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018-1086-23-000
n y Q ', ~ 'fl n O y j D E 7 c 3 f d 0 n < ' .C ~ ~ ~ ~ , '6 N ~ ~ ~• cp ~ 3 = ' '' 3 ^t ,~ # (/7 C7 ~~ y (D (D to O A CA ~ .G = 01 N O O ' S W ~ G G r 7 7 N W ~ ~ (D~ ~ ~ N~ CO ~ ~ N C ~ G~ ~ O O V 000 ~ ~ _ ~ ~ "«v' 67 N tP O ' ~ Q ~ 0 O 0~ t`z O C tG N N CD C C n ~ ; O c,0 W O V~ O C ' ~ O I 7 fB u, m . a ~ c m ~ o ~ 0 ~ O O ~ ~ Z o N N o co N N = D G Z O~ p p ' Ul O C .LZ 2 N ~ '•' 6 , ~ ~ •. ~ I o ~ N N y a ' ~ ' ~ ~ w~ c , ~ m~ ~ ~ O A !, i ~ 3 °' ~, m ~ ~ y Z z D D o n ~ ~ ~ ~ c Q ~ ~ ~ T Q N p ~ O O ~I ~p o C (D ~ '~. ~ 00 N O m ~ ~i m in N ~_ y C ' -~ ', A -i ~ 2 cp ~ ~ ~ (/1 ~ J _ 'A K ao m ~ ~ a ~I z o ~ ~ 3 -o o ~ o ~ ' '6 . ~ I ~' N ? O W ~ C ¢ G ', O O I 7~ m ~ ~ A ~7 (Q ~ ! Z J , ~ CC < ~ l VI Z i I ~ W ~~ ~ A I ~ ~ n ~ N (D Co ~ 0 f 0 ~ N a '~ I N ~ 3 0 0 a CC ~ ~ U7 n ' S ~ O O G -- ~ (/~ `G 7 N ~ d ~ O ~ C (D I _ ~ N Yv , m , _ O A (D N. ~" O N O a i N c -o n~ ~ v ~. ~ m m aw I Q •ti~ Qr' ' y ~~ a~ I m o o q~ ~ ~ m ~ °- N ~ ~. ~ fD 7 O ~ O N N cn ~ ~ p, m x , o ~ p o z , ~ o ~~; ~ ~o~~ ~.~~1V~ u~~r~wuwc ~ zot~u~~ January 27, 2009 LaSalle Bank National Association 800 Hwy 121 Bypass Lewisville, TX 75067 Re: Property located in Section 20, T29N R17W, Town of Hammond, Parcel # 20.29.17.643, computer # 018-1086-23-000, further described as 1617 86tH Code Admfnzstratton Avenue, Hammond, W1 54015 715-386-4680 To Whom It May Concern: Land Information ~ Planning 715-386-4674 The St. Croix County Planning and Zoning Department has received several concerns on the property referenced above regarding junk vehicles in the front yard real Property as well as unusual activity from the inhabitants. Typically, all zoning concerns or 715-386-4677 violations are taken up with the property owner. Violations on properties that are owned by financial institutions usually don't remain for long, as they are resolved Recycling through the foreclosure process. This property seems to have been owned by 715-386-4675 LaSalle Bank for a significant amount of time and the concerns have been consistent for more than (6) six months. This letter is to inform you that there are currently residents inhabiting the property referenced above (incase you were unaware) who possess several junk vehicles which may be in violation of the St. Croix County Zoning Ordinance. Please contact me within (10) ten days of receiving this letter in order to abate these concerns. Specifically, I would like to know the status of the property. I can be reached at (715) 386-4683 (8:00 A.M. to 5:00 P.M. weekdays) or by email at daniels(a~co.saint-croix.wi.us. We appreciate your cooperation. Respectfully, Dan Sitz Zoning Technician /ds Cc: Town of Hammond File ST.CROIX COUNTY GOVERNMENT CENTER 1 101 CARM/CHAFE ROAD. HUDSON, WI 54016 715-386-4686 FAx Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division I`~lSPECTION REPORT QEIVERAL INFORMATION ~ (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township M rlie, Jud Hammond Townshi CST BM Elev: f Insp. BM Elev: ~ BM Description: S - ~ ~r ~.o ~.o .. ST t~~ SW I ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic C,,, 6-t S G--fL ) °~ Dosing 1 ` [ I Aeration ~ ~~ 3 w~,,,, -_~ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic r \/ t Dosing N ~~ tt ~ 4 / Aeration Holding PUMP/SIPHON INFORMATION ~ Manufacturer Demand ~a~%~-~_ GPM Model Number ~-' I SZ TDH Lift Friction Loss System Head TDH Ft Forcemain Length r ia. Dist. to well 11~ µ Z SOIL ABSORPTION SYSTEM ~,s' x )ate' BED/TRENCH Width Leng No. tSf~r DIMENSIONS ELEVATION DATA county: St. Croix Sanitary Permit No: 453350 0 S ate Pla No: . A Parcel Tax No: 018-1086-23-000 SectionlTown/Range/Map No: 20.29.17.643 STATION BS HI FS ELEV. Benchmark ~•S'a r Iv3~~r ~~.p r Alt. BM ~~(. ~i ~ -99' Bldg. Sewer 1 ~-~fo +' $3 ~ 8~ SUHt Inlet ~~•6o S3• ~~' St/Ht Outlet Dt Inlet Dt Bottom g,, ~ } ~ ~ I o ~\ ~ J ~ 9 •g1 ~ . 3 9 r Header/Man. Z-a,~ Z3 Dist. Pipe Z- a 9 ~ ,` 2. o S 2 , o R~: Z3 Bot. System 2 , 2 9~ ,~~ Final rade ~~ w~ (~ lo•e 4.$~ Z f ` CAtrQr 1 __ ~ {~ ` St Cover a ~ o v ad,~ ~~~~n 6'~2' /~•'Sg R~~ 1 D,28 ~l~.o' ~" ~~ 9 ~ Qo . 6 I Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHtNG anufacturer. INFORMATION Type Of System: / CHAM M /) ^.,'Z ..L' O i T Model Number. D1STRiBUTION SYSTEM (Ls .~, r+.clc_ ~s><f L HeaderlManifold Distribution x Hole Si Hole Spacing Vent to Air Intake ~~ Pipe(s) ! l/ ~- z l5 rI 2 Length Dia Length Dia Spacing / SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade~S`vstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil Yes [~ No J Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:.A~uCd. Imo` Y~ Location: 1617 86TH Ave UnknoL~w,,n~~(SW 11/4 ~N,~W 1/4 20 T29N R17W) Hammond Oaks Lot 23 C~~W 5~~ 1.) Alt BM Description =~~ ~'~"""`~~,8"'r"'`~~e'"`' 6"'~ ~• ~'~'~'• 2.) Bldg sewer length = ~ $/ - amount of cover = c~z r+ 3.) Contour = ~~ ~.~~~Y~s ~~ x - lan evision Required? No Use other side for additions ' ation.n ~__ _ SBD-6710 (R.3/97) ~ „V/~ Date Insepctors Signature ~ ~ TS ~ u t'nD, .wOCu.~ ~ ~ ae S „~O t`K" ' okra Inspection #2:~61fx{ 20 /Z~ Parcel No 20.29.1 .64~ i Cert. No. ----. - ~ 201 W. Washington Ave., P.O. Box 7162 - i~con~s~n Maai~ wl 53707-7162 (60 66-3151 De artment of Commerce Sanitary Permit Applic a In accord with Comm 83.21, Wis. Adm. Code, persoral inf ~ vim may be used for secondary purposes Privacy Law, s15.04(I V pplicationlnformation-PleasePrintAlllaforatation ~ECE~ ~ NOV ~. 1 ?004 1~_ sr.cKu.~cou~ir~~ i ~-~ IBS/ State Plan LD. Num s ~ Sim tp. s 8 0 9 6$ 3 7S l Project Address (if di t 'ling address) Parcel # Lot # Block # [!~, ~ ~ ~47 y., ~~., section o~ G _(circlo T N; R E r 1IL Type f Building (check ill that apply) ~/ ~j '^ti~ Subdivision Name /J CSM Nt ^ 1 or 2 Family Dwelling - Number of Bodrooms ~»4/l!?O~ ,(/©~ ^ Pub(icl~Commetcial -Describe Use ~ v ^City ^Yillag~Cownship of ^ State Owrred -Describe Use III. Type of Permit: (Check only one 60: oa liae A. Compl line B if applicable) (~ f ~ ~ • A, t Only ^ Other Modification to Existing System ^ New System ~ Reptaoemrnt Systun ^ TreagtttxtdHolding Tank Replaoemen List Previous Permit Number and Date Iss B. ^ Permit R Permit Revision ^ Chenge of ^ Permit Transfer to New _ Before Expiration Plumber Owner -i~ L~~7J ~ J(y,~ Zc iV. T of POWTS S em: Check all that a ^ Non -Pressuriaod_In-Ground ^ Mound > 24 is of suitable soil ~ound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ ConsOruded Wetland ^ Pressurized In~'irotrnd ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sard Filter ^ Recirrrlatine Svnthe6c Modia Filter ^ Leaching Chamber ^ Dftp Line ^ Grpyd-less Pipe ^ Other (explain) „ e~~ u~~~-nr'"'I ;- n ~ i~ n~i •u iarw i Flow (gpd) St- Design Soil Appl' n Ra f) Dtsptxsal Arta Roqutrea tsrl V uNu xu ..•w ..-r---- ~--• -- Q~ • CJ~ J 7 ~Sc~ 2 (• ~ a~~ o ,~~sn l Fib Pl Tank Info , Capacity in Total Number Manufacturer Prefab Site Concrote Constnicted er as Stee Glass Gallons Gallons of Units Septic or Fioldi~. Tank ~ JOmt~ W f ~'«t Aerobic T~meM Unit Dosing Clamber y. OG7 ~~t lLS`L~''' YII. Responsibility Statement- i, the nndecsigned, assume respoa Ittstallatloa of the POWTS shower oa the attached plans. Plumber's Name (Print) Plumber' i lure P/MPRS Number Business Phone Number e a ~ y~S - a 3S -/ ~~- A oved ^ D'sapprovo ' ~ ~~~~~~ PPr Surcharge Fce) ^ Owner wen Reaso Denial I~. Conditions of ApprovsUReasons for Disapproval SYSTEM OWNER: 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. SBD-6398 (R. Ol/03) LIWLi v.v...........-. - C ,~ ~ N !l 2cm ~)~ g. 2;t-r~~ v~.6..tt-,d`-tNU.o c~~-~-CX~ 9.~ o~ t ~~ U t ~ ~ ~1 ~ e tyttan sa pspn vot tea au~ a~tl/~2~:~1,(1~Ine6a is sift _ ~ . • ,, ~}- `1'jo ~7l ~ ~7~O7u~^",ut' Wt.Q.U~.. (.)Cl ) ~ ~"~-~C, ~1 ~ ~,.,~ a `~ x 1121 ~ ~ N 5?~~. z~, ,a' I ~ .I' l ,' ~ .~ / i x ~, r i k t ~ ~~ ~ ~ ~ ev-o ' b vo c.o _~ 5.,.,t~ ~ ~5. ~~' J ,~ _ 3n, {` ~. r) 5 ~. _. ,... _ .... _.............._ r • . _ r, ,•, commerce.wi.gov s •^ ^ isconsin Department of Commerce RECEIVED NpV 1 1 2004 s-r. c~,oix cour~T~ ZONING OFFICE Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.gov/sb! www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary ~~~~~ November 09, 2004 f CUST ID No.225094 ATTN: POWTS Inspector ZONING OFFICE MICHAEL P ROGERS ST CROIX COUNTY SPIA E4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/09/2006 Identification.. Numbers Transaction ID No. 1079788 SITE: Site ID No. 683751 Orlin & Judy Myrlie Please refer to both identification numbers, 86TH Ave above, in all corres ondence with the a enc . Town of Hammond St Croix County SW1/4, NW1/4, 520, T29N, R17W Lot: 23, Subdivision: Hammond Oaks FOR: Description: Proposed Three Bedroom Mound Sys em -Revision Object Type: POWTS Component Manual Regula a ec No.: 958853 Maintenance required; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/Ol) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were previously approved on May 24, 2004 under Transaction ID No. 1002320. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for POWTS -Version 2.0" SBD-10691-P(N.O1/O1) and the pressure network is to be constructed in accordance with publication SBD-10706-P(NO1/O1) "Pressure Distribution Component Manual for POWTS -Version 2.0". • 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. S, C ndi~T. ~ n,: l_°nally MICHAEL P ROGERS Page 2 11/9/2004 • Comm 83 22(71- A copy of the approvedplans 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: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above le8 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 jswim@commerce.state.wi.us Fee Required $ 75.00 Fee Received $ 75.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing b . 4 Orlin & Judy Myrlie -Mound Revision to Transaction # 1002320 ~~~ No F/y~ ~~~ ~~4 ~~D~s Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (01 /01) Location: Lot 23, Hammond Oaks SW '/4 , NW '/a, Sec. 20, T 29 N, R 17 W Town: Hammond County: St. Croix Date: November 8, 2004 Owner: Orlin & Judy Myrlie Address: 3621 Ashbury Road Eagan, MN 55122 Plumber: Mike Ro Signature: License : MP 225094 Attachments: SBD-10577 -Plan Approval Application SBD-8330 -Soil Evaluation Report see previous application Page 1: cover 2: design criteria & calculations 3: plot plan - • ~ `~'v 4: system cross section DEPARTMENT OF COMMERCE IVISIDN OF SAFETY AND BUILDINGS 5: plan view, lateral detail ` 6: pump tank exit detail 7: pump curve SEE CORRE ONDENCE 8: system management page 1 of 8 I '~ ,fi r Design Criteria ~L~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mglL Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroomlday x 1.5 ~~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length ~ ~ Manifold header length 1~ ~ Drain-back ~ ~~~`~ Lateral length ~ @ ~ ~ o Lateral elevation ~ ~~q3 Lateral hole size ~~~- in. @ ~ ° ~ ~ ~~ holes/lateral Lateral volume ~~'-Q 3 Total lateral discharge rate x.4-,3 Network pressure compensation losses ~ ~ ° ~ Elevation difference 1 ~ ;S 3 Friction loss l,Z I Total dynamic head ~3~~-°I - Pump/s'l~hon ~~" gpm @ ~ Manufacturer ~ ~ ~~1~ Dose volume ~ ~3-`~ l Lift/si~on tank ~-'" ~ ~~ ` ~ - ~~ ~-o~-~o ~, ~, Septic tank ~, Effluent filter ~~-~ '~ - ~ ~'O Measurement pump on and off ~ ~ 2 Height alarm from tank bottom 1~. Z Reserve capacity 3 ~5. \ specs.calcs.res Design Calculations ~ ~~-°1 gallons/sq. ft. per day ~~ Z~ in. ~~ Z to in. t'~ ft. of ~ in. ft. of - in. gallons ft. of ~ in. ft. @ bottom of lateral in. ( 2~~) ft.) Spacing holes total gallons gallons/minute @ ~•~ ft. head ft. ft. ~ ft. @ ~S gallons/minute ft. ft. of head Model # ~ `'~ ~ ~ Z- gallons ~~''° gallons ~ °~'n gallons m. in. gallons Page Z of ~ r .:._._..~..,~,,....,,.~.._.. , ~..._........... . ~3 ~~. Z `~ I z y ~t( T Eq C 4 I i ~ o-csb -lo cro C..e ,~~.,~ S-~..t~ Cy~s ~i, ~,'~! r^ ~~ ' P' ~ L ` ~ ,~ ~~. -~~ /~ '~'-1 '. ~ 3 0~ ~ ~a~~ ~~~ -~Y'1.rdl~ 1 L~~.~~ ,, -- ~ ~ ~ ,~-. . v. • J. ~ S.~t-~M '~ VSO Q's ~ S ~Q. '}-~ ~~ ~ ~ . ~~ ., 3 r oe. \~ ~ e.~ 0. ~~re q, a.~ t ~' ~os10..,. ~ Z ~, -`^' ~JG tN ~ 11 ~ , q ~-~4-b ~ ~ ` t1tir.~ \ to o,p t ~ 1 c9,g3 01~q ~ ~-~3 w.a~ ~ h 1 b i~`oco:1 s«SZ ~ a. e 2 ' ' ,~- ,~,~_ L~, S ~ , o ` ,z ' ~, ~' g' .. __ o N o~~; . v ee.~ ~a~ \o~l ~ o.S7 3~ T _.~ o ~ _~ I Z.S~ ~,o, ~. Z ~ ~_ 4.0' ~~g, q. i9 __~c_ G,~-` - -~ ~,~-' E- 1~z.~ ~ \31~~' O n ~. Pvc CrA ~ ~ ~ o ~o L Q.y v .~. ~4-~ a M tea-` L L ~~. N dbl.', ~ 0.7 OJV` WX' ~Q.M ~w+: ~-.~S \ ~ ZJ 1 S h O w. a.~ O i 2" ~„~ i~~ /~ 4~ `.,~~Y..Q ~o~o~ o~ ~o~~ ~~ r o ~. K 1..~ 2" r ~~ v c s ~~• ~= -y-ovet ~-e,:, -. , ~ .- / ~.s ~ r ~.5~ I I 2. ~~ l 11 1, ~(o , o ` l (' l (~ TwYh yll yv\\~~~ 1]w-~(~~j ~+~~~wOr.1aQ (b M'v1N,Q 'h1 is ww\ ~.10~4 2` ~' 7v~Y `C. ~'V+f/~ ,','Y VN`V!. M~GM`~'S OV K~M\~Y.~ J 1 ~ S N 1\ • i' J Z ~ o \ L'~ d h 1 n.. T Q.1r GA..h QM b O 4 , C ~M 1 . w ~ ~ ~ ~ ~ s o~ g rn~ _ z" Crr~-C , ~~~ &1a~ ~--~ PIPE 3' no NDISTuA6E0 Soles i~.t r a~uovi0. S~(ET 3bM'J V P t11: w.Ec.TiOKS ~ CIPv. I I: ~ c~ ~Q, ~ SEPTIC f OOSC . ~ ~ L_k,-~ 1ST>~~II.... LO.CKING~GOV6R ^-~ ~[/A~N /NG .(~BE~C . QUICK OI~~-1VLGT~--1 24 `' I.D. Mq)IUOIFS .. > 4'~ Foa~~ h-l.a,~., WEA'fNERPRt~JF ~,TLNCTtOH L~~wCiO ~_ gA~FLEr 1 AL 4 Z~ `~- `"yc 1~1.~ `o ,Q Q~ -t\ O`C~ ~ ON - I CI l+ \ T~v : h O w'Y~a.~ 10.2" ~ ~rr Oi•F PwlP 0 4 ,r -- 1 Cb~oCK G IL,~}b ~1,... _ SPECIFI~CATIOt\.1S l.~ - o.,~ ems,, ~ S~ ill~' o „t G" 4 0 ~ v~.~,31 - -~ -_ -~' /. ~ /a, ~C ~~ 40 3' ow- c 4-~LL.'ua.~ T~-.~~.5 MA-JUFAGTUiICR: r IJUMDCR OF DObCS: PCft p..~ TA1,1K 512 C ; 1 ~° ~ ~~'° GAI.LOAJ S • .OOSC VOLUME 1 ~ `03 S ~ ~?~ ~c.~~ A~ARr'1 ~IN~UFACTUiICR; ~ ' ' IIJCLUOIW6 bACKf1.OW; ~~..JtiS /hOOC1, -~uv4eCR~ '\~~ ~'}~'`' CAPACITIES; A. 1~'$ IuCHCSOK 3\~~~ ;,f, _C,: ~wITCM TyP[: ~~~`` "'~~' _ ge Z luCNl:s oa 35'sZ • ~~~~. ~uMP r1AAJUFACTURCR: Ga~.:...: 1,03.41 MO pEL f`JUMDCR: D^ 9 INCHES GR 1~~$¢ ;,~,_~.__ ~wITCN T»PC. ~~~~ `~' IJ01'E; PUMP A-JD ALARl1 ARC TO DC r'11-JIMUM OISCH11RGr` RATE ~~'~ GPM INST/11LE0 Ou SEP~R~TC CltcC.. '~ VCRT~C^L DIFFCRCAJCC DCTWCCU PU!"1P Oif AUO DISTRISUTIOIJ PIPC.,1~S3 FELT + MIuIMUM -JETWORK SUPPI.y PRCtLURE .. 3'~ FCCT 1\`O S, ~ ~ ~ + ~ FCET OF FORCC r'''1AlIJ X I'~~ f/ too-LFRICTIOU FACTOR. IrZ` FECT ~ ZS , _ ~~ ~ `~ TOTAL Oy1JAMIC. HERO = 3_.:2~ FE.ET IIJTERIJAL. OIMCt`16t0AJC •Or TAIJK: l.E1Jf.TH I_.~ ,~ ,;~/;DTN ~g't ~LIQUIC) DCPTH 3~ t'q~.~ 6 ~ a g I ~ _ r_r . wa.n r nrw vcvin 1 CRt1V~V` 12 ~ 35 _ ~~ t~ ~ ~ MODEL 151 152 153 Feat Meters Gal. Liters Gal. Ulere Gal. Were 5 1.5 50 189 89 281 777 poi ., ., • . System Management -Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235- 1132, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION . Owner v d8 ~ ~ Permit # ~ ~ ; ; _. DESIGN P TERS Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial Units NA Estimated flow (average)* ppgal/day Design flow. (peak), estimated x 1.5* al/day Soil Application Rate gaUday Influent/Eflluent Quality (NA^) Monthly Average** Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) ~ 220 mg/L _< 250 mg/L Pretreated Effluent Quality ^ Monthly Average*** Biochemical Oxygen Demand (BODs) < 30 mg/L Total Suspended Solids (TSS) Fecal Coliform (geometric mean) S 30 mg/L <10+cfu/100m1 Maximum Effluent Particle Size 1/8 inch diameter * Wastewater Flow Verification on and calculations: (Other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank effluent. ***Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer (,J j ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model ~ ^ NA Pump Tank Capacity gal ^ NA Pump Tank Manufacturer ~ ~ ^ NA Pump Manufacturer ~ ^ NA Pump Model j ^ NA Pretreatment Unit p, ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) - d (pressurized) ^ At-grade Mound ^ Drip-line ^ Other: ^ Leaching Chamber Manufacturer _ Model Approval on Soil Application Rate Area Req. Absorption Area t per fl Minimum N er of Chambers ^ Aggregate Design Rate= min Materials: all mate ' must co WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ ."Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD -10570-P (8.6/99) "At Grade Component Manual Using Pressure Distribution" ^ 5BD -10567 P (8.6/99) "In Ground Absorption Component Manual" ^SBD -10705-P (N.O1101) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ^ SBD -10572 P (8..6/99) "Mound Component Manual" SBD - 10691 P (N.O1/Ol) "Mound Component Manual" Version 2.0 ^ SBD - 10595-P (8.6199) "single Pass SaLd Filter Component Manual" ^ .SBD - 10657 P (8.6/99) "Drip-line Effluent Disposal Component Manual" ^ SBD - 10573 P (R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O1J01) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ^ months year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-thud (1/3) of tank volume Inspect dispersal cell(s) At least once every ^ months year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ^ months year(s) Inspect pump, pump controls & alarm At least once every 3 ^ months year(s) ^ NA Flush laterals and pressure test At least once every ^ months year(s) ^ NA Valves At least once every ^ months ^ year(s) A Other: At least once every ^ months ^ year(s) NA Page of v ' z~S.JCi..L ll ]~} l cu- uew cox~strtxcton, prior to use of the 1?OWTS check treatment tank(s) for the presence of painting products or other chemicals that n;ay unpede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the :(s) removed by a septage servicing operator prior,to use. ~ysesu start up shall not occur when soil conditions aze frozen at the infiltrative surface. ~~'~ltAT1[17IY '~3s~ property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity Budd quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water s~fteuers, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface wncnever possible.. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a gazbage disposal should be minimized. Toilet tissue is the only Paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins cvudums, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disrxfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Vxaiutaia7 a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Cou~paction of snow over the dispersal unit may cause it to freeze up. Valves Valves shall be operated in the following manner: ,Alarms // '"'Alarms. should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. IN.t'ECTI4NS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective .locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (i/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NRI 13, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions aze to be made to retain solids in the tank. Filter cleaning maybe necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chatnber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Atiy service needs or repairs shall be promptly taken caze of. C7 In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any dischazge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of (t~'ivound, At-Grade, In-Ground Pressure ~C/ ~e i~pe~an shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75°!0 of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at teast once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. 1~~'ORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the PO'WTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly atcd safely abandoned incompliance with Ch. COMM 83.33, WisconsinAdministrative 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 removeci or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGEI^ICY PLAN Tfthe POWTS fails and cannot be repairer the following measures have been, or must be taken, to provide a code compliant replacement systew: ^ A suitable replacement area has been evaluated aad may be utilized for the location of a replacement soil absorption system. The replacemment 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 far. a new Soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new sail and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. C3 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holsliug tank maybe installed as a lastresort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation mush b®performed to locate a suitable replacement area. If no replacement area is available a holding tank maybe installed as a last-resort to replace the failed POWTS. ~{y 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. «`~ATtNIlYG>~ SEPTIC, PUMP AND :OTHER TREATMI~NT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXXGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY C11tCUMSTANCES. bEATIi 1VIAY RF~ULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IlVII'C3SSIBLE. ADDITIONAL COM11 ~ TS 1+Iatne UKllc~'~cWC~(~~ `- Phone r,`, 23 S. l13 Z SEFTA E:5~RYICING OPE :-Phone.. `O W-v~AC S C~iuB c ~ 2. ; K:IWFAATA\EHIPOWTS OWNER'S MANUAL.doc POWTS MAINTAINER W Name ~ Phone LOCAL REGULATORY AUTHORITY Agency ~--_ C20( -C"'i' u/,U Phone Page of r, . Y. Private On-Site Wastewater Treatment System (POWYS) Indez and Title Sheet Owner: S,,) QS 61x1 ~~,td---1~~~1 ~ Project Name and System Type: ~ b~rab~ry~ ~Yl b c~N Location: ~{~~ 1~=~" # n(..7 ~'(~~r~ry~,b~,~ ((~ Street Address Le~~ cesD ripixon ~ c _~~a~ csY! ~ ~ y~ . ~a i SC. Township/County Contents: Page 1: ~ ~(.l,~V4 i ~~ ~ ~C~t~ YVt t -~" ,l~1-lam p (t C o~ }_..~~ Page 2: C t~~J l ~ ~h~J~-~-V'S I V~.(k'~~--r J Vl pv~ -~ Page 3: Page 4: Page 5: y~~ ~ i C ~ ~ ~,QJY1~ fi~ 4w'S Page 6: ~C~r~~ ~~ (,~ Page 7: ~~.~ Page 8: ~Q~ ~' ~-- ~. ~~ k `~ ~~ ~~ Page 9: ~~_ CA~x. d~- P (~ 1~1~~. ~ Q~vtis Attachments: ~('~ ~ ~ 1~-v~ ~~~-~ Plumber/Designer: Credential Number: ,~~.~ ~ q ~}' Date: (~ ~ 1 `j 1~ • .~.. . ~. ~ - --- - --- j - i l t ~! ~`` ~ ------- i -- - - _ _I ,~ -~\ ~_ _ .o i ~~ ~. 1 -= -r--~- ------T~ ~ ~ ~ I ~ ~~ 1~ ~ ~~ ~, i ~ -~_ II, ~~~ ~__ - ~~---- _ < ~ 1 I !`~ ,` ., ~ ~ ~.~ AIL ~_._,~ ~ ~' ~ ~~ It ~{ ~~ T r ~. ~ `~ ~=~ ~ ~\ i ~ i. ri ~ ~ ~ ~_ _ ' i ~ Q ~ Imo: I ~ --~ _l ~ ~ ~ ~, n `~i T ; ..~ ~~ "~ ` ~ ; s }!-- ', 1 ~~, ~_ ;-__ - v ~ ~=l J, k I _ ~ -- -~- ~ x --- 7 < ` ___ ~~7;'; ; ~ i.- fF ~ ~ .' i /~ j ~ - i > ~ ~ I t s ~ ~t _ i I t~ I ~ ~ i '~' ----------------- - i ~ .~ r~ '~ I ~ 5~ __ _ __ ,~ '9 J ~; r~ I ~ -, , -y~ _ __ - _ ` _ ___.. .__ -_-- -- - - --_ - _ r _ --- - - --- ~ =- ~ ~ ~ ~ f~ - _-__ ~ ~~~ ~ i ii i ~~ ~ i ~ ~ 's I~ ' f~ i, i I ~ 1 ! I ~ / i i ~.; ~ {..i ~ ~ 'f ' a ~ ~ ~ I ~ ~> ' (~ 1 ~ ~ ; ~~ ,+/ ~ ~ 1 ~ j f , I j { ; I ~ ~ i i i j ~ ~ is ~ n ~ . U ~ ~ ~~ -.III 1 -~ ~ ° w a, `'~ j ~ ~ ~ ~ i I J i i i '~ ~ I s: i k ~ I -' 1 >~ ~ 1 i ~ ,-r._ ~~~ ~~ '~ O ' ~~ ~ ~ I ~ y ~ ~ I i ~.___-._ ~. ~ ~ I I f I ~ I ~ ~ I - - __ . _ _ _ ' I I ~~ {~\ I f '~ ~'~ "'~1 r ~ ~'l~i ~ l I r `~ r ~j v _ ~ ~ ~ ~~ _ ~. ~~ I ~ ~ I ~-------- -------- -- .+ 1 j a I - ____ -- ------ x ~--i ~~ ~; j I ;, ~ 1 - ,,. ~ i ~._.. ~? _~ ~ ~~ ±~ j' ~i! f ''~i ~, ~ ---- -- ~ ((~-- - -_ - --- -- ___ _ -- - -. --- -- __ -_ --_ _~ i ..._ _~.____- ~-~ 1 I ~ i E ~t ~ ~ ~~ ~ r J ~ -1 ~ ~ rt J. ~ `° ~~ i_°II r7 ~, ~_; __-- _. ~~I -~. 4 ~., I° . ~ a 3 ~ -~- ~ v i - c. }~ _~ _ _-_ -'-~-t~.; _ ' I --_ I ~ I _ ~ f f r ~ ~ ! I _ ~\ i 1 _ ~I ~+ , I` '; ~~~ i it i!' i ~+~_-i' ~r ~ ~ ~ ;, `~ ~ , :_, ;~ il, ; -= ~~ ~ ~•~ t~ktc~~~: cu~r~~ ~tECEiVE[~ SL'PT1C Ttild:i~ M.>~.LN'l'LN~.NC~ ,~GR~,~Ivt~NI' owZ.l~c~,~~~ c~:r~~N~k ~cA.z,zoN ~ox~~2 JAN 2 ~ 2004 ~, ...,4~:;~1{. ~.~ ~ r (~ n ~' lJ~~lj ~ ~ ~ ~r_crzolxcou~~~ .: _~~:}~?l L'y' ='~I~.G~lC1r~i ~_ L~.~V~ r~ J ~ J~~~ (~r'ctiflCUtlUlt squired $oCn Plaar,.igc;~ Dcpuc-uncnt iar new aun.strcu,rion) ~`_s~y s~z+.tc ,~YL~Y~i~1F>c, ~ N~rccl Id.cntiiic3tion Number ~ ~j " 1 O ~~Q ~ a'~- _ -4;/crtyLUG:ta1'1~11 ~(~ •/:, ~~ 1/~, S'ec. ~U , 'L'..'v3~i~l-1~~_~h', 'Lov,~n of ~,,~1wtM6Y~ ~_ll~t'LY~1$J.OxL ~~i..~~M LaJ.~4.1LY_.1,L5~4~ 1~OL # ~. ~~riilr~ud aitr~rn~+ l~•LltQ # V~ltun~ -_ _. ra to ~ -~-_- ~~;r;~~~at~i,~ ~tr~a ~ ~S~ /~ \~ululn2 -`~ 5---~ Pa~~ # ~ ~' ~'~s~~ ]1rJl~i~ U yea Q nt~ Lur liCics id~ntiliable ^ yas C~ llv 1~falprpp~arvyt u~nd 7us~tenance of yoox septic systcsn~ could rwl~lr iu irs ptenzature failure ro ha.p,dle vt+astcs, k'ropor meu;, ~ :.._:.~~ ,.: ~:au5ism +~~u~Aiag oU~ 1}ia septic trtttk arrrry three years or soaatr, li needod by a Licaased pumper. What you put into ~;: >; c:•..... .:;u:; riff~cr tk-,G ~nctior, of the stpt:ic t~ ss a ueattncut muige in t3ae waste disposal syacom. "Y;Lte psopr7Yt}r ov~ar ~ie~s to submit to St:. Croft Znniu~ Depams~eut a ctrrifl•cadoa form, sighed by ~ owncc wc_.~ -.:,,. _. :~tiGxpSi.W't~er~ jouxnoymaT1p113miae,[. rCstxic~dplumLcr or a licensed pu.mpcr verifying that (l) the on-sitte'waste~a~rdispox~: -y ;.: ;.. is ii1 }u'apCr opraa'tiug cantiisitan; tt,a3/or (7) after iaspecrion and pumping (if naeessxry), the gcptic conk is ltss than 1/3 full ni ~:~::~;_., \vc, i17.c wadexsig~oci.havc mad tht abprre L'bgtlirauuxus at3d a.btaa za [-1ilillC&IA the priva[e sewage disposal system wi[h tli~ ~;~.~~~,~: mot: Y~tuih. ~Grr.,t.u, as sei by the Daparauont of Cotxasnerca nod nc~ Ucpsrwacnt of Natural kesourcos, Stacy 0~'alisconsin. l;eni; i:;,c; :;; s~atiug tit your sepiic system has bees tuayataiaed must 6a coanpletcd as~d retlunod to the St, Croix County 7.otliAg ofttcC •.~ iC-~ ~ .:'~ .: :ssyx ~ flux •1:hrea yeas c+zpirariba. da[a, ~II.YI~A.TCTRL OF APpLT~,ANT 1 ~ _ DATE I (rare) cortify that all statatnants on tb.ls 'comp, are tanln w tee best ut my (our) knowledge. X (wc) am (ace) tpc u„~~_~r~, ; ~.,t t~ p~~`~Y desct[ihad above, by r'irtuG of 8 watSanry dead tccutdcd ut Ae~;ister of 'ppad9 O£Ftee. aICiNAm`U88 ~ A1PPL1Cp.NT I DATE ~~••'~'~ Auy iu.Eorl~naciun thy[ is mis-rcprasented tnaY rcyult in tLa snoiwry pCetnic being [evakad by th,e Zoning Dapsra~wlic. r,~r.", ~~ {iii+.iude `l-~Y~ 1C~liti uppiicatio,r; a stamped warrdnry dyad 11'ot11 tbC ktagistcr of Deeds OIilca a copy oP ~ cartifiad survey mate if cefcrctaco is made in the warcanx.Y deed Z0 3Jtid ~NI `JMISWfI~d S~13rJOd L9805EZ 0b ~EZ~ b09Zf5Zf90 May 27 2004 12:54PM HOM4ME, INC 651-423-6286 p.2 05/26!24104 13:44 2359867 ROGERS PLtlM3ING. I!•u; PAGE 03 sr cla~r?c cout~t'Y'Y SB~TIC TANK 11+FA~NTENANCE AGFF,EtvI'ENT AND OWNHRSk~fP C~RTIrICATIt~N rc~RM 4wtxer/Buyer v +~ _ 11'[ailtt~g Address ~s l / s _ ~~' ~ e r • Yroport~r Address t ,(f <</ar.festlon required from Plaoniag Drpartment for new consttuolti~on.} ,~,~ _ / , City/Seats `"~~ / ~ ~° 1'arca4 identifioasi.on Nurnbtrd` ~ ~~y.~.~~~ ~~ t - ~ ~3) X,~,~C„A~.., DESCRTP'I'IO~i Property 1LoC8ClOLl~.'/•, ,~,_LiJ~I., Sec. ~, T~`.'1N-R ~ ,Z.W, Town of r~~C~jl( .'--.-1d Subdivision ~ ~-Y~+l~"ti_.. Yom` ~ ~' S J..ot # ~..,~.. Ctctiftad Sun~ey Map # _ s Volume ~ Page # Wstirraaty Deed ~# , ~~ SAO ~(~ . Volume , 2- 5~7 ~. Pogo # _~._.. SAec house ^ yes C na Lot lines identifiable ^ yes C7 no S~rSTEIN MAINT~N,pa~LC~' Improper use and riutinteoanceof your septic system could result in iu presnature Failure to beadle waeles. Proper sneiat'ertanea t;onsists of ptuapi.ug out rho septic tank every three yoaot or soonar, if aeedadby a lieehsed pumper. Wtutyou put into the system caa ^tYeet the ftttsctfon of the septic cook as a rtcaonent staea in too waste disposal system, "13it: propttry ntvner agrees to subra+t to 5t. Croix Zoning Dcpartrncnt a ccrtificstioa form signori by tlu otvruor sad by a taastgrplumber; jou:xtayma,aplwtnber, re3tr(ctrdpiumberor a lictasedpumperverifyiag tkiai (1) the oa-site wastewstcrdisposal systrm is it1 propot opEntiag couiidoa and/or (2) after uupcctioo and ~,iunring (it necessary), the septic tattle v less than 1t3 fiili of afu3ge, tlwe, the uadersigtted have road the about requircaaents and scree to txiaintain the private zewatc disposal sy+tatn with tha at~t+datds Acre' Js set by the Depattt~oat of Cotpraatee4 and the I]epartsaent of Natural Rc sotuces, Snto of W iscoosia. Certificadat, tSitiaS our s pc~c tystetn hoe baeatnaiataiaod must be completed sad retumedto the 5t. Croix Cattnry 7,oain$ OfFicewitt~:tv']0 days a the tore year axpitatioa date. -- ~~,61~ S1Ci 1.TCFRE DF APPl'.ICAN'T~~ (r,~jy `i~{,~~ DATE ""'~~ ! . ~,~~~~TIFx w~ Tlarr we) ceRtfy that all stast;meats on thi: farm are tiuc tc the best of my (uury lmawledito, 1 (wG) am (ert) taa ov~rnar(:) of e grope nbcd above, by virtue of a warranty dead recotGeQ~ in Resistor of DeecL; 4ff[cc. _ _.._.c. SIGhI UR.6 OF ~ .ANi' ~. ~~G~ X DATE Auy iufosrttatioa that is sus-tcprescntcdrrtay stsutt in she sanieary peru:it bei~8 ttvoked by rite Zoning pepattritot-t. ••"" ••ur• •• loeiude witD this applioatloa: s atampad warranty deed front the Regiasor of Deeds office a copy of tha certified survey trop if rcfercnce is tzude lz- tbt warrmnty deod .)un 15 2004 11:18RM HOM4ME, INC • U. 259~P 1?1 STAT£ BAR OF WISCONSIN FARM 2- 2000 wA>~AriTY DEiF.D THIS DEED, made 'between Melissa R, Carlsoa, a married person, Greertar, and lira Myrlie and Judith Myrlie, husband atsd wife, _as Stu'vivorship Merits pe rantee. Grantor, for a valuable canaidaration, canveye and wartauta to C}tAatee the following descr'bed real estate in St Croix County, State of Wisconsin: at 23 let of Hammond Oaks Sabdiv'rsion in the Town of Hammond, 5t. orx Gounry, Wisconsin. Recordiaa Aral KAT111.BB1} H. Y,ll.SH aBGI3fBR . OF 1DBHQS S'f. CROIS C0+ + MI a>~cal qec Fcm iRacaan 86/14lZ084 89r8a-?! MAARAE A~TYt f E6D a6C E'isFr it. 88 'I'RA![S ir61r s 98.78 COPY FIiE s CC i~B: PAGES: i Exceptions to warranties: Easements, resMaions and rigtrts-of-way of record, if any. 651-423-6286 p.2 N_ case and Reusrn Address: 3faa~ r4 Sh 6 pry ~ a ~, ~'a-9 ~ , M N, Ol 8-1086-23-0G0 Perool tdeosiiicaoan Numtur (PIM This j8 hotttcetesd property. Dated this 8th day of Jtme, 2004. ~ Melissa R. Car son s AUTfIENTICATION Sigrsattrre(s) authenticated this 8th day of~Iii'~~b_Q-gpub~tit' ~ptfl.'IY ' . ~O~Sti'i~ - - - _L ~.~Is~ TITLE: MEMBER STATE'8AR OF WISCONSIN ([f not, sutl~riaaed by § 706.06, Wis. State.) THEM IN5T'RUMt?A1T WAS pRAFIED SY _ Peterson. Frain 8c Berman - Steven N. Brains SO East Fifth Street, St. Paul, hRl-I 35101 (&ignaiurq aut7 ba autrunaoes~ or edatowkdgca. Both e1e rot neoesa~y.l +Narnas of penone tiRstin= is any r.~pnciq musx be typed or prinead fiebw their ~ig~ewro ACKNOYNLEaGMETi'T STATE OF WISCONSIN ) ST. CROl7C Ct7U1~ITY, ) ss. Personally came before me this 3une 8, 2004 the abovo named Melissa R. Carlson, a married person to me ltaown to be the person(a) who executed the foregoing insavment and aaknowl ed the same. *Cheri Brown Notary Public, state of Wisconsin My comrtriseicn is getuurttetrt. (lf nut, state expiration date: 3/11/2007 ) waxxAnrrtt nst:n sraa7e t~ of wtscoivsw Foahr Ho.1.2000 . ' • UNPLATTED' LANDS OF THE SW 1 4 OF THE NW~ SEC. 20, T29N, R77W w ~~ 3" ALUMINUM O tv COUNTY MONUMENT ~ M ~ Of ~ M z t 64.64' t 64.64' 7 66.49' I 66.00' T 302.00' i ~ I ~ a o ~ ~ ;~ LOT 20 0 0 1 0 ~ o o ~ 43,931 SQ.FT. LOT 17 N LOT 18 N LOT 19 ~ I ° ° N 1.01 ACRES cj 1 7,745 SQ. FT. 3 47,746 3 SQ. FT. n 48174 SQ. F ' N N ' ~ 33 9~cj I 1.10 ACRES M 1.10 ACRES ~,~, 1.11 ACRE I w ~'' O I Nti6 LOT 21 0 ~ '' ~ °' I I ~" I `" , ~ ~ 43,655 SQ.FT, rn ~ `" ~ ~ 1.00 ACRE5 N I ~ Z ~ Z , I n - -~ 1 ' L 764.64' - 764.64' ~ 165 75' I n ~ - - - - - - - - ~ - - - - - - - . - - - - - - - - - - - - - - - - - - -- ~ N SO'23'21 "E 302.03' w - ~ - - -v>-- - - - - o ~n - SO'23'21 "E 302.03' ~o `O p ----- --- -- -- -------- 20.00" 20' DRAT AGE EASEMENT --_ O1~ i -' i i ~ n 6 IN ~--- -- ~ ~ ~ 4 ~ I ~ ~ tO LOT 22 ~ ~ i I ~; N I LOT 33 ~ 49211 SQ FT ~ 41 LOT 34 ~ N 1 44,500 S0. FT. 328°, I I I I . . I 1.13 ACRES 3 1 1.02 ACRES ~~N 49,361 SQ.FT. ~o i ~o I ~ w 1.13 acres I ~ I $ tJ2 LLI I I SO'23'2 ' .Oa I N ~ ~' ~ ~ ' ~ LOT 23 I I LOT 32 N' Q 1 ;,, ' v 43,776 S0. FT. ~ I I 44,777. SQ. FT. ~ I ~ v ~ 1.01 ACRES ~ _ _ I a I 1.03 ACRES 70.27 ~ ' -^~ I aM1O I ~ ~ 1 cn I f ~ I ;t-- '^ I J NT Z I ___ ---- `~ 41NAGE EASEMENT ~ I SO'23'21"E 290.00' I ~ ' SO'23'27'E 302.05' ~ I - 1 I I ~1 FT. in ~ ~ LOT 31 I ,n; ~,,~ ri M ~ rn I LOT 24 ~ rn W ~ . Q 60 'ES r' I 44 640 S0 FT ' ~ I ~ 46,496 S0. FT. "~ c v c" a ~~g ~ - ~ , . . I 1.02 ACRES I ~ I 1.07 ACRES ~ u i N I '~ z I p5 ~ I 1 W W ' , M N ~ I N i7 JOI T O/ 3 0 3 SO'23'27"E 290.00' ~ N SO'23'27"E 302.06' I ~ LOT 55 ~' MI ~ ~ I , I ~ 3561 SQ.FT. ~"'., ~ ~ LOT 30 I ,°7 z o°io . ~ ~ LOT 25 ~ ~+ 1.00 ACRES ~ o~ N 44,640 SQ. FT. ~ Z I ~ , ~ I 46,498 SQ. FT. ~ ~ I 1.02 ACRE5 1.07 ACRES ~ , 42'42"E 299.98' I I I I I 1 I _OT 56 i SO'23'21'E 290.00' 50'23'21"E 302.08' 303 SOFT. ~ I .00 ACRES ~ LOT 29 ( N' I I LOT 26 .c I 44,271 SQ. FT. N 43561 SQ. FT s• A N °; i 1.02 ACRES ~ 33' 33' °_' I N , 1.00 ACRES I a; ,~ I B58 k, ~° I J IN T ~ ~ JI NI 352 ~ JOI T ~I I S 4 298.40 I " I I SOS't6'04' ~Q.FT. I W N72'7029 W 303.49' ~Ial ACRES - _ ~ _ _LOT 28 J ~I ~ LOT 27 i _ 44985 S0. FT. °Oi ~ "^ ~'~ ~• ~• - - °~ ~ 1 03 ACRES I I I m 1.13 ACRES ~ . ~ ~ . 0 o b 0 0 162.35' ~ ~ ~ o ~ 290.00' I I ~~ ,, ,,, I ~i 302:70' ~