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HomeMy WebLinkAbout038-1210-50-000 Wisconsin Department of PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal InfomlaWm you pmvlce may be used for secondary purposes (Privacy Law. x.15.04 (1)(m)). 384238 Permit Ho de�r' a e: ❑ City p Vi a ll a Town of: State Plan 10 No.: reenwoofl Enterprises Inc., Star Prairie Township CST B Elev. - Insp. BM E ev.: BM Description: Parcel T No.: Ud vr� 6 s TANK INFORMATION ELEVATION DATA I TYPE MANUFACTURER CAPACITY STATION SS HI FS ELEV. Septic Benchmark Z f eZ. S Dosin It. BM t�I, Z, Aeratio Bldg. Sewer 3 (ding Ht Inlet TANK SETBACK INFORMATION V Ht Outlet S y / TANKTO P/L WELL BLDG_ vent to ROAD Air Intake Septic 3 D' 1 " sP! NA Dt Bottom NA Header / Man. Aerat A Dist. Pipe olding Bot. System k. PUMP/ SIPHON INFORMATION Final Grade t cturer Demand Cover k Model Number TDH Friction S tem TDH F Forcemain Length Dia. SOIL AP PTION SYSTEM BED / E Width r Le tyg h r No.Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth IM 3 6 DIM N I N Man u r. SYSTEM TO P / L BLDG WELL LAKE / STREA LEA N SETBACK A M e m r: INFORMATION Tyt� System. CM f 0- / �s-4 IT DISTRIBUTION SYSTEM Header / Ma �i of Distribution Pipe(s) x Hofe Size x Hole Spacing Vent ntake Length � Dia. Length (7d � Oia. A& 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 ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, #1: / L? /o/ Inspection #2: / Location: pending, New Richmond, WI 54017 (NW 1/4 SE 1/413 T31N R1 - 133118241 -Lot 53 - 4 1.) Alt BM Description = a , 4 � ),-a Well � `t 1i^-01 rt�ls� 2.) Bldg sewer length = 2 4- 3e' so,( �us� tNel s /c�t� ntet - amount of cover = 7 36 1' s, r 3 A seeve�. v�r s %•ts {,cG /ro/ te`�- a� z�cl��. �, �, � P P Plan revision required? M Yes ❑ No ua�-- Use other side for additional information. L [ �,: Oate (/ InspectofsSig ure Cert No. SBO -6710 (R.V97) f I ,. o a � a e �� �``\ �-\ ��� Safety and Buildings Division Count ���� 201 W, Madison. Ave., P.O. Box 7162 Mediate, WI 33747 - 7162 Rite `ddnae De artment of Commerce Sanitary PenWt Application Sanitary Permit Number 12 accord with Comoa 13. 21, Wis. Adm. Code, penoml intonnadon on Y provide - z' � �...� IMY be Wed r Pri Law sI3. ! m Check if Revision I. Am" "= Inforawdoa - Please Pallet All lnfotranation soese Play I.D. Number Properly Owner's N �— f . Pared Number a3 In P1+opany t?waar'e MaillttS Atkltess ���' �,� , Prop erty London �c• SA 3T - CbP 9C�b Zip Code Phone Number Lot Number Block Number SAtibdiivUton Nup , .� G /v � Oclty " 2V Dwelling - Numbec of 8edioosps OVp2age ❑ ?a udcommorcial - Describe Use Sam Owned Nears" Rood 11L TYPO of Pbrmitt (Check only ems box on H" A (msaaberlas seh ms for 6rteraal use). Complete Hae 8 if stppUcable) Ra lacament Poe County sae P SY�ra 3 ©Rept�mueat of 6 ❑ Addition m Tack Exisdal S lim I B. Q Check if Sm tq Permit Previously lamed Petmlt der Dab laved IV. of permit: (Chock all that aPP scheme l4 for intertral use) - Prounlsod I+a-Ground 210 Mound 47 0 Sand Filter so D Conetrucoea Weaand 22 0 Preamized W- Ground 410 Holding 'Tusk 48 © Single Pees 510 Drip Linn 4s 0 46 ❑ Aerobic Treatment Unit 49 ❑ Rec 30 0 Other V. Asa InlOettwtiarit Design Ftow (spd) Dispersal Area Dispersal Area Soil Application Percolation Rata System Movation Heal Grade Ret lkw Proposed Rate(Gals./Dsya/Sq.PQ (Mindlnch) VI. Tank Iafo Capeob in Total Number Mamrtitctursr Prefab Site Steel Fiber Plastic Gallons Galbm of Tanks Comets Constructed Glare New Ssptla or Hoft Tk* VII. Ststpneat I the underWvA enemas for iastdlstion of the POWTS shown an the attached . P un> bar's Name (Ptinq 's i Nom Bnairness Phone N►mtber = -614 IU PNtmber'e Add= (SU try, Seta, a) ,?� C/ ( J a l VIII. Fee) Co Daa lsnaed Aaatae Slyoetnra (No Ramps) APPS 9ur 0 b �ch ga (W Groumdwassr © Owner tilvsa Wdal Adverse _ Condklaata of ApprovsVitaosom for Disapproval O fad Albtdt satgP f Camh tab) tar t1a hslem amp" sat lea than i1J1 Y u iashae fe the SBD•6398 (R. 05101) PLOT PLAN CT Greenwood Enterprises Inc. ADDRESS 1416 Third St. Hudson Wi 54016 NW 1/4 SE 1 /4S 13 / g31 /R 18 WN Star Prairie COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE6 /7/01 BEDROOM 3 CONVENTIONAL )00( IN -GR E CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 BENCHMARK V.R.P. TOPWPIPOR�pe 10/0 � ELEVATION 100 Filter Zabel A -100 ❑ BOREHOLE O WELL .H Same as Benchmark SYSTEM ELEVATION ? fJ. 170' P.L. 6' 243 ' Plans Designed Using 15' B.M. 5' Conventional Powts B -4 24' 24' B -1 Manual Version 2.0 Sitc has 0 % S19pe Vent,, Z 4 1 1 U s 45 7' > 12" Sidewin e g Alt. Capacity a , _ B of Cover Chamber 80 �13 -3 I J� 16 6 Long \ Grade at y to 1 v 'on `Z 80' a� Q) 34 >, 2 -3 X 69 Cells with cI I 1~ b o B -5 � 0 t a B -2 I ZD 50' Vents M r-a B -2 was dug a� I l i ✓ deeper by Gary o Steel on 11/29/00 �0 30' 12 N 0 3 Bedroom House REcovEO i J U 1- 2 7 2001 i ST CAOtX ` ' zo"GOmce i r ! r 175' Pro Town Road D, err S -6� r7 - 30 - / Wisconsin Department of Commerce 11 ATION REPORT Page of Division of Safety and Buildings in ac with CAwn 8 i Code Attach complete site plan on paper not less t a 1/2 x 1RMize. PI st Countyf ` include, but not limited to: vertical and horiz ference point (BM), directio S1 Parcel I.D. TT percent slope, scale or dimensions, north ar nd loqpn apd- iist�PAto n 9sfst road. 0 - �d rS_ ' Please print at i rmatio�M Revie ed Date M _,' Personal information you provide may be used for s co ry purpos (m)). Q Property Owner erty Location ovt. Lot 1/4 � 1/4 S) T3 N R E (or rW Property Owner's M iling Address Lot # Block # Subd. Name or SM# Ci State , Zip Code Phone Number ❑ City ❑ Village own Nea est Road ew Construction Use / Number of bedrooms Code derived design flow rate fir/ GPD ❑ Replacement ❑ P blic or commercial -Describe: t� Parent materiaK ���.� Flood Plain elevation if applicable AV ,mot— ft. General comments and recommendations: I � Borin F Boring # g Del „✓ Pit Ground surface elev. Depth to limiting factor /W _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I . 0-3 S` . ZVI 15 62 / . Z 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 1 - * Effluent #1 = BOD > 30 < 220 m / d TSS >30 _< 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Na e (Please Print) ignature / Address Date Evaluation Conducted Telephone Number 2 SBD -8330 (R07 /00) J Property Owner Parcel ID # Page of Boring # ❑ Boring 13 -Pit Ground surface elev. it, e ft. Depth to limiting facto - V_ 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 I *Eff#2 71Y 7, F-1 Boring # E] 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 F-1 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 /ft 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) Ssnitary Permit Application Sm ec Buildups Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Wasbington Ave. See reverse side for instructions for completing this application PO Box 7302 DQpartn�ent of Gommeree Peasonal information you provide may be used fbr secondary purposes Madison, WI 53707.7302 D"rivacy Law, s. 15.04(1 X 12 (Submit completed form to county if not state owned.) Attar co etc ens to the county on or c sys not less than - 1/2 x I 1 inches in size. C*Un n' tats Number Check !f i to prev oujippt' p rate mil► � [Pmpo* Owair _ \ L Uca on nformtttlon - lease grin# aU Information ..L, t[orA: ame juiv t - LAJ I 13 ' 14 1/4, S 1 3T3) ,N MPM s A s , ` vm hy, fete tp de Phone 'Subdivislon N ww or CBM Number � i S U. Typo o it ink: (check one) as S tan gy 1 or 2 gamily Dwelling - No. of Bedrooms . P oMS ' p VgI&P ❑ ftlic0inmereial (describe use) Town of 0 State- Owtted �r ' �z Naansst X 0 C.Q Z2 PANCITAXNum 8 ly one box on line A. Check box on line B if a icable) I A) S stem . system lacement 3. epIacement of 4. S. dilion to B Tank Only Ex System O A Sant Permi um r Permit was reviousl issued i ssue d IV Type of ystem: (Check all that apply) —�� 677 1 O - pressurized In- ground ❑ Mound ❑ Sand Filter 13 Constmoted Wetland Pressurized In- ground ❑ Holding Tank ❑ Single Pass D Drip Line O At -grade O Aerobic Treatment Unit ❑ Recirculating D Other: V. raa reatment .Area Information: Re uuod Area sp a 4. Sort r on . Percolation . yaps 7. _ m evtK �a na e �Wsed Rate (GalaJday /sq. R) (MinJiach) ��{ Fl�vjation VII. Tank C apaciW in Total 0 of Manufacturer Profab Site tee Fiber. c Information Gallons Gallons Tanks Con- Con- glass Tanks Tanks Crete strutted C' ❑ o VIII. Rasponsibllity Statement the Undosigned, assume sibili for ' stallation of the PO S shown on the attached plans. � e at um s gnat um no stamps): o. Business Rwne N umber Flumws � SLOE Ix o unoffi partment Use only 1) sectary emus ee c u as ater aces Approv u Gent a y�p s ed D Owner Given Initial Adverse Sureh a Fee) Determination I 7a X. Con bona o Approval sons for Disapproval: / reE.s wt W��� S SBD -6398 (R. 07/00) PLOT PLAN PROJECT Greenwood Enterprises Inc. ADDRESS 1416 Third St. Hudson Wi 54016 NW 1/4 SE 1/4S 13 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/7/01 BEDROOM 3 CONVENTIONAL XXX IN -GR D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 BENCHMARK V.R.P Top of 2" Pipe (6tw* () ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE ( *H.R.P Same as Benchmark �lf • 9A 4 /" PLj L =9:�9 �-- SYSTEM ELEVATION 98.0 170' P.L. 36 243' Plans Designed Using 15' B. 5' Conventional Powts B 24' 24' Manual Version 2.0 Site has 0% Slope Vent 45' 7' Vents >12" Sidewinder High B of Cover Capacity Leaching 80' Chamber t p - 6' Long 16" 3 4" Grade at System Elevation 80' a 2 -3' X 69' Cells with >)30' a� 0 � B-2 � M Vents a B -2 was dug a� deeper by Gary Steel on 11/29/00 N 0 3 Bedroom Hous 175' Pro Town Road PLOT PLAN PROJECT Greenwood Enterorises Inc. ADDRESS 1416 Third St. Hudson Wi 54016 NW 114 SE 1/4S 13 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/7/01 BEDROOM 3 CONVENTIONAL XXX IN-GRVND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 k BENCHMABK V.R.P Top of 2" Pipe ��np J ASSUME ELEVATION 100 Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 4op 5F L) SYSTEM ELEVATION 98.0 170' P.L. 36' 243' Plans Designed Using 15' B. 5' Conventional Powts B 24' 24' Manual Version 2.0 Site has 0% Slope Vent Vents 45' �� ' > 12" Sidewinder High B 7 of Cover Capacity Leaching 80' " Chamber - 6' Long B -5 16 34" Grade at System Elevation 80' a 2 -3' X 69' Cells with >3' Spacing a� B -2 M 50' Vents, a B -2 was dug a� deeper by Gary T Steel on 11/29/00 30' o N 0 3 Bedroom Hous 175' Pro Town Road � zo In accord with "R- 83.05, Wis. Adm. Code Athoh complete site plan on paper rat roes than 61/2 x 11 inches in size. Plan must indude, but .rat United to v*KwW and horizontal refererae point (SIo, direction and % of slope, scale or PARCEL ID..d darwWoned, north arrow, and location and disum" to row" road. 438 -- 1055 -95 APPLICANT IMF ORMAT10M- PLEASE PRINT ALL 1NfOR11AT)ON � DATE PROPERTY OWNER: PROPERTY WCAnON Gres VOW ri ses, INC. _ GoyT. LOT N W 114 SE v4.s 13 T 31 ,NA 18 ME (br) w PROPERLY OWNER :'S MAILING ADDRESS LOT ♦ 4LnSUBD. NAME OR CSM # bird St. CRY, ATE ZIP CODE PHONE NUMBER . LAt3E OWN NEAREST ROAD Hudson WI. 54016 ( B 7 I S 2 14th Ave. hi New Cm*uctlon Use t } He al Number of bedrooms [ } Addition to wds*V building } Replrltaernent } Pubic or oon+rtt6nal desaibe Code derived day► slow 600 - gpd Room tried design laWq rare ._ _a _bed, ggV Wde A#sarp>loit area required 85 reed, lt 75a lrenbn, R� akaxirhum aesiyn b2duq rdla .. j txd. _ .� 9Pd Reoomunded InWallon suite SWAMon(S} _ 98.05 it (as referred to site oleo benehmam Mditiortel deegn / ails mnsideralions na Parent maN w outvraeih Flood gain elevation, 0 spoc" ag R S �� grg CON1rE�i1IONA4 IIAOUIVO PRESSURE AT-MADE SYST9�1 IN FtL HOLDMUi TANK v =ur fe ar ® S 00 0s Q IDS 13U ®s ou ®s ❑U os tau SOIL DESCRIPTION REPORT Bari E Horizon Depth Dom €n.arn Color Mwes Texture Structure Cie Roots GPD/ft Ong in. Munsell Qu. &. Cont Color Gr. Sz. Sh. 6ed Ti rch 1 1 0 -1 1. 3 1 2msbk mfr if .5 .6 mfr if .4 .5 Grotx>d 51 A oil lcsbk mfr na .3 MAS 4 30-84 7.5 r M6 agog COS 08 ml na DR0lo Willing Nlclor .--,: 114 Remarks: Boring 0 .6 2 15-92 10yr 4/4 none Siva. 2tltsbk mfr gy if .4 .5 3 22 -30 10 r 5/4 none sil icsbk mfr 9v na .2 =: .3 Gmund 4 30,x84 7.5 r 6 nom COs Osg m1 na na .7 .8 a - lzv 000 o Rxs: CST Name: - -Place Print Gary L. Steel Phone: 715 - 24"200 Addtw: 1554 200th. Aye. New RichmavA WI 54017 Signature: Date: 11 -6 -98 CST Number. m02299 —AZZW" A Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety S Buildings in accord with ILHR 83.05, 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 S Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 038- 1055 -95 APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Greenwood Enterprises, INc. GOVT. LOT NW 1/4 SE 1/4,S 13 T 31 N,R18 'XE (or) W PROPERTY OWNERS MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER [3CITY OVILLAGE JDTOWN NEAREST ROAD Hudson WI. 54016 (714 386 -3674 Star Prairie 214th Ave. {� New Construction Use [ ] Residential / Number of bedrooms 4 [ ] Addition to existing building (] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate __ _j bed, gpd /ft gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate ___ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 98.05 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S O U @S O U ® S O U ®S O 1.1 ®S O U O S IRU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDJft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed TT ...1. 1 0 -12 10 r 3/3 none 1 2msbk mfr gw if .51 .6 2 - 4 none sicl 2msbk mfr qW if .4 .5 Ground 3 22 -30 10 r 5/4 no sil icsbk mfr cfw na .2 .3 elev. 1011A 4 1 30 - 84 7.5 r 4/6 none cos 0s ml na na .7 .8 Depth to limiting factor +8 Remarks: Boring # 1 0 101�r 3/3 none 2msbk mfr QW if .5 .6 2 15 -22 10 r 4/4 none sicl 2msbk mfr if .4 .5 Ground 3 22-30 10 r 5/4 none sil lcsbk mfr 9w na .2:: .3 101v.65 4 1 30-84 7.5 r 4/6 n one c os osg ml �,, xis ' ` . 7 .8 Depth to limiting factor 94 +8 L ? 8 COUNTY Remarks ZONING 0 CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 /�•. - %' Address: 1554 200th. Ayv., New Richmo d WI 54017 ' Signature: Date: 11 - - CST Number: m02298 r :2�1 'rze PROPERTYOWNER Greenwood Enterprise SOIL DESCRIPTION REPORT Page? of 3 PARCEL I.D. # Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench L 1 0 -12 10 2 12 -26 10 r Ground 1 1 26- 84 elev. 101..7 Depth to limiting factor + 84" .q Remarks: Boring # 4 "` 2 14 -29 10 r 4/4 none sici 2msbk mfr If - 41 - 3 29 -84 7.5 r 4/6 none cos OSQ ml na n .8 Ground elev. 101.9 -5ft. — Depth to limiting factor Remarks: Boring # j - 1 2msbk mfr i "`' 2 1 sic 2 b An Ground 3 28 -84 7.5 r 4/6 none cos osa ml elev. Depth to limiting (o factor ' °�' L + 84" Remarks: Boring # Ground elev. j ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Greenwood Enterprises, Inc'. 1554 200th Ave. CSTM2298 NW 4SE4 S13- T31N -R18w New Richmond, WI 54017 MPRSW -3254 town of Star Prarie (715) 246 -6200 lot #53- NorthGate This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 =40' BM.= top of 2 pvc pipe @ el. 100' Alt. BM.= top of 1" pvc pipe el. 97.85 NIqo � Of Gary L. Steel 11 -6 -98 Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 � � - Icy 7i s � - 3 7 Shaun Bird #226900 06%07.!01 THU 12:58 FAX 715 386 4686 ST CRX CO ZONING ST CROIX COUNTY 1 SEPTIC TANK MAINTENANCE AGREEI2NT AND OWNL�RSH[P CSRTYTICATItIN FORM Owner/Buyer . 0 2 14/1&/n6) Eni I - c Mailing Adder 214' Cc . 111 �' ILL ,8E L 53 ®� o,27ltG Property Address e�1 r one (y'eriftcation required from P'la Department for new consm" don City /State N 21 (440o0 p , Parcel Identification Number ���_ �� N -5p aF SEA ► 3, T� /N Q.i8vV a)(Cf- - e PART I. "sAi I)ESCItI TIOi�T � , c.A7 - T`c7� ,¢s o R-T /FTG� I OC o S-r� -,� �QA R1L Property Location ti Ys, , `K, Sec. 13 , T 3 f I�-R W; Town of Subdivision C c N 6, �i Eco Lot # 3 Surve Ma # � � Volume � Page # Certified Surv P � Warranty Deed # 5- L 767 2 / - • Volume , Page # SPM house El yes ;4 no Lot lines identifiable �k yes C3 no SySMAiNTENA Improper use aad maintenaaceof your septic system could result in its premattue fa ilure to handle wastes. Proper maintenance pq g of pumping out the septic tank every 6= years or sooner, if needed by a lioonsed pumper. What YOU Put into the system ,pew affect the function of the septic tank as a txeatmeat stage in the waste disposal system, TAG property a cortMeatiou form, signed by the owner and by a owner a to submit to St, Croix Zoning DcPartm� fleet (l) the on - s ite �sycwaterdisposal System umstorpiumber, journeynmphunbcr, tcstzictedplumber or a liccusedFUMPer �Og tee tatilc is Tess t ew er full of sludge. is ja proper opcmftg eonditioa "&or (2) after inspectiorn and pumping (if uecessmY). tho sep with the standards Ilwe, the np�dcrsigned have read the above requirements and agree to mairitaia the private sewage disposal system set fortb, herein, as set by the Drpa tmeat of Commerce and the Depatmieut of Nataml R,esou�rces, State of Wisconsin- Cadfication yo ur tic s ys tem bas bean maiutaine+d muse be completed and returned to the St. Croix COMW 2oniag Office within 30 stztiiag that � � da of tine three year ire on date. V& I * - 7Z DATE i ta•srmn nT APPLICANT I DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1 -1982 i W RR , VTY DEED 587G71 VOL. ThiS Deed, made between Walter H. Kraemer, a ST. OIX CO., WI single person d for q�rord 2 41998 Granto r, and Greenwood Enterprises, Inc M a Wisconsin corporation , \ ' Grantee, Witnesseth That the said Grantor, for a valuable consideration I RETURN TO conveys to Grantee the following described real estate in- St. Croix LAWSON, MARSHALL, MCDONALD County, State of Wisconsin: 3880 Laverne Ave. No. Lake Elmo, MN 55042 See attached Exhibit "A". 03$ _ 1055 - 10 038 - 1o35T95 Tax Parcel NO: -In3k Ion - , I I nn D �J TRAN�FER $6 s. E'EN --., t This is not homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And_ warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances exceot IM ne t3 uaa,O 90ZOt xo OZIx14N tt3S & 0 d'siuioj0a1aN 96l- 1 'nNtM4 `� NI SNOOSJM 1 0 'Iva (' 61 sa�nleuBls,le 31b1S nnnn 41 Molaq 1 a Palurid,o pad6 uoJJr?�fdxa 000M /I sal(d Q Plaoys ( Iloedeo (ue u 0330 A eJefs 'Jou JI) •J ��`��$� uUOfTw IUI�Q,� 16 uluelssuos� e Ise k� e o s a uu VY-* .7Jir"� J o - - —_ ��Na *�, 8 pa6pafMOU�oe J o PaJeofluayfne aq ,tew saf U ,e,r. - -- - - Z NW `Oul a < l a au, s - a4 la 6 PalMOU oe J LIMO'IVD 9 (I'IV__NO(fz)jq H-a a gq 4l pamoxe o 'f PUe uawnj ` I'IVII52IVI�1 uoslad a Isu! 6 ufo6a,ol de o31dya sv NOSM' 4J aq of u,ou,f aw of ('sfeJ M 1N31Nny18Nt SI S s!M '9p'90L §,fq Paz1�oyJ, --- - ----- N lSNOOSIM d0 Ht18 3 'Jou i uos.za aj u s paweuanoQea41 —__ E zatuaezx J o sl H zaITeM P e yJ aw ago a 5 �� s( 1 q aweo,( 7 S lleu AJuno os.,ad O 6 l ss j NOZOHISVSVM onL 1` 59 PA 475 EXHIBIT "A" A parcel of land being all of the NE1 /4 of the SW1 /4 and all of the NW1 /4 of the SE1 /4 and all of the NW 1/4 of the SW1A except the North 470' of the West 46T of said NW 114 of the SW 1/4, all being in Section 13, T3 IN, R1 8W, Town of Star Prairie, St. Croix County, Wisconsin. 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