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042-1090-60-104
C c oC) M ti O o � i � I 00 °o I N n ' C O U N N N C O O O C 'y N N C f6 •— N O N E N 7 Z C L co U E ' LL C � N U 3 0 d c a�i Cl) Z N 00 Z O v o o4 C (L m co F U) N O Z d c of . M — 3 r N N U i O 2 � C m C� O C E N U N • N C L 75 o Z Z N E V O y E d N N N (D o z r o h N_ N (0 oN 1r) G G d a E E Z m > U) FN- U) d to 3 3 3 0OO ►�i� d O o S o v i i `° `° 6 to J L) N O O N L N N } AV N ch Z tE N 5 O ..+ O E m LO ss� N o cn Q I o 0 0 `o c c E es •- - o o rn o ° ED N c' c� 1 � o r � '. N � . N V 0 O CO '.. W c N co 'z 5 3 a 7 i d w rr � 0 a. N U N C �1 A L) CL 1 0 U)o Parcel #: 042 - 1090 -60 -104 08/22/2007 10:16 AM PAGE 1 OF 1 Alt. Parcel #: 32.29.18.498A -04 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/29/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - SUNSET ELECTRIC INC SUNSET ELECTRIC INC 675 100TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.653 Plat: 5079 -CSM 20 -5079 042/05 SEC 32 T29N R18W PT SW NW LOT 1 CSM Block/Condo Bldg: LOT 03 8/2217 11.05AC & PT CSM 6/1683 BEING CSM 20 -5079 LOT 3 (2.653AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 32- 29N -18W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 08/21/2006 832596 EZ -U 08/21/2006 832595 EZ -U 06/26/2006 828292 WD 09/29/2005 807923 20/5079 CSM more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/08/2007 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 2.653 50,000 39,500 89,500 NO 2 Totals for 2007: General Property 2.653 50,000 39,500 89,500 Woodland 0.000 0 0 Totals for 2006: General Property 2.653 200 0 200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 0 d f c C n N V 3 n N _ � I �k 3' K �' q O- C N? eG • CD 7 7 CD L (n fD (D CO '' r7 _ ,� n W q N -o N j A O O O c W ... W O 3 O O n O O 7 N A A C U) c R O v D m o 4 0 t a cn C zt 3 o 4 0) o CD o w co cn N N I < O O o r co) a Q !I O O 0 0 o N M �y • ro ol � � < w Z 3 N to C D 3 -u v v � N O N fD y O N d A W N N 3 m o N CL I co i Z � Z Z A D 0 C O CD N (D p $ G4 O N 0 CD C1 _ n 3 � Z O O 4:, Z n O N z 0 N .. O C N ou (D CD i a G Z I 0 FF 3 N Z I W CD A i N Q * a -0 O �5 T N A C Z a C O 3 m Q N m N y CD 4 CL A fi h �1 nl ti Q Q �J O � v O 6Q O ffl O b 0 CD O � 0 ■- Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division _ INSPECTION REPORT Sanitary Permit No: 488251 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: Sunset Electric, Inc. Warren, Town of CST BM Elev: Insp. BM Elev: SM Description: Section/Town /Range /Map No: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER 9 , /11'5 CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing �beX� Alt�BM z, /aI -7 'W Aeration Bldg. Sewer 4. 6 Holding � St/Ht inlet 1 3 e 7 - (v , TANK SETBACK INFORMATION St/Ht Outlet 7. tD TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet 1 + "J 0, Septic , W Z' I5 7 ZtJ i _ Dt Bottom Dosing Header /Man. /146 9 q , Z Aeration Dist. Pipe Holding Bot. System 6�l LJ Final Grade PUMP /SIPHON INFORMATION C. (p •� 9 7, '/'5 Manufacturer Demand St Cover GPM Model Number 7 3 2S TDH Lift Friction Loss System Head TD Ft ,— 93.1 Forcemain Length Dia. _ ist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length I No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS r „Cg � 1 �� SETBACK SYSTEM TO v � P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer. � INFORMATION CHAMBER OR .. , ( 4J - 4 --, _ Type Of System: I UNIT G b AL)&V4_ a Z I Z 1 Model Number. a J , DISTRIBUTION SYSTEM `I to -7 = ( -7 4-1 +G ��!'� � dam. Header /Manifold Distribution x Hole ize I x Hole Spacing Vent to Int e / L� Pipe(s) \ �• �_ Zw I a Vti Length Dia I Length Dia `� Spacing a SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Bed/Trench Center Depth Over .1 Depth Over xx Depth of xx Seeded /Sodded xx Mulc ed Bed/Trench Edges Topsoil 2 Yes No Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ! ! Inspection #2: ! ! Location: 675 100th St. Roberts, WI 54023 (SW 1/ NW 1/4 32 T29N R 8W) N Lot 3 Parcel No: 1.) Alt BM Description = QD4a 6 - S ' � �°� Sl G. - � "s �— 2.) Bldg sewer length = Z"7 - amount of cover = 3.S Plan revision Required? Yes No -7 3 6 � Use other side for additional information. SBD - 6710 (R.3/97) Date Insepctors i ature Cart. No. f I � o XN IQ � 3 a � � c -r Safety and Buildings Division County �! ` 01 _ W in Ave., P.O. Box 7162 /sCOnsin n 53707-7162 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608 266 -3151 --1/ 5l Sanitary Permit Applicat ( State Plan I.D. Nufn& In accord with Comm 83.21, Wis, Adm. Code, personal i formate ED may be used for secondary purposes Privacy Law s15.04(1)(tn) Project Address (if different than mailing address) Property Owner s Na me I. Application Information - Please print All Informatlo Ju � �75 goo 41, 6 ' S ST, CFOA Parcel # of 1t Block k Property Owner's M ailing Address G �' ` A Property Lo[:eti i j �� /v — City, State Zip Code Phone Number �k• f/g2 tk,Secalon 7Y �$lltl n (circle I o Building (check all that apply) T �_ N; R�E o vv t MA or 2 Family Dwelling - Number of Bedrooms 3 li p�� Subdivision Name CS Number ❑ Public /Commercial - Describe Use 4t:'�d7`3 Z ❑ State Owned - Describe Use ❑City ❑Viliage�_&ownship o � III. Type of Permit: (Check only on e box on line A. Complete line B if applicab i New System ❑ Replacement System I ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B • ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner Type of POWTS System: (Check all th No - Pressurized In- Groun LJ Mound > 24 in. ot'suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter U Constructed Wetland ❑ Pressurized In Ground ❑ Holding 'rank ❑ Peat Filter 11 Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter YLeaching Chamber ❑ Drip L ine L ads Pipe lain) V. Dispersal/Treatment Area Information: J/ er r Design Flow {gpd) Design Sail Application Ra (gpdsf) Dispersal Area Re utre 4 System Elevation `l`rJ GS/3 ✓_ �' yy-. y. ,tgc,L se) Cr ✓� VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass ' New Existing Tacks - Tanks !V Septic or Holding Tank AJ — —�- -- /l �S Y Aerobic Treatment Unit Dosing Chamber - I VII. Responsibility Statement- I, the undersigne as res for ' _ qkalla tion o f the POWTS shown on the attached pla Plumber's Na me (Print) Plumber's Si gnature PRS Number Business Phone Number Plumber's Addre ss (Street, Cit , State Zip Code Y P ) VIII. Count /De RartTent Use Only pproved ❑ isapp Sanitary Permit Fee (includes Groundwater Dai Issu lssui Agent Sig atur No Stam Surcharge Fee) ❑ Owt ven Reason t Q b Z9 S IX. Conditions of Approval /Reasons for Disapproval // SYSTEM OWNER: .3) G [ea v� o ��"' re u r •�T� 1. Septic tank, efflusrd filter and dgnmal cell must all be septu I MWftffid p �p ✓ , ' n c, 4 G w e-A_ ' as per mwwpment plan provided by plumber. J 2. AN semsdt requirements must be tralirtained es per app(k," code / ord1imWes. Attach complete plans (ta the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) 1 �r1F - i 9lli •� ...� Hlgf �fQY? .. A.3 :rrw. >.. a- ftoftio % w ? o"NOONG w ii .v O 0 0 do Il 46 , � 11 NZ l a �1 d 3 r E I—_ JUN 1 4 2005 ST. CROIXCOU Wisconsin Department of Comme ZONING OFFI L ALUATION REP T P age / of 3 Division of Safety arc! Building s in accordance with 5, Wiis. Adm. Code 6 a 31 6 Attach complete site Count .� • G !�D i X 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 P LD 2 9� ,/ percent slope, scale or dimensions, notttr arrow, and location and distance to nearest road. Please print all infonnation. R e Date Personal information you provide may be used for secondary purposes (Privacy Law. a. 15.04 (1) (m)). , t✓ ' ,r PropertyOwner Property Location . L1cI P /1 R l 0 h a a o 4 a p,��<} f2 � 1' -^ `wel - a- Govt. Lot 5 P 114/vW1/4S32 TZ9 / R f //e, E(or)® Property Owner's Mailing Address Lot Block # S Name or CSM# (y to - 7 O DT'i 5Ir. 1 l e m r� Z/ C � i S tate Zip Code Phone Number p Q Village ® Town Nearest Road 1 %A3V7ZT3 y 5<fo 23 (7/r) 7Af 9 - 31" w q- RR;'^/ ® New Construction Use: CO Residential / Number of bedrooms 3 Code derived design now rate 14 *5 D - 610 O GPD ❑ Replacement SAI*- Public or commercial - Describe: Parent material O V T A SH o V f F FL 10.Vs5 Flood Plain elevation if applicable 43 / Y ft. General comments and recommendations: Ag � Spot Tested S ftMe for r a oon flonal ingmund system (RO.W.T.S.) • ' Go FTI Boring # ❑ Boring k Ground surfaceelev. q8 ft. ❑ Pit Depth to limiting factor ? 98 in. Sal Application Rabe Horizon Depth I Dominant color Redox Description Texture structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. - 01#1 - Efff#2 0-15 1oYR 3 /r �. 24 5 b m fT' CS 3T . $ 2- 15 - 32 !o YR 3 /i6 — i Cl 2, SbK ry) Q s 3 .32.- l o Y2 5/g -- C s O 59 M/ OL w of . - 7 l • Co 39' q� t0 YR 5 �8 I S rl (3 S rv) ! 1 Jf -7 �0 - F Boring ° � . ® Pit Ground surface eiev. 5 / ft. Depth to limiting factor � 9 in. Sod Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 / 0- 10 ye 3 1) k' of ►' M f-r C 5 2 g• joYa 14- - s f a v 5bK f; 0-5 v-f 3 20 -22. 1 PYOM - C s a Q .-7 l !o -'t 22 - / o YR - 5 o . 7 t. (6 5 Effluent #1= BOD > 30 < 220 mg& and TSS >,% 5 150 mg& ' Effluent #2 = BOD < 30 mg/L and TSS 130 m WL CST,Naam �e(Please Print) signature CST Number Y LA L (05 rL.le -r- �� C 93' Address ' l Date Evaluation Conducted Telephone Number 2 8 1 7 - 10 " A ve �Prti VqL.r -EY, ln1I <i'` N1A�r' (o 2o05 ?r5'• -r72 - 3"2 Ulbricht & Associates I Private Sewage Consultants 2812 10th Ave. c � Spring Valley, WI 54767 Prope* Owner M � %IQ— Parcel ID # 6 4:2— 10 96 (00 -1 Page Z- of �✓ F-3 #. ° BoritV ® Pit Gr"td surtace dev. 40 .51 R Depth to tinating tad w 9 8 in sa Appkmdm tie Horizon Depot Dw*mtCokx Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munse/ Ou. Sz. Cont. Color Gr. Sz. Sh. *EM 'ES#2 0 -10 1 uYR 3 /1 — LIZ -� --r C s ,r4 . (o .8 2 110 1 0'* 3 /6 — m 3 ( - 1 - . (P 3 35 n YQ5 /e - C s 0 sa m a iN . 2 v-F . -7. I. b 't S i J-P . - 7 : (� ❑ pit Ground surtaoe ebetr. R =. Depth to g factor in. Rate Horizon Depth DornirmtCoior Redox Description, Texture Structure Consistanoe Boundary Roots GPM in. Munsell ML Sz- Cont. Color Gr. Sz. Sh. ° F BorkV ❑ Pit Ground surface slay. R Depth b taGor in. Sol A5134ficalion Rate Horizon Depth Dominant Color Redox Description. Texdure Structure Conroe Boundary Foots`'' ` GP" in. ItA XV" CkL Sz. CoiL Cdor Or. Sr_ W •Eif(!1 - EW # ° ❑ Pit Ground surhaoe slay. R Depot to Wing factor . in Soil ication Rele Hor'raon Depth Dominartt Color Red= Description. TeAure Structure Corsisterm Boundary Roots in. Mtrnt" Qu. Sz. Cant. dolor' Gr. Sz Sh. 'EM `EW Etlkient #1 = BOD, > 30 < 220 mgll and TSS >30 <_ 150 mg/L ' Ef mN t #2 = SOD, <_ 30 mglL and TSS 1 30 rrok 7be Department of Commerce is as 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 -8717. seo433o0r.6W) I Property Owner M FYVP - Parcel ID # b 4 — 10 9b— &0 - Y OO Page 2 of 3 13T Batrg ° Borhm ® - pit Ground surface elev. qo 51 ft. Depth to §rnftV factor > q 8 im soli Rate Horizon Depth Dom!rtant Calm Redox Description Texture Structure Consistence Boundary Roots GPD+fF in. Muisell Qu. Sz. Cont. Color Gr. Sz Sh. 'Eif#1 'Efr#2 1 0- 1 Ova 3 /1 0-5 2 1 D -33 1 o y�R 3 /6 -- i YY> 3 33-3 0 Yk /8 - C's 0 M a Boring ❑ �+g ❑ pit Groundsurfaceetev. R . Depthto§mkktg'bckw in. Sod Application Rate Horizon Depth Dorninattt Redox Description Texture Structure Consistence Boundary Roots GPDW In. Munsell flu. Sz. Cart. Color Gr. Sz. Sh. 'EMM F� gorft # °9 ❑ pit Ground surface eiev. R Depth m Csnttirtg factor irt. SoN Rate Horizon Depth DornkiertColor Redox Description. Textture Structure Consistence Boundary Roots` In. Munsell Qu. Sz. Court. Color Gr. Sz. Sh. 'Etfffl 'E9#2 F soft ° ❑ pit Ground surface elev. R Depth Oo Iimtitrtg factor • in. Horizon Depth Dotrina nt Calm Redox Description. Text Structure Consistence Boundary Roots In. Mur sets Qu. Sz. Call. Color Gr. Sz Sh. 'Eft 'EW ' Mott V! = BOD > 30 < 220 ffo& and TSS >30 1 150 mglL ' Effluent #2 = BOD —< 30 nt & and TSS _< 30 nvk 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. seo-MoOL9M) 1A Eyep- - L o T 3 PA-4e o F- # 01+2- /09o &o -ioo go.sl N0 -9 p 120Pp/LTY t-tNE AC ,S 28' F3M 3 1-2 0. B3 .= 9518 o - � IQL ti 8M i A-R 1V7-" P v c. PIPE 9 -51e � R - g 8.�5 c s y a r �" Is B M .# I = loo. o0 S o u l K p Ro f- i Y 13 • - 13otz�ac -� � ��'�'`up D = $ vt MAkY, � = cam- roc�cZ S At 1� RECEIVED • E ' MAY 1 0 2006 VoL ' OPAl3E 079 REGISTER OF pS ST. CROfXCOUNTY RECEIVED r � 0 09/29/2903 11s40AN CERTIFIED StiRVRY MAP CERTIFIED SURVEY MAP pAQaFE 3.00 Richard J. and Karen L. Meyer Located in part of the Northwest h of the Northwest V and part of the Southwest Y, Of the Northwest : of Section 32, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, being apart of Lot 1 of that Certified Survey Map recorded in Volume 6, Page 1683, and including Lot 1 of that Cert fed Survey Map recorded in Volume 8, Page 2217 of St. Croix County NORTHWEST CORNER Ceri fed Survey Maps. Q SECTION AT29N,R18W (FOWIO COUNIY BERNTSEN is 17 ALUMINUM AIONUMEIVT) _ _ _ _ f_� � _ pp_cc _ ��CEN7E EAST 801/900 LANE I,S.H. 91' _. _. .� y WW _ IN E- RA HI�tWAY we � (Ft- N 87 E. N 87'13Ur E 68 6.1 N 87'2437" E 557.28' --x •— W NORTH UNE LOT 1. V. 6, P. 1689 R , I 80 ' ^I° Ma N W ,�se80z ar QONTAII¢S f15,582SQ. FT. kQT ' 4.9 + QeR77 fD NKY.MAP 7. • :: _ • - 5 T E 9R Y.653 AC. •.45.42' 9081• - - _' „', VQI.VME,s, P_A9E_ N 88°54'20 E – ` WE I O0. r. 9 •;'� 195.42' coTP. V. T N N 33' 33'1 100' r1 I I �a r� Q; �, SGILENFEtT 1• ■1S SEPM � �* $ To TrfB wBSrLA1E' of THE VEN73 �V S NDRThswriI4 at a 1 N00'W78•W. �y I1 LOT_ 4QT2 I / LOT 4 MOLUME 8, eAQE_ZRj7 I �I 1 oa ,.. $ I ; CONTAINS 473,141 SO. FT. OR 10.862 AC. I (426,611 SQ. �► FT OR 9.794 AC. EXCLUDING 667100TH STREET ROBERTS, I I / TOWN ROAD RIGHT OF WAY) WI 51023 1 I ac uN� SEi B.M. 1 $ TOP IRON PIPE / EL • 981. ii' c .�- •"' I 1 T.OPNWNPPE ` 33.34''=: [33' 3' ....'_ �. I ` _._ ..... 2217 J 5 ei 41`38 Yd 842. w t t� S Fri r wi ,�QT_ 2 8' �,gGON�q�� CERTIEtaP.$UR__ E)' MAP I DATED V_0LUW 1.1, I .PA09 31 -01 28 uWAAtT.EQ 00 2 APIJfL 005 uau w r LEGEND 1V W Mu Pw /NO1CA7tcS 1 X 18'MQV WEST 190 COr 29 t 7 t s . * PIPE SE7 (MMr. W7 • 1.13 LBA_F.) lw:V7X�,1 StEC710N 3Z T?o N, R1JW BEI.OHIVVILLE M IC,A TES 1• IRON PPE FOUND (FOIAVDCOUNTYJIE7LIIISEN O • vvt. v� ALUMMJUM 1t10N11MfiNT) •. �. D SOIL BORINGS (PROPOSED S&-ft SYSTP9 h ? • •.... • • 0 SECTION CORNER ><mmafavT(AS No7tjD) 7"S.INSTRUMEW DRAFTED BYJERALD L LARSON L^NO 6 WD(CATES FENC EUNE SHEET ! 1 OF 2 Vol 20 Page 5079 - 3 1 - 9 . �,. 3 9. 3 f4 CERTIFIED SURVEY AW. �- Richard J. and Karen L. Meyer Located in part of the Northwest %, the Northwest y, and part of the Southwest % Hof the Northwest % of Section 32, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, being apart of Lot 1 of that Certified C7 t1 At ' { Survey Map recorded in Volume 6, Page 1683, and apart of Lot I of that © Certif ed Survey Map recorded in Volume 8, Page 2217 of St. Croix County Certified Survey Maps. SECS N R 18W F (FOUNDCOIINTrBERNTSEN ALUAN"AMNUA06T S to CENTERLINE EAST BOUND LANE LS.H. °9!{ - — - — - — - — . — - — - — - — - — - IF z------ -- ------ - -- --- — — — — _"' �' z INTERSTATE NIGHW_AY °94" o cn $ " "-' (R= N 87°25W F, N 87 °13�3'E, 5W. 157 g w N 87°41'40" E 557 -W - cf) b I rn Ci 80' X83 No SETBACK LBYE (R' NORTO N �0 10(Y o o LOF3 N °W _ _ ` �� z CO NT O S 114, AC. Q. F . LOT 1 <° CERTIRED SURVEY MAP 45.42 N a�° 1 VOLUME 8, PAGE 1683 N88 °54'2 E— - -- - - --- - - - - -- 95.42' x 51 ° � 43t ZZ• N �33' 33' t 100 ( BARN • �H SCALEIMFEET 1' =150' P = m oo �op �4 CO 60 0 4 1" cu P TOTt1ENOTL61EOF7HE w, o /�W SEPTIC � ��P�'�r� ° TIKOFSECTW32, e , C> I AREA �. ' G T29M R t# W, ASKUWAs Q; $ co 0 1 y Z v a N8r" ! � LOT LOT2 I ' CERTOW SURVEY MAP 100' / LOT 4 VOLUME 8, PAGE 2217 O j , ; CONTAINS 473,141 SQ. FT. OR 10.862 AC. +� •. i (426, 6TO OW RIGHT OF WAS UDI ca UNE - - S o . 7 IRON P9�E — �` I33' 33 E 710PIRON N,9 a PE o S$1 14q'38' .32' w 3334' w -� 2.68 S 81 °41'38° W 88_ -- _T L 1 65TH LOT 2 QT -. OERTIFED SURVEY MAP DAB o ° °°° VOLUME 11, PAGE 3191 ��p� �{cv APRIL 19, 200.5 °° LAURENCE e UNPELATTED Wed a MU pUD/CA7ES�t1/¢'OD.X18"ION 7k tat WEST 114 CORNER A , S 7� 3 a * 0 PIPE SET (MIN WT - 1.13LBJLF.) LANDS F? -- SECTKJN32 r29ro m BELOENVlLLE,e • INDICATES 1'1RON PIPE FUND $ 3 (FOUNDCC?UNTyBERNTSEIV 0 ° ° A p SOIL BORIN r coo $ LtIM►NUM M°NU F� ° ° ° ° ° ° ° ° °.° JQJ SEC7TON CORNERT (AS NOTE) Fp 1,4NO �' —"— IgfDIG47ESFENCELINE THIS INS7'RUMENTDRAFTED BYJERALD L LARSON SHEET I OF 2 8ZR 8E>_ c 11 DOC}JMENT NUMBER WARRANTY DEED KATHLEEN H. WALSH Richard J. Meyer and Karen L. Meyer, husband and wife, individually and each REGISTER OF DEEDS ST. CROIK CO., WI in their own right RECEIVED FOR RECORD conveys and warrants to Sunset Electric. Inc.. a Wisconsin Corporation 06/26/2006 04:15PM the following described real estate in St. Croix County; State of Wisconsin: WARRANTY DEED EXEMPT # Part of the Northwest one - quarter of the Northwest one - quarter (NW '/< of the NW '/4) and part of the Southwest one - quarter of the Northwest one - quarter REC FEE: 11.00 (SW '/a of the NW ' / a) of Section Thirty-two (32), Township Twenty -nine (29) TRANS FEE: 189.00 North, Range Eighteen (18) West, Town of Warren, St. Croix COPY FEE: CC FEE: County, Wisconsin, described as follows: Lot 3 of a Certified Survey Map PAGES: 1 recorded September 29, 2005, in Volume 20 of Certified Survey Maps, at Page 5079, as Document No. 807923, in the office of the Register of Deeds for St. Croix County, Wisconsin. THIS SPACE RESERVED FOR RECORDING DATA - NAME AND RETURN ADDRESS: 0 GWIN LAW FIRM, S.C. 'J 430 Second Street p� Hudson, WI, 54016 -1510 Part of PIN 042 - 1090 -60 -104 PARCEL I.D. NUMBER OR G.I.S. This is not homestead property. (is) (is not) Exception to warranties: TOGETHER WITH AND SUBJECT TO any other easements, covenants, reservations or restrictions of record, if any, but this shall not be deemed to extend any such other recorded encumbrances beyond the term established by law therefor. Dated this �� +� day of June , A.D., 2006. (Seal) (Seal) * Richard J. Meyer (Seal) (Seal) * Karen L. Meyer AUTHENTICATION ACKNOWLEDGMENT Signature(s) Richard J. Mever and Karen L. STATE OF WISCONSIN } Mever } authenti d / y of June. 2006 COUNTY } Personally came before me this * Hu h H. in day of , 20 , the above - TITLE ME ER STATE BAR OF WISCONSIN named (If not, authorized by §706.06, Wis. Stats.) to me known to be the person _ who executed THIS INSTRUMENT WAS DRAFTED BY: the foregoing instrument and acknowledge the same. Atty. Hugh H. Gwin, GWIN LAW FIRM, S.C. 430 Second Street, Hudson, WI, 54016 (Signatures may be authenticated or Notary Public, County, WI. acknowledged. Both are not necessary.) My commission is permanent (if not, state, expiration date: 1 20 1 of 1 FROM :SCHUMAKER PLUMBING FAX NO. :7153863121 Jun. 06 2006 02:07PM P2 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGRUMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer c, ri 5 C_ t ecf V %—C— � Al C, Mailing Address _ e C,0 wr X)( Property AUTes X _ 105 s l �... S� - O(QfY'�S__ _� `� �t�o� �. -- (Verification required from Plutaiing & Zoning Department for new construction.) City/State L kX Parcel Identification Number 1,EGAL DESCWTION' Property Location `A 1 /4,01 1 /4, Sec. .. T (l N'R IVW Town of Subdivision --,Lot 3 Volume -10, . -5 0.. Certified Survey Map N # _$�S D e e d Volume Warranty De _LA Q —, Page L(5 C 97a s s? ' 1301&1 Spec house yes [to Lot lines identifiable & no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance ol'your septic rystem could TeStIll in its prcmature, failure to handle w astes. Proper ritainteriart" consists of pumping out the septic tank every three years or sooner, if needed, by 3 liornsed pumper. What you put into the system call affect the function of the septic tank as a i stage in the waste disposal system. owner mikintemnee responsibilities are specified in §Comm. 83,52(1) and in Chapter 12 - St. (,' County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification for signed by the owner kin4 by a muster plumber, journeyman plumber, restricted PIUMbOT Or a licensed pumper verifying that (i) the cin-site wastewater disposal system is in proper operating conditiun and/or (2) after iiisOcctiqn and pumping (it necessary), tho septic tank is less than 113 full of sludge. I/we, the undotsigned have read the above requirements and agree to ma i n t a in the private sewage disposal system with the standards set forth, heroin, as set by the Department of Commerce and the D ' eparmicrit of Natural Resources, State of Wisconsin. your- Certification stating that y o septic system ban been maintained must he c and returned to the St. Croix county Planning & Zoning Department within 30 days o f the three year expiration date, Uwe certify that all statements on this form are true to the best of my /our knowledge. 1/ we am t h e owner(s) ortfir property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number S_bWooms DATE SIGN , * *Any information that is misrepresented may testilt in the sanitary pennit being revoked by the Planning & Zoning, Depattinent, Include, with thi.; application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey Imp if reference is made in the warranty deed. C (R J K V. 08 / �054 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page __ of FILE INFORMATION SYSTEM SPECIFICATIONS Owner R Septic Tank Capacity Q ©© g al ❑ NA Permit # Septic Tank Manufacturer � C•.Se' ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer (� ❑ NA Number of Bedrooms ❑ NA Effl Filt Mod �/ /eG ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity 4 gal ❑ NA Estimated flow (average) ljf Q g al/da y Pump Tank Manufacturer 3 .e y ❑ NA Desigo flow (peak), (Estimated x 1.5) �-� -� g al/day Pump Manufacturer d� / ❑ NA Soil Application Rate al /da /ft' Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L 0 NA ❑ Mechanical Aeration ❑ Wetland Tot S Solids (TSSI 5150 mg1L ❑ Disin foction a Other: Pretreated Effluent Quality Monthly average Dispersal Collis) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent P Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: O NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: month(s) (Maximum 3 years) ❑ NA year(s) Pump out contents of tank When combined sludge and scum equals one - third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: p_ month(s) (Maximum 3 years) ❑ NA �J year(s) Clean effluent filter At least once every: month(s) ❑ NA _ _ e ear(s) Inspect pump, pump controls & alarm v At least cnce every: ,. ❑ month(s) ❑ NA C] ear(s) Flush laterals and pressure test At least once every° ❑ month(s) ❑ NA _ _ 0 years) _ Other: [3 months) E3 NA At feast once every' ❑ year(s) Other: ❑ 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; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and 'io check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) 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 surface 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 (Y 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 NR 113. Wisconsin Administrative Code. - All other services, including.but not limited to the servicing of effluent filters, 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 shall be provided to the local regulatory authority within 10 days of completion of any service event. A 11r w Ieljajew p ij9u! j9y ue JO I9nej8 'I!Os 411m pall!; aoeds plan syi pue p owes sjanOa x1941 JO pano pue paleneaxa aq Ileus si!d pue sllu Ile 'Btudwnd jai ;y e •jolejodO Bu!o!Ajag OBel a Aq ;o posodslp Aliedoid pue panowaj aq lIe42 slid pue uel Ile ;o slueluOa 041 • •poleas sDu! o ed!d pauopuege o41 pue pejoauuoos!p eq Ile slid pue sjuel 01 Bu!d!d IIV • :apoO anllejis!u!wpy ut os!M '££'E8 wwo:) 1e1 de43 yl!m a e!{dwoo u! pouopuege Ala ;es pue Aliedoid s! w6jsAs ayi legl ainsui of uol el eq 11949 Won Bu! olla; 641 eolniss ;o 1no uo4ei luauewjed s1 jo/pue sl!e; S1M0d eyi UeyM 1N3WNO(]NVGV •ouuq jouel ;o )Olean pue :suo ei :supldeu Aiellues !seplonsed :sionpoid Bullu!ed m aw :eseeje :au� oseB :s ilead elq Ban pue 1!nj; :jelem (dwnd dwns) ulsip uollepuno; 'Sa ai ja I .11n .suo!leolpaw :sdejas le p! .R 4 q l :S1MQd :1e; :sjueloa ;ulssp :siedelp :ssol; Ielu9p :sjeseejBap :sgeAns u0110 :s uoo 9 w jj oul Bla :sedm Agaq :sollol li jo onpe�l ayi ;o ON eyi Buoloid pue aouewioped 943 anoidw! Aew weajis ja eisenn ayi woj; Bu!nnoilo; eyi }o uolisu!w!Ia jo uoli sale Idjosge • s opejB -le jo punow Aue ;o odols umop lea; g L u141!m em 643 'loedw j0 gjniSip 9S1Mj941O j0 'iaAO died j0 9AIj oU O(] •SII90 I edsip pue sjUej JOAO s9I0149A flied JO eAljp IOU OBI �. -duel dwnd 941 u1411M sl9A9l lewjou 9jolsaj e Bu ejodo A enuew ul 1slsse P69u!elu!8W S1MOd 10 jegwnl a ioeluoo jo dwnd Juan { ; ;a ayi a1 jaMOe of s{ojluoo dwnd yi !i II ua uoo ens uoileniis s!yl pone O., -1usnl;; Buljolsai of joud jo3sjedp Bu!oomOS aeeideS a AOenowaj �Iuel dwnd ayi ;o sl i 4 ;o eBjeyos!p eoe�ns jo dn�lasq ayi u! 1lnsei Aen(i pus (sill ®a 043 Bu!peoljeno 'as0p 9 jel au I (s)lleo lesiodslp ayi of PGBje4091P aq p!nn jajenneisenn sseoxa eyi pajoisej sl j9N►od uByM slan6l jaienny8!4 Iewjou 0noge Ill; Aew uel dwnd seBelna iennod Bwjna •ooe ;jns engejil! ;u! eyi is uazoj; aje su 011 !p u03 llos u94nn j oo iou {lays do 1je1s uuelsAS -asn of xmd jolejodo BuloWas 9Beides q p9AOwaj (s))luei 941 10 siueiuoo s419ney 139130191) aje suol 148!4 ;1 '(s)lleo lesjeds!p a41 eBawep 10/pue ss000id luewle9u 041 apedwi Aew jeyl 1lae4o S1MOd 943 ;o asn a1 S10 0 1W043 jaylo jo slonpoid Bunu!ed 10 aou asaid eyi jo; (s)*luel ivawieeji N0IiV>3 d0 CINV "v.Ls jo a6od Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankis) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cellls). If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power. outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cellls) in one large dose, overloading the cellis) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to rural levels within the pump restore no p P tan Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down, slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system i5 properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Sep tags Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and welts. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. [3 A suitable replacement n area is not available due to setback and /or soil limitations. Barring advances in POWTS p lace e t technology a holding tank may be installed as a last resort to replace the failed POWTS. —v *ifta PMAIT gig site �A O T site tank e I-- nf%VArrQ 13 Mound and at -grade soil absorption systems may be reconstructed h places following t remova that tlime the biamat at the infiltrative surface. Reconstructions of such systems must Com < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. VU 5► ENTER A SEPTIC, PUMP OR OTHER TREATM ND OR Y C S DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFI ADDITIONAL COMMENTS POWTS MAINTAINER POWTS INSTALLER Name Name � � `�1�' u �• -� �,,- �. e � Phone Phone 7 ' . -- +z LOCAL REGULATORY AUTHORITY SEPTAGE $ERVICiNG OPERATOR IPUMPER! Name 5�. G few G J 'Z E Nam e Phone 7l5 - 3`6 - ` `t om This document was drafted in compliance with chapter Comm 83.22(2)(b)t111d1 &(fl and 83.54(l), & 131, Wisconsin Administrative C e. ff# #Ac1r4 ST ANDARD CHAM'BFR Quick4 Standard Chamber _ I I (EFFECTIVE LENGTH) � TTM r i 1 CM r i r \� L - - -- - -_ __.� SIDE VIEW SECTION VIEW Mult!Port End Cap - -_ _- 1 1 1` I II iitt II jp ,sr; 1 J1 I � - 1 _ 1 U SIDE VIEW TOP VIEW FRONT VIEW l �I ti s �. .+ y �, �(',1i I I � t " 1 , J �,Iti•, 1`'t.! x ' 6 �, 'r , AR ,ri�3,�t Y �`1,�C'� �i ,, u •- � Qu1ck4 Standard Chambar'�Nominal'�sp ?fi } ,, MnillPprt -lend Ca jNominal Speciilcatioas`� r Size (WxLxH) i� 34 x 52`x12 Sixe(WXL H) r 34 'x16 "x2" E ffec t ive L h - -- 48" Invert heig - -- — 8' or i .2 2 5 ° invert Height - B" HKEMRAM fiy 7T 6 Itl.ScrMA►MAW_UWTW WARRAMI rli l t. 1 - - I r t •, rY ^,nM. w «nut' end r Jwl Ur It d oil tOl ak twk)'Im 19 .rt,c ,ly Art' ACC dx "wllh l,ftM1lT Hain I S \ n ..nq lUtn it N/MU ma tW Mx'� pa - - wJrv� t 1tnr A 1. + � Alp l,' W" *et In.r Iho data ingt Is,e 5tK1 nwm t saw 110. a {-1)BC t,yFl < Ilnua>J Ihn Ill s -:. 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