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Home My WebLink About020-1411-12-000o m m O C ~ Q p N N N ~ ~p c ~ 3 ~ ~' A d O ~ A IN ct~ a p c O ~ ~ Z o_ o ~ a c m a C C o I~ N ~ m m 3 O m N C lD N O Q ~ ~ ~. '", fQ O O N ~ ~ O N .~ ~~ O o~ ~ N a m m a 4l O N X d fD V 3 O N fD 3 0 m En O o g o Q- o ~ f ~ ° ~ ~ ~ 3 O ~ (7 A ~. ~ ~ fD m O (O y UI 2 tD t~ - a a ~ .. ~ A 0 2 w c N °- o ~' o ° co ~ O O O a rn ~ v o ~ m co ~ s' m D ~ Z m ~ o m N p N <A c < N d N O ~ ~ ~ Q p, W ~ a~ap. °o r; 3 ~! z m A ~ G C 7 a ~ m o ~ ~ 3 m ~o m ~ m ~ ?~ C W N y N O O ~ 7 ~ ~ o ~ N ~ N p O ~ O N o c ~ a'! a .. ~ d K N N a m 3 m m n J A Z n J ~ K A Z O .. ~ 7 N W f0 z ~ ~ ~ ~ A :~ Wisconsin Department of Commerce 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)]. ermit Holder's Name: City Village X Township ;,itro, Steve Hudson, Town of ST BM Elev: Insp. BM Elev: BM Description: q~.zd Q-3 G5l 'ANK INFORMATION ~ _t ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ I, f Z~O Dosing 1' Aeration Holding TANK SETBACK INFORMATION TANK TO PJ 01 WELL BLDG. Vent to Air Intake ROAD Septic ~~ ~ ~ ,3~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GP Model Number TDH Lift Friction Loss System Hea TDH Forcemain Leng Dist. to Well SOIL ABSORPTION SYSTEM County: St. CrDIX Sanitary Permit No: 515046 0 State Plan ID No: Parcel Tax No: 020-1411-12-000 SectionlTown/Range/Map No: 13.29.19.2582 STATION BS HI FS ELEV. Benchmark tJ . ~ 9/ ~ 3 Y 9 ~ • z~ Alt. M ~' /' Z . ( p t / /'7 i ~~ Bld .Sewer , /~ Z.~ ~Z ~ ~~ SUHt Inlet ~ y!{ °~'Q .'g SUHt Outlet ~` ~~ ~D Dt Inlet ~ ~ Dt Bottom ~_ ~ Header/Man. / _ .~ , P / ~ ~~(~ J? 3 Dist. Pipe j ~ ~~ Q q ~ 3~2 J l ' ~'!'t g .~1(O Final Grade 3. $g . Z ~ st cy.~r l ~' Ga.! Z . ~ , 3 ~j t ~ . ~0 p '7 0 /~ $,Z ~' Jou D , ~~ g~ • ~~ BED/TRENCH DIMENSIONS Width Length Q'~ No. Of Trenches " ~ PIT DIMENSIONS No. Of Pits '~ Inside Di~` Liquid Depth .3 J t/~ 3 ~ ~~ L ~` _ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING ER OR Manufacturer: f~` ht~ r 1 INFORMATION Type Of Systel^ ~• ~~ ~~ ~ ~ CHA uN . . Model Number: G G b /~ DISTRIBUTION SYSTEM /Ue(~ Z,U v""'GU tc.v - ~ Header/Manifol~ ~l Distribution x Hole Size x Hole Spacing Ve o Air tak/e 2 , I Pipe(s) ` ~ ` __ ~ ~~ C~~~ Length ~ Dia "t Length Dia Spacing d,..~. ..... Cf111 R(1VFR ., o...,~~...e c.,~~e..,~ n.,i.. .... M.,~~.,rt nr et_r~rada SvstPms Oniv Depth Over Depth Over h Ed B dlT xx Depth of 1 To soil \ xx Seeded/S dded ~ xx Mulched Bed/Trench Center ~ renc es \ e g p \ a., es ~ No Yes No ~` COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 809 Hillside Trail uds n, WI 54016 (NW 1/4 SW 1/4 13 T29N R19W) Alexander/Meadows Lot 12 Parcel No: 13.29.19.2582 1.) Alt BM Description = ~<<~ ~ ~~ Go~4 2.) Bldg sewer length = ~3 - amount of cover = ~ ~~ Plan revision Required? ~ Yes No ~ IJ Q5 Use other side for additional information. ~~ - - -- ~~- - Date Insepctor's gnatur Cert. No. SBD-6710 (R.3/97) ~~ ~h V Comm@rC@.Wi.goV Safely and [3ttildings Division 201 W Washin ton Ave l t~ County ~~ ~ ~ i s eo n s i n . g ., , ~ Madison, WI 5371 ~ . nary Permit Number (to be filled in by Co.) Department of Commerce ~~77 Sanitar Permit A lic ti StateTransactio n um{xr N y pp a on In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental i i ~ / ~ / `r /~' un t s required prior Io obtaining a sanitary permit. Note: Application forQEa~'~t ,~~WTS are submitted to the Department of Commerce. Personal infirmration you prove may ~ secondary project Address f different than mailing address) u ses in accordance with the Privac Law, s. I S.U4 I m ,Scats. ~ / ^ , . 1 A lication Inform ti Pl i ~ ~ ~V ~ Q ° / . a on - ease Pr nt All Information ~` ~ J I i Properly Owner's Name ~t'~!'~ ~ ~ ~'V Parcel # ~ b ~ ~ ~ ~ ` ST CROIXCOUNTY ~ ' i Property Owner's M:iilin~ress G 8 ZONING OFFICE Property Location Govt. Lot City. State „ ~ / Z,i~p•~Code ~ Phone Number ~ N W '/•. S~ y~, Section _~ / V ~ W .J ~ , _~~ ~ (circle o T a ~ N R ~ E ~ 11. T e of Buildin chec all that a 1 YP g PP Y) Lot # ; _ or t~l or 2 Family Dwelling - Number of Bedrooms I ~ Subdivision Name _ /j ~ ~~~ QXtl/~.1 ^ Publi /C i l / Block# -~~ 1'e?~AN~~ ~~b~ S c ommerc a -Describe Use ^ City of __ ^ State Owned -Describe Use t ~ CSM Number _ ^ Village of I~Townof uVDSOjJ 1[l. T ype of Permit: (Check only o e box on line A. Complete line B if applicable) A. `®. New Syste ^ Replacement System ^ TreattnentlHolding Tank Replacement Only ^ Other Modification to Existing System (explain) B. ^ Permit Renewal ^ Permit Revision ^ Change of Plumber ^ Permit Transfer to New List Previous Permit Number and Date Isatted Before Expiration Owner IV. T e of POWTS S stem/Com onent/Device: Check all that a 1 Non-Pressurized In-Ground ^ Pressurized In-Ground At-Grade ^ Mo~4~~in~~.....o~~fs~~uitabk soil ^ Mound < 24 in. of suitable soil l ^ ^ r Ho ding Tank Other Dispersal Component (explain) d'~'/~PPretreat nt Device (explain) V. Dis ersaVCreatment Area Information: DesignOFlu (gpd) / Design Soil Application Rate(g sfl Dispersal Area Required (sn Dis real Area Proposed (sf) System Elevation // v / ~~OO 1 a 9~ ~ a u u N 9 ~ rn 9 D~ol: 8g V1. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ~ e ~ NewTanka ExiatingTaaka ~~ ,~d C u j`~`gj ~ H ~ ~ tr. ry~ Septic or Holding Tank ~ ,~ ~ ,~ ~ O I Q 1 Dosing (.'hamber ' '/ VII. Res onsibility Statement- I, the undersigned, afsumerespowibillty for Installation o the POWTS shown on the attached platy. Plumber's Name (Print) PI 's S1 MP/MPRS Number Busitt~a Pbone Nttmber ~;~. ~u~ a~~. ~ ~u - ~ ~ ode ' Plumber s Address (Street, City, State, Zip Code) ~~ v ~~ s ~~hs I~-)1 ~ o Vlll. unt /De artme Use Onl Approved ^ Disapproved Permit Fee ~ Date Issued wing Agent ignat rc S ~ `l ( 7 3 Q L~~YC~.,~ • ^ Owner Given Reason for Denial IX. Conditions of ApprovaUReasons for Disapproval ~ /A -_ / ~ ~ C~ SYSTEM OWNER: C7~K- 7 Se ti t ~ ~~ p c /e d ank, effluent filter and !g~ Z QJlB4 S ,~ ~x ~ dispersal coil must all be serviced /maintained 5~ ~} f~" r3 ~~C.~c C'~~`~ `~f~c~'~r/ as , per management plan provided b lumber. Sncnt,m srrroe,.. ..._.a~ __. _..,. as per applicable c~~od~~(e/ordin~rnc~~~ ~~~~~~~~ SBD-G . ~~ aliJih"ru~/09 ~ a - -~ I~ > ~ ~ ~ ~'6ufTs ' by -nll to the County only on p r trot has than a 1r2 x I I Inches In sl ~` ~-~ ~ ~~~~~~~~ ~o~~ /~ci.me ,~ ~ ~'~ 5~'cv{ C~~rw ~On Q~ c x p~~ ~~ ~~ h'~ s ~; ~i o 4 ~} e~~.~ 4"" 3~ ~b tab ~+ ~~h° :n~ ~S ~ ~/ / /~ ~~`~ yn ~, ~ ~~~ /zv~Qf ~ ,~' ~~~~ ~ ~~ / ~ ~~ C~ ` ~f CSI ~.~ ~;f.. ~" ,F ~~ DoT ~ ~~ ~~ '' ~ s;,,~, ,~,,, ~N ~ ~~1't~f UC~~ ~ \bN ~,`1~ ~ ~ a~ Ps~ta~~~~ ~S czi ~ ~.~rs~r~a~~ ~~ v 1 ~ x ~~ ~~~!..~.. 1, .. 1 y S S _~ ~ I,ue =- _ '40~ ~~~~ Q~1~ ~° / ~~ ~~{~ •--~ T'm l~umees~e~ 0~daw~ G;~en~se ~~.9d9o~ ®' dew c~, .~ ~up oar '~a'° PV c. P; ~ ~I~r~t =16U. U ~ = At1' t~. P+~~~.lt ~I~ov-. ~91b ' lay Pv c, as ~ ~y' ._..---- 3 -'(~ ~~S ~k~ US~w~ ~'iU:~ .t. ^~ X J ~~ E16.0 ~ ~ ;, x ~ 1 ~` 932.5 t7~ORY ~ ~a`a WATER ~ ~~ ' ~~ /' ~ RtTENTto~l i ' AREA / i ~-'w i ( 9 ~ ~ ~ AC. ~ ~- ~~! M.W.t ^ / (1.66 ~ Y.R.R.E. ^~~ 93.5 ~ ~~ ~ ., ~ / ,,i'S ~ ~ /J/i'. i i i '\ 9~ ~~ ~ . . COT 'f0 ~ . ,, w-.~- ' ~ ~ ~, > ~~' ~ ~ ~ ip .~~ ~~ .~ `~, X ,: t~, _ , . ,,. f ~~ ~ ', r w-_ ~ ~, lp~ ;~j ~ \\ ~, ~= .F j ~ ~ n :, ar ;u- s ~-__- __ ._ ~ t °. \ \ ~~. w~ ~ ~ e __.. ~~ ~ ~ +` ~ _ E1~OEE~ X36.- %~ ~'' WNT1lt` X ~ ~~; ,y. ~ ~ AlltA ; ~ ~ ! i ~~ ~~ f ~ ~ ;~ pp ~ .z ~.. / ~ ~ ~' /' 9 / ,~ `=~=..~. x 975.0 /~.me Cad ~/a~ lea sf~~~ c;fi,~ Tm 1~uMees~e~ %OA Qlexa~.,o~t,w ~lepc~ot,15 G:~ense '~~lgoy ®' ~~ c~, I^~Yn~. TuC' oar '~a" py ~ P, ~ ~I~rv =16U. U ~ = AH1' Q. Mbn.~C ~I~v ~ y~9 lb ' lay Pv c, ~ = i~~ ~~1~.~ ~: -Jr- o _, n~ lam= ~9` I lob' a /'~ 3 ~ T~N~~S 3k~o us~tiy ~N ~i ~ 4 ~tF~ UT~~ ~~ ~ Qy,~~ y (a~ {~.-t'~~~~~ ~ ~S /~~ n ~~~ ~~ ~''' , ~ ~~~~.~ 5s j ~ Owct) I aloU Cpl 'w ~,; C~,I ~.~ S~. ~. aut ~~ o, b~~~c~' ~~ ~~`~ , .~~ ',. ,r ~~ p _ ~(' ~ N , ~a by r''1 ~o, u~ ~ 89.~~ ~ao't ' 1050 Wisconsin Department of Commerce SOIL EVALUATION REPORT page I of s Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service County Attach complete site plan on paper not less than 8%2 x 11 inches in s¢e. Plan must St. Crooc include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest mad. Parcel I.D. ~ - - ~ Z ~Ql~ Z~ e "g Please print all infonr-ation. R By Date Personal information you provide maybe used fo nda~ ~ 15.04 ('~ (m)). 3 ~ 7 ~~ ,vim.. Property Owner Pr rty Location LaCasse Development , Inc- A ~ ~ ~ ~ 2 ~ O Govt o NW 114 SW 1 /4 S 13 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 573 Cty Rd " A" ST. CROIX COUNT 1 na Alexander Meadows City State Zip C e Ph~~p~FFICE Village Town Nearest Road Hudson WI 54016 715-381-5405 Hudson Alexander Rd. New Construction Use: /' Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial -Describe: Parent material Glacial Drift ~ 1S i S ~ ~~ ''` ~ - ~~ ~ Flaad plain elevation if applicable na General comments , ~ ,~- / ~/ `~ Q ~ ~' /r~~'~^"''' ' """' ~~' / ~ ~ ~~ l ~~~ and recommendations: system elevation 90.80 ft, trenches spaced and depth to code 4.00 ft bebw grade `~„ ~/ Boring # _ Boring 96 Pit Ground Surface elev. 94.80 ft. Depth to limiting factor in. Sot Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/RZ *Eff#1 *Eff#2 1 0-7 10yr3/2 none sil 2msbk mfr cs 1f .5 .8 2 7-19 10yr4/4 none sic! 2msbk mfr gw na .~ .6 3 1~ 7.5yr4/4 none s~ 2msbk mfr gw na .6 ~ 5 4 48-96 7.5yr4/4 ~ none sVls 2msbk mfr na na ~~~ ~ o-sue ~ ~ a. ~ ~'~`-~.' o'~'~' >S~`'~ ~ 90.0'= ~~. ~~, Horizons # 3 & 4 have stratified layers Boring # _ ' Boring 96 /' Pit Ground Surtace elev. 94.80 ft. Depth to limiting factor in- Sod Appl~ation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-8 10yr3/2 none sil 2msbk mfr cs 1f .5 .8 2 8-24 10yr4/4 none sic! 2msbk mfr gw na .4 .6 3 24-40 7.5yr4/4 none Ifs 2msbk mfr gw na .5 .9 ~~ 4 - ~, 40-96 7.5yr4/4 none sUls 2msbk mfr na na /r O~ Horizon # 3 has stratified layers " trrlUem 81 = tiUU ~ 3U < 11U mg/L antl I SS >3U < 150 mg/L "Effluent #Z = BODS< 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel C?~ _ ~ 248956 Address Steel Soil Service ate Eva n Conducted Telephone Number 1564 CR GG, Nevv Richmond, WI 54017 8/2!2002 175-246-5085 /• ~ ~ ,Property owner LaCasse Development , Inc. Boring # _~ Boring ~i Pit Groun d Surtace elev. Horizon Depth Dominant Color Redox DescdptN 1 0-9 10yr3/2 none 2 9-22 10yr4/4 none 3 22-40 7.5yr4/4 none 4 40-96 7.5yr4/4 none Parcel ID # Pending 91.20 ft. Depth to limiting factor n Texture Structure Consistence sil 2msbk mfr scl 2msbk mfr Is osg mvfr ms osg ml S~~Z~= fig`' ~w~e.~~-~ ~~) Page 2 of 3 96 in. Soil Application Rate ~undary Roots GPD/ttz "EtT#1 *Eff#2 cs 1 f .5 .8 gw na .4 .6 gw 1 f .7 12 na na .7 1.2 Boring # 'Boring 91 20 ft De th to lim itin factor 96 i / ~ Pk Ground Surtace elev. . . p g n. ~~ Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 "Eff#2 1 0-7 10yr3/2 none sil 2msbk mfr cs 1vf .5 .8 2 7-22 10yr4/4 none sicl 2msbk mfr gw 1 of .4 .6 3 22-35 7.5yr4/4 none scl 2msbk mfr gw na .4 .6 4 35-50 7.5yr4/4 none sl 2m~ mfr gw na ~ .9 5 50-72 7.5yr4/4 none sUls 2msbk mfr gw na .5 .9 6 72-96 7.5yr4/6 none ms osg ml na na .7 1.2 ~ g'l. 2 _ ! /g a '7 ~~ y Horizons # 3 has stratified layers Boring # 'Boring __ _ ... .. ... _ * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 m9/l_ * Effluent #2 =GODS <30 mg/l_ and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. ff you need assistance to access services or .. # - 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 NWl/4,SW1/4,S13,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715) 246-5085 Alexander Meadows, Lot 12 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. c~~,g3,odF'' ~41~ 2~~ \ ~`~ i S D~ \ Sfukr ~~o ~` 5~ ~ ab, - r3~''' ~, `~ ~~ a' ~~ ~~ ~~ ~, Q~ tn~ r i ~O ~ c f,3{nG~1/1t4/'~ E~ ~ = ~~a- f3 ~~ n~« r k oPe r'~ t y ~~ ~ r~ I 3o~t'n tis ~j/1 ~ ~ ~~CI/~~~'On5 BZ - Gt ~f, g~.r- !33 = 9l • Zo~~- l3 `~= ~ ~. 2oF'f- 3 8_z9~ ~/ ~39y~ ~~5~ ~~ ~,'ne ~c~`i ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OvmerBuyer ~-ty~ ~,1~12V Mailing Address Property Address ~ (} (Verification from Planning & Zoning Department for new construction.) City/State _ ~ ~ ~ 'Parcel Identification Number 0~ ~ - /~ - Z,$~~ LEGAL DESCRIPTION Property Location N l,J ~/, , S ~,,~ '/, , Sec.. 13 , T a ~ N R~W, Town of ~l-bS oW Subdivision ~' - q'k p N ~ YL ~ Q b nUW S ,Lot # (a . Certified Survey Map # ,Volume ,Page # Warranty Deed # ~ 79 7 j~ ,Volume ,Page # Spec house yes Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into rite system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification fon;n, signal by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensai pumper verifying that (1) the on-site wastewater disposal system is in proper operating conditionand/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. ~~. ~`.~. r,ti~. ~.: Uwe, the undersi ed have read ~~~" ~'~' '~' i' ~~ ~~°~ $n ~ ~ is and agree to maintain the private sewage ~yeoem.with the standards set forth, herein, as set by the `` a and the Department of Natural Resources, State o!'~Viaeensin. Certification statiag that your septic system bas must be completed and returned to the St. Croix County Planning & Zoning'Depatttrtent within 30 days of the tbs+oe ' n date. ~~;~. `~ Uwe certifythat all statements on thia.forailre,true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranity de~sl ~ecotded in Register of Deeds Office. ~ia8i ~~ ' SIGNATURE OF APPLICANT(S). DATE ~~~ ~ ~ ~, ***Any information that is misrepresented may . ~tgtbe sanitary permit being revoked by the Planning & ~ Department. *•• ~,_. ~. Include with this application a recorded warranty v~ fom the Register of Deeds Office and a copy of the c;ert~ed. Hovey map if reference is made in the warranty deed. ayA!.",7 (REV. OS/OS7 POWTS OWNER'S MANUAL i~ MANAGEMENT PLAN Owner ~Ut C, ~'K- 0 - ----- -- _._ . Permit ar V. DESIGN PARAMETERS Number of Bedrooms ~/ T' ^ ----- - Number of Public Facility Unite __ NA -- _ - -- -- ------_- Estimated flow (average) -fa.NA ~ ~U -- Desi n flow -- 8 ipeakl, (Estimated x 1.51 -- ----- - .gal/dad -- - ~ V v --------- Soil Application Rate . _ --- --------gai/daY - Standard Influent/Effluent tlualit Y ga~/day/ft' Monthly average • Fats, Oil $ Grease IFOGI <30 mq/I Biochemical Oxyyen Demand (8r~h~l _ <99r1 rna/[ f t N/1 _ _ Total Suspended Solids Irssl P ---- x150 nr /L g retreated Effluent Quality ---~ -`- ----------- Biochemical Oxygen De Mnnthly averaye mand (BODR) S30 rnq/(. Total Suspended Solids (TSS) 530 rrr /L q NA Fecal Colitorrn (geometric rneanl _ 510^ u/100m1 -„_ Maximum Effluent Particle Size -" -- - -. - - - - Y in die ------__-_ -- -.-_ OthR7 q . ^ NA IJ NA ~NAiURS typiCAl tOr demR3tiC WRAtRWAtRr :Ihd ARt7tiC 1R111C Rttlllgllt. Sewtce Evsnt Inspect condition of tank(s) Pump out contents of tank(s) Inspe dit sc parse 1 SYSTEM SPECIFICATIONS Septic tank Capacity ---- Septic Tank Manufacturer Effluent Filter Manufacturer ---~ Effluent Filter Model rpaA - ~ r,t ~- O NA ~ NA -------_ ~Oe~VA -[3 NA NA NA AN u al ®NA j O NA Lb Pulnll Tank CAlrarit.y _-.____- ---- - ---- Pump l ank Manufacturer --- -- -- -- -- -- - Purnp Manvfacturer `- Pwnp Model --- -_-.--- --- .--- Pretreatment Unit 1] Sand/travel Fnrer fa Peat Filter l MRCllallical /~nlatilrn 1 1 Welland C7 Uish-fection U Other: --_-_ _ .. I)isllersal Cellle) - - _ -__--- In r;minrd 1 ravit I ^ NA ~1 a V fJ In Ground (pressurized) i_7 At trade C7 Mound f_1 Urip-Line O Other: ---- _ . r>ther. _ __ ----- .. flthRr _ _._ . __ Serofce Frequency - - At least once every: ^ monthls) -- _ _- ~- --- -- ~ ~1 veer(s) (Maximum 3 yetsni When combined sludge and scum equals one-third 11',1 of lume Clean effluent filter Inspect pump, pumn comrols $ alarm Flush laterals and pressure test DthA-: _---- At least onra every: a O /1t I - O NA O NA ^ NA O NA O NA IMaximum 3 yearel O NA east once every: U monthls) _ .-.-----_ ____----- -/~. __-_~ Year(s) ___ O NA At least once every: u monthlsl -----~--~----- _-_ __ _---- Ci Year(s) _ NA i4t Mast once Avery: ^monthlsl ~---"' ...._-. _____. _ D year(sl __ NA At least once every: ^ rnonthls) - ----~ ^ yearlsl NA MAINTENANCE INSTRUCTIONS ~ D~VA inspections of tanks and dispersal cells shell be made by an individual carrying one of the following licenass or Master Plumber; Master Plumber Restricted inspections must include a visual inspection ofsthe~anki~jsl toSde tify any missing or broken hardware certifications: P POWTS Maintainer, Septage Servkting Operator. Tank measure the volume of combined stud a and s The dispersal celllal shall be visually inspected g cum and to check for any back up or ponding of effluent lion the ground surface of effluent on the ground surface. The ponding of effluent onftl eegro<end surface may indicate a ailing c~ch~eck for any pond immediate notification of the local regulatory authority, ~ ion and requires the When the combined accumulation of sludge and scum M any tank equals one-third IS',1 or more of the tank volume the contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance whh chapter NR t f Wisconsin Administrative Code. entire Ail others g 8, s, includin but not limrte servicing of effluent filters, mechanical or pressurized components, raft units, and servicing at intervals of 512 months. s ail be performed by a certified POWTS Maintainer. p eatment A service report shall be provt u story authority within 10 days of co-npletirnr nl any service event. Y START UP ANb OPERATION Pape of For new conatructbn, prior to use of the POWTS check treatment tanklsl for the presence of painting products or other olantfoala that may impede the treatment prooess and/or damage the dispersal celllsl. If high concentrations are detected have the oontente Of the tenklal removed by a septage servicing operator prior to use. System start up shall not occur when soil condhions ere frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will bs ~ ~ .~ discharged to the dispersal celllsl in one large dose, overbsd~g the cep(s) end may result in the backup or surfeoe discharge of ` effluent. ~To avokl this situation have the' contents of the pump tank removed by a Septsge Servicing Operator prbr to rostorMtg power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the arsq ; whhin 16 feet down slope of any mound or at-grade soil absorption. area. Reduction or elimination of the folbwing from the wastewater stream may improve the perfomnance and prokmg the pfe of the ' POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental foss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; op; painting products; pesticides; sanitary napkins; tampons; and water softener brMa. kBANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • Ali piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. M SMM MrfliiWiti•>~+ Mii f~ilhlii i1NNY N~ifr rNUil by kri-w~+~d~ rNw Wiii~iNr~i"i AIiIMMf~Ih r~lr, ~~ r Mrw~Milfil tiwi~iiitiMN ~,~ii~M1i • 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 falls and cannot be repaired the following measures have been, or must be taken, to provide a code comppant replacement system: ~ ", `B A suitable replacement area has been evaluated and .may be utilized for the locatbn of a replacement-sop E'` ', system. The replacehtertt area should be protected from disturbance end compaction and should not bs.tnfrlnped opal by requked setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replsoemertt area wIN result in the need for a new soil and site evaluation to estabpsh a suitable replacement area. ReplaoemeM systems moat comply with the rules M effect at that time. O A suitabM replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a hokfing tank may be installed as s last resort to replace the failed POWTS. ~ The she has not bean evaluated to kfentity a sukable replacement area. Upon failure of the POWTS a aoN and sits s . evaluation must be perfomned to locate a suitable replacement area. If no replacement area is available a hoklhtg tank, may be fnstalled sa a last resort to repltice the.aailed-POWTS. w„ .,a `vttnop qt' ~~ - i O Mound and at-grade soil absorptf be reconstructed in place following removals bkmtat at the infiltrative surface. Reconstruction " ~ ~ must comply with the rules in effect at the :.-. ~~, , ~ ' . < <WARNpVO> > k ..~ a ,. SEPTIC. PUMP AND OTHER TREATMENT T~-NKB MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. 00 NOT , .. ENTER A SEPTIC,. PUMP OR OTHER TREATMEIILT T~K UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OP A` ' PERSON FROM THE INTERIOR OF A TANK MAC }~FlCULT OR IMPOSSIBLE. . r-~-~-~.~ .,: ,., . . ADDITIONAL COMMENTS ~•,. ~;~~lfll'`f `ii: , , ;~,. }. ~ yy ~+..sr,~,w POWTS INSTALLER Name ~r J i it bk 1wC l~ ~"i-' ~++rt~ ,~ ~t~ Phone ~ / ~' (;`. t aFti~~~)7':l`_r•. POWTS MAINTAINER p4}KY1f. ~~~.'_ '~ _.~;:.,~ Name n~;t ~~*'<c1t~,.. . Phone :~+5~3s~' t~~ ~ .: SEPTAOE SERVICING OPERATOR (PUMPER) "' ` ~A'''=~~' LOCAL REGULATORY AUTHORITY °Ili ~~''~~'''ra ' Name ~ 1-2riR •~s +s '`~ +~i `~~ Phone '~ -- ~ V ~ r ~' .} Name ' S~'~' ~ CK,11 ~~9= .,~.:~ ~~.:,. • Phone ~ , ..4, This docanent was dratted In oomp6snce with chsptir Comm 83.ZZ1211b11111d1if~11- end 83.64111, 121 14 131, Wisconsin Adtrtrath-e Code. Parcel #: 020-1411-12-000 04/03/2009 08:29 AM PAGE 1 OF 1 - - Alt. Parcel #: 13.29.19.2582 020 -TOWN OF HUDSON Current ^X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - CITRO, STEVE STEVE CITRO 1041 TAMARACK PL NEW RICHMOND WI 54017 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ` 809 HILLSIDE TRL SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.008 Plat: 09-038-ALEXANDER MEADOWS 020-02 (1-22) SEC 13 T29N R19W PT NW SW ALEXANDER Block/Condo Bldg: LOT 12 MEADOWS LOT 12 TWIN HOME LOT (3.008AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-29N-19W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 08/08/2008 879794 WD 10/17/2002 694570 2014/230 WD 10/17/2002 694569 2014/229 WD 10/02/2002 692626 9/38 PLAT 09 SUMMARY Bill #: 2 Fair Market Value: Assessed with: 0 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.008 73,000 0 73,000 NO Totals for 2009: General Property 3.008 73,000 0 73,000 Woodland 0.000 0 0 Totals for 2008: General Property 3.008 73,000 0 73,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number II Document Name THIS DEED, made between BMW Residential. LLC ("Grantor," whether one or more), and Steve Citro, a sing] a rnrsnn ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and outer appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 12, Alexander Meadows, St. Croix County, Wisconsin. 111111 IIIII Illli IIIII IIIII IIIII IIII 111111 IIII IIII X 8 7 9 7 9 4 1 8~9794~ KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 0810$/2008 01:30PM WARRANTY DEED EXEgPT t REC FEE: 11.00 TRANS FEE: 193.50 PAGES: 1 Recording Area Name and ~av~. Estreen 304 Locust Street Hudson, WI 54016 ;;cal -l7tp~`7~"f~ 020-1411-12-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated ~ D ~ ~ LMCW Resi len~i~ »By: Brian Whitemarsh, Managing Member (SEAL) (SEAL) AUTHENTICATION Signature(s) BMW Residential. LLC by Brian authenticated on ~ ~ 0 ~' TITLE: MEMBER STATE 8AR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: ACKNOWLEDGMENT STATE OF ) ss. COUNTY ) Personally came before me on the above-named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, State of Attorney Kristina Ogland My Commission (is permanent) (expires: ) Hudson. WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY iDENT1FIED. WARRANTY DEED ~i 2003 STATE BAR OF WISCONSIN FORM N0.2-2003 • Type name below signatures. INFO-PROTM Legal Forrrts 800-655-2021 www.infoproforrns.com 1of1 ~ . Y p~~_o~ ~ l~~[~D r~t Q~~ !~ --- BENCH MARK: TOP OF ALUMtNUMCOUNTY ~~J~°'i~~[ W1/4COR. MARKER, ELEVATION 934.39 EAST-WEST 1/4 UNE SEC. 13 - - - --~'~, 371.45' ------- I ~\ I F.I \ ~ _~ _..-. ~ ~ ~ a u ~ *- ~ ~ - -----'_ 3 X52' __ _- ~i ~ 1 ~ _..-- ~ :~-- i /°2~9' S0' ° ~ `~ "P ~' i 95 ' i `~~ ~ ~1 ~ H.W.E. = 936.0 ~~ ` Q' ~' ~ i' ~ LOT 8 ~ ~tl 1 .-' ~~ 1 ~~ ~i 2.306 ACRES 3e2 so. Fr.) ; ~ LOT 9 ~, (,oo , ~~ , , 1 .' 2704 ACRES ~ 1 ~.~' i i (117,792 So. FT.) ~ R 1 ~~ 1 STO M s+~. L8.0. ='.~i8.0 ~ ~ i WATER RETENTION ~1 ~ AREA ~ Fs i i~ ~ ? ~ 30' DRANVAGE 1 ~ I ~~ \ EASEMENT . 1 ~ ~ ~ ~ ~ ~ i ~i ~ ~ ~ ~ ~ i ~ ~ ~'~ ~- ~ \` ---_. _ .-' .LOT 1 O ~ / ~~ ~ ~' 2.554 ACRES ~ ~h~y C 13 ~~ `' +~ i (111,240 SO. Ff.) ~0, ~ % c& T L.B.O. =938.0 / l / \. ~ ~ C1 ` k ~ ~ f ~ I I Ci ~ \ '/ . I I a 1 C~ 1 r `48 E ~ q0 ~ ~ ° ~ ~ N78 ~ ~ i 1 r .~ , s 1 ~ ` ~ • / ~tll ~ •.... ~ LOT 13 ~ / / / 2.,92 ACF~S 487 so. ~r.) . ca5 ~` v ~ , LO 11 Z L.B.O. =964.0 3.003 ACRES ~3D'DAAlNAGE / ~ (130,824 SQ. FT.) N L.B.O. =940.0 ~ EASEMENT / LOT 1 z 3.008 ACRES (131,026 SQ. FT.) ~ LB.O. =964.0 ~ H.W.E. = 938.0 ~~ TWIN HOME r~ I i S.~p7'1 ~ ~~ °Qti LET '~ T ^ i ~ WATER RETEMI ~ ~ ~ ~ ~ ~~\ ~ ~ `\ AREA ~~ STORM ; ~~' ~~ i `~ ~ ~ __-~ of WATER RETENTION ~ ~ 96p 0 ~ I AREA w \ ~` i~ ~ 1 i ~ E.' ~ ~ ~~ 1 ~ ' / / O 1 - - - 1~ ~/ i~/ ~ Z w ~ Z ~ ~ ~ i ~ i~ ~ \ ~ ~ ww ~~ ' ~~i `\ / _