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HomeMy WebLinkAbout651385 004-1034-60-050Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township ANDREA WRIGHT (Mike Hahn) TOWN OF CADY CST BM Elev: Insp. BM Elev: BM Description: CSZ TANK INFORMATION TYPE MANUFACT R CAPACITY Septic Lj [ r CJL--� l� 000 Aso Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic > 2-5 ` >''!5 / S� Dosing Aeration Holding PUMP/SIPHON INFORMATION LIt 'LeD Manufacturer Demand GPM Model Number - C� TDH Lift Friction Loss System Head TDH Ft 3.3D 12.D Forcemain Length i Dia. Dist. to Well 30 2 too, Z ELEVATION DATA County: St. Croix Sanitary Permit No: 651385 State Plan ID No: Purls— 122 0 d- -C, Parcel Tax No: 004-1034-60-050 Section/Town/Range/Map No: 15.28.15.232C-50 STATION BS HI FS ELEV. Benchmark )2•3D Ilz.3o i en,0 Alt. BM Bldg. Sewer SUHt Inlet f# °l•30 I lo3.o SUHt Outlet Dt Inlet Dt Bottom � ,01 , yo' Header/Man. to -� Jos. 3S Dist. Pipe (O5(3 Bot. System joqj Final Grade r (._ IQ2 12 fi_4S 1c 3> St Cover �1 �`�T.6ao oy, SOIL ABSORPTION SYSTEM BE Width Length DIMENSIONS / / �5l, No. Of Tr4&prhea & \ 1 0.�5 PIT DIMENSIONS No. Of Pits Insi Dia. Liquid Depth SETBACK SYSTEM TO P/L B D WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System: ma r , 46 % 100 CHAMBER OR UNIT Model Num DISTRIBUTION SYSTEM I—� nerd c�ueieaQ Znapac"ie.� . Header/Manifold �� Distribution , piPe(s) I t -1Z /�- 3' � x Hole Size 3/ •I x Hole Spacin Vent to Air Intake Length 3 Dia 1 Length Dia Spacing %� , D SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 112-3 % 7paq Inspection #2: �123 % z o2� Location: 3004 CTY RD N 1.) Alt BM Description = 5 7 �^14 J „ A `(�Q �( be 6LL4.c2dG 2.) Bldg sewer length = \ ` -edQ • 3.51) S DT�nn Ore C.�aLI�QdL s to amount of cover = J t �O • Plan revision Required? ❑ Yes X No L�ZS Z Use Qther side for additional information. �) EY+ SrW, �v« fw mti*' _Q eella 6act AUE&Q* . ^l..•�� 6", Insepctor's Signature Cert. No. SBD-67 (R.3/97) 1"""� �TARTlrii "F: Department of Safety County & Professional Services, 6fa"X ji'iIr 0 j 16 -L! 4 aIndus" Services Division Sanitary Permit Number (to be filled in by Co.) tt Application State Transaction Number Application In accordance with SPS 383.21(2), Wis. Ad- Code, submission of this form 10 the appropriate Lori P—2,2- �� 0 2 7 39 -L govenunental I t-TS is required prior to obtaining a sanitary permit, Note: Application forms for state-owned POYM are submitted to Pruim Address (if different than mailing address) the Department of Safety and Professional Services. Personal i0fOrniation you provide my be used for seetiodaty Purposes in accordance with the Privacy Law, s. 15.04(l)(m), Slats, "P Pease Print Aniiiiiiarmatlusi PPA%r_ry_V%%Q # 410-At ( K zz- rry r's Name 1AVh WR M? K_ s Mailing Address 6 41- Id 11.'o 10 J"o Property Location Govt Lot -city, —suft Zip Code Phone Number 6_) LcJ Section 5,1o; 7 715 379- 8373 IL Type Of Building (check all that apply) Lot # T WS N P, _/5' Od I or 2 Family Dwelling -Number ofBedrooms 3 Subdivision Name * Public/Commercial - Describe Use Block # * State Owned - Describe Use 0 City of CSM Number 13 Village of 2p; Ef Town of 67%S) Dy-: I to(3 jq1 III. Type of POWTS Permit-. (ClItock either "New" or "Repla ant" and other applicable on Mae A. Check one box an fte B. Complete Wee C a 1. bit.) A- El New System CeRep Replacement �Syw_ 0 01hier Modification to Existing System (explain) 0 Additional Prefteaftent Unit (explain) S. Holding Tank C1 In Ground ( Mound ❑ Individual Site Design [I other (conventional) Type (explain) 24 C- El Rencivad Before [I Revision El change of Plumber— El Transfer to New Owner Previous Permit Number and Date Issued I Expirations I IV. Dispenal/Treatruent Area find Tank Informa-6 n'_- ��y 27 9 Ala -Aa 01�_ ffe-m8n 'A--(gpd) Design Soil Application R&ta(g*sf Perm] A. Required (sf) Dispersal Area Proposed7o ;cm. Elevation sf) System 0-11 e V 4 7' a'j I&Y. 0 /( .64rrd cap ty in T # of Manufacturer Tank Information Gallons Gallm units Existing Tanks _T_ —TAVks 0 Dosing Chamber 0 o V. Responsibility statement - lied, *"$=- attached plam 1, the 1111d:er,, -me rreW"andbility tie the PONM shown on the. Plumber Name (Print) Plumber's store �IPMK6_-_Number Business Phony Ntttnber K Plumber's Address (Street, City, State Code) Zip CoFjej CottutyMcplutmelnt Use 0* F Approved i roved Permit Fee Date Issued Issuing Agent Signature S 21t Conditions OQ rev eawns for Disapproval SYSTEM OWNER: A &J,i-64C 1. Septic tank, effluent filter and dispersal cell PUVK4--t- must be serviced / maintained as per F•i-S; e6A &W,&Ac-e uo,*k management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code 1 ordinances, Attach tocomplete piles for the system and submit to the C""BrY only 00 piper 001 less III= 8 an X It inChn In size SBD-6398 (R_ 03/22) r p WLP1:�A�. /%t rcH i"vss - n �d0. 0 AJAI[ 3aa y �,, Ro. N IAI posr PRJru,LC N NW, p, of �9Dy ,ST, e4419 �o. 6Ar� Al 'Acu ftN. ya fo,ttC �tRt�r Ps I bast of fret 'Y "Pac 1.5 y > y2 q d dtaw LAAO£ //i. a�aF9 r r G x 7S Racx «'tc V.2 r vdt,,JO ioaw rs SYS.6'c.-/0yd7," /oi!o,,co.urouA L Ar. , -'1, - 145. /7 ' f :r" D ?o' ypr Atc SPS 3j3. y3 ser,4A4xs ,•rrr €x/snv� A°urs ro /.3E AQa�rao..rro� PUr+PE O Oar f AUCO /nJ r vof G f V \J 1,4 D i 0 .so I .......... I . Wiscomin Department of Safety and Professionat Services Division of industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 December 1 1.2023 CUST ID NO.: 224199 KENT HOKE PO BOX 10 COLFAX, WI54730 COINDITIOrNAL APPROVAL PLAN APPROVAL EXPIRES: 12/11/2025 MUNICIPALITY: TOWN OF CADY ST. CROIX COUNTY SITE: MITCH BUSS 3004 C'TY RD N W'IL.SON. WI 54027 NW 1/4NW 114SLC15T28NR15W FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 28 Inches Maintenance Required: Effluent Filter 4.kR T.tjFt � Phone 60N-266-21 12 %w 44 ch: ( i , Frnaik Tony Evers, Governor \ , � Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS- I 22302738-C Application No.: DIS-1 12350081 Site ID No.: SIT-124385 Please refer to all identification numbers in each correspondence with the Department. Gandr.f,w'ady. APPROVED DEPT. OF SAFE tV AND PROFE SSIONAL SERVICES ❑IVISFON OF INQUSTRV SERVICES SEE CORRESPONDENCE Mound Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signatuTC shall be on the plans which are used at the job site for construction, The follovr ing conditions shall be met during construction or installation and prior to occupancy or use: ■ Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. ■ Any tall grassc--, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Prior to construction of the dis ersal area check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. 1'roper soil moisture content can he determined by rolling a soil sample between thc_hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles sitr preparation can proceed. If the site is toe, wet to prcp,are, do nutprocccd until it dries. • Abandon Existing System per SPS 383.33 • Punt ) Floats to be szt and verified per a a raved Dian, Anv chin es may result in punly resizin L to meet TDH :tr tipKciiications. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (1 1)(c) • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. Areas that are occupied kith rock fragments, tree roots, stumps and I)OUlder, reduce the amount ti+l soil availahle for prober treatment. if no other site is available, trees in the basal area o1 the PO \' US 'Dispersal Area MUNI he cut offal ground level A larger till area is neccssary �� hNI cr1 MIoft tic abo\'r conditions are encountered, to prcaE ide ,uflicicnt intittritive areMi OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis, Admin. Code § SPS 383.540). ). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component tnanual(s) referenced above. The owner, as defined in chapter 101.01( 10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of c o nstruct i o n/ i n st al lati or /operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary ti,r code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. 1-he Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may k, made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Heidi Eide Division of Industry Services Phone: Email: heidi.eide[gwisconsin.gov Fee Required: 5250.00 Fee Received: S250.00 Balance Due: S0.{)0 Refund Ex ectcd: S0.00 c1•nentrv:.P.ary 'AppROVED PERT. ()F 5AIET ANQ PR0(E55FONAL SERVICES UMSroN op IN ❑USWY SERVICES SEE C 0RRC5PONpC.(:C page 1 of 9 Private Onsite Wastewater Treatment System Index and Title Page Project Name: /'*'I/ rc /4 s x - 1 Owner's Name: rr p .--- Owner's Address: Legal Description: Municipality: County: Lot Number Subdivision Name: Parcel I-D. Number: Page I Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 L 319- ?373. s a8 Al. Town, V-ii�e, Cky of _. CA,aY -----_ Bloch Number: ---� CSM Number. 3 C�[9__ Y 4o . o So Index and Title Page Plot Plan Cross -Section & Plan View Pipe Lateral Layout Septic Tank f Pump Chamber Cross -Section & Specifications Pump PerfOnm-ance Information POWTS Owner's Manual & Management Plan POWTS Owner's Manual & Management Flan Filter Information Name of Designer. � � License #- Signature: —_ Date: ..70 I3 esi ed uant to the followingS Com nent Manual an LISPS 381-385: "Mound C anent Manual for POWTS" Version 2.1 (May 2022 2027) "Pressure Distribution Component Manual for POWTS" Version 2.1 (May 2022-2027) Attachmcnt. Soil Eva➢uarion Report r pWL PL' AN,�, /%! r"H I"wss - n �00. 0 AJAI[ 3aa y �,, Ro. N /AI posr PRJru,LC N NW, p, of �ADy ,ST, C�co1x �o. 6Ar� Awr IM Go,KAb rA{K .� Put fiN. Spa .Y,ow (as J AAA (fl- w,dsse of frr c Y"Puc 3oS i! > Y7 �� it Flaw LAAO£ I .Surveo `1" Z.O.- A, f A(ks /l8.0 i /.�.M.�• �?/.Or/ior. Of JrOr✓6 3- dA. Wse 6.tAu,rg. GlSrrao AAtrJg6/,iY I1 -- I P� 1111/41 -- 300 y tr it Ca. Aa. N r r G x 7S Racx CA'tc aG. 9 `+� V.2 r ,fo u,JO Po w rs SYs.6'c.-/OyC7 o.J /os!o,co.uroerc /OS, /7 1 f �? = o r rsr--S a�a� Atc SPS 3js3. 13 ser�Acxs ,•rrr €x/s nv4 Aours % �E' AQarao..rro� At/m,"ce Our f f/lUoW /wJ D = 47 ft E = /. S7 ft F = ft G ` -ft A ' / t� ft A r 6 ft B = 75 ft --46L3 ft J = Y, G ft x = 9. I ft L : 93,; ft w = ft 4" sciti. .0 PVC observation pipe ca 'y�6-0 pub ip Qp 1.5 ft � cra 3 a o 0.5 €t d n. GEOTEXTILE FABRIC COVERING ASTM C•33 SAND FILL. TOP SOIL _ .�<��`�rrrrn• CROSS.SECT1ory nr: rfiOUNo Page 3 of 9 UPTURNED LATERAL & ACCESS rlox f TOR SOIL OBSERVATION PIPE & WATERTIGHT CAP DISTRIBUTION LATERAL { /Ya In. sch. 40 PVC 02%5j F H , ; L , Lateral Invert El. = as, !7 f# y _ - . _ r . • t• - PLOWED SURFACE r r f °lo SLOPE - " - FORCE MAIN (2" sch. 40 PVC D2665) DISTRIBUTION CELL = ft x 7f ft = 5°,fp A2 (Ya"-2Y�' aggregate) -- Min. Raqufred = Y Q +L_ `✓56 ft2 System El.= _16Y, G 7 ft Contour EL= o r j ft PLAN VIEW OF MOWNg Observation pipe r Observation pipe Fo� 75 4/rIt 8 f F A ox ----,2' r Force Main /43 11613 = Distribution Cell Y 1f613 = J. 5 ft (%.-2%" aggregate) Distribution pipes Men#old 6 r11 7S ` ( /YJ in. sch.44j /i.3 it t —/_/� h. sch. OX= Upturned Lateral 40 PVC?2665) with Access Sox Prohibit disturbance and vehicie traffic within 15 ft of d©wnslope toe. t. Basal Area = obit? 3 ft x 75 aft � %G7.7. Sft' Min. Required = Z154 +;y = IIzS ft2 Page �' of PlPE�ei LAYOUT OF ��+ • (End Mardfold with Aggrepte) HOLI DLAMUM = -•-. l!b 3n . .LA'1 PAL DIA. Q FORM balm DIA. = Pipe in . b) �(4'�� Access BOX xer y Y� P PVC DMO) f _g wp �\` HOLES LOCATED EVENLY FORGE MAIN ON' BOTTOM OF PIPE. W ech, 40 PVC 026so) Minimum Number of Holes = ysdf12 + 12 ¢ 3$ Holes HOles/Latera) x 2 Laterals w .MS (3/161 Holes x 0.66 gpm / (3/18, Hole a -aSpg GPM . SYSTEM FLOW RATS PIPE VOLUME _ /y'y ft. Laterals (fOtal) X 0.092 gaff _ /. ?S � &L_ x 6 6L• a.3" GAL = MINIMUM NOSE VOLUME PIPE INVERT ELEVATION = - W f. Page � °i 9 COZY! N S EFrODW►E TANK CROSS-SECi1Q1� .�- - tuG Na o scAt.� FINAL GRAI)E MANHOLE RISER & COVER ("-P- ground su�ia amay fmm fPWSPS 364.25f7) & (8). $PVMved manhale(s] for IMP" Irditsilga) toekt(tg de*e, & uaming 1011; F tend m"'Ifte riser as necessary) BZlIlDING SEW ER t 8d� 40 PVC aortc vert EI-ECTRICAt 1r= 4" Mm. Sch. 4D pvC Tank VeM d 12" Wxwa 9md cfW {per SPS 382.3G[t1)}aud ar: ,IiJNC'� ON BOA( r egiorua AQ04E3.efon (-Wlywilh SPS 31 'b-Re#1041M F40W eeMft I arld NEC 300) FORCE ( n - MAIN OPTIONS ,TB. r, a , , - rxnruryoLE t INLET— SOTTCM OF I yertel ilr�ar�g�} �tThm t t • main 1 Mnn HcPc ! + 11 y°? OAr Aje 0 — Framm C ro s,aa_,rya r C n�mw rater k1mm FIM On gga�drw on arose g R=t A ceu rya MINfMtIM OF 3- OF SUrT'A9LE BEDDiNG BENEATH TANK & ' MAKINtUM Arming of tank may be required BURY Per SPS 383.43(8)(g) [CEP r}i 0I yF" Tank Manufacturer 4J19ER septicfpum S' LF6A) "'A rr,- P Size: 4asa Gcrp allons Alarm Manufacturer Model Number. Fiea,d/_ s Switch Type: 9 TI went Pump ManufacWreer. Lr rr 1E Model Number. Minirnum -Discharge Rate: d 5. [38 GPM. "ertical flit (pump eyffto lateral invert) _.._.._...-�ft System head (distal pressure J, S x 1.3 ft): 3 3 ft ft Force mein x �! Y 14 dU friction factor `I _ ft Filter friction loss-..... ��ft Total Dynamic Head (TDt-4)• Daily Wastewater now (Dv*-): Number of daily doses: S.,2 I9 T `? GP[3 Form main volume: _,Lft x � gaUft = 1 Actual dose volume: 9,0, 5 (total dose volurr "Olu ne of al � ,]= 8` Y sal laQ R!_k apACiTIF8: Reserve above alarm — in Y3.. 3 gal (p) Alarm Moat above on ffm R in =- gal (C) OnidfP float measurement S. L/ in = 9e..5' gal ($) Off above tank bottom $ in � � � --L-.._._ gal (A) 2+ SL TANK D MS,0N Length — �15'6 in Width _ 8 q Ouuel heignt ---_—_- 34 in Gallonslinch /F! 6Y f r, EFFLUENT PUMPS nA-SFS 9Ec-fJa-rF > aIRLIe ~ B A a C - 9lt�IM 9EC ]A3P� '*W-' 7:-�� z� gq"R>4mm) 9EC ♦7A RF ilfl" (2B0 mm] if 9"(i2fi m m] 8.4" [Ii4 Arun) 9EC-iIPA T1.D"C��I 89`¢�mmJ 8.4'(214r�r) cow �P� �fldtfOf Cast no rwaV _ _ Steel Re[ilarlital Shaft Seal I NMI &wiM ' DR SFS models C'"9PC{" SW 9E[-[M raao�r9 CAPPM-5PH •° w W 70 w Franklin Electric F7o[� =JR7m4 f [tam steel 0 POWTS OWNER'S MANUAL AND NAG - Page 7 of 9 1LE `208MATTON Qwner r t= c u s S Permit DESIGN PARAiV17rR'i7 as Dumber of Bedrooms Number of Commercial Units Estimated flow, (Ave) (lpp gpd/bedraotn} Design flow (D Da = estimated x 1-5 y�-o Soil Application Rate InfiuenyEffiuent Quajity (❑ NA - Fat. oil & Grease UOG) Moa Average, Biochemical O-Y en Demand (BODO � 3fl tm L Totes S 2Z0 mg/L Suspended Solids (TSS) 150 mgjT i'retreusted Ef$uent Quality (gl NA) Bioobetnit f3'L3 Demand Monthly Average ($0i7s) TOM] Suspended Solids (TSS) 34 m C Fecal Coli£orm (geometric mean 30 510 cfra/I00tnL Maximum Effluent Particle size 118 facia diameter Calculations: iilspersa3 CTnit 11$igJMntiel Nnm6er: Soil Dispersal End Cap D motion _Rate = Ares �ecluij� _ F A _ Y56y � ° -- _ --- Y5o SYSTEM SPECMVATfUN'S Septic Tams Canpnity EIDuemt Filter Manufacturer 991u=k FiEt+eL' Model Manufacturer Model CS gam,) LR . d�E.erCc7 i7 ri381�-.14�8 Cf !EJ ER 5a E'd n [O Sand/Gravel Filter ❑ PwFffter C1 Mechanical Acratim 0 We and Q Disinfection 0 Qther: Manufacturer_ Mandel: Soil Absorption Component (0 NA) © In -ground (gravity) ❑ hl-groand(pressuni=d) r-Y At -grade ® Mound 0 Drip -line 0 Other: VertiCef Distance TankBo tom to Sersrice Pad: Harizardal Distance Tanlds} taSarvir� AnA- fi xJM (Dispersal Unit BISA) or [Trench Width) _ I Units ar Total of 1`r tchfsl 75� -.. --v `utngonent n9anual ftsPC?Wg y or Gravity. Version 3.0 (May 2022-2027) ' IDliga of Pressure Distribution Networks for Septic Tank Soil Absorption 5 © "E2 Flow Mound Component Manual" Version 12/15/2017 A 1Systems.,, Public�on 9.6 (SSWMp Matnaal) 8 "14-Oround Soil Absorption C newt { ptil 0I&a023) "Mound Component oho Manuel Version for PUVf+TS" Versiou2.1 (May 2022-2027) P Manual for PQW pg" Varsiotr 2.1 7) 0 "Pressure I3istribution Component Manual for P OWTS - Version 0.1 (Mhy 2022-2027) � Other. cantrnLs, 6113 months ®3 fears El Flashcand Est �� t anaat At least once O months 09 3 ears ®� er At Least once D months 0 3 ears DNA /7 : Far mew construction, pric+z to using the POWTS check Products or other cbemioWs that may fire gent Process andPar treatment tanks) for the p of palming the contents of the tanks) removed by a septage servi ' ceIl(s). if high ca tiate d have at the in.€3ltnat%e surface, � operator Prior to use. Systemstertapsbsllnatcacenr when nail eondhimn an f uns The pmPCrLy owner is respaasible for the aPeration ffe win and maintenance of the i>vwrs and sutrmisSion quality of die wastewater suvaof required reports. The quantity and trl ll act the perfap and l along with prompt repa►r of Leeks reduces the on�ty of your POWTS. The instailatian of water_saving aPPU,,. and other clear water treatment devices and w ewater be dbe Also the brine or waste from water soffieners, stop ,� � include laundry fie, show �h°n should be diiachargad to the ground surface whtnev�r eta, dishwater, etc. possible. Nate: this does not Thin Wkem is designed to handle domestic strength wastewater, however, tke disposal of food based seeds, boaes, and fond solids, suehas these produced by a garbage disposal sth i be mini f f Mwer, ails, vegetableJixnit peals, lac discharged into the system. Other iron -bin Tn"ettissue is tine t�trly Paper that should dental floss, and cotton ale items, such as baby wipes, tasnpoaas,, iY �P condoms, aigateite swabs, should not enter the � Chemicals, such as petroleum antibiatros, Solvents, ew_ 5lldII6L �0 fYt7fiti r .3 i�rtnrivo mcn� p prnduct% araint Ifla •raynfc, pad ; d'inhiug water'auppty. Avoid vehicle traffic Min s cagy �xcu tatYsaydam�ageyourl?OWTS andcontaomMeyour mponeats. C o' �'whb y sprig laundry washing d"'oughnut the we:ck, ffic over �aY'co ompacdono#'staowovarrthlte dispersal tr�itmay causes it to f eeze up. drinking water supply. Maintain a regular steady flow by all system components. Compaction ofsnowover the disv Page �_ Of _ 7 _ ailing laundry washing throughout the week. Avoid vehicle traffic over unitmay cause itto freeze up. INSPECTIONS & ibIMNTENANCE: Inspection shall be certifications, Master Plumber, Master Plumber Restricted Sewer, made by an individual carrying one of the following licenses or Maintenance Schedule). Tank inspections must include a visual identify POWTS Maintainer, or Septage Servicing Operator (per the attached inspection of the tank to identify any missing or broken any cracks or leaks, measure the volume of combined ground surface and test all electrical hardware, sludge and scum and check for any backup or ponding of effluent to the equipment such as pump greater than 8 inches in diameter shall be secured with effective and alarms. Any defects shall be promptly corrected. Exposed openings locking devices to prevent accidental or unauthorized entry the tanks. When the combination of sludge and scum in any tank exceeds tank shall be removed by a Septage Servicing Operator one-third (113) or more of the tank volume, the entire contents of the isposed and C Specific servicing mechanics must be provided if vertical is>15 feet of in accordance with Ch. NR 113, Wisconsin Admin. Code. or if horizontal is>I50 feet and instructions to be provided below. The outlet filter(s) shall beinspected andcleanedtoremove any washed from the filter shall be retained in the tank Filter accumulated solids according to manufacturces specifications. Solids chnining maintenance schedule to keep the system operating. may be necessary at more frequent intervals than stated in the Alarms should be tested on a regular basis by the home owner. There is normally a I day reserve under regular operating if an alarm sounds, contact an individual licensed to service POWTS, con system are corrected to prevent back-up of sewage into the dw itions, however water should be conserved until any problems with the lling or surfacing. ABANDONMENT: When the POWTS fails and/or is permanently the system is properly and safely abandoned in taken out of service the following steps shall be taken to ensure that compliance witF. All piping to tanks and pits shall be disconnected and e The contents of all tanks and Ch. SPS 383.33, Wisconsin Admin. Code: a abandoned pipe openings sealed_ pits shall be removed and pn After pumping, P P p a, all tanks and its shall be excavated an gravel, or other inert solid material. iperly disposed of P by a Septage Servicing Operator. removed or their covers removed and the void space filled with soil, I CONTINGENCY PLAN- If the POWTS fails and cannot be r7 code compliant replacement system: A suitable replacement area has been evaluated and may 1 replacement area should be protected from disturbance a from existing and proposed structure, lot lines and wells. i systems must comply with the rules in effect at the time of l3 A suitable replacement area is not available due to setbt holding tank may be installed as a last resort to replace the 12 The site has not been evaluated to identify a suitable repla4 be performed to locate a suitable replacement area. If no resort to replace the failed POWTS. 0 Mound and at -grade soil absorption systems may be rea surface. Reconstructions o fsuch systems must comply w tired the following measures have been, or must be taken, to provide a utilized for the location of a replacement soil absorption system. The compaction and should not be infringed upon by required setbacks lure to protect the replacement area renders it unusable. Replacement and/or soil limitations. Barring advances in POWTS technology a led POWTS. ent area. Upon failure of the POWTS a soil and site evaluation must lacement area is available a holding tank may be installed as a last Tructed in place following removal of the biomat at the infiltrative the rules in effect at that time. V1'ARNLt4G?!!: SEPTIC, PUMP, AND OTHER TREATMENT ANKS MAY CONTIP_N LETHAL GASSES Ait'D/OR INSUFi-ICIEN1 OXYGEN. DO NOT ENTER A SEPTIC, PUMP, OR OTHE TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT- RESCUE OFAPERSON FROM THE INTERI R OFATANKMAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS: POVVTSINSTALLER Name: 1' �%,�� /W- Y/ f Phone: !S G - ! - i SEPTAGE SERVICING OPERATOR tun er ? Name Phone: POWTS MAINTAINER Name: ,t uiv i.+t Phone: LOCAL REGULATORY AUTHORIT Y Name: NSF. e4g.,X O &,,,rY Phone: 7/5' 386- Ywfo Maintenance 1 Biotube Effluent Filter How to Clean Your Effluent Filter ons ce To ensure your effluent filter is functioning property, it sh uld be inspected eve ry ear Under normal conditions, your effluentfikervAll function for several years before cleaning is necessary. The fitter should be cleaned when it becomes clogged enough to restrict normal Rows out of the septic tank. At a minimum, the filter should be cleaned wheneverthe tank is Pumped - Most people prefer to have a septic tank service provia septic tank service provider in the Yellow pages, under department for a list If You wish to inspect and/or clean your effluent fitter p shoes, gloves, and goggles or glasses. Then follow thes 1. Remove the access lid to your septic tank by unscrew- ing the stainess steel rid bohs with hex head wren provided. Ifyourlid is above ground, itwfll be easy find. if it is buried below ground, find the marker the indicates fts location. 2 Remove the filter cartridge by grasping the tee hand e and lifting it out of its housing (see photo 1). 3. Spray the cartridge tubes with a hose to remove an}! material sticking to them (see photo 21. Ensure the th orifices in the optional flow modulation plate inside tl ie fitter are clear of any debris. Make sure the rinse wa Er runs back into the tank, but do not allow solids mate al to fall into the open filter housing. 4. Firmly place the cartridge back into the housing. ' 5. Some effluentfi{iers come with an alarm that activaOEts when the filter needs cleaning. if you have an alarm, check to make sure it is working by lifting the float with a stick. An audible hom should sound. The alarm Panel is normally mounted on the side of the house o in the garage. Notes If your effluent filter doesn't have an alarm system and You would Ike one, call your local septic system installer. i. Record the date that you inspected and/or cleaned your filter on the form that follow& ff you checked the i alarm or made airy other observations aboutthe tank or system, include that information under'Motes.' Attach access lid by placing it on the riser, matching j the openings in the Rd with the bolt catches. Insert lid` buns into catches and tighten with hex head wrench 1 provided. care of filter maintenance and cleaning. You can find a Tanks & Systems.' Or you can contact your county health be sure to dress properly. Wear full-length pants and shirt Pbato t. Remove byre fitter cartridge by Idling it out of its housing. Photn2 Spray the cartridge tubes **b a hose. UNW-MI am1z?/" PAP304 Document Number State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Name THIS DEED, made between Mitchell William Buss and Victoria Buss f/k/a Victoria Ranta, married to each other ("Grantor," whether one or more), andAndrea Wright ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): See Exhibit "A" for property description, attached hereto and made a part hereof. 1173866 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 12/01/2023 01:30 PM EXEMPT#: REC FEE 30.00 TRANS FEE 1,110.00 PAGES: 2 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Area Name and Return Address Andrea Wright 004-1034-60-050 & 004-1034-60-005 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Datc November aN 1 , 2023, SEAL) Mitchell William Buss (SEAL) Victoria Buss AUTHENTICATION Signature(s) authenticated on November / Th , 2023. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: GCS Title on behalf of Mitchell William Buss and Victoria Buss, 3004 County Road N, Wilson, WI 54027 Ur c pie ts 9 State of nneeo My Commi" on E,xvres Jana% 31,2428 ACKNOWLEDGMENT STATE OF MINNESOTA, COUNTY OF 1CL ' lY 7ryk- % This inst ument was acknowledged before me on day of November, 2023, by Mitchell William Buss and Victoria Buss, a married couple. e�- - Signature of notarial officer clo:5-r-� Title and Rank My Commission Expires: (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED © 2003 STATE BAR OF WISCONSIN FORM NO.1-2003 St. Croix County 1173866 Page 1 of 2 Exhibit "A" Property Description Parcel 1: Lot 1 of Certified Survey Map in Volume 30 of Certified Survey Maps, paR ge 6785 as Document No. 1100941, filed April 22, 2020 in the office of the Register of Deeds for St. Croix County, Wisconsin, being located in the Northwest Quarter of the Northwest Quarter (NW '/a of NW '/a) of Section 15, Township 28 North, Range 15 West, Town of Cady, St, Croix County, Wisconsin, being part of Lot 2 of Certified Survey Map in Volume 12, page 3339 as Document No. 564507. SUBJECT TO C.T.H. "N" and S.T.H. "128" rights of way. PID # 004-1034-60-050 Parcel 2: Lot 2 of Certified Survey Map in Volume 12 of Certified Survey Maps, page 3339 as Document No. 564507, filed August 28, 1977 in the office of the Register of Deeds for St. Croix County, Wisconsin, being located in the Northwest Quarter of the Northwest Quarter (NW '/a of NW'/4) of Section 15, Township 28 North, Range 15 West, Town of Cady, St. Croix County, Wisconsin, EXCEPT Lot 1 of Certified Survey Map in Volume 30, page 6785 as Document No. 1100941. SUBJECT TO C.T.H. "N" right of way. PID # 004-1034-60-005 St. Croix County 1173866 Page 2 of 2 • CERTIFIED SURVEY MAP PART OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 15, TOWNSHIP 28 NORTH, RANGE 15 WEST, TOWN OF CADY. ST. CROIX COUNTY, WISCONSIN. BEING PART OF LOT 2 OF CERTIFIED SURVEY MAP, VOLUME 12, PAGE 3339, DOCUMENT NUMBER 564507. 1100941 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 04/22/2020 11:57 AM CERTIFIED SURVEY MAP VOLUME: 30 PAGE: 6765 REC FEE: 30.00 PAGES: 2 Remaining part of UNPLATTED I co i1 var. I Lot '- -2' CSM Vol 12 p-g-3339 LANDS i I S8321'06"E 445.68' ai - i N UNPLATTED LOT 1 LANDS Northwest Corner Section 15-28-15 y o I 218,191 sq. ft. 206,729 sq.ft. 1'" Steel Nail � � .� 5.009 acres 4.746 acres w var. Incl. r-o-w excl. r-o-w o� �n Q I 0 o _ 0 N p v O shed Ni bins moo �" / CO ? N 1-*_" shed O Nv cN var. r o rn o M !Zoo cD CJ `D �' well Se PREPARED FOR: z Z Detail (N8226'44"W) Greg 6, Tara Owen N89'41'08"E _ house � N84'18,01.,W 1743 40th Avenue _ Amer WI 54001 QD � 1 23.09' 145,29 — 345.64' Y• ca - N84'21 29"W 33.00' "' 349.08' — \ I (N82'3o'12"W) �' 33.18' — CO diN84.18.01 "W - � � var. 35.91' /-- — — — (N82'26'44*'W) - o co I N05'38'22"E Caun t (N07*29'39"E) / ----Y Trunk Highway—N„ — \ ' var. / - / Lot 5, CSM Vol ?n A West 1/4 Carrier - Section 15-28-15 1" Steel Nail U DRAFTED BY: Joel A Brandt JB SURVEYING LLC Each parcel on this map is subject to State and County laws, rules and regulations(i.e. wetlands, minimum lot size, access to parcels, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and Town Board for advice. g 5070 The parcels in this Certified Survey Map may SCALE= 1" - 150' have zoning density limitations for future development. Please contact the Community 0• 150' 300' Development Department to inquire if residential unit(s) remain. y North is referenced to West Line of the Northwest Quarter of Section 15-28-15, which bears N00'18'52"W (St. Croix County Grid System) Qb ........Found Government Corner (Ties Verified) o.......... Set 3/4" x 18" Iron Rebar weighing 1 502 lbs /lineal foot ......... Found 1" Iron Pipe (a00')..... Recorded Data Completion Date April, 2020 Sheet 1 of 2 Sheets �� ��g� St. Croix County 1100941 Page 1 of 2 Wisconsin Department of Safety and Professional Services Page r of �— Division of Industry Services SOIL EVALUATION REPORT C 5 / -OIL/ In accordance with SPS 385, Wis. Ad County Attach complete site plan on paper not less than 8 112 x 11 inch ❑ r d but not limited to: vertical and horizontal reference point (BM), di fijjr alit pe ceoop Parcel I.D. scale or dimensions, north arrow, and Iecat'on and distance to ne fi5 is road. Q D 3 �QSD Please print all information.a Revie ed by Date Personal Information you rovide ma be used for seconds u o Priva Law, s. 15, � I '�6l i2� Property Owner Prope on j 0 Gcvt. Lot K/"-'/, S Tom` N R D (or) W Property Owner's Mailing Ad Lot # I Black # Subd. Name or CSW CSf14 s City chite Zip Code hone Number L I n�� 3 �� �� � � city � �Vilage &Tawn Nearest R d , ` } ./ GI._ r i . I C �-- N1 1". New Construction `'' tJse:� RescientiallNurtberoftsadroom Code derived design flow rate VS— Q--PD Replacement PU[blic or commercial — Describe: Parent material -c-` Fer ` war Mood Plan elevation if applicable) n l � k R General commero and recomoendatlons: [� ` r �j ('ee ►...n rti� `} rk14—f4-'`��� rm fl u- � C�- `l ? i3a,b r��J ' 14?6k � - 17 �S J JWig IT Boring # Boring Pit Ground surface elevJ3- Depth to limiting factor -in. Horizon Depth In. i Dominant Color Munsell Redox Description 'Qu. Az. Cont. Color Texture Structure 7 Consistence Gr. Sz. Sh. Boundary Roots I Vu "il 61W" I r-U : i GPD/Fe 'Etf#1 'Eff#2 0-- 3�wc J 3 +rar4 C--d t'a 12 Boring # [] Boring / r JP Pit Ground surface elevL ft. U 30 Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description ' Texture Structure Consistence Boundary Roots GPD/F? In. Munsellllll Qu. Az. Cont. Color Gr. Sz. Sh. ,Eff#1 -Eff#2 R / Y •. y , 'mil �� 6 - y N-, " y C- Ile • Effluent #1 = BOD, > 30 5 220 L and TSS > 3o s 150 m L " Effluent #2 = BOD, > 30 s 220 m ! nd TSS > 30 5150 m. L CST Name (Please Print) Si stun r CST Number AddressI�l lei J"I' ' ` " " 'D ate aluation C ducted — Telephone Number �( ,I;,f, air �a --- �rU� l � ' :, " 5BO-8330 (R04115) Vo Boring # � Boring Pit Ground surface - elo/101 Depth to limiting factor-3z:?1n. Hvrizan Depth In. Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPDlFt� Mansell Qu, AZ Cont_ Color Gr. Sz Sh. 'Eff#1 -Eff#2 r a yr 3 d r 1.41 1 [r..k' J� r �i • - l lQ Gc if bw C A L=6 tA4 60— Bering # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor n. - Soil Apolicaftri Horizon Depth Dominant Color Redox Description Texture Structure { Consistence i Boundary Roots l GPDfFe In. Munseli I Qu. Az. Cont. Color Or. Sz. Sh. I f I 0 h j J Boring # I] Boring r- ❑ Plt Ground surface elev. ft. Depth to limiting factor in. 5nii A licatI n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ` GPDIFt2 In. Munsell Qu. Az. Cant. Color Gr. Sz. Sh. e j i Eff#1 'Eff#2 ' Effluent #1 = B©D, > 30 s 220 mg/L and TSs > 30 s 150 mg/L • Effluent #2 = BQD, > 30 5 220 mg/L and TSS n 30 5 150 mgfl. f u('-,D' ,. rDi 4 z �Svllk� �ence /0 010 Lp CA 36 Will Heidt Soil I-esting W3503 Hemlock Road Mondovl, `,'VI 54755 i 715i r, l�a.J58�-1 Z47ve/ Wsoonsirt DepartrrrErrt of Safety and Prdessionai Services .DmsionVindustry 5errrces Page ( o; SOIL EVALL;-JION REPORT ,n aaardance rs: SPS 385, V%is. Adm. Cade Corunty Attach complete site plan on capernot less. han 8 ,r2 x 11 Incles size. Dian must include, vut net lirnitec+ to: vertical and heriznntal reference Poin (BM), direalion and percent slope, Parcel l,C. 3rz?e or dimensions, north army, and iocabon and distance to nearest. road. Please print all information, ; Reviewed vy Cate Personal infvrmativn cu rvviCe ma be ut eC far secanda u ses; Pnva Law. s. 15.04 1;-nill' Prwerty Owner, �. a i]p2rtyr Locaadon f t w ter �1,,,,. _ Govt. Lct ';/4 S 'S Tom+• N P.; E [ori 'r'v Prop" OWnefs ding A� r i Lot Block # Subd. Name nr CSM9 tk V - A. fy. f i =' l4,�� 1 t Ltl--- 3tate Zip Cods �jh�one Nurhber w Y r Village a ,L3 -79, (� Gs� � �kTov1 NeL : R d efewConsttudon Use:49 ResiclenfialiNurnberofbedrao Cade derived design flow rate 4/41PID ll J Replacement ❑ Public or ccmmerciaf — Describe: Parent material Fiacd Plan 2i6vatipn r aop;fcalile► u It n General comma and rsaorn,nendaWns: r. PL Baring S Boring 1 iPit Ground surface elev; J Depth tc fimiing lactor� rn, Horizon f Depth j Dominant Color Redox t]escri lion Soi; Ao licaticn Rate Munseil p I Texture Str'Ucture Consistence Boundary Boots GPf7lF� Qu. Az. Cont. Color j Gr. Sz. Sh. i 'Etf#2 i -� i iUS LL`-42--- Boring l.] Boring if Pit Ground surface mewV_ l ft. Depth to limiting favor �e r- Horizon Q I eprit n. i Cominant Color Redo;c t]es[xi !lore , Texture ; Structure i Consistence p 'Boundary MunsBA Qu. Az. Gent. Colcr S o�i A olication Rate � ?ioaCs � GPGIFtr Gr. Sz Sh. f EfliuentPi _ Lwid, a 30 5 40 mofL and T5S 3o 5 160 m2lL Effluent *2 = BOD. > 30 5 220 : nd TSS � 36 s 954Y m rl CST Name (Plea" Print) r GST Numb - _ t•: i`..tc1•.- ry�{{ d� � Ts6ePhane Number �fj ,�,j, � _'1,(./(�. • .. CGlt C9an rr...�.. .. Boring # Boring Pit Groird Surface eit Kepi' Horizon Death in. Dominant Calor Redox . D2SC."'77tGCn fNunsaii Ou. Az- Cant Color Texture SLru=re ConSlsten� i i $aurn�ry, E RCC+"WS Sw at1 hCadDn Rate GPD/Fi' Gr. Sz. Sh. qp Boring = 77 �i Boring P$ Ground surface elan. 7epth o limiting {-dctar pr; Haraart t78Gtt 1n, Domin2nt Color Redax De SG1aiaC letre $'ruCwJ re gall liCO an Bete Boring # D�-^� sating 71 pit Ground surf2CE eiev. ` Depth tc !imtrng 48= in. Horzon Depth + Dominant C410r Redox Destriptian Texture SL Cure Sal! Ao lica i6n '•n• munselt Qu- Az. Cant Color Cansisterrca Boundary Reots ; Gr. 3z Sh.-------------- 'Et 'Ef i ' � I E.ffluBrt #1 = BOO, > 30 5 220.141 and 7SS > 30 S 151 rngrL ' Effluent #2 = SOD. a 30 s 220 mgiL and TSS 7 3Q S i5o r'ngr-L f7 �3 f�,-s'j,� -j�l,C-e Im ea /ODD rlC�J I,^- F&I>� C?fLP 171 171 CERTIFIED SURVEY MAP PART OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 15. TOWNSHIP 28 NORTH, RANGE 15 WEST, TOWN OF CADY, ST, CROIX COUNTY, WISCONSW; BEING PART OF LOT 2 OF CERTIFIED SURVEY MAP, VOLUME 12, PAGE 3339, DOCUMENT NUMBER 564507. DESCRIPTION A parcel of land located in part of the Northwest quarter of the Northwest quarter of Section 15, Township 28 North, Range 15 West, Town of Cady, St. Croix County, Wisconsin; more particularly described as follows: Commencing at the West quarter corner of said Section 15; thence N00'18'52"W, along the west line of the Northwest quarter of said Section, a distance of 1655.96 feet; thence N89'41'08"E, a distance of 23.09 feet to the point of beginning; thence N00'13'20"E, along the west line of Lot 2 of Certified Survey Map, Volume 12, Page 3339 and east line of State Trunk Highway 128, a distance of 166.45 feet; thence N09'01'45"E, along said west line and said east line of Highway, a distance of 270.85 feet; thence S83'21'06"E, a distance of 445.68 feet to the east line of said Lot 2; thence S00°18'59"E, along said east line, a distance of 467.04 feet to the south line of said Lot 2; thence N84'18'01"W, along said south line, a distance of 349.08 feet; thence N05'38'22"E, along the west line of said Lot 2, a distance of 35.91 feet; thence N84'21'29"W, along the south line of said Lot 2, a distance of 145.29 feet to the point of beginning. The described parcel contains 218,191 square feet, (5.009 acres), and is subject to County Trunk Highway "N" and easements of record. SURVEYOR'S CERTIFICATE I, Joel A. Brandt, Professional Land Surveyor, hereby certify: That I have Surveyed, Divided, and Mapped the above described parcel of land in full compliance with the provisions of Chapter 236.34 of the Wisconsin State Statutes, along with the provisions of St. Croix County and the Town of Cady, in surveying, dividing and mapping the same. That such map is a correct representation of the exterior boundaries of the land surveyed and the subdivision thereof made, and was done by the direction of Gregory L. Owen. 1121 j20 y,�scoti�� Joel A. Brandt, P.L.S. S-2603 eta ' y SBRANQ3T Ar JB SURVEYING LLC a�+woo� crnr . Exemption verified under Section 13.1 B. 3. a.3) of the St. Croix County Land Division Ordinance and Section 236.45 (2) (am) (3) of the Wisconsin Statutes. By Planning and Zoning Staff �� rr�� v Dated 91 azo St. Croix County 1100941 Page 2 of 2 Sheet 2 of 2 Sheets 30 C� 79-.� /a, it Cho ()(COUNTY NO. L I vik- " 9 W] fl F-1 ()Oq R6 IV 1 F-riWAILL. w wc,hKr lmIXe tritirAr ? , PLUMBELIC.# 224199 TOWN OF CAtq AND/OR , BLOCK_ van (3o — ( 7wg) Ott, : \kooc #J6 X CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. AUTHORIZED,ZhobZly EXPIRES —THIS PERMIT 21572n-2(e UNLESS RENEWED BEFORE THAT. SBD-06499 (R11/20)