HomeMy WebLinkAbout038-1114-70-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cro
Safety and Building Division
INSPECTION REPORT sanitary Permit No:
1 420438 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:
Kotaska, Renee I Star Prairie Township 038 - 1114 -70 -100
CST BM Elev: Insp. BM Elev: BM Description:
0<2.oc� /l�v.UCJ j"c�{� e ��! w� Qinl� x470 0'�9 � -f , 6
TANK INFORMATION ELEVATION DATA
- 0,
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
,a/6
Septic + , Q, 4.+- y6r•.,,-� 7 Benchmar ra � r /.
1� ��'t�lJ -' e of f C, 0"WW*> /ocar 0
Dosing � _ALL, 1 � Alt. BM
Aeration Bldg. Sewer
Holding ._ St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic elj -= Dt Bottom
t
t '-t
Dosing Header /Man.
_T
Aeration -- — - Dist. Pipe rit v g.
4,, P -, r4v NE 7, 3.
Holding Bot. System 50 9,
F inal Grad
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover
GPM
Model Number
TDH Lift Friction Loss System Heacl T Ft
Forcemain Length Dist. to Well
SOIL ABSORPTION SYSTEM V t v e R
BED /TRENCH Width Length No. Of Trenches PIT DI NSIONS No. Of Pits Inside Dia. Liquid Depth 4 4'
DIMENSIONS 3 69/
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Man4facturer: [C to
INFORMATION T Of System: CHAMBER OR b� C - ) C TTLi$K
UNIT �
y e c , f� r
_ n ,ti�� ,,..�j• , � „�� Model Number:
�V¢.11� r c;•/lasG
DISTRIBUTION SYSTEM
l Header/Manifold D1stribution CLU i x Hole Size x Hole Spacing Vent to Air Intake
Length �s� D Length Dia Spacing �
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over IDepth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
Yes No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 g 1 r!a Inspection #2: 1 1
Location: 1967 Nighthawk Drive Somerset, WI 54025 (SE 114 NE 114 29 T31N R18W) NA L t 1 Parcel No: 29.31.18.486A10
p p a..�.�c c r✓A / v 2_ � 0
1. Alt BM Descrip = - f t
2.) Bldg sewer length
- amount of cover
?� w c..ss Cy+ - `.�Q , GL -i �A - v v'�
Plan revision Required? Yes l y No
Use other side for additional information.
SBD -6710 R.3/97 Date Insepctors Signature Cert. No.
Z- 6 /
' p-40- c 40
vf ( 1
� f
� Y
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e
201 W. W ashington A ve., P .O. Box 7162 .57 - ZX
Madison. WI 53707 - 7162 Site Address�
De artment of commerce 10 xv �q
Sanitary Permit Kdmber
Sanitary permit Application M �30
mfon�nation Yon provide 0 Check if Revision
In accord with Comm 83.21, Wis. Ada. Code. personal '
ntsed privacy Law, 5-04(l m State Plan I.D.
L Application
Information - Please Print All Information /�
,
Number
a _ /d
23 Location
Property Ow s Mailing Address 202 ,� Sf S T 1 N.
Zip Cow p G O ou - Number Block Number
City, sum r—
I' bdivision Name CSM Number
EL Type of Bniiding ( an that apply)
acity
1 or 2 FamtfiY Dwelling - Number of Bedrooms 7
❑ pmblicJCommercisl - Describe Use "V -3 Nearest
0 St w Owned 7i
one boa on line A (mnnbaing scheme for internal use). ate line B if applicable)
III, Type of Permit: (Check' For County age
A New 2 0 Replacement System 3 0 Replacement of 6 0 Addition to
Tank atam
B. Check if amitmY Perma Previously Issued Permit Number
Date Issued
IV. Type of Permit: (Check ati that aPPly)cnamibering schme is for internal Vie) r• /`
Premuized In-Ground 210 Mound 47 0 Sand Filter so 0 conatcncoed w«>aad -3/4
/
410 Holding Tank 48 0 Siogle Pass 51 ❑ Drip Line
30 ❑ 3 S'
45 ❑ At -Clsa� 46 0 Aerobic Treatment Unit 49 0 Recirculating `
V. Area );nfotrmatioa: percolation Rate System Grade lication
Design Flow (OM
Required Area ✓ Area / R�a 9`>� (Min./imeW Elevation
r
Sim , shad Frier plastic
VI. Tank Info C>�hY in Total Number ConctrAe Constructed Glass
GWjoua of Tanks
New fisift
ThAs Tanta
septic or HoldQT=k
no:iae e3anbec
Statement I, lira . r 7 for fimdallatl= of the POWTS drown an the attached plans•
VII. M MP/MPRS Nmnber Business Phone Number
phunber's Name (Print) phmrber's
phtmber's Address (Street, City, Sate. ) /
Use 01& Permit Fee (includes Groundwater Date Agent S o Stamps)
Sanitary
Approved 0 Disapproved Surchar8e ) ev j 0
❑ Oamet Given Tnitial Advecst
IX. Con of Approval/Reason>�Pproval
s
— 1U2 11 >ae3n M Sbe ,
empliete OGGfii'�v� hM go tdMW C4-00* �C' for the /�2 ��Ahu?C�itN►''� � Tf
SBD -6398 (R. 05101) e -Y.-. 13, q3 1 d f / C,
P T PLAN
PROJ1t';CT Renee Kotaska ADDRESS 3 Portland White Bear Lake Mn 55710
SW 1/4 NE 1/4S 29 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE9 / 23/02 BEDROOM 3
CONVENTIONAL XXX INe�I2 PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22
BENCHMARK V.R.P. Top of Wood Stake ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE WEL . H, g Same as Benchmark
W. qC9 "
sYs ELE A ION 93.5/92.0 3.5' Below Grade
'r ,.
End of }' 35' 35' o Line
Nighthaw
Drive n / r 15% S �(5��,r✓� d, 4� W `
20 Slope
Couldesac B -2 0' N > z
B- 2 69' Cells with >3' Spacing
13 Vents
O v F B -1 �p
R � 20
7
S . I ., �
Pro
Bedroo '
House
67 ILI-
j / Apple River
a ��
Vent
>6 „ Standard Infiltrator
of Cover Leaching Chamber I
with 31.1 ft2 of Area /
12"
6' Long / Plans Designed Using
34" tem Elevation Conventional Powts
Manual Version 2.0
- - I
P OT PLAN
PROJECT Renee Kotaska ADDRESS 3 51 Portland White Bear Lake Mn 55710
SW 1/4 NE 1/4s 29 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX
9/23/02 BEDROOM 3
MPRS Shaun Bird 226900 DATE
r i
CONVENTIONAL X00( INSOUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22
I
BENCHMARK V.R.P Top of Wood Stake ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL *H. R. P Same as Benchmark
55 SYSTEM ELEVATION 93.5/92.0 3.5' Below Grade
End of 35' 35' roe Line
Nighthawk
Drive Vents 15% �� � S � 0,
20, n
20' Slope
Couldesac B _ 2 0'
B -3 2 -3' X 69' Cells with >3' Spacing
Vents
B -1M
20'
ST
15'
Pro 3
Bedroom
House
-� V7
7 Apple River
Vent
>6" Standard Infiltrator
of Cover Leaching Chamber
with 3 1. 1 ft2 of Area
6' Long 12 Plans Designed Using
34" stem Elevation Conventional Powts
Manual Version 2.0
i
Standard Erosion Control Plan
for 1 & 2 Family Dwelling Construction Sites
:.
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.:4coord a : ters IJ.; ?Ac::t thQCbnSin n�fvelttng fide, a stlistAnt?zltcOl Pin
�:;: �nee�lsto:li��submitted and "a . coved nor to fie isstiaiice oaf �wt;ltt�?{ei�tts tug�tittts to
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�t15? urcUCttbnS �rhefe ilte }l ePoston contrgl pr+stonsf the nifrti <?i►Clitt4g GodC tie nlOrceQ his
<::.. taridar (.Eiasion:'Gontr #i '1an.is` . ..........
e;l to,assist Via. meet1 <1his r . a cement.
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<�<. uelr�measu es:are::deemddiii ' a : ":td <: e�r. the. ; fi.�sde`�cs�talt :: . rfotnanoes�aindar�i of ke�p�n�:�il on site;
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Applicant:
Name Daytime telephone number
.3 sJ
Street address, city, zip code
Landowner.
Name Daytime telephone number
Street address, city, zip code
Location of the building site (complete as appropriate):
,C q uarter of Section Town N. Range ZF
Lot Block
2�f 4��A
Street address IV
Instructions:
1. Complete this plan by filling in requested information, marking (./) appropriate boxes, and completing the site diagram.
2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading.
Water runoff patterns can change significantly as a site is reshaped.
3. Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management
Handbook, and UW - Extension publication Erosion Control for Home Builders can be referred to for assistance in
completing this plan. The Wisconsin Uniform Dwelling Code and the Wrsconsiri Construction Site Best Management
Handbook are available through State of Wisconsin Document Sales, 608/266 - 3358. Erosion Control for Home Builders
(GW0001) can be ordered through Cooperative Extension Publications, 608862 -3346.
4. Submit this plan at the time of building permit application.
Cbock (� appr'op'riate boxes below, and complete the site diagram with neoessary information:
WO
b
CPm ors Site Characteristics
North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways.
7 ❑ Location of eadsting drainageways, streams, rivers, lakes, wetlands or wells.
r ❑� Location of storm sewer inlets.
The gradient and direction of slopes before grading operations.
The gradient and direction of slopes after final grading operations.
Location of existing and proposed buildings and paved areas.
❑ Overland runoff (sheet flow) coming onto the site from adjacent areas.
Erosion Control Practices
❑ Location of temporary soil storage piles.
Note: Although not specifically required by Code, it is recommended that soil storage piles be placed
behind a sediment fence or more than 25 feet from any downslope road or drainageway.
Location of gravel access drive(s).
Note: Recommended gravel drive design is 2 to 3 inch aggregate stone laid at least 7 feet wide and 6
inches thick Drives should extend from the roadway 50 feet or to the house foundation (which
ever is less).
❑ Location of sediment fences (filter fabric fence, straw bale fence ) or vegetative strips that will Rrevent eroded
m leaving the site.
❑ Locati of sediment barriers aroun / d on -site storm sewer inlets.'
❑ Location of diversions.
Note: Although not specifically required by Code, it is recommended that concentrated flow
(drainageways) be diverted (re- directed) around disturbed areas. Overland runoff`' (sheet flow)
from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas.
X — ❑ Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade).
Note: Such practices include maintaining aristing vegetation, placement of additional sediment fences,
diversions, and re- vegetation by sodding or by seeding with use of erosion control mats.
❑ Location of practices that will control erosion in areas of concentrated runoff flow.
Note: Unstabifted drainageways, ditches, diversions, and inlets should be protected from erosion through
use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod,
and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more
than two acres of unpaved area, or one acre of paved area In- channel practices should not be
installed in perennial streams.
❑ Location of other planned practices not already noted.
-Site Diagram -
Note: Any base map of useable scale can be substituted for this sheet.
tb
k z
6
�q
S
to
P�-
to ) f
,oil
Site Diagram Le pease indicate north tion�
PROPERTY _ _ _ sit by completing the arrow.
LINE FENCE
EXISTING STRAW
DRAINAGE SALES (�
TD TEMPORARY 2 *'r GRAVEL ' I`
DIVERSION
FINISHED TREE
-�� DRAINAGE PRESERVATION I
LIMITS OF STOCKPILED
GRADING TOPSOIL
VEGETATION
tO SPECIFICATION Scale:
AREA 1 inch = feet
Indicate strategy by checking (.,) the appropriate box:
Management Strategies
❑ Temporary stabilization of disturbed areas.
Note: Although not specifically required by Code, it is recommended that disturbed areas and soil piles left
inactive for extended periods of time be stabilized by seeding (between April 1st and September 15th), or
by other cover, such as tarping or mulching.
Permanent stabilization of site by re- vegetation or other means as soon as possible.
7 [ Use of downspout and/or sump pump outlet extensions.
Note: Although not specifically required by Code, it is recommended that flow from downspouts and sump
pump outlets be routed to stable areas such as established sod or pavement.
❑ 74L-7rapping sediment during dewatering operations.
Note: Although not specifically required by Code; it is recommended that sediment -laden discharge water from
pumping operations be ponded behind a sediment barrier until most of the sediment settles out.
Proper disposal of building material waste so that pollutants and debris are not carried off -site.
Maintenance of erosion control practices.
• Sediment will be removed from behind sediment fences and barriers before it reaches a depth
that is equal to half the barrier's height.
• Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing
straw bales will be replaced (typical bale life is three months).
• All sediment that moves ofd site due to construction activity will be cleaned up before the end
of the same workday.
• All sediment that moves off -site due to storm events will be cleaned up before the end of the
next workday.
• Gravel access drives will be maintained throughout construction.
• All installed erosion control practices will be maintained until the disturbed areas they
protect are stabilized.
t,
hereby certtfy that I understand the >constructton site eroston control prov�siQns of the W>SCOttstn Uniorzn
Dwelltn Code, and that i accept responsibility for: carrying: out the :above etastoi controt p,an approved ;by
the a en r m t authority.
Stgnature of applicant Date
A publication ojthe University of Wucauin- Extension, Ron Struss, UWEX Water Quality Education Specialist (12/92).
?his publication may be freely duplicated Additional copies are available through the UWEX Environmental Resources Center,
216 Ag Halt; 1450 Linden Drive, Madison, WI, 53706 6081262 -3652 ,
a
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page
Division 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 �✓ ✓ o
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 and distance to nearest road.
Please print all information. 1e by Date
Personal information you prov' may be used for sec nda purpose (Privacy Law, s. 15.04 (1) (m)). Property Locati /v Q
Property Owner n
Govt. L6L i 1/4 � 1/4 S,,� ° T N R E (o
Property Owner's ailing Address Lot # lock # Subd. Name or CSM# WVE
�
' n�2
City fate Zip Code Phone Number 0 City ❑ Village_ tTpw_ n Nearest Road
^` r.
�. New Construction User Residential / Number of bedrooms = Code d'dr+ve'ddesi flow&te &Z"' S Q GPD
❑ Replacement � Public or com erclai - Describe:
r 1
173 /
Parent material �4 Flood PI ill vatio if applicable ft
General comments -- D 7
and recommendations: x ZQ i
Tr — ! %'• cf� z COUNTY !�
OFMCF
Boring # Boring 5 I -
CD Ground surface elev.
Pit � ft.
—.�_ Dept to limiting factor J in.
Soil AWication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munseil Clu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
5
9 y
3
Boring # p Boring
pit Ground surface elev. ��� ft. Depth to limiting facto in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/1F
in. Munseli Clu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
i A �T
/ VIE
Effluent #1 a BM > 30 < 220 mg/L and TSS >30 1 150 mg& • Effluent #2 = BOD 1 30 mgA. and TSS < 30 mg/L
CST Nang (Please Print) 7 Signature CST Numb
Addrof Date Evaluation Conducted Telephone Number
Property Owner ` �". ih �� ° Parcel ID # Page of
Boring # ❑ Boring / O
«. pit Ground surface elev. � 5 ft. Depth to limiting. fa ctor >a�r! in.
Soil Application Rate
Horizon Depth Dominant Cot& Redox Description Texture Structure Consistence Boundary Roots GPD/ff
In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
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/ff
In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
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/lf
in. Munsell Ou. 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.6/00)
f • , �� - r r
Soil Test Plot Plan
Project Name Daniel F l e ming Syron rd Jr.
Address 1966 Nighthawk Dr. Somerset Wi.
54025 CST #220527
Lot 1 Subdivision = ===SE Date /2001 County CROIX
SW 1/4 NE 1/4 S 29 T 3 NM W Townshi Star Prair
n Boring a We11 PL Property Line# Alt. BM top of 1" pipe O v. 96
VM o r VRP Assumlo Elevation 1 'OO ft. # op of wood stake
System Ely. T-1 =92.5T-2=94 H.R.P. BM
BMA #Alt BM PL 183'
S ' '
35'
2 ' 2'
40'
Caldmek B3 B2
I
BI 96'
Pro House Area
97'
A e
Ri r
260'
270'
i
SCGN N %�
DODGE
S -2484 6619+81
CLEAR LAKE ,..- f _ _ KATHLEEN H. WALSH
WI + 2 i REG� TER OF DEEDS
P/ RE CgO �Q W I
n02n�;, !kC
CERTIFIED SURVEY MAP n1 (- ( /13= �Ot?i
Located in part of the Southwest Quarter of the Northeast Quarter and part of the CDPYE 100
Southeast Quarter of the Northeast Quarter all in Section 29, Township 31 North, /1n R
E iful23.0
Range 18 West, Town of Star Prairie, St. Croix County rec o P`> ( Wisconsin. appr0ya/o w,
COUNTRY LIVING LOT 1
AIGI-17M 14K CERTIFIED S�IRVEY MAP I "+,, /sr. / / ��
1-9I 9 I VOLUM PAGE 2607 — —
---- - - - - -- NORTH L /NE OF THE
- - - 7N" ETAIL A SE 1/4 OF TH£ NE 1/4 VOL. 1040
\ I s88' 52.34 "E `-?` - — — — \ PG_._109
\ \ fT 135.92 , - �' \ \ '` �\ �I S88'52'33 "E - MULL I Z i\ 2.74'
I o
-n 0 zi
2 2 Z 11 ''N / m MWF
Z 11 O N ' p 1 D \ I I� N
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O A •N 2 �S/ #( mmon0
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IOk*1 M �VO t°- I frl \ y �� I I� ' -4
40
�o O 1
CIS D >�urn1 66- t� 4 \ ro w��a I �� mew
*i z ^7 1 v 84t\ \ a 2
jrnl� w> W i \ I ~ � I ^�i� z
10 IN � c rQ, as 1_r r'a, ��► 1 p
t D I I X o BARN d) \�O. \ \� 11 I •+:
I \� ^1 m
1. LOT 2 �� ��m \\ DETAIL "A"
ko IK: o S
70 r'�y► �, � ;� \\ FLOOD ELEVATION
�r ,5 , 15 �g E 2T9 • � � �� \ PER
'5. a', : ® 877. �� V . �� \` 860.0 EMA MAPS: - -`_
eJ LOT 3 fi g, \.
S \
. Z • `- • � 7± c TAB My t�
861.3 ��,y -I"
. 40. o I G v' .f'� APPROXIMATE •� �S' ?S \\ t
� ' �� LOCATION OF 9 \\
860 CONTOUR. 6
\SsF''
�\ LANDS TO SOUTH AND .
1y n I� EAST ARE IN FLOODPLAIN. F \ ' • \
:� C ac'yir S ' �FVAA �is�li,1,� ` •'•• 51 \\\
4 7 '3i'v Q
F 'K \sa - 'o '� � EO 9eli`�5/ •. \\
I� \ p AR l/ f c� 3 \
WEST 114 CORNER c., ! \ I �' ! p'TEzE - y q� o ��•
(FLLS� 29-31- IN AIIWR) # I \\ \ \�9j n 41r,� CA X � 1 1
I
�. �7 EAST -MUST 114 LINE
N89'45'33 "W 43 79.27' \ 1051: 2
t\\ `jam
N89'45 33 W 402.33' •• �r -
` " , UNPLA_TTED �A►VDS ,' N89'�5 3 "W
-- - -- N89 45 33 W - - - - -- 5260.98 -- - -- ,
SEE SHEET 2 FOR CURVE TABLE, LINE TABLE, LOT AREAS AND NOTES.
EAST 114 CORNER
NOTE: The parcels shown on this ma are subject to State, County and SEC77ON 29 -31 -18
Township laws, rules and regulations (i.e. wetlands, minimum lot size, access (FOW0 ALUMINUM
to parcel, etc.). Before purchasing or developing any parcel, contact the St. COUNTY MONUMENT)
Croix County Zoning Office and the appropriate Town Board for advice.
L
Section Comer Monument 8701 Denotes elevation, top of iron pipe.
of Record
• Set 1" x 24" Iron Pipe weighing
1.13 pounds per linear foot Prepared for and at the request of-
0 Found 1" Iron Pipe OWNER:
R= Recorded As Daniel W. and Judy C. Fleming
1966 Nighthawk Drive
• • - • • • • • - •Building Setback Line (50' from Right of Way) Somerset, WI 54025
JOB # WI057SU18 (75' from Navigable Waters) Drafted by. Ty R. Dodge
Prepared by. 200 0 200
N O Go�lsft pup, Inc, N TH
Phone No, (715) 246 -4319 GRAPHIC SCALE
SCALE IN FEET: 1 inch = 200 feet
109 East Third Street, P.O. Box 325
New Richmond, WI 54017 BEARINGS ARE REFERENCED TO THE EAST -WEST LINE 1/4
Sheet 1 of 2 LINE OF SECTION 29, TOWNSHIP 31 N., RANGE 18 W.
WHICH IS ASSUMED TO BEAR N89'45'33 "W.
Vol. 15 Page 4206
Maintenance and Contingency Plan for a Septic System lkqd)D z�3 i
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
St. Croix County Zoning 715 - 386 -4680
Pumper Tom Mondor 715- 246 -5148
Shaun Bird #226900
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STATE BAR OF WISCONSIN FORM 2 -1999 io rHLEEN H. WALSH
WARRANTY DEED kEGISTER OF DEEDS
Document Number S7. CROIX CO. , WI
This Deed, made between D miiel W.. Fleming and Judy C. RECEIVED FOR RECORD
Fle ming, husband and wife, . 1 ..: '.00 10:00 AM
-- - -- - - - -- -- aARRANTY DEED
E r Erlpi 0
Grantor, and Renee F. Kotaska CERT COPY FEE:
COPY FEE•
TRANSFER FEE: 201.00
RECORDING FEE: 11.00
_ PACES: 1
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):
Recording Area
Part of the SE 1/4 of NE 1/4 and part of S W 1/4 of NE1/4 of Section 29, Name and Return Address
Township 31 North, Range 18 West, St. Croix County, Wisconsin, described KRIST!X - � OGLAND
as follows: Lot I of Certified Survey Map filed November 13, 2001, in ATTORNEY AT LAW
Vol. 15, page 4206, Doc. No. 661981. P.O. BOX 359
HUDSON, WI 54016
Together with and subject to a joint driveway easement as shown on said
Certified Survey Map.
Pt 038 - 1114 -70
Parcel Identification Number (PIN)
This is not homestead property.
(1) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this ____ Zt day of December 2001
0 LJ
» •[X j Fleming —
+ dy C. FI ing _
AUTHENTICATION ACKNOWLEDGMENT
Signature(s]O W • Fleming and Judy C. Fleming, husband STATE OF WISCONSIN )
an wife, ) ss.
—
County )
authenticated this //'' _ t.�d� of December 2001 day of
Personally came before me this _
> the above named
Kristina Ogland
TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing
(If not, instrument and acknowledged the same.
authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY +
Attorney Kristina O glan d Notary Public, State of Wisconsin
Hudso WI 5 4016 My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.)
' Names of persons signing in any capacity must be typed or printed below their signature. inrwmauon Proressio is company. Fond du La, vw
1100-655 -2021
WARRANTY DEED STATE BAR OF WISCONSIN
FORM No. 2 - 1999
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1000 1100 1200 SEE PAGE 47 1300 1400
Thomas Warner's Dock Inc. i
of New Richmond a 928 North Knowles Ave. r `
Since 1975 New Richmond, WI 54017
5€ l - 'Ne'II Pull For You 888 -222 -DOCK
WE PROMISE DLtVERY ON TIME Complete Line of Marine Products
Common' & Cont Carrier • Evinrude /Johnson Outboards • Javelin Boats
• Spartan Trailers • Alumacraft Boats
L • Feed Grain itry Win Loads p • Simplicity Lawn Equipment
Local Owned -
&Managed �J� -$570 T Ke as SALES — SERVICE /
STORAGE