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ZONING January 2, 2008 Joe Menter Or Current Property Owner 438 320th Street Knapp, WI 54749 RE: Pretreatment System Service and Inspection Requirement Code ;n;stratrit Dear Property Owner: 715 -386 -4680 This property's Private On -site Wastewater Treatment System ( POWTS) includes a Land Information pretreatment component that must be inspected at intervals specified in its service contract. Planning 715- 386 -4674 St. Croix County Sanitary Ordinance 12.7 and WI DComm 83.52 (1) state owner responsibilities for maintenance and inspection of POWTS that require evaluation and alPropeCy monitoring at intervals of less than 12 months. The sanitary permit issued for installation of Re 77 this POWTS required that an ATU Service Agreement be recorded on the deed for this property. If ownership has changed, this must be corrected. Re+cling 71'� -386 -4675 Based on our records the pretreatment unit on this property is due for an inspection and maintenance service. Inspection and maintenance reporting for a pretreatment unit is separate from the routine pumping /inspection required for the septic tank. The certified septic tank pumper and the POWTS maintainer that inspect your system are required to submit reports to St. Croix County so that routine maintenance completed on residents' t septic systems can be documented. Please return this form to St. Croix County Planning & Zoning office along with a copy of the pretreatment inspection form completed by the licensed POWTS maintainer to avoid enforcement actions. Please be advised that fines and/or forfeitures of not less than $100.00 and more than $500.00 per day everyday can be issued if the required service is not completed in a timely manner. If you have any questions about what is required feel free to contact me at 715 - 386 -4680. faer: l Sinc rely, 1511 �:. Ryan Yarring bn Zoning Technician Pretreatment Component inspection and maintenance service date: POWTS maintainer Name and license number: POWTS Inspection Service Contract provider name: Address: Phone: Service Contract date and duration: ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAE ROAD. HUDSON, Wr 54016 7 1 5 - 386 - 4686 FAX PZPCO.SAINT- CROIX.W1.U5 WWW.00.SAINT-CR0IX.W1.US St. Croix County Planning and Zoning W'ednes&av, January 02, 2008 at 3:47:13 Fat Detail Sanitary Information Page 1 of 1 Computer #: 004 - 1025 -70 -200 Sub /Plat: NA Section: 11 Parcel #: 11.28.15.1758 Lot: 2 TN /RNG: T28N R15W Municipality: Cady, Town of CSM: Vol. 18 Pg. 4758 1/4 1/4: NE 1/4 NE 1/4 Owner: Mikla, James A. 438 320th Street Knapp, WI 54749 State Permit: 453336 Issued: 06/21/2004 POWTS Dispersal: Mound 24" or more suitable soi Permit: New County Permit: 0 Installed: 09/13/2004 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: ATU - Microfast System Notes Issuer /Inspector A s Built Plumber Other Reg emen Additio Notes Money Owed Pam Quinn >4/1/00 - Not Required Hoke, Kent we have received no inspection reports from Bio- Microbics FAST unit needs 6 month interval $0.00 Pam Quinn = Off: No POWTS maintainer for ATU pretreatment inspections. Kent has a contract with a Paul Koehler as POWTS maintainer and an ATU service agreement will be recorded on deed. Received fax from H &H pLumbing for service contract with maintainer. 2007 - New owner Joe Menter to sign, notarize and record ATU service agreement on deed (warranty deed #769372 dated 7/21/04) Maintenans - , Scheduled Pu Date Pumped 9/13/2007 llflfl 11111 11111 111111I111 111111111111111 Ill! IIII * 8 5 6 (��} 2 r 0 2 1 Document Number Document Title 856 02 KATHLEEN H. WALSH St. Croix County REGISTER OF DEEDS ST. CROIX CO., P1I AEROBIC TREATMENT UNIT (ATU) R.FCEIVED FOR RFCORD SERVICING AGREEMENT o� /za /z ° °' °`:nSP"' AGREEMENT EXEMPT t fate Plan Transaction Number - /0 5 REC FEE: 11.00 PAGES: 1 M�A)rE Name — (Owner) Typed or printed Being duly sworn, states, under oath, that: 1. He /she is the owner /part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume Z Le 7 — 1 Page 6 Document Number 7by,37Z St. Croix County Register ff of Deeds Office: Recording area f A parcel of land located in the AE ' /4 of th(!5 '/4 of Section Name and Return Address _ T Z_' N — R /5 W, Town of °5 e Pte, � Nye n� r ✓' Q , St. Croix County, Wisconsin, being S' 3� 3 2v A)cr C4,/ duly describedAs follows (include lot no. and subdivision/CSM or detailed legal description : Lot r:Z CS M 1 S/ q 75 8 /OZ5 - 7D �o •-� Parcel Identification Number r (PIN) Agreement Date: Z 0`7 b 0 G� / r� (o 3 qq 8 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 Comm 83, Wis. Adm. Code relating to Aerobic Treatment Units (ATU) and the maintenance requirements for the proposed POWTS (Private Onslte Wastewater Treatment System) technology. If the owner fails to have the POWTS and ATU properly serviced In response to orders issued by the governmental unit or the Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Stats., the governmental unit (Town) 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, Stats. 2. The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintainer will perform periodic inspections and maintenance as required by the manufacturer and the Department, including. but not limited lo: 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, Stalls. 4. The owner recognizes that the county. Department of Commerce, or POWTS maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5. 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. 6. 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. 7. 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 before me on this date: 5 M e 4) a oo Notarized Owners Signature(s) Notary Publi (?6 vArnmental Uhlt Official me, Title - se Print My Commission Expires i zoVV,� 1 ao, a010 a cC ✓t f a ` A ll Go rumen nit Official nature Drafted by: 1 Pe onal in provide may be used for secondary purposedprivacy Law s. 15.04(1)(m) ```��.�`` HAI ,9 �O ', "THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" %�cp t t This information must be completed by submitter, Document Ntle. name & return adess dr. and BW (if required). Other r tQf �fre grentfng clauses, legai description, etc. maybe placed on this first page of the document or maybe placed on addlUonal�l tlltl �cument. hL pIC Use of this cover page adds one page to your document and 32.00 to . the recording: tee. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix r Safety;anil Building Division INSPECTION REPORT Sanitary Permit No: 453336 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: J 0 � t City Village X Township Parcel Tax No: Mikla, Jim Tin 21 J Cady Township 004- 1025 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: • a 1 /d D • O Co- t 4xkao - CST / S - 11.28.15. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic IQA�� -� Benchmark 7 Dosing Alt. BM W t,�.a.P�L �.5� e ° l 2.6� 1.2 /1, l Aeration Bldg. Sewer O L • 2 �V /�D (, t' rQ - 7r Holding AHt Inlet St/Ht Outlet TANK SETBACK INFORMATION iii�J e-4-4(A G 7 / 0 S • 9(o TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 1 S� t : ) 4 1 Septic t r r Dt Bottom 1 '/ 4,q Dosing 7 , Z i Header / Man. � � / /• / 0 Aeration ' Dist. P CA-Yk b dr �P °�� �' i►72 /o /. /� olding Bot. System 7 X00 -6� PUMP /SIPHON INFORMATION Final Grade I -f- Manufacturer Demand St Cover L GPM y 7 I fS /• Model Number TDH 1-$ . 2 P�H Friction Loss System Head Ft ' ►� ors AT Forcemain Ler Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width I / 1 Le6th rench No. O f Tgs PIT SIONS No. Of Pits Inside Dia. 1 7 pth DIMENSIONS L U ' l / I_ SETBACK SYSTEM TO P/L 6 JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: nAlh 14 DISTRIBUTION SYSTEM Header /Mani Id Distribution J x Hol Size x Hole Spacing Vent to Intake a �/ Pipes) �] � h / _ /� -2/ 2 ' Irv, ` .Q+� J Length Dia Length / Dia Spacing % J SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only 5prC4 64 G GCYLs;l Depth Over �, . o v Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center (� % v Bed/Trench Edges Topsoil [E] 7 /, ( [ ` ] Yes No 0 =E-N. COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / 3 / l Inspection #2: / 1 Location: 438 320th St. Knapp, WI 54749 (NE 1/4 NE 1/4 11 T28N R15W) NA Lot 2 ��G(!� Parcel No: 11.28.15. c. —�- /� r� fig- - .� - 1.) Alt BM Description = _ST , O,,�T + V� 11 ' "1 C_ Yt 1ajd ��j 2.) Bldg sewer length = (0 -7' J - amount of cover = 1 / i it W td � - ( i Plan revision Required? ] Yes A d Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. U; 2621P O45 STATE BAR OF WISCONSIN FORM 1 - 2000 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO.. WI This Deed, made between James Patrick Mikla and Katherine Anne RECEIVED FOR RECORD Mikla, husband and wife Grantor, and Joseph J. Menter and Audrey L. 07/21/2004 09 : 30AM Menter, husband and wife as survivorship marital Prover Grantee. Grantor, for a valuable consideration, conveys to Grantee the following WARRANTY DEED described real estate in St. Croix County, State of Wisconsin (the "Property ") (if more space is needed, please attach addendum): REG FEE- 11.00 Part of the NE 1/4 of the SE 1/4 of Section 11, Township 28, Range 15, TRANS FEE: described as follows: Lot Two (2) of that certain Certified Survey Map `CPFEE: recorded in the Office of the Register of Deeds for St. Croix County in PAGES: I Volume 18 of Records, at page 4758, as Document Number 763948. Recording Area Name and Return Address ROBERT G. WALTER BAKKE NORMAN S.C. 2403 STOUT ROAD MENOMONIE, WI 54751 Together with all appurtenant rights, title and interests. Pt, of 004 - 1025 -70 -000 Parcel Identification Number (PIN) This jL&qj 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 easements, highways, tility rights and reservations of record, and will warrant and defend the same. / t^ Dated this I day o 1 2004 . * James Patrick Mikla * Katherine Anne Mikla AUTHENTICATION ACKNOWLEDGMENT Signature(s)-of Jams Patrick Mikla and STATE OF ) Katherine Ann Mikla ) ss. C w Countv ) authenticated this day of r' > . 2004 / Personally carne before me this day of ,j✓ �� (/�� l '� the above named * Robert G. Walter TITLE: MEMBER STATE BAR OF WISCONSIN (If not to me known to be the person(s) who executed the foregoing authorized by 4706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY ROBERT G. WALTER BAKKE NORMAN. S.C. Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature. MO -PRO ( 800) 655 -2021 www.infoprofomB.comSTATE BAR OF WISCO WARRANTY DEED FORM No. 1 .2000 T oe RM iaw - f tot �� �� . l.eT �J aura CAt-A Ul 1 g F{ 19 44 \r LAJ ; 4► u. }� 3 S • t `1 Z ' P�►c s.S�. u s A%Q i l o 1 � , o �.e,..� -c•.,. t& AS� C-M Lo In } J-.-t'. tee•. 1, q 4 d 4 � - wMl - o�. , . < C1 S.s' c.a.,crv¢ No Safety and Buildings Division County N) P isco nstn 201 W. Washington Ave., P.O. Box 7162 5. / Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 266 -3151 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ` — �3s 3 may be used for secondary purposes Privacy Law, P Address (if different than mailing address) I. Application Information — Please Print All Information . �, d j _ ST Property 0 A'✓1't !" ' �fi'�D Parcc. „!N - �^ 11 t Property Owner's Mailing Address ZONING OFFIC oPe i — 41 -- :T Z3� City, State J Alt 1/., ` 1 /4, Section Zip J / „ tyo e Q Z p. ��� V/ Phone Number f lx— W , 5 Q circle ) H. Type of Building (check all that apply) T �_ N; RE oar 7 ,Pf`or 2 Family Dwelling — Number of Bedrooms Subdivisions � Name 7 �CS mb El / Public /Commercial — Describe Use 1 L7G ❑ State Owned — Describe Use 5T . M�- Y/? &L L � ❑City_ ❑Village f 2T0wnship of 6 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ew System ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑Permit Renewal ❑Permit Revision 11 Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS System: Check all that a 1 ❑ Non — Pressurized In- Ground ,�v4aGnd > 24 in. of suitable soil 11 Mound < 24 in. of suitable soil El At-Grade 11 Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized M Ground Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamb r ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain / V. Dispersal/Treatment Area Information: W / o S_ Des' Flow (gpc�j I Desrgn So' Application Rate(gpdsf) Di ya6 sper al Area Required (sf) Dispersal Area Proposed (sf) System Elevati << � on so , z 0 l 3�'� ion d t VI. Tank I fo Capacity in Total Number Manu acturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank s — / Aerobic Treatment Uni Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb 's ' ature MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip de) P O. 306L 10 Cali.. wz s��so VIII. oun /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater — Date Issued ssuing Agen Si atur o tamps) Surcharge Fee) Q 7 ❑ Owner Given Reason for Denial 3 dd b a //0 IX. ��OVaI/Reasons pproval Sv 46 / DT 4 Se p tic tank effluent filter and 0 �� dispersal cell must all be serviced / maintained -,6 Le- d t as per management plan provided by plumber. 2. 5 ��r equirements must be maintained 3 I 0A s as per applicable code /ordinances. { Sze i w rrr - T3, to 5 s - 1v1 OLC-t r Lo �k' Attach cc p�ns (to the County only) forth yttem on paper not less than 8 /2 x 11 inches i size _j(.V` Pr Y 40 4,* I SBD -6398 (R. 01/03) ); �° St. Croix County Zoning Monday, June 21, 2004 at 1:56:01 PM Detail Sanitary Information Q Page I of I Computer #: 004-1025-70-000,r� Sub/Plat-. NA Section: 11 Parcel #: 11.28.15. Lot: 2 TN/RNG: T28N R15W Municipality: Unknown CSM: Vol. �18Pg- 4758 114114: NE 1/4 NE 1/4 Owner: Mikla, Jim 438 320th St. Knapp, WI 54749 State Permit: 453336 Issued: 06/21/2004 POWTS Dispersal: Mound 24" or more suitable soi Permit: New County Permit: 0 Installed: POWTS Detail: Bed Bedrooms: 3 WI Fund: POWTS Pretreatment: Aerobic Treatment Unit Notes Inspecto As Built Plumber Other Requirements Additional Notes Money Owed Not determined NA Hoke, Kent fax from H&H plumbing for service contract Bio-Microbics FAST unit needs 6 month interval $0.00 Signed Off: No with maintainer and Owner to sign, notarize inspections. Kent has a contract with a Paul and record ATU service agreement on deed Kahler as POWTS maintainer and an ATU service (new warranty deed for this lot coming upon agreement will be recorded on deed. transfer to Joe Menter). - — — — — — — — — -- - -- — — — — — — — — — — — — — — — — — — — -- JUN -21 -2004 16:19 FROM: T0:17153864686 P.1 FAX TRANSMInrYAL H & H Plumbin . LLC PO Box 1 200 Bremer Avenu , Suite D Colfax, Wl 5 730 PH. (715) 962-4155 Fax (715) 969-4156 DATE SENT: 6 -a1- oy IME: `f '. ZD TO: 2 COMPANY NAME: o U t FAX NUMBER: r7 (E- ` 686 # OF PAGES (INCLUDING COVER) 1 SENT BY �V �,, e F C.4�3 � MESSAGE: ��,.� - �c Te6� .l 44 x 2 u re f� o — This message is intended only for the use of the it, d ividual or entity named above, and may contain information that is privileged, confi ential and exempt from disclosure under applicable law. If the reader of this messag is not the intended recipient, or the employee or agent responsible for delivering the ' essage to the intended recipient, you are hereby notified that you have received this do c ument in error, and that any review, dissemination, distribution, or copying of this cp mmunication is strictly prohibited. Safety and Buildings • 4003 N KINNEY COULEE RD commerce LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www•commercestate.wi.us /sb www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary May 27, 2004 CUST ID No.222774 ATTN.• POWTS Inspector HENRY F GROTE ZONING OFFICE CERTIFIED SOIL TESTING ST CROIX COUNTY SPIA E4366 353RD AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/27/2006 Ide Numbers Transaction ID No. 1004353 SITE: Site ID No. 684195 Joe & Audrey Menter Please refer to both identification numbers, 320 Street above, in all correspondence with the agency. Town of Cady St Croix County NEI /4, SETA, Sl 1, T28N, R15W Lot: 2, Subdivision: 10 Arce CSM Pending FOR: Description: Proposed Three Bedroom Mound System wBio- Microbics Pre - treatment Un it Object Type: POWTS Component Manual Regulated Object ID No.: 960627 Maintenance required; 450 GPD Flow rate; 19 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); .5 Bio - Microbics FAST Unit, Biofilter _ The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be located and installed in accordance with chs. Comm 82, 83, and 84, Wisconsin Administrative Code. • Comm 83.21(2)(c)4. The application for a sanitary permit shall be accompanied with documentation that the master plumber or master plumber- restricted service who is to be responsible for the installation or modification of the POWTS, has completed approved training on the proposed POWTS technology or method. • The Bio - Microbics MicroFAST Unit must be installed in accordance with the manufacturer's printed instructions, the plan approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • Comm 83.21(2)(c)5. Any pre - treatment unit maintenance reguirements th are needed at an interval of 12 months or less must bdTemided wt1IMTree the property. A copy of the document must a presented to the county be ore the permit can a is ec. and 145.19, a s. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. r t°�.-111 HENRY F GROTE Page 2 5/27/04 Approval Conditions Continued: • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • Comm 83.22(7) - A 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. 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. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 v r Joe & Audrey Menter - Mound Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01 /01) Pressure Distribution, SBD- 10706 -P (01/01) Location: Lot 2, CSM NE '/4, SE '/4, Sec. 11, T 28 N, R 15 W Town: Cady County: St. Croix Date: May 31, 2004 O er: `ALL Joe & Audrey Menter J j yu -L QVWA— Address: 469 315 St. Knapp, WI 54749 _ Designer: He y Grote Signature: License: WI D -16 -007 Attachments: SBD -10577 - Plan Approval Application SBD -8330 Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail �� DGS D�V• 7: pump curve 8: system management ,7 page 1 of 8 QEr 4 RTIVENT F- C ?1�1StCi�# p OE CC? "V , -Rrc C ETYAPJft E?;!,;r`rgs Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD < 220 mg/L Y Anticipated septic tank effluent t o 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 6r�o gallons /day hydraulic load Design Calculations "k,64 In situ designed loading rate d,3 Z gaflons /sq. ft. per day Depth to estimated high groundwater in. Depth to bedrock in. Cross slope at system « S' % �. y Force main length �s� ft. of �`� Z in. Manifold/header length ft. of _ in. Drain -back Z Z gallons Lateral length �- @ S: "4 ft. of V14 in. Lateral elevation 0 1,0 ft. @ bottom of lateral Lateral hole size ill L- in. @ 3 in. ( 3 ' ° ft.) Spacing ° holes /lateral holes total Lateral volume Z gallons i Total lateral discharge rate gallons /minute @ 2 ' ft. head Network pressure compensation losses Elevation difference — ft. Friction loss `� ' �� ft. @ l gallons /minute Total dynamic head ,4 z ft. Pump /si�kon gpm @ \ Z ft. of head Manufacturer �� w k Model # Dose volume gallons A� N 0 th Lift/slAon tank gallons � °^-A Septic tank c 1 �S — \ z�' Cam, � g allons/ Effluent filter .4 Measurement pump on and off in. Height alarm from tank bottom in. Reserve capacity �'� gallons specs.calcs.res ` Page 2 - of 8 t �11i -Sti �1 \- Z8 - \� w 0 �\u,�•N"La Al 44 LAJ ; 41 i.,. J's -S S' 1 V z PvL , C t �l � L, ti 1 v: J N o g 3 5 e.�-b a.c. � o '�t 4.x„3 c r � ¢. Vic. 3 �ee.k be-d� 0. O� Mt $ aVt nn Z o f ---- - - - - -- - Z � i i i i i 4 s> c I � AL iiS � a 1 1 o w. O� � o � r o � `lL y �Or Ct `rw. h `` 5 — 4 .�� 4 f yr� `w/ y-%re.4 -&9� C-06 r% +v isww\ wdLQ Q ,o.e�))ac i�-�l �w vw`va �.Ib s aV 101,� ..1.,.y� (0,66 / � �, � o \ � C h � 1 R, T Q.1. w7( C.12.,. mot' Q,.. � O� O �.�.. l � » � � � b • o " Gl .�"� ! � � l7' / L o c c�, �e g � A00 =7 2c �v tr , n� S •S fro ' S I VEWT CAP 4 C.I. VENT PIPE WEATHER PROOF APPROVED LOCKIAIG 25' FROM DOOR, JUIJCT)OM BOX MANHOLE COVER Q(Z N \N G- WINDOW OR FRESH �Z I LAQ�L AIR INTAKE GRADE Z i 4,1 COQDUIT -- 3 PROVIDE AIRTIGHT SEAL. 1 F `i-`�l� } fr t�L.S . QZ`BS L R�► lT ' I I I V APPROVED JOINTS r I III W/ PIPE c 1b ALARM EXTE►JDI►JG 3' ONTO SOLID SOIL PUMPS __� OFF BLOCK -- s 46 O T { r ' Engineering Deta Pump Characteristics Performance Data /$Asia U•N SOW WS" A•tesutk #*Oah fNE130A1 T I � Hate99wer MI load Amp 1.0 e . p - _ --... .. ,. AMIa hr Show Nh 14 ) A.FJA. 1S$0 _.. Phu" 0 t yowhr 115 Han 60 I i o` o lompaohn 120 Am Wmt p,, VA i to w rr ro s, NUKA Detye A uwerS.00r e a 4nsiotbta Gm , D vwt She i - /2• NIT (3911W Total N4T hot i 12 16 20 24 s#%& Hwan 3/4' t19>W d'w (U.S.) _�� 2! S3 12 0 UM weyi: 3011& Power Cad 16/3, s", 20' sod. Dimensional Data 111 1. AA Aftvw Materials of Construction rpA 4;' e.ul t' L� Z (ogeKttt dNee,lo�e n•, H6eNe Swiskis SNOW _ In "'� lrbrk OA DWe Ktrk 01 as ,�"i i wo W" Mleter Noss Gst ka r.�t c�.�ot l weed wioM R Cobol Carat ken Psi S. on/oIl fhl ad[vmil, 4. We rtnrve Ar r♦h o tide nN6oA< is ev wwua wd their "dunk WIWA r4 ft MledtaNrcd fwW Eons: Cosim /Csrwk Skfi Seol Sod hdr A St d Spri.F $"n $few wsa loaatrM E Ik ,,•,n tf Gat Ins S"" cxn lewoi kerbog VAlk Roar hill 9001d" —7 lv tw Phfo tk 3 14 4 ► LOP Ex*" 76woaua Fasieoori Stei,fsts St«I — I t mo w" 1999 H drarxtit' Nmof, A,hlon i, Ohio. AP A Aewved. F11 HYDROMATIC" - YauAwthon=edLotdDiwobvtor - 1840 laniT Rind AtNmt,, Oho 44104 Tel; 419.269.3042 Fix. 419.2211-4011 i Web She: wev.pentatr➢ump mm t SALES CIFFKIS IN ALL NLIJOA CITIES AND COMBS ilem w: W- 02.6350 1206 5M System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and /or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run -off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank and aerobic treatment tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly ins a Ge recommende icensed_pLIw� her - Shad -be noti i1=ef consistent) onded in the adsorption 5. This system has an aerobic treatment tank which must be inspected every six month according to specifications and contract. components or this system include an alarm which must a ins a t e pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. 12. Good access is available to the pump tank via a sod field located west of and north of the combination tank; this access must be maintained for future maintenance. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 i 2032 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8'/: County x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 10 acre CSM pending Please print all information. R iewe Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). �SO Property Owner Property Location Menter, Joe & Audrey Govt. Lot NE 1/4 SE 1/4 S 11 T 28 NR 15 W Property Owner's Mailing Address Lot Block # Subd. Name or CSMi 469 315th St. 2 n Ing City State Zip Code Phone Number City j Village V Town Nearest Ro — 7 31 L f� Knapp i WI 54749 715 - 772 - 4265 Cady 320 V New Construction Use: Yj Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement j Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: using highly treated effluent install 4' x 60' rock cell mound on 100.0 contour w/ 0.5 ' sand fill FTI Boring # 1 Boring Pit Ground Surface elev. 96.6 ft. Depth to limiting factor _ 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDI ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1_ 0 -7 7.5YR 3/2 - sil 2 f sbk mvfr cs 2fl m .6 .8 2 7 -22 7.5YR 4/4 - sl 1 m sbk mvfr cs 1 nn 4 7 3 22 -38 7.5YR 414 f2f 7.5YR 416,5/3 sl 1 m sbk mvfr cs if 4 7 4 38 -46 10YR 6/3 c2d 7.5YR 5/8 scl 0 m mfr - - 0 0 rdox features become c2d below 30" ❑ Boring # ...! Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 7.5YR 3/2 sil 2 f sbk mvfr cs 1f /m .6 .8 2 8 -25 7.5YR 4/3 - sl 1 m sbk mvfr cs 1 m .4 j 7 3 25 -32 7.5YR 4/3 f2d 7.5YR 4/6,5/3 sl 1 m sbk mvfr - if .4 .7 i ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' E +u nt - BOD < 30 mg /L and TSS < 30 mgr CST Name (Please Print) Signatur CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 5/3/2004 715 233 - 0398 Property Owner Menter, Joe & Audrey Parcel ID # 10 acre CSM pending Page 2 of 3 ' 3] Boring # _j Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 7.5YR 3/2 - sil 2 f sbk mvfr cs 1f /m .6 .8 2 8 -19 7.5YR 4/3 - sl 1 m sbk mvfr cs 1 m .4 .7 3 19 -29 7.5YR 4/3 f1f 7.5YR 5/8 sicl 3 m sbk mfr cs 1m .4 .6 4 29 - 34 7.5YR 4/3 c3p 7.5YR 5/8,5/3 sicl 0 m mfr - - 0 0 common gy si coats on peds in horizon 3 ❑ Boring # .-W Boring j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I I i i I � I I Boring # ! Boring i Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 i I i *Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L 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. SBD -8330 (R.07 /00) Certified Soil Testing r - r � 'o CAM 9L 0 Q' z / � � oo,o� � l�•o�,fl h� � � Z .� �6 c� r .1/ 0 4Wl Q�V L/ I S 7 S� � �� A, S•� � y • �' � O � ` ` 4.M. ice. - � l o � �� � e ., � 9 T ^ � .`> a urs. �f t �J... L� 2� o�+ 1 U tun. o� o .�'.�`�.'"`.- "°.�..` l+�'- �f` _..._ --'�•^ goy 11 2. o c� S�- wD t3 v-(, goo �l t , 0 -�V61 Y i� LA.S4a �1, (t YV , o) Oar L/ '76�3 � OL4CAH GE 4758 KAT REGISTER OF DEEDS ST. CROIX CO., MI CERTI FI En S V RVEY MAP 05/26/2104 LOCATED IN THE NEI /4 OF THE SE1 /4 OF SECTION 11, T26N, CERTIFIED SURVEY MAP RI 5W, TOWN OF CADY, ST. CROIX COUNTY, WISCONSIN. REC FEEs 13.00 N COPY FEE: 3.00 OWNER SURVEYOR PAGES: 2 JIM MIKLA EDWIN C FLANUM 0 2387 60TH AVE. NORTHLAND SURVEYING, INC. LU WOODVILLE. WI 54028 P.O BOX 14 _ ROBERTS. WI 54023 l LLI NOTE: SLOPES OF 2D% OR GREATER A SPECIAL EXCEPTION U PERMIT IS REOU FO R THE E OF w 0 SC APPRO ED CSM. THIS PERM T IS APPL1 D FOR THROUGH THE ZONING 45TH AVENUE U 0 OFFICE AND IS REVIEWED THROUGH A PUBLIC HEARING PROCESS BY ----------------------------- U; z THE ST. CROIX COUNTY BOARD OF ADJUSTMENT. ? w z - HUL L 4tCED R.L%HD0 + I I W 1/4 CORNER SECTION 11 m O C�7 0 GD C3t7 O�_1_Gjli _Gp_G3g3 E 1/4 CORNER ----- -- - - - - -- I EAST - WEST 1/4 LINE SECTION 11 N69 0 46'25 "E 1325.02' f� 1292.02' • 33.00' TT v I APPROVED ST. CROIX COUNTY ' ftr"rW Zoning and Parks Committee ' FIELD -( i DRIVE ui �f MAY 2 6 20041 o Fez if not Iy=dad WItMn 30 days of �f/ I approval date approval shad be 3I null and void u] �! N89°48'1 4 "E 496.70' O 463.70 3 o N 3.00 O c LOT 1 t— N w 30.21 ACRES INC. R/W f�l r 1.315,970 SQ. FT. i tun 29.87 ACRES EXC. R W L p'(' ,� ♦ ♦ �1 I cY Lil W w 1 SO. FT. Z cc 10.00 ACRES INC. R/W I r I N LU 435,600 SO. FT. I �� O I V LL 9.34 ACRES EXC. RM/ PROOPOSED p 406,658 SQ.; o o z y3f N 1 0_ 1 C� N i co : y ^ A It% ri qj a�D I W ♦ ♦ d� 33 SOUTH LINE OF THE NE1 14 OF THE SE1 /4 r 1293.50' 496.70' 629.60' 463.7a 33 I 889 °48'14"W 1326,50' LEGEND OI(�GDD f3� 04[GG3 ALUMINUM COUNTY SECTION CORNER MONUMENT FOUND El 1"X 18" IRON REBAR SET, WEIGHING SCALE IN FEET I"= 200' 1.50 LBS. PER LINEAR FOOT O 1" STEEL SURVEY MARKER FOUND O 200 400 SE CORNER OF SECTION 11 COMPUTED FROM WITNESS -� ••••••• -••••• 10a ROADWAY SETBACK MONUMENTS OF RECORD ♦ SOILTEST THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 04 -44 DATE 4 -26-04 SHEET 1 OF 2 SHEETS Vol 18 Page 4758 AEROBIC TREATMENT UNIT (ATU) SERVICING AGREEMENT This agreement is made pursuant to Comm 83.21(2)(c)(5), Wis. Adm. Code Agreement Date Plan Transaction Number /GUSH 3 � Pro erty Owner(s ,�►�s Legal Description of Property S - 4rvey Mr &-r, Mo.7 (a - 3 95 W. d e � A1751 �� rNEiy �� Sc %y � �r � Alt i � Name and return address TZP� , /Z / 5` In/ 7�r of Gcd J n d Atry. Parcej identifier number r �S 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) The owner agrees to conform to all applicable requirements of Ch. Comm 83, Wis. Adm. Code relating to aerobic treatment units and the maintenance requirements for the proposed POWTS (Private Onsite Wastewater Treatment System) technology. 2) The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintainer will perform periodic inspections and maintenance as required by the manufacturer and the department, including, but not limited to: the blower, electrical controls, 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. 4) The owner recognizes that the county, department or POWTS maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5) 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. 6) This agreement will remain in effect only until the county office responsible for the regulation of private onsite wastewater treatment systems certifies that the property is no longer served by the aerobic treatment unit. 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. 7) 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 by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the aerobic treatment unit is installed. Owner Name (Print) Subscribed and sworn to before me on this date: Notarized Owner Signature Notary Signature My commission expires: Drafted By OM ROS CONST FAX NU. (iZ)'gybeJl x r• — - Sep 15 03 10:408 Petersen z0?-E;S2 - p•� Pate ED Cos POINTS INSPECTION SERVICE AGREEMENT . The OOrrsa operalbn d the below t qulpment a+ Y f m a kfapscsla v a help "jo ld the wo d and wfvvvnt tha dead for 4o* aeoeas tD> POWYS equipment W" Wgft Wm by a trained ar14 p�«t . . MWW Mspep( m and r u*w lniirltflhaffoe W h0V MUM life � is o*p -*Va I N �X COUNT Y K i% hrebyapff» ed by and bebvG PUrChaesr and Peeetaan Weatewe --- Gefvioes �++ d ete oaymenbt WvAdsd %r herein. Scrubs Provider wW ofovide Ilia awbea al's tam Pw bsPnid r» o_ daaarlbed below. setvtoa Prodder proms Oroms a wnYOen report aAer each sfld �� o�e daemad ale by tM 1nePro�'. . Thie report wd oonl�in nioanneer� ions for wy ope�aean TW apraeensfftdoea not noume any moponsWtiee or oblipabm that we W=Ny ow tupwabl4W d Pixdfaser and does hot emtafd b Dover arty costs that stay be associated wllrt any reoofnm�ridatlofis mods under thls sereeft�ent. M AO event silaq 8ervtoe Provider bo feep offeioN for ally sp a ooheequentiel damat;ea, itldu�Ap but not firtfiled bo, kfes of SWVW maywpp addWW set ADft pwb lobor &* � � by =�noaeon wtfetsoev�er. TNs aprafllsht VW Ream in fo w fora period of �. YOW16 b e*WfpiD .: nL4 .l 14LC h' � ~ 3O;_�_ and wM aubfnr soar mrlaw year Qfafadw f oroas yaw unless eeneeied byaisfnrpmr ywM at WM30 says wditn nOicc 17th sWownent may be ewmM bylr4 PW*AW .r Q* it rohlaoed by a eer Am �reeefsift with an wAhoeiaed m ice Orovlder for #w o Wpmott ldmd below. Service PmWder may ddsy or ear*d flatus !� PolRheflt beoCrifee at iesst �s days paetdus. p.,w,ele btapaotforls: Ttt. Plxcsloeer oohs a pay ser4w Wavider inepedorf>s!a d1e Brae rMo years at a6c frfo+fu+ it Wvvb and Y Of" Mpecebrt 6QM year mend. Paymarl fdfMa3rst o giV wrAw rMfsou's d by d Pw dumw on nflal� s � A ►addldo�d i� Suvim Provider. Pateraen WsdwAW 8erviWs Peteraert ' a4m"fti t@S t � ' r ell O • esrs�T Wt i...ot (o far a Po ll' Cjaks r t at 135 A A - "� '� 5�'S ciblakfav t -vlSon W t 01 Peyrtent Type: OWk Cssh Amertan HPrass Vita tWalerCaM Otter t:rodlt c.�e e►s it ! 3 7 1yis DHSS '{ �b� aw. oe+. 3 " o s t'lryeta+t ArHOUr� S er.u►.�.uwaaa Td: 88&4564W. WHOM* pown" Pasom" LLC Foe 800.668.1232.20 -W- 1% Pogw .0. o uew E.Mait rwf�etttopelersen". tiles LOVE Tp SERVE Ovr Q�A�fdif'Y/'li�QDiJ�.'1'a+ DICE f8li JUN -14 -2004 07:09 FROM: TO:17153864686 P.2 rjt? /11! /004 it. Jf fiJLJ./i&&A. ��` _� JUN -11 -2004 12:07 FROM: M. 2351222 P.2 Dd /lit YS rest pf :ar rw.& r1D aco +oow .►a vas .wf•••„' �" $T. IC"m UNTY SSA'1",iC TANK AGRELMEW. AND OWNW1 CRt A77CM IFOPki Mall" Adana 9 l5 - �tJ ! � . v r�i Z N rpul:ad Plate y D fw now eeettrruuop.) i Cityl'Staft Pity ldCnif, NxtnbW . IX I Property Locsti x, I—Vt__Yo . _ Y. . Sec. T Z R /_S W, Tom of L� c� Subdosion Lot d Z . 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State of VVk� �t Ym Septic Systems hu bem m&[A tined bmrt b. .dd rotuou t is t6 Sk Croix Couaty &Wbn Dep med ndihtn 30 ft yl of tho woo yest winwas do* joy y S"LGNATVRE OF APlLiCA� I DAiB O L'" CUft alt atssetntott ad aria Am no true to the best of tmaadrdar. yew "wem dc o+rnes(s) orse �� 'a• Y dad tmecuW is he at ; : Deedt Otlies DATE " AMY bbamtlan do Is ndX%MgCW teult in list q tttry lRmkbftn=ke4bytUZcxftD * U Wudc with this sppIkvdm a stamped wruetttty dead Gam the Rajiaar twos acid a COPY 02D oothtlad tmvey xIItP if mk mte i! ago tt! the wr�aq deed. ; �i I LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF CADY COMPUTER NUMBER 004 - 1025 -70 -000 Parcel Number 11.28.15.175 OWNER NAME: First JAMES P & KATHERINE A Last MIKLA PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 11 TOWN 28N RANGE 15W 1 /4160 1 /440 Line Description Line Description TOTAL ACREAGE 40.000 PLAT LOT BLK 01 SEC 11 T28N R15W 40A NE SE 15 02 16 03 17 04 18 05 19 06 20 07 21 l 08 22 09 23 I 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit 1 &1 31� S T. �4NAfPj �� — EC EI 1728 SOIL EVALUATION REPO ; of 3 Wisconsin Department of Commerce tie a . z ��.E. it &Site Evaluations Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code C unty S X ( - Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must rya include, but not limited to: vertical and horizontal reference pant (BM), erection and -1- percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 04- 1025- 70-000 Please print all infonnadon. t Date D Personal information you provide may be used for secmday pu om (Pnvwy Law, s. 15.04 (1) (m)). r D Property Owner Property Location James & Katherine Milda Govt. Lot NE 1/4 SE 1/4 S 11 T 28 N R 15 W Property Owners Mailing Address Lot # Block # Subd. Name or CSW, , l 22387 60th Ave. �/ l City State Zip Code Phone Number City J Village 01 Town Nearest Road Woodville I WI 1 540281 Cady I 320Th Street 0 New Construction Use: 01 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD J Replacement Public or commercial - Describe: Parent material Glacial till Flo7plain itappliea6 General komments na y and recommendations: Install mounds em at elev. 108.54' 13" ve 107.45' cunt c1TS 1 Boring # Boring V v ' 4� i OY t/ Pit Grand Surface env. 104.96 ft. Depth to limiting factor 23 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 1 - 092 1 0-10 10yr3/3 none sil 2fcr mvfr as 2fm 0 0.8 2 10-23 10yr5/4 none sil 2fsbk dsh cW 1fm 0.5 0.8 3 23 -31 10yr4 /4 f2f 7.5yr5/8 sl 1 msbk dh gW 1f,vf 0.4 0.6 4 31-69 10yr6/4 f2d 7.5yr5/8 Is/sl mix 1 msbk dsh - - 0.4 0.6 i i i F H#4 consists of a stratified mixture of 10yr6/4 Osg s, 10yr6/41 msbk Is & I Oyr5/41 msbk sl too numerous to differentiate. Loading rate refracts most restrictive permeability found within horizon. Boring # Boring e Pit Ground Surface elev. 107.60 ft. Depth to limiting factor 32" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 1Oyr3/3 none sit 2fcr mvfr as 2fm 0.5 0.8 2 9-15 1Oyr514 none sit 2fsbk dsh cW 1fm 0.5 0.8 3 15-32 1Oyr4/4 none sil 2msbk dh 9W 1f,vf 0.5 0.8 4 32-46 1 Oyr6 /4 f2d 7.5yr5/8 Is/sl mix 1 msbk dsh - - 0.4 0.6 H#4 consists of a stratified mixture 10yr614 Osg 1, 1 Oyr6141 msbk Is & 10yr5/41 msbk at too numero to differentiate. Loading rate reflects most restrictive permeability found within horizon. Effluent #1 = BOD ? 30 < 220 mg/&" TSS -30J 150 mg/ * Effluent #2 = BOD <30 mg/L and TSS <-0 mg/L CST Name (Please Print) Sig ure: CST Number James K. Thompson S= 3602 Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osoebla, WI 54020 1042/2003 715 - 248 -7767 . Property O wner James & Katherine Milda Parcel ID # 004- 1025 - 70-000 Page 2 of 3 3 ] 21 Ong F On g # 108.04 ft. Depth to limiting factor 30 in. Pit Ground Surface elev. � " Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 -Eff#2 1 0 -10 10yr3/3 none sil 2fcr mvfr as 2fm 0.5 0.8 2 10-18 10yr5/4 none sil 2fsbk dsh cw 1fm 0.5 0.8 3 _ 18-30 10yr4/4 none sil 2msbk dh gw 1f,vf 0.5 0.8 4 30-47 10yr6/4 f2d 7.5yr5/8 Is/si mix 1 msbk dsh - - 0.4 0.6 H#4 consists of a stratified mature of 1 Oyr6/4 Osg s, 1 0yr6/41 msbk is & 10yr5/41 msbk sl too numerous to differentiate. Loading rate reflects most restrictive permiability found within horizon. Boring # _ j Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F—I Bori # I Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 - Eff#2 Effluent #1 = BOD y > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 30 mg/L and TSS <30 mg/L 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. ` JO �O�COnEx�K/ � spy/ edQ/GCQ E: ♦ Ele ✓a �ro� Bz '-� A- o� ioz.o ' / Soa S lope �-� I i I pdnc h1a✓� To/ o f 3 11 " Tr e eS 89,13' o,G' " rc 6oe . i Sy,93 ' od i `J�� ccce -•E— y o to ° n /at � h e p�r,e5 3 685 - 7 42 STATE BAR OF WISCONSIN FORM 1 - 1999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., YI RECEIVED FOR RECORD This Deed, made between Joseph J. Menter and Audrey L. Menter, husband and wife as survivorship marital property Grantor, and James 0$ - 01 - 2002 9:30 All Patrick Mikla and Katherine Anne Mikla, husband and wife as WARRANTY DEB survivorship marital property Grantee. EXEMPT # Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE • 11.00 the following described real estate in St. Croix County, State of Wisconsin (the TRANS FEE: 90.00 "Property") (if more space is needed, please attach addendum): COPY FEE: The Northeast Quarter (NE 1/4) of the Southeast Quarter (SE 1/4) of PAGES COPY FEE: Section Eleven (11), Township Twenty -eight (28) North, Range Fifteen (15) West. For the period ending 10 years from the date this Deed is recorded, the Grantees, their heirs, successors and assigns agree that the Grantors, their heirs, successor and assigns, shall have an absolute right to urchase, all Recording Area but not less than all, of the proper y eserl ed herein ' s sell or otherwise convey or any part o t e escrl a property. In that event, Name and Return Address the purchase price shall be equal to the value on the date of the recording BAKKE NORMAN S.C. of this Deed as shown on the Wisconsin Real Estate Transfer Tax Return. 2403 STOUT ROAD MENOMONIE, WI 54751 Together with all appurtenant rights, tale and tnterests. L � �. 004 - 1025 -70 1 Parcel Identification Number (PIN) ��This ' t homestead property ) (is not) Grantor warrants that the title to the Property is good, indef ible n fee simple and free and clear of encumbrances except easements, highways, utilit rights and reservations of record. Dated this day o 2002 oseph . Mente� . I�/[LZX;Z " Audre . Menter " AUTHENT ;(�`�`�s ` *•. ACKNOWLEDGMENT `...... p Sienature(s) Jose h J. Ment an v L­. r STATE OF ) Ss. s County ) authentipated .day : + 3 `1102 of -. Personally came before me this day e � "•••••• �O the above named ���NSpaNtA * Robert G. Walter TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) Who executed the foregoing authorized by 4706.06. Wis. Stats.) instrument and acknowledeed the same. THIS INSTRUMENT WAS DRAFTED BY ROBERT G. WALTER BAKKE NORMAN S.C. LAW OFFICES Notate Public. State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.)) • Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co.. Fond du Lac, wl STATE BAR OF WISCONSIN 800- 655.2021 WARRANTY DEED FORM No. t - 6999 JUN -14 -2004 07:09 FROM: TO:17153864686 P.1 FAX TRANSM ITTAL H & H Plumbl g. LLC PO Box 10 200 Bremer Aver! e, Suite D Colfax, WI 5 730 PH. (715) 96! -4155 Fax (715) 96 -4156 DATE SENT: - ► Lt - n `1 IME: TO: � A,n^- COMPANY NAME: FAX NUMBER: _ 6 _ 6V6 # OF PAGES (INCLUDING COVED ) Z SENT BY MESSAGE: i This message is intended only for the use of the, individual or entity named above, and may contain information that is privileged, con and exempt from disclosure under applicable law. If the reader of this mess a is not the intended recipient, or the employee or agent responsible for delivering the nessage to the intended recipient, you are hereby notified that you have received this document in error, and that any review, dissemination, distribution, or copying of this communication is strictly prohibited. I�R0IX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER AN - 1101 Carmichael Road --"------- Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 May 28, 2004 Ed Flanum Northland Surveying 856A Hwy 65, PO Box 14 Roberts, WI 54023 RE: Mikla Certified Survey Map —Section 11, Town of Cady Dear Mr. Flanum: At the May 25, 2004 meeting of the County Planning and Zoning Committee, approval was given to the above - stated minor subdivision. If you have any questions or concerns, please feel free to contact this office. Sincerely, q �' U &' mm Jennifer Emmerich Zoning Specialist /ml cc: Owner, Jim Mikla, 2387 60 Avenue, Woodville, WI 54028 Town of Cady File a V_J � _� N01 ° 0347 ° E RM9_ -9n, iw ,_ _ Lb J' 775 IN82 °04' c� 1 lf, °12'1 • 2.� 808,29' ._.� RECEIVED MAY 19 2004 ST. CROIX COUNTY CERTIFIED SURVEY MAP ZONING OFFICE LOCATED IN THE NE1 /4 OF THE SE1 /4 OF SECTION 11, T28N, R1 5W, TOWN OF CADY, ST. CROIX COUNTY, WISCONSIN. om, � -'o ' l P—e) \ 6e � N OWNER SURVEYOR JIM MIKLA I£DWIN C FLANUM 0 2387 60TH AVE. NORTHLAND SURVEYING, INC. ) �- C.101 WOODVILLE, WI 54028 P.0 BOX 14 Z ROBERTS, WI 54023 Lu 0 NOTE: SLOPES OF 20% OR GREATER LL' X Q A SPECIAL EXCEPTION USE PERMIT IS REQUIRED FOR THE ¢ — DISTURBANCE OF SLOPES 20% OR GREATER LOCATED ON THE W Y APPROVED CSM. THIS PERMIT IS APPLIED FOR THROUGH THE ZONING 45TH AVENUE Q U CO OFFICE AND IS REVIEWED THROUGH A PUBLIC HEARING PROCESS BY ----------------------------- cf) � THE ST. CROIX COUNTY BOARD OF ADJUSTMENT. = Z MmpL&UT9910 dlQ�n]D� W 1/4 CORNER U) -------------------------------------- SECTION 11 O� 0 0MMER N W 0MMIENO E 1/4 CORNER EAST - WEST 1/4 LINE SECTION 11 N89 0 46'25 "E 1325.02' ED 1292.02' c 33.00' 6 6' v ^ I vl rn :FIELD co DRIVE I = v� LL v ZI n p� W U N89 °48'14 "E 496.70' 463.70' 33.00' > 1 ' U) LOT 1 '7 F r, 00 N Lu / 30.21 ACRES INC. R/W co j LL 1,315,970 SO. FT. / cv r r 29.87 ACRES EXC. R/W LOT 2 ♦ ♦' ♦ C, N W W 1,301,299 SO. FT. I z 10.00 ACRES INC. R/1N- -- =~ r �I j ; N w 435,600 SO. FT. ( N, 0 N 9.34 ACRES EXC. R/W PROPOSED I 601 p 406,658 SO. FT. DR _ cm D i p z o N +O 0 r/1 J V V n F ' N 00 0 w c* co ti� ♦ ♦ I N a 33' 33 SOUTH LINE OF,THE NE1 /4 OF THE SE1 /4 1293.50' 496.70' 829.80' 463.70' 33.00' S89 4"W 1326.50' LEGEND OM'11 (D 13V O4GL1RM N ALUMINUM COUNTY SECTION c N CORNER MONUMENT FOUND 1" X 18" IRON REBAR SET, WEIGHING SCALE IN FEET 1" = 200' 1.50 LBS. PER LINEAR FOOT O 1" STEEL SURVEY MARKER FOUND 0 200 400 SE CORNER OF SECTION 11 COMPUTED FROM WITNESS —� ••••••••••••• 1 00'ROADWAY SETBACK MONUMENTS OF RECORD ♦ SOIL TEST - THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 04 -44 DATE 4 -26 -04 SHEET 1 OF 2 SHEETS