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HomeMy WebLinkAbout042-1085-10-200 0 Cl) \ 5, o / . . % k \ ƒ k c / M ° [ » E ° / / � i F ƒ 2 fo 0 \ -P. f / \ �, e i/ ( G i Q\ � § k � / C4 (I j 00 § o n a w g § �` k§ - th oo E C CD 2 > \ $ / c . ■ \ E £ § / » 2G)I CL 4 2 2 ® CD m k \ \ A \ "ftA, 2 M m M ƒ � [ 0 k k k I! < z / $ § co ca m 8. % > § 3 �� kid\ ( e e m : 9 E z _ = k ( / @ = @ ® E k § } m oen , 0 / C , [ E / \ 3 / Z,: z 0 E c j = / ; & $ ƒ $ 2 / E § / z 3 ) \ 7 k $ /Ik EE�R \ aCL ) . a] 2 z % ® � {a /k /$ \ 3 CD � ! @ ®_ a ƒw /CD CL � ~ ; �D f\ \ 0 \ < ft w D � m 8R . �§ Parcel #: 042 - 1085 -10 -200 11/19/2007 11:05 AM PAGE 1 OF 1 Alt. Parcel #: 31.29.18.476A -20 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - ROSCON PROPERTIES LLC ROSCON PROPERTIES LLC 1353 AWATUKEE TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 989 70TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.237 Plat: 4411 -CSM 16 -4411 CSM 16 -4366 SEC 31 T29N R18W NE NE LOT 1 CSM 16/4366 Block/Condo Bldg: LOT 1 NKA LOT 1 CSM 16/4411 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 31- 29N -18W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 03/10/2006 820522 WD 02/21/2006 818902 EZ -U 05/11/2004 762198 2569/060 EZ -U 09/16/2002 690258 1975/633 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/22/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.237 36,200 139,600 175,800 NO Totals for 2007: General Property 2.237 36,200 139,600 175,800 Woodland 0.000 0 0 Totals for 2006: General Property 2.237 36,200 139,600 175,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount 018 - RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 Wiscohsin DWartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division I INSPECTION REPORT sanitary Permit No: : 80593 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: Stout, Richard Warren Township 042 - 1085 -10 -200 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: /00 • 0 13 AA 31.29.18.476A20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / Be hmark qJ 24a2_ Dosing Alt. BM Aeration Bldg. Sewer, Z L a 9 Holding St/Ht Inlet q 7, TANK SETBACK INFORMATION SUHt Outlet TANK TO P/ WELL BLDG. Vent to take ROAD Dt Inlet (A) Septic ' y / Dt Bottom Dosing He a an. . ?/ Aeration Dist. T pe a P a Z.. / Gl Holding Bot. System O 2 Final Grade `yu S PUMP /SIPHON INFORMATION 9 - 7• / Z— Manufacturer Demand St Cover i GPM /d /, / Model Number TDH Lift action ss System Head TDH Ft Forcemain I Length Dia. well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length, o. Of Tr nches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS QD ;)— SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufactur r: INFORMATION Type Of System: > 1-0 7 �zof CHAMBER O Model Num e DISTRIBUTION SYSTEM Heade /Manifold Distribution x Hole Size x Hole Spacing Vent t Intake Length / Dia Length Dia akin / 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 t/ Bed/Trench Edges Topsoil i� Yes i ! No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:/ -Z-2 [ Inspection #2: Location: t 1 F, iQ Parcel No: 31.29.18.476A20 989 70th Avenue Roberts, WI 54023 (NE 1/4 NE 1/4 31 T29 18W) NA Lo 1.) Alt BM Description = - L P{..bt h ((o ( f J 2.) Bldg sewer length=;? - amount of cover = �U " • ' "Sy"��r`� C� ?Z Plan revision Required? [J Yes No { Use other side for additional information. L SBD -6710 (R.3/97) Date Ins ctor's Signature Cart. No. J �D L� 1 �W 6 �� Tr r ..✓� � C S I a I � r Safety and Buildings Division Count)' ® 201 W. Washington Ave., P.O. Box 7162 0 M adison, on, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) (608) 266 -3151 &I C� Department of Commerce � Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide ' � A may be used for secondary purposes Privacy Law, s 5.04(1)(m) Project Address (if d erent than mailing address) 1. Application Information- Please Print All Information ? A� v� Property Owner's Name - - y� Parcel # / Lot Block # iGh.t M Gt / a L✓ Property Owner's Mailing Address Property Location 3 sttlC G � 'A �Y 'h, Section City, State Zip Code Phone Number {�rcle o A e t/ t c.� � T d 2Q = N; R Ae E orV I. Type of Building (check all that apply) ✓ Ptrc jyt (J Subdivision Name CSM Number or 2 Family Dwelling - Number of Bedrooms �j A t / El Public /Commercial - Describe Use �� - � ?s 7 ❑ State Owned -Describe Use ��Sr S lt Z 2 Q Cit _ ❑VillageIownship of p"���✓ 11111. Type of Permit: (Check only one box online A. Complete line B if applicable) A. New System El Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System List Previous Permit Number and Date Issued B. El Permit Renewal Aennit Revision ❑Change of El Permit Transfer to New / Z `/ Before Expiration �-' Plumber Owner y3���3 X o3 IV. Type of POWTS System: Check all that a 1 A Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter reaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (expla') V. Dispersal/Treatment Area Information: lL6 Design Fl (gpd) Design Soil Application Rate(gpds Dispersal Area Required (sf) D spersal rea r s System Ievation -7Q 3 Vt. Tank Info Capacity in Total Number Manufacturer Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treaunent Unit Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for ins hlation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature / PRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) Po 0e_- P4°A-je,� VI11. Count /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date ssued Iss jig Agent ignature (No S s) Surcharge Fee) !� ❑ Owner Given Reason for Denial IX,Conditions of Approval /Reasons for Disapproval n � t - �,(�.� _ , _ Cdtil. & A, � e 1.... f/t•.. ' EM UV'e'ivtty O W41 Sys` , U eptic tank, effluent filter and -_ dispersal cell must all be serviced / maintained per management plan provided by plumber. 2. II setback requirements must be maintained &Atc_ VA,( d , e 7 rVbp- as per a complete plans (to the County only) fo the system on paper not less than 8112 x 11 inc es ins' 0 r SBD -6398 R.0l /03 �'7 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ / of _ 3 Division of Safety and Buildings _ in accordance with Comm 85, Wis. Adm. Code /� _ County �' �Q ! Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must �— include, but not limited to: vertical and horizontal referance point (BM), direction and Parcel I.G. . percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please Print all (fffomiatfoll. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, S. 15.04 (1) (m)). Property Owner Property Location �. ` (� Govt Lot N 114 5 `M1 S T N R E (or)Q Property Owner's Mailing Address LNO" Block # Subd. Name or GSM# ! 0 A e T *// City State Zip Code Phone Number Vil ®Town Nearest Road W I ( 13099-0 3 L(J,)&L �v ' C�i New Construction Use: Q Residential / Number of bedrooms 3 Code derived design flow rate 0 d GPD ❑ Replacement ❑ Public or commercial - Describe: --------------- - - - -- Parent material - { w_�� SS �!` —� - -_— Fbod Plain elevation if applicable _— _— _ - - - - -- ft General comments -7 �' ✓� �, /� �/w X11 and recommendations: s�/ 5�� �� • T`O FT Boring # Boring Q� C GI I C - in. pit Ground surface elev. _ /!l' _ ft. Depth to limiting factor _1 J _ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2fn r c (v 2 4 -- 1 2 r �5 — • `� - � 4- a Boring # Boring pit Ground surface elev. `! —__ ft. Depth to limiting factor __ in. Soil Application Rate Horizon Depth Dominant Color Redox DesckpCon Texture Structure Consistence Boundary Roots GPDKF in. Munsell Qu. Sz. Cont. Color _ Gr. Sz. Sh. 'Eff#1 'Eff#2 v� ,5 • 9 i�+ -`IZ io y13 semi 2 r c5 — '4 !0 cl 0 Effluent #1 = BOD > 30 220 mg1f and TSS > 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L T Name (Plea4 P ' t) Signature ,,,CST Number Address Date Evaluation Conducted Telephone Number x`b 5 LI-110 _6 - 79 . Property Owner - - - - -- Parcel ID# Page - of F] Boring j% Boring # ? 5o ft• Depth to limiting factor W B ou nd ar) �it Ground surface eiev. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence DIft'EffN2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 3 :SL 2� n - .3 z -11 t q Boring ❑ Boring # Ground surface elev. ___ ft. Depth to limiting factor __ in. Soil A lication Rate ❑ Pit Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF Horizon Depth •Eff#1 'Eff #2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ❑ Boring # Boring Ground surface elev. -- __ -_ -__ ft. Depth to limiting factor _ in. ❑ Pit Soil A lication Rate Horizo n Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff #2 ` Effluent #1 = BOD 30 < 220 mg1L and TSS >30 < 150 mg/L 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or -� _ -2 need material in an alternate format, pease contact the department at 609-266-3151 or TTY 608 _64 8 777. SnD -8330 (R.orion) PAGEaOF NAME: J LOT# 3 LEGAL DESCRIPTION:_I`4_ / T_,N,R, E(or)W SCALE: I "= qo c r ----• � ELEVATION: BM I DESCRIPTION: - j2 o . 0 k& k BM 2 ELEVATION: _= e BM 2 DESCRIPTION: SYSTEM ELEVATION: SYSTEM TYPE: v �,/�� rr� •��� ,i qo v � CL A(- r v w 3 � Q� p � v°�� SIGNATURE: DATE: 1 s C� QC „Si�Tsc 1-7- r a — — 1 ! ��� Safety anct C Buildings Fivsion ounty 20 i W. Washington Ave���. r 8 * scons 1lt , � �VEn � S Mary Permit Number (lobe tilled in by Co.) ) { of Co mmerce �— (608 66 -3151 Madison 537 rJ - i Sanitary Permit Applicati n DEC 0 3 2003 , Stn Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, perso may be used for secondary purposes Anvacy L s15 CGU 1 Y' _ R �E( Pro ct Address (if d forest than mailing address) 1 _ — z OFFI E i Application Information - Please Print Ali Irformation NnV _ — �_ �QQ Property Owner's Na me Parcel >Y Block k G `iGt �d a � ST. CRGfX COUNTY ��/Z���- O — Property Owner's M at ' g Address `�� 7 � U Property Location —"' City, State Zip Code ' Phone Number ld,Secdon f a A) `� ��� (circle ) X 11, Type of Building (c eck all at apply) c, .w. - T o N; R 4 E o 8 1 or 2 Family Dwelling - Number o rooms 7 Subdivisior. Narre CSM N _ - L -) Public /Commercial - Dt:seribe. u Li State Owned - Describe Use City ❑Village wrownship of l Ili of Permit: Ch "° T - Pe ( eck tally one box bne A. Complete lin If applicable) A New System ❑Replacement Syste ! 13 TreatmarvHUi rg Tank Replacement Only C gelter Modification to Existing System F Permit Renewal El Permit Revision Change of Permit Transfer to New ! Li Pr ious Per N to 'sued Before Expiratiart P ,ber Owner IV•_ o f POWTS stern: (Ch a I tha a IV) - -- - - - - - -- - - - - -- N on - P ressurized In-Ground ❑ Mound > 24 in. of suitable ii t a Mound < 24 in. of suitable soil ❑ At -Grade U Single Pass Sand Filter 1 Constructed Wetland 1] Pressurized In - Ground ❑ Hok3i I lk ! Peat Filter 7 Aerobic Treatment Unit ©Recirculating Sand Filler _ Reeirc Me dia Fitter X]Lcaching Chamber ) rip L _ I in V Dis real /T reatment ar Infor tion: _ a 7 Vl � V__ F_ `l 7`e r Design Flow (gpd) Design Soil Application Rate'gpdso Dispersal A a equire s 1) _ �Plspe rsa, Area Proposed (if) System Elevat on e 8 70. AV a ` S I Vt. Tank Into Capacity in Total N ber xrufac►urer Prefab Site Steel Fiber plastic. l Gallons Gallons Units f Concrete Constructed ! Glass New Existing 'rinds Tanks Septic or tiolding'rank -- -- ,Z4� Aerobic Trcattnent Un l it Dosing Chambcr I /►� — _ _ �_ _� - ---- -- �. �6d� VII Responsibility Statement- I, the udders, ed assume res fur ' al latiort u e POWTS shown ou the attache plans. _ Plumber's Na me (Print) Plumber' Si gnawre M iMPRS Num ( — Husirtess Phone Number • !��`n S'C�W� ,2? 7 7 /3`-3csrG .3l iz Plumber's Addre ss (Street, City, State, Zip C VII Count /De rtment �seO nly, Approved LJ Disapproved Sanitary Pernut Fee (includes Groundwater Date Issued Issuing Ag tit S' a Stamps) surcharge fee) Owner Given Reason for D enial � �1 �u 1_Y. Conditiats or Approvt;l/I t '� easons for DisapRroval� SYSTEM OWNER: 1 Septic tank, effluent filter and C dispersal cell must all be serviced / ma taitib i as per management plan provided by Plumber JJ 1, 5 , ,(�" /Y) 2. set aek requirements must be maintained�t lLc.� 4L l L as per applicable code /ordinances. &Yl 4 L 30 . Attach complete plans (to the County only) ror the system oo paper not Jess —wo 81/2 x I I Inches to size ! SBD -6398 (R. 01/03) 1 A c cd -e Y4 _o Q ,93 30 m/ �0. ` Wisconsin Department of Commerce SOIL EVALUATION REPORT (g M 'page • of J Division of Safety and Buildings 7 in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in sizFrRE include, but not limited to: vertical and horizontal reference point (BM), dParcel I.D. percent slope, scale or dimensions, north arrow, and location and distan (7yZ - l o fS — Please print all information. 3 wed Date Personal information you provide may be used for secondary purposes (Privacy L 63 Property Owner I ro ti9frF: ;E t� 7& �6 R ( � redr I Govt. Lot N 1/4N 1/4 S 31 T 2`� N R l g E (or) Property Owner's Mailing Address Lot # 7 r # Subd. Name or CSM# Lk K i l . I City State Zip Code Phone—Number ❑ City ❑ Village ,o Town Nearest Road 1 3% - 15 1 ( ) T)TM 64t fg Construction Use'& Residential / Number of bedrooms 3 - Code derived design flow rate 00 GPD ❑ Replacement ❑11 Public or commercial - Describe: Parent material Flood Plain elevation if applicablle A ft, General comments and recommendations: F 1-1 Boring # E] Boring _ y E] pit Ground surface elev. 7 U ft. Depth to limiting factor 1 I in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture 4 Gr. cture Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color z. S h. 'Eff#1 'Eff#2 a - -I ► 3l z s i I I J $ Z l I-3�1 I 4 L4 — i I r s — l. 1 F 7 1 _] Boring # ❑n Boring 1`�- pit Ground surface elev. 7 9 ' 0-0 ft. Depth to limiting factor _/03_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 I 0 --16 1D Z 2 - 4I 4 I rn c — 5 -I INUC q/& Y — — - 7 1.Z ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature. CST Number cY r✓/ c�Gw z -ter' - �� D Address Date Evaluation Conducted Telephone Number 72 yao� SAD - 8330 (R 07 /00) Property Owner — LtQ r' t 7 Parcel ID # Page Z of F3 ❑Boring Boring # � Pit Ground surface elev. ft. Depth to limiting factor 1n9 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 2 C� Ivy 8 Z I - I ❑Boring # ❑Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate. Horizon I 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 Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07/00) Property Omer Parcel ID # P age 2 of [,3 Boring # Boring 9 pit Ground surface elev. fL Depth to limiting factor Ong in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots �Eff#1 PD/(t Eff#2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 40 lc� I 0 — 1 Z F-1 ❑ Boring Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. moil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff#� PD /ft Eff#2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 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 •E GPD /ft E in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 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 -9330 (R07100) PAGE OF __ eA - C: LOT## TPTION N L 14 F `4 ,SS 3 � T� T z 4 N,$, /Z F(or)AV /'BM I ELEVATION ,��lJ . O l --� BM 1 DESCRIPTION 4p 6 BM 2 ELEVATION � XU BM 2 DESCRIPTION 6 -/' / * ,p yI SYSTEM ELEVATION SYSTEM TYPE CONTOUR ELEVATION fV oo a 1GO. oa i �alrr' r� s SIGNATURE DATE .... ^ �"+rr......�w . .... b L \ 'r 1' . w a v �. 1r �.. ! .� V � 'l , 1 y� � � °.. J' T • f " w. � � �, ` _ u" CI VMNT PIPE 12" MIX. ABOVE GRADE ? 5' FROM DOOR • W OR 4CATHERPROOF FRESH AIR INTAKE JUNCTION BOX APPROvED F; NZSHED 3 wITH CONDUIT MAXF -ou cov z:y W t PAD LOCK 6 ,, Cl RISER WARNING :ABEL M X. M: T;,.:,...�. WATER TiGiiT SEALS `" GA;. T' TIGHT : A SEAL PPROYED 0PROYE3 ,� A:►M JOINTS WITH WE 3' 8 *4 APPP4VED PIPE 3MCO SI 10 � --�-- � 'o j I 3' ONTO i3OIL C SOLID. SOIL, } PUMP OFF ELEV. x 7 , 'i ! C r'"QFi RISER EXIT D I PERMI - TED C*L j IF TA1 MANUFA C T'4R ER 3" APPROVED BEDDING UNDER TANK 4AS APPROVAL CONCRETE PAD SPECIFICA6 *EONS SEPTIC r' Don TANK MANUFACTURER: e'aer NUMBER DOSES PER DAY: L � S: ZES : sr?T' c � GAL 05 V Ci,�JME I NC L�?ING DOSE ;A; T4wQW3ACX: ......9_..� GAL. k I.A R MANUI'ACTIIRER. � CAPA : Z TI ES: A = �. MODEL NUMBER: , ,_ lNcmES SWITCH TYPE - -- - i :r B a 2 SNCHES MANvrACTURER : G._:G C a �- Mt3AEL NUMBER : .._.. INCHES x !_ GAL. SWITCH TYPE; 'EQU iRED Di SCHARGE RA ri © ,FPM FJNP � ALARM VIRING AS PER TLHR 16.23 4A/ E1RTiCAL DIFFERENCE BE. OF AND D'ZSTF PIPE MINIMUM NETWORX SUPPLY PRESSURE . . . . . , /� rEET ...�4 ...,,, FEES' f 4RC£M IN X &jr0 f T110 Q F':. FRi;, TT c�N FACTOP. � �1`� FEET ..�'".�.' 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'ut)ttt�a) rq eo a �utwu p mom . N SS uai t.`a,� *11new ANN • vE P�twugnt � • soups `ice �& .s�tuttpj . tNOLLr01i�11i X04 L dwnd 18901,Y3'� .� ejgjejewgnq s�no� 5C}q�IItS�l '1IS �3�3J3M tia aw ticT - - - -- ' Y t r ! me C G U 6. s E .0 X LO ca pv E E _� � ' X a� c0�'' U c T I� c�L w ca � c l mQ�CL w CL m >Z-0 a � I l� E i CL x 1 > p a U � � n O Ju-pz v p '41 '$ 1 N 2 • r r r U7 (A I r X N lief.! � L _� U v A y c0 s R # n Ri umas 'd 1 L E @ S w � ° z. LL now. `; � ••� � � E; s � r r .o cam- - _o Q jasal�D� s`'' 4 cpt�- A s� c PAGE_OF i OT# l LEGAL DESCRIPTION AJ L XVE 4 ,S 3 T ,N,R, /X E(or)� SCALE: V= BM I ELEVATION ,�//0 BM I DESCRIPTION ,0��,�Fj/` A d Z BM 2 ELEVATION 9� lYU BM 2 DESCRIPTION c ' SYSTEM ELEVATION SYSTEM TYPE CONTOUR ELEVATION �7 6a - /GC, OQ S i q G� 11' � Z - ,�'✓� SIGNATURE DATE S'r CROIX CUUN"r"' FjvjZNT ANCE AOR S-cpTIC TkNK— ANn OWN 'S nip CFF,'TjFjCA7j()N FORM q,?q ? opr I M&OU ( lsq f pjtnz�zg Do�&I=ant f new ag parcel ldentifira� cm Numb= clt ate 7o14' 6 W, Town Of p-rype* Lone Lot il'Y' c Survey MAP -;4T Volume --- L-- k %.krrmztY Deed 4 Pago 4 —.� Lot line 2, to Spec, ho'.Us"�/ no wastes. Proper =Jiatamnce of Y= septic SYSU"m could TUUlt t lt' Pr ' nAt ' ZC fa"rC to VThat you pj into the gyst(3rn the leptit tok 6Vm three years or 80on cr, it noded bY & li"" " rnrer ' C'uaim aflUMP4 out Z =4tM=t OW "'- �= ^"" di*D#Al $YSICT11' pan 4 ffw tub ik=tiot of 6.4 D " ar tme'at a c erti5catioll form s i gn edloy CNVA�r and'* - a propgrty OWU40T aSMOS to W b n lit to st. CTOix Zo e6 that �' 1) tbA oz-rite '"Stawalordivosal lNgleln T'W or a licetpAd P=Ver V tank Is 1, than V3 full of sludge her, � pmtjng c KA m with the St=4 ir, prepay 0 dispog&l Olate ��em=ts = 6 agee t mAin%4L th* P6"-am et;q State of WISCOnsir" Cer �� eundtts j $na dh z vemd the ab ort't azd tht Dqu d N amral R zouing Office Within 30 i U got by lbe- DOPU=ez of C:oa= ete = d V ,.M=a to t1w St. C- cc= Y ye t fo-,th, ham bxl been mitu mast be, =Pl :Ming tbst yow top* Wle th 111 ) a• of the DATE erW -af ( we) am are; beat Of MY (Vz) knowledge. 1 ( WO) purify tit all gt&tampmu 02 this fo= e6s Clue by v4tao & , wA trjnrj dud r aorded tn MgilteT nf 1)c described IbOvel ICANT -n AP %&nm- ­ Ic =�M�t be _ ve vcked by the; D"ling P � e ` q v krr N* jnf*= that is sanita ' 4 flame the RcgistOT O Doed$ offire deed l with this IPPUlAdon: a sUml!red wz"mttty dee a reference is =do 11 the, wanaaTy copy 0j c ertified gUrysy ma p POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa -L of ?/ FILE INFORMATION SYSTEM SPECIFICATIONS Owner R y Septic Tank Capacity d ai O NA Septic Tank Manufacturer O NA DESIGN PARAMETERS Effluent Filter Manufacturer Q O NA Number of Bedrooms 0 NA Effkmnt Filter Model SST 0 NA Number of Pulblic Facility Uni A Pump Tank Capacity a l O NA Estimated flow (average) 4.'d'd g aliday Pump Tank Manufacturer r f , Y . O NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer e ,., O NA Soil Application Rate gal/day/ft, Pump Model O NA 'Standard Inf(uent/Effiuent Quality Monthly average* Pretreatment Unit 0 NA ta ,Qil & Grease 00 mg /L O Sand /Gravel Filter O Peat Filter Biochemical Oxygen Demand (BOD $220 mg /L O NA ❑ Mschanicai Aeration O Wetland Total Suspended SaHde (TSS) 4150 mg /L 0 Disinfection O Other: Pretreated Effluent duality Monthly average Dispersal Ceil(O O NA Biochemical Oxygen Demand (600 630 mg/L O In- Ground (gravity) O In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA O At -Grade (3 Mound Fecal Coliform (geometric mean) 510• cfu /100ml D Drip -Line O Other: Maximum Effluent Particle Size Y in dia. O NA Oar O NA ' O NA Other: 13 NA "Values typical for domestic wastowater and septic tank effluent. Ott: O NA MAINTENANCE SCHEDULE Servlae Evem &arvlce ftiluency Inspect condition of tank(s) At least once every: 3 ear s s (Ma>dn'+um 3 yews) O NA Pump out contents of tank When combined sludge and scum equals one -third (Y of tank volume O NA Inspect dispersal cells) At least once every: 3 man this) (Mtutlmutn 3 years) 0 NA Clean effluent fiher � L At least once every: darn e}>>I) 0 NA Inspect pump, pump controls & alarm At least once every: manth(s) 0 NA O (a} Flush laterals and pressure test At least once every: r- month(*) 0 NA D earls) Off., At least once every: _ r O month(s) O NA ® saris} Other: Q NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWYS Maintainer Septage Servicing Operator. 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 back up or ponding of effluent on the ground surface. The dispersal cells) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding Of effluent on the ground surface. The ponding of effluent on the ground surtace may Indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one - third %) 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 Ns 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filtara, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report sha!i be provided to the local regulatory authority within 10 days of completion of any servic event. apo� 0A!igiislu!utp�! u!suaos! 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CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF WARREN COMPUTER NUMBER 042 - 1085 -10 -200 Parcel Number 31.29.18.476A -20 OWNER NAME: First RICHARD O & JANET P Last STOUT PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 989 70TH AVE SECTION 31 TOWN 29N RANGE 18W %160 NE 1 /440 NE Line Description Line Description TOTAL ACREAGE 2.237 PLAT CSM 16/4411 CSM 16/4366 LOT1 BLK 01 SEC 31 T29N R18 15 02 LOT 1 CSM 16/4366 16 03 NKA LOT 1 CSM 16/4411 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, 174 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit I 'J 1975F 633. STATE BAR OF WISCONSIN FORM 1 -1998 6 HL 0 KATHLEEN H. . tr LSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., MI Document Number RECEIVED FOR RECORD Dead, made between Frederick G. Lang= Land And Cattle . .09-16=2002 10:15 y- -, r I^ A1 Wis onsin Lmbd Lleb lh Cleanv_ Grantor, and Rlohard, stout and Janet P. Stout husband and wife EXE� DEE •O Grantee. Grantor, for s valuable coratderadon conwya to Grantee the tbilowing REC FEE: 11: 00 detorlbed nd asI to in g� Crobc County State of TRANS FEE: 629.00 COPY FEE: WhMnsln (do TM erty'): PAGESCOPY FEE: Area tit'% of NE % of Section 31, Township 29 North, Range Now WA Rom Address RWwd.o. stone 18 West, St Croix County, Wisconsin lying Northerly of J " P. se:a* g of the followin — - 61141 1 8"d fiFm a e Hi �Y 94�.xcept land lying g Rob", vn "M described raft e:Commencing at the Southeast c omer of that part of the NE Y4 of NW % of Section 31- 29 -18, lying North of Interstate Highway 94; thence S78 0 5742 0 E 10.25 feet to the be> inning of the fence line hemin,dev ibed; thence N01 0 52'32"E 861.46 feet to the right -of -way of 70 Avenue. PwvdkWn ber(RW) . ,,,ts M) .(M Iwmeseeadprop.ry. noU Together with atl appurteheurt Itghts, We and Interests. NM Grantor warrants that the title to the Properties good, Indsteesible In simple fee and free and . dew of G=InbranOW except Dated this 115 day of August , M. (SEAL) (SEAL) F G. Lenertz (SEAL) (SEAL) AUTHENTICATION ACKNOwt.EDOMENT SlOr,aaee(a) t soft of Wisconefth xarJiFspF WIS st CMIX c=* autl�1laated tl:it • .r-r =Z ft before me ft 10 day of y�j,'jQpgttle above nemtd F,.er..rrJr A. L�!wb A_ Caffial oe:nr. LLO. A Wisomain Limited TITLE: MEMBER STATE BAR OF WISCONSIN President to me known to be the person who N executed tot foregoing and advtovAedge the (if not by §708.08, Wis. State) sans THIS INSTRUMENT WAS DRAFTED BY Coldwsq Banker Burnet �^-- 1301 Coulee Road Notary Pulgir, 8ob Hudson. WI 54016 2.37878 try o mrniealon.Is ern rat P not, ate eIn" date (Signatures may be subwftated or aokrioWed9ed• Il ) Both we not necessary) rw:: of In rr Wt» or nted btb k w tt m- BTATE B/�R OF WISCONSIN Wboxmin Legal Blank Co, Inc. NTY DEED -FORM N0.1-11111111 Milwaukee, Wis. � p t REGISTER OF D EED'S SST. CROI X Go. , ii i S •. RECEIVED FOR RECURD 11/13/2002 162: 40PH - __.... -- — —_— - - - - -- E'XMT 0 CERT IFIED RV MAP Rrx FEE: 13. TRANS PEE: 7 H:LA IN PART OF THE NE1 J4 OF THE NE1 J4 OF SEC71ON 31. T29N, R18% COPY FEES OF' WARREN, ST. CROIX COUNTY, WSCONSIN, BEING A CERTIFIED SURVEY CERT COPY FEE: 1 �,A? REl.c*DFC+ N VOLUME 16, PAIGE 4366, AT THE ST, CRCAX COUNTY REGISTER PAGES; 2 SURVEYOR: PREPARED FOR: DOUGLAS J. ZAMLER RICHARD 0, STOUT DOT NUMBER 55- 94-3553 -2002 S do N LAND aURVEANC, INC, JANET P. STOUT 21120 FNLOE: 'STREET 1 1353 AWATUEKK TRo,Ii. HUQ.SQN till 54010 I HUD50N, WI 5401* 1-H AVEo I Lcollr3 doh —' -- am Y&L. �cq [Pa. *m 1 119 K PC U-A M _ NO RTH LI GF T NE1 S 89 "07 2640.04' 2- $ "0718'W 686,11' c`�a NE 00r _1853.93' 212.04' 212,04' m 262 03 SE'GTit.)N 31 I J C >f t VAR 12.p4'8,�1G�' 0 b ca G69°071 M 852.64' 7 � --*- --100' — Lo Zr =.237 ACRES 2.188 ACRES °"� M ( Q'` '� yF (J &17,453 SCE. FT.) &, (9 � 4.,453 SQ. Fr .) � � 2.�F€39 At^s�s —�.� 8 LoI W � I { T w Cq q u, (108,413 SQ, F ,) 6u z C INC, R r INC, R/W �5 C6 r. W I { u ? alb , �h 2,07`1 ACRES c�v �$ 2.006 ACRES r� R 2,OC)&2 A ES �'� � to f (90,455 so, FT.) v (A7,455 �q. E7) � � - F- i`�1 87,511 SC, FT) � �i �i Gn EXC. R,W z 1 I � h i IT f~� ❑❑ �g I �I � ,� 1 � u.t CL 4 Li u! gal h 13,�T' 477.39' �. r D v 47.00' ' . _ chi 50' 80.�1•�7'- C�7 89`51 ' 033 5.084 ACRES Q 1%, $0 BO' j (221,473 SQ. FT.) INC. MAN U1 180' �? 5,004 ACRES W y (217,054 SQ. FT EXC. WN 774 L0 1 °�- 60'FIFTBACKPER'TRANS, 233- °-•- -/ z 0 * .......... 60, y 50' z 8cr AnCESS { NO N87 7TH 6006,06 1, GAUT10N: HiGHWAY EE-fBACC REGTRICTV y �> PROKWIT IMPROVE MENTS, SEE HEET 2. b b ew E1 /4 C;ORNFiR N SECTION 31 qW INTERSTATE 1= N1'ERONE OF THE EAST" SO UND IANF o NOTE: THIS 0,6 -M. ig fi dTrlvCt'::E7 r� TO REPLACE C -13 M It � h 4 I off-, o ©g�