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HomeMy WebLinkAbout014-1008-30-000ST c ~~ ut~y June 22, 2009 John Ketzner 2832 230th Avenue Clear Lake, WI 54005 Re: Allegations of zoning violation -property located in the southeast of the southwest corner of section 4, T31 N R15W, Town of Forest, computer # 014-1008- 30-000, parcel # 04.31.15.60, further described as 2832 230th Avenue. Code Administration 715-386-4680 Dear Mr. Ketzner: Landlnformation ~ Planning Earlier today, you visited this office to question and discuss certain allegations 715-386-4674 being made against your property referenced above. For your information, this Department does not recognize your property of being in any violation of the St. Real Property Croix County Zoning Ordinance at this time. Your property is located in the Town of 715-3S6-x677 Forest, which has no zoning. While certain chapters of the St. Croix County Zoning Ordinance still apply in the Town of Forest, Chapter 17 (Zoning) is not one of them, Rf~cvcling which includes regulating uses such as dog kennels/training facilities. Therefore, 715-386-4675 this Department is abating any complaints regarding this matter. It is your responsibility to ensure compliance with any other local, state, or federal rules or regulations. If you have any further questions, I can be reached at (715) 386-4683 (8:00 A.M. to 5:00 P.M. weekdays). Respectfully, aVG~--~ ~"~~ Dan Sitz Zoning Technician Cc: File PZ@CO. SAINT-CROIX. WL US ST CRO/X COUNTY GOVERNMENT CENTER 1 101 CARM/CHAFE ROAD, HUDSON, W/ 54016 715-386-4686 FAX WWW.CO.SAINT-CROIX.WI.US Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM °afety and Building Division ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)l. 'ermit Holder's Name: City Village X Township Ketzner, John Forest Townshi ;ST BM Elev: r Insp. BM Elev: BM Description: ~,,.,,, ,.,r-,•,~... ~.,... i ~~~r~ u~~ V~rnF11 IVIY TYPE MANUFACTURER CAPACITY Septic Fcc-~x-~~ ~at~- (ate Dosing \ ~"! Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing u ~t ~~ ~i Aeration Holding PUMP/SIPHON INFORMATION Manufacturer - /t Demand ~/ GPM Model Number s~ A `~~ DH Lift bo 5 ~ Friction Lossr •~ System Head TDH Ft ~~ ~ ~ 3.3o z~E Forcemain Lengt\~ Dia.~lf Dist. to Well JVIL At5JUK1' I IUN 5Y5TEM CLtVA 1 IUN DATA County: St. Croix Sanitary Permit No: 420408 0 State Plan ID Npo: 2d~fv6 Parcel Tax No: 014-1008-30-000 STATION BS HI FS ELEV. Benchmark ;8"~" ~oz. 1afl .J Alt. BM Bldg. Sewer I ~F.4~J 2~ (~• ~ qo . ~ / SdHt Inlet Cd ~_ C a}y,q a .~.~.,p~ l ~ s3 I ~'3~~ St/Ht Outlet Dt Inlet Dt Bottom ~ A ~-qo ~ )3,ba ~s 30 / Header/Man. ~ Ibf.~(O Dist. Pipe S 1 C~e2.asl p ~ b S O' ~. ~a ~.~ r ~OI•~ Bot. System ~'°~°S ~ . •o ~• a .es' Fi I Grade ~ w,u ~ ~. c~ t ~~ .. St over ~ Z ,d 4 .9~ r t C .6 wl Cd) o~¢.. 2.So)~ •~4,r.. BED/TRENCH Width Length 1 No. Of Trenches PIT DI S No. Of Pits _ ~ I , ide Dia. r Liqwd Depth DIMENSIONS Sr 5~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHI acturer: INFORMATION Type Of System: CHAMBER O UNIT Mo ber: vw 1 I~IUV 1 IVIY J I J I GIYI Header/Manifold r -•~ r'~ Length ~ ~ Dia G Distribution Pipe(s) / \ ~ lI O r Len th )Di ~• S i x Hole Size tf ( 3/ x Hole Spacing 2 // T Vent to Air Intake ~----~.~._.. g a . pac ng o ~ vVr~ vV V Grp x Prassurra Svcfamc nnly ..., nn..~~...1 n. na_r .,.a., c.,~~,...,.., n..~.. Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bedlrrench Edges TopsoO J,~ Yes ~ No ~ Yes ,_J No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~~'/~/~L' Inspection #2: '-'t'---7"'--' Location: 2832 230th Ave Clear Lake, WI 54005 (SE 1/4 SW 1/4 4 T31 N R15W) NA Lot ^-Fart 1.) Alt BM Description = R 2.) Bldg sewer length = ~~s~ a75 ~ 3 • S>; -amount of cover = ~~~ ~ ~•gJ 3.)Contour= °($~°~SI~j~,~vF3•lotc~-~ = loZ--dS`~ r- ~ ~-- c ----- _- -- ~ ~~_ - j -- -- - Plan revision Required? Ye No i f O ~3 ~Z ~~ I ~ `7~ Use other side for addition r t' ~_ ! _ I i _ _Q,ut,,,~, L SBD-6710 (R.3/97) ~ Date ~ Insepctor's Sigcn~ature ~ ~n Cert. No. J -CZ~a~ r2Ge,~ U c3v\¢uM, IR, ~..oC e.~ 0 c..~- . 23 ~ 2obZ, -~~ PLOT PLAN PROJECT Jon Ke~sner ADDRESS 174 Centerville Rd. Vadnais Heights Mn 55127 S E 1/ 4 SW 1/ 4 S 4 /T 31 1 W TOWN Forest COUNTY ST. CROIX >%' 8/18/02 MPRS Shaun Bird 226900 DATE CONVENTIONAL AT-G#ADE CONVENTIONAL LIFT MOUND ~~ SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 BENCHMARK V R P TO f 2" P' # of chambers none . p 0 Ipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 100.7' Tested area Well is to meet al setbacks found in Comm. 83 B.M. B-3 ^ ^ 6-2 Tank is to be properly bedded and provided with lockdown covers with approved warning labels BEDROOM 3 HOLDING TANK DOSE TANK SIZE ALt.,-6.M. ,~~ - . • ~ ,~ 600' ~_ _ _ N w 0 D m Huffcutt Combo Tank Saf<xy and Bwidtngs Dmston ~y ~ - ZOl W. Wa~tnogton Ave., P.O. Box 7162 y .~~~~,~ M~iso®, WI 53707 - 7162 She Address ~ De artment of Commerce ~ ~3 ~ ~ i ,~ ~ODb/ ~ 832 2'~0 fEve _ Sanitary Permit App - ~ Number ` " , fZ o ~0 8 In accord with Cemm 83.21. Wis. Adm. Cak, personal + 1~ ' ^ Cheek if Revision be used for s15. m "'" ~ I. Application Informstion -Please Prjnt Ali Information State Plan LD. Number ~, ' :~ ~ ~ ~-~{ 3 3 = Trans . ~e. #. Property Owner': Name Paged Nnmber .i ~ Q ~- ~ a •60 Property owner's iw,~g Address l1~ ~~ ~` ~- Propecy ~ `~ ti if b4. S T N. R S City, State Zip Code _ Lot Number Block N ~~. / ~ ~. / ! ~' ~~ ~'r`~' Siiivision Name CSM Number ~. II. Type of Bnt~dfmg ( that aPP1Y) ~ a.~ ~ Ste. w•a ~ity or 2 Famt7y Dwelling -Number of Bedrooms ~V 7 i Vge ^ Public/Commercial Use , agl ^ State Owned n g,~ S ~ x S~ ~ rN.o~-~/ cRR.Q "~D u= ~ 20 Y ~ ~ ~C~ III. Type ~ (Chtxjc only one box on line A ( scheme for internal ase}. Ise B if apphteable) A' 2 0 Replant System 3 ^ Replace of 6 ~ Addition to F~ ~' rase Talc B. ^ Check if Sanitary Penmit Previa>siy leaned Permit Number Date Issued IV. Type of Permit: (Check sII that ap (anmberjng sdumre is for internal use) ~ ~-~t7p _ . ~ ~ N~ ~ d 47 ~ Sam Pier 50 ~ Conat<ncoed Wdlasl 22 ~ Pt+essuriud In Ground 41 ~ Hoktmg Tank 48 ~ Single Pass 51 ~ Drip bane 45 ^ At-Grade 46 ~ Aerobia Treatracnt Unit 49 ~ Recircala6ng 30 0 Ot4er V. Area Informat ion: Flow (8Pd) ~~ Area Disperse! Area So~1 Application Pencolafioa Rate System Hevalion Final Gsde Rem Pro p osed Raoe(Gals./Day~9•~-) (~~) Elevation .~L'_ (, ~ y~ VL Tank Info Capacitl+ is .Total Number Iutanufacduer Prefab Site Steel tF'ber Pla~ic Gatbns Gallons of Tanks C~ctete Catvlrocoed Glass Now Tacks Ta0ts Sepoc m Aatdn~ Tank »~ der .~ VII. Statement- I, the ray for hnan of the POW15 shown on the attached p~na. Ph~mber/a Name (Print) ~GC~~ ~ Pfamber's MP/MPRS Numrber ~ ~ b ~t~ Bushass phone ~ ~~ ~~d '~ ~ Phmober's Address (Street. City. ~, ~P / ) ~ ~L~f~~ ! G ~- r `-'~-C/ VIII. Use ~(, Aplxoved ^ Disapproved Sanimty pednit Fee (includes Groundwaoer Dace Issual Issuing Agent sigmture (No Stamps) _ ^ owner Given rniti~ai Adverse Surcharge Fee) ~~~~,o-- 2t r Deaermiaatan . l I%.nC~onditions ofA Approval/Reasoms for DisaPProval ~, ~ ~; ~(~ ~,, ,,,(~ p p () " " °° ~,Q~ `"i.'... C.o~ ~2 '~4° /C~Ld~1 o~vtc¢S. +U ~°;'~ nws~ ~ V'/~"'_'`'''~" ~ / ~ ,, _ [ C ~~ Attach phms Qmo We Caaetl 004) iar the s~ahm m papa not Iw than a1/2 z tl h0:hes !o aloe SBD-6398 (R. OS/Ol) ~~~, p P~ ~= c, Jon Keosner PLOT S 4174 Rd. Vadnais Heights Mn 55127 i/4 SW i/4S 4 /T 31 N/R 5 W TOwN orest COUNTY ST.CROIX MPRS Shaun Bird 226900 8/18/02 DATE BEDROOM 3 CONVENTIONAL AT-GRA CONVENTIONAL LIFT HOLDING TANK MOUND ~~ SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100° Filter Zabel A-100 ^ BOREHOLE O WELL «H.R.P. Same as Benchmark SYSTEM ELEVATION 100.7' * B.M. ALt. B.M. 1a ~ ~ Tested area has 0% Slope B-1 ~ Well is to meet all setbacks found in Comm. 83 ^ B-2 600' N 0 °~ D ~L m Hutfcutt Combo Tank Pro 3 Bedroom House Tank is to be properly bedded and provided with lockdown covers with approved warning labels isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. com merce. state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary September 09, 2002 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI 54017 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/09/2004 SITE: Jon Kepsner 230TH Ave Town of Forest St Croix County SE1/4, SWl/4, S4, T31N, R15W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 868628 Identification Numbers Transaction ID No. 784933 Site ID No. 649846 Please -refer to both identification.numbers, above, in all.eorres ondence with the a enc 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: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans • 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. 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. • 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. P. Con°;t~ rs. SHAUN R BIRD Page 2 9/9/02 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, /~ ~ Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 8/18/02 Owner: Jon Kepsner Location: 230th Ave Town of Forest System type: Mound System Manuals Used: Mound Component Manual version 2.0 (01 /31) Pressure Distribution Manual version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-9. Maintance and Contigency plan 10-12 Soi Signature License number 226900 8/18/02 ~-~~`ROVED DEPARTMENT OF COMMERCE DIVISION OF FET AND BUiLD1NGS t SEE CORRES ONDENCE PLOT L N PROJECT Jon Keosner AD R S 4174 Cente ille Rd. Vadnais Heights Mn 55127 S E i/ 4 SW i/ 4 S 4 /T 31 N!R 5 W TOWN orest COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE$~18/02 BEDROOM 3 CONVENTIONAL AT-GRA CONVENTIONAL LIFT HOLDING TANK MOUND ~~ SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 100.7' * B.M. ALt. B.M. ~^ ~ ~ Tested area has 0% Slope 600' B-1 ~ Well is to meet all setbacks found in Comm. 83 Huffcutt Combo Tank Pro 3 Bedroom House N O S w S ^ B-2 ,d' L m Tank is to be properly bedded and provided with lockdown covers with approved warning labels ~ f~G~L.~TJ / v v Date ~ ~ ~~ 4" Non-Woven Filter Observation Pipe Perforated Fabric Below Filter Fabric ~D+stribution p;pe AS1M C-33 Sand ~ _ G " Topzoti _ ~ _: -. f ==-=- j~ _... ~ sir 0 - , . ~~ -„ 7. Stope " bed Of ~~ 2 %j force Voin `Flowed Orain Rock From Pump . Leyer "~ -p ~ ' ~ ~ "~ ` ~ System Usinq Cress Section Of A mound • p F 8 r A Bee For The Absorption Area ' ' G ~_ A ~ ft. h . S s s7 ft. _ -..- I IO~7 Ft." ~ • " . ., ~~ ~ .L ~ 40bservotion Pipe 1 _ _ e- - r----- ---- ~ r .~ K m A ' - " _° ~ ~ Farce Moir ~ ~ ~„_ ~° _~_------------- -------------__~_ ----- ----- Fram Pump z ---- d 0! ft - 2 %Z B i ~ __ © e Oistribut on Pipe 'Drain RocK I `N O 4 bcervation Pipe Permonent Morker " Pipe or Rods Plon View Ot Mound Usinq A Bed for Tfie Absorption Areo PAG E__,„,OF ~Q Perforated D+De petoii {,otatsd Oa Sottom. EquoRY $dOCed ~tiST 1tot.L NttCT ss Caru-eC~ran Ft. Ff. Inches Inches meter ~ Inch La~~-a~ '" v2 Inch{es) Manifold " ~_ Inches Force Main " ~w inches ~ of holes/piP~ Invert Elevdtfon of Lateral~~ d`Ft. License Number: ~G ..(~ ~ ~~ q ~ _.__.____~__._____ Date : ___r' _"' /'lL._..a_..7e. 4" CI VENT PIPE 12 MIN . ABOVE GRADE £ ~ 25' FROM DOOR, WINDOW OR FRESH AIR INTAKE FINISHED GRADE i~1r.t-. I8" IN. ~~~.Z• t~t06E~ I TIGHT 5EALS FILTER __ APPibDYED PIPE 3' OlII'O SOI. SOIL SEPTIC TANK E PUMP CHAMBER PUMP OFF ELEV . I1, ZFT- race Ut "" ION AND SPECIFICATIONS uEA?HERPROOF JUNCTION BOX WITH CONDUIT .z. a. :. `~' ~. 1 ' i ` GAS- TIGHT ~ ~. A SEAL 8 - ~ ON .,.~"" ~ ~ C ~ ~ -~--- OFF D 3" APPROVED BEDDING UNDER TANK SPECIFICATIONS APPROV ED MANHOLE COVER W / PAD LACK 6 WARNING LABEL -4" MIN . ~u MIM. JOINTS 1iITH 3 QED PIPE SOLIO SOIL /~ .~ /J CONCRETE PAD SEPTIC / DOSE NUHBER DOSES PER DAX: ~ - TANK MANUFACTURER: TANK SI2£S: SEPTIC ==~ GAL. DOSE VOIIIME IPtCLUDIN6 j GAL. DOSE GAL. FLOWBACK: ' CAPACITIES: A ~~S INCHES = ~'J GAL. ALARM MANUFACTURER: GAL, "'~"' MObEL MiMBER s g ~2 _ INCHES = SWITCH TYPE: ~ C = ~ INCHES = ~/' ~ GAL- PUMP MANUFACTURER: ~/~ M~EL IRJMBER: - D ~ INCHES = ~'„y,~---~''L. SWITCH TYPE: REQUIRED DISCHARGE RATE c.~ GPM - PUMF E ALARM WIRXNG AS PER ILHA 1b.23 wAC VERTICAL DIFFERENCE $ETWEEN PUMP OFF ANA•DISTRI&iTION PIPE• •~..~ FEET MINIMUM NETWORK SUPPLY PRESSURE !=-.L-- FEET + FEET FORCE!'SAIN X~~FT/100 FT. FRICTION FACTOR E£T ~1.Q--- 'T'OTAL DYNAMIC HEAD/ ~ /yf". INTERNAL DIMENSIONS OF PU~ TA13Kc L QUID ~~~• SIGNED: l/88 • Z~IJ~C~I/ DATE: ~r ~~~i LICENSE MIMBER HFAD CAPACITY CURVE MODEL 152/ 153 I i U_ b 0 ~~~ 1~ 0 0 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gal. Liters Gal. Liters 5 1.5 69 261 77 291 10 3.1 61 231 70 265 15 4.6 53 201 61 231 20 6.1 44 167 52 197 25 7.6 34 129 42 159 30 9.1 23 87 33 125 35 10.7 -- -- 22 85 4p 12.2 -- -- 11 42 lock Valve- 38.0 Fl. (tt.6m) 44.0 Ft. (13.4m) 53 io { 40 60 too so ~ tso 240 FIOw PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing Panels available. ~ ate avail~tle and strppt'~ed with • 8ectrical alternates. for duplex systens. err alarm. ° Variable ~ contrd switdles are avalable for controlling single phase ~ybadc vari~e lever fbat switches are ava~le for vari~e lave{ bn9 and short cycle oeitrols• • S Qwilc-B~ avails for oufdoor instaNaiions. See FM1420. • Over 1~°F. (54°C.) spedal ~ ' 1S2t153 Balers a caunoN anoub ee d~ by a i ~ and safdlr codes sh°~ he touwred inctudtn9 ~e tee Natlonal tae Wic Code prl~ and W e OceupaUonat Safeht and tletMb Act IOSHI-} o~ssos i r2 r/a s r/a SELECTION GUIDE 1. ~n9b Pi99Y~ vale level Boat switch rX double piggyback variable level float sw8di. Refet' b FM0477. 2. See Ffrp712 for oomec model of Electrical ANerra4or E-Pak 3. Vaki~te laver control t-10.0225 used as a contra{ar~vaio4 specxy duplex (3) or(4) stoat sysi~n. ~: Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. 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. 4. Once every 3 years the mound is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. Owner agrees to leave the area 15' below mound undisturbed. 8. The owner agrees to save this plan. 9. Trees, shrubs, and other similiar vegetation are not be planted on system. The system is not be driven over. 10. Effluent Quality is not to excede the requirements found in Comm. 83 Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump with out float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, retell soil, install new mound system. 3. Replace any other failing components as needed. Important Phone Numbers Plumber: Shaun Bird 715-246-4516 Pumper: Tom Mondor 715-246-5148 St. Croix County Zoning 715-386-4680 Shaun Bird #226900 8/18/02 t~ Y P '4 PUWTS OWNER'S MANUAL & MANAGEMENT PLAN a$e-~,_ot FILE INFORMATION O~ Peter If. . .~.-~••--... awawu»~ v..vsaa....-,..r.,o... ~. -- Numberofl3edrooms ~ O NA Number of Cottune[dat Utitis Es;l3mafad flora (avutage) (5 Aaw {pear, ( X 1.5) ~ d Sol App~a6orr Rnte ~ Q ... MMtent/Etf>uent Qua6gr Fats ~ & Grease {FOG} S30 ttigR. Bioryierttic~ Oxygen Demand (BODE x220 mglL Total Suspended Solids (TSS} x150 Pret~ed '• ~ Oxygen Demand (CDs} s30 ~- Total Suspended Solids (TSS) s30 mg-L Feral CotiEorm 'mean} 510' du/100rt~ Man3mum Etititent Par6tde S'¢e K inchdiameter uw.~.r~.w~.n~ arwcn~n C avQ~~~ ~acryf=r[~TIANS SepticTaNc Cllr D O NA Septic Tardc Manufai O NA Eta FMec tuiatxrfadttrer ,~ O NA Et'~nt Model ~- O NA Pump•Tank Capacity ~ ^ NA Pump Tank flAartufanttaer' O NA .pinrip Mariutdditrer ^ NA Pump Model -- j O NA Ptment tJitk D SandK3r'8vel Ffller ~ O ~ Aeration O O~ifectioit Nleutufadureir ^ Peat F'Ner O Wetland O Other: ~(s} O In-ground (9ravily) O nt-grade , O ©in-ground (pr+essurtzaed) "Mound O Other: vaM+es typtcw for domessc (nor~oorrKnerdaq vaasnewaoer and *• vain 4rox~ ibr prennea~ea waste ter. ou-.s.s ......-.........~..~... Service Event Service Frequency Inspect oandtti~ of tank(s) At least once every ~ O months year(s) (Maximum 3 yrs.) pump out contents of tank{s} When sktdge and scum equals one-third {Y) of tank volume Inspect cell(s) At [east once every O s) (Maximum 3 yrs.) Clean 8ii~teM ~ At feast once suety O rrwnths s) . inspect pump. purrs controls & alarm At least once every D months years} O NA Flush fads and pressatre test At feast once every O months years) O NA otl~er. At least once every O months O years) O NA tw~er: At least once every O monks O years) O NA MAINTENANCE ~iSTRUCTtONS Inspedtons of tanks and dispersal oeUs shah be made by air ind'ivfduaf r~trrykig one of the fopo~wirrg tio~ises or oertif~blons: Master Plumber. Master Plumber Restricted Sewer. POVYTS inspector: POWTS Nor. Stage Servicng Operalot: Tank ir>spedions must kx~ttde a visuai krspeoDon of the tawniQs) to identify arty missing a broken h~dMr~ue. ident~j/ any acs m' leaks. measure the vohune of txxnt>kted sudge and scum a~ to check fa arty bads up or porxwrg of eflGtent on the ground surface. The dispe~i oe~s) strati be visu:rBy Inspected to d>ecic the eRiuent Levels in fire obsetvaliat pipes and b check for tiny pondurg of efibten# on tfte ground surface. The porxfutg of t on the gt+and surface may indicade a condition and requires the immediate tiotifc:ation of the local reguhaboty authority- When the combined accumulation of sludge and scum in any tank equals one-tiixd (Y~ or more of the tank volume. the ent~e ooritents of the tank shaft be removed by a Septage Servicing Operator and disposed of in accordatroe with ch. NR 113.1Af'isoonstn 1ldministrative Code. - . The servickig of efliuent hers. medianic~ or pressurhed POWTS components. ptetreatpn«it components, and any other ma~berreuioe ~ trionieoring at kiterva~ of 12 months a less shah be pertonned by a oet~ied POWTS Main~ner. A setvic~e shati be provided to the local regulatory authority withkr 10 days of completion of arty service event, START UP ANO OPERATION For new oonstrrsdion. prior to use of the POWTS d,edc treadrrient tanfc(s} for the presence of painting products or other dimr that may impede the treatment process and/or damage the dispersal oeti(s). if iugh ooticentratioris are dew ham d>Ie contents of the tank(s) removed by a septage senvidng operator prior to use. ,~ .. Page of System steel up shah not occur when'sop'eondrtions ace frozen at the ~filtrative surface. ~9 P~ tatriCS ~ fi abowe~ rtom~ highvrater levels. When power is restored the excess wastewaiter wip be ~ b the oeN(s~ ~ ane tares dose, oarerto®idmg the oee(sj and mall resrdt ~ the bar~cup or sea(aoe of efli~ant To avoid @iiS sBiraGon haves the contents of the pump tie rernoared by a - Septaae Sew Operala~ P~~ !t9 Pte' b the ptunp a cooled a PttanbeF a PONYTS bo assist in marw~y oper~ng the pump oocrtrots ~ restore rwnnat levels vii the pump tank.- - Donot driire or'park vetrides arer ian[csand. tpspersai ceps. f3o riot driu+e or park over. or optecwise disdub or compact, the area wit 15 feet down slope of any mound a at~rade sop absixpdon area. . Reduction or=e~riatiort of #te taMotirirtg irons the waistervater stream may improMe tl>fe pertomtartoe and ptdatg tl~e Cde. ~ the POVVi'~ ~ t>e~/w(pes~~cte condoms: cotton t degr+e~e~ denret diapers; ~ ~ 1~Otuidai~on draYtt {stmtp ptartpj wabei; irtrti and vegetable pee! gasapneC : meat rrtecp~iorus; o~ P P Pte: Y .mod water soi6ener 6rtne. At3ANOONMMEt+IT . Wimp the POMVTS andbr is pemmttentht-taken out of service the topowtrtg steps shah 4p talaen to instrne that the system is property and abarrdotied in eorir~ance wMt ch. Comm 83.33. tNriscorrsirt Admitltirtrative Code: • Ail piping b tanks and p#s sha0 be ~OOnneded and tl~e abandoned pipe operdngs seakid. • The contents ~ ant tanks and pits snap be removed and properly disposed of by a Septage Savicktg Operator. • Auer pturtpMg. ail tanks and phs shag tae excavated and removed or their covers removed ~d 81e vgid space tiped with sop, gtannel or ' inert sopd material. CONTMiGENCY PLAN tithe POWi'S taps and ratttiot be repaired the topow~ measures have been. or must be taken, fp provide a code compliant replacement system: ~ A sukabie repiacerrient'at~eai has been evaluated and maybe utipzed foe the location ~ a replacement sop absorption system. The rep{acerr>ent area shook! 6e protected from disanbatnee and compadlon and should not ~ ~ open b'y requir+ed setbacks from existing autd Proposed str~rre, bt Cares and weps. Failure to protect the ~ else wS result in the need for a new soil and site'evaluation to r a suitable replacement area Repiaeemerrt systems must oompy with the rules in ettecx at that time. D A sur~aible r+eplaoerri~it area is rwt available due fA setback and/or sop Gmr'~r'ons. advances in POW7'S technology a holding lards may be k as a last n~ort to replace the failed POWTS. she tms not been evaitr~ed to kientify a she reptacerrrecrt area Upon farltae ~ the POVVTS a soi and site evaluation rrwst be perFocrned to kxabe a suitable ~ area. if no replaaarrrent area is evadable a tank may be inked as a last resort m r+eptaae the failed POWTS. and at-grade SoH a~Orption systems maybe reoon kr pkxe fopowing rernovat of the bkxnnt at the irr~ve surfaw~e. Reoottstrtx~oris ~ such systems must comply with the odes in effect at that time. ccWARNlN©> SEPTIC. PUMP AtdO OTHER TREATMENT TANKS MAY CONTA~! LETHAL QASSES ANOIOR MISUFFIgEN'[' OXYGt~t. DO NOT ENTER A SEPT[C, PUMP OR OTHER TREATMEM TANK UNt)ER ANY CtitCUMSTANCES. 13EATH MAY RESULT. RESCUE OF A PERSON FROM THE MITERIOR OF A TANK MAYBE ptFFICULT OR pIAPOSSiBLE. nonmoNAL coMMt~lrs pnwTS rNSTALI~R Name N ~ ~ / Phc~,e 7/ S- Z~~ - y .~ . SFPTac,E SERViCMiG OPERATOR (PUMPERI rir-wrc uwurrerr~t~ra Name Phmie -.Z1~ "',~ f f ~ nrw~ orr_~rr wTnov wrrrunRlTY jZ9 J X Phone ~'--~ ~ ~-' ~~/ .6 ills doa,meaR vas dratted ty the sus dffie Gtneen lame. Ma~ret0e and Wawa CarMY ZonUg and Sacrhlion apendes. TlAS doder~'t meets the minim repuiremer~Es dch. Coanm 83-?~(bHiX ~ ~-~ti). t21 ~ (3~ N~SOOt~s1n ~e sale, Use attlds doaxr~ does not yn,raudoe Use pettamanae dthe PONVi'S. Gi•AW (?/01j Name ~~ i/Yj Phone , _ ~ _ y- ` . . Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATfON REPORT in nrtnnrH~nnn uAih !`....,.., oc tars aa... n...,.. - - ~ _..._...- ---- Attach complete site plan on paper not less than 8 1!2 x 11 inches in size. Plan must ~nry CC V ~~ ~ D ~ include, but not limited to: vertical and horizontal reference point {BM), direction and Parcel I Q percent slope, state Or dimensions, north arrow, and location and distance to nearest road. . .n O t/Q p ^' 3~ _ Please print all ~nfo+rTnat/on. Re leveed by Date Pereonel information you provide moy be used for secondary purposes (Privacy Law, s. '1504 (i) (m)). ~ Z~ '~ Property Qwner~,., property Location Q` Q,~~-~ Govt. Lot S~ 1/4 ~ /4 S '~ T ~j~ N R s E (o Property Owner's Mailing Address ~ Lot # - Block # -- Subd. Name or CSM# 3 0 ~G.. • ~ a cr,eo City State Zip Code hone Number ^ City ^ Village ,Town Nearest Road ~Q~~. i ~~60~ ( rS)a63-a6 --- i ~~~~.s New Construction Use Residentlal /Number of bedrooms~_____ Cade derived design flow rate _ ^ Replacement // ^ ~ li~ comrr~rcial -Describe: Parent material ~~'`U~i~ Flood Plain elevation if applicable /f' General comments ~ / 8 ~ and recommendations: J~f f ~ t7~ ry ~ ~ ~~~ ~C~ ~ Q 8 u 0 ~~' ~- a ~ Page of f //i - ~+ . sr ~kZ~~1 y~~~ ^ Boring ~ ~ ,1 ~ fJ I Boring # p ~, . pit Ground surface elev. ,~~+f~ ft. Depth to limitng factor ~, Soif'itC'- .*licatlon Rate Horizon Oepth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/fts in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. •E}f#~ •Ef~ ~ -l / .~ .~ ,G G.,l ~- ,. S , a ~- o ~6 ~ ~ ~o,y 6 ~/ ~- ~ .~ ~° Boring # Boring ~- pit Ground surface elev. ~ ft. Depth to limiting factor n. ~~ Soil Appliptlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in, Munsell f]u. Sz. Cont. Color Gr. Sz. Sh. •Eff#t •Eff#2 I ~~ D ~ ~ Z /' nn C.. S ~ ~ ~ ~ ~ / . / ~ a v i ~ g . O 2 yj~ ~O ~++wC+++ rr + = ovuy ~ au < x<u mgiL ana 1 ~5 Hsu < ~ 5t} mg/t. • Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL CST me (Please Pclnt) ~ gnature C T dumber, ~ r-- 6o/~pD Address Date Evaluation Conducted Telephone Number d 1 ~~ , S~t~ I ~-- 7r o ~ / S~oZ ,S ~ ~S/-~ SI31)-R33U f RU7/UU1 • R~ • ' Property Owner ParcellD # Page of ®Boring # Boring pit Ground surface elev. ~ ft. Depth to limiting factor in. II So plicatlon Rate Horizon Depth Domtnant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ In. Mansell Qu. Sz. Cont. Cdor Gr. Sz. Sh. •Eff#7 'Eff#2 ~ Z G s w.-.- , S , r 1 /V Q 1 J ~ .~ > / i~i 3 ~ ~ f~~ - ~/, . ~" S .~ 6 Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil A Ilptlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. •EH#1 •Eff#2 ^ Boring # ^ Boring ^ Plt Ground surface elev. ft. Depth to limiting factor in. Shc lioation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dfftz in. Mansell Qu. Sz, Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 * Effluent #1 = BpDs > 30 < 220 mglL and TSS >30 < i50 mg/L * Effluent #2 ®BOD6 < 30 mglL and TSS < 30 mglL The Department ofCommerce 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 608-26b-3151 or TTY 608-2b4-8777. sno•s~~o trt.a~roni r. . ~' ~ Soil Test Plot Plan Project Name Jaime Nestrud Shau Address 2843 230th Ave Clear Lake Wi 54005 Lot ----- Subdivision ------- SE 1/4SW1/4S4 T31 15 CS #226900 Date 7/7/01 N/R W Township Forest Boring 0 Well PL Property Line County St. Croix BM or VRP Assume Elevation 100 ft. Top of 2" Pipe System Elevation 100.7 *HRpSame as Benchmark Alt. BM Top of 2" Pipe @ 99.8' ,' SEPTIC TANK CS AG12~BMBt~E'1' AND O~VNBRSI~' C~R1'Il~ICAITON Ft)RM cv~catian ~ ~ ssl ~ ~ ~ Parcel Identification Number ~ R[~AT ~ESCRIPIZON Location .i/~ Y.,~~ Ya, Sec. . T~N-R~W, Town of / Ur ~~ Y r- Subdivision -'-' .Lot # tamed Snrve~- Map # ""'"-- .Volume .Page # Warranty Deed # ~O s 3 3gZ .Volume ~ ~`~ - # ~~ ~ ye~r~no Lot lines ideutifiabrl~ yes ^ no In~raFex ~e and msioteasnoeof yoar septdc sys~emcaaid rrsattia its pie faibo~e tQ haedGawas6es. F:opera caosists ~p~ing out the septic teat oaeay flu+ea ~ oc soaosy if needodby a mod pares What yos p~ iuto the system am affect ibe of the tank as a he~R stage m the waste d~osal system. ««~««« Any information that is mient+ed may rebvit in the sanitary pexmit boars ~'~-~ by ~ # QWNER CERTII~CATION I (we) ~y that all on this farm are tcna m ~e best of my (ate lauoivrlodge. I (we) am (a=e) '~° ovvncr(s~ ~ tha above, by virtue of a warty deed rooordodm R of Deeds Office. /~o / ~ ~ SI OF PLICANT DAZE *a Indn~de vriW ffiis ap~ptieaHon: a ~amptd vvat<anty deed fm~n ffi,a Registar of Deeds office s coQy of the carti5od sarvey map if raf~a is mach is the wat~ey deed ' ~~-~-Z n~-r_ ~~~ ~_ ~~, '1t'!..~UJuPAGE Q80 STATE BAR OF WISCONSM FORM 2.1999 653382 Document Number WARRANTY DEED KR'I'HLEEN H. WALSH kEGISTEk OF DEEDS ST. CkGIX CG., WI This Deed, made between Jamie D. Nestrud and Christine M. kECEIVED FOR RECORD Nestrud, husband and wife 08-09-2001 10:00 AM WAkRANTY DEED Grantor, and John Ketzner and Tamara Althoff EXEMPT k CEkT COPY FEE: COPY FEE: TRANSFEk FEE: 210.00 kECORDIHG FEE; 10.00 Grantee. PAGES: 1 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): Recording Area A~ ~^ The SE'/. of SW '/. of Section 4-31-15 EXCEPT the North 25 feet of West ~~~~ ps 1rlcCormack 25 feet thereof SAW OFFICE 1020 i0th Avenue BaidLVin, WI 54002 0141008-30 Parcel Identification Number (PIN) This is not homestead property. QI) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, i`any. Dated this 3 ~~' day of July , 2001 v AUTHENTICATION Signature(s) authenticated this day of , TITLE: MEMBER STATE BAR OF WISCONSIN to me known,fY'b~ (If not, instrumenta A authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY •. Attorney Krishna Ogland Notary Public, Slat Hudson, WI 54016 My Commission is (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. WARRANTI' DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 ACKNOWLEDGMENT STATE OF WISCONSIN ) ~.t t ) ss. 7r CNDIY County ) Personally came before me this .3 [1 `N` day of July 2001 the above named Jamie D. Nestrud and Christine M. Nestrud, husband and wife ~"..,~ + mie D. Nestrud may, Orl- ChristintNl. Nestrud executed the foregoing io rate expiration date: ,~ ~D 3•) Proreasianals Company, Fontl du Lx, VN 600655.2021