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HomeMy WebLinkAbout006-1000-40-000St. ~'roix 'aunty Planning and Zoning Tuesday, April 24, 200' at 9:41:09 AM Detail Sanitary Information Page 1 of l Computer #: 006-1000-40-000 Sub/Plat: 80 acres Section: 1 Parcel #: 01.31.16.4 Lot: TN/RNG: T31N R16W Municipality: Cylon, Town of CSM: 1/4 1/4: S 1/2 NE 1/4 Owner: Willson, Larry & Fem 2366 Hwy 63 Clear Lake, WI 54005 State Permit: 506148 Issued: 04/24/2007 POWTS Dispersal: Non-Pressurized In-ground Permit: Replacement County Permit: 0 Installed: POWTS Detail: Infiltrator - Quick4 chambers Bedrooms: 4 WI Fund: POWTS Pretreatment: NA N t~te.~ Issuerilnspector As Buiit Plumber Other Requirements Additional Notes Monev Owed Pam Quinn >4/1/00 -Not Required Weis, Mark existing house shows up in 1972 plat book - $0.00 Not determined ~tf: No existing system has no permit record, but apparently is not yet failing. This syslem is sized to accommodate both the accessory structure bathroom plus future connection to house as replacement system. Owner: Jones, Lester 2366 Hwy 63 Clear Lake, WI 54005 State Permit: Issued: 01/01/1971 POWTS Dispersal: Non-Pressurized In-ground Permit: New County Permit: 0 Installed: 01/01/1971 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA ~, . Issuerilnspector As Built Plumber Other Requirements Additions{ Notes Monev Owed Not determined NA Unknown existing house shown on plot plan with a septic $0.00 Not determined C `. No tank and possible seepage pit/drywell on west side of house. This is not failing as of 2007 permit for a separate POWTS servicing new garage accessory bathroom. Future connection to new 4 BR POWTS will serve as replacement system. I&+taintert~nc~ Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 6/1/2006 Vdisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Willson, Larr & Fern C Ion, Town of SST BM Elev: Insp. BM Elev: BM Descrip n: TANK INFORMATION ELEVATI N DATA TYPE MANUFACTURER ~~ CAPACITY Septic /7~i ,-~f~ - ( ~ 2 (~.r~ Dosing ~ ~` ( ! / 'T~' Aeration Holding TANK SETBACK INFORMATION TANK TO P~ WELL BLDG. Vent to Air Intake ~~ ROAD Septic I Dosing Aeration Holding _. PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Num er TDH Lift Friction Loss ystem _ TDH Ft Forcemain Le Dia. Dist. to Well SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 506148 0 State Plan ID No: Parcel Tax No: 006-1000-40-000 Section/Town/Range/Map No: 01.31.16.4 STATION BS HI FS ELEV. Benchm r I' / D~ ~ ~ Alt. BM e Bid .Sewer ~ ~ ~< cut- ~ ~ 7 s'S ~~ ~ 3 SUHt Inl t a9 92.E SUHt utlet 0 3 ~ / Z t Inlet Dt Bottom / ,~--_ Header/Man. , r /`r l~ Dist. Pipe ~----- /~ Z y.,/ ~~ Bot. System Final G=e a~ B ~y ` St Cover / CU-n n Z r 3. 5 / / ~~ B ~S S BED/TRENCH Width 1 Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 J /~ SETBACK M TO SYSTE P/ WELL LAKE/STREAM LEACHING anufacturer INFORMATION HAMBER OR Type System: ~ > ~~ `.ham ~ '~ \ ~~ I UNIT Model Number: DISTRIBUTION SYSTEM -~-~ /'y~1G.Yinr, 1~--~'hlr~ Header/Manif I Length Dia Distribution ~ Pipe(s) fl ~ Length Dia Spacing x Hole Size x Hole Spacing Vent to Air Intake ~ `~ SOIL COVER 1 x Pressure Systems Only xx Mound Or At-Grade Systems OnIV Depth Over jJ D epth Over xx Depth of xx Seeded/Sodded Bed/Trench Center ~ (~jG ~ Bed/Trench edges Topsoil ~ Yes ~ No ~ Yes No ~Y f° `I- Z (o U I COMMENTS: (Incl d ode discrepen ies, persons prese etc.) ~ Inspection #1: / /' Inspection #2: / / Location: 2366 Hwy 63 Clear Lake, WI 54005 (S 1/2 NE 1/4 1 T31N R16W) 8/0/~acr-es~Lot,,,{ ~~ Pa~rc°el No:/01.31.16.4 1.) Alt BM Description =~~ ~ ~C,~l/~-d V~2~c-~ `~ ~' ~l''n//-~~t'{,, / n / 2.) Bldg sewer length = l S / G~'`~~J /~ rjll// ~, ~Ur~" - amount of cover = > ~ i ~ /yL~ r7 k _ -___ __ - - -- - - _--- - - ~ ~7 __ _ -1 Plan revision Required ^ Yes o ~ ~ ` I Use other side for additional information. _, ! ____ SBD-6710 (R.3/97) Date Insepctor's Si ature Cert. No. i xx Mulched dY( ctymmerce.wi.gov Safety and Buildings Division County , ~T t~ (~ O ~ ~ 201 W. Washington Ave., P.O. Box 7162 l ~~O ~ ~' ~ D t f C K Madison, WI 53707-7162 Sanitary Permit Number (to be fill ~ by Co.) eper mer o ommerce Sanitary Permit Application State Ttansactio~nmber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is requited prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are project Addres (if different than mailing address) submitted to the Depardnent of Commerce. Personal information you provide may be used for secondary i h h 4 ~ ~ /- ~ , , p J /_ ~ v'"""'1 1 ~ u ses n accordance wit t e Priva Law s. 15.0 1 m Staffs. P ~ I. A }ieation Information -Please Print All Information WT ~~t 1 Property Owner's Name j Q~ ,~ C_ _ N w Y ~ `S fl r ~'C' 1 # ~~ ' ~ ~~ ~ ~~ Property Owner's Mailing Address APR 2 3 2 O Q operty Location 3 a~- ~ ~~N~ "5~' ~' . f/Sccf/n~~ vt. Lot tt City,S ta te Zi p ode C hone~gipg)~OI ~ y., NE ~/., Section 1 . 1 n.- ,/~ ~/p, '//~ /y) ~~/ ~1 V ~v'~ ~ r ~ N ~~ ~ ~ ^ J :J O ~ ~ - -" (Check Onel C J ~ ~ / T3(N RJ~ T f B # L ; ^E~W ype o uilding (check all tha apply) U. ot ~~ ~1 or 2 Family Dwelling -Number of Bedrooms ~ ~ Subdivision Name IICCCC''''"'""'"`"" ~) Z ~ ~'~. 8 ~~ ~ ~ i rU ~ ~~~-ao~•, g4r~g ~ , ~ k # > Public/Commercial -Describe Use City of State Owned - D es cribe Use C um b er (^p~tVillage of ~ ~f ~ O `„~ ~ ( ~~/ L 7 It7d' Town of , , ~ ~ '~ ~C~",v 'v .~ f~ -~G2~1~/t/~ , III. Ty a of Permit: (C6 ck on ne box on 1m .Comp ete line B applicable) A. 'New System Replacement Treatment/I-Iolding Tank Replacement Only Other Modification to Existing System (explain) S em B. Permit Renewal Before Permit Revision Change of Plumber Permit Transfer to N Owner ~~ Previous Permit Number and Date Issued ~ ~~ W/,c ew ~ ~/~- E iration ~- IV. T e of POWTS S stemlCom onent/Device: Check all that a Non-Pressurized In-Ground Pressurized In-Ground At-Grade Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ Holding Tank ^ Other Dispersal mponent (explai Pretrea t Device xpl ~ ) V. Dis ersalll'reatmentAtea In ormation: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) ispersal Area Proposed (sf) System Elev ion lJQ_ ~ ~ ~ s ~ ~ 1. ~ 9a. 0 3 VI. Tank Info Capacity in Total # of Manufacturer Material \ Gallons Gallons Units ~ ~,/ ~ S ~Ex?~ / ~ New Turks Existing Tanks p , t `~ 1-~- ~ .~~1.J ,81 ' 3 . S Septic or Holding Tank •! .~.-~o t ZOQ /~ , Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for ' falls n of the POWT own on the attached plans. Pl bet's Name (Print ~~ t ~' Plumber's Signs MP RS Number ' Business Phone Number - 5 1~Rk 1 ~ ~ !o~ 7a7Y zYo 7Ls- Ys ~O Plumber's Address (Street, City, State, Zip Code) l ~' ~' 13 ~rz ~vE_ C~ •ne~o,v lvT S`Y ~ a ~ V . Coun /De artment Use Onl _ Approved _ Disapproved Owner Given Reason for Denial Permit Fee ~ $ <"71 ~ (/ Date I sued y a~ o ~ I tug Age i e /~~'~ / _~`S ~~ / G Cp 7 ~" ~o~ii~~f'~,pproval/Beasons for Disapproval 1~~~_ ,• _ O ~l' J,~~ J jf ~~ Septic tank, effluent filter and / ~,~~2~1j-yn ~ ~ U w7 dispersal cell must all be serviced /maintained ~~ Z ~ / ~/,~~~~u,~ as per management plan provided by plumber. ~ J ~ (~- G l ~ All setback requirements must be maintained f ~/~ i7~ Gtr ~- ~Z. Aa i./G I x1.11./111.0 U1G li V 1apaPII ~P CODl1~~eeD:pran6 rot the SyBtenVAnn BLLbaLr to the l:otmyy/onty on paper not te~in7tn a trz: r r mche6 m stze -Q2~c'~- Cd?t.bt ~,Qi~ vt~ rr~ ~ B ~ 9' ~~ () ~~ ~ ~ ~ Ce n .f~t,v~~ ~e~~,~-ems- ~ SBD-6398~/(R. 01/07) Valid thtu Ql/09 ~ /~Gz~y /~. ~Gfiiti dY~ ~~~ 1 ~ ~ ss ~ ~p » ~ ~ Ei Q ~ ~ O i K S o 4 ~ -}~ ~ t~ 'b '~ o ~ ~ ~ S<i J ~~ 4 _ !^ _ ca S~ys~ P ~ a, ^ ~~ ~- w .y O 3~ ` ~ ~ / !~'S Q cp ~ ~~.- Q 7c ~ Q ~ ~~ ~ ~ ~ ~ i ~ 3 o ® ~. '1~ O ~ S ~ ~ ° O ~ t O b ~ ., n ~' , '"" ~ w 3 d ~ ~~ o ~~ ~~~/ ~ ~ •.., o ~ s, ~ tP ~- _; ~ ~- ~ ~ C3 0 ~' 0 °~ a d ~. "°~` i t~ ~ 3 s 0 o~ ~ _ c~ \~~ ~' v -~ © ~~ ~ ~ SU J ~f ._. ~~ o ~ -.~ ~. ~ , -~-~ ~~ .~ ~~~ N ~~ N ,~ ~~' ~~ ~ ~ ~°~ ~, ~ ~, . ~ ` c ~/ ~ ~ ~ ''! : ~ C. -b C~ J y u ~ in ~ ~p~ oa ~' J ~ ~ ~~ ~ ~ ~ ~ ~v ~ t4 ~ ~A ` ~~ O A ~ ~ \ 3 X ~- _~ ~. tp -o -o s~ fl -~- ~ ~ ~ 3 -~ ~. O ~ ~ -~- m ~ fl ~ ~ ~ o ~ `, ~ U ~ d w 3 o `~ ' ~ o ~~ o ~ ~' ---- (,(, 5. ~~ ~.3 ____, ~~S s~~ s~ ~~~ ~~ ~~ 1VIARIC WEIS -OWNER 1879 13 I/2 Ave. Cameron, WI 54822 715-458-0740 HOME 715-642-1931 CELL markweis@charter.net MPRS #657274 ~P #657274 i~~%~ ~ ~i~ a ~i~~~ ~ ~ ~~ ~~~ c~c~r~g~ ~~ YL ! G .. ^ ~ f c 11 ~S~ ~ 5 0~ ~ ~~- ~ ~.~ ~ e~~ ~~ SQ p~ "~~~r l a v'~. CONVENTIONAL INGROUND DISTRIBUTION DESIGN RESIDENTIAL APPLICATION INDEX & TITLE PAGE PROJECT NAME: !~(d I ~ F 5©n .acs u/P~ OWNER'S NAME: l~Q ~ T t ~e~ N ~a lI S o r~ OWNER'S ADDRESS: 13a s"' 1 da~~l s~- . ~ iyy~u- ~ro~-c.. l~r'~l~~s ~~' SSt~~7 ~~ (~~r - 5~a_ ~39~ LEGAL DESCRIBTION: ~ ~, ~ ~~ s 1~ ! 3 ~N j ~ ~6 ~ TOWNSHIP: C `'~~- o ~ COUNTY: ST ~ L ro i~ ~.A- SUBDIVISION NAME: LOT #: BLOCK#: PARCEL I.D. #: O O (p ° ~~a " ~®' C~1 Da Page 1 Index and Title Page Page 2 Site Plan Page 3 System Specs Page ~Cg Tank Cross Section ~j ~~ ~. ti Page 5 Management & Contingency Plan .,~, Designer: Mark Weis ~ ~ MP# 657274 1879 13 '/z ave. Cameron, WI 54822 (715) 458-0740 Home (715) 642-1931 Cell Designed Pursuant to the Conventional Soil Absorption Component Manual for POWT5 SBD-10705-P(N.01/Ol) Page 1 ~_ 9s 5' ~, AL. S'. ~.. ~B3 NORTH ~.-~-, ° ~° ba ..~ .~ ~_ / ~~ - ~p ~! = ~ n'l -106, p' - ~0#'v rr1 D"~ 5 id ink ~ g~.l ~~. T ~k ~Weli "~ 99"' Garag t ~. qi CIS' ~.c'f ~ ~tr/~. w~~~spn Pfa t' y ~~ SE'Iv,~~.'~y~ 5l ~ T3r~, l~Ib~ Pa~~ ~,¢ L10 a~~es Parcel ~ odd - looA - ~Io ~ oo Tvw+n off' ~y ~ o n `~`~' Cro',n C.a . Ex%s~;n~ N~+~Se. Ex-~~, sy.- ~~ .Well vi Oc ive wo-y ~I ~~~ ~~ y/~9/o~ I, SYSTEM SPECIFICATIONS In-mound Soil Absorption Component Component lSanual T- ~~ 8Q ~"'~ o~OJ ~ CN ~ ®1..,_..,.,~~~ Project'~ame: -- -- Distribution Cell Type Aggregate ^ 1V'on-Aggregate, Type o`f ~i on- rArggregate Component C' V.r~ n.,'r~,6`4 ~4anufactuze_r,,,,~;9-~~ I.~i~r-~-fcrr~~,~,~ umber of Bedrooms Soil Application Rate (DLR) ~~ gpd,/ft2 ;Designee iaading Ratel ~~'astewater Quality Treated ^ untreated Combined ~castewater: Number of bedrooms gal; dac% bedroom Dailc Wastewater Flow (DWF) Cleax and gray~vater only: \umbez of bedrooms gall daF %bedroom Danz- ~~'astewater Flow (D~} Black-~~-ater x 150 x 90 ?\umher of bedrooms gaiJday%bedroom x 60 Daily Wastewater Flow (D~''F) _ Septic Tank lSin. Sepik Tank ~' ol. Req. .1as..3 gaL ~epiic Tank Volume f~ gal. ~~Ianufacturer ~ ~t,~n,~ ~ ~. Effluent Filter (,~ ytanufacturer ~Je S~ ~fodei ~F 1O` g Pump Tank lianufacturer ~`olume Model Distribution Component Distribution Boy [J Hydro-sputter ^ Ocher ~f anufacturer Cross section of distribution cell(sj O Dispersal Area {Aggregate) Dispersal Area (Non-Aggregate) EISA Rating _ ~f3 ft` system sizin~g~= D~'i'F _ DLR = EISA ;~.~~j rl?LR) (EIS ~) Di~-erter ~al~~e ]yes no l-lanufactuze sy~,~, ~I~a~;an - 9a.o~ o p i~~'---~ ~g 3 ~z t .a 0 0 1 0 z a n 0 D Z O O IC i ~ D I ~ ' i w '~ D O D ml-, y D ~ N z l~ Z ~ ~ ~ h m i ~ O I n m ~ C T m T i~ I ~ I ~ ~ _-- y J N TANK: 737 HERBERT STREET HUFFCUTT CONCRETE MEMBERS OF: m ,.150 GAL. LOW PROFILE CHIPPEWA FALES, WI SnJ29 NATIONALK WISCONSIN x '~ ~ 1 SEPTIC,HOLDiNG, (715)723-7446"FAX (715)723-7711 (800) 9241576 PRECAST CONCRETE ASSOCIATIONS (~ PUMP TANK AND GREASE INTERCEPTOR T411S DNAWING SIW LL NOT BE COPIED OR SURMITTEDTOOTHERS WITHOUT CONSENT OG TIYS COMPANY. `~ 4 !z I. 55.5" ~ ~ 47.5` „ e" 3., D m', ~ v, P',m D ', ~ ' 1p l ~ n;- ~ ~!Z ~'; l.5° ~ ~ S.JS" 2" 4" DIA. _~~ `^ ~ ~~ N i _ _ 3' _ N w ~ ~ ~, ~~ ~ --~ -- ~ - I I I I (i i ` = I ~ ~ '~~" p , I ~A Ll ~ IN ~ - - . T 20' 2 I ~o r ., ~ 1~` I I I t I. m ID p D p ~ ~ ~-~ _l~ f p° x Oi p r ~ ~ ~ p r !~ °m ~', Z ~ C ~o it ^~ n O Z D S'. i I II II II '', n a ~, i 0 0 o ~ < z 00 A Z ~ m m O p C ~ D Z ti ~ np y C_ O O ~ < 45.5' 10" 42.5" _ _ ' 4" DIA. ~ ~~ 1 ' r__-_.___._.__.._ ~ I _.--_ _ - T I o 5"DIA._ _. ,_ _~ Im fi ~' D o O C O -1 ~ \/ ~ Z 1 m D 2 ~ N O ~ a ~ D ~ ~ ~ ~ m _ ' i ~ 9 9 Z N ~ ~ 1. D Z N Z p ?S Z N o ~ n ~ n o ~ -i I Z O n ~" Z ., D o ~ o p l~ n O c O O ~ n 3 D g c z o 3 ~ D m -a y O ~ O 2 n y m z 0 2 a z n ~ a n c ~ z n ~^ n ~ o ~ n O m '- ti 2 p ?o n y o 0 A N y czi o ~ o z ~ < y ~ n ~ z + m D ~ o z° n ~ O p z n Z n y O m A 3 D m O O D ~ o O y o° F a N N TANK: 737 HERBERT STREET HUFFCUTT CONCRETE MEMBERS OF: m 1,250 GAL LOW PRO FILE CHIPPEWA FgEE5, Wt 54)19 NAI,ONALE WISCO NSIN x ~ SEPTIC,HOLDING, PUMPTANK ANU (715) 723-7446 `FAX (715) 723-7111 (800) 924-1516 PRECAST COrvcRETE gssocwTtoNs N GREASE iNTERC[PTOR 11115 DRAWING SHALI NOT 8E COPIED OR SDBMI RFD TO OTHE0.S W ITHOOT CONSENT OF THIS COMPANY. ~~ Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page 1 of 2 m aux~raan[x vnui t,omm o~, vws, rwm. t,uuc County St. Croix - lete site plan on er not less than 81/2 x 11 inches in size Attach com a Plan must p p p . include, but not limited to: vertical and horizontal reference poi ), ctio nd parcel I.p, 006-1000-40-000 percent slope, scale or dimensions, north arrow, and location ist to res~d. Please print all information. Revi by Date . Personal information you provide may be used fo ~'(, (/j'1/{`~ °~ / Q Property Owner Pr erty Location • Larry & Fern Will on Go .Lot SE 114 Nl: 114 S 1 T 31 N R 16 E (or)® Property Owner's Mailing Address Lo # Block # Subd. Name or CSM# 1325 102nd St. / City State Zip Code Pho kY ^Village • Town Nearest Road Inver Grove Heights MN 55077 6 1-S - Hwy 63 a New Construction Use>~ Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ~ Public or commerttial -Des be: Parent material AO ~ ~'-~`~~'~' ~.~~'t I ~~~C1L- Flood Plain elevation if applicable ~ ft. General comments Q~,i~7.000~ Conventional system SG~~ ~ ~~9 ~~ and rec~oymmsend 'ons: ~~ ~~ ~ p, L~~ ~~~ / P ~ ` SGfi~L~- ~~yv~iyi,~ vy~' L' /7 ~1-Horizon 4 has 7.Syr3/4 bands of sand 3~ ~ ~ ~~~ Vt2~ 7 (J / ~~ B2 & B3- Horizon 3 has 7.Syr3/4 bands of sand ~ a Boring # ~ Boring pit Ground surface elev. 98.5 ft. Depth to limiting factor 132 + in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/it= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EfF#2 1 0-13 10yr2/2 sl 2fabk m& gw 2f .6 1.0 2 13-38 7.S 3/4 s1 2fabk ~' cw 1f •6 1.0 3 38-49 10yr4/4 cos Osg ~ cs _ .7 1.6 4 49-78 10yr4/4 s Osg ~ cs - .7 1.6 5 78-132 10yr5/4 s Osg ml - - .7 1.6 ~' b~ ~ - , Z " ~,n, ~ ~, 2 Boring # ~--~ Boring C~5 ~" 132"+ pit Ground surface elev. ft. Depth to limiting factor in. Soit lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/tt~ in. Munsell t1u. Sz. Cont. Color Gr. Sz. Sh. "'Eff#1 'Eff#2 1 0-13 1Oyr2/2 sl 2fabk mfr gw Zf .6 1.0 2 13-32 sl fabk mfr ~' if •6 1.0 3 32-70 10yr4/4 s Osg ml cs _ .7 l.b 4 70-132 lOyrS/4 s Osg ~ - - .7 1.6 ~G~!" 11h Z * Effluent #1 = BOD > 30 < 220 mglL art~TSS >30 < 150 mg/L ' E uent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Mark Weis 657274 Address Date luation Conducted Telephone Number 1879 13 112 Ave. Cameron, Wi 54822 /13/07 71S-4S8-0740 s~ %~ a t, ~ ~ r ~y Q "'f r ~ S o o -1-~ ~ ~ ~_ Cs ~. O ~ ~ 4 .~...__ . ~ ~ 2 ~' V 1 , -s~ ~ ~ P ~ J '~ ~ 1 V~j CJ^ ~~ ~. x1 1 ~, o J • ti ~~ W~ ~~ ~Q° m ~ ~~ ~ ~ ~ i~ n ^~ O ~ ~ ~ ~ a- ~ ?~ "h © .L ~ (~ ~ ~ ~ ~_ --._ 3 e o O n n U 1 ~ ~' O ~ ~ o ~ ^~ ° ~ ~ o ~ ,~" ~ ~ -~ u, s. ~- w y ~,~ ~_ G m -„ J 4 ~ ~ ~ ._ d ~ ~ r - ~ ~ . ~ ~ ~ . ~ ~~ _ ~ ~ ' h ~~ ~ ~ n ti`s ' ~ - D ~, N -~ ~ m f Y ~ m ~ ~ ~, A ~ 1 ....,_= ~ ~ + C m ~ • ~ S ~ ~~ L~ 3 Y1~ fi E ~ ~ ` ~~ ~ y $k - r .:. ~' ~ ' ~ 1 z7 4 ,q, ~`~o / W / 4n ~~` ~p MaS '~ ~ ~ ~ ~ d ~ ~ ". f ~' . ~ s 9 ' - . - > n W _ ~ ~ ~ Z z ~ .rte` ~ ' -d X4 ~ ' ~~ , r ~LF~ ~ ~ ~ z ~ ~`' . •* ,~: ~~-=' .~ , .- -~__ ., , _ _ ~, 3z .. N . /. ~ ,`~ . ' ~ .S .--- . ' _-. ,~ ~ w ~.. ~~ ' W - _ ~m r o ~ ~1 ~' 1 ~'~_ q ~ ; ~' T ~ ~ n ~ ~' 3 - D ..E m t `~ „ : z ~ W µ , f O v ~. o .° J Y 4 N ~ ~' _ ~ ~. ~ ~r'~ ~~ ~ .. a ~ D ~=. -.-c r W: ,r r ~ ~~ J - ~ i'~ ~ i = > ~~ D 3 ~., ~ ~/;~ ic` tJJ y N' ~ ry+'y~y y~ D N ~ a ~ L~ ~ ~, ~ ~ i .. r.., ~i4 ~ fi . . ~ [ - ~ . T n ~J~ 1~J r t ~ a ~_ ! . ~ ~ ~ ~ h F ... ~ y ~ 1 4 ~,.F~ ~ V ~ 9 ~ ~ 9 ~ ~ ~ '~i . _ ~ ' nYr Qip , 07 r ~' " J J t73 ~ _ , ~ ~ 'i~ s ~ - ~ ~ {~tf ~ 1~ ~ ~ ~- ~ ~ .. ~ .- _ ... "i x- ~ Try ~ ~ ll' d - -. ~y .... ~ ~ ' ~ ~ G 1~ al - ~ _ l ~T.~ ~~ ` ~ W _ ~ . ~ Y ~ 1~ _ ~l A .. ~ ~ ~ a~ ~, m~ D W y /' ~ -~ ~S~ C0 ' ~ .E- ~~J. fi. o , ~ ~ ~ '~~~.. r ~ X ~ q ~ eS&z °6 m @ ~ - ~ } d , y„ 7 m y ~. ~ ~ ~ ~~ ~' ~ ,~ stn T ~ '; 3 ~ ~ ", ~~ y SdS ~, t .2~.~~ } mac, L ~ ; I "~'~', ~ ~~.~ -q~ ~. SQL " ; ~ a6 eS Fn ti~ & (Joins sheet 8) =7 RhA O X C7 O c Z -C O Z Z N Z m m -~ Z C W m J 2007-04-16 18;00 WETS 7154580740 » 651 730 6111 P 3/3 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ~/ OWNERSHIP CERT'iFiCATiON PURM UwnerBuyt~r ~ ~~ t T FAR N V~! ti L~Sa ~l Mailing Addrec5 ~ 3a5 `a~-~/~ ~ ~~ .~/~/~ G/E~py~' f~T~'. , /17/~/ ScsO'l'~' Property Address a3~~o h~ivy ln3 G'G ~~9`~ Gf~irC~' ~,tv.Z' ~~av5 s~ (Verification rcyuircd from P anning 8t 7,nning t~parlmcnt fur new cunsttvction.) City/StateC~N ~/7~/,ys~tp, I~/~ Parcel Identilieation Number OD~v ~ lGbO ' SAD ~Ot97~ LEGAi, pF,SCRII'TION Property Lucation~ t~, ~ t/4 , Sec., T 3 ~ N R ~ ~ W, Town of ~ ~GD~ ~~'~~~~ Subdivision , I.ot # Certified Survey Map # ,Volume ,Page # ~~~%~~ warranty Dt~d ~ ~ ~5a ,~' 3s8' ~~~ ~3 ~Vc-lume , ,Page # Spec house yes nn l.ut linty identifiable e~ nn SYSTEM MAINTENANCR ANI) OWNER CERTIFICATION hngroper use and mainlcnancr. of your septic system could resuh in its premature failure to handle wastes. Proper maintenance catsists cif pumping out the septic tank every three years or sooner, if needed, by ~ lit:cnscd pumpcr_ What you qut into the sy,ten- i:an atfr.Ct the function of the septic tank as a treau»e.nt stage in thr waste disposal system. Owner maintenErnec responsibilities Arc spcciticd in ~Cnmm. 83.52(1 j and in Chapter 1? - St. Croix C:ounly Sanitary Ordinance.. The. property owner aErees [n suhmit to St. Croix County Planning Nc. Zoning Department a certificatirnt form, signed by the owner and by a master plumber..juurncyman plumber, resltitacd plumber or a licensed pwnper verifying that (I) the un-site wastewatet' disposal system is in proper uperatirtg condition and/ur (2j al'tcr inspection and pumping (if rtet:essary), the septic tank ix less than t/3 full of Kludge. Uwe, the unde.rslgned have read the above rc~uirentents and agrcr. lu mainluin the private. sewage disposal system with the standard. set forth, heCein. as sec by the DepaChuCUI of Cumnrcrt:c and the Dcpanmcnt of Natural Resources, State of Wist:unsin. Cettificadon stating that your septic system has heeat maintained must bC completed and returned to the St. Croix Co::nty Plastaing ~ Zoning Deltartntent within 3l'1 days irf the three year cxpiraticm date. 1/wc ratify that all statements nn this form are. uue to the best of my/nor knicwlcdgn. I/wc atrt/tac the owner(s) of the property described above, by virtue of a warranty deed recorded in kegistrr of I~eeda Ot~ficc. Number of bedrooms ~ ~~'~~'~-e_ . ~~~~n, .st~Yn •Cc.~~Qd~r~, ~-F ~l7 ~ of SIGNATURE OF APPLICANT(S) DATE 's•Any information Thal is misrepresented may result in the sanitary permit being revoked by the Planning Sc 7.ctning f)eparhrtent. """` Include with this altplicatirnt a recorded warranty deed from the Register of Dccds Office and a u.rpy of the ccnificd survey map if refereneC i. mode in tltC wgrrunty decd. (kp,V, Utf/US) :C~IVENTIONAL SYSTEM OWNER'S MANUAL This septic system is designed and approved to meet specific requirements outlined in Camm 83 and 84 Wis. Adm. Code, so that if will provide safe treatment of wastewater, thereby reducing human health hazards caused by improperly treated wastewater. The longevity of this system depends greatly on proper and timely maintenance and system use within the limits lt was designed to handle. The owner of the system is responsible for the operation and maintenance of all components. FoNowing is information that will assist you in increasing the life of your system. Septic Tank: The operating condition of the septic tank and outlet filter shall be assessed at le ears by inspection. The outlet filter shalt be cleaned as necessary to ensure proper operation. The i ter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. lt the filter is equipped with an alarm, the filter shalt be serviced id the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 7/3 the liquid volume of the tank. tf the contents of the tank are not removed at the time of an assessment, maintenance persannei shall advise the owner of when the nest service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, of subject to failure must be replaced. An effective locking device to prevent accidental or unauthorized entry into the tank shall secure exposed access openings, greater than 8-inches in diameter. No one should enter a septic or other traatrnent or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment or holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shaD be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component (Drainfield): The soft absorption component serving this structure is designed to accept domestic wastewater from a residential facility. Good water conserva#ion practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assesses by inspection at least once every three years. The inspection shall include recording the levels of panding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply siaped sites, areas of erosion should be identif+ed and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. Planting of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, ar failure. /]~ n ,~, Contingency Pian: ~~~ ~ ~ C~?,r~vi, r"~ ~ 1`r~' !f the septic tank or other components therein (including floats, alarms, etc) become defectve, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. if the absorption component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in lt `s current location by removing the clogged bacteria! mat, aggregate/leaching chamber cell, and distribution piping within the cell and replacing failing components in order to return system to proper working order as required. If repair is not feasible, a new system is to be constructed in a designated replacement area. ~s '- U 27~2P 35~ STATE BAR OF WISCONSIN FORM 1 - 1998 Document Number I WARRANTY DEED 006-1000-30-000 and 006-1000-40-000 Parcel Identification Number (PIN) THIS DEED, made between Daryl L. Jones and Katherine D. Jones, husband and wife, Grantor, and Larry J. Willson and Fern M. Willson, husband and wife as survivorship marital property,Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property"): SEE ATTACHED EXHIBIT A This is not homestead property. f © FF 1 ~ ./ .L KATHLEEN I-I. i~ALSH REGISTER QF' DEEDS ST. CRJIX CO. , WI RECEIVED Ft?R RECORD 02!18!2005 09:30AM WARRANTY DEED tf.~i#u'' ?I REC FEE : 13.00 TRANS FEE : 798. 00 COPY FEE: CC FEE: PAGES: 2 Recording Area Together with all appurtenant rights, title and interests. Name and Return Address: Land Title, Inc. Grantor warrants that the title to the Property is good, indefeasible in 1900 Silver. Lake Road Suite 200 fee simple and free and clear of encumbrances except New Brighton, Minnesota 55112 Dated this 1st day of February, 2005. {~ a~,,~ ~~.~ (SEAL) * Daryl L. JcMes ~4 L (SEAL) Katherine p. Jones (SEAL) AUTHIENTICATIOIV Signature(s) authenticated this 1st day of February, 2005 TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.)- THIS INSTRUMENT WAS DRAFTED BY Larry S. Mountain, Attorney at Law _ 1900 Silver Lake Rd. #200 New,Brghton, MN .55112... (Signatures may be authenticated or-:acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below heir signature. (SEAL) * !' I A~'KNOWLEDGIV.[E~tT STAT~'pF IvI1NNESOTA }S5. WASHINGTON COUNTY. Personally ,came before me this lst day of February, 2005, the above named Daryl L. Jones and Katherine D. Jones; husband and wife to me .known to lie the :person(s) who executed the .foregoing instrument. andacknowledge the sati-e. * Lgri L. Weaver Notary Public, State of Minnesota My commission. is permanent, (If not, state expiration date :z~ LORI '~ ~ t~otauy,Public s~ 11~HntlgSOta . My,<:ptmmiplp,, F,anu~ty st. _. f . ~ :U; 2?5?.P 359 EXHIBIT A The South 1/2 of NE I/4 of Section 1-31-16, St. Croix County, Wisconsin. Parcel #: 006-1000-40-000 04/24/2007 08:40 AM PAGE10F1 Alt. Parcel #: 1.31.16.4 006 -TOWN OF CYLON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 0 Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 34.000 34,000 0 34,000 NO PRODUCTIVE FORST LANDS G6 4.000 8,000 0 8,000 NO OTHER G7 2.000 8,000 83,000 91,000 NO Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - WILLSON, LARRY J & FERN M LARRY J & FERN M WILLSON 1325 102ND ST E INVER GROVE HEIGHTS MN 55077 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 2366 HWY 63 SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 1 T31 N R16W 40A SE NE EXC HWY R/W Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 01-31 N-16W Notes: Parcel History: Date Doc # Vol/Page Type 02/18/2005 787831 2752/358 WD 07/29/1999 607692 1445/277 QC 07/23/1997 1108/402 TI 07/23/ 1997 986/72 W D 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Totals for 2007: General Property 40.000 50,000 83,000 133,000 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 50,000 83,000 133,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 ATTACFtMEVTS W~SCOnSin HERE Real Estate Transfer Return - conflaential To complete see Instructions for Real Estate Transfer Return PE-500A. Submit original form to Register of Deeds with document(s) to be recorded. Completely fill in all appropriate areas. TYPE or PRINT clearly in BLACK INK, and use ALL. UPPERCASE LETTERS. if typing form, type through .vertical character lines. I. GRANTOR (Seller) If more than ONE (1) grantor, check box at left and list on attached addendum. Note: Lines 67-72 must be completed with grantor's address. 1. Your Wet Name or Company Name Nota: Far this purpose a martied couple is one grantor 8 same last name (see line 2). JONES, 2. Your First Name(s) end Middle Initial(s) - if a married couple, show both first names and middle initials. 3. Social Security Number or FEIN DARYL L. AND KATHERINE D. 3 q 4 (o o ~18 ( 3 II, GRANTEE (Buyer) If more than ONE (1) grantee, check box at left and list on attached addendum. 4. Your Last Nams or Company Name Note: for this purpose a married couple is one grantee if same last name (see Ina 5). WILLSON 5. Your Flrsl Name(s) and Middle initial(s) - If a married wuple, show both ilrst names and middle initials. 6. Soelal Seeuriry Numberer or FEIN (~ LARRY J. AND FERN 'M. ~ g ~ v1 a S S ~ -1 7. Street or Flre Number, N any 7a. Street Name, PO Box, or Other Address (enter "PO Box" and Box Number) 1325 102ND .STREET EAST 'I 6. City 9. State 10. Zip Code ~ INVER GROVE HEIGHTS MN 55077 TO RECEIVE TAX BILL AT ANOTHER ADDRESS, cheek here and complete Section X, page 2. III. PROPERTY TRANSFERRED 1t. indlute: Ciry Village X Town -~ CheeklfaddltiondpareelasMlietonanaehedaddendum. 12. Name of the Clty/Village/Town 13. County Name CYLON TOWNSHIP ST. CROIX COUNTY 14. Physkal Propary Address or Road Address (descrip0on) 2366 - 23~ HIGHWAY 63 15. Tax Parcel Number as h appears on Property Tax bill (sae Instructions) 006-1000-30-000 ADN 006-1000-40-000 16. Property Deacrlption: lot -block -plat, CertiNad Survey Aap (CSM), or other designation; If description will not tit here, add attachment (see Inatnrctbns) THE SOUTH 1/2 OF NE 1/4 OF SECTION 1-31-16, ST. CROIX COUNTY, WISCONSIN 17a. Section (primary) 17b. Township (primary) 17e, Range (pdmary) Cheek hate If more than one lot and block, or if legal deaerlptlon la mates and bounds or certified survey map; aNaeh Isgal deserlpllon as an addendum (sea instruetlona). COMPUTATION OF FEE OR STATEMENT OF EXEMPTION IV I~ , ~ Dot.uHS cENrs 19, Total value of REAL ESTATE transferred (round up to the $ 2 6 6 , 000.00 IN WHOLE 19. Transfer fee due (line 18 X .003) $ 7 9 8 • ~ ~ i DOLLARS nsarsat 1100) 20, Transfer Exemption 2Da. N you enter "003" or "O1T," It la - 20b.Date of Original Number, SEC 77.25 mandatory to provide your Lend ContrsN previous document number. NDNTN DAY YEAH 21, Value of personal property OLLARS 22, Value of property exempt hom local property lax IN WHOLE ~ tranafemd but EXCLUDED ~ D INCLUDED on Ilne 18 DOLLARS from line 18. . V. TO BE COMPLETED BY AUTHORIZED COUNTY/LOCAL OFFICIAL 23. Document Number 24. Yolume/Jaekel 25. Pagellmage 28. Date Recorded 27. Date of Conveyance NDNTH DAY Y51R NONTH DAY YEAR 28. Comeyanee Warrenty/ Land Ou9 Claim Other Code Condo Deed Contract Deed (explakt) •3, 29, County (1) 30, Municipa8ry (1) 31. County (2) 32. Munielpalky (2) Cheek If mare !hart two (2) munlelpal4 ,~ 33. la this a split pareelT Yes No ties; if so, refer to Inatructlons (see instructions) 34. Enter number of acres for each 1 (ResklenC~aq 2 (Commercial) 3 (Manufacturing) 4 (AgdcuBurel) 5 (SwampdWaste) 6 (Forest) 7 (Other) parcel elassitleation and cheek 1 p 3 4 5 6 7 a preceding box to show predominant elassifieaNon. 35. Assessment Year 36. Land 37. Improvements 38. Total Assessment