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HomeMy WebLinkAbout018-2019-55-000w000nom Dawxnanl m commeiu. $afelyaN BUINIy Uvrelon GENERAL INFORMATION Pemonmdecimal vou ororla mare PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) 018-2019-55-000 29.29.17.1255 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. B` 6� WIEi�K ya> iS B pnmaIwm ^uu- 4,t@ B7gR 059.Yf W In L BM Random ��� N Bldg. sewer Hpl BUM Inleat 0,13 to7D •iD' TANK SETBACK INFORMATION SVHlouuet Q,j} IU7a A6 TANKTO Ph k WELL BLDG. Venllu Aylntake ROAD Dtlnlet Septic 2 � DI BOMm Davin HeeaerlMen. Tam L1 rr .. Diet. Pipe Ho Bot. system PUMP/SIPHON INFORMATION Fine l Grade Manufacturer GPMDenrand `ram{ i Sl Cover iw1 l�\ 6�D/ Model Number l0.18 (ab4� TOH Lift F' System Head TON) Ft 5r co/i 372 Ipn93 IDTs 80 Famamain rigor Die. on wwoll 1M d iwJA.v 1 1 130 l017.45 SOIL ABSORPTION SYSTEM SEwmENC wwm Lorex No.armouw. PIT DIMENSIONS No. a Plw wade Dlo. ucox pool Dpmxsl SETB ST TO P/L OG WEL LA sTR ACX M ukdu IxParz nax c aR Tyw Ug: VXx Mo]elNum— DISTRIBUTION SYSTEM Pip al SCNECOVER x Preceuro SyeNme Only xx Mauna Or MGraae Systems Only Cepin over Lease 0.er m0twot xx a ,ersoeeae xxMl oM?rcnrn real IleNlmnon Ediea Tcal Yea ❑No I QYea Q NO C �AMIENTS: p and diPTPPa es.petwns Pesenuero.) Itnpectionill: 6�3o/�3-y`o Inspection 42: 9/26/20M-JW h alt >.Xp.VLr.wt Locellon: 1621 ]STH AVE 1.) At BM Description = J)2.) Bltlx sewer kill = h ra-PL¢ I,*-_ � 4 mwntorcwer= Plan revlsicnRequired? Q year �No 2jD/ Use otlterexeforelw saamonal inrolmation. Pioneer, saoaTrp lRS�sTI pem leromnsiamewn an No. /\ I safety am Buildings Divaim COMMY st Croix AN-2023- 3 ) � 201 W. Vimigunlitcyn Aing P.O. BOx]i62 Sanitary l'amn N,vnM (m i filled m by Ca) d7\ 1\'` ',•� I JUN 1 a 2023 Medmon WI W707 71K �ygv9g Sanitaiy Pc1m t Application sate"""""°'nn /� In,mmw, waffi 8SZt1M,W:Ado .Cod,m roomiergo, gain m then,Rnlnime en.emmand mn 001001876C .(w I'mjai ndertvlae;niamt:lw,m;lirpnm 1 i. rvyni,eJ r^nrmnnwinirgncmiwry P. i1then, nppli®Iim romti c.sldewnM PowlS w"mM;nmm iAo Ihrymnm: nfsnrm nM Pmrnvaiww smin. PmpW mfi,,ua on ynn rm.iee or, i umd in, ,, n wu awnm,m wiam.. Ni. 1aw, e. ls. 1 w m, s:. . 162175th Ave — Man 1. Application Information- Prim All Information PoRny D.ma's name 11 Pemela C & J Builders 018-2019-SS000 P^R,tY Q^'m'a Mtilir,g MAnv NWc1y LUYian 316 Kamloops Place rpm, Ea HW A BW e, Samoa 29 City. sec Zio Cok PM1pnc Nanbcr - River Falls, W. 54022 T� N; Rr I�EeW 11. ly"f Binding(ebeek all that apply) Lax SthilwaknNma I w2 f none Dwelling-Nwnba or�} 3 �'Lrf��ovA.r elwho Rolling Hills Farm n wa a��m�mm �H rr ❑otynr ❑91uc Ow,W-Rn i4 Ux CSM 11 Village of Numkr �NEx - ®Town of Hammmd 111. Type of Permin (Cbeh only, one too, on line A. Cum Ire ' plkabk) Nm syunn ❑Reel:ement Synem ®TrmenmJllolJine Tod P.aplaem:nl GFl I9 one, Ml:twnon m moong system mignon) WxXeONtmaser e. ❑von xmewl ❑Thor xea,nnn ❑t'nenpe wf vlwnler �Ymnn rremmm nm Lis Pevivn Perna NIMW and DoDolelsval Oerrel�.Piwim, owm. 617796 112r26 7GSkW N.T ofP YvAS 9aRmlCum nenl/Dmiae l'M1caRall lM1ala I' VVI nn-Vrtvmn, M1 nlxow,nrtJ ill-:,,w,m,l n A14.111m Cnhunnoz24 inDrauggile an ❑ MmuM, 24 inof mibNo and ❑Nnlame Tank mn Dome("Plum V. Dispersonmatracut Area Information: region now(go) Design.Wnl 40 ....wn Rnitt81:1J Diamond Aim RryuisvJ(so Uwmog Royorad Ian BYmm Gomm, Existing VI.Tanktalin Ta 4a Gullmm nation, u"t, NM Times Mang km 2rmXam n3 "U V & F gweu"wagiw AOOID76 1 Him 6001 W1cwr okmer Vol. RnponsibJky statemaaa 1, Oe mdura aN. ibJ' i..Wbn ma. PoN'Ts.wwn. u. YeatbegM pbx PIwAv,'a Nnnn Wia)MPR.11`R6NumM, &nlvm Pwm NumM Keith Knudtson i348443 651-470-1737 mnmlaa Amr.. tsmrer eiy, swelm ow t -... 927 160th St. Roberts W 54023 V nb cnenrT/Ikermem uu owl IK'Arnm.cJ noiwppuvd Taemiarm 0.klvwl 1mu'ns AlWnsiAwOue ' 110- tlwrerfivm Rnnm forhnW ,,ly.�. Ix.<'nnditinn. nr Appmuom wmMefor Disppms'al ,1/i_. S S?-r Sv-�C\ k b rdb k�' ��w#lizQ.z.x.g� Ma. 'fiE-ffw �wSt wa t i'♦�ae �iaf. ftp,ogaoomem t�15 wm�I,ep.wm.eesprmwwtlwt4t'rlyrbrA"penwere wee Ins 11 ammonia, p��I,_1"�4�6sT=Qa� m.. 6/2�2nz3: SBDn639R(R. IM I) 4 boct II/r 334-I�" ti.w 'Ccev-P= - COPY 75TH AVENUE EDGE &TUMNOUS S(gfE; 11NO1-30P@T w BE "W19ee PROVFRIN ADDRESS' ' _r ____ 1831-75THAVENUE 1G ' HAMMONDSf , WI03S PHwossD NORTH I nvlwwr 1 ®-1 -- - ® — - MINIMUM WILdNG SEIHICIO: IiBI ry 77D T20 µ ® L ;RONT 3SFEET i ^ GARAGE �' SIDE 10 FEET REM 10 FEET TD m DIMENSIONS ME SHOWN FROM _ IlU - IOTURFTOEPFRIORFO P111T10HWALt nA 13A R HOUSE 40 �-- - --® LEGEND • FOUND IRON PIPE PER PLAT ® OR AS NOTED 0 WOOD HUB SET AT 10 OFFSET OR ON BUILDING LINE EMFENSION {- O` T.O.X. TOP OF HUB ELEVATION 6c TO.P. TOR M IRON PIPE ELEVATION V UTUTY B DRNHAGE EASEMENT - —"—DRAINAGE EASEMENT LOT s$ � 3t7u36F1. �/'J— .xo(9—SS-ciO� i i i i iyse e4 ow Project Name: Owners Name: Owners Addi CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Lot 55 C&1 C & 1 Builders 316 Kamloops Place River Falls, Wi. 54022 Legal Descdpbon_ NW 1/4 SW 114 S 29 T 29 R 17 Township: Hammond Comely St. Croix Subdivision Name: Rolling Hills Farm Lot Number 55 Parcel ID Number. 018-2019-55-000 Page t Index and title Paget Pot Plan Page 3 System Sting & CrossSeckm Page 4 Filter SPecs Page 5 Matidenance Information Page 6 Management Plan Page 7 St. Croix CN Sago Tank Maintenance Form Page 8 Wamwnty Deed Page 9 CSM or Pat A Wft ms: Sell Test & House Plans DesigneNPlumber. Keith Knudtson License Number. 649443 Dale: 06/032023 Phone Number (651)470-1737 SUnature unpnM pursuant b"M¢e Iy7nG S011Soll Ppao nCcn�MMM MMUN M PUWSWNW 2.0 SBD10705A IN 011011. page I i § ) ; § � � � | ; Green Choice Applications: Single and Multifamily Dwellings light commercial, Churches, and other similar Residential strength uses. Performance: 98%Reduction CBODs 99%Reductim TSS 99%Conversion of Ammonia (NH3) Fecal <1,000 w/c disinfection Range of Saes: 500, 600, 750 & 1000 GPD High perfe vaesace, low cost enerq emdent tseahneos systettt The +Series Gravity Treatrnent System provides high performance at a price comparable to most entry loud Aws. Producing efuetn of less than 3 mg/t.WCBODs and 2 mg/L on TSS, it far" reeds the secondary standards Of 5mhga On MN and 3o Intl on TSS. with these results, marry locations allow reduction in disposal areas between 25 and ao%. Beause the H-Sedes completely transforms ammonia Into nmM it is best suted for applications with rich organk soli content, surface *M growth and depth to groundwater to premm nitrogen pollution of the water table Sipple instwlladon, raRable performance, low cost of ownership This level of performance Is enhanced by Its simple installation energy effdent performance and low cost long term maintenance and ownership. The systems components are assembktl at controlled manufacturing fachifilm rather than In the field, w enure reliable performance whit local support FjmwW efficient, MNronenental protection Made of locally available and manufactured concrete, the H-Wesfeatures an energy efficient linear compressor that uses less power don an avenge light WIG Its polyethylene clarifier hopper is made of recycled michigs. Choose Hoot arM you melee a henLWC dMsioo to protect the environmam as you;rot,ot our most peer % mcourcq our water. Drairdield and Vertical Separation RedLKtIean WM gravity flow discharge, the H-Series allows you to loose your disposal application from convenbonal lateral lines leeching chambers other aftm a dninfield materials In some areas direct discharge Is an option as weft.Reductions of wmial separa0om to groundwater and impermeable layers such as cork range from 1 to 2 feet Make the green choice for wastvwato bertarat Your wastewater system is the most e)Menslve and important appliance you will ever purchase. Dort settle forjust any system Protect your famiy and the environment with a Hoot H-Series System. Wieser Cancorte Products the. 1-9e0.3Z54456 www.wleserconveta.wm Homeowner Guidelines for homes equipped with Aerobic Treatment Units The septic system for your home depends on the proper functioning of the Aerobic Treatment Unit (ATU), which is designed to treat and degrade solids prior to discharge into the shared septic system. To avoid breakdowns and costly repairs, please observe the following guidelines: • Avoid allowing any men materials such as plastic, rubber, scouring pads, dental floss, cigarette filters, bandages, hair, mop strings, lint, rags, cloth and towels to enter the system. These materials can build up in the tank, resulting in system malfncton, clogging and premanue pump failure. • Do not flush or drain chemicals and toxins into the system, as they kill the microbes necessary for treatment. These include paint and paint thinners, solvents, drain cleaners, summotive fluids, fuels, pesticides, herbicides, fertilizers, metals, disinfectants and sanitizers. • Paper products including disposable diapers, paper towels, baby wipes, facial tissues and moist toilet paper are not designed to dissolve in your on -site treatment systems. Neither will excessive amounts of toilet tissue decompose. • Limit garbage disposal use to food waste that commit be scooped and thrown in the trash. Do rot put animal fats and bones, grease, coffee grounds, citrus and melon rinds, com cobs, egg shells, etc. down the sink. Also avoid putting spoiled dairy products and yeasts from baking into the system. • Do not pm medicinal nationals, automatic disinfection tablets and similar items into the system. elan, septic tank additives generally do more harm than good. • If possible, spread laundry practices out over several days, rather than am:"wash day," so the ATU can more efficiently process the water as it enters the system. Liquid detergents are recommended over powder; fabric softener sheets are preferred over liquid softeners. Use bleach sparingly, m half the recommended rate. • Clear water waste from dehumidifiers, HVAC units, gutters, whole house restaurant systems and sip pumps can increase the flow to both your on -site system and the 'shared system, leading to shorter life. Both clear water and beekwash from water softener rageneratinn should be discharged to an alternate outlet Talk to you contractor. Do not disconnect power from the unit! Yaw ATU is equipped with an Berm that will notify you of a malfunction. If the alarm does sound, for diagnostics, service and repair call: Knudlson Plumbing and Contracting 651-470-1737 ism L wd T"O= mw 1 ft fo�2(�a_ n II2 yrg"ap.ouYt+R+mYr\, rby� W151�9�.�I�J LS© �anasr�at4 �.. LLr �'��` APR 16 202➢ �� �wltYlaaw iwsiFM'McwwMr sc oa. cw�a � Comma a" w.rw�ma u 7MU � � rw<rrnAn� w taw so am ..rnr+e xa satam meoe�eleel�eeaemapaawtLwa9 metM.mn:n SAiAaw rb 4eW�A. cod, maao�MwRd TM Ad* a+reaa �skwanaeia4�eonna.+*vA�aoais•be4a - 1N.ra.eWlaX�neR�Mt�vtlW6pCR�'bi67i R1NMiYhF�A4. Thg W�M�PRtL�Bd fRrt�aE#1 �bVmmXWW •. M�WWWAL OW a . WOMIL •,pr"°',rw2®i„fmnrwr.tm�lt�WWWAIMb.»Nbdw.6sem, xatkrmeaT ccl .Busw..s�++�w�keaoDg.pe+ w+.aetepmtlott,�Neo+retltp�tranawtYw+7tWlP�at•�e�H'dA.nr�o�7s mot � wlwir�ataaa� rrpW io 86MB�1.'�� i°90 wy� ena°" or, .m�atkaetra50�wa kcWod�mntbeeNra�aw�tu py,RWAewkra.`.oaRoaosutlas�rowaou�wa eam msegamr+o"e'vA'N4 . ��Idmw.. � tbee ��.,�y�„ypPaasuatsw ' tara�a� mrtawetngeoaa'0r by,jneirira�nr. w,ie nnsmsea H a • T TREATMENT SYSTEM INITIAL SERVICE POLICY ® HOOT Aerobic Systems, Inc. ]gBg Xlgknay l4 EJet Lakes Ghuriw,larktaw>agpT rtm162�t T�rrr py [�cf�_%` 6_d L.�-et/owM m ls e9inhm the Hoof Aerobic Sysuen lommoi PavM g V (legal dmipion any) Its the period ofl yeas beg®hing erhd med'mg Thu comas wHl pmvme fen l mgeirM impadone, katingeM service ofyom HOOT Acmbk Trwhoent $Ytebn. The policy will MCNda we following: I. impectioasaYrer/�vicewl6(etkertmeeevuy-S�monbs). fwamtalof�ovatbetwo-yea pmotliralhWlrgmupa[ioq Wjvmnm[mui9avi yagoftxmecheviwl, elcaricalsvdotwapplidWleeempaneNpmp m awmepmpafutaton. Thuinc6idgimlPorAnguroholpmelmpwps,airfilten,dilfuwopaaliov, avdrtpkci a rapeving evy rompwnsm twtfourW m h tmctoNng carealy. � ]. Mel$uea9M inmesidupd cmpHa lofavkua checkmrxlm, ecgss ry.scum overllawendexamineton forodars. A teafarchlxive raidval end pH will be mkx end reponedmnxessary. 3. if ahry ihnpoparapemtion k ohtaved, which wwx h comsoeW a tins Limo ofthe amvice rim4 Yx will6e notifad moncdiaoly in writing of tins conditions anM estimaed dam ofcomction. 4. The Hones ;s mapmuiblc for maintaining a chlorine resiswel of a lease 1,2/L in the ereemwotryatmh. Thisnm be accomp4ahed by wing chlwMemblm designed forwasleweMusc, NOTSWm1MINOP0OLTAJ3=. Upon Wye Ifthc syelaa needy chbrirnsmbkts tins awice IMviderwiH add then and chvBe the cwtomc. Ifehe amaaa faik is lheh reryawibililymnddrla rblaMe lebkn, tmy are kviobMmhoflMaMeppmprime eedon wtl be mkm. Initiam of WmHa Ltitak ofHomeowrmr 5. Any additioml viaj6, itupectiona or sample collections rerm by specific Maaklpaines, Wates/Rira Amhonties, Cmay Agencies the TNRCC or any other regammry agency in yaurjurisdielion will be eavered by this policy. At me cenclwiw ofdns mewl service polity, Me Service Provides will mvke s,,ew , for pvrnbax en so e®val wsAa xmivuingservixpolicym coves lebarfx nmMlbtspeetiw,soainemmxeMmp'v. Accordingmaaekw,alowrms ofaembic systems mans m@w"we a factory avdmriud cervix provider far We hittime of We system. The HOOT Homeowners Msewl most y fo be so1(tlloed w te worsare subject minvalkwom Pmnping ofshdge build-tp, for reasons odha then due in warranoed seneysnixl Milum, we rat envaed by Mk p ib, nod win result is madeiumuldnoges. By signing thisform, both Lumlkr and HmneowrreregmemMetehms of Mk polity. Hy sigoMg Mis en,boMMe Im the finsade la rand me Homcotmeragree Mauls Homeownerhasion d awpyofNe Hmneowms Mmwl aM mllm hen made effxt bee9pmin all peninmt infamhetknm @re Hameownv. HOOT is not responsible for service, it is the SERVICE PROVIDER indicated below. HOME OWNER SERVICE PROVIDER C-+T bulwas e xgc. K - 3t6 t nlooPs i'�AeE Hsi eaanmy .e Uft—vVea.�.tls ws ayoaa w 1�lDz 3 tL T HOXM MCOMPLETEDEYTHESERVICEPROVMER mom g Rkwonpagal e..: I q HOOT Mold N whgeeapy-Hmms a rmawcapy-IreYb Pmkeapy-Haar caammcepy-fl Contractor Guidelines for ATU Septic Homes The septic system for this home will depend sothe proper functioning of the Amebic Treatment Unit (ATU), which is designed to tent and degrade solids prior to discbsge into the shared septic system. As cono-ec on/budder, please observe the following construction guidelines: • As pent of design and cmlatuctim, smnge for water born sump pumps to go m an cantonal discharge. Backwash from water softeners should also be discharged externally, as doing so will extend the life of the septic system. Note: Regulations prohibit 6nnece condansya from being discharged externally. • Garbage disposals are not recommended. • Avoid allowing my inert construction materials such as please, robber, cigarette filter, bandage, rags, cloth srd rowels m enter Me system. Likewise. prevent concwetim chemicals and maim such a paint and paten Miners, solvent, ono., from entering the system. • Contact Knu ilson Plumbing and Contracting prior to siting house grade in orderer confirm that adequate fall will exis In allow gravity Bow between the house, the ATU and the shared septic line (which MY be as shallow as 42 inches). Incorrect siting may moire an additional pumping station and inn significantly higher ousts. • The ATU manufacturer does not recommend tart imlailatim in from ground. a it will be done only at the cONTICI r/builder's request and risk. Installation under these conditions will likely also incur added costs related W mquiremmU such as now removal, frost ripping, etc. • Freeze waraina: Water from furnace cQn.g. IIM ff otherI ks and toiled ftedrso, the seat..• Juriter wigls, outrction tank and fixze and fens as them is no bvcmrW action m this to stage Plumbing beat. sump to near this warm prior ro entering dusts lies. Condo Knudtaon Plumbing and Contracting for a determine. Builders failing to observe this precaution may be liable for system repair and/or replacement due to freezing. Whenever possible, keep interim water lines turned off during winter mail the time of occupancy, ,04e�V.9L• Tanks must bepumped print m hmnmwner rampancy. %70%hP '7K ud6on Phnbin dMC traeti �nl bvM b.s'Id' _ pri mhmrhe CntmeLYms fa'I' do 'll he sole•- ,big lo,1 d loos For questions regarding these construction guidelines, call: Kr u kson Plumbing and Convect rs, 6514/0-1737 1 have reviewed and undermand the above guidelines: Dace 55 Rolling Hills Lot t ST C LINTY SANITARY SYSTEM OWNERSHIP/ADDRESS FORM' Community Development Department will t olize this information to provide the property owner with Information regarding operation and mAnterence of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational Information will be sent In you by email. If you would like to view your issued sanitary permit online, you can do so by using the Prouerty Files Scarmetl weblink- OWNER/BUYER INFORMATION Owner/Burr G+T pJllAtyy 2fLC, Mailing Address 31(a KAnLeoF5 PLAU City/Swt,7ip RTVeL FA{Is,�'uz1'53qyo3�!.a� --- Phone Numberpagrarec4 1l �5'ar/'��Q' 17✓1 Email Address treouireW_siL6YQ CAACASyIeT Parcel Identification Number Oil-"015!1-000 (bwtl on the PmPeM tax wo NEW SYSTEM: LEGAL DESCRIPTION Property Location_ ., %, Sac 2d9 TWIN a1_I W, Town of I4An AOdd Subdivision Plat Il—019 �ROIII#9 141113 PAtn Lot#Ss. Cartlflad Sumy Map # Volume Page # Warranty Deed # (before 2006)Volume Page # Number of bedrooms '� Spec housex yes 0 no Lot lines identifiable)III,yes 17 no -- oFDaµu onxLr� New Property Address wwaoern w rw. roes wrearea morn ee^rm,^xr or.Mwrwra oePwnnom b �rw mMnnignl /z7 za z3 lw Ill This font must be submitted with all Private Onside Water Treatment System (POWTS) applications. Hw System: Include with this form a recorded ivermnhedeed ham the RelauterofOeeds OKre am u capyof the cwrifvo survey map if ref. enre is mode in the wamonry deed. Community Development Department- Land! Use Division 715-386 OiSO St. Croix County Government Center 715-245450 Fax rdri�wtir 1101 Carmichael Road Hudson, WI 54016 wi icco:wne, State Bar of Wcmtnin Faln 1-2003 WARRANTV DEED DmYH� I PmmNae BY THIS DPI.D, VaruD6eb LLC, F MYBmots Ba1N:l RMAMy mcnimmy, (love®M Y;�Im,"whethconenm«e), caavry and wmnatte C 6 J Guilders, Ix, a Wbe9aaia ewpontlaa,(Meimfin' nnlet wbebef meor more), Ne following abed foal Most m 6L Coeur County. Stec 0f Wiacmrm: Lvt F6. PW NPo smON,F.minOrC Tenn of l4mru.y SL"I C,a.ry. Wbaaa+4,. 11S0704 BUK PAEST REGISTER OF DEEDS ST. CROM CO., Will RECEIVED FOR RECORD 07/29/202203:34 PM EXEMPT*: REC FEE 30.00 TRANS FEE 120.00 PAGES ^The above mairdln9 information vetoes that this aacunlant Inc Isom eleiamnicallT remNed w mturned w Me sabmittcr vemNiy Aip Ross riw to wura,uiez rQemme, feseicl:ms9:le oweoandAyio ncir On wey sM Name atl Pelon Admen nw dmun;ofwey; ®d xteitMA and Armsnrdiluouamd Year of is cnlmcd &poix Camh Abnan Ltilk Co.lnc. uodc Wvo:aM fonMexaep rtal esNtetuesrwmgin me Year of his <anveyenlx. ew Nc,N.Xnowb Arc,Sui1CIB NRieM1mmd. wl Sb17 D Jux-f ", 9 %D VanoOegolo LLC, a Mlnaeaola limited Lability company F^ Fsiw ) e b: teal SfYtiM, radEtal ADIHIJhFFICATIM MAIOIFSSOM Favl Idrtlifxmol Naav (FOq Thin IS NOT bolnmaJ 19NenY. MVC=INE UNPUNIc AMES St ult ACIOIOWLEDOM lcF __- SfAtEOF M1N91ESOt-q ) mtlnlitrela � camry R�J*1seY jss. aTIILE: Pmam:ellr mme before mom 7 /2�2t RtFlIBERSTwTE tlAR OF W6CARNRI the above nm�M Peal Sehniee,MPrtaMeot Of _ �� 4nfaAfmomofa iWMNIr mrego Wotck thimlmawho cAnutW the foregoing ,toW instrument mtlt uYowkedthe name. THI6 DISFRI1ME9f1'DRAFTfD BY: JAANS S MArn A Crag Cwmty Abtemt A Title Ca, Ine. by Audvm A Ca9emmsthedoeetimofthe Ca-V-U1634%> N Ic.S. MAI Ay�emmmmc v�n�>cavh 311u1 awn. no" SUMM ME) WILTRBas.a SfxNDam NPM ANr M96m7FESAR 'I9m6NsN 91WIn 9[Cay.Vn.v IOFIMNI) WAPpaNfYD® O7•f 51'alE 9aP OF W6frN61N 4IWMNt1. 1-2003 •iM�Wwall�m SI. Croix Countv 1156704 rage 1 of 1 F- a ° i -- o ®- ��..�,Wa --- - --�� - m- _m _ �- � m m'�,,�,�.� �ayawe.,.a 9g m� :� �� uo � � - ��=:� _ a F A2 i tierery anno.wrgs pr..sm St Cray _ i , W Waalr lu Are P O M. 116: .. IN 11, N N1'.L.. n... ,. l� �b ` I • Ma}sar4Yl '.LO1.118} S.Inil.•,•� Pmnil AI�`iCllliull _ � • _Ibo 19)SC r v/j I rPplr 1 I x+ vL I r r ul lnm uu. � .. u.. •�.. , 75Aucc g a.8-2019�79-000 o RollinnrHills FarmOwners Asso,Glahon lnc 01 �y 1171�Q 34 75 Labom Rd STE 150 Vadne s Heights Alin II. Iyp Ili wn YM.n lbe IhJ, 14 L/w. K ,elOj �F`�Y' I Rolling Hills Farm N lyw� rnrrE I lervmlrn•` IMI•Irn•brLnlawJ.kl �p�� K r rw.,l nL.n.nrlM,r.. 1'lU �Jr 160� 33� nr. r L.,.o-ir,l.., L..l .n roar , � - —,:,. dTe ... 2400 J 1 79 D,V 114078 /�I� 4029.71 ✓ 106089 I. L,rurrl.. a Sim 15 a t rvese.. ,. .. ... ... .rr. �. `IL N. pw Il'. r.�.� �b •n. .a .a. r... .. .,r. 1. Keith Knuaison ��- "- rA844J fi51<T. I'B' 927 1501h SI. Robens V0 54023 _ `1III I INV., ".".tr. I I r- k it it /u v.... ,...Ili . e.. a .., ..,, .., 3� LmIK'• w0 � / lA�� r.c Y4•S 4Ati rn Hlnp)ox I II lb - - - PRIVATE SEWAGE SYSTEM $I CIOIK INSPECTION REPORT 817796 GENF RAIL INFORMATION IA I I ACH IO Pr I1MI l' Rollmo Hills Farm Owners Assocrebolp •- TOWN — _ OF HAMMONU 018-2019-79000 Olpp, (tjp w 0MJ N Jo 29 29 17 1279 TANK INFORMATION ELEVATION DATA ov4r 107Z 1A4 1060. ur Z -�D 8.0 10501. S;vF� cod X Z I TANK SETBACK INFORMATION <K 5 �—�Hu. S — , .�I F L N A t .,,. HAI 1053. .,.,..�Bot _,.x x 7.1 f�•Y PUMPISIPHON INFORMATION 2 1ve S , nn 30. 1 "' ±y7 F1P05 ) Z lo.+{6"r 1-311060,33 f'z.ly `1'. r,, :150� ' M 2,100, Liti_ for /ef 5 .3 1053 SOIL AdbUNYI IUN SY5TLM a.n,xexcx :f4 rroxM. -• 5B :.0 29 W• �100• �[µnx x� ..-. DISTRIBUTION SYSTEM OVER- I I . w,,5M. omN .. Mlold O. Al OnM Sntw$ G.Y M __. COMMENTS :. . F'OLJ •. v+� - -7�-2z1?C L'O�1i io1/!fs c w IH C.lSW,2ti�� {-i' 1Y1Sk G451'"-c^T _ f�rro..Ily�O{5 �1/L„t1 K'� %1oI.4S Ci �k —No Xxo 7_12o 75TH AVENUE EDGE &NMNOUS SCkLE: 11NM�30iFET ED q�20• VFRTGL CONTROL OANM: PROMISES PROPERTY ADDRESS' ' 1621-75THAVENUE W. HAMMONO, WISf015 PRwossD NORTH I nvlwwr 1 DB-1 -- - ® - - MINIMUM WIMNG 5ETMOfS: IiBI ry 77D T20 µ ® L [RONT 3SFEET i ^ GARAGE �' SIDE 10 FEET REAR 10 FEETSIO TD m DIMENSIONS ARE SHOWN FROM _ RG - TOT UNF TO RIOR HOOF n DOOR WALL nA lA6 N HOUSE 40 �--- --® LEGEND • FOUNDIROHPIPEPERPLAT ® OR AS NOTED 0 WOODHUBSEFATMOCFFSETOR ON BUILDING LINE DMTENSION {- O` T.O.X. TOP OF HUB ELEVATION tov 6c TO.P. TOR M IRON NPE ELEVATION V yl -- — — - UTUFY B DRAINAGE EASEMENT - —"—DRAINAGE EASEMENT LOT s$ � 1t7uE6F1. �/'J- .xo(9—SS-ciO� i i i i i eR04B• �659,'ll 'PAN, CASI Smnilan 9ita Plan For, ,lotion Hilt torts - "Hkolnl l'npe IMnm ,4r ItalFat HIII• Feats l,udol I lets Xq Yvt a no, fN IA H AVENUE %m.zvrIIIVRI w ... town of Hammond •4 f mix I ou,ny $ PW IRI LOT P,S150 R r'Mtl,VC �� ®611ma 1 '4wem enema f- flop 1= ' 2587.2W 131 _I 7bth An. M i FW IM 21 B6+Mf1IIMY d'.IB It i,mfl M YOiJ. ea PVau lIDn Wae � wcr'ow.yae Hon � r��Yn^'LJ fW,mll�I, Id NI y1• $C,. pq(` 9a,a 9ww Pp eleYYl T'laAl laelltlYa Rehm ar ID a e ]elaMl YmW I\MpfiwV qr 9P3',16f yryl III[I wCRw4eA paw4,V8Y9 bl.Wa1NL ,AID II,v.18Y Y w Oaw, bme.yp Pnco.0 en. ler eerw oao..w r.. bun area Saw alOeoFamw maaew l3,v. IMFOAW aein$I FIR. IDIOM" Ka / OUTLOT 2 u n ACRES I'W.0 co. Mat m7 � LOT M sa 1 a ,; 1.L�i�i I fig, Y seVm! imrb aBN 1 VID Pma�a,w�,aa.. �� NSnYJr 81F.,0aria alto uufStll bPVC FbY St. Croix County AEROBIC TREATMENT UNIT (ATi) SERVICING AGREEMENT Name —(Owmim,nedr) Type6 or prinrcd Hbebe b We 2001 owner ofNe following parcel offend located In St. Croix County, Wisconsin. with their Metal wtlocummt ofowneralup Intense recorded u Document Number 1156704 Sc Cmbt Register of Deal Offoe. This Property is described As follows Unelude lot no. and mb6ividonaTSM or detailed keel deacription): Lot 55, Plat of Rolling Hills Farm In the Town of Hammon. St. Croix County, Wisconsin OR; n smmecheddemmapy®rhgeidemiptwo ig:51B9235 1168334 BETH EST oIXDEED9 CO., wE ECEyVND FOR RECORD oll2023 09:09 AM EXEMPT a: Ago FEE 30.00 PAGES: I Agrtement Date: proof MmoOvmbn Numm, man AM an Inducement to Me montl to lane eemlluy permit for a POVITS equipped w10 use Aemde Temmeet Unit ee ih,,bow-dwxuMm propmp', we ROM, to do the Bellowing: L Owner egms m coed to all epplimble rtwui M`m` of SIPS 333. who Adm. Code relmine w Almol T.vrmmt Thom fATI : end me •..�,.. I.. c........ ..., m..........M', nog. vn.ru oy Pmuoe one mngm on merom mu as aopeew wh=Ment for marten[scram mndarM. The ebvgu will M msaud as smoothed by or 66.0I03. Rom. 1. no owner mama to mMnmin a comment with u limnmd PO VI S Mai moaner for 0m If& of the ryalem. no POWTS consumer will pmfmm PARMIc Inapmtionv and mJntmmne, as noubM by the m ufinurvr end Me Micu ment, including, but nor limited M me bloom. elmidwl ennWl; u Rod twommu nit penman and uludge MOM. name m two,w pectiona art re W AMOuled wcy 6 months for Me firs ym efnpemllon dya"A WmwRer. 3. The conruirmv m comen me POw`m mmnumc Immediately upon arty connection of treatment soft SO a Maintain ibe unite, ma m net wav,a human MOM beard ma devibed in a 254.59. gap. 4. The owner mmgnizm matthe ca,Mc.Dust, or POETS maimml net may teaks peMdi, lnryenins of the eomPonenb to mmp lap peemmonm mmlmmOoftMunit. S. The owner m m^ m Man[ egress a der sep,X o Me mlMent or designaW mt egat the compleion of ... hh impol o inv m"Imm even I a mvnner modified by the depanm or dcognmule within 106Miaw, deya RomThe uses Of M,pommn. malnbnmm or servicing. 6. IDD agreement will rnneln In aRv4 only men the munty office Otto ... for go the mOdwine of POWB mnlf.. Met the MOMOIrtYmem unit no longer serve the Romero. In addition, this ,grmmort may W mnmlled by maturing and occurring mW mXlOmfm with rvfmenm to this mgmnnmt in such Mmnm when will pordt[be existence of me mNf,mlon to be Occurred by onecomw to Me occurs. T. This agrcmnenr shall be binding upm Me own", the berm of Me, :wens and mignee of me owner The owner Shell submit Man 0.gmment to the Register Of Deds, nth Me agremwnt shell be mounted In a mmner M4 will parch me "Inwrot of the agteammu to be dermoned by mfernm to red prep"p, "am the Amount, Tmcreant Unit or Iasholl i. ownerne Heme(5)-Name, Print SMeenbed and swum m M2rt mean Mla the: ,(1- S ` JEFFCoy NU5W Svw.` od?) 2-0a3 oTARY N NobWMOwneR $IgmmMai NOWy Public = Gommmetel Unit O cud Name Title -Plwe Print My Cumm0tlen 0plrm W15O CledualnHyDroolliseventDopeartmere 10F Govan Wfine DmeW Slprme DraRM by; KEV,AJ at, Coo County 1 te9334 Page t of t O� a 1� _W z 0 F�F Wp�O �O a C/5� 4 d a a