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HomeMy WebLinkAbout020-1437-10-000 r T Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420646 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Reliant Developers LTD Hudson Township O.-C-1437- do- CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: •D uo.a' i PJt, c 5-1- VA c 22.29.19. ]6171 TANK INFORMATION ELEVATION DAT TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark CL, 6-LSb2_ Z •~'L- a Qu , o Dosing Alt. BM Aeration Bldg. Sewer D z .d~ Holding St/Ht Inlet p TANK SETBACK INFORMATION St/Ht Outlet ~3 193• TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 1 (00 1 I Dt Bottom Dosing Header/Man. I~.`f t f l3•~ Aeration Dist. Pipe (o• `fie 1~4 l0 93.2 Holdin Bot. System /(•'f ~?Z. Z-+ 3~ PUMP/SIPHON INFORMATION Final Grade a {+o ar Manufacturer Demand St Cover p~ GPM l 3q l~ W fi Z Model Num TDH Lift Fri n Loss System Head TD Ft Forcemain Length Dia. i SOIL ABSORPTION SYSTEM RENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM SIONS 3 CID Z) SETBACK SYSTEM TO P/L BLDG WELL L,4CE/STREAM LEACHING Manufacturer. INFORMATION s CHAMBER OR - Type Of System: UNIT f~ J • ' S0 3 Model umber: s Co DISTRIBUTION SYSTEM To Header/Manifold Feistribution x Hole Size x Hole Spacing Vent to //Aiir~r Intake ~ff ipe lDo t Length Dia ngth is Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over FBed/rench Over xx Depth of T Seeded/Sodded xx Mulched Bed/Trench Center Edges Topsoil Yes L No Yes 11] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:Mr /S t'128 Inspection #2: ---t-7- Location: 684 Heritage Way Hudson, WI 54016 (SE 1/4 SE 1/4 22 T29N R19W) Kelly Estates Lot 10 Parcel N • 22.29.19. 1.) Alt BM Description = s •T' N S 2.) Bldg sewer length = I amount of cover = `u L -,~u D•f,. ~ dL* 3) 74ee A-- tco Plan revision Required? J Yes No ' Use other side for additional information. ~ J L_ KInmpctoes 77 tt SBD-6710 (R.3/97) Signature Cert. No. J v r ' DTI r ~~t~ .y 1`~ 1 • G~'0''" J ~7 ~~v 1AA va.JV ttlA t15 .fatf 4Ktl6 ST CRX CO ZONING 0001 ~Y u+d t)iv~don C~itey 101 W. W Ave, M. Elft 70V ~ 1Wdisen. Wi A707 -1061 se iLry ►atat abw (W6e filed is by Ca) De tment of Commerce (6w at Sanitary Permit Application Sim F M "V-d "M Cttsw sul. Wit. Ads. Ciide. ttity ee two rmr ieeo+evy Aivrey . u s E 1 V E b rd tw.. ) E. Appnudw t~ir..uett - I+Eaie MW A~ wit * bo, ow.er'i t~Aiwt PiioN taf N 91ook d 4e_U .e„\ 1Z. ittipaty ow~er~e) Atldtat ~x,o ZONI G- OFFICE Pt"Orl Cigr. State C, v CAO--, eUr u t0 l S S 11~5 ~e Y, Se aka a..,k CA~u OJ Ss 31 17 [ a.5 ('05 ? 3 T aM IL Tate ais"d ft ebmik-A flat app,) i or2 Pituly DwdWl- p6mba ofso*eo e 1 j ~ e. rr.~e - CSNNW"bw a~w-E>ieatbslla 0sat.e3waa- ocky' -p"Ws►ipof Rs~ ELL lyVe aiI'era t ( atty are ttes ait . CO"Pkk Ws EI if A. Soma 0 R syswu 0 'n aaartW&M Ttak Rg""W" only C] oaten AAoditimb= to st,0%syttaa S. [I Pettait Rtmcwai Pewit R«iiioe D ChMv of O PM& TO"k to Nw tAet PaviM P*yt W tbW and DMC tared ash a vxvWwaa PkWAW owsw EMw4frownsystaft, aArlta b P~ww Etf4WAd 0 Mititd j H W if iit Ak star 0 ► 0=6 <H W. of wAW1 k sari D AVOMde 0 Burk Poet Sind PiAa 0 1'CW-4vMWWMbM 0 n Mw*W Mt10WAtd 0 Tilt 0 Peat Fitter D AbOMe Traaaaatt Lkft 01tftwCWW.* Sind %1W 0 twerp. Pxeit Opts • Lie D r ) V- WdONSObTrestaftt AM Ia snwtgwr oeiist F1Qw 4th >7wii Ste App4Citiia Rue( D sM Alen Requital (so Ater Peopoted ( sows FTCwfwa SS-7 00 S VI. Took Ida CtpW1 tt TOW NW*w t~t a,tsea~r Pkft Sift saes RM ratite E to aftiaia Caeaac Conttwad ob" Thin Trio u r:aTr+ VII. ateatat- t, ttie wwwbft,&.La; .amok. A. a r tic P OWTB Aawa is the aosdad pk%w ! W An 13ati+os Prom Pbmba 'r [S 6 S Q S •e ` (Satin. Ck Stiii. i3p Soh k-Q , )Q"-- o S rtumm Else poi D /ti -ld-/O fl 0.,wr Giv" Rae" to Dtaid IX. Cattalo w of Apw wWRe boos far U1nVprrva1 / V J1r.s31 (b Nr watt ~rl for ds ~ r iyer uet An ttiaa itti i 11 N rlee SBD-6398 (R. 08/02) . _ Lo emu- EZ1203H Tri - TsTrTTi ' iTrTrT isr n'~ ' T'f TTiT 4„ ' i i'. ~ V T♦ ~ TTY tL 11 4.tl~~••25aa TTr .,»w.. °ii MT i i♦ TTTT4f i T!r j 1/C Cirt 1. Mn riip Tlti ' TT!`I r ►TrT►1 srT. J °Triii i►i♦ ir +''"sa+wTirTriTr rs~rr°ir ,TTr 24 36f! 1 DIAVoid Go,Tkirlot is AggrqW . given at 57.4%. O.D. of4-piW l.I3 iocifes Void *W Shall (2 Ste''=fts) ~ 141={` ~R per f!r*"( t2 : 3.14 • j~ . O' O. of ccmarcyfindcr~ r2.5 f ft imdres Low volume,!, aEli~Baee of c ens e? ~ndcr 3.1 < +f 6--` = 3 rz In ' TWIIJ Salt Interface Are* 2.00 -3. II t t2iett} ia •i2g _ 5.1 4 QSt~.F7 d O.D. afoutslde tfi ~'-33.= B??+ eYt+ndeta : 12 inci>ft Void ono in cue`de'r i 2 • i.► y ° 1' Projected Tres go, ~12inrg ••53a=,tl' liArca Voic! Sidcwail .01 um, at bottom berw. cyl "dm = f ~ He`ol 12 fn. •2 t ~ 2.00 Sq.Ft_ 00 E2a,rto Bottom TWO volurlfe at 36 an. _ 3..00 Sq i .t. 1 ed T Total void ter 41t? of void volume heaver„ ca lsndersy p ? ES Project neacft Area 3.A8 $~p~ J! +xll l Gallons prr It = 1. TG3 X 7.43 = 3 ~ 0 9f J I • 0.215 + p. Eqg = 763 c~rc ft t ft tl. I pg w ~..~>raHen . rr i t 36 x to -S7 C) EPS Aggregate Trench System EZ1 203H Ring Andustriol Group kl ndstrit.~l Rork Rd. Tl+t ME Nmq- EZlaX3Hl GI sir: ! t j 11-27-aT JbNS., ! ar , Gtr ►~5"3 or col ter.7 p+'et.,.~. o 1.-q soft nom phm - L I "O lrwr IttiMr i tj o i~wrr"it lam l o - O O'O i Sil r~ czz~ %ad 5T. flOiX C OUNTY v LC?N I NGMTR C E w~l►Oww~a"'sla~itAdl K a 7P M WS T ~ i~t mat lir~111rr .Sim SS [ ~5 (n51 *731 3i l a .~i gems tie 74 . -7-S-, Y-3 Q !!!11: 112 Pit: _.l .tll~~riR lC +~t+ lrres1Mrewi~~s -rawr~r~nr.~ Cl~a is ~ 3 Q rc1 i l1~l~a• w 1 "m 10 10. WAM awe! YtirR Ida R 1 ewo tromm S n Rr+I bm" Ar~irlttii~r r1'l1r+~c *new goddl b tAr SMuMt o~ a~ (v"`6vtn c Otg M, - 11 it r400d =OHM* aA ©:V S d J ~ta~Y►,ijb~- U lwrnIIbAMM A a 0 aloft 'ilii a0 sh"o two iit 0 QV* L*w 3 aa } Osman* -7 A two 0 (b o IKS 933 , ftr ,mac VIL bt lalb , .ra.i. mom W t~~rrwa x O O - l . uubm fbomme t1r1~ Itt~R '71S IO S _ ' V*Nb a AMON Ctw3ftowk cow sue. o - two bood ~..a ©oww....a 0 ci mmowmbird AO..s. ~ 2 ZS. ~ l3 03 _ nc OW770, . ZJ oufWc7Z- w/ ~pj/ or Poem .r P P 1 ~ U t L b - /n o ~ .r wu.+a.. s tt wM.I +rr~lrkn+rwralr..~►•rMA•~•arr.+~ ~w1~► ~3, +.F3- mcatft !R ovol I i ' La V ~ I a _ J - - t - - - 1- -1---1- r _ , I I i i I T I ~ i i C - y~ O(Ar 14-0 f i CJL~t S I ~ I ` i I.-~-_ - i_. -.1- --I f I I ~ ~ f I t I i I I -I I I a 14,9 ~i I i( I I I i ! j I f ; I I I r i - I ! I ~ { I i I e E lit i I f I 'r j 1 - t . ' I I f I I ~ I ~ ( ( j ( I I f ' 1 ! i I i ; I I i i ( I I 1 I I I I ~ I ' f ~ ► I I I I I I ~ ~J i I I ! c I I ~ j ~-I i I f i. I I I I 11 10 I I ( I I i I i i ( h I ~0 i I~ I j ~ I I I I i ! f ' I I j l I l l l~ r I I i I I ! I I I I j i I ~ r I ~ I I I i ' ~ i I ~ ~ f ' y ! , , ~ I I I ~ ; f I i i i f 1 I ~ I I ( I I ~ I i i I I ' t ; { 1 I i I I 1 I i ' I ~ I _J. i ~ ~ I I I I I I 1 i I I I I I 1 ~ I ' 1 I I I I i ' i I~ I i I I I I i i { I I _ I I I I f I i I { i ! I 1~ i j f 1 I i I j l l i I i { I j l I I I ~ ~~~;~f I L J i f ~ I I I I I I I I , I I L 0.~oP~ L s yy s~/ a aT act ct9o C) U CA 1 w b~.N Vy1 ti ssr~ N~ Lam, s coy Q Aart\ OVIPAQ nom U,: -1 c ZOO, f w 'letter V a► T-Afternm y •;11 x 74 lie Smakr f OPft bftft to • *Gdow 1mmPrOVVd O p `b ~ nww is ~ kacant d de~ jen am_ Its naffed to Provide ark o sie+'ilI ~ijja~, action to altos eta bottom and :Iiteeed b jn all dJre'c#I tnt to'' via Std It Y cornbtr~in~ th ons. its h been with traditional LWVM 76 of louvers . open ?'s- LOW ~qle UI* ~ luem I de Vern ajar the j was to ft the sides+dht -.34` Ts- Uncom ova deftned to Pacted hive" k 14- .34" to Side. 7be 1 Melt .11- OJUNCt effluent each Pfts vels I *vhile into Vt.._._......6.5' `mod int°► the preventin8 the it frog Piopw* 9wMd aW at channber size, when . at"wPe12. W re 17". WNW A o dapft factors 31, i `Z-- SOIL EVALUATION REPORT 1216 Wisconsin Department of Commerce / P 1 of 3 Division of Safety-and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8%: x 11 inches in size- Plan must Cou ty t fdbt include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I. . percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Please print all information. OZ6- ~_g~en Date R awed B ~ I Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 13 O Property Owner Property Location Reliant Developers LTD Govt. Lot SE 19 SE 19 S 22 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 9900 Valley Creek Rd. Suite 135 10 na Kelly Estates City Oo,06cer✓ State Zip Code Phone Number City Village Town Nearest Road MN 55125 651-731-3174 Hudson Heritage Way New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material outwash plains and stream terraces Flood plain elevation, if applicable na General comments and recommendations: System elevation 92.50ft, trenches spaced and depth to co 4.OOft bebw grade Boring # Boring ✓ Pit Ground Surface elev. 93.50 ft. Depth to limiting factor 96 in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs GPD/ftz *Eff#1 *Eff#2 1 0-9 10yt3/3 none sit 2msbk mfr cs 1vf _5 .8 2 9-19 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 19-29 5yr4/4 none Is osg mvfr gw na .7 1.2 4 29-96 7.5yr4/6 none ms osg ml na na .7 1.2 Boring # Boring ✓ Pit Ground Surface elev. 93.50 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 "Eff#1 `Eff#2 1 0-9 10yr313 none sill 2msbk mfr cs 1 of .5 .8 2 9-24 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 24-34 10yr4/4 c2d 7.5yr5/6 sicl 2msbk mfr di na .4 .6 4 34-42 7.5yr4/4 none Is osg mvfr gw na .7 1.2 5 42-96 7.5yr4/6 none ms osg ml na na .7 1.2 Effluent #1 = BOD ? 30 < 220 mg/L and TSS X30 < 150 mg/L ` Effluent #2 = BODs <_30 mg/L and TSS <30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel ~c~ 248956 Address Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, 1 ew Richmond, WI 54017 10/21/2002 715-246-5085 Property owner Reliant Developers LTD Parcel ID # Pending Page 2 of 3 3] Boring # Boring ✓ Pit Ground Surface elev. 96.50 - ft. Depth to limiting factor 96 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-10 10yr3/3 none sil 2msbk mfr cs 1vf .5 .8 2 10-18 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 18-27 10yr4/6 1f1 d 7.5yr5/6 sicl 2msbk mfr cs na .4 .6 4 27-96 7.5yr4/6 none ms osg ml nor na 1.2 s- A a Boring # Boring Pit Ground Surface elev. 9.S ft. Depth to limiting factor 96 in. Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-9 10yr3/3 none sil 2msbk mfr cs 1f .5 .8 2 9-16 10yr4/4 f1 d 7.5yr5/6 sic! 2msbk mfr gw na .4 .6 3 16-96 7.5yr4/6 none ms _osg ml na na .7 11 LIP 0 "1 h ❑ Boring # Boring i Pit Ground Surface elev. ft. Depth to limiting factor in. §o--d Application Rate Horizon, Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 _30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Reliant Developers LTD New Richmond, W154017 Lic. # 248956 SEl/4,SE1/4,S 20,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715) 246-5085 Kelly Estates lot 10 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 sail best was conducted. Legend ♦ =Benchmark El. 10(?.OOFt Top of '/s"pvc Pipe -haw k~ • = t eet c EL99.25Ft Top of W pvc pipe o= Boring Elevations BI =-93.50Ft B2 =93.50Ft B3 --%.50Ft B4 =96.50Ft 16? 01? a~ (MY) 5C F rdo IfZr 7 ~ f/lo 1.0l ,I \ , i s\`.,.,.w 1 l'•1 Pik Fli , \~,Yn ~ j 1 I I<~ ,.a •141 - `4r..~ ' ~ -t' P. t~'•1 ~1~. I ~ i Jca'ca d . 1 1 ~ ~t, $ I ,.s.a71 _ x h1- C 11 1 z-c,z I. 7 F-- J ~ _ 19 s a e V~ 0) 41 r tp ` _ 87 8Np~ / Y1O s i__-~-2fs.N ` .,~~t as , 4 ~ "llo lien, •i~a.e . Ft\ ~a0 may. C fig Ir co CJ;c.1 N r"x~°i, " r 1 ~ 1 I f .D~ 1 _Ix :t `f!.-1 '.370.47 V I ./Ito K,KMOVED- - j y8' J•'~.-• k L S D 1 ~ -o--• 1 I r ~ 1. 1,41 > N 11' 'It 4` r ~r % % NI'S ON% I- r~ O1 i. ` f i ~1 r14 ~c \ \ T , \ v1 1, 1 / 1 v ! sa• \ t ~t~F 1 t I D - , i / f`• i 1442.03 ' 7_1 ' A r 329.18 N03 7' 1 • ' ! 342,4! 7 PO G EASEMENiV iR I Z 1,4 \ \ + I z~1 ( F~ . E~.. o s7T ~416.k3 Na1b5 08:1/!/ 1 i 11 \ + r I j x' '.w 1 "a VOL. D , .0.3_226 v ! 8 I m ' •iyR Y •~UV~ ~ • 5 M f_t5 a~ ~ r, ` ~ ~ % ~ t at\ Art PC g t G 4 pi 1~z I k I l r ~44~~~i~R FROM :RELIANT HOWS Ltd FAX NO. :651-251-1119 Jan. 09 2003 09:43AM P3 Jan 09 03 08:09a CALVIN POU RA 71K-249:-R13R P.3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTISCATION FORM Owaefauyer Ro cl ,p PIS Mailing 171 UCe , i .s1 I n E as R Propeny Address ~c r f3m L wQ (VMficatioa firom PianswtS eoadeadiaa JJ( - Parcel Identification Number Q AQ lQS `90 dO 0 Properiy Lactttioni L 1A, S y,. Sec, 21. TA3N-Rj-l-w. Towa of WU o j-, / . Subdivision Lot # Card survey map N . Volume . pug # Warmi ty Dead g l (7 vohm Z b 3 . Page it c2 s3 . Spec house T` yes © no Lot lines identinsw yes r3 no IeWopnrooamam.ittte.anoeofyawrasptieayataaroaaldla bnitspr.~Wraebiltta>olaadM.nsres.A.p.ratairan..os ""Y" of PAR oaf dw MW* N* 9mY thm yean or mew, if ats4dd by a Ncmmd pa q VAN ym pot unto do "mom em attbet de A=Cdatr of dta a aft ao a hhetMat OW itr are wm.te dwpuw 1 ' PmPuty owOm 69ma eo 06mk to St. Cm9z raft Dgwlmad a oftotiaa fo m sipW by dta owmar and by a °~P.1O1~~1. ~aarla+oaPlrmbeatra lloetnsdPusPervmtl~dtn(i} die atralrs wa+aaroseeratrp~sal gsfda a is Pt's aPw+doi aaAitisa ttttdAsr a11er taspaedoA asd Pantpirt~ (if tteoeswy}, dta asode teak it ka ilaa U3 Atp a1'tdad~a. V`"g die aodaeidaod tams road do mere regatr=mm and ap m a, aintaiu dta gale mmp drool syd ari& *4 r ha w& ~ fasdy )yeroia~ as sat ~ Ile DsrAatrst st~'saiatwses~ad tare Dga~to[Nrtttnd RaatauQ. Slate a[ Ntaaaatlw CttAMssdie ' 19 > sytlwa lee foes wrlttsrrd start le asa*teesd srst reward M die 91. L1way T#sits Ol6oe min 03 SMATIM OP AMW CMT nATE 9mmummucam I (we} satyr dr,t aS aaletaron as d& hm same to &s bw of My (ow)die- t (wc)= (am)Ile s)of try vir4u o<a ray 4loed.eoadod w Rrsisac of Doedr OIL 03 SIMAUM 0!► AM%XANT DATE '4000# Any infartnation 1Mt is mw -taptaioattd msy rewh in 15e:aoitsry pant Aeing re•ekrd by the Zoning Depnrunem. tnehde wlth thk opplkaNon: s stamped wartaaty dead (can ac Register of Deco otlko a copy of die emirmst mww7 sarp if reference is nu t: in the wanardy decd f , POWTS O`WNER'S /MANUAL & MANAGEMENT PLAN Page _ of 71lNf 1"{ Q-'VI DU) N P l PJ SYSTEM SPECIFICATIONS Uwner . v Septic Tank Capacity al ❑ NA rionit Septic Tank Manufacturer ~ rS ❑ NA oZ 61 j I I DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms © NA Effluent Filter Model A 100 ❑ NA Number of Public Facility Units A Pump Tank Capacity al Estimated flow (average) gal/day Pump Tank Manufacturer (MA Design flow (peak), (Estimated x 1.5) c7 gal/day Pump Manufacturer W 16A Soil Application Rate al/d /W Pump Model 014A Standard InfluenttEffluent-QualityMonthly average' Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODE) 6220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg& ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODJ 530 mg/L Kin-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L 04A 0 At Grade ❑ Mound Fecal Coliform (geometric mean) 51 W cfu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Y. in dja. ❑ NA Ott' ❑ NA Other: ❑ NA Other: ❑ NA 'Vakies typical for domestic wastewater and septic tank effluent. Other' ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 month(s) s) to) 3 yew4) DNA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximums 3 years) ❑ NA year(s) Clean effluent filter AS ~ tZ~ GD At least once every: 13 year(s) s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ yearis) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other. ❑ month(s) ❑ NA At least once every: ❑ year(s) Other. ❑ NA MAWTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.. GMw (a/01) "sART UP AND OPIMTION P+9e of the may • prior to use of the POWTS check treatment tank(s) for the preen M of painting For new kle) ip rate Pfoewea w1d or damage the ceNls}_ N Pr°~a or other chemical of the ttrrnW MvickV operator prior to uw. concentrations are detected have the content Sy During Power outages stem start up shag not occur when soil conditions are frozen at the infiltrative sturface_ d to the pre>P tanks may fig above normal hrghwater levels. When disp~ colas! in one Ittge down, over power is o~ the iexc~ss wastewater wM b, COW effktertt. To avoid the situation have the contents of the pt~tak rensa}vedd MW raault in the backtrtn or solace discharge o rtore ower no the etfkiant Pump or contam a PWr dw or POWTS lataintaienar to a by a Prim to rastnrin( P levels within the pump tank, mwkm#y opting the pump controls tt E}o not drive or park vehidss over tanks and within I S feet dower slope dgrNIS colts. Do not drive or park over, 01 OthOrW190, disturb or compact the area any mound err at-grade sod absorption area. Reduction or *"notion of the following from the wastewater stream may UnProve the performance and foundation drain fl baby wipes; cigarette butts; condoms; Prolong the We of the Pump) watotr fruit and vegetable _ mss: disinfectants; fat; Painting Products; pesticudde; teary napkins; tampons; and water ssofterner brine. fides; meet scraps. medications: oil, AI~IWD~yT "isn "M Properly and PIDWTS faits a Wtw is pormanan* taken out of service the fOik" ing steps shalt be taken to insure that the system is safely abandoned in cor"I"We t chapter Conant 83.33. Wraconsin A&W arive Code: a AN pig to tanks and pits shag be disconnected and the abandoned pipe openings repaired e The intents of all tanks and pits shall be rannoved and propody disposed of by a Septonge Servicing Operator. • After Pumping- elf tanks and pits shall be excavated and removed or their covers removed and the void space filled with !ia gravel or another inert soled ffuMwia, CONTINGENCY PLAN If the POWTS faits and cannot be repaired the following measures have bear, or must be taken. to provide a code compliant replacement system: A suitable replacement area has been evaluated and tray be ualwid for the location of a replacetrnartt soil absorption systeed he 1`dcsa r:t area should be protected from disturbance and ronoactwn and should mart be infringed upon by and proposed structure. lot des and walls. FeWm to protect the rephicamwit area will neautt in the need for a now soli and site evaluation to establish a suitable replacement area. Rat systems must comply with the rules in effect at that time. 0 A suitable r+eplat .hint arose is not a vanllabie due to setback and/or soil timitstiow w. technology a holding tank May be inwtaNed as a last resort to replace the faded POiIyTS. advances in POW35 D The site has not been evaded to identify a suitable replacement area, evaluation must be perfomred to kwate a suitable Upon lament of the POWTS a soli and site may be instated a8 a Iasi resort to reRfW nt plea. N no replacement area is Wait" a holding tank replace the fated POYVTSTS. C1 rnfiMound l iratiya W380fption systems may be recorkstrUCted an place following removal of the biomes at the surface- o natnnctions of such systems trust comply with the rules in effect at that time. 38"X' PUMP AND OTHER TREATRIMT TAMES MAY CONTAIN tE;H/LL. GASSES AXOMR Eye', A SEPTIC. PUMp OR OTHER TREATWIMT TAME UNDIJI ANY CWCU=r DEATH lMSiilt~I MAY R# LIL R TOXYOE DO NOT FORMN FWM THE FOR . RE SC OF A TANK MAY BE ~RClILT OR SSE, ilE OF A ADOrfIONAI, COiMumame POWTS IN$T Pt)HY3S MAIiIITAIN@I Nam t O Name Phone Phone SW L tAGE SlEitylCllMCs OPERATOR LOCAL "TORY AUTHOFM Nance Plana ~ k nt Phone Phone s 3 g ~ ~ g imps doonnm* was aka#teri in compsmc& -*h ctwipw Conwn 83.22(2WIi""If) and e3.54t,f. f21 & t31. VA9cgnsIn Ad"*g*t"jivs Code. V 2 0 3 1 P 2 5 3 1. STATE DAR OF WISCONSIN FORM 2. 1999 6 6 1 WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO., MI This Deed, made between A. David Kelly, Jr. and Elizabeth RECEIVED FOR RECORD W. Ke-lly, husband and wi e, 10-31-2002 9:30 AM _ WARRANTY DEED Grantor, and Reliant Developers, LLC EXEMPT i - REC FEE: 13.00 - - - TRANSFFEE: 1991.50 COPY : CERT COPY FEE : Grantee. PAGES : 2 Grantor, for a valuable consideration, conveys to Grantee the Following described real estate in St. Croix County, State of W isconsin (if more space is needed, please attach addendum): Recording Area - Name and Return Address See Attached Exhibit "A". D,-,V:D J. E,T ;:`.4 LOCUST CT. HJuSON, WI 5=.616 . zp 020.1059-90-000 Parcel Identification Number (PIN) This is not homestead property. (K) fis not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this uv day of October 2002 * A. David Kelly, Jr. Elizabeth W. Kelly AUTHENTICATION ACKNOWLEDGMEN'T' Signa(ure(s) STATE OF WISCONSIN ) ' GYy' l/ ) ss. ~i ~ county authenticated this__Diar$eM. Barron- ' Personally cane before me this day of Notary/ Public October 2002 - - the : bove, named State of Wisconsin A. David Kelly Jr.. ark ~CTtz~ 6p K, w . I - - I ITLE. MEMBER STATE BAR OF WISCONSIN (If not, _ to me known to he the person(s) who executed the foregoing - - instrument and acknowledged the same. authorized by 70C>.(6, Wis. Stats.) r, 1'HIS 1NSTRU'MENTW'AS DRAFTED BY istina Ogland No ry Yubhc, Stale of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not state expiration date, (Signatures may be authenticated or acknowledged. Both are not necessary.) ' Names of persons signing in any capacity must be typed or printed below their signature. d,rormanon Prote-onals Company. Fond du Lac. WI ST.A TE BAR OF WISCONSIN 800-6e5-2021 WARRANTY DEED FORM No. 2 . 1999 '1 2031 P 25H EXHIBIT "A" Parcel 1: A parcel of land located In that part of the southwest Quarter of.the Southeast Quarter and the Southeast Quarter of the Southeast Quarter of Section 22, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin, further described as follows: Commencing at the South quarter comer of said Section 22; thence North 89 degrees 37 minutes 08 seconds East (assumed bearing) along the South line of the Southeast Quarter of sold Section 22, 304.60 feet to the POINT OF BEGINNING of this description; thence North 00 degrees 49 minutes 56 seconds West along an existing fence line, 1319.72 feet to the North line of the Southwest Quarter on the Southeast Quarter of Section 22; therice North 89 degrees 24 minutes 52 seconds East along said North line, 940.53 feet; thence South 00 degrees 48 minutes 30 seconds East 602.21 feet; thence North 89 degrees 11 minutes 30 seconds East, 176.81 feet; thence South 08 degrees 07 minutes 00 seconds East 23188 feet; thence South 89 degrees 11 minutes 30 seconds West, 205.18 feet, thence South 00 degrees 48 minutes 30 seconds East, 491.86 feet to the South line of the Southeast Quarter of said Section 22; thence South 89 degrees 37 minutes 08 seconds West along said South Tina, 940.00 feet to the POINT OF BEGINNING, EXCEPTING, That certain parcel of land located in the Southwest'/. of the Southeast'/. of Section 22, Township 29 North, Range 19 Wast, Town of Hudson, St. Croix County, Wisconsin, more fully described as follows: Commencing at the South comer of said Section 22, thence South 89 degrees 57 minutes 53 seconds East (assumed bearing on the South line of the Southeast % of said Section 22) a distance of 294.92 feet; thence North 00 degrees 28 minutes 38 seconds West 180.00 feet to the POINT OF BEGINNING, of the parcel to be herein desc ibad; thence North 00 degrees 28 minutes 38 seconds West 1139.70 feet; thence North 69 degrees 49 minutes 48 seconds East 10.73 feet on the North line of said Southwest'/. of the Southeast'/.: thence South 00 degrees 26 minutes 22 seconds East 1139.73 feet, thence North 89 degrees 57 minutes 53 seconds West 9.65 feet, to the POINT OF BEGINNING, AND EXCEPTING, That certain parcel of land located in the Southwest''/. of the Southeast Y4 of Section 22, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin, more fully described as follows: Commencing at the South comer of said Section 72, thence South 69 degrees 57 minutes 53 seconds East (assumed bearing on the South line of the Southeast''/. of said Section 22) a distance of 294.92 feet, to the POINT OF BEGINNING, of the parcel to be herein described, thence North 00 degrees 28 minutes 38 seconds West 180.00 feet; thence South 89 degrees 57 minutes 53 seconds East 9.65 feet; thence South 00 degrees 25 minutes 22 seconds East 180.00 feet; thence North 89 degrees 57 minutes 53 seconds-West 9.48 feet, to the POINT OF BEGINNING. AND EXCEPTING, A parcel of land In the Southwest Quarter of the Southeast Quarter (SW% of SE'/4) and the Southeast Quarter of the Southwest Quarter (SE'/. of SW'/.) of Section Twenty-two (22). Township Twenty-nine (29) North, of Range Nineteen (19) West described as follows: Beginning at the Southeast comer of the parcel described in Volume "602', page 330 of Deeds; thence North 89 degrees 44 minutes 13 seconds West, 949.45 feet thence North 00 degrees 15 minutes 47 seconds East, 37.21 feet thence North 89 degrees 26 minutes d4 seconds East, 402.15 feet thence North 89 degrees 26 minutes 32 seconds East, 66.00 feet: thence North 89 degrees 26 minutes 42 seconds East, 374.07 feet; thence South 00 degrees 09 minutes 15 seconds West,. 50.77 feet to the point of beginning. r ,0 H N W oa j a S8L S8 i \ w r N Ln Z J N LL 0 C,14 M14 qd- L) > vi L. 0 F- a N t Q fn J a. \ N U '000 < r `.W N U- LLJ co :E z It Coco --o (Vi ) ` ! ( v o ° Z N7 -A * ! 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