVE Prop2tly L cation ubuz S 4 _ Govt. Lr�t 1/4S; J 1/4 S 3 T N R E (o W Property Owner's Mailing Address .1u f # ck # Subd. Name or CSM# yT CfiOtX L , City State Zip Code Phone Number �itt\ ❑ Village Town Nearest Road ZOMNGOFIR r2 f r v J I IAi �(G (�S)" >- 30 i ❑ New Construction Use :Residential / Number of beds Code derived design flow rate J C) GPD Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable / ft. General comments and recommendations: © n ` l �(i0 /''pC7s� y s ue' 7`�/�. F 1-1 Boring -� Boring # Pit Ground surface elev ? / ' y 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 4 -7 jf- w ❑ 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. 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 CST Nam (Please Print) �Agnature CST Number Address Date Evaluation Conducted Telephone Number i D� /�1 � �S A-21 - SBD -8330 (R07 /00) Property Owner Parcel ID # Page of 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F1 Boring # F1 Boring El 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. 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) Soil Test Plot Plan Projbct Name Julie Schmotter Shaun Bir Address 1825 144th St. New Richmond Wi 54017 CSTM 6900 Lot 2 0 Subdivision Hook's Date 6/20/01 SE 1/4 SW 1/4S 3 T 31 N /R17 W Township Stanton ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Base of Garage Siding System Elevation none *HRp Same as Benchmark Alt. BM Base of Garage Slab @ 100.0' 144t St. 85 ' Vent Not enough room for further testing even with highly treated effluent Drainfield there is not enough area for a system other than a holding tank c. 85' 12 Water Retention Area 125' 15' Alt 5' 45' M. 15' Retainin Wall Existing 3 35 Bedroom House Garage Higher an ound a� levatio W ell 15, nB.M. 35 5, 5, B -1 Swimming Pool 50' Willow River r - Safety and Buildings 10541N RANCH ROAD '^ `~ HAYWARD WI 54843 l �_ 1� TDD #: (608) 2648777 www.commerces s tate.wi.0 /sb F. � �sconsin r �_�' ' � �..�' www.wisconsin.gov Department of Commerce C `�� �- Scott McCallum, Governor i X Brenda J. Blanchard, Secretary July 14, 2001 C . CUST ID No.226900 ATTN; POWTS'1 ector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC SFT . . 1008 192 ND AVE I f CARNIC`FTA' NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/14/2003 Identification Numbers Transaction ID No. 659934 SITE: Site ID No. 632443 JULIE SCHMOTTER Please refer to both identification numbers, 1825 144TH ST above, in all correspondence with the agency. TOWN OF STANTON, 54017 ST CROIX COUNTY SE 1/4, SW 1/4, S31, T31N, R17W FOR: REPLACEMENT HOLDING TANK, 3 BEDROOM RESIDENCE OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 800716 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Holding Tank Component Manual, SBD- 10571 -P (R.6/99)" • In the event this holding tank malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described the Holding Tank Component Manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. • Note: The servicing of POWTS holding and treatment components, including septic tanks and holding tanks, is required to be performed by licensed pumpers under chs. NR 113 and NR 114. Site Specific Conditions: • The existing septic tank must be inspected for structural soundness and size and must be brought into conformance with the requirements of COMM 83, Wis. Adm. Code. If it does not conform a state approved tank must be installed. • A meter, with remote reading device, shall be installed by a properly licensed plumber, on the water system, that adequately measures the amount of water used by the structure, excluding hose bibs and wall hydrants, which do not discharge into the sanitary system per COMM 83.54(2)(c). r SHAUN R BIRD Page 2 7/14/01 • Materials shall conform to the requirements of COMM 84. • Anchor tank as necessary to negate buoyant forces per COMM 83.43(8)(g). • Manhole cover or service port to be no more than 25' from service road or drive per Holding Tank Manual, Table 1. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 BALANCE DUE $ 0.00 PATRICIA L S NDORF POWTS PLAN REVIEWER, INTEGRATED SERVICES WiSMART code: 7633 (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE. STATE. WI.US cc: JULIE SCHMOTTER I r Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 Nvisconsin www.w w ww.commerce .state.wi . us/sb isconin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary July 14, 2001 CUST ID No.226900 ATTIC• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/14/2003 Identification Numbers Transaction ID No. 659934 SITE: Site ID No. 632443 JULIE SCHMOTTER Please refer to both identification numbers, 1825 144TH ST, above, in all correspondence with the agency. TOWN OF STANTON, 54017 ST CROIX COUNTY SE1 /4, SW1 /4, S31, T3 IN, R17W FOR: REPLACEMENT HOLDING TANK, 3 BEDROOM RESIDENCE OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 800716 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. r' The following conditions shall be met during construction or installation and prior to occupancy or use: Co General Approval Conditions: 71 z • This system is to be constructed and located in accordance with the enclosed approved plans and with the r "Holding Tank Component Manua " Manual, SBD- 10571 -P (R.6/99) ;:1J D1 • In the event this holding tank malfunctions so as to create a health hazard, the property owner must follow the, contingency plan as described in the approved plans. In addition, the owner must insure that the operation,. -- - -- maintenance and monitoring duties as described the Holding Tank Component Manual are complied with. SEE C " copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. � county • The maintenance plan for this system must be given to the owner of the POWTS. • Note: The servicing of POWTS holding and treatment components, including septic tanks and holding tanks, is required to be performed by licensed pumpers under chs. NR 113 and NR 114. Site Specific Conditions: • The existing septic tank must be inspected for structural soundness and size and must be brought into conformance with the requirements of COMM 83, Wis. Adm. Code. If it does not conform a state approved tank must be installed. • A meter, with remote reading device, shall be installed by a properly licensed plumber, on the water system, that adequately measures the amount of water used by the structure, excluding hose bibs and wall hydrants, which do not discharge into the sanitary system per COMM 83.54(2)(c). SHAUN R BIRD Page 2 7/14/01 • Materials shall conform to the requirements of COMM 84. • Anchor tank as necessary to negate buoyant forces per COMM 83.43(8)(g). • Manhole cover or service port to be no more than 25' from service road or drive per Holding Tank Manual, Table 1. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 -' BALANCE DUE $ 0.00 � P RICIA L S NDORF POWTS PLAN REVIEWER, INTEGRATED SERVICES WiSMART code: 7633 (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM P SHANDORF @COMMERCE. STATE. WI.0 S cc: JULIE SCHMOTTER PLOT PLAN PROJF.Ct Julie Schmotter ADDRESS 1825 144th st. New Richmond Wi 54017 SE 1/4 SW 1/4s 31 /T 31 / 17 W TOWN Stanton COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/22/01 BEDROOM 3 CONVENTIONAL IN -GR RESSURE CONVENTIONAL LIFT HOLDING TANK )OCX MOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 1000/3000 LOAD RATE ABSORPTION AREA # of chambers IL BENCHMARK V.R.P. Base of garage siding ASSUME ELEVATION 100 Filte 9 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Alt. BM Base of Garage Slab @ 100 SYSTEM ELEVATION Na Plans Designed Using 4 ( version Holding tank manual s�` �.l; r'NiS version 1.0 r ' 144th St. �'�� Q P O ar� ` f � s C' + �� u, f 85 Vent �a �.,, f` ` ���,1 Tank is to be 125' Alt enough room or furt�ier testing s�:.�a �� properly Drainfield even with highly treated effluent ILrY v1ht there is not enough area for a system 85' HT other than a holding tank 1' Seperation Water between tanks Retention Area 15' � Tank is to be pumped and 15' 10' 45' M. fitted with a lockdown cover Re 5ta, with approved warning label Wall 0. Existi 35' Bedroom House Garage ' Higher ' etcV gr ound levatio ,��_ {3i �{LRC a ell � s 35 0 15' rB.M. f�� r� QCE B -1 Swimming Pool c, C ,O I Willow River Page Of • e e E � c •r 7- c i c O c R7 Q1 � - O C n O C • O .c v a i•+ W u w a X O r-- ro >¢ w " .cam I-= vo— v , c¢ n. «+ O - r o U9 S- cn � a A Q X 4- •r `- •. i L •r M x r W s- GJ 4J N �i u F... r - a u •� ro_ U LU W 4- 7 W4J m `n ¢ ;cc rood u.. a V, U v ro to N o N cu N � w 0 ca s.- d v x a m L'7 Q, LLl E Q 'E J �" ro 0 •rl �� 0. i, I 1 Q Z C J i Q i n Q 4 8 X to CL 6. m 4-� rn to y u o d a y � c ai •-� H � OJ C1 to •Ct' > Q > • Q� O 0. - W r r O •� '� v N E 1 U ` LJJ .. vi V, Q •r G: 3 IV >u aim occ m to c•• 0.0 C7 QrJF -U 0. V�JU dy b ro a� Maintenance and Contingency Plan for a Holding Tank System Maintains: 1. Tank is to be pumped when alarm sounds off. Never turn alarm to silent. Upon sound of alarm, limit usage until pumper arrives. 2. Owner agrees to use conservative water usage practices, i.e. water saving fixtures. 3. Owner will install a water meter for internal water usage use only. 4. In time owner will be able to monitor water usage and should be able to follow a routine pumping schedule. 5. Tank is to be inspected at the time of each pumping for cracks or leaks in the tank. 6. Owner will save this plan. Contingency: 1. If tank fails, replace tank. If alarm fails, replace alarm. All other components should be replaced if necessary. Phone Numbers: Plumber: Shaun Bird 715 - 246 -4516 Pumper: Chuck Nutzmann 715 - 248 -3735 St. Croix County Zoning: 715 - 386 -4680 Shaun Bir' # 6900 12/2/00 POWTS OWNER'S MANUAL at MANAGEMENT PLAN Pap -- of -- FILE INFORMATION SYSTEM[ SPECIFICATIONS NA fawner S '400C Tank Capacity add ❑ hmdt # Septic Tank Manufacturty DESIGN PARAMETERS Effluent Filter Manufacturer ANA Number of Bedrooms DNA. Effluent Filter Model Number of Commercial Units I j NA Pump Tank Capacity sal Emitted flow (average) 3 pl /day Pump Tank Manufacturer NA Design now (peak), (Fidmated x 1.5) s-0 gal/day anufacwer Vee- &t ❑ NA Solt Appllcadon Rate j j gal/day /W Pump Model ❑ NA influent/Effluent Quality N JA Monthly average* Pretreatment Unit Fats, Oil at Grease (FOG) ' 530 mg/L O Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) x220 mg/L ❑ Mechanical Aeration 0 Wetland Total nded Solids (TSS sI50 mall. ❑ Manufacturer D Other: Manufacturer Pretreated Effluent Quality NA Monthly average *" �s)SY Noche mical Oxygen Demand I (BODs) s30 mg/L 0 In- ground (gravity) ❑ In- &round (pressurized) Total Suspended Sollds (TSS) s30 mg/L D At -grade ❑ Mound Fecal Collform tric mean fa/ &'10 c100ml D Cldlert '" Maximum Effluent Particle Size A inch diameter " vakm tn*W for domestic (non- conowdat) wa M aW and mtptk rank effluent Yatua typical for preure0ed WUWMter. MAIhITENANCE SCHEDULE Service Event Servkt Frequen Inspect condition of tank(s) At least once every P& j dR=months ❑ year(s) (Masdaetm 3 yrs.) Pump out contents of tank(s) When combined sludge and scum .equals one•N (%) of tank volume Inspect dispersal Cells) At least once every N i A C3 motes 13 Year(s) (M T 3 yrs.) disp Olean effluent niter At least once every l(/ l A ❑ mOnft 17 years) Inspect pump, pump controls &Ladarm At least once every 3 O months I year(s) © NA Flush laterals and pressure test At least once every 0 Kj 13 months I7 year(s) U NA Odor. At least once every s nths O year(s) O NA ❑ months O year(s) NA Odnn At least once every MAINTMANCE INSTRUCTIONS Inspecdons of tanks and dispersal cells Shan be made by an Individual carrying one of the following n cenm or certifications: Masse! Plumbers Master Kwnber Restricted Sewers POWTS Inspectors POWTS Maintainer; Septage Servicing Operator. Tank Inspecdons must include a visual iropectlon of the tank(s) to identify any missing or broken hardware, Identify arty cradcs�or d Measure of combined sludge and scu an d to check for any back up or ponding of effluent on the grow of et �. o e gr shad be visually inspected effluent on the ground sarface indicate atte afalling condition and requires the immediate the groyne surface. The ponding of notlacation of the local regulatory autiwrity. re 0 th Wfsen the combined accumulation of sludge and scum Servicing y tank O disposed r utord f ew ith ch. 113, W a+dtn contents of the tank shall be removed by a Sep ge /+dative Code. The sen&ing of effluent fliters, mechanical or pressurized POWTS components, Pretreatement components, and any other maintenance or monitoring at intervals of 12 months or less shag be performed by a certified POWTS Matatatner. A spryke mpoi t sfia(I be provided to the local regWatory authority within 10 days of completion of any service event. S'T'ART UP AND OPERATION ,.Anr tn use of the POWTS check tre Lank(s) for r the presemc of pn detect d have the co c hemi cals Pap .— of — System start up shall not occur when soil conditions are frozen at the Infiltrative surface, During power outages pump tanks may flll 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 Matntainer 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; mediations; oil; oalntine products: mticides; sanitary napkins: tampons: and water softener brine. ABANDONEMENT When the POWTS fails and/or Is permanently taken out of service the following steps shall be taken to Insure that the system is property and safely abandoned In compliance with ch. 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 Servit�ng 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 compflant replacement systems 13 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 tithe. suitable replacement area Is not available due to setback and/or soil limitations. Barring advances In POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. D The site has not been evaluated to Identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area Is available a holding tank may be Installed as a last resort to replace the failed POWTS. 0 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the blomat at the InflttratMe 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 INSUFMCIENT 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 I~10RI A. ADDITION* COMMENTS L T POWTS INSTALLER POWTS MAINTAINER Name SA4LL4.,t ; Name -s G rr p r Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name iC-�c. �. JJ u a;-r+� 7 r-j vy - 3 _-e,,. l Ynl.1683PAGE i09 651 t'x-2Z31 KATHLEEN H. WALSH Doa+atattNutttber REGISTER OF DEEDS DoeuatadTitle 5T• CROIX CO., WI RECEIVED 0R RECORD 07-19- 22001B -00 AM ( HOLDING TAW AGREEMENT EXEMPT M CERT COPY FEE: COPY FEE: 3.00 TRANSFER FEE: RECORDING FEE: 12.00 PAGES: 2 rma stun Addrep 0_3 �a J Pam! Ideadllndoa Nutaber (PI1n Ibis infomatioaaiuit6e `completedbyiubmitter — -------- -_.___._ . _ . 9ran(ina clauses, legal description, eta may be placed on this firs a of the document orMd M (if required). Other information such as the Z14tA; Use of Ibis cover Dai a adds once Paf nuy be placed on additional pates of the documenl• Page a Yo w document and f2.00 to the recording Ace Witconsin Statutes, 59.43(2m) WRDA 7/99 • , twisconsin Department of industry, Labor and Hun i Relations HOLDING T K AGREEMENT Safety and Buildings Division COL 3PA" 110 Bureau of Buildings and water Systems Daurnent No. /Plan Identification No This agreement is made between the This space reserved forrecord ng data e S governmental unit and holding tank Agre ement Date owner(s) County or local Governmental Unit Holding Ta k Owners) a!I d We acknowledge that application is being made for the installation of (a) holding tank(s) on the following property: (Provide legal land description) — uuJ z D Return To v 0 r that the property cannot now that continued use of the existing Premises requires chat a holding tank be installed on the prerty the purpo a of p er containment of sewage Code. of Ch. 145. Slats. be served by a municipal sewer, or any oth op for er type of private sewage system as permitted under Ch. ILHR 83, Wis. Adm. e ` / As an inducement to the County if I to issue a sanitary permit for the above described property, we agree to do the following I. Owner agrees to conform to all applicable requirements of Ch. ILHR 83, Wis. Adm. Code relating to holding tanks. if the owner 11,11S 10 have the holding tank properly serviced in response to Orders issued by the municipality to prevent or abate a human health hazard as described in s. 254.59. Stars , the municipality may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.60. Slats. 2. The owner agrees, pursuant to s. ILHR 83.18 (10), Wis. Adm. Code, to have installed in anew building or new structure a water meter approved by the County and State. The water meter shall be installed by a plumber authorized by the State to conduct such installations, with said installation complying with State regulations and manufacturers specifications. The owner agrees to be financially responsible for the purchase installation, maintenance, and repair of the water meter, and agrees to allow the municipality ru enter the above described property on a regular basis to read and /or Inspect the water meter. 3. Owner agrees to pay all charges and cost incurred by the municipality for inspection, pumping, hauling, or otherwise servicing and maintaining the holdmg tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. The municipality shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law 4 the owner, except as provided by s. 146.20 (3) (d), Slats. agrees to contract with a person who is licensed under Ch. NR 113. WIS. Adm. Code, tc have the holding tank serviced and to file a copy of the contract Or the Owner's registration with the municipality. The Owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the municipality within ten (10) business days from the date of change to the service contract. 5. The owner agrees to contract with a person licensed under Ch. NR 113, WIS. Adm. Code, who shall submit to the municipality on a semiannual bans a report in accordance with S. ILHR 63.18 (4) (a) 2., Wis. Adm. Code, for the servicing of the holding tank. in the case of registration under s. 146.20 (3) (d), Stats., the owner shall submit the report to the municipality. The municipality may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the hoidrng tank is not being properly maintained. 6. This agreement will remain in effect only until the local governmental unit responsible for the regulation of private sewage systems certifies that the Properly i served by either a municipal sewer or a soil absorption system that complies with Ch. ILHR 83, Wis. Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to beeletermined by reference to the property. 2. This agreement shall be binding upon the owner, the heirsof the owner, and assignees of the owner. The owner shall submit the agreemen3 to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference tothe propertywhere the holding tank is installed. wner(s)Name P irtt I NO ized Owners) ig ruse( (_r: ° Subscribed and swor .q.w8gfgre on this date: { s Ofary is s < Municipal Official Nam Print Municipal Offical Signature _ Z �Y o retutpnPi % Mum( Official Title rint z.r t X The information you provide may be used by other government agency programs (Privacy Law, s. 15.04 (1)(m)I SBD•6123 (R 0494) HOLDING TANK SERVICING CONTRACT Contract Date c_ This contract is made between the — Holding Tank Owner(s) Name(s) and Pumper's Name We acknowledge the installation of (a) holding tank(s) on the following property: (Provide legal description:) 1 1�� o+,2o k4, s e -------_---- --------------------- - - - - -- - - - - -.. - - - -- 1. The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the "municipality", which has signed the pumping agreement required in Ch. ILHR 83.18 (4) (b), Wis, Adm. Code and with the County d SL' 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all- weather access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the municipality which has signed the pumping agreement requires) by s. ILHR 83.18 (4) (b), Wis. Adm. Code, and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed: d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the municipality and the County named above within ten (10) business days from the date of change to this service contract. Owner(s) Name(s) (Print) Owner's Signature(s) Subscribed and sworn to before m on this date: James G. Heebink Pumper's Name (Print) i Pumper's igna re Notary Public My commission expires: 4 -7 -02 Pumper's Registration Number f SBD•7574 (R. 09 /88) This instrument was drafted by the State of Wisconsin Department I of industrv. Lahnr and Human RAlations ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING TANK � j9� -Cif. This is to certify that I have inspected the septic tank presently serving the {/y residence located at: Sec . � / T 3) N, R�W, Town of �� (* �✓ St. Croix County, Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced .2 dv Did flow back occur from absorption system? Yes No (if no, skip next line. Approximate volume o ength of time: gallons minutes Capacity: /tf> D �v Construction: efab Concrete _ Steel Other Manufacturer (if known): CJ Age of Tank ( ' known) Z. zl' gn r6) (Name) Please Print (Title) (License Number) (Date) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify hat the tank to the best of m kn wl e, will conform to the Y Y g requirements of ILHR 83, Wis. Adm. Code (exce o inspection opening over outleM Name C fiL� Signature MP /MPRS I'� DOCUMENT NO. , STATE BAR OF WISCONSIN FORM 3-1982 ! Tv ,y fPACt Ntfaw•:D ►uN NecunD.Na DATA OUIT CLAIM DicD - 7 34 pvt 4 Lard G. Ji Jlie n: a ST. CROIX CO. .. -.. ---eon.a ..... . .. ....J. ua-_.re ..... and ....... -- u .... _i_e... A.....n -....Juai--- ,husband_ -a . nd -- wif - e . -, as- jo.int.. ....... ....... WIS. - - -- - - - -- Rec'd, fir Record this 7rh quit- claims to ._. Jul -ie_ -Ann__ Juaire ,._a..sin.gl,e.,- w.oma- n... - -. dvr I of U AA 19 86 r 8: 30 A -- ,, . _. ?'7�iva C i.�i ......._ ............. 'h. - - ....- ... _..... ... .... . ------ ------ -------- tMY1fIt N i9w/ the following deser;bed real estate in ........ St_ Cr_OiX ....... ...... . .. County, =- - State of Wisconsin: Rt, ti ro Tax Parcel No: ..................... ... Let TwPnt (2(1) of Hook- /s Second Addition to the Town of Stanton, St. Croix County, Wisconsin This 13 not homestead property. (Xf) (is not) Dated this 22nd _ . day of - - __ -. January.. _.��,_. _. 19 86. (SEAL) ------ ..._(SEAL) Leonard G. Juaire Julie Any J aire `�. 'l�•Yr. ...... - -- .(SEAL) -. __(SEAL) sm Cs ► •' ,�' ��, ENTICATION ACBN0WLED61Yi"-TB Leonard G. JL STATE OF WISCONSIN S�► �u Yj p tat -- - - - -- St. Croix �, I► "� - - - - - -- County. t.;�..• ' �i . aut b9iit;cated the - _day,oi__ ._- January,_ - , Ig8 -6 l r ------- -- - - - - -- -- - -- /. - - - - -- Pe rsonally a �ame before me I �t -- ---- --- -• 19..$6_ the'2lDtfd�' named y:T 1ic- - - - - -- --------------------- ?y coirmission.- expires_ %11/89. - Julie -.Aa .jPA?Xz -e• , TITLE: SrE.MBER STATE BAR OF WISCONSIN (If not, - - - - --- ---- ...... _.. -...- _. - authorized by � 706.06, Wis. StatsJ to me known to be the person ..... who executed the fore„oi instrument and acknowledge the same. �� Rj ] THIS INSTRUMENT WAS DRAFTED BY /'7 ^ DOAR, DRILL & SK.OW, S.C. - l.c _ ,_� -- _�.,_3. �� �•_i - - - - - - - -- - - -- New Richmond WI 54017 -OQE9 __ .-- .--- .-- •.--- ._...._...__.. -- _ -------------------------- r - -' -- Votarc Pu - - S - t. Croix - - - ---- County, Wis. (Signatures may he authenticated or acknowledged. Both My Commission is permanent.clf not, state expi —tion are not necessary.) - , date: _ - --- -- - - --• 19. 4...) QUIT CLAIM DS6D ATATV BAR OF R O \SIY SY C..,,,,.;,, I,.t.i Rl.nk Co. I.— FORK \o. 1 — l9n$ ai„wn k.<, wu. St Cc N S� 9>0 101 5' — Distance between highwater 9 2' contour CO i ' OBAB TO ti � b o n ! `ry A • � �0 X0 8 o d \ 6 0� P 6 18 o Z Z E vV iM e o ° )� 117 / N �O 3' 1 3 �8o (� TO' -9 20.Od 147 04 'L?f 2' 0 (S G 111110 � / !3 W 3 w 2s. v ' Ib �� M es ' 0 0' 'g0 111 a ° o 4r ° ° - e � , a 3e6 .l�• ` Or, 9 0 " 6e, M 9 `�6 11 eo Os' 9 � � o5P o����� C q ` C 17 - 4' az ,. 30 16 M 17s ° ss' �a o q 0 a O n O 1 e in S T o 6 00' .s � q °° 136.24, To n 6, V) yg9 °g 000 S67 °53 W �6� ST. h 64 !!8° az a ex( qO ° �° e o 2 � to T = 9G, & o _ 4 N P5 N O � 16 �V ° - B 3 e q N f q 14 I. 86' 2 J' 3' m ° 9 S87 °53 W b 33 M - M � p ; % 0 A 0 22 ' a O q 160.00' s0o o Cu p 0' 0 71 C C ty g00 S87 53 W B4 ° ST, q 165.46 a o 4 to 5 ST. q 9 S87053'W - o'Z° O o °� the a o � g 23 � P. / 5 ° ' P3 � 78 0 -9 0o q ° 160.00' s0° 66.00' 0 00 P 4 185.50' 40 ' 2 -! 4' 367 590.54' I ,A TC f � 0 a. 3'NortA Unplot .d lands _ _ _ STL' �n 31, OW ST. Elevation data Nov 13, 1963 surface level • high water 977. 08' rec Estimated low water level 974.50' Elevations from U.S. Goo survey_B.M. A _. Elov. 997 s.n"' pA r or a� 8 vrhr "FfiAa s -. MW A : a� r a � V M s; x^ c� q�sa1 a,,M °s ^ , i , 1 83pcl -109 -. KATHLEEN H. WALSH REGISTER OF DEEDS Document Number Document Tide ST. C R O I X CO., WI / RECEIVED FOR RECORD 7 �- yL A 1 (y\ 6 Yln 07 -19 -2001 8:00 AM HOLDING TANK AGREEMENT EXEMPT # CERT COPY FEE: COPY FEE: 3.00 TRANSFER FEE: RECORDING FEE: 12.00 PAGES: 2 Recording Area . Name and Return Address i /) Parcel Identification Number g G Y L I This information must be ieted by iubmntter. document Title: name A Korn address tandEIH (if required). Other information such as the j grunting clauses, legal description, etc. may be placed on this first page of the document or may be placed on additional pages of the document. UML Use of this cover page adds one page to your document and 52.00 to the recording fee Wisconsin Statutes, S9.43(2m) WRDA 2M 1 Wisconsin Department of Industry HOLDING T /�[[�� K AGREEMENT Safety and Buildings Division Laborand Human Relations von 1 6 83 PAGE 110 Bureau of Buildings and Water Systems Document No. / Plan Identification No. This agreement is made between the This space reserved for recording data governmental unit and holding tank Agreer�tent Date owner(s) 'cL7 ` 7 - P County or Local Governmental Unit Holding Tank Owner(s) S-4� � o� L called Munici alit blow , -,, ./- ( e , /' We acknowledge that application is being made for the installation of (a) holding tank(s) on the following property: (Provide legal land description) ! / ,v Return To r or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of p e containment of sewage. Also, the property cannot now be served by a municipal sewer, or any other type of private sewage system as permitted under Ch. ILHR 83, Wis. Adm. Code, or Ch. 145, Stats. cc�1 As an inducement to the County of to issue a sanitary permit for the above described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch. ILHR 83, Wis. Adm. Code relating to holding tanks. If the owner fails to have the holding tank properly serviced in response to orders issued by the municipality to prevent or abate a human health hazard as described in s. 254.59, Stats., the municipality may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.60, Stats. 2. The owner agrees, pursuant to s. ILHR 83.18 (10), Wis. Adm. Code, to have installed in a new building or new structure a water meter approved by the, County and State. The water meter shall be installed by a plumber authorized by the State to conduct such installations, with said installation complying with State regulations and manufacturers specifications. The owner agrees to be financially responsible for the purchase, installation, maintenance, and repair of the water meter, and agrees to allow the municipality to enter the above described property on a regular basis to read and /or inspect the water meter. 3. Owner agrees to pay all charges and cost incurred by the municipality for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. The municipality shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 4. The owner, except as provided by s. 146.20 (3) (d), Stats., agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adm. Code, to have the holding tank serviced and to file a copy of the contract or the owner's registration with the municipality. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the municipality within ten (10) business days from the date of change to the service contract. 5. The owner agrees to contract with a person licensed under Ch. NR 113, Wis. Adm. Code, who shall submit to the municipality on a semiannual bass a report in accordance with s. ILHR 83.18 (4) (a) 2., Wis. Adm. Code, for the servicing of the holding tank. In the case of registration under s. 146.20 (3) (d), Stats., the owner shall submit the report to the municipality. The municipality may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the ho!ding tank is not being properly maintained. 6. This agreement will remain in effect only until the local governmental unit responsible for the regulation of private sewage systems certifies that the property is served by either a municipal sewer or a soil absorption system that complies with Ch. ILHR 83, Wis. Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit the agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. j ne r l,l Name Prkn No ized Owner(s ig ture( , /� -, - t _ i � �t�? � ��'..� Subscribed and swor leY1.'i�e'f 6' �re on this date: dtary Municipal Official Nam Print Municipal Off ical Signature fl�f1wta0 ` t•• ` commissi Y j Muni' Official Title Cnt X The information you provide may be used by other government agency programs (Privacy Law, s. 15.04 (1)(m)) SBD -6123 (R. 04/94) 000 p c7 a 30 c ,. °+ A —1 v Q • 3 z N Z o W Cl) S S v z 00� C �' W `C O• CD 3 m ° a o m y cn o f a s to 00 m o o M N CD to N 9 N N v d N Q D1 ° C ` 1 CD CD CD -4 O 3 a o io l S n' p o ... y o p y C OD j C N !V PO to v D a Lnn U) D a o' • a _ co N a `C CD CL IW P a W o o A 3 ° = a a°o O rn rn CD z z m CD m `: p o z N o o� cn 0 Q Z 000 000 ', M �• Ea 3 0 13 O Z S N a v v L fD O v v g CD cr c ' o M N tO CL M 3 °—' o f �• 3 C a CD -4 m — v n o 0 D D o D co o O CL O m O N �• CD N CD M v x CD CO nj C C CD Cl I n 3 3 5 (D CD •••1 N N lcn �i a A z 7 C/) � W W M W T M y CL a z °o °o cn 3 3 CD ADO 4� a W 3 D 3 s`<m D 3 C o 0) a CD caCD a aam_ a �� o' a o Nom v c ova o�i c v�U) z a 27 (D o a 0 CD 5 � CA on r^ y N X CD Q � y. CD W i 7 7 - to CD N Er A :3 W 7 N cn CD CD o p o 3 CD 3 > CD c o N to D v y i �" o I I 0 rn CD I � m I M ti O O b N 7 q W I m CD D'Q V 69 0 (fl 0 ti ~ ° 0 L O Cl �' AS BUILT SANITARY SYSTEM REPORT OWNER ,.. OWNS S TOWNSHIP w� U ! SEC SEC., R W ST. CROIX COUNTY WISCONSIN. St SI N BDIVI: LOT Z LOT SIZE PLAN VIEW Distances ,& dimensions t meet requ of H 62.20 - - SNOW EVERYTRING WITHIN 100 FEET OF SYSTEM - -� r r W 1 7 - I di a e o th Arrow SCAL : 1 + SEPTIC TANK(S) ' � "4GR. CONCRETE STEEL NO- of rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL N0. GALLONS Per Cycle TRENCHES NO. of width length area BED NO. of lines 2 e 11 width ^ ;? ' length _�- area �, y depth t t� op of pipe NUMBER OF SEEPAGE PITS Outsi a iameter total pit area AGGREGATE PERK RATE r ' ,: AREA REQUIRED / a . "� AREA AS BUILT ) ' Disclaimer: The inspection of this system by St. Croix - County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine caus of ilure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH ; HS SY INSPECTOR " �. j r DATED /�� - ,� PLUMBER ON JOB UMB LICENSE NUMBER M1 . I t - X • r.:Y p'i:o 4 ins So s, Lot REPORT OF INSPECTION,INAIVIDUAt SEWAGE SVSTEM Sanitan.y Pe,%mitQ 8'8 ` State SPp.tic NAME ed geI 4 rownahip 5fdn S4, c4oix County •. Eocat�.ort 1U..L. SEPTIC TANK S.ize,,,f�� 9at.(on4, Numbers 04 C I 6.t. W&Uand4 ._,...6 . bi�ehwaten4t. � 4 DISPOSAL SVSTEM , D44tanae Fnomt We t .....,...6$• Its O n04e444 4 4aP�_,_.�...6t• . �µ�.td�. Wettan�4 --� F t • FIELD DIMENSIONS.; ._.. �. W,�dt� P4 .tnench ,.6t. Depth o n o at b etow, Length aj eaah Une it. Dep 06 noak ova.% tine n. Numb a6 ...i,ne4 Depth a6 tite be taW 9 nade �Z.i.n. 3.'z. ?oxat 4944 a UAC /00 z 6 6t. StopQ o 4 tn eneh 4.n pen 10,4 6.t. bg4veen t�n &a t. Depth to "bedrock. A � 6.t. Tatat ab4 oabt .an anea„� �Z6t Depth to 04oundwa,te4 10 bt. Requ -.red anew t Type o4 Coven: apen n Straw 1 PIT DIMENSIONS: , Numb,ea p4 p�.�# -o Gnavet 440und -.td ea no 0 d4ameet n. pgpth bc,4w 4.nte 6.t. TQtat ab4o4b ' 44 a bt2.. z Kea Ke�µ4aQd �$� m INSPECTED By TITLE APPROVED___,_ R DATE_ , REJECTED a PATE 19 7,..,,,,• z EH - 115_Rev. 917 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISC0 SIN 53701 � /, S .,Jr 2 d 7 LOCATION: AL % <, Sectionzl_,T_3�_N,RZZ (or) W, Township or Municipality Lot No. , Block No. County -S�• ����� u ivision ame Owner's /Buyers Name: Mailing Address: zkJ / TYPE OF OCCUPANCY: Residence _, — No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET 2C% NAME OF SOIL MAP UNIT L9,rZer 1S��r .GOr9M PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- 8 P— P— '? f< r i P— P— P— SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- 7 B �! ! .S' B- / - B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the IgFrion and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy z Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. loc e , r E E ' r f 3 f , S 3 , . ...._ . _ .. _ � r _ e �r 4 t— f , E m �� .. A s 1, the undersigend, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name (print) w Certification No. SS3 Address K3 44 o .Name of installer if known— lie 3 JA Copy A — Local Authority CST Signature ICI • y State and County State Permit PL B 6 7 p County Permit # Permit Application �7 for Private Domestic Sewage Systems County �i 1 • rl"- i x *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY„ Mailing Address: J -ea -Y, ct r J 0, K A�� d2e,� B. LOCATION: 7VT ' /4 Lam' /4, Section A , T_L N, R12 E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Towns C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family /e Duplex No. of Bedrooms -3 No. of Person D. SEPTIC TANK CAPACITY Arb Total gallons r t HOLDING TANK APACITY Total gallons No. of tanks Prefab concrete Poured -in -Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured -in -Place Other (Specify) E. EFFLUENT DISPOSAL SYST Percolation Rate Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top No. of Trenches Seepage Bed: Length 5s Width.` Depth __ Tile depth (to 9 p p � - No. of Line Seepage Pit: Inside dia ter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope -� WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than pr owne 1, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the Certifjift Soil est , NAME C.S.T. # - > "" �'� and other information obtained from (owner /builder). / - Plumber's Signature MP /MPRSW #_ Phone Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. . a a emm_. ae �� _ yr E 1 3 3 �. •� _� .. � � k . ; ` e— _. Y"' ate.. A —__. , , a a a .�. a ¢ , , I , 6 , , ? 3 f V �. € _ . .�.... ..y. ... �....... .. gy m».._ ,e ,.. �... c c t :.......,,...p f .......... 5 j Do Not Write in Space Below L FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 1 1 - 12 - a 0/ Fees Paid: State /s. County -" Dat . G Permit Issued /Rejected (date) Issuing Agent Name mss• Inspection Yes No State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 P13rcel #: 036- 2000 -95 -000 07/20/2006 05:13 PM PAGE 1 OF 2 Alt. Parcel #: 31.31.17.617 036 - TOWN OF STANTON Current k ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner O - RUSSELL, DEREK DEREK RUSSELL C - ZINS, WANDA WANDA ZINS 1825 144TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1825 144TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST 'p 7 ! / SP 1700 W ITC J/ (� w � � 3 '1 — 1 O J (t. Legal Description: Acres: 0.600 Plat: 2106 - HOOK'S ADD LOT 20 HOOK'S 2ND ADD Block/Condo Bldg: LOT 20 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 31 -31 N-1 7W Notes: Parcel History: Date Doc # Vol /Page Type 11/16/2005 812202 2929/272 WD 06/27/2005 798687 2830/385 SD 10/11/2001 658813 1736/04 EZ -U 10/11/2001 658812 1736/03 WD more 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 05/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.600 18,000 169,200 187,200 NO Totals for 2006: General Property 0.600 18,000 169,200 187,200 Woodland 0.000 0 0 Totals for 2005: General Property 0.600 18,000 169,200 187,200 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 109 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00