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B SEP - 8 2000
AUG 1 2000 1�, ST. CROIX COUNTY
KA THLEEN H.WALSH 9 SURVEYOR'S RECORD
s
Re i
' St. Cro Co wj 6i� �1999
, CERTIFIED SURVEY MAP
- ED IN THE SW 1/4 OF THE SE 1/4 OF SECTION 6, T28N, R 19W,
TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN.
0
SCALE IN FEET o�
U �
Lj N � O
0 50 100 200 300 w w af o
w��o
APPROVED CE 0
ST. CROIX COUNTY
V) 0 N O
Planning Zoninc and Parks Committee Z w ~
Z
AUG 11 2000 UNPLATTED LAND Q z N
m =oa
0 P:
If not recorded within 30 days of
approval date approval shall be S 90 0 00' 00" E 300.00' N N 0
null and void
7 2
Qi-Z
LOT 1
3.228 ACRES, 140,612 S.F.
INCLUDING TOWN ROAD
p ( RIGHT -OF -WAY o p I
Q I 0) 3.001 ACRES, 130,720 S.F. Q
EXCLUDING TOWN ROAD oo d -U
RIGHT -OF -WAY I
LLJ I w ►� ui
� - � I
0
J i o 15 HI SE LINE _o°- QJ I
- - - _ -- - _-- *— _ - -� o
zI N a zl
:D 0 I Z � N DI
N N
° EXISTING DRIVEWAY °
/ N 90 W 300.00
740.23' - zo M 300.00' M 1613.49'
u , „ , ;0 cD
M
M N 90 00 00 W 2653.72 SE CORNER
S 1/4 CORNER - — — — — — — — — — — — SECTION 6
SECTION 6 _RE_D_B_RIC_K_ ROAD T28N, R 19W
T28N, R 19W SOUTH LINE OF THE SE 1 /4 POINT
BEGINNING
UNPLATTED LAND
LEGEND
COUNTY SECTION CORNER MONUMENT, OWNERS & SUBDIVIDERS
BERNTSEN CAP, FOUND. JOHN LOUGHNEY, ETAL
507 C.T.H. "F"
0 1" X 24" IRON PIPE WEIGHING HUDSON, WI 54016
1.68# /LINEAR FOOT, SET.
X - X EXISTING FENCE.
FI KINS PAGE 1 OF 2
L
THIS INSTRUMENT DRAFTED BY JAMES D.
Vol.14 Page 3929
r y
Wisconsin Department of Commerce
Safety and Buildings Division PRIVATE SEWAGE SYSTEM Countg: Croix
INSPECTION REPORT t .
GENERAL INFORMATION (ATTACH TO PERMIT) Sanit r Per 3 No.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j.
Permit Holder's Name: ❑ City ❑ Village ❑ own of: State Plan ID No.:
oughney, John Troy Township
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
at) / 6 U Nee {, 3 /� 040 - 1028 -95 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic e5 l Novo b p Benchmark
Do ' ---- - - Alt. BM
Aeration Bldg. Sewer
(n • S _ - 7 5
Holding �Ii, / Ht Inlet G, y� �' �' Z Z
TANK SETBACK INFORMATION / Ht Outlet
i ntake
TANKTO P/L WELL BLDG. Air to ROAD
Air
Septic t / 3 Z i NA
Dosing NA Header / Man. �, yZ l e. Z
ion A Dist. Pipe
p T 3 Z
Hol Bot. System t
9G • '► 9G.
PUMP/ SIPHON INFORMATION Final Grade
Maftufacturer Demand St cove S SAO 4
Model Number GPM
TDH Li Friction stem 'TDH Ft
oss
Forcemain Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED RE H Width r Length No.Of�Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIM 3 DIME 1 N
SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM L G u cturer
INFORMATION TypeO HAMS Mod Numb
System: C6v� - OR UNIT j
DISTRIBUTION SYSTEM
Header / Manifold �� Distribution Pipe(s) / / x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. t ' Length Dia. A4 Spacing q Aj
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 1 ❑ Yes ❑ No I ❑ Yes ❑ No
COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1• /D /(Z /vo Inspection #2•
Location: , River Falls, WI 54022 (SW 1/4 SE 1/4 6 T28N R19W) - 06281993 -Lot 1
1.) Alt BM Description = �� � � oo� s d A �0 0 "1 f /4 & {,,7/
2.) Bldg sewer length = L y �� 5 c �1 1 0, \ :,, 9 er— 40_6
- amount of cover = > z Y " //
6,, Sys`(c.•h- Cu1S in 5 {4 /ate/ l o w,,
�.) iUl,ll 4 T"Ira'I SeilS 6".,ej e,•.S� cv: yrrfrgS �� Z i S¢y (er
I -
Plan revision required? ❑ Yes No
Use other side for additional information. (p / 2- ko
SBD -6710 (R.3/97) Date Inspector' ignature Cert. No
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
a � s
( � 4
1
_ E �
w
a
a_
� � I
� 3 4
a --
t € 3 9 €
3 E
s
3
f
. r
f
s �
I
p s t
s g ��
Sa •tary Permit Application Safety & Buildings Division
accord with Comm 83.2 1, Wis. Adm. Code
201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302
Department of Commerce [Privacy Law, s. 15.04(I)(m)] (Submit completed form to county if not
state owned.
Attach complete plans to the county copy only) for the system, on paper not less than 8 -1/2 x I 1 inches in size.
County State Sanitary Permit Number ❑ Check if revision to previous application State Plan I. D. Number
I. Appli cation Information - Please Print 3RIftitiNtion Location:
Property Owner Name - Property Location p
���' �► SW 1/4 1/4, S T ,N, R W
Property Owner's Mailing Addr - j�J Lot Number Block Number
6 '
City, State Zip e 1 4 ZQO Phone umber Subdivision Name or CSM Number
oYl 5 I 0 ST CROIX U $ - 4 1077 Ioa. 99 9
II. Type of Building: (check one) �'siry
I or 2 Family Dwelling - No. of Bedro ONING OFFICE •B- Viii
age
17 Public/Commercial (describe use) :_ XTOWn of
° State -Owned 0, T IZO
Near Ro d n _/
3 T'_ pt tJ t Parc Num 5000
III. T ype of Permit: Check only one box on line A. Check box on line B if appI icable . V S, 19 ,
A) 1. New 2. ° Replacement 3. ° Replacement of 4. 5. 6. ° Addition to
System System Tank Only Existing System
B) Permit Number Date Issued
° A Sanitary Permit was p reviously issued
Type of POWT System: (Check all that apply) A` [ 4Z ;Non- pressurized In- ground ° Mound ° Sand Filter ° Constructed Wetland ,
° Pressurized In- ground ° Holding Tank ° Single Pass 0 Drip Line
° At-grade ° Aerobic Treatment Unit ° Recirculating ° Other:
V. Dispersal/Treatment Area Information: t . ___ c
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. SaitApplication 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (GalsJday /sq. ft.) (Min. /inch) �� Elevation
4150 I (ZS I I2 S' 1 • l0
VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks I Tanks
i000 �o0 1 1(000 � t�eiser °
❑ 11
VIII. Responsibility Statement
I the undersigned, assume res onsibili or installation of the POWTS shown on the attached plans.
Plumber's Name (print) P m s (n stamps): MPR� -Ne. Business Phone Number
Ta ut �•s erncr OR S' 5
Plumber's Address (Street, City, State, Zip Code)
8a 30 9415gh' i Falls hlr %W-r LZ
IX. County/Department Use Only
° Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signa (No stamps)
Approved 0 Owner Given Initial Adverse S charge Fee)
Determination ;Z;? • g ' Z X. Conditions of Approval /Reasons for Disapproval: n ad'4' 4P /_ s r .
aF '�,� 5 i S � a� 6 ,�A.r. o� ►bdC4u "uj � �aa- Ntio�i`�t edl �e+ �nN►�r� E�
C. Y '�
J)e ' r
AJQ� C " —� c_ - I z " to hove Sc�
60 00 tb 5-el A.- ra.. k
J 2
Tre P c4,-.
C:4-
6
A, f14 00, 0 3
Jul #,2 rl, v
+-(m
Wisconsin Department of Industry SOIL AND SITE E V A L U REPORT Page , of 3
Labor and Human Relations
Divisjan of Safety & Buildings in accord with ILHR 8 5, Vi S. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches i 494:' Plan )�
�tt�t _il�cltade,
ST.
but C
not limited to vertical and horizontal reference point (BM), direction nd of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road
t t '
APPLICANT INFORMATION- PLEASE PRINT ALL INFORI4 AI #ON _,v; REVIEWED BY DATE
NTN
PROPERTY OWNER: PROPS A N
SiJ�`1'Iv Ll7 U G �} tiJ C L{ `; 691�F6T S 1/4`" E 1/4,S (� T ZS
NR l� E (oc 1
PROPERTY OWNER':S MAILING ADDRESS• gIQCK UBD. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE MOWN ' NEAREST ROAD
ItY�1DSo>v w( SILW6 ( 386 - 4 0 Z Thy RED Q�ztclz 2oprp
14 New Construction Use [ Residential / Number of bedrooms [ J Addition to existing building
[ ] Replacement [ ] Public or commercial describe
Code derived daily flow ALSO gpd � Recommended design loading rate - bed, gpd/ft S trench, gpd/ft
Absorption area required - bed, ft c l QiQ trench, 11 Maximum design loading rate S bed, 9pd /11:2 -6 trench, gpd/ft
Recommended infiltration surface elevation(s) c c) ft (as referred to site plan benchmark)
Additional design / site considerations 3 - CjKI cYr(�5 H S xjz,o w / PeG �Ie�s
Parent material GL f e__Lfv_ o`1Twf S H Flood plain elevation, if applicable IQ- A. ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem aS ❑ U 0 S ❑ U gl S❑ U l� S ❑ U EIS ®U EIS U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color I Mottles Texture I Structure Consistence Bourrlaly Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
a.
-10 lo`tL 312
s Z 10 3l) LO `t IZ 316 _
s, I Zvnsbk w, P,r cs .S
Ground 3 3a -q o 1 r'� `'( fL S J 6 — S '4_ &- b Sg
elev. es
r� l
quo ft _'6 �b -t _ Ll
Depth to S b6 -4s 10 `1 R 516 — �� p S g to \ - • s • �,
limiting
f ? a S " jU wo_' OF S `t R ylb , V S
Remarks:
Boring #
o�)o Lo�R Ztz _ Sil
k Z Z d 2� t o`2fZ 3L� - syl C-S - 5 •6
Ground 3 Z4 -�l(0 �•S`Z23tY S wGti o Sg
elev. 4 �6 q �- S H R /l,
wt v�-. , � � . s . L(
Depth to
limiting
factor
Remarks:
CST Name. Please Print Phone:
Arthur L. We erer 715 425 - 0165
egerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI 54022 '
Signature: Date: CST Number:.
00- 33 y -1y-00 220254
PROPERTY OWNER N ti SOIL DESCRIPTION REPORT Page?- of
PARCEL I.D.# 0\40- 031 q s
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft
i
n. Munsell Qu. Sz. Cont Color Consistence Baxrdaty Roots
Gr. Sz. Sh. Bed Trench
3 t o >o�ttz 3!z - s't Z.� w►ft- �S - .S •6 5
13 1 P - 3/ - s, f
Ground 3 33 -y sk S ty S lcSbh tin c� ,� ,S
elev.
° ta•D
Depth to tU'l R S1(.
limiting 0-
1vrU`��- _ '� •S •�
f actor
p . 5 Std ►vo`� T 8l
2N bd
Remarks:
Boring #
•,:,•$ '-•ATV �t��1�
X16 s; I z r>,sbti )K (a-S - -s .L
3 � -61 luLiR X16 - si J l�sbh
Ground h1'Fl- CS . Z . 3 -2—
q�0 It. C IS oS9 �n � =S- �
.�
Depth to —
limiting 2
factor
��6 1
Remarks:
Boring #
Z 1s - Z9 lu g R 31 b — 1
3 -9 34 ,.s��Z31y — s d &-
Ground 1v1 �S ' 1 •�
a9•o ft. 3� - s �u , tvz sJ 6 - esb m Ufi- - -u (, s • `�
Depth to Q iT is 1.
limiting
factor
i
Remarks:
3oring #
:4�•:� ��"`'� ' ` f� NG - CAF O• � S Fl 1S 1"I hR�11�
.;..... by
,.... - r ,4
` `1z ilt
,round
;lev.
tt.
)epth to
imiling
actor
Remarks: _
• PLOT P LAN . Pa of 3
SCALE 1 "= Lip'
t't9ar ° - eL g$ 2;
B.� g.Z
Z.5
5 bO )r�tTl�tr �zg)vta�
,
S
5 b I
boy
Ia .3
K ac • �T1 �y k C GI
• � O . L S fvt i � `ni
3h'1t4-� 1 ON 3'Ma14, 31y`DIA PVL' ?V PE PEE -7-% S`fL
HsuSE -M 13Lz Per Let3T_ Z.S SkS`f64 PnZA)1 _ -- - --
wQ'L..L ..4 So
1 ZJbSE PvMp I-j 8�E- -k `TU �>RoUjDE ZN — M t 1 Sl1?L1
o��q3
( 715 ) 425 -07 hs
CST Signature Date Signed Telephone No. CST #
and Hu man Rel ations an gel ati ti ons Industry
Labor and SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor Hu
Division of Safety 3 Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
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. ' (�) q p - L 0 7,8 - q S
APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
LO U 6 24 1J e l --( - 861EF�T S W 114 S E 1/4,S (, T ZZ ,N,R V� E
PROPERTY OWNER':S MAILING ADDRESS • LOT # BLOC�SUBD.NAMEORCSIVI# F O
CITY, STATE ZIP CODE PHONE NUMBER [)CITY []VILLAGE MOWN ' NEAREST ROAD
��Q coo , f,jI SILO L6 ( 33 6.4 o, Z RQ't> T3�ZL6r_ 2opf_D
[� New Construction Use [ Residential / Number of bedrooms 3 [ ] Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow ALSO gpd� Recommended design loading rate - bed, gpd/ft S trench, gpd/ft
Absorption area required - bed, ft 9 oD trench, ft Maximum design loading rate - S bed, gpd$ - trench, gpd/ft
Recommended infiltration surface elevation(s) ° t" I. O ft ft (as referred to site plan benchmark)
Additional design / site considerations 3 - T2g�JCWCM t'f S X."z ' w / PTSG -�
Parent material Lt, G LA- L Flood plain elevation, if applicable N 1-l. ft
S = Suitable for system CONVENTIONAL I MOUND I IN- GROUND PR AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for stem a s ❑ U ®S ❑ U f 21S ❑ U ESSURE I as ❑ U [Is ®U I [Is OU
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles (Texture I Consistence Bctux�y Roots GPD /ft
I
Boring # Horizon Structure � I
O - t0
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed teridl
x'a I )D`L 312
.
s� ► 2vn m- (IS
Ground '� 3D -qra L�`12 Sf6 - S fit& O S9 'as •1 . °u
elev.
° two ft Slo -
�s .Ll s
Depth to S �6 -gS 1 � �t 2516 M 1 - . .�
fimiting
factor S " � OF S `Z R y16 , >Y, V S
Remarks:
I
Boring #
8 -10 l�`'tR zLZ — St� Z'�'Sb1z rv��1 cg . S1 .
2
Ground 3 Zq �6 S`t 2 3iY
elev. 4 ►�6 q . S R L1 A
Depth to
limiting
factor
Remarks:
=Name: -Please Print Phone:
Arthur L. We erer 715 -425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River•Fa11s,WI 54022 '
Signature: Date: CST Number..
0 0 —� S/ -1y=00 220254
PROPERTYOWNER SOIL DESCRIPTION REPORT Page? of 3
PARCEL W.p y`lo- m Z b- -i
Boring Horizon Depth Dominant Color Mottles Structure g Texture ure Consistence Roots GPD /ft
•.�•.;. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Ttendi
• � •:: D --1 S � o `I R 3l Z
3/1. — S, 1
Ground - 2 - '2fZ Sl S �C
elev.
CIq,D ft. U3 S •
Depth to 5 So:DID Lum R S/6 `� laS blz
limiting •�l . S
fact
>_1 �y I
Remarks:
Boring #
k' S , 6
'....... > Z 10 -q
Ground 3 q�-61 lu`l N) t CS
elev. Ct9.D ft. bl -"7� - 1•S`1f� 3 /t��S �S9 nn 1 • S ,
Depth to —
limiting
factor
'2 I
i
Remarks:
Boring #
o -LS lb`-t2 3!Z
Z �S -Z9 l0 R 31 b _ J
3 zg 38' � - S`i 231y _ S dGr c�s9 1 es _ •1 .�
Ground M
etev. 38 -1S tiu�t /6 —' tiesbk m U �w• - .y I -S
a9•o ft.
Depth to N y is 'T t3 I .
limiting
fa ct o r
I
Remarks:
3oring #
Exi....:.:w<. IJU f�D►NG V QF o•S a 1> J s F is �co►"►►y�� bU
around \ rrN\ - UZz S 3 .
aev.
ft.
)epth to
imiting
actor
Remarks: _
PLOT PLAN Pa of 3
SCALE 1 "= �-Jp'
® Bm *11
B-1 8.,?
8.5
bo'
S' )>v LT I Pf L 71Z2"j c ;e5
b'
5
boy
33M*I
Kt, Im
t - OIN ZI'MSH, 3)y`DIA PVC PIPS Ut'R -T-m S -rzgL. FQJC 4�T
_. (... ti ti l t k � • K
bpi SE O .:.t3 L A'T"__l�"t13T_ZS ' w �i T or- S `t S7154 --
_.�. -�eSE
O O l d - .
�. - �• n. �1- y -b o zzoz : .
(715 ) 425 -(11 f,5
CST Signature Date Signed Telephone No. CST ##
Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567-P (R.6/99).
Table 1: System Design Specifications
Sanitary Permit Number � q 3
Number of Bedrooms �
Design Flow - Peak (gpd) qM
Estimated Flow - Average (gpd)
Septic Tank Capacity (gal)
Soil Absorption Component Size (W) p z
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak (gpd) trrrfl z
Maximum Influent Particle Size (in) 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component Inspect once every 3 years
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure
proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
r
1 Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
2
Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep-rooted trees and shrubs directly over or within ten feet of the
P
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
3
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer ohr� s 1 PPi - 7 .0 o ne
Mailing Address
Property Address
KU f / � � c.°
(Verification required fr lanning Department for new construction) ,! �/
City /State Parcel Identification Number aye /o a 8- 7 S ow
C ff. z8.12.
LEGAL DESCRIPTION
property Location :r+✓ -r/4, sE ' /., Sec. ( , T—,JA—N =R--/-2—W, Town of / r 9
Subdivision . Lot #
Certified Survey Map # & 7 95 , Volume 1 Page # c - oZ9
Warranty Deed # h`��7, , Volume Page #
Spec house ❑ yes ❑ no Lot lines identifiable Byes ❑ 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
masterplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system
is in P roper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
c of th�t yeah expiration date.
SIGNATURE OF PLI 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 owner(s) of
pratperty decd �1, by virtue of a warranty deed recorded in Register of Deeds Office.
` .� J �l �-� can
SIGNATURE OFAPPLICAT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.
«« include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
v I' DOCUMENT NO I WAPP.AWN DEED i� vw,a sneer .escewo non eccoworee o•,•
f I STATE BAR OF WISCONSIN FORM 2 -1919
48 I� I�L 955 M UM - - --
-- - -- - - -- -= .- -- - - - - -- REGISTER'S OFFICE
WILLIAM F. LOUGHNEY and MARIE E. IOUGHNEY, Grantors ST CM CO., WI
f ............. I ........... - .............. _ _ .... _ Rstc'd fa Record
................... ..... .......................... . ............................... _....
_ ....................... .. ............ _.... .................. ............................... JUN 17 192
_._ ........... C1 10:50 A. M
conveys and .warran4 to . _JOHN -. B.. LOUGHNEY and COLLEEN R.
LGUG�IN7(,.- husband..a}1d, w�Ee_,as..auiyyorehp ..marital......,..,
property ..4p... half..ineerest and ...- np nnAA
lIARK. A, LO11CMU. and. 4FbRA.L0UG1Rlk"l...h44band- and •yife..•, �z k*cfD0v&
as. aur?!ixoi ahxp . IOai ital.. & rA)?erty.. ;ti..i9..an. 4ndivided -._ _••-
..one -half . interest,.- tenants..in..cnawna...Gi antee4 ................ I -- o
...
_ ........... ............................... ....................... _ _..................
... ...... .. . ... ............................... -.... ... ... - ..................... _..
the following deribed real estate in ...................Co -
State of Wisconsin:
Tax Parcel No: ..............................
Sh of SE)t of Section 6 -28-19 EXCEPT that part of the SEk of SE)t lying
Northeasterly of the old Chicago, St. Paul, Minneapolis and"Omaha Railvay
Company right -of -way, and EXCEPT Lot 1 of Certified Survey May filed in
Volume " 2 " , Page 324 and EXCEPT part to Virgil S. and Pmogene G. Johnson in
Vol= 626, Page 221 and EXCEPT Lot 1 of Certified Survey May In Volume 4,
Page 1150, and EXCEPT Lot 1 of Certified Survey Map in Volume 5, Page 1282,
and EXCEPT Lot 1 of Certified Survey Map in Volume "6 ", Page 1679.
TOGETHER WITH and SUBJECT TO reservations, restrictions, easements and
rights -of -way of record, of any.
This ._.----.... i8........... homestead, property. y
(is) (MM) FEE
Exception to warranties:
Dated this .......... 13 th ....... -•.. ° ................. day of -- °•---.............. .... .. ....... 19-V
19.9
..............._.... _... .............................._ ......(SEAL) -lG<a�'+!.....�t.�'� (SEAL)
.. -....... -•- LLIAK..$ ... UGLY...... ............
_........._ .. ...................... °----................(SEAL) ... gRtL ............>. >........... . -_. ......... .(SEAL)
/ U �
• ............. ............................... ................... • .._ kiltR.Ik.. k....LQUG_..... ...__......... ....
AUTHENTICATION ACENOWLEDOMENT
Signature (a) STATE OF WISCONSIN 1
... ---: ..................•------..............................................-
authenticated this ...... .. day of- ........................ 1 19 ...... Personally came before me this .... 13xh .... day of
....... ....JtmE
........................ 19..92.. the above named
..................... ......................................
'•---• --• .. ........................... — --------------- .. ............... ......... William-.F_.- Loughney ..and ...............
.
TITLE: MEMBER STATE BAR OF WISCONSIN _--. --•14arie..E h
(u mt ...............> .... --........................ •---- t� _ { t . --- --- - * ----------------------- -- - - - -- --- -- ----- - - - - .-
I Dy 4 708 .08, Wis. Ststa.) ` � to be the person a.......... who executed the
• ' trument and acknowledge the same.
THIS INSTRUMENT WAS DRATTED BY - '
.... Lundeen //
l�f�
MM[[��DGE, PORTER 6 LUNf$f; C► ` .......... ....-- ----..-- *.. .........
._...
11Q 8e�opd ..Street.,..Hudson,..WL.5401Es �. y No ?u► . . .. _... &C.._CToiX .............. County, Wis.
mmission is permanent. (If not, statn expiation
(Signatures may be authenticated or adlr, .wledged. Bi tM �. ,5� .,
]}�
are not necessary.) •wr•..+n -------- - -- - - - - -- _:r...�.:... 19 .
•N.m� d se..oe. .I.alea L wr e:oe1L .hould be n•a.a er Drinled below "r .tvoawro. - -- - - - -� –. -- - - -__=
WAaaANTY DEED aTATE 9Aa OF WISCONSIN Wisconsin Leger Co.. Inc. �I
.1oaM N.. a — 19e2 MilwsukM. Wisconsin
r
� 1 _
F FILED n
I AUG 1 1 2000 ►
rok� CERTIFIED SURVEY MAP 62 *999
O
ti
L ED IN THE SW 1/4 OF THE SE 1/4 OF SECTION 6, T28N, R 19W,
TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN.
0
SCALE IN FEET o
U 3
�
U N�
0 50 100 200 300 w p � iO o
LLI
APPROVED
0
ST. CROIX COUNTY 0 O N
P Zonina and Parks Committee Z U I—
AUG 112000 UNPLATTED LAND t Z
m =zx
l . — g<
If not recorded within 30 days of 0:D O U m
approval dale approval shall be
null and void S 90 °00' 00" E 300.00' Z N W =
N N U
U _
V) 2 ti =
a1-03
LOT 1
3.228 ACRES, 140,612 S.F.
INCLUDING TOWN ROAD
0 I RIGHT -OF -WAY o p I
0
J i CD 3.001 ACRES, 130,720 S.F. q Z
EXCLUDING TOWN ROAD ao J I
C) ( rn RIGHT -OF -WAY
W U ui `n
F- ro PO LLJ
Q I °O ° o F- I
J I o 150' HIGHWAY SETBACK LINE o I
Z I
o
N Z I
� Z N �
N N
r ° EXISTING DRIVEWAY r °
` I N 9 0-00-0-4-01-1 W 300 T
- * ---x— - —
_- _ . 740.23 - 300.00_ 13.49'
` M N 90 °00' 00" W 2653.72' S 1/4 CORNER - — — — — — — — — — SE CORNER
SECTION 6 RED BRICK ROAD SECTION 6
T28N, R19W - - - - - - - - - POINT OF T28N, R19W
SOUTH LINE OF THE SE 1/4 BEGINNING
UNPLATTED LAND
LEGEND
COUNTY SECTION CORNER MONUMENT, OWNERS & SUBDIVIDERS
BERNTSEN CAP, FOUND. JOHN LOUGHNEY, ETAL
,507 C.T.H. "F"
0 1" X 24" IRON PIPE WEIGHING HUDSON, WI 54016
1.68# /LINEAR FOOT, SET.
x - X EXISTING FENCE.
THIS INSTRUMENT DRAFTED BY JAMES D. FILKINS PAGE 1 OF 2
Vo1.14 Page 3929