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HomeMy WebLinkAbout020-1411-07-000 3 ' ~ Ik ~ ~ ~ o C ~~ :: I ~ ~ ~ ~ I ~ ~ ~~ ~ ~ I =~ ~ o a w a, o ~ o °' a 'n ~ cD 7 ~ ~ N ~ ~ ~ i 4 ~ t0 ~ ~ ~ Q o~~ I ~o ~ ~? o " ~ oa~ l o ~ ~ ~ o c Nb ~ ~ ! ! S c m ~ ~ ~ ~ v ~ A'+ ~ c 3 ~ ~ c r. Cy ~ I CnZD ,~ ~? •~ m cfl D ~' d ao C ~ ~ W c N o a 0 0~ ?? y~ c 3 ~ • ~. . ~ ~ ~ c °: ~ Z O O O y o n O ~ n ~ ~ N N ~ ~ N G ~ d ~ N ~ W N w tl! d I ~ ~ ~ o m I N 3 3 °-', °' I a ~ Z ~ N ~ y g~ Z O ~ ~ 7 0 a ' w d u+ ~ c m m .~ N I ~ ~ ao ~ c ~, N. I ~,,~ ~ ~ ~ ~ y y w a ^ O Z ( p a p ~? v~ A Z !i f~ ~. '~' N `~' O C ` ~ I v y .m a A~~ .. 1 I ~ W m N w d m W~ ~° ~ a ~ ~ z ~ ao ' ~ I a ~ a c N cn O N ~ ., Z I ~ A A w n ~ ~ D I '"' ~:~oo a d ~ n C C ~ O ~ N ~'- p' y N N C ~~~~ a ~ 7 ~ y I ~ I 7 fDO o ~ . w y ~ a ~ (~ d "' ~ A I ~ ~~ ~ I fD. > > A I ~o~ o 00 ti ~ = a A 7 ~ m o0 0 I o ~ ~o '., ~ w I g n v' , „ ' ~ m 0 3~ n d I 3 W ~ m ~ n 3 ~ •7 ~ v : ` ~ ~ ~ :: A 1 d ~ A I ~ 3 ~ ~ ~ ~ I ~ O n d d N O ~ W Nr _ C W N ~ ~• J fD ~ ~ fD N w Ol y CO Q ~7 l o c ~ m o ff! ~~ ~~ j o N a 3 ° ~ ~ O N O "t lo ~~ _ ~~~ ~ O ~ ~ ~ ~ p ~ I m cnz D a~ m co D y u. ~ ~ c l ~ W a ~ - N ~ ~ o ~ N ~ _ crnN I a O I d. 3 ~ ~ I ry ,~ o 0000 °Y I ~ ~ ~ ~ ~ ? ~ D ~ ~3 tnmm O ~ ~ m X o = a = m ~ ~ i o _ _ ~ q ~ ~ ~" m ~ m c <o p I N 3 3 m °' I o, ~ °1 n z I ° c(nz ~' ~ O~ ~ fD O O N x = _ O y ~ = f D = c ~ ~ ~ I p. y ~ c t ir ~ fG N N ~ N. d C N C \ C ~ N 0~ Q W O (d N a m ~ ~ Z 1 ~ m ~- ~ -i to Chi ~' ~• Q ~ = A Z O 5 m m ~ a I ~ i oo m v ~ w~ ~ W ~ Z ~ m ~ w I ~ a - ~o eo a ~ ~ z ~ I Q a ~i ~ ;. ~ (A °' o y ~ ~ N = .. Z I ~ A a I o o ~ a I v = = a :~o _- ~ ~ I ~ H d c I mNa a m ~ .~ I H ~ ~ ~ I o a C y C ~ d ~~ b I ~ o I o' o- I ~ s 4 ~ V _ p w ~ $ ~ ~ ~ 7 G~i I a ~ l o ti "' co ~ ~ I c ~ m ~ w a ° `, a o ,~, WisconsinDepartmen~ofCommerce PRIVATE SEWAGE SYSTEM Safety 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)j. Permit Holder's Name: City Village X Township LaCasse Develo ment Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: ,~G~~' X57 ~ r ~Nt ~/ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing ~/ ~e..~.~ J`~-) _( ` ` t n Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic tvcT ~ ~ ^_ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Numbe TDH Lift Friction System Head TDH t Fo emain Length Dia. Well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 430385 0 State Plan ID No: Parcel Tax No: 020-1411-07-000 SectionlTown/Range/Map No: 13.29.19.2577 STATION BS HI FS ELEV. Benchmark 3 ~ ~ Alt. BM S Bldg. Sewer /o ,~ St/Ht Inlet we~~ SUHt Outlet d•S~'j Dt Inlet Dt Bottom Header/Man. Dist. Pipe s ~ ~ I . Bot. System v.. t ? -•7 3 1 A .`1 Final Grade St Cover '/:ZL BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ ", f Z ~- C' SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacs~ uvre`r~; t~ 1 Type Of System: , Nom, -_- _ t1NIT Modei Number. DISTRIBUTION SYSTEM ~ t r~,^ •~. Header/Manifold ~y,~r/- r ~ "~Dt~ / ' Distribution Pipe(s) x Hole Size x Hole Spacing Vent to Air Intake r t: ' ` th g D L ~ -- L h "~- -~- 7 /0~ eng ia engt Dia Spacing --__ SOIL COVER ~ tvo ' •• x Pressure Svstems Onlv xx Mound Or At•Grade Svstems Onlv Depth Over BedlTrench Center .1 ~ r Depth Over Bed/Trench Edges ^-- xx Depth of Topsoil _ xx Seeded/Sodded ~ Yes ~ No xx Mulched ~! Yes ~-~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: II / Z® /~ Inspection #2: /, Location: 820 Hillside Trail Hudson, WI 54016 (NE 1/4 SW 1/4 13 T29N R19W) Alexander Meadows Lot 7 2 .19.2577 : 13. 9 Parcel No 1.) AIt BM Description = TC r' ~''(~ ~^ / t1 ~ r ~ '3 ~ ~ a-~ ~ e~-t~ 4 o i L 2'f 3l o y~ `~(.-.. A i CJ~i " (~ /~ w//J T F.t,~ qlk ~ -Ecs,-..- lc c-.~at_ ~ w co r ~.• ,-r _ ~ /l rtL+ ,v °v n v 2.) Bldg sewer length = `T ~ - amount of cover = ~ ~ it\ T J ~~~ ~ n o~~~ L /~ ~ ° / L ~ 2 g 'f-- --"fo 7t 5 w~j /a. +-~,.a.i4 ~ Y1 ~~N rv~ ---,!- Plan revision Required? [] Yes 0 No ~ ~~~; Use other side for additio nal information. _-J SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. Safety and Buildings Division Counh' , ` ~ m 201 W. Washington Ave., P.O. Box 7082 -j ~seonsin Madison, WI 53707 - 7082 Sanitary ermit Num (to be filled in by Co.) De artment of Commerce (608) 261-6546 S Sanitary Permit App ' State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Cade, person info ~ D may be used for secondary purposes Privacy w, sRm7 jest Address (if different than mailing address) I. Application Information -Please Print All Information S E P 1 9 2003 Propert Owner's Name Parcel # Lot # 7 BledC,# / I ` ST. CROIX COUN1 Y -t~ ~ 2 " , ZONING OFFICE ©Q-D - i(- O~ • 5~~- Property Owner's Mailing Add Property Loca tio n ~ ~ ~ ~ ~~ S ti ~ ~~ City, Sta Zip Code Phone Number `, ec on '' J ~u ~- (circle o ) R~E ol ~ T'~ N II. Type of Building (check all that a I PP Y) ; t // bdi i i S N l ~ 1 or 2 Family Dwelling -Number of Bedrooms ? s u v ame s on adfi er ^ Public/Commeroial -Describe U se " / ^ State Owned - Describe Use - t ~ ^City ^ V' ge~ownship of III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) A' New S tem Ys ^ R Iacement S tem ep ys ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B, ^ Permit Renewal ^ Permit Revision ^ Chaage of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T of POWTS S stem: Check all that a 1 Non -Pressurized in-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized (n-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Uait ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersaUTreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sfJ yttem Elevation °? ~ S3 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Stcel Fiber Plastic Gallons Gallons of Units Conct+ete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ,_ 1~ Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigne assume responslbi8ty for installation of the POWTS shown on the attached plans. Plumber' Name (Print) Plumb 's r e ~ MP/MPRS Number Business Phone Number P Plumber s Address (Street, City, State, Zip Code) C VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued [ ui Agent Signature o Stamps) ^ Owner Given Reason for Denial Surcharge Fce) r_ ~~ , 2(p IX, Conditions of ApprovaVReasons for Disapproval SYSTEM OWNER: 7 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by pl 2. All setback requirements must be maintai ' ` as per applicable code/ordinances. Attach compkte pleas (to the Caiitty Daly) fsr the system oa paper ant kss than 81/2 :11 dashes la :tu SBD-6398 (R. 08/02) `~" Cam. ssk, ,1.~,~/~osr ST, ~c.'C~ sJ~ ~~' ,~ ~i~DS®,~ n ~.~ s~/~ ,s/~~/--sx1:~ ~~~c,l~-~~riys~i~'r~% ~~ ~~ ~ /e ~- /r~J,S ,S.E./. 7/ r~ ~ ~ ~- ~~ _ ~~ , 3 ~ '~- ._ ~ /.~S" 3' ~/ l i ' 39~ ~Q . -- ~' ~ ~s s ~ ~S.E~tf /~.~,cr. ~~,EL/D,13 ~~ /f~ ~S ~ /-~ ~- r r~ ~1~i~.S ~~~~5~ ~S~ Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code 1045 Page 1 ~ 3 Steel Sal Service County Attach compete site plan on paper not less than 8~ x 11 inches in s¢e_ Plan must St. Crouc include, but not limited to: vertical and horizontal reference point (BM), direction and percent scope, scale ordimemsiorrs, north arrow, and location and d~tance to nearest read. Parcel I.D.OZV ~~/C~/m9 ~ "'~ ,gyp Please prin infomitation. R pehd Date Personal informatan you provide may be for sr~pu~Ftsw, s. .04 (1) (m)). 3 27 b Property Owner roperty Locatiar LaCasse Development , Inc. A U` 1 4 Z ~ ~ z vt. Lot NE 1 /4 SW 114 S 13 T 29 N R 19 W Property Owner's Mailing Address of # Block # Subd. Name or CSM# 573 Cty Rd " A" sr. CROix cOUivrY 7 na Alexander Meadows City State eZ(~tdrb~E City Village Town Nearest Road Hudson WI 54016 715-381-5405 Hudson Alexander Rd. / New Construction Use: Residential / Number of bedrooms 4 Code derived design fkyuu rate 600 GPD _ Replacement ' Public or commercial -Describe: Parent material Glacrdl Drift Flood plain elev~iort,rf applicable na General comments and recanmendations: system elevation ~8~ft'trenches spaced and depth to code 4.70 ft below grade /,~, ~ ~ ~ ~~ ~5 3' l 0'~ j Z Gv1tA- Boring # Boring ~ ~!; Pit Ground Surface elev. 100.00 ft. Depth to limiting factor in• Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDfft' "Eff#1 "EtT#2 1 0-10 10yr3/2 none sil 2msbk mfr gw 1f .5 .8 2 10-24 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 24-36 7.5yr4/4 f2d7.5yr5/6 scl 1 csbk mfr gw na .2 .3 4 36-59 7.5yr4/6 none Is osg mvfr gw na .7 12 5 59-96 7.5yr4/4 none sUls 2csbk mfr na na .5 .9 ~~'~.~ / ~ ~I ~ 2' Horizon #5 has stratified layers Boring # Boring ~ Pit Grou nd Surface elev. 100.00 ft. pepth to limiting factor in• Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Rohs GPD/ft *Eff#1 *Eff#2 1 0-12 10yr3/2 none sil 2msbk mfr gw 1f .5 .8 2 12-26 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 26-35 7.5yr4/4 none scl 1 csbk mfr gw na .2 .3 4 3544 7.5yr4/6 c2d 7.5yr516 sl 2msbk mfr gw na .5 .9 4 96 7 5 4/4 / ~ 5 - . yr none sills 2csbk mfr na na / 5 .9 ~ l ~ r;~o . ~ <r/ ~ 2 . un Horizon #4 has stratified layers ttfwent #1 = BOD y> 30 < 220 mglL and TSS >30 < 150 mg/L " Effluent #2 = BODS< 30 mglL and TSS <~0 mg/L CST Name (Please Print) Signature: CST Number David J. Steel \ V/~~~ 248956 4ddress Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 8/1/2002 175-246085 Property owner ~~~ De~relopment , Inc. Parcel ID # pending Page 2 of 3 Boring # ~ Boring ~; Pit Ground Surtace elev. 98.70 ft. Depth to limiting factor 96 in. ~ ppplkation Rate Horizon Depth Dominant Color Redox Description Texture Structure Corrsstence Boundary Roots GPD/ft2 `Eff#1 *Eff#2 1 0-8 10yr3/2 none sil 2msbk mfr gw 1f .5 .8 2 8-16 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 16-26 7.5yr4/4 none scl 1 csbk mfr gw na .2 .3 4 269 7.5yr4/4 f1f 7.5Vr5/6 sl 2msbk mfr gw na .5 .9 ~ / - ~ 5 49-73 7.5yr4/4 ~ o Uls 2csbk mfr cs na .5 .9 6 73-96 7.5yr4/6 none ms osg ml na na .7 1.2 Horizon #5 has stratified layers a Boring # % Boring 90 ft 97 Depth to li miting factor 96 i /j Pit Ground Surface elev. . . n. ~ gpakat~ Rate Horizon Depth Dominant Color Redox Description Textun; Structure Consistence Boundary Roots GPDI(t' *Eff#1 *Eff#2 1 0-10 10yr3/2 none sil 2msbk mfr gw 1f .5 .8 2 10-22 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 22-36 7.5yr4/4 none scl 1 csbk mfr gw na .2 .3 4 36-50 7.5yr4/6 c2d 7.5yr5/6 sl 2msbk mfr gw na .5 .9 5 50-96 7.5yr4/4 none sUls 2csbk mfr na na .5 .9 Horizon #5 has stratified layers ' Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BOD$ <30 mg/L and TSS <~0 mgA. The Deparhment of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Boring # !Boring - Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM LaCasse Dev., Inc. New Richmond, WI 54017 Lic. # 248956 1vE1/4,sw1/4,s13,T29,R19w (715) 246-6200 Town of Hudson, St. Croix Co. (715) 246-5085 u Alexander Meadows, Lot 7 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. 3~2~ .gm !3'~ 35 ~3 ~ ! 3S~ t~A~ ~~~ Sys 8Z/ i~ ~` .~ ~p~t I D z ~ ~° s/~ ~~y~~~ f'/, loD~r / ~= ~d ~ Top o~!" S~ce ~ p.~c. NE can<r- oF6o~ b = l3ori~yt 133= S ~(~ 7o f t' ~_l -OZ 8`F- of ~. So ~ ~3~Z7 26' 33, 3~' ~~AA - R//' $.~ is"5~ f4.5~ had ~„'nC POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ~ of FILE INFORMATION Owner ~ ., ~ _ ~ Permit # 3O~- DESIGN PARAMETERS Number of Bedrooms ^ NA Number of Public Facility Units .~ NA Estimated flow (average) 1 al/da Design flow Ipeak-, (Estimated x 1.5) C al/da Soil Application Rate , , al/da /ft~ Standard Influent/Effluent Quality Monthly average" Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODE) 5220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent (2uality Monthly average Biochemical Oxygen Demand (BODE) 530 mg/L Total Suspended Solids ITSS) S30 mg/L ^ NA Fecal Coliform (geometric mean) 510° cfu/100m1 Maximum Effluent Particle Size Y8 in die. ^ NA Other: ^ NA "Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity al ^ NA Septic Tank Manufacturer ) - S O NA Effluent Filter Manufacturer ^ NA Effluent Filter Model _ ^ NA Pump Tank Capacity al .d-NA Pump Tank Manufacturer 1?`NA Pump Manufacturer ,d~NA Pump. Model ~ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration O Disinfection O Peat Filer ^ Wetland ^ Other: ^ NA Dispersal Celllsl ^ In-Ground (gravity) ^ At-Grade ^ Drip-Line ^ NA ^ In-Ground Ipressurizedl ^ Mound ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA Service Event Service Frequency Inspect condition of tankls) At least once every: ,~ ^ ea~(s~ls) (Maximum 3 yeas) ^ NA Pump out contents of tankls) When combined sludge and scum equals one-third (Ye) of tank volume ^ NA Inspect dispersal cell(s) At least once every: ~ ^monthls) (Maximum 3 years) !~ earls) ^ NA Clean effluent filter At least once every: ^ month(s) ,~ ear(s- ^ NA Inspect pump, pump controls & alarm At least once every: O monthls) ^ earls) [~ NA Flush laterals and pressure test At least once every: ^ monthls) ^ year(s) l~ NA Other: At least once every: ^monthls) ^ year(s) J~ NA Other: ,_. ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or csrtiflcations: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankls) 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 back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third IY3i 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 NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of .completion of any service event. OMW (4/011 Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s1 for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the contents of the tank(s) removed. by a septage servicing operator prior to use. - System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal ce(lls) in one large dose, overloading the cell(s1 and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating .the pump controls to restore normal levels within the pump tank. _ Oo not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance .and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins;. tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to inauro that tho system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ~ - ` O A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. D The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. -. ~_ O Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems, must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALL Name ' Phone SEPTAGE S ERVICING OPERATOR PUMPER Name Phone _ POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTHORIITY Name S' Phone This document waa drafted in compliance with chapter Comm 83.22121(b111)Id1&If) and 83.64(11, 121 & (31, Wisconsin Administrative CocN. . S'I' CItUIX CUUN'hY S1:?1'"1 (t:~' "1'.~~NK hlA1N`I•l::I~ANCI/ AGREEMENT _ P,'• l> (_>>1;:i:l~~til•II}' C:'l:'I:i•i~iC.'A'i'IQN I~UJZlv1 0~~rnerri3uyer (..-~.t~~~•S-2 ~PUP~~~~...,~ ivl;.iling Address l ~3 ~o••tti,~j ~4~~~ ,q „~-~i~~Sa~ ice/( ~-l I'r;.1~4,•t~, .Address ~~'' ,~1•~~.~.; ~,~~ (Ve;riiicatiun reauirc~l Irurn I'lannin6 (~epartmcnt for new construCtion)_„_,~_ ~:ity/St~ttc ,~~~t/?~a1.._.~1~~;_~~~~1~____.__ I'tu•ccl I~icttciticttcion Nu,ttbcr I I~~AI ,,,I F:.SCRIPTIUN 1 opcrty Location ,/~/E_ '/~,~ !%~, Scc. ,,~,~,_, 'I•~~N-R,~W, Town of (:~rtified Survey Math 3t ~_._` ~~~~_.., ~r .,lunte ~ ,Page # ~-~'~v1J C~TQ.~~ ,, ` -c! # 6 ~S`f 9 2S , Yulume I `~ 33 ,Page # c9z`1 ' Spec house l~ yes O no Lot lines identifiable (~ yes Q no S` STI~,11'I MAINTENANCE; Improper use and maintenanecof your s~~~~tic• sysicn, could result in its pren,aturc failure io handle wastes. Nrvpcr mainter.~n~c ct ~tsts o(puttiping out the scplir uutk curry three years ~~r sounrr, il' Herded by u licensed pumpor, What you Nut tutu tl,o sy~t~ut ca, atf•cct the function of the; sclsttc tank as n trcutn,ant stu6e in the waste disposal system. ' 'fiia property owner egrets to submit to St, Croix ~oninf; laeparhnant a certification form, signed by tbo owner and by master plumber, journeyman plumber, restnctcd plumber or a license;! pumper verifying that (I) the on•site wastewaterdisposai sy.tce, is in proper uprr;ning condition and/or (2) ;,I'tcr inspection and pun,pinl; (if necessary); the septic tank is Less than I/3 full of sluilec• l%we, the undcrsibned have read the above requirerr,cnts and abrrc to maintain the private sewage disposal system with the standards sat forth, her • , as sot by the Department of Commerce and rho Department ul' Natural Resources, Stara of Wisconsin. Ccrtificauop stating t r eptic stem has been maintained ,rust be completer! and returned to rho SL Croix County Zoning Office within 30 day f c th~ xpiration dalc• • //7/a3 SIGNAL' E Ofi APPLICANT DATE 9WNER CERTIFICATION 1 (we) certify that all statements on this form arc tnre to the best of my (our) knowledgC. th pr is ibed above, by virtue of a warranty deed rccordr.: nt Register of Deeds Office: S1U ~ '1'Ult1f Jl~ A}'1'L1CA 1 (we) am (arc) the owner(s) of ~ ~~~ DATE *"•'''" Any information that is mis•rcprescntcdmey result in the sanitary permit being revoked by the Zoning Department. *"'•' ** Include with this application: a stamprd warranty decd from thr Rebistcr of Dacds office • a copy oi• the unified survey mop if reference is made in rho warranty deed 'J 1933i' 02 STATE HAR OF WISCONSIN FORM 11 • 1982 LAND CONTRACT Individual cad Corporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVER 525,000 IS FINANCED AND IN OTHER NON-CONSUMER Docament Number ACT TRANSACTIONS CONTRACT, by and between Renee E. Spott, a single woman ("Vendor", whether one or more) and LaCasse Development, Iac. ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full perfomtance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property"), in St. Croix County, State of Wisconsin: E+64925 KATHLEEN H. wALSH REGISTER OF DEEDS sT. cROIx co. , wI RECEIVED FOk RECORD 07-29-2002 12:30 PM ~Ht~iil l:l~V'~ itlti; tAeMVF P REC FEE: 15.06 TRANS FEE: 1599.60 COPY FEE: CERT COPY FEE: PAGES; 3 Area Name and Return Address Krlstlna Ogland Estreea & Oglsod P.O. Box 359 Hudson, WI 54016 20-1017.70-000; 20-1017-50; and part of 20-1018-20 (Parcel Identification Number) All that part of the North half of the Southwest Quarter (N l/2 of SW 1/4) and the Northwest Qttarter of the Southeast Quarter (NW 114 of SE 1/4) of Section 13, Township 29 North, Range 19 West located North of the railroadright-of--way and West of Alexander Road. This is homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at any reasonable location the sum of S 533,178.00 in the following manner: (a) . at the execution of this Contract; and (b) the balance of S 355,278.00 ,together with interest from data hereof on the balance outstanding from time to time at the rate of seven (7) % percent per annum until paid in full, as follows: One payment of 5177,900.00 principal and accrued lntetYSt dae January 3, 2003. Provided, however, the entire outstanding balance shall be paid in full on or before the third day of January 2004 (the maturity date). Following any default in payment, interest shall accrue at the rate of 8 % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance Premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and Insurance will be deposited into an escrow fund or trustee account, but shall not bear Interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal.-Any ametsnt etta3'-be-P*ePa9davitfie>fsEprenm+n+w-fee-a~per+-Prineipefet-eny4imo-e€ter (OR) there may be no prepayment of principal without permission of Vendor.• except as pTOV3 e n dendtrnt In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded here from. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. closing date except as Purchaser shall be entitled to take possession of the Property on provided In Addendum , • Cross out one. LANDCONTRACT' - IadWldaal and State $sr of Wlstroasia Corporate Form No. 11 -1982 Informaibn Prohsaionala CornPeny, Font du lac, WI a0ba5S202t ~~, ,NDER MEADOWS UV1/4, PART OF THE NE7/4 OF THE SW7/4, AND PART OF THE NW7/4 %. TOWN OF HUDSON, ST.CROIX COUNTY, WISCONSIN. N89°37'24"E 5339.33' EAST-WEST 1/4 LINE ~~P~~-~-~D aQG~D~ N89°3T~24uE •tg7°I .•Z9~--, \ 371.45' 96.00' 372.41' 3fock Dist. = 677.48' Block Dist. 61887.80' 586°2535"W-___----- _. ,- .- h. - `- I N 7.84' 318.52' w , ~3o'DR4INAGE ~ ~ W 5a -" !~ EASEMENT I Z I ~, ~' LOT 7 1A ~° LOT 8 n n (109,932 SQ. FT.) 2.305 ACRES ~ ~ a 0 j • _ t~` (100,392 S0. FT.) • • ~ ~. ~. `~ o ~ ~ ........... ........... . ~ ~ off, ~ m AINAGE ~ ~3~ 'tea ~ __.-._.--•-- - •--•-- - ~ RENT ~ ~ S ~ S89°28'00"W 575.82' .•• ,~ . • ~• ~. ~ ~,; _ - HILLSIDE TRAIL \ ~' ~~ ~ '~,~ `/~~-~ ,-- N89°28'00"E 575.92' ~``• ~' / `W. m-^' G16 ~, ..- -"' •-- 27.21' - . - - .. •~ - . - - . 03 ~. ~ i _ ~' .. ~ ~ ~ ,--'~ 0 • ~`~' ~ C 13 ao `G2 ,ice ~. . ~' ~ '' ~ , ~. • ~~ / •. ~~ ~ . ~30'OR4INAGE EASEMENT LOT 13 2.192 ACRES ~i (95,487 SQ. FT.) L.B,O. =964.0 LOT 14 2.457 ACRES (107,013 SO. FT.) m ~ ~~ o ~' ~ LOT 1 S ~ ~ 2.429 ACRES ~ 105 91 ( , 5 SQ. F?.)