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HomeMy WebLinkAbout430397 & STC0168 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and 9uilding Division • INSPECTION REPORT Sanitary Permit No: 430397 0 GENIERAL INFORMATION (ATTACH TO PERMIT) tate Plan ID No: T Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 0 ~p 0 = 1 f ws. / Permit Holder's Name: City Village X Township Parcel Tax No: Ter Rae Farms Inc Erin Prairie Township 012-1025-90-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: vv. LL C13 f3M _t I (1-5--f 10.30.17.141 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 7- N wc-~s sV19 5V I Ib ►o1.Ib CU. o Dosing ~ ~~~170 4 Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet ,I• b~ TANK SETBACK INFORMATION SUHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom q~ • ro It~''~ Uv Dosing/,G Header/Man. Ta p Aeration Dist. Pipe Holding Bot. System PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover C L- GPM 3 9Io `2-1) Model Number W C- C> -T 64 t3• NC ~ ?tom 10 3_1 TDH Lift Friction Loss -1, 'System Head TD Ft S4 j.?•-3 y.t C.. 5- -~0 1 Suva S; otA -36 o S -3S Forcemain I 2' Length ` Dia. Dist. to Well ' rnc, gC. 2 - v15 SOIL ABSORPTION SYSTEM z? S1 BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Inside Dia. Liquid Depth DIMENSIONS ~7, S J SETBACK SYSTEM TO C P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: (1/G UNIT Model, NdkLz DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake r i\ Pipe(s) Q t " r l Length -5 Dia Length T' t Dial Spacing w~ I el i ~ b' - 7 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of T7dded xx Mulched DBed/Trench Center Bed/Trench Edges / - Topsoil I Yes [ No r Yes No CCNTS: In ode di reps ce ies,• rsons present, etc.) I re 1:Q~/ Inspection #2:i_0/_C_0_/ r-rW j~ lr{fr ~ IL 4 Location: A 1889 17054017 (NE 1/4 NE 1/4 10 TZ ) 40,ecres Lot Parcel No: 10.30.17.141 1.) Alt BM Description = 5: r ih^4rN~`~ Ge+>~•r • 3~ S~ `-t b~'~ " P a I 2.) Bldg sewer length = 3~ 35 f ~cc„ -0 -QJ - amount of cover = -7 r 0, C cli, Plan revision Required? Yes No L/o L2-,6 Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. I , -NIP I I i i SIl i I ~ of I~~ ~ I I I I i I'~ I~ , 'I ' i• ~ I 'I j! ~ I i I I i I ' ' I - I X1'1 O'7) - I , k I i l, ~1-- o I , I t uc I ' - -fin--~ - _ - ' - I - - - - ~ ' ; - I ' ~ _ . i I I I r I ---I- Y~ I i + t I I I I I I ~ II ~ I I ~ I , f I ' ' i , t I t I j ~ 1 , ` ! I I r ! 1 I ~ ! ' I I I i 1 } 1 1 1 1 ! _ t i I I 1 I I ' GG' *,S 1 t - _ 9!4 S _~o -T O D rrr~tAi1--- - M cosm* Fob - ' - I i t i ~ I I I I ~ i j I i ( , ~I I J ~ I + I- ( 1 i I 1 i , 1 1 I i i I I I ' ' I ~ I I , I f I I , I I I : I , 1 i I 1 I ; ' ' I 1 i i ; i I I I 1 ~ { I I , : I , I , Sakiy and I n''Idia J : Division 201 W. Wa iingtoo Ave, P.O. Box 7M ; sin Madison. WI 53707 - 7082 Sanitary Pa nit Number (ter be filled in by Co.) De artment of Commerce (609) 261.65" O q 7 Sanitary Permit Application $tMe Pbsm L°. Number to acc ad wins Comm n.21. Wis. Adm. nay be used fw swasidary purposes Privacy L", s At(t I Tojw Addma (if dlf rent dam rmsiiing add=) L Apptkatlen I.raya ndlew - Please Print AN InAwmstioa S E Fp 2,5 z003 ~n ✓ Property Owner's Name a Lot M Pi! Block Of IF Mailing Address Property Owaw a F~~ Location i -Sio 3c~ •S.6. N 'A City. State Zip Code Pboae Number 4Q, -1 cir SS I T-agN; R E or EL Type of Buddhig (ciseelt all that apply) s /J Snltdiviama None r i or 2 Family °wtBiag - Number of Bedrooms r-Y 7 ttou 1 ❑ P"UdCommereW - Describe Use 0 A- 1) d, j t ❑ Stase Owmad - Describe Uael S T • • 5',L( 60 C d l 1/ ~y_db. QTR of ~n n rIalf1% 1 7 III. Type of Peraalt: (Ciedc only one box as line A. Coasplet t Mae B it appllcable) A. ® New System lRVIia:s mmc system ❑ TimiameaMoMipig Trask RepM emat Omty O Odw r Modifies ism to E System B. ❑ Pasai Renewal l Pasaai Revision ❑ List Previous Permit Number and Date Issued Gouge of ❑ Past Traas€er to New seem Expiration Plumber owner W. of Pown syziessu Cbeck an that apply) ❑ Non uifad In-Gana nd jKMound s 24 im of suitable sal ❑ Mound < 2i im. of arttablestet ❑ M-Grade ❑ S"O Pan Si and l'Mar ❑ C mmuated Weiland ❑ Pressurized bi-Ground ❑ Holding Tank O Pew Rb« © w ialix Tarcatmmt Us # O Reormladmg Send Filter ❑ MWA Fora ❑ IeSW Clwmba ❑ Lire era 6~ r !L _N t Area Information: V. Di A11A I V OA 6C Damp Fiore ( N SSoli, Appl adcat l r Dagsersal Ar4 (sfl Arm ( System Ekwaetaim L47 -'(7 7.5 s 75 o~ q , VL Talk Info Cap.cky in ToW Number miumbeturer site Steel Fiber Plastic Calorie; CaGoas of Units Constructed Glass rreiw gadpi,ag tanks 7'aoks S i (Ob Aaabk Treaiaaa;lava Dadua f:bearba x ~p Y v L. RespoesitAky Statenamt- L. die fir at P()WTS slaws so the ansebci ptaau. 's ) s $ Bush"" rmw?&mba C-513S Mumber's Aldine (Street. C", SttsG ?.aP Code) Q O f anent tlse D Di gprotaed S Penui Fee (iraduda droaadwrasa Br>ge lrxned ) t Saidorge Fee) ;T ❑ Ow eror," Reason forDaai i /~~l -~l rfi~ IX Con~oas of Apps Coe Dh%VneM V 14-: ~le>?j STEM OWNER: rKGn• a~~ s~ the- ' U~ `aG~~'", iN G~ICd~ i2 f 1 Septic tank, effluent filter an dispersal cell must all be serviced/ maintainedlS t / r~j,~~ S~yy~ y~UST ~!3 nS as per management plan provided by plumber. t)1 ~ j/J Gorrlh Y3 33 ~ C.2 All setback requirements must be maintained ~f~ ode/ordinances. g 3 q (-Xiaptasspsthece-my-wassitita3 , «e papaaani asairun:ttl eieatosite IV SBD-6398 (R. 08/02) Safety and Buildings • 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD (608) 264-8777 iscons►n www.commerce.state.wi.us/sb www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary September 22, 2003 CUST ID No.220537 ATTN: POWTS Inspector CALVIN W POWERS JR ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 4,~36 3q CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/22/2005 Identification Numbers Transaction ID No. 906220 SITE: Site ID No. 664760 Dennis Mitchell Please refer to both identification numbers, 1889 170th Avenue above, in all correspondence with the agency. Town of Erin Prairie St Croix County NE1/4, NE1/4, S10, T30N, R17W FOR: Description: Proposed Five Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 920035 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • A state approved effluent filter is required. Ma Pt: given to the of the tank exp ng at periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. ca. C x t CALVIN W POWERS JR Page 2 9/22/03 Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)-789-7892, Mon. - Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us WISMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 DATE: TI'I't.,E SH..E'r PAGE OF-7 ~ -ao~a3 MOUND SYSTEM FOR A 5 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10572-P and the Pressure Distribution Manual SBD-I0573-P. CR. 5/99) (CR- 5) LOCATED IN "THE A)E- 1 /4A)F `I`HE /Ut 1 /4 OF SECTION La,TaoN, RJ7W, TOWN OF ~r~,~• ST. CROIX COUNTY, WISCONSIN. INJ2 PAGE I OF 7 TITLE SHEET PAGE 2 OF 7 PLOT PLAN PAGE 3 OF 7 PLANVIEW CROSS SECTION PAGE 4 OF 7 DISTRIBUTION PIPE LAYOUT PAGE 5 OF 7 PUMP CHAMBER CROSS SECTION PAGE 6 OF 7 SYSTEM MANAGEMENT PLAN PAGE 7 OF 7 PUMP CURVE EM EARED FOR ~ev.r~s ~ 530 l40`~~ S'f hnoh~,wS Sq0)? P PARE BY POWERS EXCAVATING ,INC. aaOS 3,;;:, 1969185 AVE. NEW RICHMOND, WIS. 54017 PHONE: 715-246-5135 FAX: 715-246-5135 L- s ~ rq r rl ,L F C t DiVi'sluid i2¢ i-C; r t .i~L?;^5 RECEIVED Sc; AUG 2 7 2003 SAFETY & BLDGS DIV. Ill Q~rir;s ~1e11 N F' Yq VE Yj s .u r u i>~ s., t9~'~"r,„~:-r CPO ;X N'e-~ ~c~ff'of , c.'-')~[-- •S"y o 7 1 5$5l9sa ,pf •C /[~tt f- IOVL /7 K?O~IA i c S F S 7, 5 X1 100. rr^^ J SEE Sots TeSr Fat ADDfrlcfJAL GAR tNFgRMA't"'IoN. I~ r 1 1 .D 1 C~12n t~ ►S Y11 i~'t~s~k' i Paga- Of Synthetic Cov ring AOm- C33 Distribution Pipe Medium Sand Topsoil i F ~.I q 7,6 3 l ~ :r p % Slope (o Bed Of 2 Force Main Plowed Aggregate Layer D /A Cross Section Of A Mound System Using E 174 t t-. A Bed For The Absorption Area F /b F G + 5 Ft. A Ft, H Ft. 8 /j" Ft. K q,a Ft. L Ft. i 5. Ft. of Position Ft. Force Hain W Ft, L j , Observation Pipe A - - - - - - - - - tom= -rG, Distribution Of V- 2 Pipe. Aggregate i Observation Pipe an rbo r S,i cv n 1ty Plan View Of Mound Using A Bed For The Absorption Area lr'A Distribution Pipe Layout pate _ of 7- place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and hales. ExNad the and of each king up w ah dr uwr of tang tumor 45• fitdog 20 a pow "ishia sic kdm of do SOW gala, Tem aala dw so* of 60 hms W16 a vaire.=tla+aaded cap or due~aded && Ptionride aaoasa l dmrl Bade hoc dre rai!na; doeadad nap os tbeadad phi. :kcc~ss ~or,_ ?1~lCi,~ t `Rt~SS S 1VG '~b~ wG t,~rr MrniAle u1.wd t E? L~+N V ~ ~ S 1'~+t7Ji00tiD IS P . Ft. Holt Diewter , Inch s 0 Ft. iyi Lateral lye Inch(es) X z2% Inches 28.75 Manifold_ Indies Force Main d~ InChes # of holes/pipe~ Invert Elevation of, L4terals U, Ft. ✓ _ w•.w aM l vi la %.Im1 IIJG!\ 41\v00 0r.%. A.l vil f11YL JJ LV+• - Pam 7 '4" CI VENT PIPE 12" MIN. ABOVE GRADE & WEATHER PROOF, 25' FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE ~ WITH CONDUIT MANHOLE CCOVER W1 PADLO Kn Cl RISER Ott" W ARNING LABEL 6 MIN x ABOVE GRADE 411 MIN- 18 " ~~IN _ I id LET t i ' WATER TIGHT SEALS GAS- TIGHT i 411 Atoo A SEAL ' PROVED AP CI PIPE LL- ; ALM JOINTS W/ CI 3' ONTO B PIPE 3' ONTO SOLID , ON SOLID SOIL G SOIL PUMP OFF ELEV . jj.jF -I--- OfF RISER EXIT D PERMITTED ONL`: IF. TANK . . MANUFACTURER .HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS -SEPTIC / DOSE TANK MANUFACTURER: Lw;,cspr- NUMBER 'DOSES PER DAY: TANK SIZES: SEPTIC 1585 GAL. DOSE VOLUME INCLUDING DOSE cci a GAL. FLOWBACK:. c~ GAL. ALARM MANUFACTURER: c7y\ CAPACITIES: A INCHES = 30-5 GAL. MODEL NUMBER: SWITCH TYPE: B = 2 INCHES =~,7 GAL. PUMP MANUFACTURER: U) C = INCHES = 19fl, GAL. MODEL NUMBER : SWITCH TYPE: / D - INCHES = , 3 GAL. REQUIRED DISCHARGE RATE 5 GPM PUMP 6 ALARM WIRING AS PER ILHR16.23 WA( VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE /0 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . , .5 FEET + _A_ D FEET F CEMAIN X A(97 FT/100 FT. FRICTION FACTOR jj_ FEET an TOTAL DYNAMIC HEAD = FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH 3c° a 9,3 ~y % Goulds SuLt "&4 i ie Effluent Pump M11 i1111r~1~~~ 3885 APPLICATIONS • Overload Protection must smooth operation Sri can be o Aerated continuously Specifically designed for the be provided in starter unit, bronze Impeller available as following uses: • Shaft: threaded, 400 series an option without damage. • Homes stainless steel, ■ Hearings: Upper and • Farms • Hearings: t o bearings 0 Casing: Cast iron volute lower heavy duty bag bearing ball • Trailer courts upper and lower. ~ N~ discharge um efficiency. construction. • Motets • Power cord: we 20 foot radaptable ■ Power Cable: Severe duty • Schools standard length o for slide rag systems. (ptionat - rated, oil and water resistant. Hospitals lengths available). ■ MfesharrIcal Seal: SILICON Epoxy seal an motor end Industry single pease: CARBW YS. SI MIN provides secondary moisture Effluent systems % and % HP -1613 SJTO CARNK sealing faces. barrier In case of outer jacket SPECtfICATIONS • with 11 Pi V or 230 V three Stainless steel metal parts, damage and to prevent oil 8UNA-N elastomers. wicking. 3'+-1 % HP -144 STO with iq Shag: Cori-resistant ■ p-dng: Assures positive Pump baps leads. o • Solids handling capabilities: Three pease: stainless steel. Threaded sealing against contaminants maximum. design. Lockout on three and oil leakage. • %-I % HP -14/4 STO phase models to guard • Discharge site: 2, NPT. with bare leads. On CSA against component damage • des: up to 128 GPM. Wed models - 20 foot on accidental reverse rotation. AGENCY LISTINGS • Total heads: up to 123 feet length SJTW and STW ■ Motor: TON, are standard. Ft* submerged in ~ cmr~tan sranaaraa ~wuo~ Mechanical seat: silicon high-grade turbine off for carbide-rotary seatlsilicon FEATURES lubrication and efficnt heat UL canaamaas carbide-stationary seat, 300 transfer. series stainless steel metal ■ hnpeiler. Cast Iron, semi- n Designed tor Continuous parts, BUNA-N eiastomers. open, non-clog with pump• Operation: Pump ratings are • Temperature: out Vanes for mechanical seal w" the motor manufacturer's 104•F (40*C) continuous protection. Balanced for recommended working Ilmits, 1400,F (60°C) intermittent. • Fasteners: 300 series " stainless steel. 90 _ • Capable of running dry 25 sfa~s: seas without damage to °4 wes SIZEWSOLIDS WK, VAPAM components. t Motor 20 70 aFr Single phase: _ 60 - • HP. 115 V. 200 v, 230 V, 60 Hz 1750 RPM- % HP, 15 115 V, % HP-~ P, 230 V 40 60 Hz, 3500 RPM. to 30 • Built-in overfoad With automatic res%t , • Class B insuls ' 20 n Three phase: +to • % HP - 1% HP 200/230/ 0 46t} V o 60 Hz 3500 RPM. 0 t0 20 30 4o Sa 60 70 80 90 100 t1 Class B insuation. 0 10 0 120 t GPM 20 F) X995 GGUk1s Pumps CAPACITY 30 m~lh EIIeGtiye May, 1995 nnwne L + 1346 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. / 2- -16 WfJCI ''fill ion. t 1e7 ! Date ~ i Personal information yod provide "be usedtor's~conddtypurposesa l(Privary Law, s.15.04 (1) (m)). I 1 7, Property Owner Property Location Mitchell, Dennis t Govt. Lot na NE 1/4 NE 19 S 10 T 30 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1530 190th St i na na 7 Acres Pending City -°°---Gte ZipGedt Vtm-►tf~ber _j City I Village 1/ Town Nearest Road New Richmond WI 54017 715-246-5514 Erin Prairie 170Th Ave New Construction Use: 0 Residential / Number of bedrooms 5 Code derived design flow rate 750 GPD Replacement ~j Public or commercial - Describe na Parent material End moraines, ground morarines, drainageways Flood plain elevation, if applicable na General comments and recommendations: Mound design, System elevation 97.60ft based on contour line elevation 96.60ft. Fq Am Boring # Boring Pit Ground Surface elev. 97.30 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-13 10yr3/1 none sil 2msbk dfr gw 1c .5 .8 2 13-30 10yr4/4 none sicl 2msbk dfr cs 1c .4 .6 3 30-72 10yr5/8 c2d7.5yr5/6 imeston residuum mfr na na .0 .0 Boring # I Boring t6 Pit Ground Surface elev. 97.30 ft. Depth to limiting factor 36 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/4 none sit 2msbk dfr gw 2f .5 .8 2 9-17 10yr4/4 none sicl 2msbk dfr gw na .4 .6 3 17-36 7.5yr4/4 none scl 2msbk mfr gw na .4 .6 4 36-55 7.5yr4/4 c2d7.5yr5/6 scl om mfr gw na .0 .0 5 55-72 10yr5/8 c2d7.5yr5/6 imeston residuum mfr na na .0 .0 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 8/7/2003 715-246-5085 Property Owner Mitchell, Dennis Parcel ID # Page 2 of 3 3 1 Boring # Boring V Pit Ground Surface elev. 94.80 ft. Depth to limiting factor 36 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-19 10yr3/1 none sil 2msbk dfr es 2f .5 .8 2 19-40 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 40-60 10yr5/8 c2d7.5yr5/6 imeston residuum mfr na na .0 .0 ❑ Boring # J Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soll Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I ❑ Boring # -1 Boring _I Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 <_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. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST-POWTSM Dennis Mitchell New Richmond,WI 54017 Lic. #248956 NE1/4,NE1/4,S10,T30N,R17W Bus.(715) 246-6200 Town of Erin Prairie, St. Croix Co. Fax (715) 246-9372 Gillen Farm, & 7Acres Legend 1" = 40' ♦ =Benchmark Ele. 100.00Ft Top of 1/2" PVC pipe • = Alt Benchmark Ele. 99.1Oft Top of 1/2" PVC pipe = Borings Boring Elevations B1 = 97.30Ft B2 = 97.30Ft B3 = 94.50ft _ B4 = 00.00ft - 67-f 5'7 a3 / Q 73 I A~IK S a Z Page of 'S MANUAL & MANAGEMENT PLAN pQWTS OWNER'S sirs l SpEC11:1GAIOW cs D NA S.E ft+ ►TIM Tank iManuu e o Sapft GHOkiinll Vol' w e5~v5 COm NA Permit . Tank Mara hwbjw N p 1 pARAMETM br-DOW a Holding vol. ~1 S c7 p NA D ~~Mernufa~ ❑NA tbxrdwr of Bedroom Ef1Aont Filter -ZQ Watt et of Pda is fecWtY Units J O Effluent fitter Modal A Es*nated (overage) floc' S D NA • 1 .51 Pump Msr~a 111-t) Design tPeakl flow (Estimated x Lu C- c) Pump NA Sol Application Rate ~ gent Pretr~ StwWwd er ffluant OuaRW ❑ Sander Filter C) Peat Filter fats. Oil & Grease tFOGI s3o m9A- D NA D Mescal Aeration D Wetland Biochemical Oxygen DmnwW (lfOO~ 522Q ~ CI Other: 5t fi0 rregM- D taWnfsc~ Total Suspended Scab (TSS) Manufacturer Monthly average pretreated O&MA Quality DNA lf3QD I -00 rrKin- ) 13 ltd {>Rr Biochemical Oxygen Demand s NA E31n-C~ WM*O Total SUSS nded So O'SM 530 n c mean) &1W eftuli O4rrei G At-Grua ~Maund Other: #~t Y. in dia. D NA D DnP-1~ 0 NA Odw. lrAaxi Particle Size I AM typical for vv te~rvadter arKi septic tank sffk►eret. D NA D NA Othen. -Vdome3tic MAwjTff4I1*= SCHEME Swv%e Service Event {s) 3 yedrs) D NA pact condition of tankfs) At bast oncae ev evT y~hen c ommbined sludge and scum eels one-third (Y~) of tank volume DNA Is aclIVOW PUM out contents of tank(s) 13 V~ the high water alarm D enorrtl~tol IM, S dears) DNA !fit cents} At least a e%4"1►- D nwrt ~lsl C] NA At lest once event: rr+orrls) D NA Clean effluent fear At least once Ovary: Inspect Purrrp. PAP t S alarm C3 mato? DNA once w4wT- Flush lat arms and pressure test At least Y~rt tlsthsl D NA nwn) At least once avert': © CI NA Of the fo#owirr9 licenses or certifications. MA811Tf]~IAfi INS l1S1OTl ONS ems shall be made by an irk carrying Servicing operator Ipumparl. of tanks and dispersal , POWTS Ma kenk ~a~ any cracks or one Inspections Master Plumber. Master Plumber Reolrictad Saws: POWTS Mme" entifY Y spections must include a visual inspection of the tank(a) to i eor back up or ponding of affluent on the ground Volume Tank in of combined sludge and scum and a check levels for any MW to check for any the obseMfm Pipes leaks. measure the ra~is3 std be vi uSAY irk to check the effluent oun in ng condition arm surface May indicate a surface. The dispersal The pig of effluent on the gaend surface. Poring of affluent an the Wound "Otificatiorl of the local regAeWY author"Y- the kninediote one-third its) or more of the tank volume. 13 rogem treatment tank eel of sludge and scorn in any of in accordance with chapter NR 113 St operator and disposed When the combined entire contents of the tank shall be rwnoved by a Wisconsin AdministrOll" Via- fitters. mechanical or pressurized components, pmtreataw, to the senricdn9 of effluent pQW?S Maintainer. All other services. i v*Wing but not lirnitad units. and any serne~ at intervals S12 months, shall be performed by a cartifed flan of any service event: A service mart shall be P~'~ to the local authority within 1~ days Of GMW 42/42 START tap AND CATION For new corr$birctian, Prior to S che chendcels tat use of the POINT Pro~c , solvents orother h may impede the ftwonent p~tmeM mwck ad(o t tank(s) for the Preserxe of painting have the contents of the tank(s) removed by a oPeratar a svi Prior r to to use use cell(s). ff higfr concentrations are detected . System start up shalt not occur when sod corgi we frozen at the infiftrativa sWace. Dwing extended Power outages t~ tanks may fill abova nonnal highwater, levels. When will be ape of effluent, c To rgw to o t c eft) in ~e WW may Overload there Power Is restored the excess resulting backtip or avoid Power to the efflux pump or a ~ of the WP Mato* int rayed by a in Septagg ManutnSe~ surface erator to restoring cormact controls to restore normal levels within the pump tank. to assist rnarNwNy operating the pump Do not drive or park vehicles over tanks and dispersal calls. Do not within 15 feet down slope of any mound or at-grade son drive or park over, or otherwise absorpthm am . disturb or compact, the area Reduction or ekntKiatiarr of the following Redo err a iotics: wing from the wastewater strremn may improve the Performance and Eby wipes. cigarette butts; Prolong the life of the warn surryr pump) y~ cotton swabs. ' degreaserrss; dental flow; disinfectants, fat; ( discharge; fruit and ' lung Products, pesticides; salutary napkins; tampons,, and water softener Wine meat sus: me~dica ; ons; ABANDONMENT When the POINTS falls and/or ls Permanently taken out of service the foNo Properly and safety abandoned in compliance with chapter Comm 83.33, Wbmvm oink a taken to melee that the system, is • Awe Code: AN Piping to tanks and pits shall be disconnected and the abandoned pipe opt sealed. • The contents of all tanks and pmts shah be removed and Properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shy be excavated soli, gravel or another matt solid material. and removed their covers removed and the void space filled with CONTINGENCY PLAN If the POWTS faits and cannot be repared the followwol; numm fires have been, or must be taken, to wide a code compliant roplacement system: D A suftable replacement area has been evalmtsd and may P"ftc from disturbance and be system. The replacement area should be ~ utilized for the location of a rePfacerrwnt sail absorption required Setbacks from eAsting. and proPosW suture. let hares and wells. Fakre compaction, and p s net,6e c rnent tip on in the need for a row sod and site evaluation to establish a suitable replacement area. Replacemant la neat area will c omptV with the ndes in effect at that time. systems must D A suitable replacement area Is not awar7able due to setboc* wr to logy a holding tank may be installed as a lit resort dJor s~ limitations. Barring advances in POVVTS s has replace the fared POINTS. been to Wentify Parf M a 1UPo" of PO a l site may be as resort to the faded PO If t area is avmtabta a Mourai M-grade sod abwrpbtm sYsterr>,S infiltrative surface. Reconstructions of such Abe stc o comply with the piece fn effe t rethat l e the biarnat at the < <WARNING > > rrphr with rules in effect at that tiara. SEPTIC. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN WTHAL LINTER A SEPIX. POMP OR OTHER TREATMENT TANK tNWER ANY GASSES AND/OR ITH MAY1tgItT OXYGEN. DO NOT PAN t THE INTERIOR OF A TANK MAY BE DST OR I~. MlCES. DEATH MAY RESULT. RESCUE OF A ADDITIONAL COMMENTS 'OrYTS ' Name POWM MAINTAINER V l` A ® ~ r Phone C ` Phone - M"TAGE SERVICING OPERATOR (PUMPER) tiLOCAL, FWGULATORY AUTHORITY Name Phone ne ~y i l`On i r\ ~ vies drafted by the staffs of the Green tie. Phone ` (S (O apter Conant 83.22(2)(Nt1)(d)&M and 83.Wl), ill & (3), W Martlturm and Wauafwe Curly and Sanitation s Zanhv sconsin AdrrN►~strative Code. compliance with ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CER FICATION FORM Owncr/Buyer t ~i 4 e r<. > Mailing Address 5 1~~~~ p J l Property Address 'M R (Verification requited from Planning Department for new construction) City/State ~ Parcel Identification Number ' ` C-T I a- l 0 as-9O LEGAL DESCRxPTO % Property Location 11) n1 l/1/., Sec. , T ( N-R' ( W, Town of I~t n~ ` c c r, ~ Subdivision Lot # Certified Survey Map # _ I b~C , Volume . Page # Lj -7-S. iJt> C~Di t • I Ile 7~ Volume o~ 01 a Page # L R T r 7 Oer1-7S~ T c Spec house D yes no Lot lines identifiable es ❑ ~'y no SYSTEM MArx~r>rlvs UJAI*IM consists of fm~per use uA maudenanuof y~ septa system could result in its pmnnatare failure to handle: wrastea, Proper maummance punWing out the styptic tank every three yeas or sooner, if needed by a licensed pumper. What you put into the system can affect the ftmctioan of the septic tank as a treatment stage in the waste disposal system. The property owner agues to submit to St. Crone Zoning Department a certiftcation form, signed by the owner and by a master plumber, journeycmn ph umber. restricted plumber or a licensed pumper verifying dw (1) the 00-sift ' - aL &POsai:ystem is in proper operating condition aadkr (2) Am inspection and pmnping (if necessary) the septic tank is less than 113 fnii of shut. Ilwe, the undersigned have read the above ruts and agree to =&am= the private sewage disposal systan wish the standards set fortk herein„ as act by the Dept of Caunnerce and the Depwasent of Dryad Resour w, State of Wi hL C*Mmticn stating that your septic system has bus maintained must be Completed and returned to the St. Croix days of the three year expiration date.Yin8 Oboe withia 3t1 ~ - ~`t^ < / ? L//-c c SIGNAfM- OF APPLICANT DATE cJWNER C>~lR"rr>r~rcrw~nt~= I (we) certify that all stags on this farm 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 Jwarranty deed recorded in Register of Deeds Once. / U2_ 'cr 't L t' y / / / O SIGNATURE OF APPLICANT -51<L4z_ DATE Any information that is mis-represented may 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 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF ERIN PRAIRIE COMPUTER NUMBER 012-1025-90-000 Parcel Number 10.30.17.141 OWNER NAME: First JOSEPH M & LORRAINE Last LGf1-EN PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1889 170TH AVE SECTION 10 TOWN 30N RANGE 17W %160 '/440 Line Description Line Description TOTAL ACREAGE 40.000 PLAT LOT BLK 01 SEC 10 T30N R1 7W 15 02 NE NE 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, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit r J 2 2 2 6 P 4 8 2 719674 15 • STATE BAR OF WISCONSIN FORM 11 - 1982 KATHLEEN H. WALSH REGISTER OF DEEDS LAND CONTRACT ST. CROIX CO., wI Individual and Corporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVER RECEIVED FOR RECORD $25,000 IS FINANCED AND IN OTHER NON-CONSUMER Document Number ACT TRANSACTIONS 05/01/2003 09:30AN LAND CONTRACT CONTRACT, by and between Joseph M. Gillen and Lorraine M. Gillen EXEW'T ti a/k/a Loraine M. Gillen, husband and wife, REC FEE: 15.00 TRANS FEE: 1500.00 COPY FEE: CC FEE: ("Vendor", whether one or more) and Ter-Rae Farms, Inc., a Wisconsin PAGES: 3 corporation, ("Purchaser", whether one or more). Vendor sells and agrees to convey to Recording Area Purchaser, upon the prompt and full performance of this contract by Purchaser, Name and Return Address the following property, together with the rents, profits, fixtures and other REMINGTON LAW OFFICES appurtenant interests (all called the "Property"), in St. Croix F.O. BOX 177 County, State of Wisconsin: NEW RICHMOND, WI 54017 715-246-3422 12-102740 12-1026-20.12-1025-90 (Parcel Identification Number) The Northeast Quarter of the Southeast Quarter (NE 1/4 of SE 1/4); the East Half of the Northeast Quarter (E 1/2 of NE 1/4) EXCEPT t 1 of Certified Survey Map recorded on Marc t Pa a 4411 as Document No. 712681, in Section Ten (10), Towns I o rage Seventeen (17) West. See attached Addendum. This is homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at any reasonable location the sum of $ 500,000.00 in the following manner: (a) $ at the execution of this Contract; and (b) the balance of $ 225,000.00 ,together with interest from date, hereof on the balance outstanding from time to time at the rate of 6 % percent per annum until paid in full, as follows: monthly payments of $1,611.97 beginning May 30, 2003, and the same day of each successive month thereafter. Provided however, that if both of Vendors shall pass away before the land contract is paid In full, the contract shall accelerate and become due and payable one year from the date of death of the survivor of them. Provided, however, the entire outstanding balance shall be paid in full on or before the 30th day of April , 2023 (the maturity date). Following any default in payment, interest shall accrue at the rate of 8 % per annum on the entire amount' in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal.Why r~IDiD 1GK~Cdi JfPbXeCilfier ZOR) there may be no prepayment of principal without permission of Vendor.' In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded here from. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on closing date. ' Cross out one. LAND CONTRACT - Individual and State Bar of Wisconsin Corporate Form No. It - 1982 Information Pmlessionals Company, Fond du Lac, WI 800-655.2021 7 1 2 6 8 1 VOL 77 PAGE 4475 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 03/10/2003 10:00A?I REC FEE: 13.00 COPY FEE: 3.00 UA- CERTIFIED SURVEY MAP LOCATED IN THE NE1/4 OF THE NEi/4 OF SECTION 10, T30N,R17W, TOWN OF ERIN PRAIRIE, ST. CROIX COUNTY WISCONSIN. OWNER / SUBDIVIDiS NOTE: THIS LOT IS BEING CREATED UNDER THE JOSEPH 6 LORRAINE GILLEN FARMLAND CONSOLIDATION PROVISION, 1889 170TH AVENUE CONSISTENT WITH SECTION 17.14(1) ST. CROIX COUNTY NEW 4017 ZONING ORDINANCE Q BEARINGS REFERENCED TO THE EAST LINE OF THE NE114 OF SECTION 10, ASSUMED TO BEAR S00045'08'E. UNFLAWED LANDS i I I a NORTH LINE OF THE NE1/4 1 33'(33' 170TH_ AVENUE SB9°55'06"E 589055'06'E 300.87' I" 2366.95' N1/4 CORNER, - - - - S89°55' 06"E 26B. B7- - - - - SECTION 10, T30NR17W. NE CORNER, I V SECTION , T3ONA17W10 I I ❑I I I 0 w LEGEND I I z: I I - INDICATES SECTION CORNER I I POSITION ESTABLISHED FROM I I I TIES OF RECORD. Q I I $ INDICATES 1" X 24" ( OUTSIDE V Lr] I I„~JII T DIAMETER ) IRON PIPE WEIGHING NI 1.13 L8 PPRQ4Fw SET. QJI i m I Lu I 8T.CROIX000Rm C. he w a i II PMnNrwzomm'Nit a w#,f* m. I I I MAR 10 2003 =I (n o m l - I QI of I WI Z J P' I ° I "puvw _ ftw sPP1" *aN be W En nun end vMr1 .4 w I I I I I z I I ~I S89°58'32'E 264.85' o ; i ~II SHED 10.5' m . I I / I I FSHED] LOT 1 2 , I I / 254,303 SQUARE FEET ( 5.838 ACRES) 33' 33' ` INCLUDING RIGHT-OF-WAY 225,031 SGUARE FEET ( 5.166 ACRES I P EXCLUDING RIGHT-OF-WAY 1 1 Q I I ~ I 1 ~ I I 33.00' I 552.60' S89039'36'W 585.60' UNPLATTED LANDS i Q GRAPHIC SCALE 1'=100' C O °~2 PREPARED BY: 0 100 200 300 * G N • W. SRANBER6 SURVE'YIN6 = NEW R MOND 1239 C.T.H. 'E" I NEW RICHMOND, WI. 54017 r Q' E114 CORNER. 10. PHOW 715 JOB NO . 02-053 246-7529 9NO T90NA17W s ua~ THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG SHEET 1 OF 2 Vol. 17 Page 4475 r J T-30-N • R-17-W ERIN PRAIRIE DIRECTORY N See Pages 135-140 For Additional Names. (Residents - Owner or Renter) STANTON PAGE 69 CYLON PAGE 71 K 180th AVE ■ ■ ■ Soram ■ssy L' Is ■MiCbaael ~ ■ ■ H Robert a ■ VJ ` ; o Kelly 178; s sli- , L N David ■ ■ Q N Hy 3 ~ Bohata 6 wcLRR 5 ■ oey 3 Emmett I ~ ■ j°nn 1 Sthrnit anDyk o~ pg yg A-iy y>y David Bump ■ mmy Be[ends I ~n0 ~L~ LAW _ _ • ■ ■ ■ is _ _ ■ S_Eeel _ _ Peb7on GG ■ ■ so Brim ■ ■ ■ ■ SEE 170th AVE • ■ ■ Tom _ EP 1 ■ rn°o„` ud s QGO~fflh arson H alk6ad • Henry Harer B -k d ■N = ■ Mahoney ■ N. Maw I H x ohn ■ ■ Ned pa~ Mxhddedt I ■ c Chris 165th AVE ■ ~ W Pohl n 7 Mm'ro ~ C DDwaymyonned ' r g id ° of 10 Poh L 11 ~ 1 162nd AVE ,o C,d u) Ro L r Germain C I RineF o` EBorgstrom I ■ ~~i" ' < 160th AVE °D Wayne N ■ ■ p ■ - ■t ■ S(ay~~Q~(~n N ■Glleen -Darrell Kaba •Tim Imo-- L T woske F- Stoddard t O ■ z r L ■Tim ■ Iachur s° ■,OhnRobert as 00 • °m R°dney Olson as Sulam Forrest 1 Haffner 17 16 15 Dennis ■ stove 14 CJettbell 8 Rod ■ Mitchell r' p . Mitchell am 13 -Michael GG ■Jnonahue ER ' t Peterson Harold a CORNERS _ ■ >m o Rosenow ■ Herb Jeff Wes~ey k Mtt 7ert Michael Pat ~V'AY Randall SYSTEM Rebhan Geurldnlc . Ltl 0 ~d-W T r- u ■ ■ ■ Donald ■ ■ g M J ■ y G 4 ACE n 5 Maloney b g i Michels H JMitcheB ■,erry BohaCa zertelser I ' p~y.y~yYCY a ~ Emmert M A ~ N i 19 u 20■ 21 I 22 23 24 Kamm Robert ■ ~I -Troy I If I Stafsholt ■ Ha~yn Vernon I ■ Tom ° KKam~m ° Pribnow 140th AVE ■ • S ■ ■ ■ ■ • Art ■ -Brad F- I ■,effksWn A" W <9 Dennis Dennis ,B Aune Wittig I Ban Heinbuch W Emmert Donahue tO o2 m n ■ Dare ag D $ Kenneth i 30 27 =-0 26 ,ohnson 25 y y b Duane ■ Warner M Dennis Martin . Wayne Michael L 01 C E urdnt Soderberg H, ■ -Schumacher Murtha ■ ■ ■y ■ 130th AVE ■Turnure as - 41 i / me Aesfl.l_ C `n`■ WaBcer ■Ieffmy / e I 1 Howard n - co VV Walker Ogden co ■ 31 '`32 °r ■ 34 35 Sch~wartz SE PIN ■ 33 I I LgKE S LAKE SWlodyga _ Kevin SAS Thomas is Peter Knutson ■ ■Jr wNNCµ\NN\G Clennoa Ne n erg ■ I Boldt O< KevHawley in ■oS { ■ - ■ _ Booth ■ E 120th AVE HAMMO PAGE 37 120th AVE Bruce Erickson fft- Pohl lIs Landscaping Builder & Lime Quarry W-W ~l ►l • New Homes • Additions Crushed Lime Rock • Sunporches • Decks Black Dirt, Sand & Fill • Garages S Repair & Resurfacing Driveways • Remodeling Lawn Prep, Lawn Seeding / • Roofing (715) 684-2593 1665 190th St • New Richmond, WI 54017 ( 715-246-4418 53 j Q o I d 0 o 0 0 69 ri bo N O d a O o o O o c N c o U 0 N N o c . I °w o~ I .r y o m > j c I O a~ y ~R m of ? 4) U ~0 ~ 3a~i ZS w°ri c o CD 3 iu v a L N N O m 0 N C CL E ; N m~ w~ 'O Q,c N L O Lo a O O Z C N = Z m-0 Z 0., mH 4) c LL c C N LL c '0 Op C E O =p C O 'C N O c 5 c E . E Q Ywin 0 Lo o v I a 3 I y caoic c Z O O o- O Z € y y m g o r°, w a m a m o M'9 r. F. Z o v ~ I o N N c cli o~ O z~ m a 0 ~'a d Z c ~ c 3 0 W H N N (D w E w E .0 a) o O 4 -0- E 'n E a E y o N o `o w ~ O ( o N C N C N N N N y CO W j O E 7 > O L 40) L L f0 .2 M Q o 2 Z Z C7 Z N M ICI N z z 4) C (D E 4) E .9 d m a iI A* a m a~ y m E d a L 0 0 a L (n L D I' O 2 u) U) Z N> H H H 72 s H H 0° H 2 0 ~~33 a x,333 as I • zaaa «iaaa 7 O N N N V O O O y III U) J U t N Z N N} n - Z 0 C N 0) 0 v O O O O E N N = Z 0 O a° ODD ° 7 N ° 7 O Q N 7\ O m c m e d L _ N y O _ d N d O Q A W Q A U) 0 O O C J N N C C N N c ~IVI br'' O N O atS 00 'O y y C Q v E ~ m aoi € aUi c v a' O U N C € LL `n C ` m N N W, 0) 7° a E (D v m aNi `m Zc c a°i o o° w I Y cr Z ~dZ o N E M v~ 0 v o z N a 2 cn € U 4).. m a € m a at a U CL Z d c d rr`wN o m 1 3 0 3 c _1 A V a m 0 U) U IO U) U PLOT PLAN PROJECT Rvann Kamm ADDRESS 1896 130th Ave Baldwin Wi 54002 NE 1/4 NE 1145 10 /T 30 N/R 17 W TOWN IErin Prairie COUNTY ST. CROIX ~t SYSTEM ELEVATION 97.6' BEDROOM 5 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1585 LIFT TANK SIZE DOSE TANK SIZE 950 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 750 # of chambers none BENCHMARK V.R.P. Top of manhole cover ASSUME ELEVATION 100' Filter Zabel A-100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 170th Ave All tank and mound components are to remain the same as the original plan 10' Weiser Combo Tank Slope 160' 60' Well 25' 120' 30' Pro 5 25' x 118' Mound Bedroom house ~VO ~Prtf Property Line Apr-12-2012 0147 PM St. Croix County Plan/Zoning 715.386-4686 1/11 A A 11 iopation at1 Lary perm pplicat On ROIX COUNTY WISCONSIN D~XG ~aqe apart 12 St Croix County Sanltary Ordinance ANNINO rlt ZONING DOPAFITMENT &Z you provide may be used for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER p~Nt1~ 1 [Privacy Law, S.1b.04(1)(m)) 1181 Carmichael Road Hudson, WI 64010.7710 (715)388.4680 Fax (715)306-4680 Attach complete plans for the system on paper not leas than e4/2 x 11 Inches in size. County Sanitary P rm t r ❑ Check If revislon to previous application / CJ Q / 1. Application Information - Please Print all information Location, Property Owner 114 114, Sea I 1D x- C2 J'~\ La n ~.Q FW Y it TLK4 VK N 1 R E a Property Owners Mallln Address Lot Number Block Nu er ~j b City, $late Zip code Phone Numer Subdtviaion Nam CSM Numb Type of eu ngt (ohaok one Imity ❑ llage Town of 1 or 2 Family ()Welling - No. of Bedrooms: bit 1 F,: Gf/~ ❑ Publla/Commerciel (desorlbe use): p E3 State-owned I ; Nearest Road -7 , 1~ J ll. Type of Permit: (Check only one box on line A. Check box on Ilne B if applicable) parse art umbers) t ~,,11 -7~,,~ A) 1.M Repair Kleconneotlon ❑Non-plumbing . ❑ Rejuvenation o 12,-1,02, S_ qu- ZQ~ Sanitation -t- Permit Number -7 1 Dale leeued ~s~rav iaasud~ S Y20 3 29 ?~lX~ B} state Saaary Pem1 ldusly IV, Type of POWT system: (Chook all that apply) CI Non•prossurized In-ground Mound a 24 In. suitable soil p Mound a 24 in. suitable soil ❑ Mound A+0 ❑ Sand Filter ~ 0 Constructed Wetland ❑ Peet Filter ❑ Drip Line D Pressurized In-ground ❑ Holding Tank ❑ Single Pass O Other At g a Aerobic Treatment Unit ❑ Rectrculatln ❑ - reds D1a rsalrrrentment Area Information: i. Design slow (gpd) 2. DISpersal Area & Dispersal Area 4~ $0 Appiktatlon Rata 6. Peroolatlon Rate 6. System Movatton 7. Final Grade Required Proposed (Gals.lday/sq.ft.) (Min finch) Efavation o Ito. VI. Tanis information Capaloty In Gallons oral ff' of Manulavturor Prefa Bite Con- Steel Fiber- aett0 New Existing Gallons Tanks Concrete struoted glass Tanks Tanks - ❑ ❑ ❑ ❑ Asa . ❑ ❑ ❑ ❑ VD. Reepo elblllty statement 1, the underslgnad, assume responslhfilty for repair/ onnancfi~on/rejuvenatlarVinstalletion of non-plumbing for the POWTS shown on the attached plans. A sense Is not required for terralift it or the I ation of non-plumbing sanitation system. Plu~" is Name (print) plum lgnalure (no stamps): MP/MPRB No. Business Phone N mbar . A ix e( Plumberr 3 as (Street, city, state. p Cq0e) -s -7 VIII. Cou Uss Only Disapproved San11 Permit Fae ~U pgle issued 65uing A fit Sty lure temps) Approved Owner G1von Initial Adver9e Determination IX, Conditions of ApprovallReasons for Disapproval: SYSTEM OWNER: `J 1 Septic tank, effluent filter and L44 2 003 dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained co ordinances. h~v ~ vw Z 3 Sd E o Ln z D -o z z co m ~.y o O mm p N s cmn ~ Z 0 4 Tib o O U) N - co r-~OQ5 G m z O n -n r p O O -1 m O z o -i ~ -Di C7 _ o CCU m ~ n N O ;u 00 C: m Z y Z o C z o N . ° m c i p 6~ U) U) c c U) < n 00 Cf) m p V Z -n Q ZZ L9 0 m 5-6 Fr -6 mec 0 z I 3 3 -6 Fr a -WO .9 '6 03 CD CD m CD ! CD v rn a v = v w = o C a CD j .3 ;o 3 --j 9~ CD m CD 0 CD D ° o fD (-D - o n~i o M 0 0 o r m d` °m mE Dmm~ v o= c° I~ y a 7 O (CO 3~ 7 fp a :3 CL CD. -n CD a 0 M CD < OW CD CD 91 ID CD o C0 N CD 0 CD C M CD O -O., CD 0 m o CD CD Q M, - ail r 2. X X tD m = d m C 7 CD ID :E CL 'o CD Cc) c) CD l< o m D o m n ° `I ID 0 O Fr N 2. 'a @ CD D o -J f0 N D C CD S ~ "1' y ld (p -7 O O to p• CD N Q y O m ',\l CD N '00 7 N N S O y j 01 0 0 o a c o o o Z m N CD _ CD ° m m m C (/f ? C l 5. 1 v a d N:3 c CL ~ m Z r, z D o 3 m 0 o D D M C m CA m z m y --I - I a) m CD 5 a (D ~ cl O O Z O D m co Dpi R CD o Z Z G) Z 3 - °1 3 Q O C O O O CD CD El El 11 CD a ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ya V\^ Mailing Address Property Address l / ]L7.' ,~J-c?~ (Verification required from Planning & Zoning Department for new construction.) City/State OA4-) t M KXParcel Identification Number D/ Z - l o2 5 -1Q' ZG1~) LEGAL DESCRIPTION I q1 A Z U) Property Location IV C 1/4 ,,fJt_::' '/4 , Sec. / o , T30 N RnW, Town of Prcw, 2.e:~ . Subdivision , Lot # 'e Certified Survey Map # ~J , Volume Z '2 Page # . Warranty Deed # 417 7 , Volume , Page # t~- Spec house yes no , Lot lines identifiable es no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(l) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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 wastewater disposal 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. I/we, 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 Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 7_e+52iE.7 VOL 177 . PAGE 4b 9_ HATHI.EEH H. WAL REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/29/2003 08:00AN r CERTIFIED SURVEY+MAP REC FEE: 13.00 CERTIFIED SURVEY MAP PAGES: z LOCATED IN THE NE 7 /4 OF THE NE 1 /4 OF SECTION 10,130N, R17W, TOWN OF ERIN PRAmE. ST. CROW COUNTY, WMCONSPI. OW N / SUHOIVM .,b DENNIS tiMI I CHELL BEARINGS REFERENCED TO THE NORTH LINE 1530 190TH STREET OF THE NE1/4 OF SECTION 10, ASSUMED TO NEW RICHMOND, WI. 54017 BEAR N89 55'06"W. ( PREVIOUSLY RECORDED LEGEND AS S89°55'06"E - INDICATES SECTION CORNER AAOIF.-THIS LOT BEING CREATED UNDE61 THE POSITION ESTABLISHED FROM -N- FARMLAND CONSOLIDATION PROVISION, TIES OF RECORD. 1 AND IS CONSISTENT WITH SECTION - INDICATES 1" ( OUTSIDER DIAMETER ) IRON 17.14(1) OF THE ST. CROIX COUNTY PIPE FOUND. - INDICATES 1" X IS" ( OUTSIDE ZONING ORDINANCE. DIAMETER ) IRON PIPE WEIGHING 1.13 LBS. PER LINEAR FOOT SET. ( R ) - INDICATES PREVIOUSLY RECORDED UNPLATTED LANDS INFORMATION. N1/4 CORNER. NE CORNER, SECTION 10. S30N I R17W T30N NORTH LINE OF THE NE1/4 - - - - - - - - - - R n ( S89055'06"E ) m N890 55'06 "W 601.98 ' 1764.97' 1_7_C)MA_ VENUE m 300.87 N89°55'0"W - N89°55'06"W 601.13' N89°55 '06"W 0 cr) o m M, 300' BUILDING SETBACK FROM RIGHT-OF-WAY LINE a WELL DWELLING co ( NOT SHOWN m SHED IN DETAIL ) - f ~I N El GARAGE In ~i ca O m ~ !L o L1J n CD LLI ®:51 v 00 In SHED z ~I f Ql m N L LI 1 o r cn I f1. BARN 0"J 0 I _ I S89° 58 ' I WW - AP MOVED ti g = I SHED ST. CROIX COUNTY I =i Plannlrq Zorrino and Parks Committee W J LOT2 ' , OCT 2 s 2003 01>> 306.492 SQUARE FEET 9S If not recorded within 30 days Of ( 7.082 ACRES ) approval data approval shall be INCLUDING RIGHT-OF-WAY o N null and void 288.629 SQUARE FEET ( 6.626 ACRES d Q ° EXCLUDING RIGHT-OF-WAY cu .-i 0 z N890 39 '36 "E 320.00' - - - - - UNPLATTED LANDS IYE1M w a PREPARED BY- SCALE IN FEET 1" = 120' GRo4NBERG SURVEMP R 7235 C.T.H. 'F O' 60 120, 240' NEW RIC"AON D, W. 54017 PROW ( 715) 24676129 DRAFTED BY: JOSEPH W. GRANBERG JOB NO. 03041 SHEET 1 OF 2 Vol 17 Page 4639 I r II r ~II IIII I1 I III II 8035740 Tx:4025902 STATE BAR OF WISCONSIN FORM 7- 2000 940878 Document Number TRUSTEE'S DEED BETH PABST Robert D. Hubbs and Martha As Hubbs, as Trustees of the Robert REGISTER OF DEEDS ti D. Hubbs Revocable Trust dated September 5, 2002 for a valuable ST. CItOIX CO., WI consideration conveys without warranty to Ryan Kamm, 08/31/2011 12:58 PM Q1/YtLLrVi cc{ 1~Llacrt and Lance Kamm, EXEMPT#: N/A Q_I'VLa r r t VYIa-y Grantee, the following REC FEE: 30,00 described real estate in St. Croix County, State of Wisconsin: TRANS FEE: 225.00 E PAGES: 1 r s I: Lot 2 of Certified Survey Map filed October 29, 2003, in Vol. 17 of C.S.M., pg. 4639, as Doc. No. 745067 located in part of the NE'V4 of the NE'/, of Section 10, Township 30 North, Range 17 West, Town of Erin Prairie, S&oix County, Wisconsin. i ~ i r Q S r~l Gt f -S (K C, 6~,Lt Recording Area y Name and Return Address: St. Croix County Abstract & Title Co., Inc. 219 S. Knowles Ave i New Richmond, WI 54017 SFA8499 t 012-1025-90-200 Parcel Identification Number (PIN) 1 i 4 r 1 i Dated this 25"' day August, 2011. Robert D. Hubbs Revocable Trust dated September 5, 2002 s P *Robert D. Hubbs * Martha A. Hubbs Trustee Trustee AUTHENTICATION J ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN COUNTY. r ) ss. authenticated this s Personalty came before me this 25`'' day of August, 2011 the above named Robert D. Hubbs and Martha A. Hubbs, as * Trustees to me known to be the person(s) who executed the TITLE: MEMBER STATE BAR OF WISCONSIN for g 'ng instrument d acknowledged the same. (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY *Amy L. Monson U , Notary Public, State of Wisconsin r. Robert L. Lober , • , ' g My commission is permanent. (If not, stat£ ,;tl~~p. 1t); L% oberg Law Office alrn) 3-9-2014 a01r~ Y) (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 ~j U 13 Or TRUSTEE'S DEED STATE BAR OF WISCONSIN o r 1 of 1 FORIb(tJo: 7.3Od0•.....•• 5J .r