The URL can be used to link to this page

Home My WebLink About038-1207-50-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division 'k INSPECTION REPORT / Sanitary Permit No: 405197 0 GENERAL INFORMATION (ATTACH TO PERMIT) 2'L 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: Riemer, Nick I Star Prairie Township 038 - 1207 - 50-000 CST BM Elev: r Insp. BM Elev: BM Description: lco cv•D TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ` ✓� > S� $7 Benchmark Q ! 8 Z , Dosing Alt. BM Aeration Bldg. Sewer S.ID 00 Holding SUHt Inlet ` TANK SETBACK INFORMATION St/Ht outlet ,� ( �,• 3� I TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic } �/ �L / — Dt Bottom 3 Dosing Header /Man. a• $ g�,33 Aeration Dist. Pipe 8, ZO Holding IBot. System ,1 (o � 03� Final Grade PUMP /SIPHON INFORMATION J1 Ip Manufacturer Demand St Cover I GPM Model Num er TDH Li riction Loss System Head TDH t F emain Length Dia. Dist. to Well SOIL PTION SYSTEM 1 y Wj@qRENqtj,, Width Length jNo. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIORS I / Z 3 IF SETBACK SYSTEM TO P/L FBLgG WELL LAKE/STREAM LEACHING Ma c r INFORMATION CHAMBER OR J + " Type Of System: -� UNIT Model Number: •�` DISTRIBUTION SYSTEM , Header /Manifold st Distribution x Hole Size x pacing Vent to Air Intake ,,p Pipe(s) > VD / Length fJ� 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 Yes ,,; No Yes ; No CO MENTS (Inclucjscrepencies, persons present, etc.) Inspection #1:r/ 93 �nspection #2: cep f./{ � 4(f4 cation: 1253 217th Ave New Richmon W 54017 (SW 1/4 NE 1/41 T31 1 RI8W)Prairi View Estates Lot 5 Parcel No: X 1 1 4.31.18.1120 1.) Alt BM Description = � i / �•� J �o � CL+ � T 2.) Bldg sewer length= -%-3j> t a - amount of cover = �� f , w Z „�Q�� r''°� } T• 3 . 3) obslwlev' Q�P4S Use revis de for information. No �� 1 "�'� - �'L+v� � u �i O - -- - -- SBD -6710 (R.3/97) ate Insepc or's Signature Cert. No. C Lim ez-3 I Safety and Buildings Division County ` 201 W. Washington Ave., P.O. Box 7162 � X isconsin Madison, WI 53707 - 7162 Site Address Department of Commerce -P9 -62— 3s' z/� 1a?S3 a17 T ��O ✓r '� Sanitary Permit Application SanitaryPennitNumber {" In accord with Comm 83.21, Wis. Adm. Code, personal information you provide �D ✓ -7 may be used for seconds purposes Privacy Law, s 15.04 1 m Check if Revision I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number Property Owner's Mailing Address i w I Property Location // ZO ST. i✓ V. A,.e %; S /A/ T.? N, R Al City, State Zip Cod FCE Lot Number Block Number Subdivision Name ly(13wn�be�r� � IL Type of Building Obeck all that apply) /�' ,�94 -1 Q I or 2 Family Dwelling- Number of Bedrooms Vim Public/Commercial- Describe Use Township r4A f W State Owned Z Are -nc -� -2 , ' >, � - 7- 5 � l � Nearest Road G r� III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. New 2 Replacement System 3 Replacement of 6 Addition to For County use S stem I I Tank Only Existing System B. Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme Is for Internal use ,vyi�. yro2 C dare - y! � �SioCdGcith 44 1/Non— Pressurized In -Ground 21 Mound 47 Sand Filter 50 Constructed Wctland Q � 22 Pressurized In-G round 41 Holding Tank 48 Single Pass 51 Drip Line & TZ -j-AL, 45 At -Grade 46 Aerobic Treatment Unit 49 Recirculating 30 Other V. DispersaVITrea tment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required ✓ Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) -E levation GaO �'S8 8L8 ✓ . 7' ✓ � 9l 6 � /oo. o � VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons ofTanks Concrete Constructed Glass New Existing Tanks Tanks Septic or#vhttff - Tmk Doting Chataber VII. Resp onsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached lens. Plumber's Name (Print) Piutrybgr's MP /Its =Number Business Phone Number — ,Z r Plumber's Address (Street, City, State, Zip Code) VIII. Count /De artment Use Onl Approved Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Lssui Agent Signature (No Stamps) Surcharge Fee) Owner Given Initial Adverse # L ��- Determination IX. Conditions � + Reas for Disapproval � O „ 1 Cd1aQQ.r` (iytG a Attach piete plant (tojke County o )tor the t Item a er no Ieta t an 2 Ineha i du - 'A"Lqfh - A� SRD -639R (R. 05/01) r 1 I O a L r Z ` IL I ca L. v ` o � a o h 1 � 1 1 a s � a x a a � w o w ` 1 ' . e a l� fir WiisconsinDepartment ofCommerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must DG >v include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. — percent slope, scale or dimensions, north arrow, and locattor} and distance to nearest road. pen rig Please prin�l Information. R we Y Date Personal information you provide may be e{ i6r4econdar*yrposes (Privacy Lbw, s. 15.04 (1) (m)). G(�fi3/ji�a o� 1p /J on Property Owner L ; ^!' ! Property Locati Ewlen Properties ltd. bovt. Lot SW 1/4 1/4 S T N R H(or)W Property Owner's Mailing Address Block # Subd. Name or CSM# 1430 220th. Ave. ± 25 na Star Prairie Estates City State Zip bode Phone.Niltilbe City El Village [0 Town Nearest Road Z' , & 8 ' - '- 73k - 3 ` , �E ter, New Richmond . 5 017 ( 7�'�`� Star Prairie CTH New Construction User Residential / Number.of betirgoru'* n Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material outwash Flood Plain elevation if applicable 1la ft. General comments and recommendations: trenches @ el. 96.00' ❑ Borin g # [:] Boring 1 { pit Ground surface elev. 99. ft. Depth to limiting factor +1 00 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -11 10yr 2/2 none L 2msbk mfr cs if .5 8 2 11 -25 10yr 4/4 none sicl 2msbk mfr gw if .4 .6 3 25 -60 7.5 4/4 none cos -- ml qw na .7 1.2 4 -10 1 7.5 4/6 none ms :)Sq ml na na .7 1 1.2 I-A J7 A-t rod -Y y Boring # Boring 100.10 +120 2 ki 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 0 -10 10 2/2 none L bk mfr if 7 4 4 sil bk 1f 3 21 -80 .5 4 4 none cos s ml na 7 1.2 4 80-12Q 7.5 4/6 none ms Sg ml na na •7 1.2 �o• b - k t d�.z Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ' E uent #2 = BOD 30 mg and TSS < 30 mg/L CST Name (Please Print) Signature .) • CST Number Gary L. Steel — 02298 Address Date Evaluation Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -29 -2000 715- 246 -6200 y f Property Owner Men Properties Ltd. Parcel ID # pending Page 2— of _I Boring # ❑ Borin 99.60 +100 [3 pit Ground surface elev. ft. Depth to limiting factor in. - §; 7 W Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -11 10 2 2 none L 2msbk mfr s if 5 .8 2 11 -29 7.5yr4/4 none sil 2msbk mfr qw if .5 .8 3 9 -54 .5 4/4 none Cos os ml qw na Z-72' 1.2 4 54-100 7.5yr 4/5 none ms osg ml na na .7 1.2 2" ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F Boring # 1:1 pit E] 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 'Eff#2 Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 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 (8.6/00) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. Ewlen Properties, Ltd. New Richmond, WI 54017 CSTM2298 SW' -�NE4 S14 - T31 N - R18W MPRSW -3254 town of Star Prairie (715) 246 -6200 lot #25- Prairie View Estates 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 1" pvc pipe @ el. 100.00' Alt. BM.= top of 1" pvc pipe @ el. 100.30' � 1 , Gary L. Steel 11 -29 -2000 r Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner: Project Name and System Type: A/i�,e �iEiy�a - yB�. `o.vdl.✓Y /o.roa po�✓ Location: moo. ��• rr G �d S d/ 7 r '" K Street Address SrC/ .✓E /_ y �� 1,?Al Lo r ,t,S ��y�R�r l/ /dN��TAFdf Legal Desc •ption o a/:✓ o F .�� G FlAi�t,E s.S�G' `iTo ix `o Township /County . Contents: Page 1: /,✓��X f L r F � 11er,— Page 2 : __ o r � "LA,✓ All L'?0.rf -�EG r,00 Al Page 3: QAJ rs OU.✓Eii J /J �p,✓u o 4 /y A.✓A�Fir dN s• dLif.✓ Page 4• Page 5: Page 6: Page 7: Page 8: Page 9: Attachments: ,�oi� �v oe ow rho.✓ E'Pos r' Plumber/Designer: � yss � Signed: Credential Number: ��- ,?3.2 fit Date: G - /7- o z 1 ST CROIX COUNTY • SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer z" -c w Mailing Address c 52,539 A, ALL 'e4o m tj SS 1 1 j P Property Address 21 1404— AL w , �- (Verification required from Planning Department for new construction) City /State w :;r Parcel Identification Number 03 Y� - / 0 ozr LEGAL DESCRIPTI Property Location 5 V N V,, A19 V,, Sec. , T_ / N -R. L-W, Town of STA K P Subdivision z f-LIle la yt gZA �5:�9 r . Lot # Certified Survey Map # , Volume . ,Page # Warranty Deed # Z 3 , Volume I I / q . Page # Spec house ❑ yes Zq no Lot lines identifiable IR yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masWplumber, 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 Wisconsin. Certification as set b the Department of Commerce and the Department of Natural Resources here eP , State of set fo m, y Departm . rt1i, County Zoning Office within 30 that our tic em has been maintained must be completed and returned to the St. Croix ty nrng sta ' system Y �P days of the three ear expire ' date. SIGNA OF PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property de n abo y virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** * * * * ** Any information that is mis represented may result in the sanitary permit being revoked by the Zoning Dep artment. *« 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 POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner c Septic Tank Capacity ,?00 gal ❑ NA Permit # 5'Z Septic Tank Manufacturer u^e4,r? ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Z ,ej-z ❑ NA Number of Bedrooms 100 droom ❑ NA Effluent Filter Model /40 ❑ NA Number of Commercial Units NA Pump Tank Capacity 1 ❑ NA Estimated flow (average)* oo al /da Pump Tank Manufacturer [3 NA Design flow (peak), estimated x 1.5* 466 al /da Pum Manufacturer [3 NA Pump Model E3 NA Soil Application Rate I/day ft Pretreatment Unit ®'NA Influent/Effluent Quality (NA ❑) Monthly Average ** ❑ Sand/Gravel Filter ❑ Peat Filter Fats. Oil & Grease (FOG) < 30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) < 220 mg/L ❑ Disinfection E3 Other: Total Suspended Solids (TSS) Manufacturer: Model: <- 250 m Dispersal Cell(s) Pretreated Effluent Quality ❑ Monthly Average * ** Mfn- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BODO < 30 mg/L ❑ At -grade ❑ Mound Total Suspended Solids (TSS) < 30 m ❑ Drip-line ❑ Other: Fecal Coliform (geometric mean) <10 cfu/1 0ml ❑ Leaching Chamber Manufacturer ro,o ro4.. Maximum Effluent Particle Size 1/8 inch diameter Model ,,Ve- S.roA✓modc Laying Length/Chamber *Wastewater Flow Verification and Calculations: Soil Application Rate gpd/ft Area Req. 85-8 ft (Other than bedroom based) Infiltrative Surface /Chamber -ESIA Rating -el o ft Minimum Number of Chambers ❑ Ag regate Design Flow/Loading Rate= ft min ** Values typical for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code OMM84 and be installed r manufacturers and septic tank effluent. C per specifications ** *Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual' (Converse et.al.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual' Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis - ASAE Publications 5 -77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 ❑ SBD - 10570 -P (R.6/99) "At -Grade Component Manual Using Pressure Distribution" ❑ SBD - 10567 -P (R.6/99) "In Ground Absorption Component Manual' SBD - 10705 -P (N.01 /01) "In Ground Soil Absorption Component Manual' Version 2.0 ❑ SBD - 10628 -P (N.6/99) "Recirculating Sand Filter System Component Manual" ❑ SBD - 10656 -P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual' ❑ SBD - 10572 -P (R.6/99) "Mound Component Manual' ❑ SBD - 10691 -P (N.01 /01) "Mound Component Manual' Version 2.0 ❑ SBD - 10595 -P (8.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657 -P (R.6/99) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 -P (R 6/99) "Pressure Distribution Component Manual' ❑ SBD - 10706 -P (N.01 101) "Pressure Distribution Component Manual' Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequenc Inspect condition of tank(s) At least once every ❑ months 3 ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and stun equals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once every ❑ months 3 ear(s) (Maximum 3 yrs.) Clean effluent filter At least once eve R`months ❑ ear(s) Inspect pump, pump controls & alarm At least once every ❑ months ❑ ear(s) NA Flush laterals and pressure test At least once every ❑ months ❑ ear(s) ❑ NA Valves At least once every ❑ months ❑ ear(s) ❑ NA Other: At least once every ❑ months ❑ ear(s) ❑ NA Page , of -S START UP 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. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. p Valves Valves shall be operated in the following manner: 0 Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Scptage Servicing Operator (per the attached Maintenance Schedule). M Tanks Component Tank inspections must include a visual inspection of the tank 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 backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) 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 NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. p Pump ChamberlTreatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of any filters. Any service needs or repairs shall be promptly taken care of M"I Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page,�_of S ❑ )Mound, At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly 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 Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other 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: M"'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 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 failed POWTS. ❑ 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. ❑ 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 CONTIAN 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 - „ir,✓o,✓,✓ Name , ess Y.v.✓ - Name 7 Phone it 8.3 y- S ya Phone 6 s i - - G SEPTAGE SERVICING OPERATOR (Pumper) - ,rr,,�oa„/ LOCAL REGULATORY AUTHORITY Name A enc r. 41-1 .< Phone Phone 71.5" ZX4 y1A6 KAWPDATA\E1r "WTS OWNER'S MANUAL.doc Page .S of .S ' ..05/01/02 WED 15:47 FAX 1 715 386 6560 ESTREEN &OGLAND Q002 \� J 1917P 3'16 682356 KATHLEEN H. VALSH REGISTER OF DEEDS STATE BAR OF WISCONSIN FORM 2 - 1999 ST. CROIX Co. VI Documcnl Number WARRANTY DEED RECEIVED FOR RECORD This Deed, made between Ewlen Properties, Ltd., a Texas 06 -21 -2002 10:25 AN Limited Partnership, WARRANTY lE EXDPT # REC FEE: 11.00 Grantor, and NICHOLAS L• RTFMF.R and F.RTCA T. TRANS FEE: 84.00 HERMES COPY FEE: 2.00 CERT COPY FEE: PAGES: i Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recordin Area Lirie Vi ew Estates, Township of Star Prairie, St. Croix County, Name and Return S*Q BANK 100 Mill St PO Box 10 Balsam Lake, Wl 54810 -0010 038 - 1207 -50 -000 Parcel Identification Number (PIN) This is not homestead property. 09) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of May 2002 n Properties, Ltd. — '10" rA_ + • By: Paul Anderson, Manager EWLEN Asset Management, LLC i AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF XOMOGM TML44 �....�. — . ) ss. County ) authenticated this day of , Personall came before me this day of 2002 the above named Ewlen Properties, Ltd„ a Texas Limited Partnership, by Paul * Anderson, Manner TITLE: MEMBER STATE BAR OF WISCONSIN to me known Cali! - a egoing (If not, e state of Texa s authorized by § 706.06, was. StptS.) ( u tan �d e Z i insk m ,fi�.r B is n Expires ,„ 2005• THIS INSTRUMENT WAS DRAFTED BY • Attorney Kristins Ogland Notary Public, Statc of Wisconsin i Hudson, W 540j My Commr sio t a .) n is permanent. (If not, state expiration date: - ' (Signatures may he authenticated or acknowledged. Both are not ncecssary,) �" e Names of persons signing in any capacity must be typed or printed below their signature, inrormwon Pratessionais company. Ford dv Lea, W eoo•ase -��zt ��, so uTV nr. ter• STATE BAR OF WISCONSIN