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HomeMy WebLinkAbout040-1121-95-110 Parcel #: 040 - 1121 -95 -110 01/23/2008 08:40 AM PAGE 1 OF 1 Alt. Parcel M 32.28.19.504C 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/28/2007 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - JENNINGS, CLIFFORD M & ERIN E CLIFFORD M & ERIN E JENNINGS 446 RELANDER DR RIVER FALLS WI 54022 - * = rim Districts: SC - School SP Special Property Address(es): Primary Type Dist # Description * 446 RELANDER DR SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 32 T28N R19W NE SW Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 05/02/2007 49604 AFF 03/28/2007 ' 7 >r9 01/30/2007 843572 WD: 12/27/2006 84138 ttf more 2008 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/11/2007 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 JUisconsin Department of Commerce County: Safety and Building Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT Sanitary Permit No 506115 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: Jennings, Clifford & Erin Troy, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: f 44-- 6 ftl\, 32.28.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 4. 5 Septic , ` fi�k�. �•s Z(od Benchmark � � J (.J /cab n Zr Alt. BM F -� III I b� t. BM ,� Cam. 3 •`� c ✓ab . r.5 Aeration Bldg. Sewer $ • (S `5 75 Holding St/Ht Inlet $ • 9 TANK SETBACK INFORMATION St/Ht outlet `� �5 y�l • `) S TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic -7z i z7 1 � Z S ' Dt Bottom �. > ZS _. Dosing Header /Man. Aeration Dist. Pipe O 7 Holding Bot. System 16 . 0 1 mot$ • " PUMP /SIPHON INFORMATION Final Grade `}• Manufacturer Demand St Cover // GP 1�1��t. �O 5.4 /a6 . (p Model Number TDH Lift Friction Loss System Head T Ft Forcemai Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Len th No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid De th DIMENSIONS ? Z SETBACK SYSTEM TO VVY �� P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: , 1� INFORMATION CHAMBER OR r Type Of System: ( 7'C ` J 96 / UNIT Model Number: a) "' A L_ 1 6 6 b .,� A* . I . � LJ DISTRIBUTION SYSTEM Header /Manifold i# Distribution \ x Hole Size x Hole Spacing Vent to A IntaJ�e Pipe \ ` p Length Dia L ength Dia S acing 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 � I 7 Bed /Trench Edges \ Topsoil \ `. No Yes ]No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 486 Relander Driv Hudson, WI 54016 (NE 1/4 SW 1/4 32 T28N R19W) NA Lot Parcel No: 32.28.19. 1.) Alt BM Description= '' �e'� C ,— (5 7, L+OJi.� 2.) Bldg sewer length = L7 - amount of cover = Plan revision Required? Yes >4 Use other side for additional Information. Date Insepctor' Signatu Cerl. No. SBD -6710 (R.3/97) eommer'ce.Wl.goV Safety and Buildings Division County n 201 W. Washington Ave., P.O. Bo1 / t U l'? ' o SD Sanitary Permit Number (to be filled in by Co.) Depa C� rce h ll5 ce Sanitary Permit Appl cat 3 M7 State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of t is for t e appropriate governmen I unit is required prior to obtaining a sanitary permit. Note: Applicati n forms for state -o �/TS ar Project Address (if different than mailing add Z ) submitted to the Department of Commerce. Personal information yo provi ��sm secondar Al i n ^ u oses in accordance with the Privac Law, s. 15.04(1)(m), Stats. �< 1 L Application Information - Please Print All Info rmation Property Owner's Name Parcel # e r /` C L IA) S&-S_& N S — Property Owner's Mailing Address Property Location l 2 /� r-LAWO" Govt. Lot -- City, State Zip Code Phone Number yA j_ W'I., Section pa Z Z --- / circle one T� N; R [E IL Type of Building (check all that apply) t# f l - I or 2 Family Dwelling - Number of Bedrooms Subdivision Name_ Block # ❑ Public /Commercial - Describe Use /4e,J' e - f l — ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of J n 0 jk� 2�5 Town of f tS Y 2 - �0 %sue C�ll� w zl +'Z2 III. Type of Permit: (Check only o e box on line A. Complete line B if applicable) A, X New System p y g p y ❑ Re S El Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that appl X Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: 7 Design Flow �(gpd) Design Soil Application Rate pdst) Dispersal Ar R�e ' d (sf) D a rea Prop 's System Elevation m i � ret 6D 0 - 7 (/ 3 6! u t G(c W ) 9 3 i VI. Tank Info Capacity in Total # of Gallons Gallons Units ° 79 U New Tanks Existing Tanks n ' / 0 'q V Septic or Holding Tank o 7- Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. PI mber's Name (Print) Plumber's Si ature MP /tbIPRS Number Business Phone Number 6f o.✓ Plum is Address (Street, City, State. Zip Code) F& t-3;� 4-1/612 4— W Al VIII. ount /De artment Use Onl Approved ❑ approve Permit Fee Da en Rea on te [suing A Signature i $ / Issued z9 /0 7 ❑ rvn o meal IX. Conditions SYSTEM A pproval/Reasons for Disapproval 3� I. Septic tank, . effluent lifter and dispersal cell must all be services / Mlintg as per management plan provided by plumber, 2. All setback requirements must be maintained 03 Per I he system and submit to the County only on paper not less than 8 1/2 x 1 I inches in size SBD -6398 (R. 01/07) Valid thru 01/09 L Zz 6 '(q -- ------------------------------- Relander Drive ------ To Carlson Lane 0. 38 nn -- nn , 152' to driveway ctr 4W to driveway ctr ram Cab OTT 136' to shed edge Driveway Gym I Lot to �— —► Viz; n l Sunset `~ Sunrise W& 102' to silo ctr 158' to silo center 30 50 F Z. Sol f-I - �... /Y) IPD 0 foP fz " P(/pe --"""'----- -- --- --- "'-"""- Relander Drive " " - - "' To Carlson Lane ► ""'- 38 5'' 152' to driveway ctr 44W to driveway ctr praw, C eZAt5 � 136' to shed edge Driveway I Lot f— —� _1 __�:_�_ � ... s . F Sunset ( Sunrise bC1 L� :ice • 0 rx' k' �r 102' to silo ctr 158' to silo center 30 r 50 BI �Q Z tenter +` 10a. 0 foP 'l `A ;cousin Department ofComme ;( !t``!SOIL ORT Page of L( Division of Safety and Buildings t . accordance with Comm de County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Revi wed :by �D, D Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). J�" "' I / i� Property Owner � Property Location t n i 1 Govt. Lot f 1/4�< S T fN R E( W Property Owner's Mailing Address 11 L' Lot # Block # Subd. Name or CSM# - - AZ - 77� City State. Zip Code Phone Number ❑ City ❑ Village Town Nearest Road New Construction Use sidential / Number of bedrooms Code derived design flow rate GPD Replacement ❑ Public or commercial - Descri e: Pa. rent material Aee ;" 4 / . ✓ Flood Plain elevation if applicable 41 � 1 J4 ft. General comments ` ] j and recommendations: - � �°rw e f�Ll Ct h 1C� —Nd Mn.� �, d�eeg �� ( gr`//Z'JV.T M Bor ing # Boring 7 -- _ Pit Ground surface elev. ` ft. D pth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EN#1 'Eff#2 s ' t oza � n Boring # Boring a A Qit Ground surface elev. y ft. Depth to limiting facto /� in. li 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 'Eff#2 s �glrr ' Effluent #1 = BOD > 30 < 220 mg(L and TSS >30 < 150 ' Effluent #2 = BOD 1 30 mg/L and TSS < 30 mg/L CST Name (Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address - Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 / j — eq f 715- 246 -4516 i Property Owner _ Parcel ID # Page of ❑ Boring # ❑ Boring �l n pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 y ZZ, a 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 GPDlff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 i F-1 Boring # E] 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 GPDtff in. Munsell Qu. Sz. C Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 1150 mgA_ ' Effluent #2 = BOD 130 mg& and TSS < 30 mglL 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. SB0.8330 (8.6/00) Property Owner _ Parcel ID # Page of g ❑ Boring G Cy�, a 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 GPDtT in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 To ��•�` pro. Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication 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-1 Boring # E] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. F SoiiAppiication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 I - Eff#2 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg& 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. SB"330 (R.6(00) Soil Test Plot Plan Project Name Clifford Jennings Shau Address 412 Relander Drive River Falls Wi 54022 C.S #226900 Lot ------ Subdivision -- - ----- Date 0/8/05 NE 1/4 S W 1/4S 32 T 28 N /R W Township Troy ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe System Elevation 93.2/93.1 *HRPSame as Benchmark Alternate Benchmark Top of 1/2" pipe @ 100.0 300' Carlson Lane Scale is 1" = 40' unless otherwise Old house ' Septic System noted has been location unknown! 500' 50' 30' W 11 80' Pro 4 Bedroom House 0' Silo 1 100' B -2 40' _ 30' B -3 *0, 00, kB . M. Relander Drive <1% Slope B.M. 6o-D .r , -7 3z �-- uick4� . Q STANDARD CHAMBER 52" Quick4 Standard Chamber 48 " (EFFECTIVE LENGTH) e B B B 12° � 8" 34" SIDE VIEW SECTION VIEW MultiPort End Cap R ' O i6" 12" 34" SIDEVIEW TOP VIEW FRONT VIEW e T.. INFILTRATOR SYSTEMS. INC STANDARD LIMITED WARRANTY (a) The structural integrity of each chamber, end plate, wedge and other accessory manufactured by Infiltrator ('UNts�, when Installed and operated In a leachfield of an wisite septic system in accordance with Infiftrator's Instructions, is warranted to the original purchaser ('holler') against defective materials and wodmnanship for one year from the date that the septic permit is Issued for the septic system contaWng the units; provided, however, that if a septic permit is not required by applicable law, the warranty period will begin upon the date that Installation of the septic system commences. To exercise its warranty rights, Holder must notify Infiltrator In writing at Its Corporate Headquarters In Old Saybrook, Connac:licul within fifteen if 5) days of the alleged detect. Infiltrator wig supply replacement Units for Units determined by Infiltrator to be covered by this Limited Warranty. . • Infiltrators liability specifically excludes the cost of removal and/or Installation of the Units. Q (b) THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH (a) ARE EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WITH RESPECT SYSTEMS INC TO THE UNITS, INCLUDING NO IMPLIED WARRANTIES OF MERCRANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. (c) This Wnited Warranty shall be void If arty pat of the chamber system is manufactured by anyone other then Infiltrator. The Limited Warrant' does not extend to incidental, consequential, spedal or Indirect damages. Infiltrator shah not be liable for penalties or liquidated damages, including loss of Environmental Onsite Wastewater Solutions'" production end profits, labor end matadaLs, ovedreed coats, or other losses or expanses burred by the Holder or any third party Specili;aly excNded from Limited Warranty coverage are damage to the Units due to ordnery weer and tea, alteration, accident, misuse, abuse or neglect of the Units: the Units being subjected to vehicle traffic or other conditions which are not permitted by the Installation instructions; facture to maintain the 6 Business Park Road • P.O. BOX 768 minimum grand covers set font In the Installation Instructions; the placement of Improper materiels Into the system containing the unffs; failure of Old Saybrook, CT 06475 the Units or the septic system due to lnproper siting or improper suing, excessive water usage. Improper grease disposal, or Improper operation; or any other event not caused by Infiltrator. This Limited warranty shat be void if the Holder fails to comply with al of the tams set forth In this Limited Warranty. 860- 577 - 7000 • FAX 860 - 577 -7001 Further, In no event Wall InMtrator be responsible for any loss or damage to the Holde the Units, or any third party resulting from Installation or ship- 800-221-4436 meet. «from any product liability claim of Hoker or any third party. For this Limited warrant' to apply, the Units must be Installed In accordance with all site conditions required by state and local codes: all other applicable laws: and Infiltrators Installation Instructions. (d) No representative of Infiltrator ties the authority to change or extend this Limited warranty. No warranty applies to any party other then the origi- nal Holder. The above represents the Standard Limited warranty offered by Infittratcr. A limited number of states and counties have different warranty require- . marts. Any purchaser of Units W Wd contact Infiltrator's Corporate Headquarters In Old Saybrook, Connecticut, prior to such purchase, to obtain a copy of the applicable warranty. and &0.4d carefully mad that warranty prior to the purchase of Units. U.S. Patents: 4,759,661; 5,017,041; 5,156,488; 5,336,017; 5,401,116; 5,401,459; 5,511,903; 5,716,163; 5,588,778; 5,839,844 Canadian Patents: 1,329,959; 2,004,564 Other patents pending. Infiltrator, Equalizer and SldeWinder are registered trademarks of Infiltrator Systems Inc. Infiltrator is a registered trademark M France. Infiltrator Systems Inc. al- cycLevvAru:a is a registered trademark in Mexico. Contour, Contour Swivel Connection, Microl-eaching, PolyTuff, SnapLock, ChamberSpacer, Posil-ock, QuickCut, QuickPlay and Quick4 are trademarks of Infiltrator Systems Inc. ® 2003 Infiltrator Systems Inc. Printed in U.S.A. 0011203HP -0 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND l OWNERSHIP CERTIFICATION FORM Owner/Buyer C�f �' �` , /' . >t Mailing Address - 1;� �t'r�c, n d G�� l� ,/ i +/t' � Gt [ r :L� -S g 1�— Property Address /ti t es e e—" ¢b ab.y. (Verification required from Planning / & Zoni y for new construction.) Q t✓1 City /State /� yG ✓1"�, C ! � Parch ftaffication Number _o ' n — 10d l LEGAL DESCRIPTION i Property Location A t/a , S W t/a ,Sec. T N R W, Town of Ab y Subdivision AA/ / / , Lot # Certified Survey Nisp # Volume ; ?age 9 Warranty Deed # T 7 ✓ , Volume , Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICA SON Improper use and mainten7sce 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 Ou put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal 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 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 Planning & Zoning Department within 30 days of the three year expiration date. 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 the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms_ I NA OF APPLICANT $ATE ** *Any information that is misrepresented may result in ft sanitary permit b ng revoked by the Planning & Zoning Department."* Include with this application a recorded warranty deed from the Register of Deeds Office and a cTtiSe+d survey map if reference is made in the warranty deed. (REV. 08/05) Af • 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 Number of Bedrooms Design Flow - Peak (gpd) O'b Estimated Flow - Average (gpd) Oa Septic Tank Capacity (gal) Z 6 b Soil Absorption Component Size (ft) d2 LAIC, k- W Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) ( 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 flank 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 4 - 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 y p i ed and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter g n er 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 component should be avoided since root intrusion into the component may obstruct wastewater flow. I ns C 2 E 715 6 4�7 23// /v-� sf C dZ o fC CO - 0 N W ���cL Cl, Z��✓rn>� 7�� z73 6 T -7 3 111111 Il IIIII IIII! Illli I lill 1111 IIII • * 8 4 7 2 8 9 State Bar of Wisconsin Form 3 -2003 847289 QUIT CLAIM DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number Document Name ST. CROIX CO., WI RECEIVED FOR RECORD 03/28/2007 01:00PM THIS DEED, made between _Marlyn L. Jennings and Marleen Jennings, QUIT CLAIM DEED husband and wife and each in their own right EXEMPT 1 3 ( "Grantor," whether one or more), REC FEE: 11.00 and Clifford M. Jennings and Erin E. Jennings, husband and wife as PAGES: 1 survivorship marital property ( "Grantee," whether one or more). Grantor quit claims to Grantee the following described real estate, together with the Recording Area rents, profits, fixtures and other appurtenant interests, in ST. CROIX County, State of Wisconsin ( "Property ") (if more space is needed, please attach Name and Return Address addendum): Robert J. Ricbardson BAKKE NORMAN, SC The Northeast Quarter of the Southwest Quarter (NE 1 14 of SW '14) of Section PO Box 54 Thirty -two (32), Township Twenty -eight (28) North, Range Nineteen (19) West Baldwin, WI 54002 The sole purpose of this deed is to COMBINE the NE '/4 of the NE 1 /4 of SW 'A of S32- T28N -R19W previously conveyed on 12/27/2006 and recorded on 040 -1121- 95-000 12/27/2006 in the Office of the Register of Deeds of St. Croix County, Wisconsin as Document No. 841381 WITH the NE '/4 of the SW ' /4 of S32 - T28N -R19W Parcel Identification Number (PIN) conveyed on January 30, 2007 and recorded on January 30, 2007 in the Office This is not homestead property. of the Register of Deeds of St. Croix County, Wisconsin as Document No. (is) (is not) 843572. This combination creates one forty (40) acre parcel. Dated March 227, 2007 r (SEAL) (SEAL) Marl n enni * Marleen Jenni (SEAL) s ` (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Marlyn L. Jennings and p d Cl ,'-'- Marleen Jennings STATE OF WISCONSIN ) J r t authenticated on March 27, 2007 COUNTY * Robert J. Richardson Personally came before me on 2- 04`7 TITLE: MEMBER STATE BAR OF WISCONSIN the above-named -- Lr +�+Gh� /iv�s 4- (If not, authorized by Wis. Stat. § 706.06) to me known to be the person d) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Robert J. Richardson, BAKKE NORMAN, SC PO Box 54, Baldwin, WI 54002 Notary ub tc, State of Wisconsin My Commission (is permanent) (expires: (Signatures may be authenticatcd or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 3-2003 * Type name below signatures.