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HomeMy WebLinkAbout030-2006-50-000 (3)77, 373� 0,0-2MO'-y000� 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) G���f, Dustin Siebert gv�� 669 Pine Valley Trait '' ox�P o Hudson, WI 54016 5N 01,' 34, POWTS Service Record 36, r 7 - -37311 �,A 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 $2. 00 to the recording fee Wisconsin Statutes, 59.517. l G _A C� C. ....> • N C.3w �sg i a' Z (� c � T. T, EXHIBIT "A" Part of the NW1/4 of N11/4 of Section 34, TOwnship 30 Borth, Pange. 19 west, St. Croix County, Wisconsin described as follows: Lot 4 of CertitUd SUrVey KaP tiled 141 Vol. "0", Page 2466, .Oft. No. 400932 In the ofata of the I1i4# lter of SSsils far SI'. �rgl5c ��uss�y, ii� rrts� ii, firm t�ta AY part shorn thereon as *Private Road Gseem*nt" and ehich excepted part is scare fully described as follows: A parcel of land located in P49t a£ the 101/4 Of the NE1/4 of section 34. '".Solt, R199, Town Of St. 3osept4, St. Croix County. tiiscoasta% turthat described as follows. Coarsncisl4 at the 111/4 corner at said Section 34: th*ace v$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.