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HomeMy WebLinkAbout020-1057-60-300' c7 m O 3 'o n C~ r~ o _ ~ ~ ~o ~ ~ a o c ~' ~ ~ A' `i1 I ~ ~ '! c v' t .« + "" .r a x I ~ r. I n 3 _ (~D f~D ~ O f=D i O N C N N ~ • S m p Q < <, c 7 7 CAD y p ! O~~ a Q O CO ~ ~ ~ _ V G 7 ` ~~ j N N f~D o 7 ~~ V O ~ n N a 7 O Q 6 a m n O ~ ~ ~ ~ ~ G !D a G C Q ~ ~ O I ~ ~ ~ ~ w ~ ~ ~ ~ p ~ ~ m , ~ v ~ ~o ~ I ~ -~ ao a I I ~ _ °~ °o ~ c c c° I ~ O ~ Z ` ~ w ~ ~ 0 a, coo ° ° c uni a c G N N a f 3 "4 Q 1 d ~' (~I. O Z 0 0 0; ~ ~ o o n TI ~ G fD ~ ~ ~ ~ ~~ o '' D ~_" I i o N N N ~ 7 ~ O M ~ i O N N W t ~i ; ++ ee T I ~1 7 ~ ~ a ~ !~i d a .r N Z a I o i 0 + ~ ~ D O O ° ! ~ ~ ~~ m ~ m ; . N N I ~ G ~ /L~ C ~ ~ W f~D ..: D_ d ~ ^~ 7 I Z j fA ~ v d A ~ ~ . . ( W '0 ~ ~ N I a ~ '' 3 ~ z A ° . ~ I o z I B m ~ H ~ ~ I v 'A a I ~ > -~ G ? ~ v a ~ `D ~a ~ 3 o a w m c mN°'~ a a s ~ ~ O y N ~ O ~ 7 G 7 (O 3m~s ~ ' m ° y ~ I m i r y m y ~ ~ O 7 I A f p fD ~ 7 N i fD ~' O J i A a ~ a .~ ~ '~ 'm o ' m w ~ X 7 N O ^ O ~ O M a ~ ~ I ~° Q ~ ~ :O 69 ~ ti ~ o ~ ~ ~ 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)]. Permit Holder's Name: City Village x Township Hetchler, Clinton E. Hudson Townshi CST BM Elev: ' Insp. BM Elev: ' BM Description: r l = 1 ~ a~•a es e ~... ~ TANK INFORMATION " ` ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic W Eel ~- ZS~ Dosing Aeration Holding TANK SE~ACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic t ~ ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand M Model N ber TDH Lift ction Loss System Head TDH Ft Forcemai Length Dia. Dist. to well SOIL A RPTION SYSTEM ~ R NCH idth ~ Length ~ o. Of Trer DI ~ 8~-S~ ~ /2 Inside Dia. (Liquid Depth INFORMATION CHAMBER OR >bl Type Of Sy tem: j~ , t I f t ~,_,y UNIT = e Model Number:l ~~~'j ~ + 5 ~ ~'O ~r ` 1 DISTRIBUTION SYSTEM ~j P ,,,,,~ (~/L ,~,~' ~ ~ ~o+~ Header/Manifold tt Distribution x Hole Size x Hole Spacing Vent to Air Intake ipe(s) I ~ q~ t ov Length Dia Dia Spacing SOIL COVE x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges I Topsoil ~~ Yes [j No i-,, f`I Yes No ~CQ M ENTS: (In~+code iscrepenciesl persons present, etc.) Inspection #1:~/ ~3,~ Inspection #2: ~--~""" Location: 864 Clint Trail Hudson, WI 54016 (SW 1/4 NE 1/4 22 T29N R19W) NA Lot 11 Parcel No: 22.29.19.216D 1.) Alt BM Description = CN/~~ 2.) Bldg sewer length = ~ / . - amount of cover = j8 •~-~ . ` ~ q ~ li--- --- ~- ~ -- --- - _ __ __. _ ..---- - ~ -_ ~ --- OCR L I Use otheriside for additional information. No ~__ ~~ r I~, l~ _..' ~t-~- ~ -- _ \_.. _... __ ---_--- -J SBD-6710 (R.3/97) ~ D~MlOG /~ t t Insepctor's Signature Cert. No. 4 county: St. Croix Sanitary Permit No: 420402 0 State Plan ID No: t ParcelParcel Tax Noss 020-1057-60-300 ~~ STATION BS HI FS ELEV. Benchmark ~/~/ Z t/ -4 -~ t °'0 • a Alt. BM Bldg. Sewer ~. ~ e ~ X33 coo 3 t St/Ht Inlet b t ~It (~ ,~s ~ ~ 2~1 SUHt Outlet Dt Inlet Dt Bottom Header/Man. ~r ~N L~, ~ ~ $,. ~ ~ Bot.System ~.~ t~. (p~~ 9t~rt ~~.'/, "f10 Final Grade St Cover ~ ' II. Type of Bttilding (Check all that apply.) D Ci ty )f1 1 or 2 Family Dwelling -Number of Bedrooms FOUR (,~ BDRMS D Village O PubiiGCommercial -Describe Use ~ D State Owned DTownshi H SON Nearest Road EXISTING HOUSE CLINT TRAIL III. Type of Permit: (Check onl one box on line A. Numbering is for internal use.) (Complete line B, if applicable.) A. 1 ^ New 2~1 Replacement System 30 Replacement of 6 ^ Addition ro For County use M S stem Tank Onl Existin 5 stem B. OCheck if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of POWT System: (Check all that apply. Numbering is for internal use.) . 44 ~ Non -Pressurized in-Ground 2L O Mound 47 ^ Sand Filter 50 D Cor-gtructed Wetland 22 ~ Pressurized In-Ground 41 O Holding Tank 48 D Single Pass Sl D Drip Line 45 ^ At-Grade 46 ^Aerobic Treatment Unit 49 ^ Recirculating 30 ^Other V. Dis rsallTceatment Area Information: L FI TER Design Flow (gpd) Dispersal Area Dispersal Atra lication Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals.lDayslSq.Ft.) (Min./Inch) Elevation ~ 97.6 101.45 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks .Septic or Holding Tank A' Dosing Chamber -j VII. Responsibility Statement- I, the undersigned, assume respo®sibility for itulanation of the POWTS shown om the attached plans. Plumber's Name (Print) Plumbe ' P/MPRS Number Business Phone Number ONE 7 -381-1704 1~ Plumber's Address (Strcet, City, State, tp Code) I~ VIII. Count !De eat Use Onl ~ Disapproved Date Issued Issu' Agent Sigaa a (No Stamtps) .,Approved D Owner Given Initial Adverse Salutary Permit Fee ludes Groundwater ' Determination Surcharge Fee) ZZs~` , z3 IX. Conditions of ApprovalJRetasot>s for Disapproval T~,.~ ~¢.K1L,1et~,~ei,~ v~0.sr ~2, ~ t~ ~ be («,.>.~Q -f,o ~o-wlL-'~` `~. s ~- ~o~r~~ e~j ~"C'eti ~ ~ O-~~~P LSac ~fi , Safety and Buildings Division County ~ ~ 201 W. Washington Ave., P.O. Box 7162 T. OIX ~S~~nsl n Madison, WI 53707 - 7162 Site Address Department of Commerce 9- t-y-~i 3~f00 / 864 CLINT TRAIL Sanitary Permit Application Sanitary Permit Number ~zo~Z In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Check if Revision tna be used for second Privac Law, s15. '4",.°""--~.-. _.°. -°- -~ I. Application Wormation -Please Print All Information `'i x v ~,~~ t:. ~' ' `. a.: S Plan I.D. Number Property Owner's Name . Pa el Number ~ ,,~ a 0 0-1057-60-300 2-~6 P Property Owner's Mailing Address Pr perry Location ~ : ` .~ . .. ....-..,_v.__ u u: s 2 T29 N, t19W---1; City, State Zip Code Phone Number Lot Numbe Block Number Subdivisio a CSM Number J. ~Z ~, 3y6Z ~ 5~3I `f ~ CX.(~ h/~ Z ~ ~' c~~-s . •-•- ~ -- -~ - ~ - -~- ---- - .. .. -_ ~- -- Parcel #: 020-1057-60-300 05/23/2006 10:12 AM PAGE 1 OF 1 Alt. Parcel #: 22.29.19.216D 020 -TOWN OF HUDSON Current '~~ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -HETCHLER, CLINTON E CLINTON E HETCHLER 864 GLINTS TRL HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 864 GLINT'S TRL SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 8.640 Plat: 3462-GSM 12/3462 SEC 22 T29N R19W PT SW NE & SE NE BEING PT LOT 2 CSM 7/1891 NKA LOT 11 CSM Block/Condo Bldg: LOT 11 12/3462 8.640AC Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 22-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1088/544 WD 07/23/1997 911 /634 07/23/1997 874/166 07/23/1997 798/25 more... 9MR SI IMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class RESIDENTIAL G1 Acres 8.640 Last Changed: 10/25/2005 Land Improve Total State Reason 101,600 175,000 276,600 NO Totals for 2006: General Property Woodland Totals for 2005: General Property Woodland 8.640 101,600 175,000 276,600 0.000 0 0 8.640 101,600 175,000 276,600 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 123 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 s~, Pia-, '~~ ffi 3 ff`~`, `"1 ~ C t5 ~ ~~ ' 7 1, 3 ~ t~ ~~'~? ~~, ~ y ~C, Z c. { s f i;L.1 Ol.'~-~ pn~ 7''° & . i ~.W ~ $f+1-~1 10.0. t~ ~F~ L°-WJ _ _ Sys ~, ~~5~ ~~ r \~~ PID # /~~-U -~/l/ S~ - Gam, - ~ o, Ste'/, ~ ~/,,S h-T ~ N,R ~ LOT . BL _ SUB CO V^ T^ ~/~~- ~~'/~~ ~~~%c~ s1PRSW 242514 s ~ P/a-, ~~ t: gD~cs' z~ ~~ 3 ~ e 0L'~ ~L 1 r ~I ~~ 0 t~ Ql P~~ ~. i ~.C11 ~ ~, ~h~ v ~ ~~ ~~, ~ ~ ~T ~.~~. peti~'c ~' ~'~" ``~"~ bt~-#~ 1 ~.~,. ~ cr ~t fl f" J .- cu5~ z •. d~ ~r °I° •w 'L~' ~rti c~. I Wisconsin Departmen! of Commorce Divlabn of Safety and Buildings SOIL EVALUATION REPORT Paga_~__of rrl tlU:t/l Ufll lliV WIUI l~ullllll qJ, rr~a. nw n. vwo -- County ~[, C~ZO\ X Plan must er not less than 8 172 x 11 Inches to size lan on a it f t t h , p p e e s e p cgmp ac At Include, but not limited to: vertlcal and horizontal reference point {BM), diredlon and p~ I.p. percent slope, scale or dimensions, north arrow, and location and dletance to nearest road. - I 5~~~ - 3b Please print aJJ Jnformat/on. ~e'^'~ by Date Person at Mforrnstlon you provioa msy Q. u~sd for secondary purposes (Privacy Uw, ~. 15.01 (1 J (m)), 23 Property Owner Property Location ~1 NT()~ i~ , ~TC~I ~~ .SW i14 ~~ 114 S ~ T Z9 N R ~9 ~r W PropertyOwne~s McIIIngAddress o ~ lock t! Subd. Narrigpr CSMq V. (2 ~ b CLI-JT T12f4 l~- P • 3~ rw 3J `{ ~Y State Zp Code Phone Number ^ ^ Village `~'7own Nearest Road N~DSO~, I ~~ Syo+b ~ t7+5 ) 38,E-421 N~t7~so~ (E ~ i C~.l~'~°?"P~t~- ^ New Construction Use: ~ Resldentlal /Number of bedrooms y~_v Code derived design flow rate y ~~ __ _ SRO i Replacement ^ Public or commerdel -Describe: ~~i~~ _- '^~~ _ ___ . _ tl. Flood Plain elevation if applicable N!7'~ , ~~`,C~ `~ Parent material _, ~ General comments and recommandatlons: ~-~k04ND C~yE~TIQNAt_--T32~JC~~S r I_O>~J1/J s~T ~ (~~~ ~'~ !-_.. ~ 2 ~ ~, ",, lk ~ ~ ~~ ST~Y1 t~L'Ev~"S-1 OrJ ~ (c ~' ~y ~.> • ~ , , ~.~~t S,~N~1G~ ~~ G Boring / ? ..-r_ "-~~"', `' . Boring # f _ pit Ground surface elev. 10., IS ft. Depm to limitlng factor ~' ly ~ in. -----! ~ - Solt. .~ ate on i N Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1N' or z in. Munsell Qu. Sz. Cant. Color Gr. Sz. Sh. - 'Effllt 'Eff112 I 0-Z Z.SVR ~o - ~ I r rn f~ r 0. Z_J-I'-~'- 0. ~ Z Z,8 75 z - ?~ rn r t'YtJ~r Gt~ -rrt _O.S ~,g 3 -( ~'. 5 rc i - ,S ~t ( a. ~ M ~!'Y' I C s { -m C7 2 14 -1 ~ Z/z - '+ I I mfr b l - ~ 3 ~a Z4- +OY~`J~ ~ S1I -f-t'``SbfC eh Q~ m Q .L D r-'~ 4 3c- lovQy/~ - s os9 d t 4~ ,,~=~ a, ~,Z ~ ~ ~ y S ---' Z Boring 1S L-I Boring ~ pjt Ground surface elev. ~Q, ~ ~ ft. Oepth to limitlng lector _ ~.~ In. Soil Ilcalion Rate ri th D Dominant Color Redox Desaiptlon Texture Swcture Consistence Boundary Roots GPDlfF zon Ho ep in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ 'Effg1 'Eff112 -3 ~ ~ ~ rn z~-.~ i o•.5 .9 0 Z -iZ Y ^' L ~ ~ S V'~-~ ~ /a ~ v• ,Z 10 3I-3 '~ S t ~ +(` S S -M ,Z ,3 ~ 5 Z - tit-so ~~y y ,. ,~'t 1 ~ r,., abK o Mft'-^ t '~5 I rn --~ 0 , 5 o.~ 0 , 8 I,z_ -,~4 roV y --- 5 d 1 -- - D ,-J I , z_. ~Z ,- ,.~ i i Eflluenl 111 = BUp > 3U ~ 11U mg~L ens I JJ ~w c you rnyn c.i~o~ ~, ~, ~ ..,,r- ~ . _ _ -- ' - CST Name (Please Print) Signature ( CST Number Address , _ ate Evaluation Conducted Telephone Number I~}~~lS b40~,~ ~~y~Fp~ ~ 5`t~~- 11-0~-OU (~J5 }~Z+la-177-~ . ~ Property Owner .~ ~ C~ ~~ ParcellD# ~~" 1D5?-~~-3f7C]_ Page 2 of 3 3 U Boring Boring # Pit Ground surface elev. 101,4 ft. Depth to limiting tailor In. Soil icaflon Rate l tion dox Descri R Texture Structure Consistence Boundary Roots GP D/fF Horizon Dapih In. or Dominant Co Munsell p e Qu. Sz. Cont. Color Gr. Sz. Sh. 'EtF#1 'Eff#2 1 ~5Y-2 D 'J.' L 3~ r ~f t0`~ -rn ,~ 0.$ Z u- l l , 5 Q ~ L-{~ m r rn ~. 5 0, ~ '-(' t7-22 t 3/ - Stl 1-(-mab fr ~ m .Z 3 ~ Z2-31- t `~~ s~ ~ ~ bK Q 5 1- Z 0 3 ;o _ 4 ~ 7..5 2`f 4 5 v ~ ~ 0 l L 'tb -z-/k2~Z7 LJ Boring ' Boring # ^ Pit Ground surface elev. ~ ft. Depth to limiting factor in. Soil A Iication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF 'Eff#1 'Eff#2 U Boring Boring # Ground surface elev. ft. Depth to limiting factor In• ^ Pit Soil Ilption Rate Hortzon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD 'Eff#1 'EB#2 'Effluent #1 = BODE > 30 < 220 mg1L and TSS >30 < 150 mgft. ' Efttuent #Z = BOD, ~ 34 mglt_ and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or 7TY 608-264-8777. sao-c~3o (k.brool 00,0' p~OTp~AN o~~, . 7eniormisclnanslawo, sw~~. tl1di61007 OR 71i-f~7-1704 RAK LM! 7f6~f00N00 .~ - . _ # .i ~ ~ ~ ~/' ~1 - ~ - ~ ~' ~ ~ ' f. ~+` - i ~~ ! - ~~ ~ 1 1 ~ ~ `~V ~ t ~ ~ ~ .. - , i ~ ~ ~ ~ -- t - , ~ . _ .:: ~ - 1 ~ I .. t; ' ,: - ~ ~. . ~ + ', ,.. . G 7 '~ °~ - i ~ ~~ ~~ I' i I r ,~ . F . - _ ~ • i I ~ I ,s ! f ~. ~ ~ i . _ ~ _ . ~ ~ . s ~ -. ~ ~ ~ 1 ~~ 1 Pri~-ate Onsite Wastewater Treatment System iYlanagement i~ian peptic Tank And t3ra~ity in~3tround Soli Absorption Cvrnponent Pursuant to Comm 83.54 Wis. Adm. Code each Private Qnsite Wastewafie;' Treatment System {POWYS} shall include information and procedun9s for maintaining the system within the parameters of Comm 83 and 84, and tix~ c~ndidons of approval by the departrnerrt, agent. or governmental unit. The approved puns and permits for system are on file at the county zoning or health department. ,This management plan complies with Lamm 83.54, Wis. Adm. Cade, and the in-C3round Soil Absorption Componen# Manual for Priva#e Onsite Wastewater Treatment Systems S131?- Table 1: Svstem Dasism Specifications Sanity Permit Number - Zo Z Number of Bedrooms ' n Flow - Peak pd Estimated Flow - A _ Septic Tank Capa~ci ) Soli. Abs bion Com onent Size ( } Type of Wastewater D 'c Table 2: Soli Abaorotion Comoorfant - Limlts of Rellabla Operation 5e c Tank Co nt Sod Ab d t Des n Flow -Peek d (2~ ~ ~°~ Maximum Influent Particle Size in '1/8 Maximum BOD 220 Maximum TSS m 1 ~ Table 3: Maintenance SChedul9 4~~-, Septic Tank - --- - Inspect andlor Service once e 3 ors Outlet Filter Ins once a ear and clean at least once e 3 years Soil Abso Lion Com onent Ins once every 3 years Seotie Tank The septic tank shall be main#ained by an lndivlduai certified to service septic tanks under s. 281.48, State. The contents of the septic tank shall be disposed of €n acoordan~ with NR 113. Wis. Adm. Gode (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Prnvies, ar Portable Restrooms]. The operating condition o#~ihe se k nd outlet filter Shell ise assessed at least once every 3 years by inspection. Th outlet Ite~sha~l Ike cleaned as neoessarv~~ure proper operation. The filter cartridge shou rrot be removed unless prornsians are made to n3 rn so r s ~n the tank that may slough off the filter when removed from its enclosure. if the Managemen# Plan for a Septic Tank and Soil Absorption Component filter fs equipped with an alarm, the finer shah be serviced if the alarm is ad.ivated ooM~uo~ly. Intermittent filter' alarms may irulicate 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 exaaeds 113 the liquid volume of the tank. If the contents 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. aCOess risers and covers should be inspected far water tightness and soundness. Access openings used for service and assessment shall be seated watertight upon the caxrpletion of service. Any opening deemed unsound, defective. or subject to failure must be replaced. Exposed access openings greater then &inc~es in diameter shall be secured by an effective Ivdcing device to prevent accidental ar unauthorized entry Into the #ank. No one should en#er a svpinc or odre~- treatment or holdfnQ tank f~ov' any reason wlt/rout deln~ In full compliance with OSHA standards far entering a conlfneti space. The atma~spher~+a wHhin the septic or odwr lr~satinent of hafdlnQ tank may contatrJ lethal gasvst and rescue of a peuson from the in[ar3or of the tank may Jbe dl/ftcult or lmposslble. Tank abandonment shall be in ecoar+danee with Comm 83.33, Wrs. Adm. Code when the tank is no longer used as a i'QWTS component. Soil Absorption t±onr~nant The soil absorption component serving #his structure is designed to accept domestic wast+awater from a residential facrility. The limits of operation of this component are shown in Table Z. The l~gevity of a soil absorption oornponent depends greatly on proper and dmely maintenance, and system use within or bekriAt the limits of reliable operation. Good water conservation prachc~as by all occupants and the installation of water conserving plurr~ing fixtures are key factors in extending the useful life of this component. The soil absorption componerrt's operation must be assessed by lnspectieon at least once every three years. The inspection shall include recording the levels of pond[ng, if any. in the observation pipes, and a visual inspection for any evidence of surfa+oe seepage ar discharge from the eon~onent. 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 aver the soil absorption component should be avoided particularly during winter months. The eompac~ion 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 #o repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the sail and dispersal pail, which may lead to more Intense, and earlier, organic dogging ~ the soil. 2 C4N7iHGENCY PLAN !!'the PClWTS falls anct tanner br repaird the fotiowlnf meuures have wen, Or must be uken, W Arm a Cods cosnpllat replxemeat system: A sultabie replacement area has bten evaluated and mar be utilized far th! location of a RP~~ soil absorptlo system. The repiacemestit ara slwuld ~ protc~ctsd koen dlsturbasrce acrd eompaC'tian >nd s1+ot~ ~+at be Irtrisa;e4 ~ regtslreQ setbacks from existlnr and proposed stracwn. bt dnss and wdk. Fillure W protect the replasemsat a:+a result m the nerd for a t>aw soli and ~u eYaiuation to atabibh a suhaisle replacerrssust ana. Replacement:ys~ems r Comply with the rulers In effect at that tltrse. A .'1 sultabie repia«mtnc area is not available due W seiba~li indyor ~ limltatblts~ BaRlt'>~ #dwrttes ~ POWTS tec a haldlrs=tank tnay be Installed is i last resort W replace the !ailed POWTS. D The slte has Wert been evaluated to ldentlh a aultabia npiacemerit arra• upon faftttre ai'the POWI"S a ~ ~ site evaluation must be p+tsiornled to locate a suh~abie rtplace+etetrt Yla. If tq Ap>atameM aril b ivaIIibie s h01Qir~ t be isualled as a last resort w replace the failed PQVIri'S. ^ Mound and at•g*adr sole absorptbn systems tray be reconsv~utud in plate faAowt+sa rcmovil of the yivmat at the lnfiittative surface. Recoruwctlons of wch tysums must.comp~+ vrlgt tht auks M sRect at that t3me• < < WJ~tNiHG a ~ t~ITiC, 1-UMt AND flTKER TREATMENT TANILS MAY COMAii"1 LETHAL GASS>KS /~ll+iD/0R lNSttiFlCiir: OXYGEN. DO NQT ENYI~R A SIEt"iiC, PiJM' OR OTHlA TREJITM~NT TANK UNDER AHY CptCUMStA~ DEATH MAY RESLiLI'~ RE3GUE 4i A pEli30N FRAM Tiff il~1TiERiDR Ol< A TA?1K MAY iE DiPFICULT 4 IMpAiitRt i. ADDITIC]+iAL COMMENTx ,,. -- - POWTS IN STALLER Name ~. Phone ors-- ~f - ~a y POWTS MAiNRA1NER Nye .!bane S>zfTAGE iERYlGING QrERAYOR PUMPER WCAL REG1~tLATORY AUTHORITY Name ' ASesx~' S~ C: ro' ~ a ~ ors- - sr cRO~x covNTtir ' SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OvvnerBuyer GLINT HETCHLER Mailing Address 864 GLINT TRAIL Property Address $64 GLINT TRAIL - {Verification required from Planning Departneent for new const:uctioa) / City/Stt~tte HUDSON; WI Parcel Identification Number 020-1Q57-60-300 LEGAL DESCRIP'~TON Property Location SW %s, NE Y., SOC. 22 . 'r 29 -R 1_ 9 W, TOWn Of HUDSON... Subdivision .Lot # 11 Certified Surveil Map # 580314 . Vohune 12. .Page # 3462 Warranty Deed # 519522. . VO1fIIIiC 1088 .Page # 544 Spec ~onse L7 yes ®no Lot Tines identifiable ®yes C7 no 5"YS1'E11R •MAINZ'Li~TANCE Io~Opec~esadn~beaso~oeoflronrsepticsyaGemeouldresaitiaitspremad~e£s~u~etohaadle~vssoes.Pro~er ooresista of pampiag oat ~c septic tsa]c every thrx years as:oe®e~ if needed by st iiomsed pan:per.:What you part sam the system can affect the 5mction of rtes septic taesle as i treatrnea~t stage is See ~Vssbe di posalsysoare. 11ra PAY oWaex agrees fo sttbeait ~ St. Croix Zcaiag Depactnoeut ~ oestifuxtiaa farm, sigaod by ~ o~ ~ b'y : P7~y~P res~cbedphaaber ar a lio~sodpumlxrv~riag $sst (I) the on-site wssf~va~r~sposst sy~m is is proper operating condition aad/a~r (2) s!'ter iaspoc~oa and pumpiag.(if nooessary), the :eptie•taalcis kas .than 113 hell of sladge. I/wG, the ~ Lave read the shove rogairemarts sad agree to msi~ia the private seange disposal system with the :mada~ds set forth, Lareia, ss set by the Depatlme~t of Commence sad dre Departrneai of Nsdual Rasourices; Stator of VfTiseonsire. tics ~~g ~ Y~ c has bees noaintaiaed mint be eaaapletcd sad to the SL Croix Coumty Zoaiug OPfioe within 30 day: of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTxP'ICAT ON I (we) oectify that all statenunts on this farm are true to the best of my (oar)laiowlodge. I (are) am (are) the owner(s) of the property descre'bod above, by virtue of a wsnxnty deed recorded is Register of Deeds Office. SIGNATi7RB OF APPLICANT t DATE '`««+«« Any info:matioa that is mis-represeatod may resalt in t1~e sanitary permit being r~evokad by the Zoning Departmeo~ «'`«««s «« Iadude Witte this appEicattoa: a stampod warranty docd from trite Register' of Deeds otlice a espy of the certified survey nu-p if reference is taaade in the watrea-h- deed ~i (]OCLIM£NT NO rr.w 5vaac ws:.~•••ca mw m:~.nwu.ec or*~ ~~, 1KARRANTY CEEts , ~~ r ' 5TA'PE dA$ OP WieCONSt\ FO$Ilt 2->t01)7~ 519 x~2 III RFGiS7ER'S Oi`FICE -,.~ - .. -...__ von ~,~~BPas.~~- _ ---, . ct~ouc c0.e w1 .. ._ -. = r ' g. Julie A. Abbott> a/k/a Jula.e Abbott, a single person, ~ Rec`dPorReclaN _....... ,lUL ..2 ` ...-_ ..................... ... , ........ ..... 9 ... . . i3.3~ i .. ... ...... ............ ................... .... , ....- 8 S1TIgYQ..........: ranr~•Yls alld warrant6 t0 ... Zi1111tOIl ~.. ~iBtchler, .......... F,pryp ...... ....- ....... ....... ------- 1 .. ~ ..... I . .... .. ..................... ~ ..~ ~.- ~i ................. ~ .... ..... .- .. ... .. .......~ ..._ A61YRN t .. ... ..- .. .......... '- ~~ . .... ......... ..~--......... 5t Croix ~L~._._,T. .-.. ...County. - _-=-~'-~~ yle Toltowins described real ptats in •~••..........--~-~--~-•~~-~-• , ,I Mate of Wiaeonsin: ~I ....-- --°~' Tax P..rcci Kos ... ~~ •~ '~ rter {5Ei/4 of NEs/4) end 'i Part Of tt~ Southeast Quarter of the NortEt¢ast Qua the Southwest Quarter of tha NortheaBt Olaarter (SW1/4 of NE1/4) of Section ?2, ;~ Tormship 29 North, Range 19 best, described as follows: Lot i of Certifi-ed ; ',I Survey Map filed October 1, 1987, in Volume 7 aE certified Survey Maps, at ~'j Page 1891, as Doc- No. 434577. j ,fr:~~~~i~ ~. ~~ ii Zz .L9. ~°t. 216 ~! Thia .....:°u. nOt-......... homestead praperh-. ~ (is not) ~I Exception to warronti~: Fasametlts, r2StriCtioY15 alld rlgt'-tS-Gf-wBy Of [et.CL'd, i if airy. ~J / D:.ted this ...... GA.~..--- -~ .............. day of ....... .. . ... ................. (SEAL! AVT8811TTICATION Sixt.atarH(s) autheatboted this ..,._-.da.9 ot-- ...................---r YO----.- TITL&: DSEl~SR STATE HA8 OF WISCONSIN (If na -------^ ------- satharised by 3 708.06, Pia. 8`~ffi) July ..... . - .. . Is 9~ . ... ...ISEdLI J ie A. Abbott, a/k/a Julie Abbott ...-.. ,.(sEALi ACISNQWDSDCf~MBNT STATE f7I~ WISCONSIN ae. St, Croix _ qty, ---...pcryonHlLY cant. be:tore me this . ~---...day of ~~ _...-------- 1 g~Ju~ie AbbotCm~ Julie-A.----- ttx-•~-- -----,....---•-••---- ~..-- -.._. -...,,.. a s __ ~ersont--_._..'-----------_......----- --------~6oe.Joy.-O,rs....--------••-------•~ -------- ----.. L~ ~a.~,,.... ........ - iIlW~,i• .......... .....--~-..... . fie me kttioar>~[~l~e~fli'Q4r1.S'•*7t----•-• w•bo n~muted tl~e raarra4n8 instnwWRnt and~nowledae the sane. THIS IN67TiV wtHNT WAS ORAFrHD B~ - ~A\J L~.....~ .. 1--~'}~'~~ ~~••••••-••• -.. •. Krishna O land r. ~_~-. IpLi ]Qr5 $_....---------------------•-•---------...._ Alice Jo -----....,-----..__........ ----------------_____....---- --------•---------- -- ----••-..-----...-----ix Attorney at T8111 Yota pablio St. CiTe4..... cbaBcY, wl} ..- ..... y~J{~l --•••••-------••••••-------••••,----• aslon is Bnent. (If nok' Note es ration isigaatnfea may be sulhCeticatad or aeknBN'lHdged. Both ~..---~._.... ace Bot neoeaL?r9•) ............... t - --- ...) '' ;~;~. ~,~. ~:~: ?.~.~. ~. =~' ~,~~ '~ . b f 7i,. •Nama• d yasom .IRlae is aq f+9LL'~ ~aulA Ae t7Vaa oe Prlntmi Mbr 11e~ .iEaW,~'- ry - 'NisGenb~ LpH191~+k Co.~ Inc. II T WARAa'~1Tf DLHD 61'ATR 1AH O~ aafSCD~a MIIwaUkee- W~aconsin ., . FOIt1e Haw a- lyst Y .~ . #C.s' "" • y~ ~~ .~ ' rt ? ~,~rt.,lFtia l..,r~Y,.:.~~~.~r•.Ax,'itt, ~.~~;,~-.:,~r~:;w jx ~+':y¢.w .'.~ :~,~>~ ,P:' ,y _~~y': v~a'"~(;~-':~r'• '~1rP,~ - - ~S~ ~ ~. :.•, . ~- ~ti ~ .. •~, ~'='. ~., *, ,':~ ..~ ~~•~ -_ },~ , •' ~,Y: r .-1. ,d.~4r . - - ' ~. rV ~~e r: ~- 4 , ~A~~ 5~4 ~~.~: ~~~ ~ JUN 3 1998 H ~x . ~`~cG° I~v~ .C~ • _,`~r' ~L. °,;.e s e~ ~~ CERTIFIED SURVEY MAP LOCATED IN THE SE I/4 OF THE NE I/4 AND IN THE SW 1~4 OF THE NE I/4 OF SECTION 22, T29N, R19W, TOWN OF HUDSON, ST.CROIX COUNTY. WI. ~IQIE; H1GHwar aulcnlNG CL INT HETCHLER SETBACK I S 150' FRAM THE CENTERL -NE OF U. S. N. ' I2' LOT i•, C: S; M. VOL. _ 9_ . AND 60' FROM R.O.W. OF TON711 ......... "' """"~-46' X 16' ROAp. PACE 2480 8-GN EABFM:NT ~ S d9°6J' 42"E N. LINE QF TFIE SIP OF THE NE 1/4- ~• •• -7N 19.58' N89°42'26'E 57!_63' _ // ° _ NDTE.' BEARINGS ARE `~ ~ ~ S 89 55' 4T" E 5 - 64' `m ~ - I ~ pE01 CATED To REFERENCED TO THE ,s ~° vrsrcw ~ pp ~~ - THE PUBLIC E-W QUARTER L1NE. - Rp ~ ±4'3aY~ ~W'F q -a m M (RECORD BEARING). ~.Y........... . .. .+._ ~m ., b ..147...1. ~.~~"A~ .: L~~i7~ J f~~ ~~~ ~ g p a°'I 2, 63 ACRES '~: s w~6' :' ,Ne?Er THIS A44P IS A SUdDIVlSION (114, 388 SO. FT. )' ~~~ ~ e~ ~ VQL ; 7,• PAGE••P.j~~O OF LOTS 1 AND 2 OF 7HE tea: 'r ••• •• •••• ••"'•' CERTIFIED 3URYEY 164E VOL U6E' 7, I - PAGE IS81. N $&°42,Pd"E .5 .fi3' ~!_ a ° ° 2..53 ACR S I Ri/7,~ Sa y a rc? f ! l o, 2s3 so. F ) ~ ti q • ss. 00' ~' P. 3o AC. Exc, r1v ~~. N de°57' 18'W ai ((08.863 S0. F .) ~T~.. ..33,Qp :...................... .~ > ti; V a 505.83' 38 S00° 1 1' 4 (' E N 88'42' 2d'E 6`3`8.83' ,,. I 46.83' ~ ~ APPROX.tOCAT1ON 'T•~•~'~gb•~ ~ EXISTING 88' WIDE - .. ... _ .-.~_. .T 'y .m ~ .~ . `x.01 ~ PRIVATE ROAD •'' ~ • ~ ~ EASEIENT. :~~?` ... •:~~ ~ ~y x LOT ey ~ :, 8.84 ACRES S 68°D9' 21'W m C 376, 447 SO. FT.) RQP• 80'' -- ~`'1 ti 8.59 AC. EXC. RiN/ WEST L1NE OF THE SE-NE . ,_ ' 'x . ~ ~ 1 ~ ' ~ TOTAL AREA OF ROgp DEDICATION 1.28 ACRES [ 55, 592 SO. FT. ) .. .... ~ ' -' NOOSE ' ('~ OFFICE ~ : ~ u ;~ NOTI: TNF PARCELS sNCwN Gw tx/s w1P .• , ~ w • m ARC SUBJECT TO STATE. COUNTY ANo .,""'•~". "~`~ ~ N 34°3T 45"E ~ :O LOCAL LANE, RULEB ANd 72.38' v :1~ LOT SIIE~ACCE88~ TO PPARCEL, ETC~~N g _~ 8FPORE PuRCNASING oR BFVFLawING ANT PARCEL, coNTac! n6:' ST.CROIX Co. N 88°50' IT" $ ~ ZONING OFFICE AIR) THE APPRQPA/ATE TOWN 8vAR0 FOR AOVIGE. ~,,. >»• 5.93' OU7BUILDIN88 a, E Ji4 CORNER OF a "rm• SEC. PP. (COUNTY ^ M4NUAEN7 FOUND). ~a 8 _ 130E.19' .~~53-~~ N89°50' !7'E S89'60' lT'd 661_os' 388'54' f7'W EAST-W£ST QUARTER L1NE W 1/4 CORNER QF SECTION P2. (COUNTY ,UNPL~ATT•E,Q•,!r„A,NQ~ lnA1'e"•, MQNUAOFNT FOUND ). ,4vo~~`"'" ,.-• ~`'Z'c~ -`i~ ~~ ~ C~r~W ~•~ O ~ SE7 f' X 24° IRON PIPE WEIGHING ~ '7 1. 13L85 PER t /NEAR FOOT. L~• ~+'_~~ ,p~:~;~ ~q, .~ • _ !" IRON PIPE FOUND. `'; '~?'GSvER Y ,.: 3 • X804 ~; 3PRI+tq V:+LLEY ~. ~ vets. ,~, 200 0 200 400 600 •"'s -~ ,~q 'Y ~w~°' I"i ,L GRAPHIC SCALE - FEET JANES M. ~A~~04 D70T0 THIS INSTRUNEN7 DRAFTED BY JIM IYEBER SHEET ( ~ 4 NELSFN-WEBER LAND SURVEYING .,...~~ ~~.. ~.a t4nR.. Vol. 12 Page 3462