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HomeMy WebLinkAbout006-1037-20-000St. Croix County Planning and Zonin Friday, October I4, 2005 at 7:25:25 AM Detail Sanitary Information Page 1 oj'1 Computer #: 006-1037-20-000 Sub/Plat: NA Section: 17 Parcel #: 17.31.16.2548 Lot: TN/RNG: T31 N R16W Municipality: Cylon, Town of CSM: 1/4 114: NE 1/4 SW 1/4 Owner: Lehrman, Keith 2128 210th Street Deer Park, WI 54007 State Permit: 383960 Issued: 05/01/2001 POWTS Dispersal: Non-Pressurized In-ground Permit: New County Permit: 0 Installed: 05/30/2001 POWTS Detail: Infiltrator -High Capacity Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Requirements Additional Notes Money Owed Kevin Grabau >4/1 /00 -Required due Utgard, Brady Elevations taken; inspector sketched the $0.00 Signed Off: No house/tank/system layout but it changed from 2 trenches to 3 and is located between B1, B5 & B3 end of tested area. 32.5 Acres 9/15/05 -received New plot plan to show system layout and 3 trenches instead of two. Paperwork with other Brady revisions for Kevin to review and sign off Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 5/30/2004 7/11 /2005 04/01 /2005 7/11 /2008 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - /* ' V~iscori~+n Department of Commerce PRIVATE SEWAGE SYSTEM safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be uses for secontlary purposes (Nrivacy LawYS.15.04 (1)(m)] V~flrril~Ti, ~ ^ City ^ ~~I~IYIT~rlShip CST BM Elev.: ~ Insp. BM Elev.: r BM DescriptionBM Description: 3.93 5b3•°13 s-~ a""~Z- TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~ r ~ Wuse.. 2 Dosing ~ C'r-S"~ Aeration Holdin TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Air Intake ROAD Septic tiSS~ ~~ . ~~ r ~-- NA Dosing ~ NA Aeration NA Holding PUMP/ SIPHON INFORMATION M ufacturer errand Model Nu er N TDH Lift , _~ction System TDH Ft n I Length I Dia. SORPTION SYSTEM ENC width _ r~ Lf ~~~ SOIL COVER SETBACK SYSTEM INFORMATION Type ' _ DISTRIBUTION SYSTf M Dist. To Well ~a ngth ~ No. f 2. sa 3 P/L BLDG titer 33 ELEVATION DATA countSt. Croix Sanitar~~iS>ti~lo.: State Plan 1019 ~vNo.: Pa rce I,7a~,Nf~.037-20-000 /73t, /6,~y~ STATION BS HI FS ELEV. Benchmar Z~ 2 •`f o 6,g3 S °3.9 ' ~-`~S o~•3gr Bldg. Sewer S: Qo ~ ~ St / Ht Inlet , f?- ~9• ~(, r St / Ht Outlet ~ , 9 q. ~ r Dt Inlet Dt Bottom Header /Man. Dist. Pipe ~~ Bot. System ~' i Grade 3•L n ~ .~ S t)2. $}- ~5 aches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N ~nu a~re~ ` WELL LAKE/STREAM LEACHING .vtt+~! S't~,r• CHAMBER M e Number: ~~> 7 (l31' ~ OR UNIT ~ -Cc,~ja.~.~, Header/~M-anifold Y Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length _j__~.~. Dia. ia. Spacing ~•' ~s x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over y ~ Depth Over I xx Depth Of xx Seeded /Sodded xx Mulched ~' Bed /Trench Center Bed /Trench Edges lI Topsoil ^ Yes No No I COMMENTS: (Iriclude code discrepancies, persons present, etc.) (, ~~ 3ai 2Ctj / -T*q'}~ Location: 2128` 210th Street, Deer Park, 54 7 (NE 1/4 SW 1/ T31N R16W) -1731x,1 1.) Alt BM Description = ~'~ ~ ~~~~~`e-` 2.) Bldg sewer length = " ! 3. o' ~ __-- -amount of cover = (~ (j, . `8 9 =`(`19 •YY `f D~~c,~-t,_ p~pc.s w-. c~-~•~. 2"~~,d.aw~-~ c ",~tze-,,.~ ~~ '~-. 31 = Y~9Ai a r,Q~, Plan revi~quired? ~ No Use other side for additio rm n. I SBD-6710 {R.3/97) `~ ~c ~ n ~ 9/`Ins edor's5ignature ~? wedgy ~po ~~9g33 :~ ^~~•~r Cert. No ~- /-~` 30 ~~ 3 -in ~a~o nom, ~- -ono ~~-P.-~ 5 yam, y99, as ~ ~ ~Q„~,6,r ~ (a ~eV,a J ~/~ l = ~b ~. 9 3 ~ /Vat -~- T'~--~ ~~~~ (~' ,I1P C~ /~s~o Y- ~~ _ •~ ~. a~szs- f 'Z~ Z J ~ E Sanitary Permit Application Safety & Buildings Divi In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington i i See reverse side for instructions for completing this application PO Box seons n Department of Commerce Personal information you provide may be used for secondary purposes Madison. W( 5370?-" (Submit completed form to coun[y i. (Privacy Law, s. 15.04(I)(m) state owr. Attach com lete tans (to the count co onl )for th e a er not than 8-1/2 x 1 1 inches in size. County (////~/ „ ~~ Stat~S~itary ermi~ umber ^ C ck ' ision tp previous applic }ion ~~JJ State Plan I. D. Number - . ~ YIO1 ~J ,~- . !. A lication Information -Please Print all Information ^~ Location: Propeny Owner Name - - Property Loca[ion ~,~1. ~~ ~ Q ~~0~ ~~? I/45w1/4,S T ,N. R/ F Property Owner's Mailing Address ;: g "~ UNSY T Lot Number Block Numt ~ ( ,p Jr~ -.r ~; iNppFFICE / ~~ City, State Zip Code bnfe umber Subdivision Name or CSM Number . T ~~'~ W~ ~ -e~ ~ ~ / (,~~ ( ~ ~ fb [1 Type of Building: (check one) ~ City O I or 2 Family Dwelling - No. of Bedrooms: ,~ tllag _ O Public/Commercial (describe use): ~T of O State-owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nea st oad ~t~ A) I . New System 2. O Replacement 3. O Replacement of 4. D Addition to Parcel Tax Number(s) S stem Tank Onl Existin S stem ~ d37~ B) Permit Number Date issued ^ A Sani[a Permit was reviousl issued IV. Type of POWT System: (Check all that apply) fd'Non-pressurized In-ground O Mound O Sand Filter D Constructed Wetland O Pressurized In-ground O Holding Tank ^ Single Pass ^ Drip Line O At-grade O Aerob~Treatment Unit ^ Recirculating O Other: V Dis ersat/Treatment Area Information: -- 43 . ~.. I Design Flow (gpd) 2. DispcrsalArea 3. Dispersal Area 4. Soil App ication 5. Percolation Rate 6. System Elevation 7. Final Grade 6CZ~ Required s-oo Proposed s~ ~ Rate (Gals./day/sq. ft.) (Min./inch) --J y9~ 6 3 Elevation ~- ~. ~ , VI Tank Capacity in Total ay of Manufacturer Prefab Site Steel Fiber• Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ICJ v ~ I~ I ~~ ~ttr` O D O D ^ O O D O VII Responsibility Statement I, the undersi ned, assume res onsibilit for installation of the POWTS shown on the attached tans. Plumber's Name (print) Plu is Signature (no tam MP/MPRS No. Business Phone Number c 0 S" ?Ir ~ g- Plumber's A dress (Street, City, State, Zip Co ~~~ ~ . ~ VIII CountydDepartment Use Only O Disapproved Sanitary Permit Fee (includes Groundwater Date issued lss ing Agent Sig cure (No stamps) 'l~Approved ^ Owner Given Initial Adverse Surc rge Fee) tp r- S r 2 ~ ~ Determination , ZZ ( -~ N Ix. Conditions of Approval /Keasons for Disapproval~:p ~ V ~ ~ -M,~ ~ w~.c+a--~- -~a-t,~aa-~. 5e~-as.c-~S ue C~4 /c~.d'.~r1atC.L~ ~ t 1~.~W~t~q "~ ~ `~ vim, ~-5~~~-- p~.~,,c ~~o ). i @yr its, N~'~ u~ , ~' l~ a- ~s ~ ?~- ~aso .\ \~~ i ~.. ~~~ ~~ ~ -/ao ~ ~. ~ Yq 7, ~3 X ~ ~3~-a= s~3t~3, N A ~j3'~ ~-~ s ~ ~~ ~''~ x~ R)rt ~~ ~~ ~~~ s ~~~~~ . ~~~~-~,~ x~'`~ l ,~ .d 1-~'-~ ~-.o s --~- 9~ y .G3 ~~ ~i~ aao ~~ ~ 3,~,~ `~ ~,,~'` 1~5 ,W ~ ~- ~ ~ 1 ~~~ ~y.~ 1 ~' '~~ ~ ~~r. ~'V ~~~r ., 3 ~-~ ~~ ~~ ~ C c. (. ,. ~..... .~ • i i. :,~;:. p l (l ~. ~ ~ a^^' 3~ , , ~. :'~ `~t'r'`9~ ~'" . G ~"~ / ' ~ i - Wise ~Depar ~.,aoflndustry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor t1d Human Relations Divisitin of Safety & Buildings, 'n accord with ILHR 83 05 Wis Adm Code i COUNTY Plan must include er not less than S 1/2 x 11 inches in size but lan on a Attach com lete site St. Croix , p p . p p not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and di a ~ogi~a Lroad. 006-1037-20 ~'' ~ ` P~1T ALL INFO`R~NhATION APPLICANT INFORMATION-PLEA R VIEWED BY DATE / S ~ ' • PROPERTY OWNER: ~ -:~~ t~11= ~ ` \ PROPERTY LOCATION Keith M. Lehrman '~ i T ~~ t GOVT. LOT NE 1/4 SW 1/4,S 17 T 31 ,N,R 16 Apr) W PROPERTY OWNER':S MAILING ADDR ) ~ ~t ? ~ 0 ~ ~ LOT # BLOCK # SUBD. NAME OR CSM # 1049 13th. Ave. °' na na csm vo1.466 156 CITY, STATE Zt E P BER ~ " ^CITY ^VILLAGE (MOWN NEAREST ROAD Deer Park, WI. 5400 S' 4,16*' C lon 210th. Ave. ~] New Construction Use [~ Reside a~',~ r~ ~l 3 [ ]Addition to existing building j ]Replacement [ ] Public or ce e Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd/ft2 •8 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) area A= 497.63 , B= 498 . Eft3(as referred to site plan benchmark) Additional design /site considerations na Parent material stream terrace Flood plain elevation, if applicable 495.24 ft S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable for s stem CAS ^ U CAS ^ U CAS ^ U ~] S ^ U ~7 S ^ U ^ S ® U H i Depth Dominant Color ~ or zon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Treridi 1 0-8 10yr3/3 none sil lcsbk frozen gw 2m .2 ~ .3 2 8-24 10yr4/4 none sicl lcsbk mfr gw if .2 .3 3 24-48 10yr4/4 none scl 2mgr mvfr gw if .2 .3 4 48-88 10yr4/4 none is Osg mvfr na na .7 ~ .8 ~-'f`t~-63~ . 8 8~ Remarks: 1 0-9 10yr3/3 none sil lfsbk frozen gw 2m .2 .3 2 9-23 10yr4/4 none sl 2mgr mvfr gw lm .5 .6 3 23-33 7.5yr4/4 none sl lmsbk mfr gw if .4 .5 4 33-88 7.5yr4/4 none cos Osg ml na na .7 ~ .8 ,Z ~ .Z Remarks: CST Name:--Please Print G L. Steel Phone: 715-246-6200 Address: 1554 200th. e. New Ric and WI 54017 Signature: Date: 1_25-99 CST Number: m02298 SOIL DESCRIPTION REPORT Np~ - ~ `2.0'p Mottles Structure G P D/f~ Texture Consistence Bou Roots .Z . -t ,Z ~~ ,2 .S . `~ .~ PROPERTY OWNER Keith Lehrman SOIL DESCRIPTION REPORT PARCEL. I.D. ~ 006-1037-20 Boring # 3<' Ground elev. 502.6$. Depth to limiting factor . ~~.. Boring # 4 ................. Ground elev. 503.23ft. Depth to limiting factor ~~ ~~ Boring # 5 ................. Ground elev. 503.5 Depth to limiting factor +98" Boring # Ground elev. ft. Depth to limiting factor age 2. 3 Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour>dary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxh 1 0-11 10yr3/3 none sil lfsbk frozen gw m 2 11-26 10yr4/4 none sil 2msbk mfr gw lm .5 .6 3 26-33 10yr3/3 none sl 2mgr mvfr gw if .5 .6 4 33 8 7.5yr4/4 none cos Osg mvfr na na .7 ? .8 ~F94. b Lo Remarks: 1 0-10 10yr3/3 none sil lcsbk frozen gw 2m .2 `: .3 2 10-28 10yr4/4 none sil lfsbk mfr gw lm .2 .3 3 28-48 7.5yr4/4 none sl 2mgr mvfr gw if .5 .6 4 48-96 7.5yr4/4 none cos Osg mvfr na na .7 .8 Remarks: 1 0-9 10yr3/3 none sil lfsbk frozen gw 2m .2 .3 2 9-32 10yr3/3 none sil 2msbk mfr gw lm .5 .6 3 32-42 10yr3/3 none sl 2mgr mvfr gw if .5 ': .6 4 42-98 7.5yr4/4 none cos Osg mvfr na na .7 .8 Remarks: -Z . S` ,S .~ ~Z . 'L. .S .~ ~Z - S~ ,f .~ Remarks: SBD-8330(R.05/92) c _ _ ~ . r STEEL'S SOIL SERVICE Gary L. Steel CSTM2298 Keith Gehrman ~, MPRSW-3254 ~4~4 Sl7-T31N-R16W town of Cylon ~C~ 68 acres ~ `~ ~cP1/ ~-- ~~ o N ~1''~ BM.= nail in tree C~ el. 504.93' as establishe by DNR alt. BM.= nail in tree C el. 503.93' n,,- b' 100 yr. flood plat"in= 495.24' 25 yr. folld plain= 494.17' p~d 10 yr. flood plain= 492.63' h~~ 1554 200th Ave. New Richmond, WI 54017 (715).246-6200 ~ ~,~ ~ ! ~ Q~x ~ ~~ ~ coo 1.~2 e ~-_„_ ~~ (Q7 ,5p - ,~~ ,~ ~~~ ,~ ~~ ~~~ ~ ~~~~ ~ ~~~ ~~~ Gary L. Steel 1-25-99 9-1995 5 : 54PM FRDM P. 1 -c PROPERiY~ONMER Keith ~Gehnnan SOIL DESCRIPTION REPORT ~ Page 2 of ~ 3 PaHCCEII.s+i.~e ._ 006-1o37-ao -~vu~N ~-1i~~8-~ y~y~..S~v~/~ s~ 7-t~~~,~ ~ ~.~ Horiaon Depth in. Dominant Color Mu~sell MotdeS Du. Sx. Copt Color Texture Structure Gr. Sz. Sh. Corisi~nc~e 8ar'~Y ~RoOts ~ .GPD~tt 8ed Iend1 1 0-11 10yr3/3 none s 1 lfsbk~ razets gv 2 11-26 lUy~c4/4 none Oil 2msbK Haft gv lm .,5 .6 3 2633 10yr3/3 none si 2nigr mvfr gir if ~ .5 .6 4 7.5yz4/4 none Cos Osg mvfr~ na rya .7 s .8 .1Z - ® __ Y ~ ._ . ~, , Remarks: _.._,__, I 0-10 10yr3/3 none sii lesbk frozen g~ 2m .2 .3 2 1p-28 10yt4/4 none sil lfsbk; mfr g9r 7~m .2 .3 3 28-4$ 7.5yr4/4 none sl 2mgr mvfr gw if .5. .6 4 48-96 7.Syr4/4 none ec s Osg mvfr ns na .7 .8 Remarks: 1 0-~9 10yr3/3 r-one ~ ~ sii lfsbk frozen gw 2m ~ .2 ~ .3 2 9-32 10yr3/3 none sii Ztdsbk mfr ~ g~ 7.en -5 -6 3 32,42 1 Oyr3/3 none si 2tngr mvfr gMr 1 f . 5 .6 ' 4 4298 7.5 ,r4/4 rune cos Osg mvfr na na .7 :8 Remarks: ST CROIX COUNTY • SEPTIC TANK MAINTENANCE AGREEMENT • AND OWNERSHIP CERTIFICATION FORM Owner/Buyer !~? ~~ F rhar~ Mailing Address Property Address City/State -~ /4 c l (Verification rtquired from Planning Department for new LEGAL DESCRIPTION (1.31_ le.2S-`fB Parcel Identification Number OD ~ - ~~ -\ ~ d Property Location ~ '/., ~ '/,, Sec. ~7 , T~I N-R~W, Town of Subdivision Lot # Cet-tiCed Survey Map # `~'---~'" Volume ~--'- ,Page # '-- Warranty Deed # ~~~_~ "~ Volume page # Spec house O yes ~no Lot lines identifiable I~ yes O° no SYSTEM MAINTEN tyCE Improper use and maintenance of your septic system could result in 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 stags in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewatcrdisposal system is is 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. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we} am (are) the owner(s) of the property described above, by virtue of a wasranry deed recorded in Register of Deeds Office. /''1 ~~- SIGNATURE OF APPLICANT '~l / dv/ ~ / _ DATE ""*` Any information that is mis-represtnted may result in the sanity ry permit being revoked by the Zoning Department. "•"•" " Include with this application: a stamped warranty deed front the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed l ~''~ ~l~ . S a. Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: Svstem Design Specifications Sanitary Permit Number g b Number of Bedrooms - Design Flow -Peak (gpd) Estimated Flow -Average (gpd) ~~ Septic Tank Capacity (gal) G~ Soil Absorption Component Size (ft~) ~ 93 ~ . ~- Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) C?~ Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter 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. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if 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 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next 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, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere wifhin the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation 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 assessed by inspection at feast once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified 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 hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Y " ' , ' Management Plan for a Septic Tank and Soil Absorption Component Plantings 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. ~~ 3 1 _~1 r9 . ~ ~Q~ i~o~Pb~foo? PERSONAL 59rEsGa53 KAT!'L.~EN H, WAt.SH Docrxr-entNur.,Rer REPRESENTATIVE'S DEED RESISTER Qr uEEijS ST. CRO~X CO., W! Gregory A. Stroh, as Persona! Representative of the estate of Beverly M. Theme!! ("Decedent', for a valuable consideration comieys without warranty to Dea___~ A- Gehrroan and Keith . Lehrman, as tenants-in- commc*y, G~aniee, the following desaibed real estate in St. Croix County, State of Wisconsin (hereinafter called the "Property': ESTATE OF BEVERLY tA. KNELL 'Gregory A S Personal Representative Name and Retum Address Nortlwvest Savings Bank 2341Cetler Ave. South Amery, ".Y164001 S `'~ EE DESGRIPTlON ON REVERSE HEREOF , ~~ l~~ S°~ ~ ZZ' ~v RECEIVED FOR RECORD al-t~-t9~ 2:to Pn Pl:RSOlNt1. REPRESEiITATTV EXEtWT ti CERT COPY FEE: tX)Pl' FEE: TRAttSFER FEE: 20E '~ RECORDIM6 FEE: 12.uu PAGES: 2 OOi-1937-20;006-1037-rig; OOi-1937.80.008-10379b (Parcel Identifkation Number) Personal Representative by this; deed does convEy to Grant;,a all of the estate and interest in the Pr ,.erty which the De~ed?~t had immediately prior to Decedent's death, and all of the estate and interest in the Property which the Persona! Representative has since acquired. Dated this / ~ J day of January, 1999. AUTHENTICATION Signature(s) authenticated this _ day of . _ signature - type or print nar+e TITLE: MEMBER STATE BAR OF WISCONSIN (K rot, au;horcced by § 708.06, Wis. S?asts.) THIS INSTRUMENT WAS DRAFTED BY Daniel M. eymes of P'.'4NE8 LAW OFFICE 314 Keller Ave. North, Amery, WI 54001 '-;~'"~ ' -;; - ~s ~cco~o . ACKNOWLEDG/rItENT Q D ~' '~.~ STATE OF tL ~ «~ ~ ~' ~ , J ' ' ~~ - °•» Personalty came before me this ~ ~ aytT}r~ksirusry, 1995, the above named Gregory A tir~K,J~ersonal Representative of the Estate of BPVerly M. Tharnell, to me known to be the persw~(s) who executed the foregoing instru~ t/e d ~Ck apge the game. j,/I~ i type a Prkit nanti ~`« A So:._ ~ :.lL Notary Public County, ~ ~~ ^ ~ , ul t My~ commission is permanent. (K nct, state expiration date: 'Names o/ persons sigriny in em cx:'acRy atwuld be typed or printed below their slgnah.es- MIFORMA710N PROFES570MALS GOAIDMf FON.1 W LAC, Vill 800-BSS202~ ~- YOL 1`~~~PpCEOg~ DESCRIPTION OF REAL, tiSTATE ALL THAT PART OF THE EAST HALF OF SOUTHWEST QUARTER (E 112 SW 114) AND ALL THAT PART OF THE NORTH HALF f-F SOUTHEAST QUARTER (N 112 SE 114) ALL IN SECTION 17 TOWNSHIP 31 NORTH, RANGE 16 WEST LYING NORTHERLY AND WESTERLY OF THc FOLLOWING DESCRIBED TRAVERSE LINE: COMMENCING AT THE SOI~THWE3T CORNER OF THE EAST HALF OF SOUTHWEST QUARTER (E f~2 SW 114) OF SAID SECTION 17 TOWNSHIP 31 NORTH, RANGE 16 WEST; THENCE EAST ON SOUTH LINE OF SECTION 17 FOR 236 FEET; THENCE NORTH 33 FEET TO THE NORTH RNY LINE OF THE TOWN ROAD; THENCE NORTH 04 DEGREES 43 MINUTES WEST FOR 247.27 FEET; THENCE NORTH 10 DEGREES 51 MINUTES WEST FOR 586.87 FEET; THENCE NORTH 5 DEGREES 14 MINUTES EAST FOR 306.28 FEET; THENCE NORTH 25 DEGREES 01 MINUTES 30 SECONDS EAST FOR 68.30 FEET; THENCE NORTH 58 DEGREES 39 MINUTES EAST FOR 1260.6 FEET; THENCE SOUTH f 5 DEGREES 20 MINUTES 30 SECONDS EAST FOR 9.1 FEET; THENCE SOUTH 37 DEGREES 50 MINUTES EAST FOR 425.3 FEET; THENCE NORTH 84 DEGREES 4b MINUTES 30 SECONDS EAST 132.3 FEET; THENCE NORTH 74 DEGREES 44 MINUTES 30 SECONDS EAST FOR 748.0 FEET; THENCE NORTH 4 DEGREES 39 MINUTES EAST 458.60 FEET; THENCi: NORTH 59 DEGREES 02 MINUTES EAST FOk 398.6 FEET; THENCE NORTH 42 DEGREES 25 MNtiUTES EAST IN A NORTHEASTERLY DIRECTION TO THE NORTH LINE OF THE NORTHEAST QUARTER OF SOUTHEAST QUARTER (NE 114 SE 114) OF 3EC710N 17 AT A POINT 891.7 FEET WEST OF THE EAST LINE OF SECTION 17 EX~F,PS PART TO THE VILLAGE OF DEER PARK IN VOLUME 1323, PAGE 14, DOCUMENT N0.579U03, ST. CROIX COUNTY, WISCONSIN. ~~ '~ ,. { ", ~~ ~ . .~• ... ~ St. Croix County Government Center 1101 Carmichael Road Hudson, WI 54016 715-386-4680 Fa~c To: ~~tTtt ~Eff~-~~ From: ~~tJ/n1 ax: ~ (S - Ica _ c-/ G~ Pages: ~~ / Phone: 715 386 4680 Date: ~ - 3 D - ~ 1 Re: CC: ^ Urgent ^ For Review ^ Please Comment ^ Please Reply ^ Please Recycle z~ ~ ~~t~ ~ ~~~- Z6~s- lZr 3 i ~ ~ ~S`~ ~~ ~ GW~ ~~~` ` ,.• ~, . ... ,. n ~ _ - ---_- _. _,, ._~. .:.Sew... ~~ w2... cc~ v~~(.~p.~ ~~,t,S-- i1"~ _ _._ _ ._____. ~ ___.~ ___.._ .. _ ~ owe _. `~ P _ ___ _._. ~ ~' _ _ . ~.._ _ _ _. r / ___ .~) ~ ~ - _ 5 _ S a r I'S'~- 0+~'~ .. __. . we., ~-5~-1~.au-e..,~ft,.~s ~~~~,~.a~!-con ~ ~ Pe.rw~a~urd- files, we 9~- a.~.~cQ,~~ ~ vaw~~.s o, o„~.~~e~ ~. FROM :, PHONE N0. May. 01 2001 10:03AM P1 f N G 1 N f is R I N G M 145 Msiin Str~cet, P.O. Box 2S2 Woodvige, WI 54028 Phone (715 691~L3440 Fez (715 698•~4~t1 EA.X COVEYt SHEET TO ~ d ~ l F1t011~ ~P~Y Dau Fax Nutnba Job Number ^ Urgmc Q • For•your apptwal ^ Please review ~ comment ^ For your i~R#tiotl Total Pages Iacludit~g Cover !3)u:~ ____ r • ~ t:+ COAIFIDENTfAI1TY NOTXCS: The documents accompanyios this fai transmission contaiq copRdeatial and privileged information. 'Lis Ittfosmation is iaRended to be fur the use of the individual and/or entity lnalecd shove U you ate not the itrteptdcd rctipient, you ate hereby notiGcd that any dissoroftuation, distribatiog, or reptodactioa of the tootents of this faY transmission k sttidly prohibited liyou have rocdved this communication !n cttvr. please notify us iniesedlate(y by takpholse, w11ecL ~apk you. FROh1 PHONE N0. May. 01 2001 10:04Ah1 P2 ... • y,. May 1, 2001 Rod Edinger Zoning Office 1101 Carmichael Road Hudson, WI 54016 Dear Rod; Enclosed please find a map showing the proposed building sites and septic location for the Keith and Lori Gehrtnan property. 1-Tumphrey Engineering has taken ground elevations at the proposed building corners. The building corners were staked by the owner and'the enclosed map shows the approximate building locaxions compared to the flood plain. Once the building foundation is in place, Humphrey Engineering can field survey the elevations of the building, documenting that it is outside and two (2) feet above the I0o year F1aod Plain. The 100 year Flood Plain was previously completed by Humphrey Engineering an March 19, 1998. If you hive any questions or Concerns in regards to this, please do not hesitate to contact me. sincerely; ~MP~~ Roger L. Humphrey 1'.E.,R.L.S. Fresident cc: Keith 8t Lori Lehrman 145 Maln Street, P.O. Box 2S2 ^ Woodville, WI 5402$ ^ engineeK~in.bright.net ^ 715-698-3440 ^ Fax: 715-698-3441 FROM :, PHONE N0. May. 01 2001 10:04AM P3 i • ~ •-- --. i ~ ~. ~ -~ / ~ ' ~ ~~ '~i ' \ ` ' C~Gd o~ ~ ~ i ~ ~ ~ ~~ 'PRaX. ~#..E~[11'TINfi t~~r ka.cE ~ , ~ ~ ~ . DZ •v~ ~ ~ .i 'R4 ~~~ ~ - 4 ~ ~ ~ ~~ ~ 4~, 1 . ~~ ~ ~ .. ` ~ ~ c ~` ~ a ~ ~ ~ . ~ ~~ ~ ~ . , ~ ~ , Q,ocst~e~ eP"~~v~~31o~s A~ ~1Za~oS~'~ ~Lp1A C: ~~ tv mot' 1Z,~ ~10.~5 c T3.M. Gc1~Ati.~. ti~ ~"P~~~-'cv.~~ 504 ~i3. %5 S~ t~ac K 498,+ s'oo,o l _ y \ J / jx xx ,~ Y9aa y . _ ~ r.r 5rygs9 x~ So 2.8 3 ~y \~~O tom-°\' S a t'Tti cr .,. ,. •+eY • •4 e'V x ~ o Q O p Q (~ O I~ U II q r ^ ~ 'I '{ /^ - 1 ~ W ~ ~ ~ ~ N .1 N N l W `r, Q j~ O . o ~ W a l ~ v I l a p ~ 1 : : , ;~ 9 k i ~ ~ ~ k '~ ~. O ~ ~ ~ - o w O - -t .Q 1 00 ,~ ,1 co r N r ~ a }~ 'r+ '11 ~~ ~~ ~a ao {~j ~ x• r f '~`~ ,Y / x ^x :^~ ~ s ~ ~~ M ~ P ~ ~ ~ FT ,~ .cM1O ~ ~ O ~~' ~1 4 ~ ~ -,mac 0 d d o o r ~ o / / • ~ S ~ ~I ~ ~ m ~ • .C / i .p ~ ,Q ~ oo .~ W / k -mac o0 0 ~ 1 I ~ E X _: 1 / '~ I D E ~ 1 00~ ~ ` ' 7~ x ~ ~ t~ \ ` M \ M s 0 xN r)~ , 0 ~~ r p R. r L rh b P d n, G M ~ d a~ p fy " 1M W d' -9 o M ~ ~` O D i~ 2~ J~ 1 x M M M X~ k 1 / ~ •h T k ,, ~ -!? r ~ N S ,p O 1 H ~ ~ o r r ~ -1 d io d~ Ne < >K ~~ x i I~ ~ ~ ~ '~ rn M S ~ ~ ~ r M~ ~c ~ s •r s~ w ~11 1 ~ :~ ~, ` w :, ~; ~ ` ~ ~ ~ ~ ~ ~ ~ w ~ ` ~ '' ~ ' ~ ~ J ~ `a~ ~ r ~ of -c tr . -~ ~J r ~ ~? ro ~ ,~ I F 0 T~ ul ~ ~ ~ ~ 1~ Q -p ~ p z ~+ !Q ~ ~ x l~ ~ v i ~ ~ N m 7~ ~' ~ N I ~K ~ ~ ~ ~ ~ ~ 'N _ _ ~~ z n , -0 ~~ ~ I ~ 1 r .. _ r .~ ' J 1 1 ' .. .` \ '~ \ .\ 1 ~1 1 r ~ f 1 1 ~ '`. ...e ` / ~+ L ~i~ ~~~~ ~ND K ~ ri. 0 0 ti M~ {- r k * ' ~~ ~ ma .r ~ it ~e r`I .,,, x ~C P P r~ i z ~ ~ ~ ~ o ~ E o 0 ~ Rt N (, F ~ ~ c ~ ~ ~ N p ~ ~ ~ '[~ rl n; '~ J ~ i t ~ "~ - • ~ V `d _ Ll ~) a xs ~ £ 1H[lU May I, 2001 Rod Edinger Zoning Office 1101 Carmichael Road Hudson, WI 54016 Dear Rod; " ~ l.l~ ~ F ~ j Q { . i,l ,1\ L \ 1 t~ ~,7G c~~ ~..ij i f i ~~ . Enclosed please find a map showing the proposed building sites and septic location for the Keith and Lori Gehrman property. Humphrey Engineering has taken ground elevations at the proposed building corners. The building corners were staked by the owner and the enclosed map shows the approximate building locations compared to the flood plain. Once the building foundation is in place, Humphrey Engineering can field survey the elevations of the building, documenting that it is outside and two (2) feet above the 100 year Flood Plain. The 100 year Flood Plain was previously completed by Humphrey Engineering on March 19, 1998. If you have any questions or concerns in regards to this, please do not hesitate to contact me. Sincerely; HUMPHREY ENGINEERT~IG Roger L. Humphrey P.E.,R.L.S. President cc: Keith & Lori Lehrman 145 Main Street, P.O. Box 252 Woodville, WI 54028 engineer@win.bright.net 715-698-3440 Fax: 715-698-3441 ,. . ^ w ~ ~ o~os~ O ~iLt.J'~u1A4' ~ M 'mil eb ~~~~ ~ N't'i . ~1 ~. ~ '"' -^ ,~ .-. ~ • < ~. ~, . •, ~4 j ~ ~ cA Qck 1 W r-Ts Z ~ ~ '.~ ~~ ~ ! / CJvwp Mate ~'~~~ ~.,/ i ~~ P¢a x. SE. ExtSTtN b tlcT f~acE ~ , ~ ~ ~ _ ' ~ i ~ ~ zl~~a4 ~~ ~ -~ / x ~. / ~ x ~o ~I ~ Q~ ~ / I I.tsTbLt_ 16~ IGwt f ± ~ ~ ~ ! {, ~ ~ ~ c< ` 1, A.t ~NGQ~Qt U _ ~ v v ~ ~. 1 ~ . O ~ ~ ~~ ~ ~ c,~ ~ _~ ~ ~ ; ~ Rocst~~ c~"4~v~pfilo~.~ ~ ~ ~. A3' ~Rb~oS~'b ~4DIo x $oa,ol ~ . ~ f e~ ~c~s , ~ ~-1oaS G L.M. Golz~~~: -v - ~~,, G-c1Zc~ So y.93 . Yq~,s9 i x x $~2.~~ x \ S: t'T~~ ~~~ •--~. St. Ca~oiiwv County Zoning Detail Sanitary Information Computer #• 006-1036-40-100 Parcel #: 17.31.16.24A10 Municipali Cylon Townshi_ p~ Sub/Plat l./ ' t Lot: 1 CSM: Vot. 18 Pg. 4718 Monday, May 24, 20D4 at 1©:4T39AM Page 1 of 2 Section: 17 TNiRNG: T31N R16W 1/41/4: SE 1/4 NE 114 Owner: Geh anrm Dean 2150 220th St Deer Park, WI 54007 State Permit: 262352 Issued: 06111/1996 POWTS Dispersal: Mound 24" or more suitable soi Permit: New County Permit: 0 installed: 07/2511996 POWTS Detail: Bed Bedrooms: 3 WI Fund: POWTS Pretreatment: Unknown Notes Inspector Not determined Mary Jenkins As Built NA Signed Off: No No Signed Off: No Maintenance Scheduled Pump Date Pumped 7121!2000 4!812000 41812003 7!21!2003 7121!2006 7125/1999 Notes inspector As Built Not determined NA Signed Off: No Mary Jenkins No Signed Off: No Plumber Other Requirements Fogerty, Dave Additional Notes Money Owed Owner changed to Utgard Plumbing $0.00 Utgard, Brady needs as-built (not likely at this time) and Change of plumber on 07/25/96 from Fogerty to new parcel number after CSM#757505 in Utgard. Note on inspection report that an as-built 2004 -this is now Lot 1 was needed and report unsigned. No as-built apparently was submitted by Utgard Plumbing for this mound. 1st Notification 2nd Notification 3rd Notification Plumber Other Requirements Fogerty, Dave $0.00 Additional Notes Money Owed Owner changed to Utgard Plumbing $0.00 Utgard, Brady needs as-built (not likely at this time) and Change of plumber on 07/25196 from Fogerty to $0.00 new parcel number after CSM#757505 in Utgard. Note on inspection report that an as-built 2004 -this is now Lot 1 was needed and report unsigned. No as-built apparently was submitted by Utgard Plumbing for this mound. Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 7121/2000 4!8!2000 4/8/2003 7!21!2003 7!2112006 7!25!1999