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HomeMy WebLinkAbout006-1027-95-000 St. Croix County Zoning Wednesday, January 28, 2004 at 8:22:34 AM Detail Sanitary Information Page 1 of I Computer #: 006 - 1027 -95-000 Sub /Plat: 35 acres Section: 13 Parcel #: 13.31.16.188 Lot: TN /RNG: T31 N R1 6W Municipality: Cylon Township CSM: 1/41/4: SW 1/4 NW 1/4 Owner: Schnegelberger, Martin 2157 250th Street Deer Park, WI 54007 State Permit: 430604 Issued: 12/12/2003 POWTS Dispersal: Non- Pressurized In -ground Permit: New County Permit: 0 Installed: 01/27/2004 POWTS Detail: Standard (Infiltrator) Bedrooms: 3 WI Fund: POWTS Pretreatment: Unknown Notes inspector As Built Plumber Other Reauirements Additional Notes Money Owed Pam Quinn NA Schumaker, William Building sewer pitch a little flat - 0.15' for 22' of $0.00 Signed Off: Yes pipe should have been .22' change in elevation. Didn't argue over an inch, but mentioned it to plumber, who felt it Would have enough velocity for a relatively short ina address of 2161 250th Street with parcel number 006 - 1027 -95 -000 (.188) This parcel consists of the SW1 /4 of NW 1/4 EXCEPT Lot 1 of CSM in 18/4653 (late 2003 CSM endin e wne re ained 37. acres. Maintenance 67' / (icrCJ�C��UZQ�G' Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 1/27/2007 - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — �f � v LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF CYLON COMPUTER NUMBER 006 - 1027 -95 -100 Parcel Number 13.31.16.188B OWNER NAME: First RICHARD & LINDA HILTON Last WALDSCHMIDT PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment d. t (p I 250TH ST SECTION 13 TOWN 31N RANGE 16W '/4160 NW ' /440 SW Line Description Line Description TOTAL ACREAGE 2.710 PLAT CSM 18 -4653 LOT01 BLK 01 SEC 13 T31 N R16W 40A SW NW 15 02 LOT 1 CSM 18 -4653 (2.71 AC) 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, 1 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safgty and Buiiang Division 1 INSPECTION REPORT Sanitar Permit No: 430604 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: City Village X Township Parcel Ta No: Schne elber er, Martin C Ion Township CST BM Elev: Insp. BM Elev: Desc' tion � �. Sectionrrown /Range/Map No: / fl b .B 01le .7 �� 13.31.16. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic O n0 Benchmark Dosing V Alt, BM �b (a � �"•Ga � D3 Aeration z - �" - - - Bld Sewer 2i5�1 / Holding S Inlet 36 s �• Z St/Ht Outlet , 2S TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent ROAD Dt Inlet - Septic I 2 2 i Dt Bottom 3' b2 9 hosing He ider /M an. /. an, eta __ Aeration - -" - - `� Dist. Pipe „ q b 7 Holding Bot. System r PUMP /SIPHON INFORMATION Final Grade r Manufacturer Demand St Cover / GPM r� — � Model Number 35'� V " � For Lift Friction Loss System a A TDFJ Ft Forcemain Le i Dia. /, D ll bb SOIL ABSORPTION SYSTEM BED/TRENCH Width ( Length No. Of Trenches PIT DIMENSIONS No. Of its Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO f P/L BLDG WELL LAKKE /STREAM LEACHI qGa nubc t INFORMATION CHAMBER Type ystem: / / /' del Number: D p t DISTRIBUTION SYSTEM 0/�tfi A l _94_1 = nifold Distribution , ( x Hole Size x Hole Spacing rVen�tto Air Intake Pi g p - -3— Y Dia Length Dia S acing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of T77 ded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil r; , - q< Yes [] No Yes i j No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: t / 2 Inspection #2: Location: 2157 250th Street Deer Park, W! 54007 (SW 1/4 NW 114 13 T31 IN R1 6W) N of "� - Parcel No: 13.31.16. 1.) Alt BM Description = 5 ` � q� -I. ) BI se = � �� -a i S ,, / Q n I^C� � �yf'���`2 - amount o v r = �. yal I a /h G� '� (� Uc 'r► k / rc l � -? 75 (3) 1 'Xic-ek 5e ( c K 6W'6� e6n d) Plan revision Use other side for information. o L_`__ 1°?! L Insepctors Yes r-, SBD 6710 (R.3/ 7) /j� e Sig /I�eeGQ/(, C y 0 0 �A `� lw i r C , k,ea", �— Safety and Buildings Division County N v i 201 VU. Washington Ave., P.O. B S�r! I^U ' scpnsin Madison Ep anitary Permit Number (to be filled in by Co.) Department of Commerce (�r) 30 bo Sanitary Permit Applieat n � 1 p 2003 I te Plan I.D. Number In accord with Comm 83.21, Wis, Adm. Code, personal informa 'on yop ovtde may be used for secondary purposes Privacy Law, s15.0 (1)(m, OROIX COUNTY Pr 'ect Address (if different than mailing address) OFFICE _ , I. Application Information - Please Print All Information _ Z S. Property Owner's Na me rc ig # ,l Lot k Block # ' J7,��cres✓ Property Owner's M ailing Address — ��- Property Location 15 7 ��� �c� irk /'1 lg✓La ' ,k, City, State Zip Code Phone Number (circle o ) II. T N; R /6 & u(D ype of Building (check all that apply) w s 9 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Na 3j'Z.9 SM Number ❑ Pubfic /Commercial - Describe Use 2 Q C y'- S ❑ State Owned - Describe Use L�city ❑Village ownship of C� c�( III. Type of Permit: (Check only one box on line A. Complete line B if licable) 006 ., A ' p � New System P-� = Y' ❑Replacement System ❑ TreatmenUHoiding T , ark Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) X Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At- Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Chamber El Drip Line [I Gravel-less Pi 11 Other in) f V. Dispersal /Tr eatment Area Information: - /UD Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispers Area P sed s ystem Elevation �d 7 � �gI.2 l? VI. Tank Info Capacity in Total Number Manufacturer Pre Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks � Septic or Holding Tank -,/ /�� '— JL l C bi � x Aeroc 'i reatment Unit - 1. Dosing Chamber G.SQ T Ilk VII: Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature PRS Number Business Phone Number Sc ' uk,.�,,ff a2 27yVd Plumber's Addre ss (Street, City, State, Zip Code) VIII. County /Department Use Only PIL Approved ❑Disapproved I Sanitary Permit Fe (includes Groundwater Date Issued I uin gent Signature (N Stamps) Owner Given Reason for Denial i Surcharge Fee) (❑ �z f? i I %. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER: f ft 4-0 y ou.. <2 ► S 79 - X 1 Septic tank, effluent filter and y� (Cr ''n e #V1 40* V7 dispersal cell must all be servic ®d / rnaaintained 88 per management plan provided by plumber. �� �� � —T C. 2. All setback requirements must be maintained as per applicable code /ordinances. At complete plans (to the County only) for the system on er not less than 81/2 x 11 inches in size I SBD -6398 (R. 01/03) At Q1-A4 Aj �� s3 i S > Sid ' vv� - �-rQn.,� S �S -�i►� G��- �,9� .r a I Of ft7- �d DG �qb QQ r F o v Ua- 2) zv i -D CS o K4-, S sum a re (� Q ,c I� T� f JI .. t ."' yr} � '� t ,} �.,,✓ � °1? �'a. y��S��xy k � t: '" �v ��� `� Y 1�' � �rr'�'� [p 4 "':;�'�+'�. ayyG?�� ��' �'�'`�' � '� � a 'yµ � � °'�J' u..'rx + `• d s 6 - _ .- ryry ,'"§,,...a'� � fr ✓x. �...p� cpr :y��+♦ts ,,k� �� .� tit r���� V� , t, � � °�� x s R="��' rt k: M t , • � ' ¢+•" � � s � s � q t dQ,t��� '����4.. ; �, � u. �� � {t tM a . �,��� , 1� • ' � � e �' " .� 14 1 �VE A' 4 •:� a ��, ^4;. r�'e "K` ,. � `Ye f1� ,y Y tw 5 1 < to �/ a ask x L V 's ri° r\ > e yx SST •� a . f 3• � ` � _ � k � r � * ��t ^ � , • � '�F �..� ,�, Y a ��' � __�, � ' t � � F '�t� y '',' t �`.��t' '� e 5 -t-t � i" v. i , Q� r El Al dl aq I i j I I (J�p : i I : I : t i f ' .�2 G�a -cs-S total / dG� GSd ° 2A,6¢l /4 A D i w� ve i l } Sc� I S r SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS r 4" CI VENT PIPE 12" 'MIN "ABOV =& GRAl)E .& , WEATHERPROOF >_ 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W1 PADLOCK & FINISHED GRADE -- WARNING LABEL 4" Cl RISER 4" MIN. 18►► VIN . 6" MAX.` `1 L t NLET GAS• WATER TIGHT SEALS TIGHTS --� ` vAPPROVED A SEAL JOINTS WITH j ALM APPROVED PIPE PPROVED B 3' ONTO IPE 3' ON SOLID SOIL NTO SOLID I OIL PUMP OFF ELEV . FT. - -- OFF �► RISER EXIT PERMITTED ONLY D IF TANK MANUFACTURER HAS APPROVAL 3" APPROV ED,BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE NUMBER DOSES PER DAY: TANK MANUFACTURER: _ TANK SIZES SEPTIC GAL. DOSE VOLUME INCLUDING DOSE �e.�6 _ GAL. FLOWBACK: lam GAL. ALARM MANUFACTURER: !r clgv,� CAPACITIES: A = INCHES = .., GAL. MODEL NUMBER: y 2 INCHES 3rd GAL. SWITCH TYPE: e r4,. B = --.— PUMP MANUFACTURER: �ac�;sl'� C = S INCHES GAL. MODEL NUMBER: D = INCHES = _ y cAL . SWITCH TYPE: ��rc REQUIRED DISCHARGE RATE _yff GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE • FF + MINIMUM NETWORK SUPPLY PRESSURE . . . • . • . • * • • . ' ' + G FEET FORCEMAIN X 2. FT /100 FT. FRICTION FACTOR . f ,� FEET TOTAL DYNAMIC HEAD =_FEET INTERNAL DIMENSIONS OF PUMP TANK: LEND LIQU WIDTH; DzA�K �R ` . SIGNED: -�'� LICENSE NUMBER - ,22 DATE: /3T/ 1/88 �14:,44c0 as WEGERER SOIL TESTING P AGE �4 G -, aw 7 submersible" Effluent Pump EPO4 �t 38 71 EP05 A!'taLMiA?IONi uttntts 9Qd eertes • SPeoWipdt &STOW I& ttw ttq M" e�ai• �� � � � � A+blior i1>tWhs Cat iron C 01 � us" arna • dry am to j e ►t i IM di Homo$ aompon IS h " ' t Mft Itw 7%rntOPW- firma Motor. A mb it# for =0 so htteprtt 4wie Hay shay slump ' EPO4 htee: 0.4 H ?, mewttsi , Ile t end ow a" as whrntnt • Dew�trtn der PC o 0 Ht, t S60 mom xt oaku. g Autamde rater, rbed oft PM8t d IM � fated�Ob � M�I�N�iY6ts�� 0 �l11 ` t:P06 Bin it 0": 0.5 HP, ■dO=d WNW bWtr "IS v, e�H4 155o UM, FIATVUs Heav oonstActk buitt IM overload walk t • Sfbte . W.. +iutunsfe reset RAC VON rrt�d fist. • Per Oordo 1 C toot �, • • Cepflc t►>? t0 b6 GPIU, $21*M , ism SJTp *0 l at VIM for � J) • M� TOW had up to 24 fret. ** thr" P" 0mriding rnechif" aw per. f,�■re tlellrrr 1tsti�� plug. Optional 20 foot ■ t:P00 t ihr: thlmto- �& • rovn'c . with Dkht � deetgn for (CS�t WW model AUntber5 BUM4 three gr0undfng Plug IMMOVed Pubmio rye, ON in T pr.AC,. ) ' T f=4+n: ■ CU 1 NM AugW 10 f �ontinuoru therrr� pMW* 14O F (60 ttgerrn suWor Mwgth find • oorm*n M titrsce. so* t put • w ab nning to ,r irla ._ tau +p to do GPM. �� itdSNP I 104M COMIA"n s 14&F �'CI Mteftt a 5 ! } o ' loft Pti,nip., ono. CAPNW1v . THE u � ONDE - I � :Chamber High Capacity Model r Side Vie w 16 l C 1� End View - Product Features 4 ' Lightweight units offer easy assembly and installation. .r. Fufly- louvered sidevrall provides maximum infiltration. Open chamber bottom allows additional Infiltrative area, i High- density PolyTo polyethylene construction guarantees strength and durability. 34' High Capacity SldeWinder Chamber Specifications r o Size W X L X H) 34'x 75` x 1 6 0 SYSTEMS INC Storage 115 gal.11S.3 its Caading Iho way in sepiie and siotrnwat ©l chamber systems Weight 32 lbs. 4 Susims Park Nnad • PO. Box 769 • (Ad Seybn3d,. CT 06475 000 3S6.6639 0 M221-4436 s Fax: 860 38,9.6810 Uf ►.r.15 iKTM1 tct7laf.5.N�q. la7ilx97. l.pt��l tux Alf.! //1,M.T flN itf. l /TkSlf.� V.,� � TJf3�S, W?K Csi./Nir«N 1 30 M.tOY, {(s CNI Vf .dWM w 6 w•�fA�sieti•q N►r.r r.wra.,• as 6 ewYbAww�inwaeVwsht of bslNw.i•wt�frwpiilNuraw ltrrsr it Ciriwr.;lri..iWNq MK�GT+ f� . �f iw4w ��u f •�Nl {df•arywrry{� hirTil►Y.fA t{lNfiN{ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND A � ,,- L OWNERSHIP 'J CERTIFICATION FORM Owner/Buyer /"�(A " K , hYl,ce- k4 zi Mailing Address Vd Property Address Z 0 pau SCE -°?sue e (Verification required from Planning Department for new construction) to Parcel Identification Number r C��v -�ID a 7— City /Stn C TAGAL DESCRIPTIO Proptxty Location l ih, S-IAJ— 1 /1, Sec. T_3LN -RL�_W, Town of Subdivision -, Lot # 3 ? =S Certified Survey Map # a Page # Warranty Dead # Xe-2 8�3 . Volume , Page # , 2-212- Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result m its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification foam, signed by the owner and by a masterplumba, journeymanpltmsber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. j6wdaw:2�x � )1 1,310 5 SIGN&TM OF APP ICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (oar) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SI '1JRE OF APPLVW DATE as.••s Any information that is mis- representedmsy result in the sanitary permit being revoked by the Zoning Department. •'" " •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed f 7 'Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and to d.di Aa rest road. Please print all in Orm aMbft: ° E V `D Re ' wed by Date ` i z Zao3 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.01 (1) (m)). + � Property OwnFr L t V I- ropetty Location Govt. lot Sw 1/4 NA)114 S J,3 T3 N R 1(o E (or)® Property Owner's Mailing Ad ss 2�, �_ n s ;�F Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number , p El City E] Village own Nearest Road ) c / 0 — L//I / q p�s0 T{ 57 Z New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain levation if applicable ft. General comments S� Elm ^ and recommendations: 171 J4 Boring # ❑ Boring / Pit Ground surface elev. / OK r ft. Depth to limiting factor , 9b in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 J 0 - 8' ) sYk.X1ii Aba 2 Y-3 _S s/y °" eC A .e h" , z 3 FT] Boring # E] Boring O! Pit Ground surface elev. !�$. ft. Depth to limiting factor 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 CL 1 IO( o'Fe a * Effluent #1 = BOD > 30 < 220 mg/1- and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) SiwAture CST Number jt�m ,•ll 22 /e /7 / Address Date E aluati cted Telephone Number 3�Z �Jd�,c ST N,�tt Gv� �lao/ 9 -� 43 -2 -��y SBD -8330 (R07 /00) Property Owner Parcel ID # Page of Boring # ❑ Boring > E] Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 FI Boring # ❑ Boring j ❑ Pit Ground surface elev. LV ,53- ft. Depth to limiting factor 7//Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 2 o s/ 04 IfA& Ai aee Q S i . Z Boring # ❑Boring F�] q Pit Ground surface elev. Of /, - 7 ft. Depth to limiting factor 7 9 / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 o- rIQ ?.S // CL F���` F ccc� r' . Z 2. 9 31 xrylyy t4 11 /fiv f aS I F Z 3 3 1 11-11 � a * 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) 1 Property Owner_ ✓_ Parcel ID # Page of Boring # ❑ Boring W pit > q � Ground surface elev. ! ft. Depth to limiting factor 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 L 6.3s .sy �r �� !<Ajf,4r 3 qs -). G/y S er — , 7 I, z Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fta In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth #o limiting factor in. 5011 Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff # 2 * Effluent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = SOD, < 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) r _ ht/ 13 T3 rw - - - - - -- - - �� ,�-► 2 r�c� 1 Q'm boo ,� B �- //Y �' ' � _ _ _ : 37 - a 3" I - - - -- c. l yd i I N e 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity 9 4-16 al O NA Permit # Septic Tank Manufacturer f'C e O NA Effluent Filter Manufacturer 6 ❑ NA DESIGN PARAMETERS O NA Number of Bedrooms 3 ❑ A Effluent Filter Model ,Q Qd Number of Public Facility Units A Pump Tank Capacity gal O NA 1t0 Pump Tank Manufacturer �-e C3 NA Estimated flow (average} al /da Design flow (peak), (Estimated x 1.51 al /da � �� Pump Manufacturer �aG ❑ NA Soil Application Rate al /da Jft s Pump Model O NA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODO 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Month! average Dispersal Cell(s) [3 NA Pretreated Effluent Quality Y Biochemical Oxygen Demand (BOD 530 mg /L D In- Ground (gravity) ❑ in- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade (3 Mound Fecal Coliform (geometric mean) S10" cfu /100ml ❑ Drip - Line ❑ Other: Other: 0 NA Maximum Effluent Particle Size Y in dia. O NA Other: E3 NA Other: O NA "Values typical for domestic wastewater and septic tank effluent. Other. ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency mont s) (maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: ears! Pump out contents of tank(sl When combined sludge and scum equals one -third (Ys) of tank volume ❑ NA ths! {Maximum 3 Years! ❑ NA Inspect dispersal cell(a) At least once every: 3 ig lls) month(s) ❑ NA Clean effluent filter At least once every: o earls) ❑ month(s) 0 NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) ' ❑ months) ❑ NA Flush laterals and pressure test At least once every: ~'— ❑ yearls) ❑ month(s) ❑ NA Other: At least once every: p year(sl Other: E3 NA MAINTENANCE INSTRUCTIONS inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any panding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y� or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may Impede the treatment process and /or damage the dispersal cellist. If high concentrations are detected have the contents of the tanks) removed by a Septage servicing operator prior to use. - System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cellist in one large dose, overloading the cellis) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist In manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; ail; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances (n POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. �A ❑ The s't d site e tank ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDMONAL COMMENTS POWTS INSTALLER POWYS MAINTAINER Name 4 J, ENam SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name r jT'- / / Phone Phones. 3 This document was dratted in compliance with chapter Comm 83.220(b)(1)(4) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. U 2468P 220 748GtS3 STATE BAR OF WISCONSIN FORM 2 -1999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROI3i Co., MI RECEIVED FOR RECORD This Deed, made between Richard Waldschmidt and Linda 12�04�2003 02.30pM Hilton, husband and wife Grantor, and Martin R. Schnegelber¢er and Shervle L. Schnegelberger, husband WARRANTY DEED and wife Grantee. EXERT f Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: the following described real estate in St. Croix County, State of Wisconsin TRANS FEE: 296. (if more space is needed, please attach addendum): COPY FEE: The Southwest Quarter of the Northwest Quarter (SW 1/4 / NW 1/4) of CC FEE: Section Thirteen (13), Township Thirty One (31) North, Range Sixteen PAGES: 1 (16) West, Town of Cylon, St. Croix County, Wisconsin. EXCEPT Lot One (1) of Certified Survey Map in Vol. 18, pg. 4653. 4.,y1 � —7 / �� Recording Area Name and Return Address -T� e 1 as ^k G.0 l4k-&c-� 006 - 1027 -95 -000 Parcel Identification Nu ber (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions, and rights -of -way of record, if any. Dated this day of December , 2003 0// * * c and Walds idt * 11& Hilton AUTHENTICATION ACKNOWLEDGMENT Signature(s) Richard Waldschmidt and Linda Hilton, STATE OF ) husband and wife ) ss. County ) authenticated thi day of December , 2003 Personally came before me this day of the above named * _K ristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, WI 54016 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. Information Professionals Co., Fond du Lac. W I STATE BAR OF WISCONSIN 800 - 655 -2021 WARRANTY DEED FORM No. 2 -1999 /�q VOL 18 PAGE 4653 KATHLM H. VKMFF "— REGISTER OF DEEDS ST. CROIX CO. WI RECEIVED FOR hECORD CERTIFIED SURVEY MAP 18'x003 10 s 30A![ Located in part of the Southwest Quarter of the Northwest Quarter of Section 13, CERTIFIED SURVEY )LAP 31 North, Range 16 West. Town of C on, St. Croix County, Wisconsin. REP FEE: 13.00 Township 9 � Y COPY FEES 3.00 PAGES: 2 Prepared for and at the request of- Linda Hitch 2161 250th Street NOTE: The parcel shown on this map is subject to State. County and Deer Pork, WI 54007 Township laws, rules and regulations (i.s. wetlands, minimum lot size. aFceee omfted by. Howard H. Herrlid III to parcel. etc.). Before purchasing or developing any parcel. contact the St. Cro x County Zoning Office and the appropriate Town Board for advice. LF.t�I� NA?TI,IIIEST GARNER Section Comer Monument SEC 1.31 - (FOUND 2' IRAN PIPE of Record T#V:w our or • Set 1" x 18" Iron Pipe weighing z P09770/4 SET J x 1.13 po per linear foot $ 8' IRAN SP1KE ........... Fulling Setbac Right Line C3 FROM AES) AL Denotes Wetland g N01E: PRIVY SHOWN PERMITTED UNDER PRIVY INSTALLATION 33' AWEEM 847. DOCUMI 534977 IN VOLUME 1144 PAGE 250. A UNPLA TTED LANDS — OF OWNER N — I� y � AL ' aD'25 "E 432.57' _ ly l .21 155.36 I( Z 33.QQ j < � 9 _ 10 g { I �.AL LOT 1 8 I� J iZ I N IO g TOTAL AREAL —�� w d I� d 11 FT .. C I {� (� t 2.71 ACRE 0. 11 w ly ' N 109,193 'SO. FT. �- 5 V y0 10 N I� w 12.51 ACRES � � D OCUM EN T f w I ii., CASE r- - MEN r° O N O I "1 r St1 ►� L1N5 PA 1-;0 06 UMf lO 0) 399.57' 5-0,7 N89'58'25 "E 43 57' 6 I y 1 33' fi A' $ — — — TTED LANDS 4F OWNER- �I0 Soh d I ii A special exception use permit Is required for the disturbance oeslopes •+ 2OX or greater not identified on the approved plat or CSM. This permit a is applied for through the zoning office and is reviewed through o public hearing process by the St. Croix County Board of Adjustment. v N AwPROV # ° IfEST 114 GARNER CROIX CO *4 dotSCONS`�*o P,+ SL�L^ 13 -31 -18 ptpZarritpOPsrki �......... t * TY R•,•••. 'K ' n �A EA L4RE NOV 18 2003 L�DC1e –SEE' TIE SEIEET =: S•2484 .P. Opprovel dale sPProval shell be s �.� ••'••.....••••• a rntN end vnk! NO TH �''a, N4 SURV� THwsr come? SEC 13 -31 -16 JOB VA057SU139 (FOUND ALUAI. ca mom) .03 Prepared by. loo 0 100 111Q GR SCALE IN FE SC Inch 100 feet Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO THE WEST LINE OF THE Fox No. (715) 246 -3830 NW 1/4 OF SECTION 13, TOWNSHIP 31 N.. RANGE 16 P.O. Box 325 W. WHICH IS ASSUMED TO BEAR NOC'01'35'W. New Richmond, WI 54017 Sheet 1 of 2 Vol 18 Page 4653 pppp p p _ N N N N N 1ff Ave N N N 0 221st Ave. 06 2213 2198 0 N tst -1 15 21 a 1 5-7 215 h A 14 13 C N 2105 willow N A ve. 22 23 2058 2061 24 N 2050 N 2037 . o � N m N O �y tp N '• - t N I I nnth t !� N r 11r!? 12003 13:48 7152469821 TOWN COUNTRY REALTY PAGE 02103 s 11I2i/03 FRI 12 :52 FAX 715 31-6 X387 REGISTER OF DEEDS � _, CibOOZ K l M V t ISTSR OF SC, Von c0. • 1!i �y BFG>siM FOA REGORb ^j � i l,�fl,A /2A®3 10:36A11 I ED a Laoatsd In port of the Sbu%wdA o4arter of the Nor%vaat Cqa� of 13. GEirT Y'ED .13.98 !!AP Tawlshtp "3t Ncv+h Rang* 7e West Tom if Cykm, SL Ova Co nr % S PY M. 3.60 2 �Jj�i4a Mf�b fo bnk at the request at ���i61 25Dtli Strout N07E! the percal nhmm on thio chap m w!E]�t to SWa. Coueiy and l7eer Park, M 540M Tarn Chip Itawra rrlaa end regrrlatffe+o (I.e +►adarrQ9, m6olmum lot okra DMW bx Hm4r+4 K HMM R to iraW. ubc} f3alore yurdrasing a tlareiool mr7 pore!, caotaet ifra 5t. lyo� Caurrtjr 7,orrin9 DIQee mod the appmpriaEe Town 8werd for a4viC4 T�Tr SwUon txmar Munwnant i Fav zw vc la'eeord 12TW aK? OF r m 113 pewnda proe�ar fa *v R: fC5r�P01NL 5E r.Y/�t r � �__�, � . 6 mm 7/ESf . � .>>fic Denpt� Mietland M PRlY1' 9Ft{ 0 PP.RM17® tlNI1M PRIW t#STAIIAI= A tE31T, 0=MBM 53077 IN VOLUME 1144 PAGE RAO• _ V l—VPL,A -.Z TED LA_N, p R I �l • (p $ r , ' !� g Z71 ACRE 3 #-21 � rn 108.19 11 FT. ^, ilk OE 287 4 N88'S8 VE 432.67' I o ti UNP A TTFD LA OF OWNER tr. M wt ml ep uoe pemit U 1'egaiewd for the &Aarbad+co of slopaa rea greater not MentRk ffi d on e approved plat or CM this permit ` is e�pl+�d for I%Zl the 2anily� of6ar and is nnllerad throto� a pub4k he""* 6r tAa 5t Q one taou�B 7 E� t ]4 1 � m M!wr 114 cm FR � C�tOlX �5, �°��t► �{�/�`" `i� St2 L�37 76 p+nQPlrt4t * n R. `k 1 1� ARGV 7 tl°� OIL S VMS _ 3.249! °i �• YN+llLtiaaaedWadgffifdaveor a � l "�� r apprawe�deeAalfee �''ti,�1N1 caver a SEC l b 16 N � $w rq ta3 .109 j Y11CS75U13B tm a 'O..e�� Prcpu bic +tom CG97AQDtQP jfG SCALD IN FEI:'FH 7� ln�ch 109 ?eet Pharr No., (775) 24S- 4319 C (y HM%P 4$ ARE MFF#,N= TO 7HZ MT UK OF 7W Fmc Mo. (715) 248 -7830 r /Tf MW 1/4 OF 1 WUU11 1j. TMSH0 31 Na RMCE 16 PAL Box 5 w MGM Is ASMMM 70 BM NM tTM'vt Nan ii{dlm a yd 54017 Sheet 9 of 2 Vol 1 Page 4653 2003 13:48 7152469821 TOWN COUNTRY REALTY PAGE 03103 .. ,/21!03• FRI 12 FAX 715 31,! '587 REGISTER of DEEDS L=rtad In — y.•rr���...• •�V �.�.— �.r�—�..�. �.rr.�•�w+hww— .+FUn. ._ wrnayv. • t v oRs CMTb"=&T -. 1, 'Ty R. Dodge, a Rogistmd Wises rosin Land &rveyor, do hereby certify that by the d'kcc*ae of Liada Mon, I bAv s 50rvtY4 dirrided and mapped a parcel of land located in pert of the Southwi st Qumter of ft Worfirweat Quarter of Scrticq 13, Towiphip 31 Nartb, Range 16 • Wr.4 'Zmm of Cam, St Croix Cow% Wisconsin, described as follows: Comnwwiag at ft West QascW ( k=qr ofmdd Section 13; ffieuce, an an assomed haling along the west Bn : of the Nord wag Quarter of said Section 13, Nm* 00 degrees 01 miautes 35 so roads West a distance of 428.03 Aug to dw point of begianim ttemce, along h st said west line, North 00 deoves 01=t am& 35 teemods West a distance of273 -;8 tltemac North 89 degrees S8 mkios 25 Satm& got a distaoae of432.57 f mt dience South 00 dcptm 01 mi awn 35 seconds East a distance of 273 28 9 A &cam South 89 degteees 58 minutes 25 seconds West a ftmm of 432.57: ice€ to the point of beginning IQ4M=dn7=g 118,211 square fit (2.71 acres) S abject to 2$Oth Street (A Town RoaQ along the most west arty boundary of dw above de9eubol Also mbi=to su easements, resgdr,.tiaes sad COY= 3b ormcord. i I also certify that t$ map ins SOW ect btu sc do ofthe et odor boundaries mnveycd and desm'bee ,that I have cmplW with the psovisiow of Chapter 235.34 of the Wisconsit► S fate & =4 the Subdivision onfian ooa of I tha County of St Croix and the Ten amt of Cylon is surveying and mapping tiro smna - an+•sen 9 — 9 -0 � Regisbeted Wiseon* Land SmvveywNo.2484 plate ]EO wft emp P.O. Box 325 ��colvg New KiFhmond, WI 54017 it *r , g ki sou 5hec 2 of Z Vol 18 Page 4653 y ~ - { f ,-r I I ~~ I I I I 1 ~- ~' ~p,w I 88. I 1 ~> ~. ( 3 ~~~,, fail MN - ~i1 MS 4 ,~ ~ ~ 1~~,4~\~~ GI ~i14C ~ I~ A'!K/i~/M~~ s~~ L81 ' fi// MN - t~// MN ,OOC 006 00¢ ,OOL X001 O ~OOL• ~~1 133d NI 31V06 9n GbSJ Il ¢I '036 ' 'UW AAN 'r ({$t 1 ,,