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Permit Holder's Name: City Village X Township Parcel Tax No: Elbert, Tom I Erin Prairie, Town of 012- 1036 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: ,p W , O V, I 15.30.17.227B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. epti Benchmark r 00 Cr Dosing _ Alt. BM Zd r �•Io0 Aeration Bldg. Sewer I a) C Holding �- St/Ht Inlet _ 15 Fs C)v TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � / Dt Bottom � 3S 9.2-0+ 11A 20•L(o Dosing Header /Man. 1 Aeration Dist. Pipe �� J Holding Bot. System D Final Grade PUMP /SIPHON INFORMATION Manufacturer 2 Demand St Cover r T� & t_( G P ` W � � 9_ °I 1- o Model Number -/� 5 N TDH Lift ' Friction Loss System Head TD c H� Ft \.9. 2.7V ) t` Forcemain Length r Dia. �� Dist. to Well 20D 2. SOIL ABSORPTION SYSTEM 13) ea BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 f �� 2 5-, (3) SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manuf turer: INFORMATION CHAMBER OR7 Type Of System: UNIT lo Model Number: � 11 . -ice_. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) , l i Length Dia Length Dia Spacing SOIL COVER x Pressure Systems O nly xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No a 6 MI�kpIT/G�(I code is r�pencies, persons present, etc.) Inspection #1: `-� 4 � � Inspection #2: Location: 11565 oun oad T New Richmond 54017 SW 1/4 NW 1/4 15 T30N R17W N 30.17.227B t e I 1.) Alt BM Description ) 2.) Bldg sewer length= 3S c `j Z. A,, amount of cover = >4 Cs g, - 20 - Plan revision Requ' d? ] Yes No Use other side for additional information. i_D _ _ ___ r ( Date Insepctor's Signature Cert. No. Sip 6710 3/97) �,5 V�c.I �U "d see" , r Safety and Buildings Division County , (1 ( � 201 W. wsshington Ave., P.O. Box 7162 a< Madison, W1 53707 - 7 Salutary t Natabes (to be filled is by CO.) c 0��,� (608) 266 -3151 3 2 3 StaLc Plan I.D. Number De artment of Commerce Sanitary Permit Ap ect Address (it t "n"" � ) a sarord with Cotton 83.21, Vrm AdnL CodePn Pers onal ls.a4 `! �l E D ma be used for aecondwy p L ApPLOn Information - Please rant An IIprora�atfon DEC 7 Z C 0 4 pPacal - -'� p�puty ow Name ST. CROIX COUNTY ZONING OFFICE 1 ho y locapon proP�Y OwoePs Mailrng Addcesa socfion S S Phone Nutober N. k/ � Subdivision Name CSMNutaber IL of Bttildit (crock A that aPP4) � ; or Z gaaaiy D�ve11�E — N� of aeaaoom+c �' � � I PublWCommer'dal - Demft Use Gty : Village of State Owned - D Use odr one boz an line A. Complat line B i! applicable) UL Toe of Permit; (Check T oldurg Teak Raplawnwat Only Other Mod fcadon b if dating symm A. New Sys larement System 1tist previous Permit Number sad Dace Issued Qaat�go of Permit Transfer to Near ,,pp� B. p � t �„,� P�mi�i:evision owner 3b�lf� I� eati Before En imtion POWYS Check all that a l ss sand Filter W. of le soil Mound < 24 in. of suitabi4 soil �'� Sioglc pa on - Ptacsu�od Mound Z4 in of suitable A�ic Treatment Unit Rech= a� Co and Wetland Preasrrsized 1n FToldin8 Tank Peat Fitur Other Mods P11ter C'hambec Line �kavel -less A V. Redmobtl t Area ° �sPr� Area Re4utced (s� l7ispemt Area PcoPoaed (aft syp° Hievadon f .� 6 Flow �, 1� son J" / a. � Peet b site ° Sled Plastic VL T&X& Info o u� cxn«eoe conatnteoea t. NOW hsL T,nts S� a Nold�o6 Taolc 2 - � ' . TaanmotUai: Dot � ia6ec on of the POWMS alwrrn on the attached Statement L the iIIty for baaWiatl $ p� Numbar V II. Plumber a L j uniber pl s Name (Print) �,✓ ,` sy plumbers Addr (S�eet; City. S� vl �P ) vm. t Use Only Sanitary Permit Pee C ado \ Date issued Add ii No shops) surcharp Fw) 2s� Rama ix, cadiitim 3) � c SYSTEM 70rN R: e L v - 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attae!< P� (to tba Cousgr ) tl iaehea is a6ee for the sys On Papa' not 11215 dm 9 l/2: PLOT PLAN PROJECT Thomas Elbert ADDRESS 96 Dorothv Ave White Bear Lake Mn 55110 SW 1/4 NW 1 /4S 15 /T 30 N/R 17 TOWN Erin Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 t�� A TE 12/22/04 BEDROOM 4 CONVENTIONAL IN- GROUND PRESSU CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE765 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of Wood Corner Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Please see CSM for well SYSTEM ELEVATION 90.5/90.8/91.1 5.5. below qrade and existing septic locations on property. Well is " Well is to meet all approx. 500' away from setbacks required by Plans Designed Using system WDNR Conventional Powts Manual Version 2.0 Scale is 1" = 40' unless otherwise Vent noted > 619 Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area ty Rd T 11 " 6' Long 3411 Grade at System Elevation 3 -3' X 83' Cells with >3' spacing 6% Slope 0 B -2 ' 30' Vents 30' 100' Pro 4 0' B -1 Bedroom House 45' 50' 10' ' 150' B-4 for reference only! 20' 70' 97' j Hu ffcutt combo tank . ' ki A Nwr 595' Property Line PLOT PLAN PROJECT Thomas Elbert ADDRESS 96 Dorothv Ave White Bear Lake Mn 55110 SW 1/4 NW 1 /4S 15 /T 30 N/R 17 TOWN Erin Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE12/22/04 BEDROOM 4 CONVENTIONAL IN- GROUND PRESSU CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE765 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of Wood Corner Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Please see CSM for well SYSTEM ELEVATION 90.5/90.8/91. 5.5. below qrade and existing septic locations on property. Well is Well is to meet all approx. 500' away from setbacks required by Plans Designed Using system WDNR Conventional Powts Manual Version 2.0 Scale is 1" = 40' unless otherwise Vent noted >6 „ Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area Cty Rd T 11 " 6' Long 34 Grade at System Elevation B -2 3 -3' X 83' Cells with >3' spacing 6% Slope 0' 30' Vents 30 100' Pro 4 0' B -1 Bedroom House 45' 50' 10' ' 150' B -4 for reference only! 20' 70' 97' O*B7; Huffcutt combo tank .M ' 595' Property Line RECEIVE W i s consin De artment of Commerce OIL W04 REP O Page of p Division of Safety and Buildings in accordance witl ComfP.�," County Attach complete site plan on paper not less than 8 1/2 x 11 inches i7® t OaFr>FitlW include, but not limited to: vertical and horizontal reference point ire ion and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Re ' wed by Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Property Owner Property Location Govt. Lo�,5� 1/4� S T3'� N R E (or) Property Owner's Mailing Address Lott # Block # Subd. Name or CSM# Z2 .� < ._._. City State Zip Code hone Number ❑City ❑ Village wn Neargst Road ❑ Construction Use Residential / Number of bedrooms Code derived design flow rate GPD Replacement El Public commercial - Describe: Parent material �L^ e� –j"�� Flood Plain elevation if applicable - 4 —1 ft• General comm and recommendations: Sy,,/,— N..`e�ll cAt - 60 , J`� o. a Boring # . a (� Boring Ground surface elev. ft. Depth to limiting factor D in. D O n 0j 1 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 "--, 3 - y. � .� FD -5 Boring # ring ❑ tg t Ground surface elevq r 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 �' 7� ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) gnalure CST Number Bird Plumbing, Inc. Shau Bird 226900 Address Date Evaluation Condu to Telephone Number 1008 192nd Ave, New Richmond, WI 54017 --�oC� _ 715- 246 -4516 Property Owner _ Parcel ID # Page of F -51 Boring # ❑ Boring �f 7 — pit Ground surface elev. —O ft. Depth to limiting factor / 3 D in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. �f 'Eff#1 I 'Eff#2 o /0 'j,, 3)7_ -.r_ `Z- °3 U '41 f i ® 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ 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/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mgA. • Ef fluent #2 = BOD < 30 mg/_ 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 (8.6/00) Soil Test Plot ) Pla Project Name Thomas Elbert ird Address 2596 Dorothy Ave White Bear Lake Mn 55110 #226900 Lot 1 Subdivision -------- Date 12/22/04 S W 1/4 NW 1/4S 15 T 30 N /R 7 W Township ErinPrairie ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Wood Corner Post System Elevation 90.5/90.8/91.1 *HRpSame as Benchmark Please see CSM for well and existing se locations on property. Mis approx. 5 00' away from em Scale is 1" = 40' unless otherwise noted Cty Rd T 0 , 2 97' 96' 0' 30' 70' 100' Pro 4 B -1 Bedroom House 45' 6% Slope B -4 for reference only! 70' 97' B.M. 65' 595' Property Line SEPTIC TANK P�}MP Ct� AMB£R CROSS S£CTiOX AND SPECI ICATIONS t�EAtNERPROOf VENT PIPE 12" riZN. ABOVE GRADE �jUNCTION BOX MAN14OLEDCOVER ? I`R4M DOOR, WINDOW OR WITH C€1NDU I T � [R INTAKE � W/ PADLOCK � FR£.a�z �r.�d WARrtiING LABEL FI�f�t' -`;D GRADE ! L`�,f� fry tt " KIN. is INLET -�- - GAS- WATER 'i`I6HT SEALS iA TIGHT* `. �EVITH f LT F-fi _ _ ; ALM APPRO10 PIPE ON SOLID SOIL APPROVED i PIPE 3' C OFF ON7I1 SOLID ? FT ."" SOIL PUMP OFF ELEV • D BEDDING UNDER 'SANK � ;' APPROVED CONCRETE PAD ri Sps'CIf ZCATIONS �17y MB ER DOSES ?ER DAY: SEPTIC / DOSE DOSE V OWME I KCI�DING S .� GAL . $AC 1C : ' TANK MANUFACTURER: GAL- _---- ---.-" K SI2£S : SEPTIC . P LOU A L- TAN DOSE GAL � � � INCHES _ CAPACITI A ---- TU _ GAL. LARM MANUFACTURER;: U B = 2 INC A HES MODEL NUMBER = �- �� b GAL. SWITCH TYPE: C - g, INCHES - - - -- - - P4?KP MA HUrACTURER : _ �� MODEL NUMBER : PER 15.23 WAC SWITCH TYPE. C AL-AR" WIRING AS PER ILHR G - pUriP FEET REQUIRED DISCHARGE RATE � IBUTI0�1 PIPE � FEET PUMP OFF AND DISTR FEET VERTICAL DIFFERENCE BETWEEN ' . �£gICTI ©i3 FACTOR � = FEET + MINIMUM NETWORK SU PRES 3 R FT/ 100 TOTAL D NAMIC HEAD + _-./ sz-` =- FE£ i WD7H � _.: DIAMETER .r- pU I M? I AN K : LENGTli D INTER14AL D11"IENSIONS LIQUID �----` Z V fl ATE *� LfCENSE NLJ SIGNED: _ i /88 TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 MODEL 152 153 U1 50 Feet Meters Col- Liters Col. Liters 153 5 1.5 69 261 77 291 12 40 10 3.1 61 231 I 70 265 152 15 4.6 53 201 61 231 20 6.1 44 167 52 197 ui v 30 25 7.6 34 129 42 159 z 8— 30 9.1 23 87 33 125 r ° 2 35 10.7 -- -- 22 85 0 40 12.2 -- -- 11 42 4 Lock Velve 38.0 Ft- (11.6m) 44.0 Ft. (13.4m) 1 010508 0 20 40 60 80 100 GALLONS s I/a LITERS p 80 160 240 320 � 3 27/32 I a 5/ FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS e • Timed dosing panels available. W 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with 6 an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. i 1521153 Series 12 t/a — 1521153 MODELS Control Selection ' I Model Vol ts Mo Am s Simplex _ Duplex 5 1/8 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 t �_ SK2064 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN163 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float SE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. O CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most Of (4) float System. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256 0347 Manufacturers oi. . SHIP is v Cane Run Road Q La � Louisville, le, KY 40211 -1961 IIaL /TYPUMPS SNCE A If ,. wA (502) 778 - 2731.1(800) 928 -PUMP htip://www.zoeller.com �0 FAX (502) 774 -3624 © Copyright 2000 Zoeller Co. All rights reserved. Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this pi an. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan Option #1. If system fails, determine cause of failure, use E ornate area and install new system in tested replacement area. Coo = removin chambers, removing biomat, tion #2. ,Install system at a lower elevation, by g and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -45 St. Croix County Zoning 715-386 - 46 80 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 O ST. CRQIX COUN Y nl � r "�piA, ` O N O O o WISCONSIN 0 .. - _ a� ZONING OFFICE Iloilo . CROIX COUNTY GOVERNME c CENTER ° 16 m o N X01 Carmichael Road � - o ~ N - mN m o dson, WI 54016 7710 V L L cc ca F t- 4680 Fax (715) 386 - m °a ~v m X y� ai o oho E o I cc L C D7 a) y C v ,� C y a�� E 1 E 3N cTo C O N r•1 0 co — U @ 3 oar I z � a C U (D o Y E o y 1 C N O c d 3 c 2 O D �c a rnt �� my w a3 ��o 1 O c € � a` Eo a` c c0 a X 'c� 3 1 z w o m W 0 •°- � N d o Y CL @ a 7 p ° O m ° C z m E�oo m z a�ccYyya� I z c am m 3 c �� as rn LL o ov c w LL c 3' c - m LL _o °_ o °how a 1 3 ° ° Ea 4 C 3 a V7 0 O€ C 3 'D 3 E C C; M C 'd N y y 0 E Q warm«° E Q Zc oc I E Q F w. ca U _ � O d' C1 O j �- O• I y a) 0) a) cr N r- Z I' ' w G .� c:, r EO I _ 0 T p . z co CL CO c o IL 00 I CL 00 •� w 1 0 ao o Z c i o w oY o o o a o ii tZ- > c m I c v w c v c 1 v CO C O. N W C w O I '_ . O V1 N C Y C N O. C y a C a� m ° cc 3 a� � m 4) o - - L L L a) 7 U o U c 0_ [l ° o L O a� O CL c I c as I I c c O 0 � �.. L o c o me 1 z° !� Z F- z 2 I Z n Y v o c c I n y c d 0 O •• N M_ ai E J ! y N tY6 'p CD CL m O D D d - 1- 0 Lo G ° @ N ! 0 0 o a _ Q o E U) W N N v H N co ° c E F y r � z�> ''6 3 0.6 0 n cn 1 c 3 ° Z � O 00 E O O O -2 0 00 ° a a s = a a s I a a a a z F I z O O 7 ! Z z N Z a3 N 0 CD N O 'O ! Q' o o C w M o Z 0 to 1- O w O 1 "oo E v w 0 m m C 1 o m O c o_ a rn Q — rn w rn 0 4) 'n o d Q Z to ti °� Q Z va 1 U v a -' Q n (A as LO co o ° 0 3 y c w e v 1 T w c rn E M O ° �a d ° i O m I- a C c_ m c v o_ oo V c N O y E E C O N N co C o o Q_ c M m 0) � °' � a�' v I c °N ' y a> (n c L 00 N �_ O p ti p to O r O I ai cO O c0 ai U Wiwi !9 W j U O Z C Z W r O Z Z J M O Z '7 �d L� = E :E E 1 E I V L a E a E a m a EL a �, �, 1::a is a� CL .. d i c 3 c 1 3 Y o r A 0 a 2 % 0 Ui u 0 U) 0 U) 0 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division v INSPECTION REPORT Sa ' ryPermitNo: 463192 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Elbert, Tom I Erin Prairie Township 12 -103 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Ran /Map No: 15.30.17.2276 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS H FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding SUHt Inlet TANK SETBACK INFORMATION St/Ht Outlet 040 a TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bott Dosing Header/ L V Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of System: CHAMBER OR UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedrrrench Center Bed/Trench Edges Topsoil Ej Yes Ej] No 0 Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1565 County Road T New Richmond, WI 54017 (SW 1/4 NW 1/4 15 T30N R17W) NA Lot 1 Parcel No: 15.30.17.227B 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes❑ No Use other side for additional information. T7 SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. Safety and Buildings Division COU* 201 W. Washington O, Bol 7162 y/ �.� N *h �w ns ln Madisoli, W 7 7162 3amt>ay Pemttt Number (toe in by Co.) De artment of Commerce Aumber Sanitary Permit Ap don °`° '°'�' b accord with Campo 83.21, Wis. Aft Cede, Pois 1 inEos � arty be used for secondary purpoea Pd Law, s � �� � Prof (if diffiererrt Alm tuailia8 ` L Application Information — Plow Print Ali Informs D 11) 1/ aT Property Owner's Name , ;,j q uY Block M dryt �iL66i�2T 3 14 sr . c��r� / Property Owner's Maift Address OFFICE Cry x a� �d 3(� 31,f 4 r 6 n 7� , on �_ city, State tip C Phase Number IL Type of B nliding ( that apply) 39-e ma,,A CK+or 2 Family Dwelling - of Bedrooms ' �_ t �' r /� ' Name GSM Number ❑ PabllclCommercial- Describe V ' P 3F � /` ❑ stets owned— Describe use 3 GEZL�S W Guh ►�itP/Ga owadnip a� ` e 111. Type of Permit: (Check only one on lino A. Complete line B V applicable) A• 0 New system 0 Rrplaosauerut Tank Other Modit c4dcn to Exlsdag System � J B. D Permit Renewal 0 Permit Revision � of O � t to New�� �o f � IV. 1 of Po (Check all that a & Non - Prswained lndlramd 0 Maned _> 241n of 0 Maned < of suitable toll a Ar oracle 0 sin& 0 Constructed Wed end 0 Pressurized b4sound 0 Holding ❑ Peat F 0 AesaWc ❑ GyY Recirculoft Syn&dk Media Filter Chamber ❑ Line travel. V.14is tment Area lions r Design Plow W swi 00 VL Tank Info CV8011Y in T N u Prdeb Plastic o f flow R WHM Tsaw T adu ZJ(b /Wo it At De.iup ctr*w S'o 'TS`D 1 ; VII. Responsibility Statement- 1. the nedallt& gnome for iastaWtloa et3j0OWTS Nawa on the e Runes Name (Print) P W MPRS Business Phone Number �v > l- ,.�/tV L ?l d- 23S Zra N SC Pl umber's Aft= (Sheet, City, State, Zip CA 6 0 9 7 a 8 4.11 (/'I J"z oat t Use 0 Disapproved Permit Fen uda Date using ) ❑ owner of for Denial �S• ` U IX Conditions of Approv ns for Dbsppro}� n I _ moo a ll Y STEM OWNER Septic tank, e ent filter ands dispersal cell must all be serviced /maintained as per management plan provided by plumber. VkI All setback requirements must be maintained 01 .41_1? R as per applicable code /ordinances. Atfeeh _Wp" Neer (M qua Cowl only) for un qmw es sou Uu d" 01/3:11 lashes is situ , J `� �Ph��f -�►1- "7 �Yufit. , �'�,u� Joh2 -,�G �'-�'t �l���Q� � R�c� `� / 'rr�,?�,. Gc.. SBD -6398 01/03 ��! jo �' X 3.3 3 . t� I-a 646F Y/o T �/AAv SU NJA) /S` �� /7� i 1A)R �illsT / ��PfG /w llol� e ,,Oo' IJ sow l _l 'V rq ��� 2 �vGGcv (z��yso �jr�tD� T.nr« . o �— �jo �F 4�{ d ;, Ple) P /rte/ / l 7 of -57r j 5�v i • Z o ,GG�vTf l z Sv/7so x/o IKW l3f room POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa / of Z FILE INFORMATION SYSTEM SPECIFICATIONS Owner �L p Septic Tank Capacity gfp a l ❑ NA Permit # > / � -� Septic Tank Manufacturer 4412Wj7_ ❑ NA DESIGN PARAMETERS '7 Effluent Filter Manufacturer 4p7, ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model z 7 D* !� ,W- ❑ NA Number of Public Facility Units �O'fIA Pump Tank Capacity 2 al ❑ NA Estimated flow (average) lDD al /day Pump Tank Manufactu ❑ NA Design flow (peak), (Estimated x 1.5) 4 pa g al/day Pump Manufacturer 41 �ro K ❑ NA Soil Appliletion Rate /sjl�/ f'j� al /day /ftZ Pump Model A6 W ❑ NA Standard In nt /Effluent Quality Monthly average* Pretreatment it iEMA Oil & Grease (FOG) 530 mg /L ❑ Sand /Gr I Filter ❑ Peat Filter Biochemical Oxy Demand (BOD :5220 mg /L ❑ NA ❑ Mecha al Aeration ❑ Wetland Total Suspend Solids (TSS) :_150 mg /L ❑ Disin ction ❑ Other: Pretreated Effluent Quality Monthly average Dispe al Cells) ❑ NA Biochemical Oxygen Demand OD 530 mg /L gill round ravit 1 ❑ In- Ground (pressurized) Total Suspended Solids ( ) 530 mg /L ❑ NA ❑ t -Grade ❑ Mound Fecal Coliform (geometric mean 510' cfu /100ml Drip -Line ❑ Other: Maximum Effluent Particle Size dia. ❑ NA ther: ❑ NA N Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank a nt. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least one eve 3 ❑ month(s) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When co ined slud and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least nce every: ❑ earl m (Maximum 3 years) ❑ NA Clean effluent filter �� At le once every: /wear(sls) 04 ❑ NA Inspect pump, pump controls & alarm At 1 a ❑ month(s) ❑ NA st once every: 02 3 ears) Flush laterals and pressure test least once every: month ar(sI s) NA Other: t least once every: ❑ m thls) NA ❑ yea Other: F N 4%h, NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells all be made by an individual carrying one of the following i ses or certifications: Master Plumber; Master Plumber Restr' ed Sewer; POWTS Inspector; POWTS Maintainer; Septage Servi Operator. Tank inspections must include a visual inspe ion of the tank(s) to identify any missing or broken hardware, identify an acks or leaks, measure the volume of combined slu ge and scum and to check for any back up or ponding of effluent on the g d surface. The dispersal cell(s) shall be visually nspected to check the effluent levels in the observation pipes and to check ponding of effluent on the ground surface. he ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the loc regulatory authority. When the combined accumul ion of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative ode. 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 cell(s). 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 cell(s) in one large dose, overloading the cell(s) 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; oil; 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: 2/„ „ ' _ 6u a4, S�s I �,y 2 wo [I A suitable replacement a as een evaluatedf and may be utilized for'the 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 in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. y� C� h site h s n en evaluat to identify a ita le replaceme area�rep n failure of the P and site / v eu I ation t be erform to cafe a sui le rep cemen rea. nment is available a holding tank ay be ins led as a ast r ort to re a failed PO ❑ 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. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name 7'L S ��Z Al /,v L. Name Phone 71s— 23,5 2L 1-15e Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name �;r /it/ Phone Phone f '�gb 41b This document was drafted in compliance with chapter Comm 83.22(2)Ib)0)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. • ---- L.t w� w W�1T�f�RPi?ODF WCK INQ. CpviR � at►�c1t f��scawwsCt'• ---� {" G.T. tw4*v IS mm OON+wb --. •'� ` 6N _ .. ' PJ P6 3 � ntDIbTUR� , , Sots 24" .'D. Aa�v MA�i>10iB VkN MIN. �iMtsr Aa�itOtiti -G C. X. n, ZbWr ptm 1 r3��rcD tom, Ct� I� l o ll CovCrt�s".Y` vim btoG+C , iEP'riC E P q ply 'ti b ll ff �• 05 E r N c.�� - � �•CSr.erg. ta MAUFACTURER: - �...,.�. �JL SER OF Doacs: `s _ — PER i 0*-%S (, TAWK SIZE: \ 2 � - isA1.L01►!S , OOs VOL.Wm t Ste` INCLUDING GACKFLOW: '� ►t.ARM /�tA►361FJ1Gt'11ili.1t: 4 7 � �• GALLONS A00CL WUAv;CIC: t 14 w CAPACITICS1 Asa adz luc ott 3 D CA LLOUs �r d ' t /� '�•••.� $ a �" tWGMCS Oti � GALL4>`15 uMP KAIJUPAGTLirCY;R: ---� /7�� .��'T./P�h�T... C Q III � iUGtt£S dR �U� GAL�01J5 MOpEt. AJUMOCk: � D� Lo I►J%Hl:S OR GALLOtJ$ 5WITCN TWPC• �' ��"C' r to j�,Q,TE• PUMP AND ALARM ARE TO DL I GISGNA►11GC 0.ttTC �,, _ GPM IIUSTRt.LEO OW 5EPARATE CIRCUITS ERTICAI, Ctfft?,C JCr OETWCgij PUP& O AUD OISTRMUTIO1j PIPS:, /9 _ FEE - M AtAuM t�IETWORK SUPPLI PUSSURC . , . . ... • . . . �^ FE.[T FEET OF rORCC MAIIJ }( �"- F- s--- + �LiKICTIQ1t FAG70R. ` ° � w� FEET G .r TOTAL DSsAJAMIC. HEAD a� S • 9 FEET TEALJAt. 0 1ME►J6lOA14 Of TAA1K: LEAl6TH DTH " Td Wd00:60 T00Z CE 'hpW BGCO ZEE STL 'ON Xdd ONIlSSI ims aaiAu83o woNA 9EH SERIES SUMP / EF'F'LUENT PUMP 11.86 - ... ..._.__... C-) 8.9b CAT, L • SOLIOS 311E RUNNING PicAfORMANCE Kit?YI ®�41 SHUT9FF P.8.1. PWR Cam �� MOO OtYENSNNiS No, LIETINQ H1 VOLTS {DIS. bL) AMP$/WATT$ 5' IV 15 10 (Fu (Ft.) (lbt! IN z l z w1 ' 49 32 19.5 20 27 9. , 1 x 11.64 �. 6 94 9EH GIM 509330 UUC5A 41113 115 Y4 13.0 laoo 1I 1 3 y 24' 27 9.11 111.54 z 6.94 4EH•CIM 509340 UL/C5A 4110 290 �4 6.6 1000 71 68 60 49 32 9EH•CIA-RFB 509350 UL/CSA 4110 115 31 13.0 1000 11 68 60 40 32 1318 20' 2 9i1 % 11 9 .64 s 6.94 H• IA•RF u4CSA 4, 2 3 6.5 1000 71 a 32 13. FLOW- LITERS /1-01K C onstruction.. 0 1000 2000 3000 N9otor llausing Iin+?xy coated C u! Iron Impeller Material Poly Carlwn ;0 10 Im o11cr „TYpe C )o6cd `lane �'otutc ABS 7. 5 Powor Cord SJTW -A .. ........ 20 Mechanical Sha�ift Seat Nitrilt with carbci» and s ! ceramic fa ces Stainless S lC el t''a s toners - 10 Stainless Stecl e,s 5hfli� Bearings I Upper 51sc>, anil Lower 1- 1;3&11 Bearings .0 rr . . 0 0 20 40 60 at7 FLAW- GA(.IJINS /MINUTE PUMP PFR CURVE II 6oHz Little GL"t PU Co. 3v PO Box 12010 Phone: 405.947.2511 Okla. City, OK '73147` Fax: 495.951.:1674 www.Littleaiantf ISO 9001 CERTIFIED t� Form 995235 — 01 /00 �/� abed `•WdIZ E `• LZ88 Z9� L `• OOZE ref fast � dH z0-9Z noN 5 4L ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address s "7 b - � - '� it c Property Address 16 Cf w (Verification required from Planning Department for new construction) 'S City /State �! w R ' CvN ryw j Parcel Identification Number d Q- - l 0 3 6 ° 30 -6( cD LEGAL DESCRIPTION ''� // Property Location 51J '/., !�"/4, Sec. /� . T30 N& 7 W, Town of ���^✓ . Lot # f Subdivision Certified Survey Map It ( yq , Volume 1 Page # 3Y (.0 Y L *"Deed # - 7 - 7 ( o 1( ) 3 , Volume 2 (a & U--, Page # Spec house ❑ yes)$ no Lot lines identifiable yes ❑ no SYSTEM MAINTENANCE 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. 'The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masw 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. 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. /0 12-�10-q SI ATURE OF APPL ANT 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 propel described above, by virtue of a warranty deed recorded in Register of Deeds Office. l SIGMA OF APPLICANT 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 - 7 - 7C=>1IZ 3 `\ U 2 6 6 8 P 9 8 0 KATHLEEN H. W ALSH REGISTER OF DEEDS ST. CROIX CO.. WI RECEIVED FOR RECORD 10/04/2004 11:55Al1 Document Number QUIT CLAIM DEED QUIT CLAI?! DEED This Deed, made between SAND TRAP PROPERTIES, EXEMPT # INC., a Minnesota corporation, Grantor, and Thomas Elbert, Jr. REC FEE: I1.00 and Kathleen M. Elbert, husband and wife, Grantees, as joint TRANS FEE: 452.10 COPY FEE: tenants. CC FEE: PAGES: 1 Grantor quit claims to Grantees the following described real estate in St. Croix County, State of Wisconsin (the "Property "): LOT 1 OF CERTIFIED SURVEY MAP FILED MAY 31, 2000 IN VOL. 14, PAGE 3864, DOC. NO. 623944, ST. CROIX COUNTY, WISCONSIN, BEING PART OF THE SW 1/4 OF THE NWIA AND THE NWIA OF THE SWIA OF SECTION 15, TOWNSHIP 30 NORTH, RANGE 17 WEST. Recording Area N /rr�e,a Return Add res s: � z nl 012 - 1036 -30 -00 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property Dated this 28th day of September, 2004. SAND TRAP PROPERTIES, INC. 1 By / ?� Kent M. Wheelock, it Vice President ACKNOWLEDGMENT STATE OF MINNESOTA ) )ss. HENNEPIN COUNTY ) Personally came before me this 28th day of September, 2004, the above named Vice President to me known to be the person who executed the THIS INSTRUMENT WAS DRAFTED BY fore i instrument d a o led the same. Thomas A. Pantalion <; US Bancorp Center, BC- MN -H21 R Print N 800 Nicollet Mall Notary Public, State of Minnesota Minneapolis, MN 55402 My Co s 'o e e : " MARY JO 6. YORK !� Notary Public Minnesota My Cemmissinn Expires January 31.2005 623944 CERTIFIED SURVEY MAP N ED IN THE SW 1/4 OF THE NW 1/4 AND THE NW 1/4 OF THE SW 1/4 OF SECTION 15, T30N, R 17W, TOWN OF ERIN PRAIRIE, ST. CROIX COUNTY, WISCONSIN. 3 NW CORNER SECTION 15 w z T30N R17W SCALE IN F 0 03 (1 " IRON PIPE) < w l- Ld w t.. u� z l 0 75 150 300 N ° o uj z�0 of UNPLATTED LAND w� z Q H N N °°30a w uj z I^ N 89 °32' 05" E 619.38 o w `* °o _ 2 t .01' 569.37' N ~ v NO3= w O 1 °45' 18" W z 3 100.88' 41.25' --�i 88° 14'42" E to ID 17.00' a O N I Iw I Q D I 1 -133' SHED I N I OJ 3 Q I I I 3 DRIVEWAY BIN _ / * I I N r 0 I— � GARAGE 0 pl �II � �, � LJ v WELL I I I z alv HOUSE, SHED O SILOS Q I ? I _I Q ° (DECK SEPTIC ® � p - I __j I I I �2z TANK ® m Q I C.9 ZI U II n // w JI O � I 33' �- l pl = 1 j � Ld I F cn N f L O W o�'i 1 �i \�lfi\r N — — x x X 0 Q I W \ J I (Y S 88° 14' 42" W 50' � z l V 17.00' � z 0 N �I� �PTIC ' w POINT OF 0 v1 y0� ® TANK m BEGINNING N o N � DRAINFI LD Z _ o VENTS 0 W 1/4 CORNER — 50' SECTION 15 T30N R17W I 3 J EAST WEST 1/4 SECTION LINE I � . - SIN � w APPROVED ° �I� I 13.8 LIDING ACRES, 605,069 S.F. 0 0 q � 0 1 z IN R.O.W. PlanningZonincandParksComgitt� ° of I 4 ACRES, 562,974 S.F. 3 Z 50.02' EXCLUDING R.O.W. MAY 3 0 99 1 545.45' Z^ I o S 89 °34 33" W 595.47' If not recorded within 50. OWNER AND SUBDIVIDER approval date appro s8l all p0�6 outland Yo = I NI ' I UNPLATTED LAND TER —RAE FARMS, INC. ZIP C/O DENNIS MITCHELL LEGEND 1530 190TH STREET N NEW RICHMOND, WI 54017 COUNTY SECTION CORNER MONUMENT, FOUND, SW CORNER BERNTSEN NAIL UNLESS OTHERWISE NOTED. SECTION 15 0 1" X 24" IRON PIPE WEIGHING 1.68# /LINEAR FOOT, SET. T30N, R 17W —X_ x - -- EXISTING FENCE THIS INSTRUMENT DRAFTED BY JAMES D. FILKINS PAGE 1 OF 2 Vo1.14 Page 3864 ou 6 __ Zm0r n C z * Do m Z � m El o r X p M N O m ..� -n m O x wo �" z 55 0 � m lop rn a rn o (n z Z O c X Z Cl) z - n X o v 0 z T r z N 0 > TOOP z z T C� G7 m C, r C c 'O = v m � � < � m — 111 r m O C 0111111 C O z � 0 Ito; m m Z 0 v X C C m $ x :9 X < ? Cl) ;A, Z �'«�: sag �a rn t G) M m C� gad W 0 in z �� � E V! —I > 13 x o ,Q � � -I C m a .o r a y -� -IT im O � Z S 3 C.) ch O o(n O' 0 CO) O 3- c C �1 c 3 1 c 0 .: , ° c 3 3 rt CD CD 3 3 3 3 C/) d o y o ° rn on I Z Z ° rn a o y o °�� S* c ° `� �• o m o CD l s ° m' a @ m n m m w w o C ? 0 N C fo CO,yD C N N � 0� H G O N v C o• CD 3 1 C CD N ° w° o c w I CD m z o co o A+ C.0 3 ° N m 1 n n y N °o p O S, CD o cn v w cn v D a co Z D M¢ �? Z y m v, m co a y a o f co D �' a D a n a a ° o (W ° O I p IW o ° W � 1 3 O -4 0) O al O oo`< L OZ a) CD I cn F3 o n Z p Z CD Z OD c C n r CO) °° °° I ° °a ° 00 CO -{ 3 a N c CD � I Z n 000 ;I 0003 000 °Y Or o O 1 9 gg < Z o 3 CO) ca � 3o I N CA N o c 3 p D CA 1 0 o v v v a 1 a v v* _ a . v Oa pp A �' � � ° n %+ � V a � Si o a _0 d _ co I n _ w 2 co = I c° CL w l a 4 o .. I V O > O 7 N I 7 •O tOp n 0 CCD 7 A 0 c '� 0 c O n N M C CD N• I fD N w N. w a a 0 _a m a FL m ° I m �, ° ° m c6 -� N cc 0 ,..., N O I y O� O ?, O cn C CL I v a � $ ° n o C3 O CD - CD a I ° 3 -4 0 C a z G r; C CO c p Z C V CD CD Q 'O I 'O O fD CD M CD -mac ?a 3 I c D 3 ° —'a,m n 3 m CO a m a > m ia°•> > 3 f a ° a CD 3 fD . c I . wHr' o° o O w CD o' I'm m T N o_ o ao c o c cow a w 01 I cD m w >> CD D ' c w s3 Z Cl w w Z a �' CD �w x Z a � o o m - � O O (D O C p 0 ° y N CD p 0 41 w 7 y N o I �.� c X OsN m a 3 na F y o ° �co I Q �• c S n y �v 3 o �'� � Q >> �� 0 i CL m m N? c Q 2�co y w ° I fD �O wm CD S y fD °. Q 3p F O w w 0 m p 0)y " o I 7 Q N 7 N CD ( Cn O cD C v 3 X0 0' - (.n Cr coo nN Cc :3 � o com a b o a o -' ° y CD j ED 0 m f y I �m 0. CL .fD ° -��� o (D N N ..y. w O V OOn C v C+l cc n'p I _ O �. N 7 n N< 7 ti 0 cc yCD c°DO3c°n°OCro� �w +. O O O fD I N fD R W 69 F C g ~ N 2 o b O �- O L 0 n N Parcel #: 012 - 1036 -30 -000 11/04/2004 04:50 PM PAGE 1 OF 1 Alt. Parcel #: 15.30.17.227B 012 - TOWN OF ERIN PRAIRIE Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * = Current Owner * SAND TRAP PROPERTIES INC SAND TRAP PROPERTIES INC BCMNH22A BCMNH22A 800 NICOLLET MALL MINNEAPOLIS MN 55402 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 156 CTY RD T & 1559 sJ�c� SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST p� 0 y�' LL4tU Zx— SP 1700 W ITC Legal Description: Acres: 13.890 Plat: 1055 -CSM 14/3864 SEC 15 T30N R17W PT SW NW BEING CSM Block/Condo Bldg: LOT 1 1413864 LOT 1 13.8g0AC CREATED THRU FARMLAND CONSOLIDATION Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 15- 30N -17W SW NW t 4 Prt �x� s�, h� 2 d t"ta" S r. < 35a44�" Notes: Parcel History: Date Doc # Vol /Page Type 10/01/2002 692319 1993/607 SD 06/09/2000 624591 1518/124 WD 04/16/1998 577310 1315/331 WD 04/16/1998 577309 1315/329 WD more 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 46,000 Valuations Last Changed: 05/14/2002 Description Class Acres Land Improve Total State Reason OTHER G7 13.890 13,400 19,400 32,800 NO Totals for 2004: General Property 13.890 13,400 19,400 32,800 Woodland 0.000 0 0 Totals for 2003: General Property 13.890 13,400 19,400 32,800 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ZONING CODE 17.14.(1)(b) (b) Single family residential dwellings occupied by at least one person or member of a family who earns a substantial part of his livelihood from farm operation on the parcel, contributes work which is substantially needed in the farm operation or Is a parent, child or s f the farm oper ator, and structures accessory and secondary to such we rng, provided that no more than 2 uchdwell" a be established with or without creation of separate pa n a tract o r ews as Tail e e e a e o s chapter. (Section C added on 10/11188) (c) Single family residential dwellings and relate farm structures existing at the effective CS�0 ate of ' ' consolidatio ma be se arat m the final farm 'L parcel provided that the arcel and im rovemen con orm with all re ulation b ti 17.13(fT Such pre -ews "ng uses located in areas sue o zoning in this Section which do not 01C co` n o to the agricultural related status requirements shall not be subject to any limitations imposed or authorized under Section 59.97(10) of the Wisconsin Statutes and m be altered, repaired or rebu if destroyed, but are subject to setback, height and other dimensional requirements of this Secction. (d) Roadside stands selling only produce from the farm operation on the premises by members of the farm family. (2) MINIMUM LOT AREA. (a) F arm operations: 35 acre (Section b amended 6/20/00) (b) Residences allowed under Section 17.14(1)(§) a nd 17.14(1)(c) above, which are on parcels separated by means of certified survey map from the tract or the farm operation to which they relate, must have a minimum of two t2) aa (3) HEIGHT. The provisions of §17.13(3) shall apply to buildings used for human habitation. (4) SIDE YARD. The provisions of §17.13(4) shall apply. ✓ (5) REAR YARD. The provisions of §17.13(5) shall apply. _(6) . SPECIAL._.EXCEPMONS. The_.following uses _may .be_.allowed within_ the.Agr_icultural_ District as a special exception: (a) More than two residences on a farm if the following standards are met: 1. dditional residences must be occupied by at least one person or member of a famil who earns 50% or more of his/her gross income from a amt operation, or is a parent of the farm operator. 2. The size of the farm parcel must be sufficient to justify additional residences. > 35 * "a 1 $-3. Additional residences shall be sited so that the parcels on which they are located would comply with County and town subdivision regulations s hould that parcel be proposed to be s eparated from the farm in �ure 24 ERIN PRAIRIE T•30N -R.17W 45 SEE PAGE 57 I /sorHSEE PAGE 59 S R/c�f 0i a' �• K 0 POD Mary ,9 E ETT " /3 R' ei ao �errxs 2�c 1 y Trainer y ILL0 ° J Ca/a/ f /58.4 ?� ,Beth N A .Dittma.n Caaet /49 �g • 1 /rvch pV i y Mike Cai•,(z dP . F JRona /d r9bntiCth bB .: O/ on 6o tTohn flda. �C 240 �•�p } j; IV U8f) ThoTa s 49 4Y /e .4 �aJ COa 2.lOb Cough /.ir - Y Njo�o /di .Eoy /und Ccr iCVI zlo ;Qcrnch 2a /bo 2s9.26 re z.•y /60 /ss M RVN Inc• /k,,. � W14LO 170 gg /° / / -Y9z �3 9 . � ro •' � C i� sep// l � 5 a� q/c • � .fo Thornaa, o R • ou9h /in )a ,p.E. � � U � � Dav %d ichOd �orree v S5! �/erson�a IT • 4 Coro Hare /bo e O 547 /re G z.�a• s .. so L e flndrew e ueHe E /ea.nora iX .Ciruce //e L u end• anA r $t /CCU/ 2 4 f /�Ctt /53.5/ BO ,Bo tro,n • fO Q / .i. B/a/ser • i • G�7`� Q /q /6 rrt ra rr o [ v: o P6 dO 2 H y V h D n s Ida Bo link go 8o nb.sb j� �y Kun,3 Ttr -�2ec s 309.09 T tttt y n ,aank � ° x¢'O onafi,rB Wes /ey '`� d . 't / /ta✓/ S p //U rbo =oo •� srz • , F Dorothy 9�rrio /09 Gnlfi/fi 077�/ a Ue tern do Thomas 9P9 air Ix roa5 /}trrao� rrw c7e J � KV L Burow 3Z0 Fw rns rockPa/j/ CjeunEink • • • _ 15844 .� Co. • /60 • BO 6n l7 g • w 4 !" • • r• • • u •' 6 • o/ to tV o ER ® Denn u _ o /s9 roc � isrs¢ 99.s .38 uc N �� 90 Roy F ` S ago , P- Edward C. E. C. hn Q' h arms LeIT/ke 280 only F I� ErnmerY 4 Lb'rothft E /av¢Marie 0� -.' . Franc .zoo Co - ,ter• Ku.Eu.skn V.� 1Jonarnn C7/iffith H¢ro /d9•Pribnow !/er»on /b° �p A ' :KaT� �orra' ✓an 70 A % a, /.zo ohn s a �O C n • - #x. _n %GO 151.27 \ g ee9B¢ J /B• 05 • � ,6 0 . / • • • Z • me EinmerY JC6 4o .Bnrthrt t. - f7rthc/rL. f efa/ Ed 7o. /s John C , _ `` /;/einbuc% MiYdred . Micke/aan 2 4o E. G Le +r (x L /B7 9 C nc $ tl i3 En ' zfo • beNs/7ti� /60 /70 70 c r/arry V Richard 2 a o c h o Saito C Uf 6o U o fin° it Louie f! f 4 Juddyy yr�J Emm rt J 0 f i v C // ' Kart m ft //en S .p f Caro / „ tl U C rs / R, 09 /s+R /3 6 to .Beg U 6 Q. 441.99 h ER ro �or"rn obi- � $.0 / aa�j • 'f a .: ° ' 7 • • O • ta.fe Card � Ruth M scorhs/' L and Kuh /rrsarr , R i off a D. . R• Wa/de%/ Edna Farms t H/aJkar /e0 [fy /.r6 moo¢ 1 /c /bo T �Q /a9 -et Y 3 Vern �CC� ,h•ena /c'C 7Co, V� q o //95/ AAF/Z ` M� [TohnJ Q` R o fRS //e • Wi % /ia n �� V fo '+ % Q Wa /ah [ Q Snc. S � j.Mary �' h uV. -tl Landry R. Caro/ F • l•� /so ��vo C f r / o� CA7 �Tofn U 1 f) Yhur na. Ca pCann y f tl /bo >ll0 71 QtGrson t� tl tl V o Jtruen g U Y 40 3J • 'JU` /RO -Da/ on 20TH 72 N 5 < E E SEE PACE 31 tSY Gro x /rty,Wi } 998.Poc /'/a aors Inc. ` 1. FARM COUNTRY SERVICE New Richmond FIRESTONE Phone 246 -4238 ON THE FARM SERVICE Tractor Tires • River Falls Light Truck Tires Phone 425 -7671 Car Tires Lakeland Plant New Richmond 54017 Phone: 436 -8886 or 386-3922 Route 3 , Box SAND - GRAVEL - READY MIX CONCRETE . 1 1 h Miles Easton County K 246-5040 /O/iscbnsin Department of Commerce PRIVATE SEWAGE SYSTEM y: Safety and Buildings Division Count INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes "I'Privacy Law, s.15.04 (1)(m)1. 363925 Permit Holder's Name: ❑ City ❑ Village ❑hown of: State Plan ID No.: Wendy Erin Prairie Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 6b /ad d CA) 00 0 K 012 - 1036 -30 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic S Benchmark 3 � 03 Alt. BM /0 3 . Aeration Bldg. Sewer Alf 3Y„t �. =1� � = j, Z 0". Ho OS / Ht Inlet TANK SETBACK INFORMATION Ot / Ht Outlet �6 9� 12- TANK TO P/ L WELL BLDG. Air l to ntake ROAD Air I Septic - 36 , w yP /art 2, Z NA NA Header/ Man. 3 Aerati N Dist. Pipe Ti 9.zP qy 3 Z ,zz Holding Bot. System i t 'T2. PUMP/ SIPHON INFORMATION Final Grade Malui lacturer Demand St cover Model Numbe M TDH L' Lriction S stem TDH t rcemain Length Dia. Dist. e I SOIL ABSORPTION SYSTEM r5 BED / T E width Len th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN S 3 3 DIMEN I NS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LE Manuf ct rer: INFORMATION Type O / / _ HAM o e1 u b System: 7 /Ob S� —(US C. DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake 22 ri Length Dia. '� Length �� Dia. ALA-- Spacing b N SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Ye ❑ No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection # : /b /OU Inspection #2: Location: 1565 County Road T, New Richmond, WI 54017 (SW 1/4 NW 1/4 15 T30N R17W) - 153 017227B -Lot 1 1.) Alt BM Description= e ororr o htuSr a►. of rr � �(< <F� — �• 2 d 2.) Bldg sewer length= Z Z - amount of cover= tut (( q jr HOC✓ \ P l wt~. b e Coy„ w, yn/, 3-) keaa tua5 / hot �G�S�czl��d rtiw.� h r �l dG l c tJe � P�" p �ww,� u r5 C�'wrr✓�✓�s Plan revision required? ❑ Yes] No Use other side for additional information. d d d SBD -6710 (R.3/97) Da °` Inspector's S nature Cert. No. IX L ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 4 r r t .. ?. , e i a E e. R � E 3•• _.. s, ° s _a E 4. if 'e. A .z a eel x W.e a. ,. .,,E,.,,._ .4 4--k- 1. E S N 4 A s d i � F ,. a ,... _.,_.W... 1 { , e t : • . e i i E w a > j e ...� e.e_. .� n...... _ e. 4 .. e..... ,,....... .,.. , � e 3 r E f me ... .... . .._e,.T A-71e _, .... _ .. a e E -7 4 - 1 , [d E [14-7 t I. 4 z s Safety and Buildings Division Visco nsin SANITARY PERMIT 2 TION 2 01 W. Washington Avenue. P O Box 7162 Department of Commerce In accord with Com 5, Madison, WI 53707 -7162 ll � • Attach complete plans (to the county copy only) fort tens p p� not S County than 8112 x 11 inches in size. A RLLIIIh,„�C������������� �� �, • See reverse side for instructions for completing this icatiRL`� 1 0 �— State Sanitary Permit Number Yb 3635 Personal information you provide may be used for secondary purpos ST CR 04X N ❑ Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)). COU pFFICE State Plan Review Transaction Number I. APPLICATION INF RMATI N -PLEASE PRINT NAT( Prop rty Owner Name ation � (� /4, S / 5 T 3 0, N, R � 7 Ao r Property Owner's flingg A ss d� Lo umber 1 Block Numb Cit ,tate ✓ ip Code Phone Number Subdivision Na or CSM Number Aa . & c7�S)8136 -3 C - z39 V . / P 1390 H. TY ILDIN : (check one) ❑ State Owned E] ❑ !t Nearest Road Village lb Public 1 or 2 Family Dwelling - No. of bedrooms j zr Town OF _ AAA- . A r III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) / , g • �,Q . 1 17 Apartment /Condo 1 d f 0 3 y 30 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 [] 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Ch LLoab one box on line A. Check box on line B, if applicable) A) 1 2_ Repla ment 3. ❑ Replacement of 4. ❑ Reconnection of 5. 1:1 Repair of an �fstem_ System _ ___ _____Tank Only ______________ExlstingSystem Existing System B) E] A Sanitary Perml ously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 0 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 11 22 C] In-Ground Pressure 3 2 A , 42 ❑ Pit Privy 13 ❑ Seepage Pit C.i cY 43 Vault Priv y 14 E] System-In-Fill — l VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6_ ystem�lev. 1 7. Final Grade D Required (sg ftt.) Proposed (sq, ft. (Gals/day /sq. ft.) (Min. /inch) a. $$ , Elevation a , 9 5_ .o 7 Feet �- Feet i90 VII. TANK Capacity site in gallons Total # of Prefab. Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass App. New Exist in strutted T nks Tanks Septic Tank or Holding Tank I D�� El Lift Pump Tank /Siphon Chamber rl I n n I ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name�(P int ) Plumbe Signat : (No s) PRSW No.: Business Phone Number: ,t3 , V 7`2 0 35 /s RILE -6995 Plumber's �ddress (S Pet, Cit Sate Code): d IX. COUNTY / DEPARTMENT USE ONLY C] Disapproved r�z, t Fee (inaudesGroundwater ate ssue Issuing Agent Signature (No Stamps) surcharge Fee) (Approved [ ]Owner Given Initial 0 �� Advers e Determinatio X: C NDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: cam, s SBD -6398 (R.12/99) DISTRIBUTION: Origin I to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years.. 0 2. Your sanitary permit maybe renewed before the expiration dafg; -aVd at a time of renewal any new criteria in the Wisconsin Administrative Code will be appIjcWe.;r - 3. All revisions to this permit must be approved by', 4 permit issui,wt authority. 4. Changes in ownership or plumber requires a 566itaryllerfriit,�rpn3fer / Renewal Form (SBD -6399) to be submitted to the county prior to installation y' 5. Onsite sewage systems must be properly maNair ed: Thi septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division; 608- 266 -3151: To be complete and accurate this sanitary permit application must include: - I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7.' VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII- Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g- MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County % Department Use Only.', Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following;..-A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if'required by the county; E) soil test data on a.'1 15 form; and-f) all sizing information. GROUNDWATER SkJRCHARGE , i 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. . - -r r- r - 3 9,88 y� ,sa ' yi� s3 R ► X1 a s a np Ir a lo`b b � fo b 1 Wisconsin Department of Commerce SOIL AND SITE EVALUATION 7 / , Division & Safety and Buildings Page of Bureau of Integrated services in accordance with Com Adm. Code V, , Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz 'muses �u include, but not limited to: vertical and horizontal reference point (BM), i on and _ C h., v 1 percent slope, scale or dimensions, north arrow, and location and dist o ne I�1 ar _ # -r a _)p3l�- 3b —veav APPLICANT INFORMATION - Please print all inform Sul G X Re P4 by Date Personal infonnation you provide may be used for secondary purposes (Privacy • 15.04 (1) (m�{ft uN r1 E r0 - 3a -ZWD Pro arty Owner l J rope tion t 5 (,J k too /4,S 1 T 3 � ,N,R' E (o W Property Owner's Whiling Address I Tbd. Name or CSM# �a 51 V im. City State Zip Code Phone Number ❑City ❑ Village Town Nearest Road ,; L �. ) Vic. .SY916? c IS ) d3 3� ❑ New Construction Use: Residential/ Number of bedrooms Addition to existing building JA Replacement ❑ Public or commercial - Describe: Code derived daily flow 6 o s») gpd Recommended design loading rate . 5 bed, gpd /ft - trench, gpd/ft Absorption area required I ;t f) © bed, ft D trench, ft Maximum design loading rate , 5 bed, gpd /ft r jo trench, gpd/ft Recommended infiltration surface elevation(s 3 12, gg ft, 2N a.5 ' &,3) V. 83' It (as referred to site plan benchmark) Additional design/site considerations Parent material I o e-S S d v e ►r C. G t (-1 4 Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = unsuitable for system ® S 1:1 U ® S ❑ U © S ❑ U 1 ® S ❑ U ❑ S ® U ❑ S ® U SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD1ft 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz.`Sh. Bed , Trench o- I b (Z 3 / -�_; L aF r 2 >» r- QS a 2 F - 5 7 —I J0 P` l 6 : L d rli rn-6— C w -fir' , 5;. 6 Ground elev. 17,9j --ft' S6. °�t S ..... fi p. 5 r�s 1,.,. G L J l V E - 7 9 Depth to limiting gr,g8 factor 11in. Remarks: Boring # � , 6 -13 I P t 5 S , !_ Q "n5 Fr-- w t M , 5 4o 3�b yI _ N e a v r11 S 1 0 V. w, ry- . Ground W - 7,S4 �� l ^-_-_°_- - rv\ 1, Co J F r 7 V el m " Depth to L3 limiting factor -12kin. Remarks: CST Name (Please Print) Signature Telephone No. Din Y1 7 Y, +a-V­ X15 - A� 8 -3.5 8 Address -. V " Date CST Number ,cam 00 Qr { r- � k 000 GZ t sYoa b ��..� SOIL DESCRIPTION REPORT Page , PROPERTY OWNER � �-1 `` g � of PARCEL I.D.# O j A -- I D 3 Boring # Horizon Depth Dominant Color Mottles Structure 2 Texture Consistence Boundary Roots a in. Munsell Qu. Sz. Cont. Color" Gr. Sz. Sh. Bed , Trench vyj Ground 13 -� ! t? `� �' `�l ��``�. n; l �v► r, - Lv.� t� � elev. L lop Depth to 33 7 1Ry V F limiting factor� 8 3 _LbDin. Remarks: Boring # b PAVY AF - 9 — 5 ' F "do. .. 1�•�N 1 ��'t�.�` /a _. � N� inn b� r v,j Ground S �-Y) °-____ 1ite.4-1 a m �' F s elev. _ Depth tod' y� 5 �(t '4) _ r T k i�r � Cr �'vv •S �o limiting Ts,sS 4� • ��:� i. —' F S I �G J m v f C � �' r 5 , �p f actor DSin. , S Ca S� yv1 L ^-- r 7 Remarks: .D Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. Depth to limiting factor ' Remarks: Boring # r rte, Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) i 1 i Aq - - r V I -- i ff � I ' j I _ i I E j f _ i ►� i , j i j i I I ; i j s j ►o D 4� Jae ! a I , 1 1 i i I ! I E 1 j 1 I : - -r- , -rip o F 10 i I � ( � 1 i t I r ; I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address �"" & / G g Property Address AS L (Verification required from Planning Department for new construction) City /State n w4arcet Identification Number 0 /p 36 - as - 0/& -1036 -6d LEGAL DESCRIPTION Property Location 'K, NGt. (y., Sec. , T 36 N -RZZW, Town of Subdivision Lot # Certified Survey Map # 6 a3 ? y C / _ , Volume , Page # Warranty Deed # o� y.� l , Volume �.� O , Page # l Spec house ❑ yes ;V o Lot lines identifiable Kyes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wast m2iroper 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 form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber 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. 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 Zoning Office within 30 days of the three year expiration date. A SIGNA �OFP A PLICNT /o`�4i D 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 warranty deed recorded in Register of Deeds Office. AA/�LA SIGNATURE OF APPLICA �a� DATE M�•i�k• Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. " "s " 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 10L 1510PAGE 124 STATE BAR OF WISCONSIN FORM 1-1999 62 1 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Ter -Rae Farms, Inc. RECEIVED FOR RECORD 06-09 -2000 9:30 AN WARRANTY DEED Grantor, and Robert G. Lanting and Wendi R. Lanting, husband and CERT C it ERT COPY FEE: wife, as survivorship marital property, COPY FEE: TRANSFER FEES 550.00 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot I of Certified Survey Map filed May 31, 2000, in Volume 14, page 3864, Recording Area Document No. 623944, St. Croix County, Wisconsin, being part of the Name and Return Address Southwest Quarter of the Northwest Quarter (SW -1/4 of NW -1/4) and the Timothy J. Scott Northwest Quarter of the Southwest Quarter (NW -1/4 of SW -1/4) of Section Bakke Norman, S.C. 15, Township 30 North, Range 17 West. P.O. Box 50 New Richmond, WI 54017 012 - 1036 -20 and 0I2- 1036 -60 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (d :) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, highways, utility rights and reservations of record, and will warrant and defend the same. Dated this 9 day of June 2000 Ter -Rae Farms, Inc. + By Dennis Mitchell, Sec./Tress. + AUTHENTICATION ACKNOWLEDGMENT Signature(s) Dennis Mitchell STATE OF } ) ss. County ) authenti a d this ' day of June 2000 J �L� Personally came before me this day of -7-.7RC\ 2000 the above named + Timothy J. Scott TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stars.) THIS INSTRUMENT WAS DRAFTED BY + Timothy J. Scott Notary Public, State of akke Norman, - New Richmond, W Ol My Commission is permanent. not, state expiration ate: (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 Profess —4 company. Fond du Lac. WI STATE BAR OF WISCONSIN txgZSS -i WARRANTY DEED FORM No. I -1999 NW CORNER a: SECTION 15 3 T30N R 17 SCALE IN FEET (1 " IRON PIPE), zn r 0 75 150 300 ul o YIN 1 -1 1 UNPLATTED LAND N 89 05" E r �I = 41.25' J 569.37' o 1 N 01'45' 18" W ~ 3 100.88' r N e " � 1— N 88 14' 42 E , II � 50.00' Z } I r. L-33' SHED Q I 1 BIN / I J I ago I DRIvEWAY _ _ t ©� ~ T GARAGE �c o I HOUSE, •WELL S SHED ~ DECK SEPTIC r ^- - -— Z J( 1 Q I fl . m (- POINT OF BEGINNING ` R S 88.14. 42 .. W 1 50; ` i Z 50.00 s ° r ° . c^ ® SEPTIC o TANK C � ° N ' o DRAWFIELD z O VENTS W 1/4 CORNER 50' _ SECTION iS EAST -WEST 1/4 SECTION LINE T30N, R 17W n LOT 1 JL 41.25' c_ - 13.266 ACRES 577,86 , S.F. 3 JNCk�UD..ING R.O.W. 12.924 ACRES; 56297 S.F. EXCLUDING R.O.W. OI o S 89.34' 33 W OWNER AND SUBDIVIDE R z INC. 50. TER —RAE FARMS, UNPLATTED LAND C/0 DENNIS MITCHELL 1530 190TH STREET LEGEND NEW RICHMOND, WI 54017 SW CORNER COUNTY SECTION CORNER MONUMENT, FOUND. SECTION 15 BERNTSEN NAIL UNLESS OTHERWISE NOTED. T30N, R 17W o 1" x 24" IRON PIPE WEIGHING .1.68# /LINEAR FOOT, SET. - X --A-- EXISTING FENCE THIS INSTRUMENT DRAFTED BY JAMES 0. FILKINS PAGE 1 OF 2 r tt--Q '► G23944 CERTIFIED SURVEY MAP j N ED IN THE SW 1/4 OF THE NW 1/4 AND THE NW 1/4 OF THE SW 1/4 OF SECTION 15, T30N, R 17W, TOWN OF ERIN PRAIRIE, ST. CROIX COUNTY, WISCONSIN. 3 NW CORNER o SECTION 15 C) 0 3 T30N R 17 SCALE IN FEET wW�: ( 1 " IRON PIPE) 00 w o 3 0 75 150 300 o W o 0 z 0z �- Z.JU I Z I UNPLATTED LAND mU, O I op W 0. I I� m z N 89 °32' 05" E 619.38 ? F _ I. 569.37' V) o 3 = N101 °45" t8 - �y. aF -z3 I 3 ', 5 /� 100.88' 41.25' I I o r: N 88° 14' 42" E \ _ a m ro 17.00' I I N I I u o D I I -. 33' SHED I J I 0 Z 3 O I BIN I I in Q I = I I oo , 3I DRIVEWAY Z T— O GARAGE * L J U L I I no (D :2 L,J o h HOUSE, WELL SHED SILOS Q = I z Y I El X - X p I Q I ° DECK SEPTIC ® z TANKS ® m Q I j Z I C) a'Z '� ' J I Of �_33' _ p I = in L1J I — = 4 � _ I I �RiL O' W - - � CD N Q Q I �r _j I QI 0 S 88 42" W 5031 o I Z 17.00' D I _ I N 0 0I in SEPTIC m C5 .n `r y o ® TANK POINT OF d ° BEGINNING o C14 i fN I zl o o DRAINFIE a W 1 /4 CORNER 50' � -� - --- — SECTION 15 _ T30N R 17W 3 EAST -WE 1/4 SECTION LINE a 13.890 ES, 605,069 S.F. o APPROVED � o� Z o NIN 'INE ING R.O.W. Planning Zoning and Parks Com itt o 3 � o N 12.924 ACRES, 562,974 S.F. zl 50.C2' EXCLUDING R.O.W. s '" MAY 3 0 9V _�,. ... z I o' -- § - 89 0 34" ' 33" W 595.47' If not recorded within 3t j aysX 50 ' OWNER AND SUBDIVIDER approval dateappro 8r all N I UNPATTED LAND TER -RAE FARMS, INC. "" 3 � I a i ; — — L L — — — — - — C/O DENNIS MITCHELL Z r--: LEGEND 1530 190TH STREET NEW RICHMOND, WI 54017 N COUNTY SECTION CORNER MONUMENT, FOUND, SW CORNER 4 7 BERNTSEN NAIL UNLESS OTHERWISE NOTED. SECTION 15 0 1" X 24" IRON PIPE WEIGHING 1.68# /LINEAR FOOT, SET. T30N, R 17W _ _x EXISTING FENCE THIS INSTRUMENT DRAFTED BY JAMES D. FILKINS PAGE 1 OF 2 Vol. 14 Page 3864