HomeMy WebLinkAbout020-1416-70-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
r _ - INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name:
Sienna Cor City Village X Township
Hudson Townshi
CST BM Elev: Insp. BM Elev: BM Description:
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic
~ ~
2 So
Dosing
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD
Septic 1
.... y~ i 3_ t l ~~
Dosing
Aeration
Holding
PIdMP/SIPHON INFORMATION
Manufacturer Demand
GPM
Model Nu er
TDH Lift riction Loss System Head TDH Ft
Forcem ' Len ia. Dist. to Well
OIL ABSORPTION SYSTEM ~ ~ `+F-~~,
ELEVATION DATA
County: $t. CrDiX
Sanitary Permit No:
420711 0
State Plan ID No:
Parcel Tax No:
020-1416-70-000
Section/Town/Range/Map No:
20.29.19.2635
STATION BS HI FS ELEV.
B chmark
.~"P~
.ZD
o9•~c
~~~
Alt. M ~~
.
Bldg. Sewer ~. ~ ~ ~ .~~
SUHt Inlet
9.~a
ov . l
SUHt Outlet ~. ~•
_f
Dt Inlet
Dt Bottom
Header/Man. t
Dist, Pipe t
~ ~~ ~~.
ip. yg••
Bot. System rj ~ . (s'
D S• _
Final Grade
~ ~
g•Z
o I . a
St Cover
~rl ~
BED/TRENCH Width Lengt No. Of Trenches PIT bIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ~ ~ Z 1
SETBACK
INFORMATION SYSTEM TO P/L BLLDG WELL LAKE/STREAM LEACHING
CHAMBER OR Manufactur c
~'
Type Of System: .~, ~ ~ ~ ~~ 1 UNIT M el Number: ~~~
' '~
DISTRIBUTION S~1-EM ~---~
Header/Mani I ``~, ~ Distribution x Hole Size x Hole Spacing Vent to Air Intak
Pipe(s)
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over I Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center r
2 Bed/Trench Edges Topsoil
Yes ~ No
~ Yes ?~ No
COMM~ITSyf (Include code discrepencies, persons present, etc.) Inspection #1:_~/d Inspection #2: ~ l"
Location: 800 Martin Avice Hud~son_,W~ I~ 54016 (SE 1/4 NW 1/4 20 T29N R19W The Glen Lot 41 ~Pa el No: 20.29.19.2635 /
1.) Alt BM Description = S~ ^W 1~~ \ ' ~yS-~'~~"` °~ ,~~~ U ~ ~~~a
2.) Bldg sewer length = .~ 3 ~', _1.,, ~/_ pfi -~°''~
°"1 ~---, (--
Plan revision Re uired~ J'Yes No ~~ ~ t ~ C
Use other side for additional in ormation. I ~ _ _ _ ___
Date tnse tor's Signature Cert. No
s~~ ~~
Feb 19 03 D9:lla
.~
j
i
~. ~
Val cued Rpt i va Customer
~~
651-439-4975 p. 12
Safety acid Bttlidtatgs 1)1r151an
201 w. wssl,ington Ave.. P.O. Box 7162 CouIIry •~~ ~ ~
~-=~
s ~
~seans~n ~~• ~ ~70~ - 7162 Sise Apddrrss
O~ ~GJ~~ ' "" -'
De artment of Commerce ~'°" Net
Sanitary Permit Applicati
d
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idt comet >a.n, wi:. Adm.
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au be used for sea Privac Law, a15.
I. Application Information - Please Print All Information ~„
` State lan LD. Numre
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ZO
FE~3 ~ a
rty Owner's Name Parcel ~ber V CT' ZO"/Oy U-
Property owaer•:1Kaitmg Address a92 g
~ t *ry=~ / ~,>~ ' '~ I ~~~" ' s ~ ~
r, t~ 1-Y~C~~- .5 ~ vP 5f 5f • S .~ T o? N. R
Ciry, Star ~~ Zip Code Phone Number Lot Number Nwnber
CSM Number
e
n Na
m
S<+bdiv
sio
/ `,/- _ } , (j~~ ~/^ y/~` /
`
l
/
L
II. Type of Building (check a>) thad apply) ~ ^C+ty
~
Qy~e
1 or 2 Famrly Dwelling - Number of Bedrooms ~
^ PublidCommenial- Descn'be Use ownship mI~
State Owned ~ 7/zEi ~!~ ~~ / / ~ ~ ~ 7G~`' Barest Road
v 3 x 9 y ~f~ ~~~~1 ~
III. Type of Peraait: (Check only otm box ~ line A (numbering scheme fer Internal use). Complete Une B iE applicable)
A' 1 New 2 ~ Replacement System 3 ~ Replacement of 6 ~ Addition m Fer Coin ure
Tank m
B. ^ Chock if Sanitary Petmit previously Issued Permit Number Date ISSUOd
IV. Type of Permit: (Check sil that apply)(aambering scheme is for interns! nse) ~ .3/ l
~
~tcted Wed>ad ~/
14 ~ Non -Preastuired In-Grand 2i~ Mound 47 ~ Sand F'ilaer So ~ L
22 Q Pttssttrized Io-Ground 41 ^ Bolding Tank 48 ~ Siogk Pass 51 ~ Drip Line ~ ~^
45 0 At-~Giade 46 ~ Aerobic Treamaen[ Unit 49 ~ Reciiaila6ng 30 0 Other
V. t Area Information:
Design Flow (gpd) Dispersal Area Dispersal Sail Application Percolatioe Rate ~ Hevation Fitul Glade
Regttired proposed q33 pate(Gals./Days/Sq.FK.) (lrta~.linch) ~ ~p(J, ~ IIevation
- . ~e~.~ ~
_.
VI. Tank Info Capacity in
GaElom Tom?
Gallons Number
of Teaks Manufaeduer Pafib
Coecteoe Sine
Comtmcoed Steel Fiber
Glass 1??astir
Ne+v Eaist~
Tanta Tadrs
Sep6e or HoWio~ Tadt ~.~ _ ~ J `'9 ~ ,,-' ,~ v
~~
VII, iuty Statement- I, tie tmdetsi~ed, asamak rapaas~y for of use PowTS shown oo the atmched ptaes.
Plumber's Nano (Print) Pktmber'a Sisaatuce Number $usioess Phoee Nwnber
Pbmdter's Address (Street, city. State. Zip Code)
~ `
vet. Bret use oral
Approved ^ Disapproved Sanitary Permit Fee (includes Crmundwaaer Due Bret Signs o tamps?
StiueLarge Fee) ~
C~ 2
~ ~ ,
a
~ Oamer Given Initial Adverse ~ ~
Deasminados
jJ~Conditio ofA~~i~~dstorDisappraval ~~ /~aS) r/~G~~~~ ~~~~~~~yl,
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%~.~c.~~'~~--~C~ Q~n.v,-,A.~ ...~~ _ r-•- --.,--- ---H,: ~2~£~ L~Ytvm • ~'3. S'~°~-.
-6 98 ($ 05!01 f ~ ~
~~'12~-~~-,, ~~e~'~ ~ccl~/~ L~-,mot. ~'3 . ~3 ,~ ~va~G, .~'6~'~on, n~,f~r -~ ~
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1089
Wisconsin Department of Commerce -SOIL EVALUATION REPORT page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Sal Service
County
Attach complete site plan on paper not less than 8'/: x 11 inches in size. Wan must St. Croix
include, but not limited to: vertical and hor¢ontal reference point (BM}, direction and
percent sbpe; scale or dimemsions, north arrow, and kreation and distance to nearest road. .Parcel I.D.
pending
Please print all /nfonnatlon. Reviewed gy ~ Date F
Personal in#ormation you provuSe may be used for secondary purposes (Privacy taw s
Property Owner ~ ~ . '~~~operty ovation
Sienna Corporation ~ Govt Lot SE 114 NW 1 /4 S 26 T 29 N R 14 W
Property Owner's Mailing Address y, .r ~ l.ot # ~ Block # Subd. Name or GSM#
4940 Viking Dr, Suite 608 ° `-' ` 41 ~ na The Glen
City State Zip Code Phone Nurpber '; C~y Village i Town Nearest Road
gcPi nq MN 55435 5z- ~~ Z~dy Hudson Carmichael Rd.
/_ New Construction Use: y Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement . Public or commercial -Describe:
Parent material Pitted outwash Flood plain elevation, ff applicable na
General comments
hes spaced and depth to code 3.50ft below grade
ation 100.80ft, trenc
and rerx~mmendations: System ele
~~2 ~ ~-- f
,v~
/
~~. ,~ ~ / ~l'.t;?~ ~~q-x,Q (f [:~ Q~. h't.R~G , -~ /h~i^fir!'~ayv+ ~O Z~ ~• bF.~/w SyS-~•
^ 8onng # Boring
0
96
i
ft.
r Pit Ground Surface elev. 104.3
Depth to limiting factor n. Soil nation Rate
Appl
Horizon Depth Dominant Cdor Redox Description Texture Stricture Consistence Boundary Roots GPD/Itz
*Eff#1 "`EfF#2
1 0-6 10yr3/3 none sil 2msbk mfr cs 2f .5 .8
2 6~ 10yr4/4 none sicl 2msbk mfr cs 1f .4 .6
3 15-96 7:5yr416 none ms osg. ml na na ~ 12
~~-~ ~~,a ~ J/
L.~ X U
1 ~ / / ~
Y
r
/
~/' iGLI.s ~ !y ~~ !/ / ~~ ~~ ~/
;~J
2 Boring # _ Boring
Y Pit Ground Surface elev.
104.30 ft.
Depth to limning factor 102
in.
Soil Application Rate
Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Bounda ry Roots GPD/ft2
"Eff#1 •Eff#2
1 0-6 10yr3/3 none sil 2msbk mfr cs 2f .5 .8
2 6-14 10yr4l4 none scl 2msbk mfr cs 1 f .4 .6
3 14-26 7.5yr414 none Is ~ osg mvfr gw na ~ 1.2
none
4 26-102 7.5yr4/
4 cos ~ osg na
mvfr na .7 1.6
/
~ ~ `'"
~~ Ir~ ~ r~ h (,~ZG~G~'r...-u•-
/
'Gc7 f~
~
` ~ ~ G~~~~ ~G~it~ ~~~, ,
~~~G~~-t!.l~%v~
' ~1~ ~ ~ ~S
~~:~
!
'
~
S/ r~'cJ(~~Go
Ji ~CI~ ~TG ~ ~Y ~ 1Nt G ; 7,.56
/i
. / j~- r/~~ ~,~''
css~..e.,F ~~ - rsnn ~ zn ~ ~~n ..,..n Ana -rcc man ~ 15n mn/I * Fffl~iant #~ . Rnr) < 30 mall and TSS < 30 ma/L
CST Name (Ple~e Print) Signature: CST Number
David J. Steel 248956
4ddress Steel Soil Service Date Evaluation Conducted Telephone Number
1564 CR GG, New Richmond, WI 54017 9/4/2002 715-246-5085
FEB-24-2003 14 23 SIENNA'CORP 952 835 7008 P.02i02
' • . t ST CROIX COU~'Y
c rAru~ c8 AQ~~rfir
ArTn
OWI~SRS~ ~•~CpTiON FORM
OwnerBuyer sl ~ f ,~l A ~o ,e ~r12~7i' o
Mailiag Address I n,, ,
Property Address ~~ lq'/~~N /~ v ~ .
(Yedfua4oa regai-sd flora P1ann~g DQp~~t for ~ toasl=uctiiora
C~tylState /-IUD-sb~ l.~~ Parctl Tdentificatioa Number' ~O
LEGAL~ESC .~P'~'I~N / ~ ~ q
~~ , W /., Sec. Z0~ . T 2~ rI~K j ~-~~ ~'°v~'° °f ~f/L~U
Property rocatioa ~ /•, ~ l
1~ l
Subdiv~siao. _ TJ-lE
I,ot # _~
. volume _- -.Page #
Certified Suirvey Map # _
Co lp~• D~~ ~ ~ Volume ~ Page # ~ 3
warranty Deed. #
I,ot lines identifiable ~ yes ^ no
SPCC tioUSe ~ y~ O no
~~~ ~~~~~` do eta could result is its preas<atn: failure to haadle~s~-~OQ`r~iDt~am'-s
~g,rvptc use aDd maiarceaace of Your sep ~ by a liceasrd pt,a~ ~t you v~ into tlQe system
~~ of p,~,Pitsg out tho teQtxt rank every' three yoaze or sooocz. ~ ~~~ s~~
~ affect t11e fisactioa of the septic tank as a aramseut stage in the
b tbC owaa ~ by a
t a certiGGcst~on form, ripe Y
.mo P~,,y or~raa agees to snbmst w Sc CSraiu 7•oaiag ° . that (1) the an~itc ~stewatm ~'PiO~ gym'
iumber, [estzic~odplumberora litensedp~p~vrcffyu~ ~ ~pdc t~nlc. u less than lr3 ~ ~ eludg~
ma~rp,]o,tmeym*nP alter and P~'~ (~:...r----- ),
~ ~ Pmt o~zbng rond,~tion andJo[ (Z) ~
ypte scwa~e disposal tam arid~ t1,L seefldaYds
ed have rtad the abov~c mquirements awe to mamatuofN last B.esources. Start of Wisconsia. ~tafi4sriom
~, ~e iu,detsi~ t o f Co~mRac and tiro Dopaitmc Office ari,hin 30
oct. jattlL h~~+ ~ sc[ by the Dcparttocn - _ ust ho completed ~ ~t<a~d to [lea St Croix Co,maj' 7~1,iug
~~ tha ~P~ ~~ b~ t~
da f threz cxp'ia ~ date' 7 ~ ~t ~ ~ .~
~a A i r~ ~ .(. ~1 DAB
v v
)WN~~~ CF•R'I'IT+'ICA, ON t of my (our) IcnowLedge. I (w4) am. (tee) tho owp~{6) of
X ) ccrti.fy that all s ~ oa ~unrtafaty dacd rocs ~~~ gister of noedS Offim.
dcscn abov Z ,~
DATE
3I A pL s4rsr•
t boYng rewlced lay dao T~aiag D'Y~~'
information is mil-eept~~t~ ~y result in the aaaitary p~
•• Igciude with this appliewdon: a stampod warraaty dead &orn ~ R°grstet of Deeds o&ce
a copy of th+e eertifa3 stuvey ~P if [zfeto0ee i6 tmdo ~ t]u wary d'~
TOTAL P.02
Feb 19 03 09:10a Valued Rptiva Customer 651-439-4975 p.ll
~ SEPTJC TANK MAlNI~IrNAlv(;>:A~it~~nat;r,l
AND ~
O WNEt1SJi f I' CSRTII [CAT10N F:O1ZM
OH'nCf~UyCf ~~ ~ ~i.if~~ ~v ~ i` ~'~
Mailing Address '~ln '%ci /,r' ~ ~~ ~q ,~ ,rf' ~.+' ~e- G.'d'~'' ~ ~1s~ G'Dr~ ~l~'/~a /~"'~
Property Addreu ~~~ t~>a ~'~%G ~L' °~= -
(Vcrifiutioo required from Planaiag Departtaent for new construction)
City,'Statc
~ t
~~ ~ ~ ~` lt.~`r f PartxJ`ldcrttification Ntunbu
I,FGAL DIESCRIP~ON
,~
Property l:,oc:zioa ~ '/.,; l ' ~` %, Scc. ~~` . THAI-R~W, Town of ~4 ~ ~' -`~
Subdivision ris ~ .r'~ e.. ~- Lot # ~~
Certified Survey Map # . VoJtnnc .Page #
GYarz~nty Doed # ,,,~~ G~ 6J"d . Vol~c _/ rill ~ . Page # ~%_•
Spoc house ~, ya O no
Lot Imes idcntifiable~ '_yes ~ no
SXS~I,~1riAII~I'~rIAI~I Cly
IazRvpe tree sad tmtate~accof year septic sntcm ooaId resalt m its paeasstmefiilutc to handle wisux Proper aaaimte~sace
ooosises of pmupmg oat the eeptie tsalc every three yeas or soorrr; d needod by a Iioeaocd pamper. Nhtt you pat into the system
can aSva the fmxtioa of the septic tank as a trua:oaai etsgs is tlre.rssoe disposal system.
'Ibe p:apafty oKart agioct to ta<hmit to St Glow Zoaia= DcgaztaeIIt': vaftificatioa fad trod by the oaaa and by s
~P~~ ~7'~ P~~:+cstzicwd plrrmbef at a tiecasod pamper ve:ifyiag ttt:t (I) the oaaite wssteritcrdispao.l system
is is poops apaatiag condition aad/ar (2) sfler iospoctioa and D~PiaB ~d nocissary), the septic ~tsalc is las t}iaa 113 full of dodge.
T/vc~ the tmdesni~od have rod the above roquicemaats and agroe W aniatsia the private ce.~rige disposal cystcm wiu' the ersada:ds
set [octlt, heteia, ss ecc by the DtpstCaca< of Commcroc tad citic Dcp:rtment of xatural ittsotares; State of wiisooosia. t„crti~atioa
ciYting thtt yoar eeptie tystct:e h:: boca axaintaincd taunt be cacaplded nerd rctnmed to the St t?oi:c County Zoning Oboe witbm 30
days of tlic three year c~izttioa dttc.
StG2dATURE OF APPt1C.1Nt'
- ~
BATE
OWNER CERTIFICA'IxON
I (.ve) certify thtt~ll etatta~ts oa this farm ate tux to tIx best of my (out) Icaowledge. I (we) am (are) the owa~{s) of
tho peop~k de:gtbe~ty~Fre, by viroue of i wuraaty deed tocotdcd in itegister of 1Jcads OtLcc.
. DATE
•••••• Aar iofos:aatioa that is win todraay vault la floe sanitary permit being tevolced by the Zoning Acp~mcat ••••••
" Include Kith this appiiution: a stn warranty docd hom the Ragi:ter of Deeds oiTiee
a copy of the cutiGed survey uup if refenau is taade fa the wamnty deed
~ V .
Feb 19 03''09:10a 1Palued Rptiva Customer 651-439-4975
$EPT1C ~l•ANK MAlNI~t,'NAr1~;l:AlrlLI;CMCIVI
AND
OWNEnSHtP CERTIFICATION FORM
p. 11
OM•nerllluycr .5 y~.~...•,..i~.~ !;~'~ / 'C~"~S
Mtuting Address Ley `f:i L~il'G~ ~ ^.' ~f ~ !~?<~.~ a'L~~/V ~ • % ~~`• r'~ r~:~J
:.1
Property Address
C5ry/Statc
v •%-
J '"~
(Vcrificilioo requited from Ptanaia~ Departraeat for ne~v
:v'. -~
' ~-:~ s . c°' L r
ozo- ~b 1~"~0 ~ ~10~
Parcct'ldcrttificatloa Ntunba
E,FGAL pESCRIPTION
Pro [,otatioa ,Z %,~ %' ~~ ' '/•. Stx. ~,e G T ! ~'' 11-IZ~W. Town ~ ~-~~ ~~:.:: ~'..
Pub
Subdivision 1l =- ~~; ~- ~ ` Lot ~ -~_-
Certified Sarvcy Mlp 1~ _J Volamc .Page ~
w:~ty D~a ~ f'~ o ;° ~~~ J vole •~,%~ ~' .~ pagt: ~ ~ ~s
spot hotLS~c [~. ya O na
I.ot rises idmtifiable~L~'.yes O no
SYSTIEtM MAIN'i'ENANCF
Im~svpa tsse sad aaiarea:oacof year trptic ay>~ oaald tesslt is its pce~fiittas m haadle.rastes Props m•+'=~-
c~esisa of pamgrait nett the scpcit t~ cvay ttaoe yeas a= twvnts; d'taedod by a Goe~se+d pm~er. What yott pat iaio the aysTem
caa a~ t5e fia+ctioa of dre septic bait as ~ tratmeat Wse is tlt wssCe diispoaal s7trem
1be ptvpesty o~rnrr a~aa to submit to St avcC Zcraiat Deps~aesa'a oartiSeadoa ~ests~ t~ by the ownrs and by :
~P~t;1~Y~ P~~ ttsaiaad phaaba or s liracasod pttarpa vacityirtt that (i) the oaslte w~astesv:tadispora! systcaa
is is ptvpa operrtti,ng eondiaoa ~ad/ot- (2) :lies iatQactioa sad ptaarping (tf oocessary). the septic •taak is less than 1!S htli of dodge.
1lv~ the have maid dse above requicrmeats sed sane m aaioLiia tae prism ee~rate disposal system svi>5 the eaadards
set fottb. bcxcia, a ae! by tl:c Dtparttaeat of Coaaaetoe sad the Department of Nattaal Resoutt:e~ State of Wisonss=*' Cettibadaa
mtit>6 tba y,~ ~,nc system toaiarsiaed zarat be ecnz>pld~od and retaiaod to elre St t]ois Couary Zonis; Office +v;~ 30
days o Y~ aP~ !L- ~-
- ~
5tG'A[ATURE OF APPLlGPTT DATE
OQ~T[FICATION
~I~ste) tlylf>41l etatemeats on this forcer sre true to the bat of my (nut) lmovledgc. I (wt:) am (~) t$e osvae(s) of
-fie peoprm dese,~e~ , by vitae of i ~rasraary decd towtdo~d in itegistcr of Dodds OlLce.
.. - N,~Pf P I'_¢ Qurn~th/ or r~s~~ns•~/z~ oAi-_
/lay iafocasatioo t is racy a in lbe saaltary pet{ait being revakod by the Zoaia6 Depuflmeat.
" Iadude wlta this apptiutlon: a eta vnttanry decd from the Register of Deeds o(i'ice
a copy oC the eestified survey tsup if nektenee is trade to the wattsnty deed
B'd E9G6-i9G-9S6 ~pZt4osneH ueaQ e90=TT EO GT qa~
Private Onsite Wastewater Treatment System Management Plan
Septic 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-Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567-P {R.6189).
• Table 1: System Design Specifications
Sanita Permit Number d d
Number of Bedrooms
Desi n Flow -Peak ( pd} .S ~y}
Estimated Flaw - Avera e { pd) 0-0
Se tlc Tank Capaci (al) a,
Soli Absorption Component Size )
Type of Wastewater Domestic
Table 2: Soil Absorption Comaonent - Llmits of Reliable Operation
Septic Tank Component Soil Abso #ion Component
Desi n Flow - Peak g d)
Maximum influent Particle Size (in) w -~ ~~r . 1/8
Maximum BODE ( /L)
Maximum TSS (mglL} 150
Table 3: Maintenance Schedule /~~ „
Septic Tank inspect and/or service once eve 3 ears ,
Outlet Filter ns ect once a ear and clean at least once every 3 ears
Soi( Abso Lion Component Inspect once eve 3 ears
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks
under s. 281.48, Stets. 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
(~estrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure
proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
Mar~agemenf plan for a Septic Ta^x ono Sat; gosorpt:on ~ompa~ent
,--,.
filter is equipped with art e~arm; the fitfor shall da eervlced ;! the. alarm is aatsuated conttrtuousry.
Intermkdent filth ekarms they lndlcate sumo fiowe or art lfip+lndlt~ contlnuoue ela~'rn. The
eeptlc tank ei3ail have ire cont+errte romoved wh~rt the volurns of eovm and eiud~s In the tank
e~tosada 'l/3 the liquid voiurtu arf the tank. #f #hs conte~ of the tank aro not removed at the
#ime 4f an a~raa~menl, mair~enanr.s panonndi ehail ar~v~ the over of when the. next eervkce
nead.~ to be perfomned to mxinta#n less then maximum Rcurn •nd eludes acxurnulation lr'a the
tank.
Manhole aeon, aces rieors .and covers should ee knspectad for water tl~htneee art
eoundnean. Ar.rcoss oprnin~s used for eerolc~ and aeeessn~tn# than #~ sated 'wa#ht upon
the crompletlorr of eervir~A. Any span#r~ deem~l unsound detect#vit or eub~C# to feibsre must
be lacarl. , Exposed act apsnln~ ~nster bran ~-inahea In dlerrNrlar s#~ali bs secured ~y,
an ~rl+l~tive locWrtE device to prevent aoaktantai or unauted ontry into the tank.
Na- ovle ahaufd tnbr • sep>tta ar ~' t+wb»~t or hotdln~- task for
«ny e+a~ran s~dthot+ff be1~ !n ~rffl eampfbmaM- wadi ~ /or
~~ a canted apace. ~e ~ttmasphen rv~1n tie or ath4r
tr+~bnaa~ of h+#~ ~»~r nay oe~ttt~tn lei • ~~- ~ of a
periorr » ~ interior of ~ enay~ mutt ar tlnpapalb~
Tank el~,endonment stall bs In acoardanor with Comm ffi3.~3, Wis. Adrn. Coda wh+sr~ the
tank Ie no tW'1~eii' used su a PAINTS cafiponent.
The Boil a~rupt#on camponsnt salvin® the structure Is designed to accept domestic
waastewater i'ram ®resldentia# farliSty. The timlte of operation off this oorrtpt~rterft era shovm to
Table ~,
The Isrr+pevity of a eats absarptlan aornponent dapende ~restiy on proper and timely
m~tin#eensnCe, and system ued wl#hln or t~alew the iim#te of re4labie operstion, Good water
cone~rcvet~n preot#oes by ell ocsaupants and rho ins#el#sidan al ws#er cnnservln~ piumbin~
t~ixtur~ee are Bey fac~Ore in iuctandfng the uestul #lfi of this co~nponint.
The soli alasorptian oomponer~`e cpera~on rnuet !~ aid by inspaetian at leesz
anar awry three years. Ths insp~et~ton shad Intsfuds naon3inp th+r 14v~s ~ paradk~p, ~` any. tr,
the obaervatkrn R#pes~ and a vfausi inepeation for arty evtdance ct eurhar ~ or dsschsrge
frarn that a~'r~panent. On steeply slc~pirt~ sites, erase o~ erasion afioud bs Idanl~fisd and
r~epcr'urd to the owner ffQr repiir. Th8 surfea disChar~O o! domsstlc wastewater ar sswa~e
from the dye~-m ~ proh#biteed •nd cxxnslder'ed a human hwtlth hasud,
Trefac around cu over tts. soil absarpt#on cc3mpanent should be avaidsd part#cuiarly
durln~ winter months. The compac~lon or removal of anew caner over the cor.~pornr-t may teed
to hydraufSc fiilut~e by fr+eesirt~. This type of failure is utwti#y f~znParatY, bWt le dlf~ult ar
impossible to repair tdntit westher tondttions Improve. to ~snrral, loll COrnpaatlon aver thts
ctar~orte~t wilt ndure dll~usion at oxy~etr into the spit end d#eperea! oalt, ~vhtch may read to
more 4ntenee- !tr-d +taribr, ~an'tc clo~ging of the sot+.
r
Management Plan for a Septic Tank and $oll Abearption Componenf
Pisr-ttnge at deep•rootsd t1'ees and shrubai directly aver Of within ten het at the CamRonent
should be svotded eince rat tntruelan into the component may cbetruct wrsdewatar ~+,
Cantingency Plan
to the evrrrt at system ration, a new system could be Installed in sn elternats area. With the
ltataifatlan of a dlvsrter valve, the existing system could alw be roused otter a pertpd ~ three to
lour years.
ft is the property oMtners nespattsibil3ty tit matn#ain the aitern+lae area trw from sny pi~'+0 ~
trees, shn~~ etc. #n sue ct tsitun of the orlglrwt system, ~ xti have tail ba nmavsd t
any tr'a, shrubs, NG. he1~ t>±~ panted On the a~aerrruti arcs, ~
prtr e~"+'arlt ~,
It e1t*mette ana h destroyed, there are other satsmatiw nrstems can ~ used, in which,
could result M added. expense to the ta'oP~ '~
Any tank abandonment shN4 be done in accxndance with Wisc. Cede 8J.~3. Any queesions
regsr'dtnsil th}s cede, Rleaee cc~tao! Your local Zoning OtPla at Contact the tratslting plumber.
~ c.1~n vi.~`1'1 o,.~s..,a„ ~ l ~. er+ ~s ~ H c~ ~ ~ t S~ 3 ~ 1~ " .3 ! ~ ~
t STnTk BAR OF WISCONS[N FORM 1 - 19YB
• WARRANTY DEED
Deol„w,,,,,~t, vol. ~ 797puc 613
_ - ...~ . .~T-t-'
T)-ia Decd. made tlenreca Bane Corporation. --,-_
a ylnneyoca eorporscleo -_ __ .._
anA Sienna Coryozation___a 111nne_lQ~' enrneration _,_, -
-_ _ . ._.... G7antee.
Gnalar. far • vaH•e41e raraclderacltrn. rarlvay/ Io Cr+nhe IM lalltrilrt[
drwibsa ~~~~ In $t. CYOit Cnmq. $rele of WYceroln
(17,! Traleeny ~:
See Atuetiled Eshibic A
6660SQ
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rlne er0 wrt Mlaro
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20-loa9-9o- SE~N~
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10-l052-70-000
Tgnnn^ IrfU all y.puw..~m1 rIBM/- title ana In7ere<es.
bee erld e1W d awunGorlcrf eeaeVl
Cr+nlor rana..u 11411 1ne silk to Il1e ProOrrep 4 Bose. Laerl.aalWe N fee Y7nelt fI10 Sae Attached BSchibiC R.
20th Oeeelsber 20D1
Dated aJe . _..__ O+Y d ~-----...._
Oaaa r oration ISEwLI ._... ~~
o y. Naesef tS~U
Its of fiacecueive O[fi (SFJtU -•~ -
AUTHENTICATION
SeBera~eW _
Yr111a1111fatea 1111/ _...-. rLY ~ ..
TITLE NE]ABEB SiA7E BAR OF WISGONS[N
(Ir..NI. -
alstllar4aed Oy 5106A6. W4. St.l/.l
ACKNOWLEDGMENT
yilla~ iota
Stale o[iNTlelalTStO'
/L
.~. -.".~.."'t ~d1M
y CLN/ R 171/ 1111/ ~ ~
iCes6eT _2DOlr the a6ow r1~.1eA
,,.- r ^ssaff_ Chle[ Eueeutfve,Qf_ "eat
Mc WYrWrt~
1roUUn1ar11 and
7Wi INiTMUKNT WAS OpwFTF~ 9~ - ~~ tAB~et~7telBeeaealas;
Lockcidge Grindal Lav Firm ~ a
----~-V'j=: Rte: A ._....,, c.... elt_.-
*-e1~-„uUC Slne d Wlacontn
nianeapolis, HN 55401 ummiralrvt u vow"•• pl "'c /Iar. .7epiraliun aar/:
I QIQWUte oty !s ewl+aarlrelea Bea. Ban arc rw1 T
]annarv 31 .~- ~--. _•;~~'-
• " - r r..-•- wn,w ~n..n unrrr .wr r grae - a..rr I.~...w.~ ,t7.......
aT~T- e11e et WIYOI7fee
raseaNtT OEEII 7NeM N.. 1 . IN+ rleneln a,.er a.+ r... as.
y~NOy e1e•
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Exhibit B
to
Warranty Deed dated December 20, 2tJl-1
by and between
Bane Corporation ("Grantor")
and
Sienna Corporatiota ("GrstDtee")
1. Building and zoning laws, ordinances, State and Federal regulatiana;
2. Restrictions rcJating to the use or impmvcment of the premises without effective
forfeiture provision;
3. Reservation of any minerals or mineral rights to tl~e State of Wisrottsin:
4. Utility, drainage and roadway easements which do not interfere with Buyer's proposed
development of the property;
S. Gncroachmcnt of Qwcst Corrtmtiinications, Inc. fiber optic cable along the northerly
propcny line;
6. Agreement between Bane Corporation and John and Pearl Gies datod August 22, 1997
to exchange property following final determination of the location for Carmichael
Road ; and
7. Ameritech General Non-Exclusive Filament Agreement by and between Barre
Corporation and Wisconsin Bell Telephone Coe~pany a/k/a Ameritech Wisconsin dated
December 10, 2001.
TOTAL P.05
~aWO~sn0 eni~,dd panten e60=60 EO 6T qa~
g • d SL6~-6Ef~- T S9
ii-d E9LB-T9L-9S6 ~ptiy~sneH ueaQ e9O=iT EO LI qa~
1797~-« 615
y-d
ZT 'd
Volume 12, page 3292; thence North OS degree 24 minutes 10 a~eondin Volwnel129
the northerly extension of the west line of Certified survey Nap
Page 3292, a distance of 5.66 feet to the baecarly extension of sae north line
of parcel seeorded in Voivme ]390, PagE 16]: then South 89 degrees ]D e~inutea
27 seconds west, along the easterly extencion and tt~a earth line o! pascal
reeordod in Volume 1190, Pags 163 and the north ling of Certified Survey nap in
Volwee ], page 7?6, a distance of SOB.92 feet: thanes North 00 depress 07
~ainutes 56 seconds Hate a distance of 1003.17 feet; thence tsortA 89 degrees S~
minutes 15 seconds zest a diatanc~ of 270.16 Ltec to the vest lino of Certified
Suzvey Kdp in volume 5, Page 1317; thence South 00 degra~es 27 minutes 57
seconds Eaat, along said west liae. a distance of 193.97 feet; thence south 19
degrees 16 minutes 3? second0 west, a distance o! 533.93 feet to cha vast line
of the Northease puarter of she southwest Quarter; chests North 00 degrees 36
minutes is seconds west, along said mast line, a distance of 120.73 lase co she
poise of begi~inq_
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FkNa: es-o49o0
EXHIBIT "A"
J- parcel of land in the Northeast Quarcer of the lforthweac Quarcer, in the
Northwest Quarcer of the Northeast Quarter, in the Southease Quarcer of ohs
Northwest Quarter, in the Southwest Quartet of the Nozthea~t Quarter, in the
Northeast quarter of the Sovthvesc Quitter, in the Northwest Quarter o! the
Southeast Quarter, in [he Southeast Quartet of tae southwest Quarcer and in the
Southwest Quarter of the 3outhcast Quarter, all in Section 20, •fownship 29
Nort1+, Range 19 wc~t, To•.n of Fudson, St. Croix County, biiseoasin, more fully
de:cri.bed as follows,
Coim~encinq at the west Ouarcer Corner of said Section 20; thence North 89
degrees 25 minutes 02 seconds Easc, assumed bearing along the Ease-west Quarter
line, a distance of 1319.52 feet to the point of beginning also being the
sou~hwest corner of the Southeast Quarter of the Northwest Quarter; thence
North 00 degrees 36 minutes 14 seconds Mest, along the west line of said
Southeast Quaztez of the Northwest Quarter and Nosth~ase puaceer of the
Nozthwese Quarter. a distance of 1]25.15 Eeet to the southerly right-of-way
line of the Chicago-NOrthwescszn Railroad; thence Horch 79 degrees 56 minutes
29 seconds Eaat, along said southsLlY right-of-way, a distance of 451.00 feet:
thence northeasterly a distance of 607 ,D3 feet, along said southerly
right•of-way, along a tangsntial curve, concave to the northwest, having a
central angle of 09 degrees 54 minutes Dl seconds and a radius of 4670.25 Eeec:
thence North 7o degrees 01 minutes 26 seconds easC. along said southerly
right-oE-way, a distance of 429.04 feet: thsocn northeasterly a distancQ of
445.52 feet, along said southerly right-of-way, along a tangential curve.
concave co the southeast, having a central angle of 14 degrees 30 minutes 21
seconds and a radius of 1759.75 feet: thence North 84 degrees 32 minutes 47
seconds East, along said southerly tight-of-~+ay. a distance of 7.59 Eeet co the
west line of Certified Survey Map in Volume 32, Psge 3702; thence Sou ch. along
said west line, a distance of 103.]2 feet to the south line of said certified
Survey Msp in Volume 12, Page 3302: thanes Easc, aloa4 said south line. a
distancQ of 593.00 feet co the east line of the Southwest Quarter of the
Northeast Quarcer; thence South 00 degrees 26 n+inutes 06 s-eonds East, along
said east line, a di~cance of 1127.21 fret to the ooutheast corner of said
Souehwest Quarter of the Northeast Quarter; cheats South 00 degrees 26 minutes
55 seconds Cant, along the ease line of said Northeest Quarter of the Southeast
Quarcer. a distance of 191.71 feat to the north line of ~sreified Survey
Map in Volume 15, Page +172; thQncs South 89 degrees 37 minutes 27 ceconds
west, along the north lines of Certiiied Survey Msp in volume 15, page
4172, and Certified Survey Map in volume 15, Pags 4173, a distance Of 1113.42
feet to the west line of Certified Survey Map in volume 15, Pags 4173 thence
South 32 degree9 43 minutes 57 seconds Fast, along said west line and its
nouthezly eutension, a distance of 591.64 feet; theme South 07 degrees 13
minutes 16 seconds East a distance of 32].01 Eeet; thence South OB degress 41
minutes 11 Seconds East a distance of 413.6) feet; thence South Od degrees 43
minutes 31 seconds East a distance o! 229.89 Eeet to the notch line of
Certified survey Map in volume 11. rage 3128: [hence North 89 dsgrees 52
.minutes 20 seconds West, along the north lines of CeVOl~edl2,~ layex3292~ a
Volume 11, Page 3128 and of CeztiEicd Survey Map in
distance of 682.86 fcee [o Cho northwest corner of Certified Survoy Map in
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=. w.~~,
C"" 0
To: ~~7, ~~ From: ~~~ ~
v
Fa~c / - 9 S Z - ~ ~ S '"' ~ OD ~ Pages: ~ ~Ce2~t~ 1
Phone: 95-Z - ~ 3 s ' 2~'D~ Date: ~-~~~/~~ 3
^ urgent
~ Comments:
^ For Review
Sr~iJ k'~~'~J axe ~~-~' ~~ ~ ~
^ Please Co t ^ Please Reply Pease Recycle
ST. CROIX COUNTY
WISCONSIN
ZONING DEPARTMENT
ST. CROIX COUNTY GOVERNMENT CENTER
1101 CaRnichael Road
Hudson, WI 54016-7710
Phone: (715)386680 Fax (715)386-4686
a .~~
~y2
Gc~~Zan-
/L2
~ ~,
Feb 19 03. 09:11a,
-Jalued Rptiva Customer 651-439-4975 p. 12
Ssdery and Buildings Division
Z01 R-. wtobin=oon Ave.. P.O. Box 7162 Cam' - ~;-- ,
.: -~~- '' , .
~ ~~~
in . ~ 53707.7162
i Si~ "~
'
/
scons V~
~ ~ ~Q~L'~' ~ '
Department of Commerc®
Sanitary Permit Application ~°ry' Permtt Number
m aocota.aidz Comm fi).Zl, wis. Adm. Code, Peso a r D D Cboct is Reviciozs
ma be used for ses Pcivac w s 1
I. Appiaalfoo Iatornaation - PI Print /1ll Iaformatitm
Slave Plea I.D. Number - /
PropeRy Owwer's Name ~ partoel Ntaober~ 0-/04 r ~~ r
~ "' ~'
..~'rL~ rr
~~
I
Add
' PrOpe`ry
teu
e Mailing
property Owoer
BONING OFFICE
,
~'::1 ~.•^~~' ~~ ' =i e F J :~ e:7y-. %~ •~' _ 5 ~ ~ ~- / ~
~ if ~l~ K: v T~ y N. R ~ ~ E
Clry.eSYaro 1;'" Z4 [ode Pboa Numbcr Lot Number Number
Slzbdivisioa Name CSM Numbcr
II. Type of Bta7diag (check sU that aPP171 J ,/ „Q/( /,~.Q6(~ ~b
1 or 2 Famu'ly Daelliog -Number of Bedrooaa r'T Q ()Village
D Publiclcommert:ial -Describe Use owmsbip sXJ
^ sne owned ~!
~
i~
~
~
.~ ~
/[
lII. 'type o[ permit: (Check only oac box on line A (number'iog nrheme tar internal nee). Complete tine B U nppiirsbfe)
A' 1 New 2 D Replacement Sy:mm 3 ^ Replaoetaeat of 6 D Addmon oz Fa Gtmtp sae
stem Teak sum
B. ^ Chock if Samnry Yctmir Previously Isnwd
Permit Number
Dale Issuod
)y. Type of Permit: (heck all tllal applr)(nmaberlnt scheaae is far Internal crag)
t4 ~ Non -Prerstzrirad In-Ground ZlO Mamd 47 ^ Sand Filtcr SO ~ Coosontued Wetbutd
22 ^ Pzessuriml ia-Ground 41 D Bolding 'stint 43 ^ Siogk Pees Sl ^ Drip LiK
45 D At~rrade 46 D Aerobic 7Yea~erlt Uair 19 ^ Raciteulatiog 30 ^ Orber
V. t Area Information:
teal Area Soil tradoa Permlarioa Ram
Deslgrz I7ow (gpd) ~°
~
Elevatio
Final Gtade
al:./Dars/Sq.Ft.) (N1in./[tzc
p zed Raso(G b) 2 Flevation
,.
~.'1'~ Ufa Capacity in Toti1 Number Maauficauer Prefib Sin
d Steel Fiber
Gla PlzStie
Gallons Gallom of Tacks Coouem Comtnzete ss
Nam Faisdo{
Taub Taub
Sapeie as Hold'a~ Tank /- >' _ .+ ~i ~ ~ J l - ~ • ~ !'w
DozizK msrobe
VII. 'bElih Statement- I, the rmderdglted. aaz®e [ar erst411atton of the POVYTS crown as {be rttac6ed plain.
Plumber': Name (Print) Pbamber'a SigWtan 'ldp/MFRS Number Business Pboae Number
Phimber z Address (Sweet, Ciry, State, Zip Coda)
.^. _ y . .
VTiI. /De nutmeat Uwe Ool
~~+Y Permit Fee (includes Gtauadwarer Dam Isnzed Issuing Agem Sigmmre (Na Snmps)
^ Approved ^ DLnpproved
Swsbage Fee)
^ Ouroer Given Initial Adverse
Detcrminatioa
IX. Caaditioas of Approra to for Disap ~d~ G[~.-d ~~ 60 ~~Q2~s~2~c7~>ti ~,pry~J,s~-~ ,,P~.e~/•
~- G
~~
~
p .S ~~ ~.~.
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