HomeMy WebLinkAbout030-2006-50-000 (3)77, 373�
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POWTS Service Record
Dustin Siebert 651-983-3575
669 Pine Valley Trail MPRS 223760
Hudson, WI 54016 Legal: NW1/4, NE1/4, S34, T30N, R190W
dustin@drsiebert.com Parcel ID # 030-2006-50-000
Septic/ATU Tank Dose Tank Mound
Interval
(Months) 18 6 12 18 12 6 18
Inspect/
Inspection Check Pump & Clean Flush & Check Head
or service Inspect Tank Service White Knight (WK40) Inspect Tank Switches Filter Pressure
1000 Gallons -o
y 600 GaIIOnS Pump Switches $Im/Tech Head (inches)
Liquid Depth 2 m = s
Q m y Liquid Depth Gould EP at Lateral Ponding
42� = 1✓ E LL is 42" 411 Checked (InCheS 0
�a E m _d O a) STF-100 Cleanouts ) O
Scum Solids Pump an d p a) U Q U c Tank 12 Filter
Date (inches) (inches) tank — SW SE N S m
Contents Amps Pump Alarm Cleaned m
9/11/1997 System Installed
11/8/2012
11 /24/2012
White Knight
Installed
YES
12
12
YES
7/5/2013
12/13/2013
0
0
6
6
NO
NO
OK
OK
YES
YES
YES
YES
YES
NO
2" Sludge/Clear
6" Sludge
12.9
OK
OK
OK
??
??
OK
YES
YES
YES
YES
48
45
48
0
0
NO
45
0
0
0
0
0
0
NO
NO
NO
5/20/2014
0
4
NO
OK
YES
YES
YES
6" Sludge
12.2
OK
12/17/2014
0
6
NO
OK
YES
YES
NO
9" Sludge
OK
d 3 - zoo (Q - 5-6 ^ d0c)
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Dustin Siebert gv��
669 Pine Valley Trait ''
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Hudson, WI 54016 5N 01,'
34,
POWTS Service Record
36, r 7 - -37311
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MPRS 223760
L ' al: NW1/4, NE1/4, S34, T30N, R190W
Parcel ID # 030-2006-50-000
SepticlATU Tank
Dose Tank
Mound
Interval
Months
18
6
12
18
12
6
18
Inspection
or service
Inspect Tank
Service White Knight WK40
Inspect Tank
Check Pump &
Switches
Inspect/
Clean
Filter
Flush & Check Head
Pressure
1000 Gallons
Liquid Depth
42"
�' E
� y
m a
d
a`, y
y� e
to
o y V
;; d
c
LL M
Q V
a„ '9
M �
v
Q
600 Gallons
Liquid Depth
q p
42"
Pump
Gould EP
411
Switches
Checked
Sim/Tech
STF-100
Head (inches)
at Lateral
Cleanouts
Pondin 9
(inches)
.r
p
tY9
m
Date
Scum
inches
Solids
inches
Pump
tank
Tank
Contents
12
Amps
Pump
Alarm
Filter
cleaned
SW
SE
N
S
9/11/1997
System Installed
11/8/2012
White Kni ht Installed
12
12
YES
11 /24/2012
YES
7/5/2013
0
6
NO
OK
YES
YES
YES
2" Sludge/Clear
OK
OK
YES
48
48
0
0
NO
12/13/2013
0
6
NO
OK
YES
YES
NO
6" Sludge
12.9
OK
??
YES
0
0
NO
Dustin Siebert
669 Pine Valley Trail
Hudson, WI 54016
POWTS Service Record
SEP 2 7 20113
0 vkotX C0UNr
MPRS 223760
Legal: NW1/4, NE1/4, 534, T30N, R190W 5r..rvfCrAf
Parcel ID # 030-2006-50-000/- =,17 3A " ___
Septic/ATU Tank
Dose Tank
Mound
Interval
Months
18
6
12
18
12
6
18
Flush & Check Head
Pressure
Head (inches)
Pondin
at Lateral 9
Cleanouts (inches) 0
Inspection
or service
Ins ect Tank
Service White Knight JWK40
Inspect Tank
Check Pump &
Switches
Inspect/
Clean
Filter
Sim/Tech
STF-100
1000 Gallons r, 600 Gallons
Liquid Depth �' d d y N Liquid Depth
y H E_ � c q p
Scum Solids Pump m a E d C d 42'�
0 U c(U c Tank
inches inches tank W- Contents
System Installed
Pump
Gould EP
411
Switches
Checked
Date
9/11 /1997
12
Amps
Pump
Alarm
Filter
Cleaned
SW
SE
N
S
m
11/8/2012
11 /24/2012
White Kni ht Installed
YES
12
12
YES
7/5/2013
0
6
NO
OK
YES
YES
YES
2" Sludge/Clear
OK
OK
YES
48
48
0
0
NO
�+ J� mil. . 1 q . 3 73 f}
St. Croix County
AEROBIC TREATMENT UNIT (ATU)
SERVICING AGREEMENT
jtitate Plan Transaction Number— S97-20992
Terence Johnston and Daneen A. Barneb-Johnston
Being duly sworn; states, under oath, that:
He/she is the owner/part owner of the following parcel of land located in
St Croix County, Wisconsin, recorded in Volume 1130 Page 338
Document Number 568455 in the St. Croix County Register of Deeds
Office:
A parcel of land located in the NW '/4 of the NE '/ of Section 34,
Township 30 North, Range 19 W, Town of St. Joseph, St. Croix
County, Wisconsin, being duly described as follows: Lot 4 of
Certified Survey Map filed in Vol. "9", Page 2466, Doc. No. 480932
in the office of the Register of Deeds for St. Croix County,
Wisconsin, Except the Northerly part shown thereon as "Private Road
Easement" and which excepted part is more fully described as
follows: ( See Exhibit A)
Agreement Date: 10/27/2012
II'�PI IPJlllillf nlNPlll
1 0 3 0 4 7
966856
BETH PABST
P.EGISTER OF DEEDS
ST. CROrK CO., V61I
RECEIVED FOR RECORD
1 L/06/2012 12:29 pm
EXEMPT #:
REC FEE, 30,00
COPY FEE: 3a00
PAGES: 2
rw ",urn ACaress
John Schmitt
616 151P Ave
Somerset, WI 54025
As an inducement to the county to issue a sanitary permit for a POWTS equipped with an Aerobic Treatment Unit on the above -described property,
we agree to do the following:
1. Owner agrees to conform to all applicable requirements of SPS 383, Wis. Adm. Code relating to Aerobic Treatment Units (ATU) and the
maintenance requirements for the proposed POWTS (Private Onsite Wastewater Treatment System) technology. If the owner falls to have
the POWTS and ATU properly serviced in response to orders issued by the governmental unit or the Department of Safety & Professional
Services (DSPS) to prevent or abate a human health hazard as described in s. 254.59. State., the governmental unit (St. Croix County) may
enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax
bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Slats.
2. The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintalner will perform
periodic inspections and maintenance as required by the manufacturer and the DSPS, Including, but not limited to: the blower, electrical
controls, and treatment unit operation and sludge depth. These inspections are to be scheduled every 6 months for the first two years of
operation and yearly thereafter.
3. The owner agrees to contact the POWTS maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to
not create a human health hazard as described in s. 254.59, Stats.
I. The owner recognizes that the county, DSPS, or POWTS maintainer may make periodic Inspections of the components to complete
performance monitoring of the unit.
The owner or the owner's agent agrees to report to the department or designated agent at the completion of each Inspection, maintenance or
servicing event In a manner specified by the department or designated agent within 10 business days from the date of inspection,
maintenance or servicing.
This agreement will remain in effect only until the county office responsible for the regulation of POWTS certifies that the aerobic treatment
unit no longer serves the property. In addition, this agreement may be cancelled by executing and recording said certification with reference
to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property.
This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement
to the Register of Deeds, and the agreement shall be recorded in a manner that will permit the existence of the agreement to be determined
by reference to the property where the Aerobic Treatment Unit is installed.
Owner(s) Name(s) - Please Print
Subscribed and sworn to bLme date:
Notanzed Owners ignalure(s) -
Nota Public
yen
GOovEm al Official Xame, Ttle - Please Print
mission Expires
r J
Govern tal Unit Official nature
Drafted by.
J �;i-►-. v 5c r7'
Pegcnal i ation you Provide ma b d f
y e use or secondary purposes (Privacy Law s. 15.04(1)(m)]
"THIS PAGE IS PART OF THIS LEGAL DOCUMENT— DO NOT REMOVE"
This information must be completed by submitter document title name & return address. and PIN (Nrequired). Other information such as the
granting clauses, legal description, etc. may be placed on this first page of the document or may be placed on additional pages of the
document. Note: Use of this cover page adds one page to your document and $2. 00 to the recording fee Wisconsin Statutes, 59.517.
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EXHIBIT "A"
Part of the NW1/4 of N11/4 of Section 34, TOwnship 30 Borth, Pange. 19 west,
St. Croix County, Wisconsin described as follows: Lot 4 of CertitUd SUrVey
KaP tiled 141 Vol. "0", Page 2466, .Oft. No. 400932 In the ofata of the
I1i4# lter of SSsils far SI'. �rgl5c ��uss�y, ii� rrts� ii, firm t�ta AY part shorn
thereon as *Private Road Gseem*nt" and ehich excepted part is scare fully
described as follows:
A parcel of land located in P49t a£ the 101/4 Of the NE1/4
of section 34. '".Solt, R199, Town Of St. 3osept4, St. Croix
County. tiiscoasta% turthat described as follows.
Coarsncisl4 at the 111/4 corner at said Section 34: th*ace
v$G*29'4A"N. along the north line of the REL14 of Said
section, 1312_70 test. titeAc# S01*17'37"91 tlonq the east
line of tbo pU114 of the MZL/4 at Said Section, $80.97 feet.
thence 389+59'24"W- along the south lane of Lot 1 of
EELS# 81i iliiFlGSE E$ j%eegrde4i in Volume 4, r690 1063 at the
St. Croix cautety Register at 'Deeds affxce, 44,34 Scat «o the
Point of b*.qU.: tA4 at this descri.pt:iat4: t:h=04 301*04'31"t,
slop9 th* v&Storty rigjht-4f-v*.v 'Of Cmmtl Tzultk SiOway "_"•
66.100 feet to a point on a 732.27 toot radius curve, concave
northerly, chase central angle 0*815ares 17406041" MUOSV
chord bear$ K82* 31' 07 - 5"W and measures 223 . Sg t*et : thtftce
veeterlr, along the are of said curve and the southerly
right-vf-vsY at a 66.00 toot wida private road easement as
shoats on Cartifiad Survey Map recorded in volume 4, POW*
1063 at Said office. 224-69 feet to the 0042t of "ag*ncy:
thence 1i73*57'44"R, along the sauthtcly right-o-47'$?W, "ray of ssid
private road. eaSOMORt, 195.03 feet: thence *01*:
atoltg the east li to of Lot 3 of certl.f ed Suzr*cy map
4 foe_
Pa*eudod Ill vs -I are 5, pep 1673 at said office, OA! felt;
theut* 573*57'e4"E, along th* South Fins of that l at
Certitiod Survey "up recorded in Volume 4. Page 1063 at said
otiice: 215.63 feet to the point. o"a f tutu" of a 666-27
foot radius curve, concave northerly, woos* asftt--*l angle
neaoaarasr 17-04'17", whoaa ahatrd boars 992*91`07_S*V aAL&
c`said
=vo *ad said South tizence at Lot L.l2204.$7 toot*torthetpoint
of beginaing. Sbov* described parcel is Subject to all
O*giwea#a at of record.