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HomeMy WebLinkAbout020-1037-90-110a' ° 3 0 M ~ 0 ~ 01 N V ~Y CCO G Q N N C tl ti I '~ i i h N C O Z 7 {L to C O 3 a ~ v 3 M ~ ~ ~ z H E rn Z .'.. O ~ v ~ z w ~ Z m ~ a m c 0 O Z a ~ ~ T 7 w Q E ~ M I N ~ ~ .C .... O N yA N t ~ ~ ~ 3 t o a o °c ~ ~~ Z m ~ ~o w Z to (p _ H N N I ~ ~ _ W O c a ~ O ~ i C N d ~ O C O a N~ ~ L ~ ~ Q O = N Z M ~ {c ~~ = ~ ~ d. LL .O S a a a N °- o •~ (n J V c ~ a N N N } O U ~ O ~ °' N ,n ~ - ~ ~ ,n o o ~ o ~ ~' ` M 'O c as m) Q ~ O a i ti Q Z cn s ~ ~ ~ v ~ O O ~ ~ Nyj C O ~ . O ~ Q C O O O ~ O) ~ F ~ pj • O 1 L N p C C a N ~ ~ O) O M ~ C O 7 n C 7 N Ci ~ O y O~ N 7 +N. ~ ~ p w N~ O y C C N W ~ U • ~ O~ S m of O Z ~ -~ cd Cn O ..i ~ ~ \ V CC ~ .. ~ a d ~ `I~i ~ ~ m c ~ c .. ~ ~ a ° O i V A v ~ c v i Parcel #: 020-1037-90-110 01/20/2005 04:46 PM PAGE10F1 Alt. Parcel #: 18.29.19.160A-10 020 -TOWN OF HUDSON Current X I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' =Current Owner JOHN D & SHARLENE J BOOTS * BOOTS, JOHN D &SHARLENE J 335 CASPERSON DR HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 335 CASPERSON DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 5.460 Plat: N/A-NOT AVAILABLE SEC 18 T29N R19W PT SE NW BEING LOT 3 Block/Condo Bldg: CSM 8/2355 5.46AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 12/16/1999 615631 1478/479 WD 07/23/1997 1040/618 WD 07/23/1997 1032/131 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 47892 406,400 Valuations: Last Changed: 06/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.460 60,800 253,600 314,400 NO Totals for 2004: General Property 5.460 60,800 253,600 314,400 Woodland 0.000 0 0 Totals for 2003: General Property 5.460 60,800 253,600 314,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 001-WATER SPECIAL ASSESSMENT 0.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 1129935 CERTIFIED SURVEY MAP LOCATED IN THE NE1 OF THE NW; OF SECTION 18, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN. Being Lot 2 of Certified Survey Map vol . 6, pg. 1729. NW CORNER SECTION 18 N88°57'03"E N} CORNER 1$ North Line of the NW fl SECTION 18 DETAIL i z n o -. ra o Cl, wa ysdo o ', o Cr 2!6l�S�,. �`0 66� > > COI $ •�!, * s tom I ♦ = 0 N Ne �- #l� �C 01 CL A R \rye 9s�o ` ��`�• - Si . Co o o c es . O/ ?`� I h s N d tea, - owe •Y. , • O,a v -i, i'Aiin‘ 42i v A O rr .0 L M 1 ^ �S4 `= S OT 2 s lI. n - A '? m O •= Cr �• oo N76oZ /OnA Oo_ p 4g 66• r �(NA • r v "� o .- ° - t i)=...� N y = M�ou1�oiv / (See Deta 1 Above For o n i S '1O/ i . al Dimensions) N _ 31bt( �, • o - o' . et •- / o �, .- o, v N (72 o �' 1� u1 s 60'- I h -Ai --103' l.s/ '- I = Zn r s5 1laj�ti. /9y. 66' wide w `o o• �� easement for o. II r co Private Road. ��✓✓�n9 J • _ w LOT 3 ) N V I..)Ln 0 .• w r o - Tree ocucupies corner. 27 - Iron pipe is 3.5' south as established by Art Holm. Iron pipe is 8.86' south of • /� N88053139"E 141811' • 462.12' , protracted line. `/ South line of the N. of N88°53'39"E the NW of Section I8 `- SCALE IN FEET unplatted lands AREAS OD 2 0 00 0 200 LOT 2 LOT 3 LEGEND Excluding R/W: Excluding R/W: ,a 161,359 SO. FT. 217,175 SQ. FT. 1 19 County Section Monument 3.70 Acres 4.99 Acres 2" Iron Pipe Found Including R/W: Including R/W: \� 221,340 SQ. FT. 238,020 SQ. FT. 1 • 1" Iron Pipe Found 5.08 Acres 5.46 Acres • 3/4" Iron Pipe Found 1141/40 OWNER o I. X 24" Iron Pipe Weighing 1.68 Lbs. Wilber Casperson Per Linear Foot- Set. 1013 W. Mertyl St. Stillwater, MN 55082 , This instrument was drafted by Fran Bleskacek Job No. 78-91-186 Vol g pci.-)\3SS— Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division 1 - 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 Boots, John & Sharlene Hudson Townshi ~ST BM Elev: Insp. BM Elev: BM Description: OD o s `.c TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic `~ r 0 v Dosing Aeration Holding - TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~f'S~ ~ `i l ~ ~ ~ _„~~. Dosin Aeration Holds PUMP/SIPHON INFORMATION PM Head SOIL ABSORPTION SYSTEM ~.~,~`~ /.9 G'Y~'~9"' tLtVAIIUN UAIA County: $(. CrOiX Sanitary Permit No: 405117 0 State Plan ID No: Parcel Tax No: 020-1037-90-110 STATION BS HI FS ELEV. Benchmark ~ v , vv Alt. BM ~ .~^ .~lJ < Bldg. Sewer ~, ~ / ] a , Ht Inlet ~- Ht Outlet ,z 00. Dt Inlet Dt Bottom Header/Man. ,~~Z /~ 3~ Dist. Pipe G 4 R ' 0. ~ ,4 ~f ~ Bot. system d EP-~f 2 !~, ~ / ~, 9~ Final Grade ~ .9 3 LL 0 j.©D St Cover BED/TRENCH Width Lengtz N . Of T nches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ s / (~i ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM ING Man f turer: INFORMATION AM R OR Type Of System: ~ /~/) ~ yr'U~ ~ _~ IT Model Nu er ~~ DISTRIBUTION SYSTEM 1:.. /.L ',/ Header/Manifold t / n Length ~ Dia ~( Distributiop ~ pipe(s) ~Z•S / Length ~ Dia Spacing x Hole Size ~ x Hole Spacing ^,, / u' V nt to Air ntake y / ~~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 'u~l Yes ! No Yes ~' No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_~/~/~~ Inspection #2: / / Location: 335 Casperson/~Drive Hu/dlson, WI 54016 (NW 1/4 NW 1/4 18 T/29N R19W) Lot 3 Parcel No: 18.29.19.160A10 1.) Alt BM Description = r,~617~- Ot t/bi- -~[ r /4/ kC'4 /P S T ~ Y f ~~ ,El~~ 5 ~ ` '~ ~'W'1.~ s e 4 ri ~t~ (. ~ 2.) Bldg sewer length = 3D t s~pG ,,~ - amount of cover = 73r fks~`^' °y` ~~ S ~~IG~T' ~.,o-bSerur,J~tfi~ ~p.~pcs i~. o ~, Use otherls de for add tional in Yes ~ No ~/ ~ ! ~ formats ~ ~ ~ ~ _ ,-1r S L~~IU/{ Q ofl L _9 h2 ~ ~ Date Insepctor' ignature Cert. No. SBD-6710 (R.3/97) RECEIVED Safety and Iluildi s Div 2 4 n ~v ~ ~ ~ tr 20l W. Washington Av ., P.O. Boz 7162 > oF~ -. IS~O~SII ~ Madison, WI 5 07 -9t6~R~lX CO Site Addr p Department of Commerce d ~ zONiNG OFF N Sanitary Permit Ap lication s'a~~ f~~9 ~ rmit Num ~-r' ~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Check if Revisi6n tna be used for secottda ses Privac Law, s.l5.lkt(1)(m) I. Application Information -Please Print All Information State Plan [. D. Number Property Owner's Name ~ ~ Sl ~ ~ Parcel Number ~ ~ - ec1.~ / co~ S a ..~. ~ . -rcc~ - G~-~ lG.~~ ~ - l/o Property ~O-wner's Mailing Address /~ ~ `f /~ ~ ~^ ~!n ( / O -f P(r/operty Location f ~ p t /'t (Te/U`f l~t~f J 7 v ~ , rF ~56 ~: S['~ Te>'~~~N, t~~ E City, State Zip Code Phone Number Lot Nt~tnber Block Number G ~' ~~ S ~ar6 Su vision Name CSM Number v. e ' U-. v ~. z3s3 ~Y~ zaS II. Type of Building (Check a!I that apply.) ~ ^~ynr ~1 or 2 Family Dwelling -Number of Bedrooms -_ Village ^ PubliclComrttercial -Describe Use __.__ _ Townshi t7^ ^ State Owned ~j\ 3 rK IaZ.SD r ~ 10 Nearest Road n/~ J ,, f ~~C~X-S ~ 3' k 4 $•~Sr 1 l ~-b~5 ~CC - ~ TII. Type o Permit: (Check only one box on line A. Ntttnbering is for internal use.) (Compl ete line B, if applicable.) A, pQ New S stem 2 ^ Replacement System 3 ^ Replacement of G ^ Addition to Tank Onl Exis[in 5 stem For County use B' ^Check if Sanitary Permit Previously issued Fermi[ Number Date Issued IV. Type of POWT System: (Check all that apply. Numbering is for internal use.} 4d~rCL Non -Pressurized In-Ground 21 ^ Mrntnd 47 ^ Sand Filter SO ^ Constructed Wetland 22 ^ Pressurved In-Ground 41 O Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^Aerobic Treatment U 't 49 ^ Recirculating 31} ^Other 3 ( y L „ D, ~,- ' _' ~'^"~ V. Dis ersal/Treatment Area Information: v c s..e~ ~ 2, Design Flow (gpd) Dispersal Area Dispers tea Soil Application Percolation Rate System E evat<nn ~ i Required Propos f_~ l ,s ~t~P Rare(Gals.lDaysJSq.Ft.) (Min.llneh) Elevat orr / ~j-~ ~ C ~ ~ ~ ~ ~ ~~ S ~/ f ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gal[onc of Tanks Gmcretc Constntcted Glass New Existing Tanks 1'atilcs Septic or Holding'fank ~OQ' ~Z c j~ Dcning Chamber VII. Responsibility Statement- I, the undersigned, assume respomibility for installation of the POWTS shown on the attached plans. er 's Nam (Print) P~umb ~ Plumber's -nature MP/MFRS Number Business Phone Number O / ~eb't ~ ~i~~ t! l S" ~~~~ ~~/ Plumber's Address (S tre et , City, Sta e p Cn cle) ~ - ~ - / ~ ' / f .~r~ ~~ 6_~sf L~~ ~Y ,S ~d~ VIII. Count /De artment Use Onl ~Approvext Disapproved ^ Owtter Given Initiai Adverse Sanitary Permit Fee includes Groundd~~ater S h F Date Issued u g Agent Sig lure (No Stamps} Determination urc arge ee) Z, zs. ~--- Z 2.a. w!J ~~ IX. Conditions of Approvpl/Reasons for Disapproval ~ ,. `7~s a.-Q t~ w ~P~`~ Sy>:~.. s~ ~ ~- ~-b..~ee•"^ wsr ,~ t.~,.ctita~e .~..:, uo•~:Q--~=~. J `f it,~ ~ tin~aat2.,~ ~.,au lo~. ~ r --------'- Auach complete puns (to the County poly) for tae system on paper not lescdtliltt 31/2 x 11 inches in size 0 A Jati.. /ifs SG.9~.,~ Al ~ yy /I~wi~ S~8' Tau JpGFw ~rz ~~m c~k`ei= Qv m D~3 d ~ LAC ~~~ ~h 6l ~ ~-~ Q /`"1 ! G 1.2 Top e~F 2 2 *N ~¢ee ~ Q ~ (rJt~/- 2 U Q~- IPOr •lY Q 3 gS'- y v ~~ ~~-~~ Q~ 2!•30 ~,f~ v ~f V~, ~d ~ _ l~~'° _ ' ~- ~jrf~a -~l/ a'' '~ ~62 c~ se d f ion. 4~ ~r G~~ ~-~r~-t Y IN /~'; 8~ ~~ ~~ i S~ lr~" ~~z ` ~dl~r /ifs SG~~-,~ l~l ~ yy /I~c.i~ S~8- 7-~u ~pGFw 0 A W ~~ /a~'; 8~ / ~ ~r N/ ~~f3 10 ~h a-~ a~'1 ~ G 1.2 7"op e~F 22 ~ wee I I ~'/- 2 U Q~- 1p^Cr•(Y l33 4s"-yv g~ ~7-~~' QS" g~{•3o Q~ m ~3 d L?C ~~~ B1 °~~ Q~14 G~,•sc.. , o£ ~,ss~5le l~~k. (,o-Cwh ~ ~~ n ~f ~~ ~ sus. ~ ~ aB~ o~- 4~ ~~ ~ y SC (~ ~ `fC,Z ~r~~:r ~~ ~iL /SID ~iiE Eii~ttj~-Tii3N Page ~ ofi Derision of Safety and Buidrgs in aiocord with Comm 83.05, V1f~s. Adm. Code By Desien Attaci- complete sie plan an paper riot less Fran sY4 x t 1 indres it aims. Ran mush I~ E C E t i~r;krde, aft not hr~d b. vertical ana horimorrtal retierenoe point {eta, d:+edion and percv~ slope, ~ a ~, rror~e . a~ ! and mince ~ nean~ Parcel t.D APPL.lCANT 1NFORMA710N - Phase pria~t aI/ iManna#ion. MAY 2 ~saimi inFam~eion yw Rwide mer 6a usea for seomde.y t+~+P~ t'F~riwx,7r i.aar, s. 9sa:lij t il- ~ .~ .Z ~ C ~'nZONIN FI l8 T 29 N,R 19 W Property t~rrer's ~9 Address Lot tf h Block # Subd Name or CStI~ 6517th Street fit 3 ~; Puffer ~y Staie ZP Cor1e ~ ~ ~y [] awn Nearest Road x vN~ 5401s p, ~ New Construrkal Residertwial / Number of betiroorns 3 ~Additian to exisffing btidrlg Replacentead tbe: ~ Pty ar commercial de scribe Code € dad 4~(! gpd Re comtmended dew krar~rrg ~: .7 mod, ~~ .8 trmtctt, gpd"ll= A 'or+ area Irequir~ed 643 bed. i~ 562 ~erich, irz MaodrrNm design loading rile .7 bed, gpdAt~ _8 Yench. Recommended ir~lradon strrlare elevation(s) ~' at ~~' h (2iS re~rr~ed b site plan berlcfrrlar Addr"b'artal design / age am sidera5ons Parent material LOESS OVER OU71AiASH SAND Flood eleva6ort, g Na $ ~[' Corwenbonai trwourrd In1~lrorurd Pressure AT~,rade 9rsiem in Fi Woldi~ Tank ~ ®S ~ U ~ ~ S ~ U ~ ®S I~ U ®S I®U ~ I®S ®U I~ I®S ® U Boring# Graurd elev i01.~ fi 40 lenitirrg fact >>ao 2 C~rarrrrd elev 101.18 tt b lpn~rg factor >~m ~~ Dorrinarrt Color ~ AAottles T d S"trttcfiure Botgrdar Roof GPDA~ in. taA~xtsel Qu. Sz Cord. Color e tr. Sz Sh. y Bed ~ Trendr ~ as ~oy,vl - is ?ansbk mvfr cw 2f _7 .s 2 5-38 7,5yF'7/ft - Is 2msbk mvfr car 2f .7 °: .8 3 1 38-100 ~ 7.Syr7/4 ~ - ~ ~ s Osg ml - - .7 ~ .8 i I a7~` 'g. Za , 3L / ~-2 Remarks: Remarks: l 0-6 lOyrZ/i - Is Zmsbk mvfr car 2f .7 i. _8 2 6-36 7_Syr7/s - is 2msbk mvfr car if .7 ~ _8 3 36-100 7.Syr'7/4 - s i Osg ml - - .7 .8 ~ ~ ~ ~ p ~ ~~ i b ~ !CST Name (Please Pkidj Signature: Teleptwrre No. Thomas C. Neleorn ~ 7L5-24G-254 'Address ~' ~' ~~ Dais CST Number Ref# 1432 120th Stnxt,lVcar Rictrmoo~d, W[ 54017 / 227387 286 J r ~' .~ .~ a~wERnr owIr1ER: c~-unent~at t~vetoument. SOIL DESCRIPTION REPORT P~lCEL i.D# 3 Ground elev 94.82 ft Depth to IimU~ faotef >140 4 Ground elev Depth to limiting factor >140 ~~ Page 2 of 3 F.nvimnmentsri r3v r~ecian H ri Depth DominantCa~ Mottles T t Structure onsistence Boundary Roots GPD/ft~ zon o in. Muns~tl Qu. Sz. Cont Color ex ure Gr. Sz. Sh. Bed ~ Trench 1 0-10 I Oyr3/2 - sl fiII mvfr cw I f . 5 .6 2 10-17 10yr3/2 - sl* 2rnsbk myfr cw - .5 .h 3 17-22 7.Syr4/4 - Is* 2msbk mv& cw - ..5 .6 4 22-140 7.Syr5/4 - s O~,g ml - - .7 i .8 I I I I I I Remarks: { ~~~ ~~ Burroughs sil 1 Vyr4/4............17ns site nas bcen graded so as to remove restncave soil nonzons 1 0-10 10yr3/2 - sil Fill mfr cw if .5 .6 2 10-22 ldyr3/4 - sl fill mvfr cw - .5 i .6 3 22-54 10yr3/2 - sil fill mfr cw - .5 ~ .6 4 54-I40 7.Syr614 - s Usg ml - - .7 ? .8 KemarKS: j tus site nas ueen ~~*.~ Ground elev Depth to limiting facto Remarks: ... Ground elev Depth to limiting factor su as W remove resincuve Soll honLOnS rr •S' .~ r : ate, ~ SOit, C~BCRiPTiON REPORT Q~raf 3 a~ ~- b r.~~ fa~ior 4 (xoun elev b I~nibng 5 ~~~a +~ r c~a ~.~ ~ 2 0~ H aaaw~anrCdor Motes Struc~une T ~ ROOD GPD~ onaort in. Mtn Qu. Sz Cont Color ex e ~ Gc Sz Sh. Bed ~ Tr~rch l as royrtir - >s z~k ~ ~ i Ze _~ .s ~ s-loo ~.sn7`~ - s osG lm., - - .~ .8 ~ ~ 1 o-ZO loyr2/1 - is 2msblc ' mv& cRr 2f .7 .8 ~ X4-1 r0 7_Sy~7/4 I - s Osg ml - - _7 _8 I . l alt loyr?Jl - Is 2msbk mv& cw 2f _7 .8 a ra-loo ~.sy~rr4 - s osg ,mot - - _7 '~ .s i rl~r~ ~ : : 1432120' STREET, NEW RICIIlvIOND, WISCONSIN 715-246-2454 Tom Nelson Certified S~ T~ste€'n?38?-R~stececi S~ SR~'1!3 ft##~R*t###ii#ffff f#t##3#t#f ~Rt#ff#f##ifffff3*~Rf~k##ttf#fi~fff~Rf#f### ~~ ~, B~ ~w/~~ raw%,~ s~~ ~~ i 2~~~ fZl~ic.,1 ~o~,.~n o ~ ~~~~sd~ ~S ~ 1}~~~~e ~ ~ ~~__ sl~~ ~! ~- ~~ 0 a~ N 9 ~0 ~~ Lpi S~ ~~'Y -~S~ - S~~E 1" _ ~0 T~ F~~ BMA.-~~ ~~c~l~ sp~ks ,n }~c-~- ADO r s~~ i 'to o p nai ` t~ tret Ed's, ~~' al ~ol,~o ~3 qS,~o ~`~ ~~.SS as °-y, 3b ~ . ;.. i '. +. _.. ,_ -- _. ... 1, i._. _.,_ __ _ . _ _ I! i ~ ~ I ~I .- w -- -~-i--- - ---- - -- -- -~ .~___~__-1--_ --~- -~~ ~~ a ~ ., _~_ ~ ,. ~_ _. _. ~: _._. __~_ __~- . _~-_ __ ~-- ~ ---t--- ~ - --~-~--~---t-- - . , -----j - - -_ __ _ ~ - ___ . ~- - ._..___j_._._ __ _ ~. __.. __ .SAS -._ - /! ~~ - ~,_~-- _ __~_ __ _ i s - - --t- ~i_._- y , ---- -~-=- -._i_ ~ ---i-- - ~- --~--- -~- -- f - ;, ;, 1 i . _ _ .,_ ---1- -~-- ~-- -- ~ __.. ~_ ~ ! i - --~- - ~- ~ i I ; ----r-- - ~ --~- ..._ ~ ~-~ ;_ ___ _.. __ _.t.._ ----~- i ~---1- ~----- _t.. ' _~-_ 'I i ~_~.__ ~.~~ -- ---~ i ___ ~ _i~ -- --~--- -- _i _ I ~. U, _~_ ~. ~- i -~~ L ~+----.- I ~ 1 1._~___.,_.~_ ___ __ ~-i __ ~_~ _~. _ . ~.._ I ~ i 1__~~ _ ~ ± _.~_ i ~___. ~. ~ ~ ~ ; I i Private Onsite Wastewater Treatment System Management Pian peptic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Gnx~nd Soli Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: S stem Des n Specifications Sanity Permit Number Number of Bedrooms Desi n Flow -Peak ( pd) ~ Estimated Ftow -Avers e { pd) ~ Se tic Tank Capaci { al) Soil Absorption Component Size ( ) 5 gee I T pe of Wastewater Domestic TAh4, 2~ Snii Ah~erntlen Cemnonent -Limits Of Reliable Operation Des' n Flow -Peak Se r Tank Component O` Ci Soii Abso tion Com ent • S Maximum Influent Particle Size (in 1/8 Maximum BODa { /L) 220 Maximum TSS m L 150 Tnhlra ~~ Mei~anance Schedule Septic Tank ~~ Ins ct and/or service once eve 3 ears Outset Filter Ins ct once a year and dean at least once eve 3 years Soil Absor tkm Com onent Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, State. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se c and outlet filter shall be assessed at least once every 3 years by inspectfon. The utlet filte sh I deaned as neoessa to ensu roper operation. The filter cartridge should not be removed un s provisions are made to retain so sin the tank that may slough off the filter when removed from its endosure. If the Management Plan for a Septic Tank and Soil Absorption Component finer is equipped with an alarm, the filter shall be serviced if the alarm is acthrated oonflnuously. Intermittent filter alarms may Indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. 1f the con#ents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers. access risers and covers should be inspected for water tightness and soundness. Aooess openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without bong In ful! compliance with OSIiA standards for entering a con>zned space. The atmosphere within the septic or other' treatment of holding tank may contain lethal gases, and rescua of a person from the interior of the tank maybe dlfiflcult or Impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Corte when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorptom componen# serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limier of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful rife of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shag indude recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or• over the soli absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a septic Tank and soil Absorpflon component Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 CONTINGENCY PLAN It the POWTS falls anti cannot. be repaired the lollowine measures have been, or must be ukets, W provide a code compliant redxement system: A soluble replacement area ha3 been evaluated and maybe udlited for the Ioutlon o!a replaCernent soil absorption system. The rapixement are? should be protkcted horn diswrbance and cornpac'tlon~and shotslb rat be -nlrir~e4 upon by required sctbuks from exbdng and proposed fwcwn, bt fines and weEls. Failure to protect the replacement aria will result to the need for a new soil and site evaluation to esablish a soluble replacerrwnt area. Replacement rys<erns rnusc comply with the rules In elfea at that drne. A A wttable replacement area is not available due to setback and/or loll Nmlgtlons. 8attitt8 a4varwes !n POWITS LechnoloFy a holdtr~ unk may bt instsiled ss a last resort to replace die failed POWTS. D The site has not been evaluated to Ideratly a suitabSe s+eplscement atroa. Upon failure of the POWTS a loll and site rvatuation must be performed to locate a sutubte replacetnetrt Yta, i(no troplanrr*ttst xea Is available a boffins tank may bt lnsulled as a last resort w repixe the faded POWTS. O Mound and at•Yrade soli absorptbn sysurtu may tx reconstrucud In place faHowinr removal of the biomat at the InNttacfve surface. Re<onswatons of each rystems must.compty with the rules fn effect at that dme. < t W/UtN1NG > > SEPTIC, PUM- AND OTKER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTH~ TREATME~tT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM TKE INTiRIOR OF A TANK MAY EL DIFFICULT OR IMp[1ttIR1 t:. ADDITIONAL COMMENTS POWTS 1NSTALEER Name o ~, Ph~e ~/5-- ~/ ~ `/ St:PTAGE SERVICING OPERATOR PUMPER Name POINTS MAlNTA1NER .Name Phone WCAl. RE4tU4ATORY AUTHORITY A~~ S~ Cro' two ~~s- - ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ~ OWNERSHIP CERTIFICATION FORM OwtnxlBuyer .~/ ~~.y , F~Ij.S~,~E~. •~0 6 ~S Mailing Address to s / 7 W' S 7`' ~/ /~~ ~an~ GJ / S~/~p Peopet#y Address 335 a,J ~r-, ~ / / (Veriftution required from Planning Department for new coashuction) Ctyyfstate Ti`u¢-salt,,` c~ / _ Parse! ideatifccation Numbex ~J~ ^/G3?-- ~ -/~o i.EGAG DESCRIPTION 'roperiy Location ~~ '/., ~ y., Soc. _~~ . T~N-R~' W, Town of _ ~;'~, ittbdivisioa Lot # ~_. 'eriiGed Sarver Mstp # -~ 3~ . Voittme g _ Page # ~3 s~ ~Ituranty Decd # ~~ ~ ~~:,,;,~• f . Volame ~Y _ Page # ~~, I~rntsc ~ YeS 0 no Lot Imes idartifiabic ~ yes O no '-YSTEM MADV'I'ENANCE lmpcvpa'aseand maiatemnoeafyaazsepticsystemeoabtresoltmilspc~efasTncetolsand6e~vsstes.Propamaiaoea amasts ~pmsg7ioa oat Ase septic lade every t5cee bars ar soamrcr, if needed by t Goeased pamper . What yaa P~ ia~Do ~ fY aa<at$OCt the friction of the septic tadras a ~ is the nrasoe disposal system. Tire pmp~Y owner agrees ~ abasit m SL GY~oisc Zaoir~ : e ~. ~ by >he owaec and 1~7~aP~ resoicoodar:I~aacdpom~er ~aifyiog lh~at (1) the once wastcaiaterdispoaat sy* : in paper eoaditioo audlor (~ ~'~Ctian and paasping.(if ry~ the septic cads is less thm 1/3 .fun of shrr irq the timdersigaed havoc rrad the aboane cegoiee~ernts and agroe to mai~ia the prirate disposal system o-i~ the sand x fact!:. heztim, as set by ffie Depacoakot of x and the Depattooeot of Watur:l State of Wisconsin,. (kttifa that ~ system has boea m:ia~iaod most be oomptetod and to the S't. t~+oiu Coaoty Zaaiag Office vvilbn sys of tLe three year lion date. Ti>1t.E ~ APP'LICANT S ~ L ~ Z DATE INNER CERTAICATION I (are) certify that aU its on this form are lose to We best of my (oar) moartedge- I (we) am {are) tlse owner(a e pcopcRy bed a by of a ~varrmty dad recorded is ltegisfer of Deeds Otficc. ~-. ATt1RE O~ ~PPr:IC.~NT HATE "' *• Any iafcusnatiorr that is mis-repreaealod may t,~lt in the aaiary pemnit being r~woked by the Zoe Dgsa:taaee~ ~' 05/22/02 WED 14:19 FAX 715 388 4687 REGISTER OF DEEDS @1001 1.~76P~.479 STATfi 8AR OF wlSt:oNSIN fOltlN 2 - l9l1 wAwu-rrrv ~Em Ties Decd, made btv~ Daaiol 2. C sae, d aiapl• pasaao Cuartgr. mtd,tntm O is amd 9h~1am J Heeb ho.~h Atfsvi i Grsatoc. ~r a valtupte t~ttldaatioty conveys ittd w.na8ts to erosee the toBtlwit~ descrt'bed tall ante tt st _ Croi: Store Of WitfMnseo; Let of CoreiE,iai ettrrg ~P a:acoztle4 in Volvo 8, o dloosibed e.+d lowtod fn t!w itort aTi !' e! tha Northaoat 1/i of section 18, Tonagytllip 29 Nos-l:h, ~ 19 bloat, Loan of Ilvdsoa. ~a.sg.~~ KATHLEEN N. HAL9H RE8I3TER C~ DEEDS sT. ctt0lx 0., uI ~CEI~ED FDR eR1A9 1E-76-1~!'! t:DO PN ~ i IfFI CEOT COPT fEE: tFEE: Zi9.7a iEC1AO1Ni FEE: 1O,OD ~: t t4oet uy Rq„a AdJns Gino. T1lwl*y 1 f~~'~'C AfCp s aid sr ~1..J.f~.,. W,.. s4orv. ,~ a~ a Yy.~ Paroq Nlocifntiaa Ntctaa(PtM Thb ~ 1WntaslGtd property. (iaj (iattar) F.+tceptimta to woAtttiea: eas~mfnta,roa~d~wya, s.+oatsictima o! reoa=da Dated tlie~~ yry or-~!~~. f ~ - - - .~~ • ~ T, ~ ~ • AUTKENTICATION Siststtara(s) ~,tbe~t~a mn day or" TI17.C: MtiMBER STATE eAR of WfSCON$tN (1f rtot, etnhoeiasd Ay 9 7b6.O6, Wis. Slats.) THIS -N~TxuMENT wes t7ttAFTOD oY Mi.ohael Poroati ACCOrnay Cau Claire. 4/saconeio (giptatttres ttwy be tartMatiqueJ or ukaawied~d. Bah sie not nceessaryJ ACKPiO~YLEDCMENT STATE Of WiSCOtVSOV ) ~tCno~~t ) ss. ,~ came belbte the dtk stay of ~ the t-atnaa _~ tame known b be t~ person 4~~„ who atecwrd the frffi mstsyrr~ent and acktaatvl~ed the some. ~itQ ~ ~~ ~ ~~ ~j~/j NoCUy Pubtlc, 5 of wiscaasin mmiuiae) is pammane~~ no4 oats expirad~1dat~K~ lf?Tta~v L 7wtler c~.a,Gaz -Nana dptnMttF sttsYt6 is atr a~ aum a ~ err sci+rea nebw axtr st~etkrc. W wRaANTY tsttfn 31'ATL aAR OF WtlCONSIN F01at No. Atlft -~ 5~~~~ ~~2~ a_ y --- ~ ~ r ~~ k~ COAY[A ti ~ ~` ' StGi10N !1 ~ tt~t't>t ~5:. I N!!°SJ!QJ"~ _.-~..r-~jlAl~t:~R 10 1`~, OE:ilt •rtn -++e • the N~~ J _ ~~, s~'ar M ~` ~ a tO x/91 ~'~ ~ • •'~ ~ I' Fib' ~ M M 1- `~ . A 1 • v ~ .J ~ ~' *, „M' ~ ~ ~ Ali 'r~ a, ~~ S 1S ° ~'• ~ ~~i ~ff'g ~V1 / r ~ ~ ~ ~ I.c •/ t~-_ w +* a ,~ ~ ~ r O ~ v / ' ~ w ~'~+1 : ~ ~ 1 V 7 t V I • ~;' r ~ nor ~~. ~~: I ~', :: ~ DoT z Ir M \ Y ar•e0 •0;.. d ~'i+ it's t~'Vy1. ~ ~ ~ R ~ S eb a `+~.Y I 'r u ~, s ~w q`%~ ~ i (Se• Otta1 . o..e ror n k .~° ~cAf ~ ~ !0/itlen.~ )t.t~a-c,t ,~ 'e. ~ rn ` r• M' '~ / ~ A~ ~ ~ f N Ic r .r ~ ~ 1, I~T • ~ ~ R r. ~ . ~ ~ ~ i ~ ~ y1~ at' ., c. ;, ~;. ~ Ot:t~nt4t fir 'r ' ~ ~~ ra. M ' 4r, s ~ ~~,, `Q T 3 I N ~ ~O w;~' '~ =~x .. r "~ ' lrcc OLVtYV+<~ tal'es'. ~ ~ ~ lren Ofpe to JIS' te4tA a: ' .tctelittite -Y irc Nel~t. t ~ ?ran piP• tt x.16' OOVt~ 0~ ~+ ~ ~. r p ~ t ++E~.1?: I R.~trtttfd lit:, i---+' uo.1•ss 3~~____~_4 t, i•:~.el Asa s31sa•~ Sevth ttnt o/ the 11 a lt~e NYt s! S.ct~a Y SCALE IN FEET ~ „~:p;~tc.e_l~~aa A ~ AS 2 -"goo ~ tel i ~ for J E>ttludinp AlM; Li:~dln9 P/Y: ~. rN~ ( 1t11JS9 ;0. FT i ?It.ll3 10• ii. CoVr</y ittCtl0n -.••v*.•t G ). )0 ttre• i.79 Acr•a ~ 7'~ trar+ -,Ra r•,.d ~ ~r ,3~o ta. ~r.; za~.ota so. rt. ~ 3" tr4A -IR1 f~VOd tttt S aR f,~,s j_t• a~.•s h ~ l~t• 1-an -lp• Farnd `' QW R O i~' X 21~" Irert~ t Mtigh:n9 !.•R ~ -`°"~.~ M11 t Cet-••t°° hr ~i••ar foots t, M,_,,..•~~ !Ol ; MI ilertrl :t. ~'VOLUt4E D !AGE Sti tMe!tr, NN Sf012 (hl~ lnitrWtRwt raa dr.-et~ Or ~ !!t{keeTrF{~• Jtb Me. 7R-9i•I H ~~ r.. TOTi~ a as ~~ W ~ , 6 ~ N 3 O ~/ N , r zz~ dl H N (!2 ~ ~ Q+ 00 ~ rl H ~D 3 z o -~ H ~ Q H H ~ ~ O ~ O ~C ~, W .A° O ~ ~ 3a ~ ~ Z U ~ E~ W ~ cn Q H t!1 N .w. W .W LL OO+~ t- ..1.a U1 }a ~ W A p) U ~ x U W ~ xw o H O N Z 2 H3+~ O o L1H,.a W Q3 C U ~ •,.~ O ~ ~ YMJ `AJ) ``~ 0 1 -° North h 9g '~ ~ ~, ~ c ~ , X00"w o „y '~ •N 0 1 O ~Q ~~ d ~ N20 ~4` ~ ~ o ~ 125 ~ ~ ig 3p • <~ a o ~. 6`~ ~i ~ p ~o o ++ 0 NORTH 0`D~ar1 ~ 617.1! poi' ~` 'yip 4Z ~9 a°~~ N2 ~2~ 1 ~ \ `O, ~~O ~ZS ~~, ~ all ~ ~.~ ~ ~,,~~ ,jb`~i • PQ ~ ''gyp ~6.9~ \ `~~ n~• QQ`1 3 ~ CV 3 s ~ ~J ~ ~. / ~ . ~ z z `y'1,' ~ ~9 O ~ %3 ~j~~s ~ W ~ 99 /~~• 801.08' sr rs z ~' ti 76].94' s 81.95 SOOo04'00"N 1156.42' 1 2.79' S00°37'04"N 84.74' 3 small tract Z ----------- W y o " Bearings referenced to the north line of the o NW} of Section 18 assumed to bear N88°57'03"E o a, 0o c co ..a z ~ ~ .-• z z z o O --~ U U 3 W Z to Lot 1 of C.S.M. West line of the NW} of Section 18 SO1°47'59"M 1321.62'