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HomeMy WebLinkAbout030-1012-80-100 K � $ C) � § j a ¥ > \ 0 k ( / }§ / ©§ acc M $ @ / \/LL _ )§k }�\U. \ ; 7 - E \ /\ ; n « ) R w E CO .. § \ \ IL � B z « ; ' ■ _ , k I § E D C @ cy j § ) .� ƒ Q } m k f .. E � £ k m § § g ad CL CA(D 2 2 ) ) \ E 2 k .� § § § $ \ \ a a a . « B .8 - r m u « 8 8 a f / / t = S % § _ \ Ek 2 ° 2 2 0 % # ƒ ƒ 2 ■ 0 � § 2 a \ 3. G ° \ § to m / wo k k § k \wo 6 § \ / � c / / § k \ , - a Ci � \ ) / - k � I { 2 S § / \ 3 Cl) o 2 $ ƒ ) 2 \ kzi \ f 2 21 CD(L E k f k J a 2 o U) J Nr ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner NN 4 -'/'S'S �i 6.S/• AV.d&nss C!/Z 04 D i%l 10 + 7�377 j`'� City/State 40/. S O/ Legal Description: Lot Block Subdivision/CSM # Sec. , T N-R W, 'Town of PIN # 030 • /D/2 ' gD -4" 0..30•/d/2 . 8d = let SEPTIC TANK -- DOSE C11A.MBER -- BOLDING TANK INTO101ATION: Gvif'St"IZ j)'00 o I Tank manufacturer r ' Size ST/PC �- / �SSetback from: House /Lf Well ZS P/L �p Pump manufacturer Zoe//�/e Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location 13iODi FF41,56�-' CjE-15 SOIL ABSORU TION SYS' ' : Type of system: Width .3 Length yy Number of Trenches Setback from: House Well P/L Vent to fresh air intake 7 2�S ELEVATIONS: i Description of benchmark Po IA- ' 13;) J Elevation Description of alternate benchmark 13 0 7-r DAl 67t> tS &,OtR44.Z Elevation -t22-0 vi,JyL S*IP G— (!a 13 0 7-;4.v/C) Building Sewer Nlt+ ST/lIT Inlet �7.3 S ST Outlet ~` PC Inlet J07. O PC Bottom a�` L�/header/Manifold Top of ST/PC Manhole Cover . Distribution Lines O O ��� �GtO)7— 1-9/,1 tiS Bottom of System ( ) ( ) ( ) Final Grade ( ) ( ) ( ) PAO"z I I— Date of Installation / / Permit number y3ao ` State plan number N1'T Plumber's signature License number Z�'�113 7S Date Inspector �s / 7 J" 'mP lete plot plan a THIS POWT SYSTEM SHALL ` �L INCORPORATE PER COMM. 83.44(2)c A PROPER ZABEL 0 ` FILTER MODEL# ,¢ ./&v a /I Ce I ALL NON-CONFORMING TREATMENT TANKS SHALL f,�Zt/ �(j✓2�iQ, W J��v ie__ )PV'`�� BE ABANDONED PROPERLY PER COMM. 83.33. /,/ j ` Z � 3 . p jj . 5A 40 01,D VJ �v � s ,t0 M OF j3oTT -0 Es O WF �"'Pe 0� Z1 TX CJf,e y ' Ta7-4L /y 69-c-), V,4PiE o 7— vi)v go yaG �l ' t& a9e pwS w atg�pth PveW�54�g1 � 1 � � � +.• SPr�n9 3 q yz, D OF 13 OA) 9------ o,70 (,� °- To a� ° S 115 .Sloe // /2ND, To a� I G nT ld � D CA po ODI 0 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 430046 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Weiss, Lynn I St. Joseph Township 030-1012-80-000 CST BM Elev: r Insp.BM Elev: BM De cription: Section/Town/Range/Map No: C�7 � 03.29.19.55S TANK INFORMATION EVATIO ATA TYPE MANUFACTURER CAPACI STATION BS HI FS ELEV. Septic W ow Benchmark •c` �. Dosing .� Alt. BM Aeration Bldg.Sewer Holding St/Ht Inlet 12•S3 X31 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 10,+ I , Dt Bottom Dosing it Header/Man. Aeration Holding Bot.S ste Final G ade r PUM SIPHON INFORMATION w Manufacturer Demand t Cover GPM h DL Oat Model Number �- ,�,�OS �7f 1 c { ` -- • 92,40 '� TDH Lift Friction Loss System Head TDH Ft 7T �o rcemain Length f Dia. �� Dist.to Well r —015 1 Z Q SOI ORPTION SYSTEM Width ( Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 3• 3\ SETBACK SYSTEM TO I P/L jt3LDG WELL LAKE/STREAM LEACHING Manuf urer: INFORMATION Type Of Syst� (� f �3 t �- I CHA UNIT OR Model Nu beer: s V DISTRIBUTION SYSTEM L (o WQ,, P L Header/Manifgld Distribution x Hole Size x Hole Spacing Vent to Air Intake CJ1u•` Pi s) s 1 Length Dia mgt Dia Spacing 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 Topsoils L__ Yes No Yes [ No Lr. i�IIM r T (In u c—e discrepencies,persons present,etc.) Inspection#1:T Inspection#2: --I- Locat o61 Old Mill Rd Hudson,WI 54016(SW 1/4 SE 1/4 3 T29N R19W) NA Lo i' Parcel No 0329 955S 1.)Alt BM Description= N114 �e 2.)Bldg sewer length= ^ 10, (CJ�^�`"�' ° ^^� 'j c �2'� $• 9�`3� amount of cover= IB +• :9I• q��Z„ 70•��� -?,W ot-i&O Efr' 6 -• X3 5= ►.�f - °'9 3 Plan Use other's de for additional' in_ Yes No �t formation. Date —� �Inse or'snature , Cert.No. (R.3/97) SBD-6710 1 ,� h r�� I e l 11I Safety and Buildings Division County �„ 201'W. Washington Ave.,P.O.Box 7162 T 1L piseonsin Madison,WI '53707-7162 Site Address Depal tment of Commerce ff vOSO-tJ w/S Sanitary Permit Application Sanitary Penni Number in accord with Comm 83.21,Wis.Adm.Code,personal information you provide ❑ Check if Revision may be used for secondary ses Privacy Law,sl5. 1 m I. Application Information-Please Print All Information State Plan I.D.Number Pro a Owner's Name YNN fj . S. rcel Number p L I� ; 030- 16r2 30 aso n -�o Property Owner's Mailing Address 203 ;14 roperty Location 6'12 04O /�I/�� �� �� i;r;�;,� CO �v �56 ��tf;S 3 T2'� N,RI� City,State Zip Code 0 Lot Number Block Number 4,' �� � Subdivision Nam? CSM Number H.Type of Building(check all that apply) 3 ❑City Al or 2 Family Dwelling-Number of Bedrooms ❑Village ❑Public/Commercial-Describe Use InTbwnship 577- J O f6_ ❑State Owned t / Nearest Road OGU III.Type of Permit: (Check only one box on line A(numbering scheme for internal use). Complete line B if applicable) A. U For County use 1 11 New 2 Replacement System 3 ❑ Replacement of 6 ❑ Addition to System Tank Onl Existin System 13. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV.Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 KNon-Pressurized In-Ground 210 Mound 47❑ Sand Filter 50❑ Constructed Wetland 22❑ Pressurized In-Ground 41❑ Holding Tank 48❑ Single Pass 51❑Drip Line 45❑ At-Grade 46❑Aerobic TreatmeliMnit 49❑Recirculating 30❑Other V.Dispersal/Treat ent Area Information: 00 Design Flow(gpd) Dispersal Area Dispersal Area oil Application Percolation Rate System E vation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) S-Q-C Elevation y�o y3 �S3 t ­7 P1,4,j 5 VI.Tank Info Capacity in Total Number M Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks v �v Concrete Constructed Glass New Existing Tanks Tanks Septic or liolding Tank �r1�� Dosing Chambe r S SQ U C VII.Responsibility Statement- I,the undersigned,assume responsibility for Installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's Sig tare /AIPRS Number Business Phone Number R .. --UtbRr'c,�T— 1 s 1 715 -77a 3 `/yZ Plumber's Address(Street,City,State,Zip Code) VIII. County/De artment Use Only Approved ❑ Disapproved Sanitary Permit Fee(includes Groundwater r to Issued Issu• Agent Signature(No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse. ,r-'_ / ' . Determination JJ /// !!! 1K. Conditions of Approval/Reasonstfor Disapproval � ��s tee plaa�au XCo�ua cnl,)r em on papprpot less than S1ll:11 Inches In she SBD-6398 (R. 05101) fp.QfCAd�(1 •l/.�' 9xr5r1a6- r31.4y- w;,J se�ve� �dwtitil/l EGL r S f.eee S.T. E v ES N I,u•jt`�R �o, �5 ' w T cvlrl3o gilt Wi� ` - 'O m,v p 4v z 130 v�t Of V//UYI- • r ��g 5 jPiAJ l,- f3 131 17, 90' 1 1 1-14 � T I o i j i job o PROP 1 i j ys?ZM . sYs rEM yo.o of -roV y) "4 4 y�o f 4 BjD�N /oa,p Sy5iFA' 93. �a - , pG /� 30 I �3 f3 �i�OM �S i qo 'b N �y ALL NON-CONFORMING TREATMENT TANKS SHALL BE ABANDONED PROPERLY -�_�=----- PER COMM. 83.33. • �A��`` ,P/'7-5 GoT l�t� eGv err�n 1 1 s ULD"ICUIT & ASSOCIATES, Co. 655 O'Neil Road • Hudson, W1 54016 Reg..Vestgners of Engineering Systems 715-386-0 a5 Private Sewage consuhants r r PROJECT INDEX PLAN I /,,� °--3 D L NN �i.S�' DATE OwNrR ^.L PHONE 7 11 377 7o0f�F A ADURrs5 4!Z �GD M,// .�D ,�yDSa•y LEGAL DESCRIP'T'ION S"- 3. T.z w TOWN OF ST Sose-P COUNTY S?' 4/10/' X. csTa� /�• i• i 7— LOCAL AU'THORI'TY/ SUPERVISION ST mod/ aC ZD�v/:JCr �'�P PROJECT DESCRIPTION. y 5 7-elli , 2rX 's 7-1 A)6-- 31- r'¢/ /e" 4��fi T�ST� /3, 1s /z S i o Di r se�e 4ws . Ad 8e- 16+uP0,va /Vt 4oje ,f w&-w 4oqlso t4oN-COND 4LL fiR M KSHALL. SE ASM400NED PROPERLY pE� CoMM• 83.33 Ulbricht & Associates Private Sewage Consultants THIS POWT SYSTEM SHALL 2812 10th Ave. INCORPORATE PER COMM. Spring Valley, WI 54767 83.44(2)c A PROPER ZABEL Rd13�7- 2YIhX%M 7- FILTER MODEL# ,✓ Pg. l INFILTRATOR SIZING WORKSHEET � 03 � Pg. 2 SYSTEM PLOT PLAN P9. 3 CROSS SECTION OF SYSTEM, WITH ELEVATIONS. Pg. 4 it of if it of to P9. 5 OWNER MANAGEMENT PLANS & ZABEL FILTER SPECS P9. 6 (OPTIONAL) CROSS SECTION AND SPECS FOR DOSING TANK. PG- 7 (OPTIONAL) PUMP PERFORMANCE SPECS. t The attached plans and specifications are based on "In-Ground Absorption Component Manual For Private Onsite Wastewater Treatment Systems . " (Version 2 .0) SBD-1075-P(N01/01 . y o � M o .� ILA N \' r tn b �. m 0 7r z --„ Mill Du I fir o �jy I � � � a w 2� sew,e y- � �awti�ii/l -fa v (p ' Ne-ju � s f,eee O io IVES 7" ��D�HS � W-16a 3 �D T K O ` nl Z �M Z� 13 0�lati 6 o�t of vl,j y1, • 1 pi Ai b- r• ! O f �Z / 9 7 ;�_ ` 14 To ► 1 1 X11 L�� 0; ►v 1V 1 0 1 slo, SA 0 S YS 1 col iol ._... DYr + _ t4 Y B �v�GE �aa p 5y5 / rp � � 30 7'0 itJd7'�: Aoo '• �y Ho ALL NON-CONFORMING TREATMENT TANKS SHALL BE ABANDONED PROPERLY ---- =-=--PER COMM. 83.33. G.v 7 G !��-72 i St�}NLG v j � /wyn-7io,v c jd .arc° 3. 5 -(p &V bds Iff oil 5�.�0 9���� 310 PI Vt V 7-�I°&toe< 7-� � s pT'EM Cfo 55 S c Tio,,) 01c TA'67Iv4;�s W5 1A-) 6- IN L 7/',,4 To S 13 i oPI I`FuS� SE'S ';t y Off" 1 Iff j I/// 4�XrSTinl6—) I -25 , -Lm-,I Arr. zkveL OVER : See Reverse Side for Vent/ Observation Pipe Details . 641c v I-A7L'IF-Z7 elf�ti7r '' 1 ff 1 _ S S T&A . y , �00O CRo SS SEC T1010 0,40c� N i Z- 7iC,4 7-0t<'S V1AOoOVk% c ,oW e-1 ptj , Ste T/'e oot) i SEPTIC TANK & PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN . ABOVE GRADE E WEATHER PROOF ' FROM DOOR , WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVE W1 PADLOCK & FINISIIrD GRADE 4 11 CI RI.�I,R .--+ 6 " MI N r_---WARNING LABS . ABOVE G AD E —,-4" ___---4" MIN. 6" MAX . LET WATER TIGHT SEALS _ GAS- ; ' TIGHT : fA/1/� A I SEAL 4 �0 BAFFLE �_ I INTSEW/ CI CI PIPE ALM 3 ' OIJTO TAB' � � 3 �t ` B � ON PE 3 ' ONTO SOLID �'�� �� LID SOIL VV�• C SOIL PUMP OFF LEV . 0 F`I'. -�- OFF RISER EXIT D + RMITTED ONL TANK NUFACTURER HAS APPROVAL lff-Opl-j y 1 3" APPROVED BEDDING UNDER TANK C VA 0A1 CONCRETE PAD " SPECIFICATIONS `SEPTIC / DOSE TANK MANUFACTURER : NUMBER DOSES PER DAY . TANK SIZES : SEPTIC � � GAL. DOSE VOLUME INCLUDING DOSE GAL. ty FLOWBACK: GAL. ALARM MANUFACTURER: kr . CAPACITIES: A = /9-,5 INCHES = GA'.. MODEL NUMBER: 'D V G_ 3 Z So SWITCH TYPE: __ B = 2 INCHES _ GAL. PUMP MANUFACTURER: 20E11M tr4D C = INCHES = l30 GAL. MOD TYPE: pj � � D = II S INCHES = /97 GAL. REQUIRED DISCHARGE RATE 2,5 GPM PUMP h ALARM WIRING AS PER ILHR 16 . 23 WAC VER'.TICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE 7. 3 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . IV FEET + �� FEET FORCEMAIN X /.32 FT 1100 FT. FRICTION FACTOR FEET TOTAL DYNAMIC HEAD IA44 FEET „ t/ INTERNAL DIMENSIONS OF PUMP TANK: LENGTH Sdf WIDTH '07 M DIAMETER/� ' LIQUID DEPTH I/v ilk Vv lv�-IC �� �5 fr. 144X/ v /y i . • — E M�"N �s 7- Tor mos / po t,� , 0f �'OR If septic tank is fitted EACH 1 " OF TANK DEPTH with a Zabel filter, there EQUALS GALS. shall be an approved above S ground locking manhole cover for year-round servicing access. THIS POWT SYSTEM SHALL INCORPORATE PER COMM. 83.44(2)0 A PROPER ZABEL FILTER MODEL# _m-®r „ �� of -- � dc ~ I ZOELLER EFFLUENT PUMP MODEL.' 98 MAI) CAPACITY Cu nv MODEL 'low, � 2s— a s/e i e / Vill _r___ 1 1/2-11 1/2 NPt !, a1loN3 1-- 10—`20 J0 to -- 50 !0 )p ap Q eo ) s Ap fIOW e PER MINUTE l �'1 IOrAI tn"AM1011tAt�'rIOW►Id lu.lutf e /rrlufW ANO DIwAttrY110 IItA� tAPAttt' 12 flow' M Itnet dAil rns " t I.e! it fry 10 ens 11 7]I 1 11 Lei to 1/e � ale n eS T I*Gkvote ��. 3 9/1 CONSULT FACTORY FOR SPECIAL APPLICAT 6 EleclrleM aft"1810"I for duplex systems, are av:lllable and IONS f�pplled WAh en alarm. a Mercury float owhches ere avallabie for conlrollln• e Mfchartical eAefnelore,I&duplex lyslems, ere ovellablA wllh a a three phase eyelema. 9 Ingle and wMhotA Norm hvMchex. p ggyback mercury 11081 ewdches are ilvallable lot vallable level long cycle controls. 9111nderd All models-Welght 39 Ibe / lEIECTION OutbE N lsriss - 'I I I.p, 1. Inlseral float eperdsd?pole rr►sehartkal ewtreh,no s>Asrnsl eortUot fegtrhed. plods) Control ssteello� : �wheh.P199y e to fMo'1 swhoh of double P!agybaek fnsreury,lloal Y h— o Ph Mode Amps -- A19! ulo 0.6 !Im Istt Du lest A. Meehlkrlkwdlsrnator 1600i2of to 607& _ 1. Bee I'Moi 12,for corrod model d EtseW�i/�rernator,•E•Psk'•, Doe 230 0 —� �3.�L e. Meleury sense, hod swhch 100026 Eoe 2�0 I ►lon /; �1 a 1!1 dupb a(J)a(1)hod sylient rr 4 4 a Control Ac"Veser .P.* 2 or f t e B.rIN,l/l W .4 P4... p1•r a drpies epsr,tlohpppp B tonneetbn er w4ed M stm. /. ws p)hew-J pelt".IN wstedleltr eemw__•..rI spool. 1«b(.a,s�rq M eWal 1Mesr Ir�dl,•t•r•rw b to on son Bud, r y /l"MI EMe4kM Munuogr,IV,,6e;wch" X11; AM tisbn•11+s sf eer1U CAU11oN �sblK rvt•`.•s•ea•4y flb•ef; Y A1t•rn� &4 Me•n•.1•Melrkb AMr�• tM 'Ind*66 0"�s AM llienr,t.■Centrd I shsrN►.� r lnw Ih.we.t r•e•n1 M•Ilsn•1 ofeebb Q *"e •hcutd►.IeMewN�u1 11••Mh Ad losNA) !� Mwh .M tl1•[wup•tlsw•)s.r•1y .nd "ESE"' POWFOED DESIGN For untlsuei conditions a reserve,safely lector 1v dngenee►ed Into the design of o,iery Zoeller pump. ---.-- �' re,P.O.Cox rs31r torss.e�ir Manulactufors of... L tNIP 10.1 d0M,Adderstant tart r,;xy 01716 Q /GPs Isot)?is., r tr fsot)?II J67t u�tixr ,;'cvcr/9A�9 Property Owner_ Parcel 10# Page of �3 Boring# ❑ 14.70 3 id Pit Ground surface elev. ft. Depth to limiting factor in. Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOM in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 I 'Ef1#2 L /M, 2 10 LS / S Ld ^7 �• Z /. z.5 �. c T S/L �,C z . 3 /.3 A D/ if OF Boring# ❑ Boring 9&• V] o 0 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominan t Color Description ion T exlure Srcre Consistence Boundary Roots GPDM In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 *Eff#2 o # 3 Ls , �s � -- -1 / a i• v ,• Avo ! tie © BorirV# ❑ Boring g�• YO > ® Pit Ground surface elev. ft. Depth to limiting factor in. • Sod Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ft? In. Munsefl Qu.Sz Cont Color Gr.Sz.Sh. 'Eff#1 '01112 l 0- 5 io R 3/ ---- L.s /f GS /f ds cS /f /• U,e -f % 2�'�6 -Fl 7" .mss a TAD /,v� v s�• N TA" S% O•�. 7�Die �ti /�U -S Rol Boring�ng# ❑ o ❑ Pit Ground surface elev. " ft. Depth to limiting factor in. Application Rate Hxizan 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 2.1 io s — s o, � �1,e- c S -- . � r• z CL 31V Gv L-4 V ' ;"4 T fLJD S .v Effluent#1 BODS>3o 1220 nVL and TSS>30<150 mg/L 'Efluent#2=BOD5<30 mgt,and TSS<30 mglt. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format,please contact tie department at 608-266-3151 or TTY 608-264-8777. s904330(R-6m) N Q T� �., Q� � 136 / Y 730 of 71, o ` Wisoonsin Department of Commerce SOIL EVALUATION REPORT Page / of 3 [)Rion of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code county S7': Attach complete site plan on paper not less than 8 112 x 1rint(BMT,as include,but not limited to:vertical and horizontal referenc ' Parcel I.D. 030 —/00- - 30 . offZi percent slope,scale or dimensions,north arrow•and loca nce to nearest Pad. (7 Please print all informatN 0 jj�� ?? e by Date Personal InfortnaHon you provide may r,e used for secondary Law.s.i5.i (�(ln)). 3 Property Owner Al e,Sty.Locetio 2 / 1( { s 1/4 s�114 S `� T N R ` #(or)W Property Owner's Mailing Address Lot# I B Subd.Name or CSM# Cel Z mill FD • ly& s � 13ov,vP-5 City State Zip Code Phone Number ❑city ❑Village 0 Town Nearest Road f f vOSo.t/ �u/ syaILIP ( 71S) 377 ❑ New Construction Use: Residential/Number of bedrooms_3 Code derived design flow rate GPD gReplacement ❑ Public or commercial-Describe: Parent material -S4tVPe 000-4 4SLr DV15 J 09 /0;;/7 W Flood Plain elevation if applicable General comments D and recommendations: /PFl¢ TES jEO 'Do-AV -,toosc 4,fAlljz2 171 Boring# p Boring pit Ground surface elev. ft. Depth to limiting factor 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. 'Ef1#1 'EMW2 i 6 f A9YX31 fl/FMf 7tZ,;f /m �S Zf • i Z 7.S N112 *7 / 2— 6, — o fV 49 ff f e S, pN CJ f ;.e G2-5 7S F2--] Boring# ° Boring surface ® pit Ground surface elev. q• ft. Depth to limiting factor > in. Soil Application Rate Horizon Depth. Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDM In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 0'Q /0 3/ _ GS S w 3 , 7 Z Z 3 31 7.5 — L 5 jc,5 3 /- 2— 0 2 Effluent#1 =BOD >30<220 mg&and TSS>30 1150 mg/L 'Effluent#2=BOD <30 mg/L and TSS 130 mg/L / ,, csr Number S Name �/Z T -W1hX1 G4 T si9 L�� z z Ce 3 7 t Ads Date Evaluation Conducted Telephone Number 4 7• "a 7is• 77a -3 01 Private Sewage Consultants*. 2812 10th Ave. Spring Valley, WI 54767 ' �;Iw sEwA&-,r-- w-f S � - � ORIGINAL 7 � L'/46 a, fr 4� 75 . � � � o.✓ G d j` Gi,U,2 r,a; 3 � z S Tips -- A�� , 4v Ja .201 13 53 m . c-� 4 - � T,� Z� M �I pAY a S I q3. o r 30 �3 f3 SCAIE: l 2D ��'r5 f ST CROIX COUN'I'Y SEPTIC 'PANIC MAINTENANCE AGREEMENT _._. AND OWNERSiIIP CERTIFICATION FORM Owner/Buyer i Mailing Address (DI - (� � �,� �� A( t�lffkAq, W1 `.-Sq0(U Property Address (Verification required from Planning Department for new construction) C. City/State 030— /611 — O ofia(• Parcel Identification Number 3 G • MI — LEGAL DESCRIPTION Properly Location 54) 1/4, 54- r/4, Sec. 3 T N-R ( / W / , Town of ST . . Subdivision , Lot # Certified Survey Map # , Volume , Page # Wttrrnn(y Deed # G5 Z6 , Volwne I (12 / Page # 373 Spec house U yes �( no ` Lot lines identifiable yes C) no SYSTEM MAIN'T'ENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes.Proper maintenance consists of purrnping out (lie 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 lank 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)alley inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. Ilwe, 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 slating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 d s of te th ce ear expiration date.h LtUR ACCAN 1 D TE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my(out) knowledge, I (we) Any (are)the ownet(s)of the rop�eArtjy described above, by virtue of a warranty deed recorded in Register of Deeds Office. SK N 'i UR E OF APPI. ANT DATE ! Any information that is nris-represented may result in lire sanitary permit being revoked by the Zoning Department.****** ** inelode witty (Iris applicallon: a stamped wnrrnnty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed VOL 1691PAGt13'73 STATE BAR OF WISCONSIN FORM 1-1998 652665 r WARRANTY DEED REGISTER WELSH REGISTER R OF DEEDS ST. CROIX CO., WI Document Number RECEIVED FOR RECORD This Deed,made betweenLarry G Kansas Betty M. 08-01-2001 9:30 AM Kangas husband and wife TAX DEED EXEMPT N Grantor CERT COPY FEE: COPY FEE- and—Lynn K Weiss single TRANSFER FEE: 787.50 RECORDING FEE: 12.00 PAGES: 2 Grantee. Grantor,for a valuable consideration,conveys to Grantee the following described real estate in St. Croix County,State of Wisconsin (the"Property"): Recording Area Name and Return Address 0301n1280000 dw10� 3�ODD Parcel Identification Number(PIN) This is homestead property. (is) (is not) See Attached Together will all appurtenant rights,title and interests. none Grantor warrants that the title to the Property is good,indefeasable in simple fee and free and clear of encumbrances except Dated this 31st day of .Tilly , 2001 (SEAL) (SEAL) Larry G. I gas etty V Kangas (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGEMENT Signature(s) State Of Wisconsin, wENDY IA } ss. NOTARY St. Croix County. authenticated this Q V Personally came before me this 31st day of July 12001 the above named Larry G. Kangas Betty M. Kangas, husband and wife a TITLE: MEMBER STATE BAR OF WISCONSIN to (If not me known to be the person who executed the foregoing authorized by§706.06,Wis.Stats.) -instrument and clnowledge the same. THIS INSTRUMENT WAS DRAFTED BY V"'k Coldwell Banker Burnet 01-22626 � ��ak� hw 1301 Coulee Road ' T Notary Public,Stalle of Wisconsin Hudson WI 54016 My commission i ent. (If not,state expira te: (Signatures may be authenticated or acknowledged. Both are � ) not necessary.) Names of cersons signing in any calmity must be typed or printed below their signaturc. S Al E BAR or WIWUr4 SI isconsin Legall3lank Cojnc. WARRANTY DEED FORM No.1-1998 Milwaukee,Wis. _! r �3 �b �3 �� � � t � /� � e ., VOL 1691p,AG .374 Commencing at the BE comer of the Southwest Quarter of the Southeast Quarter(M44 of SEK, Section 3,Township 29 North,Range 19 West,thence West along the south ride of Section 3 for 488.9 feat;thence K30622W.,633 feet;thence&9IMM.,33 feet;thence&49636W„210 feetto the place of beginning; thence Sjr36'W., 97.6 feet: thence KW22W., 100 feet; thence N,25638%.125.5 feat;thence S.886419S.114 feet to the place or beginning. Together With a non-ardgstve easement for ingress and egress over the strip of land 12 fed in width running from the North comer of the above described land in a 4lractlon Which Is apprWdmately N-80°E„to the Westerly sine of the public road,the area subject to this easement being the present roadway,which Is not laid out along a straight Me. AND Commencing at the BE comer of the Southwest t Quarter of the Southeast Quarter MW of SEX),Section 3,Township 29 North,Range 18 West,thence West along the South 80e.0f 8ecdon 9 for 486.5 feet;thence N.30%1W.,633 feet thence s.591M.,33 feet;thence SA96381R1.,210 feet to the place of beginning',thence NA3620'W.,298.4 feat;thence SAW30W.,164.6 feet:thence S.40°SM 62.1 feet;thence$2861M,88,7 feet;thence 6.8562'!'8.,41.9 feet;thence N.25WE., 125.8 feet;thence S.8865M.114 feetto the place of beginning. ST. CROIX COUNTY WISCONSIN ZONING OFFICE ' N N N■M■ r���r. ST.CROIX COUNTY GOVERNMENT CENTER ~ 1101 Carmichael Road •u ��_�.�_- Hudson, WI 54016-7710 (715) 386-4680 FAX(715) 386-4686 NOTICE OF VIOLATION June 6,2003 LYNN K.WEISS WEISS ENTERPRISES 612 OLD MILL ROAD HUDSON,WI 54016 RE: Failing septic system at 612 Old Mill Road Town of St.Joseph-St.Croix County,WI Computer#030-1012-80-000 Parcel#03.29.19.55S Dear Ms Weiss: As required by the ST.CROIX COUNTY ZONING ORDINANCE,notice is hereby given that you are in violation of§254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 15.04 of the St. Croix County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(b) Wisconsin Statutes (Category I). This violation was first noted on 06/06/03. The violation noted is septic effluent discharging to zones of saturation. An on-site inspection on 06/06/03 did reveal the septic effluent discharging to the zones of saturation and discharging to ground surface directly down slope toward the Willow River. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of 06/06/03 in accordance with Chapter 145.12(4)Wisconsin Statutes. THE FAILING SANITARY SYSTEM ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND NEEDS PROMPT ATTENTION. REQUIRED ACTION: By July 01, 2003, contract with a certified soil tester to have a soil evaluation conducted. The soil evaluation will determine the type of septic system needed and its location. Then contract with a licensed plumber, who will design the septic system and obtain a sanitary permit through this office. The septic system must be installed no later than October 01,2003. If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look forward to working together to resolve this matter. Since ly, K vin Gra au Zoning Specialist cc: file --- _377 • y� )01 NAN[ „ �d ULBRICHT & ASSOCIATES Co. Reg. Designers of Engineering Systems Private Sewage Consultants 2812 10th Ave • Spring Valley, WI 54767 715-772-3442 s SETA T FMrNT For Services Rendered 14'7'711).* G yv v IC)&-7s thA SWO y Gary Larson 4 ,5—T, F- So�Z T-es7", . , . C?�) ys1� ��1&7Q s �` yes (hot be cheap. Y rtz- SV ------- ------- Ara Early plumbers /3 / IlntesG otirerw{se ar. rangect, . ► ^cp1r1: • T►►tere^ Paym!;nt:s are due Lull upon r f,a ).ar►c'° • Liens uponrpro�Prt il]. hA aPhlled monthly on Unpaid autr,ma{. [r.a.{1p w P - y and home will_ be 1t1► county clerk or courts artera30dda s. t y i