HomeMy WebLinkAbout020-1371-23-000 ,*
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County t, C roix
Safety and Buildigs Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanita ffla
Personal information you provice maybe used for secondary purposes (Privacy Law, x.15.04 (1)(m)).
%U6ft"rWbffl", Inc., ❑ city ❑ viI4ed "FP ev -nship State Plan ID No.:
CST BM Elev.: Insp. BM Eiev.: BM Description: Parcel D20":371 -23 -000
l� .0 cz . I" �L RCPT 3►N'
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Se (,,'e�3eT 1 .P. Benchmark BQ, 0 A BM
Dosing ui-( pn WQ ' Z- o 10 (P ►
Aeration Bldg. Sewer ( o 1,1 0 '
Holding St /Ht Inlet
TANf SETBACK INFORMATION St/ Ht Outlet e. 10
TANK TO P/ L WELL BLDG. Ae Intake ROAD Dt Inlet
Septic 2i / NA Dt Bottom
Dosing NA Header / Man. �• `f 0 99 , S ►
0
Aeration NA Dist. Pipe 5
Hold' Bot. System 5
PUMP/ SIPHON INFORMATION . 30 0 •l5 ►
S 3
Man acturer nd
Model Nu M
TDH ift L ion System TD Ft
Forcemain Length Dia. H Dist. To Well
SOIL ABSORPTION SYSTEM
TRENC Width Length Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMEN 3 DIMENSION
SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Man t rer:
SETBACK CHAMBER S `
INFORMATION Type O r ( Moe Number:
System:
-�— OR UNIT
DISTRIBUTION SYSTEM
Header / Manitgo u Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Len SP J�
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over I xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil InS ectlo #13 Yes / []/No In eaVen #lZt No /
LQAMMENTS: ( Include code discrepancies, persons resent, etc.) /p O�
Location: 739 Nicholas Drive, Hudson, WI 5 (NE 1/4 SE 1/4 23 T29N 1 W) - 2329192215
Evergreen Estates -Lot 23 ' n �1 n .I� s s s>
1.) Alt BM Description =� , ' 9`9° 70 It, o =9a
2.) Bldg sewer length =
��Q 99 ST �.5 1I.
- amount of cover
3)O•�Je- �-f'P�F„- 2�`«,,, �r �K e �' ��°`c� qg,,s:� °' 1(. Sts
Plan revision required? Yes E] No
Use other side for addition rm tion.
SBD -6710 (R.3/97) v Date Inspector's Signature Cert No.
Z�
Z
CC
G�
O Q
s ✓te q 38'63
Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
`wirscons Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302
Department of Commerce (Submit completed form to county if not
[Privacy Law, s. 15.04(1)(m)] state owned.)
Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size.
County I State Sanitary ermit Number ❑ Check if revision to previous application State Plan I. D. Number
I. Application Information - Please Print all Information Location:
Property Owner Name Property Location ]
� fi //I�n�A /
-T/V L, AE 1/4 V1 /4, S ,3T ?9,N, R/ ®(or
Property Owner's Mailing Address Lot Number Block Number
S D . as
City, State Zip Code Phone Number Subdivision Name or CSM Number
II. Type of Building: (check one) �/ ❑ city
1 or 2 Family Dwelling - No. of Bedrooms: / as Per P�°" S r ^y : \ ❑ Village
❑ Public/Commercial (describe use):_ s�6 <d ' a ° J�Town of
❑ State - Owned
` , Near4adu
i T LAX4
�N F ` °� ParceNmbe s) •
SO fry- /a
III. Type of Permit: (Check only one box on line A. Check box .Q 1 applicable," e a
A) 1. PC New 2. ❑ Replacement 3. ❑ Replacement of 4. i - - °; ''1 5. 6. ❑ Addition to
System System Tank Only �' `;i , Existing System
B) Permit Number Date Issued
❑ A Sanitary Permit was previously issued
IV. Type of POWT System: (Check all that apply)
PrNon- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland
❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade Iq ❑ Aerobic Treat ent it ❑ Recirculating 1:1 Other:
— /00 '2 V s
V. Dispersal/Treatment Area Inform — 7
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals /day /sq. R.) (Min. /inch) T — 4 7 30 T IElevratJon
VII. Tank Capacity in Total # of Manufacturer Prefab Site Steef Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
/ a b — 4>7 b
❑ ❑ ❑ ❑ ❑
VIII. Responsibility Statement
I, the undersigned, assume responsibility for installation of the POWTS sho on the attached plans.
Plumber's Name (print) Plumbe ' Signatu no stamps : M PRS No. Business Phone Number
l� �.�i�°D b3 /s 6 -G yyS
Plumber's Address (Street City, State, Zip C e)
IX. County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuin gent . gnature (No stamps)
%Approved ❑ Owner Given Initial Adverse Surcharge Fee) i
Determination Z 7_
5 Z ll It1
X. Conditions of Approval /Reasons for Disapproval:
V WQ i ��d�� 0 r it acQ. f� // r` ir; S�or �, IcJaC ear ✓e e oov� Gtre�t (qS - 0)
� �oJ4 er 1 Oc�►..,e r -� �,v��c � tn,t �t ter. �5e ✓' U � c � �` �><t � � t Y lvt, GG n.I,.,'tG• C�n,.rC r 5
Ile men kn
SBD -6398 (R. 07/00)
l� C -
^
7=/ ?7,30
- a = 17.
I r 7=3 =y6.�D
No tuc
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/00
aye 6 3 f4kt 'elk
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6 � iD B -7 8-
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Wisconsin Department of Industry SOIL AND SITE E V A L U A,T4 W131E°P,Q R T Page 1 of 3
Labov and Human Relations
Divisidit of Safety & Buildings in accord with ILHR 83.06,, Wis Adm. Code COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include e' lot St. Croix
not limited to vertical and horizontal reference point (BM), direction and of slope, scale or '' PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. 020- 1062 -70 -000
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION El Y DA
PROPERTY OWNER: PROP COQ? T10N r`
Richard T aCasse GOVT. LOT NE 1/4 5W 1i4,S 23 T 29 N,R 19 k(or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # - BLOCK #..'SUED. NAME 0 SM #
521 McCutcheon Rd. 1/
3•�' iza � ~! u
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN N EST ROAD
Hudson, WI. 54016 (715 381 -5405 1 H u d son lWaldroff Fm. Rd.
[x] New Construction Use [x ] Residential / Number of bedrooms 4 [ ] Addition to existing building
(] Replacement [ ] Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate _ .5 ed, gpd /ft gpd /ft
Absorption area required 1200 bed, ft 1000 trench, ft Maximum design loading rate — r bed, gpd /ft gpd/ft
Recommended infiltration surface elevation(s) A= 96.6/B= 94.8 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material sandstone uplands Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem OD ❑ U ® S ❑ U ®S ❑ U ® S ❑ U ❑ S �U El S [RU
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD /ft ,
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench u
..................
.................
1 -23 , 10yr4 /3 none sl 2m r mvfr 9W 2f .5 1.6 '
1
2 3 -48� 10yr6 /4 none lfs Osg mvfr gw if .5 .6
Ground 3 8 -84. 7.5yr4/4 none sl 2csbk mfr gw na .5 .6
elev.
1 00. l ft.
Depth to
limiting
factor
+84"
Remarks:
Boring # 1 -11 10yr3 /3 none 1 2msbk mfr yw 2f .5 1 .6
2 2 1 -27 • 10yr5 /4 none sil 2csbk mfr gw if .5 .6 , !
3 7 -47. 7.5yr4/6 none lfs Osg mvfr gw na .5 .6
Ground
elev. 4 7-90' 7.5yr4/4 none fs Osg mvfr na na .5 .6
10 ft.
Depth to
limiting 9 3
factor
+90"
Remarks:
CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200
Address: 1554 200th- Ave., New Rich and WI 54017
Signature: Date: 11 -19 -99 CST Number: m02298 `
I
PROPERTY OWNER Richard LaCasse SOIL DESCRIPTION REPORT Page 2 of 3
i
PARCEL I.D. # 020- 1062 -70 -000
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon Texture Consistence Bax>dary Roots v�
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 0 -20• 10yr4 /3 none sl 2msbk mvfr gw 2f .5 .6 ,
3
................. 2 20 -4 10yr6 /4 none sl 2csbk mvfr yw if .5 .6
Ground 3 44 -9 • 7.5yr4/4 none s1 2csbk mvfr na na .5 .6
elev.
9 8.8 ft.
Depth to
limiting
factor
Remarks:
Boring #
1 0 -11 10yr3 /3 none 1 2msbk mfr gw 2f . .6 ,!
4 2 11 10yr5 /4 none sil 2csbk mfr gw if .5 .6
3 28-50- 10yr4 /6 none sl 2msbk mvfr gw na .5 .6
Ground
elev. 4 50 -9 • 7.5yr4/4 none lfs Osg mvfr na na .5 .6
97.8 ft. —
Depth to --
limiting
factor
+ 90"
Remarks:
Boring #
1 0 -11 •10yr3/3 none 1 2msbk mfr gw 2f .5 .6
5 2 11 -2 - 10yr44/4 none sil 2msbk mfr gw if .5 .6
3 28-48- 10yr4 /6 none sl 2msbk mvfr gw if .5 .6 ,c
Ground
elev. 4 48-9C' 7.5yr4/4 none lfs Osg mvfr na na .5 .6
9 8.6 ft.
Depth to
limiting
factor
+90" `
Remarks:
Boring #
Ground
elev. j
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(8.05/92)
r STEEL'S SOIL SERVICE
Gary L. Steel Richard LaCasse 1554 200th Ave.
CSTM2298 NE4Sw4 S23- T29N -R19w New Richmond, WI 54017
MPRSW -3254 town of Hudson (715) 246 -6200
lot 36-
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suitable for your use. The location of the test may or may not be as shown
as permanent lot lines were not established at the time the test was conducted.
N
1 = 40 '
BM.= top of 1" pvc pipe C el. 100.00'
Alt. BM.= top of 1" pvc pipe @ el. 98.10'
1 "bQ
2�
i F M
1 ♦ - �r 2
\x
f, d�
Gary L. Steel
11 -19 -99
:RECEIVEO mew
Wisconsin Department of Co j le SOIL E ALUATION R Page 4 of 4
Division of Safety and Buildin � �
1'tit4accard3nce.�6 Icorn6 $ , Wis. Adm. Code
l County St . Cr oix
Attach complete site plan on � not liWn x 11 inche, ii size. Plan must
include, but not limited to: ve d hpoint jB ), direction and Parcel I.D. 020 - 1062 -70 -000
percent slope, scale or dimens nt ca iot(afld istance to nearest road.
Please It! 7'Fo Reviewed by Date
Personal information you provide maybe use on poses {Privacy Law, s. 15.04 (1) (m)).
Pro Owner Property Location
Property nY
LaCasse Custom Homes INc. Govt. Lot NE 1/4 SW 1/4 S 23 T 29 N R 19 K(or) W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
573 Cty. Rd. "A" 23 na Evergreen Estates
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
Hudson, WI,. 54016 (715 )381 -5405 Hudson lWaldroff Fm. Rd
Cj New Construction Use: Ej Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material glacial drift Flood Plain elevation if applicable _ n2 ft•
General comments
and recommendations:
I
trenches see original of 11 -19 -99
Boring Q Boring
6 g ❑ pit Ground surface elev. 1 01 .30 ft. Depth to limiting factor +86 in.
I Soil — Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -10 10yr3/3 none sl 1fp1 mfr gW 1f .4 .6
2 10 -2 10yr4/3 none fs M na qw na 4
3 27-4E 75.yr4/4 none lfs 1csbk mfr
4 48-8E 75.yr4/ none sl /fs 2msbk mfr na na .5 .9
i -- T
Boring # Boring 101. +86
7 E] pit Ground surface elev. ft. Depth to limiting factor in. F soi , Application Rate
Horizon Depth I Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
1 0-181 10yr3/3 none sl lcsbk mfr gw 2f .4 1.6
2 18 -31 10yr4/3 none fs M na qw na .4 .6
3 31-66 7.5yr4/4 none sl 2csbk mfr qw na .5 9
4 66-8E 7.5yr4/6 none fs M na na na 4
i
Effluent #1 = BOD > 30:S 220 mg/L nd S >30:5 150 mg/L ' EfFl t # = BOD 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
Gar L. Steel 298
Address Dat a uati CondAded Telephone Number
1554 200th. Ave., New Richmond, WI. 54017 5 -10 -2001 715 - 246 -6200
I
Property Owner Parcel ID # Page of
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Applicatio n Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil — Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff #2
F Boring Boring # Ground surface elev. ft. Depth to limiting factor in.
El Pit Soil A pycation Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS E 30 mg/L
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 TTY 608 - 264 -8777.
SBD -8330 (RAMD)
STEEL'S SOIL SERVICE
Gary L. Steel Richard LaCasse 1554 200th Ave.
CSTM2298 NE4SWk S23- T29N -R19W New Richmond, WI 54017
MPRSW -3254 town of Hudson (715) 246 -6200
lot 36-
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suitable for your use. The location of the test may or may not be as shown
as permanent lot lines were not established at the time the test was, conducted.
N
1 "=40'
ELI.^ top of 1 pvc pipe @ el. 100.00►
Alt. ELI.= top of 1" pvc pipe @ el. • 98.10'
v � "
I VI
fi
2`
4(b - —
vu. ( U1 l oo
� e13 Job 3
l�
Gary L. Steel
11 -19 -99
/ �iw
ST CROIX COUNTY
SEPTIC 'TANK MAINTENANCE AGREEMENT
AND
OWNERSIHP CERTIFICATION FORM
Owner /Buyer _ L 4r_ - 4 65,P
Mailing Address 6 7 2 C' 4 zj C
Property Address 9 /
(Verification requited fioni Planning Dcpaament for new cons(uclio(t)
City /Slate ��L.a„ Parcel Idelllification Number ORO -10 70 _ / 00
LEGAL DESCRIPTION
Property Location ' /,, �!� ' /,, Sec. '1' Z N -lt l `c' W, 'Town of
Subdivision bit Z,r q1CL<11to f Lot It 3 .
CertiRed Survey Map It , Volume , Page II
Warranty Deed It . e , Volume 1� Q , Page II
Spec house O yes L ,lo Lot lines identilia ale �ycsn no
SYSTEM MAINTENANCE,
Improper use and inainlenanceof you septic sys(eni could tcsult in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every (lice ycats or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic lank as a ticahncnt stage in (he waste disposal system.
The property owner agrees to submit to Sl. Croix Zoning Depailinent a certification fonn, signed by the owner and by a
niastcr plumber, journeyman plumber, reslrictcd plumber or a licensed pungicr veri fying that (1) (lie on -site wastewaterdisposal system
is in proper operating condition and/or (2) oiler inspcc(ion and pumping (if nccessaty), the septic tank is less titan 1/3 full of sludge.
I/we, the undersigned have read the above rcquitcnients and agree to maintain the priva(c sewage disposal system with the standards
set forth herein as se b th
t y e Department of Commerce and the Dc I iarUncut of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and (chuffed to the SL Croix County Zoning Office within 30
days of the three car x ira(ion dale.
Y P
S1125r �f'.
SI NATURE O PLICANT DATE
OWNER CERTIFICA'T'ION
I (we) certify that all slalcnicnls on (his foil" atc (tic to (lic best of my (our) knowledge. I (we) am (are) the owner(s) of
the t ierty describe above, by untie of a wartan(y decd tccoided in Register of Deeds Office.
6
sfbNAVLhfE F APPLICANT' DATE
* * * * ** Any information that is mis- rcprescn(cd stay tcsult in (hc sanilaty permit being revoked by (lie Zoning Deparlfnent. * * * * **
** Include with this application: a stamped wattanly decd from (lie Register of Decds office
a copy of th certified survey map if reference is made in the warranty deed
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 (POWTS) 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.6/99).
Table 1: System Design Specifications
Sanitary Permit Number
Number of Bedrooms 41�
Design Flow - Peak (gpd)
Estimated Flow - Average (gpd) O
Septic Tank Capacity (gal) C�
Soil Absorption Component Size (W) $� 7
Type of Wastewater Domestic
i
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak (gpd)
Maximum Influent Particle Size (in) 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component 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, Stats. 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 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
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
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. 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, access risers and covers should be inspected for water tightness and
soundness. Access 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 being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component 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 limits 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 life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include 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 soil 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 Absorption 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.
OV\
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von- 1460pa 19 /,7
611235
STATE BAR OF WISCONSIN FORM 2.1998 KATHLEEN H. WAL_SH
REGISTER OF DEEDS
ST. CROIX CO., WI
This Deed, made between Timothy T. Balsimo and Barbara R. RECEIVED FOR RECORD
Balsimo, husband and wife.
09-30 -1999 3:00 AM
WARRANTY DEED
Grantor, conveys and EXEMPT N
warrants to LaCasse Custom Homes, Inc. CERT COPY FEE:
COPY FEE-
TRANSFER FEE: 390.90
RECORDING FEE: 12.00
Grantee. PAGES: 2
Grantor, for a valuable consideration, conveys and warrants to Grantee
the following described real estate in St. Croix County, State of Wisconsin
(The "Property "):
Recordina Area
Name and Ret / n
v
020- 1062 -70 -100 & 020 - 1063 -30
Parcel Identification Number (PIN)
This is not homestead property.
(See Attached Exhibit "A ")
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any
Dated this a dz day of September, 1999.
9 • TiIADthy T. Balsimo -
t Barbara R. Balsimo
AUTHENTICATION
ACKNOWLEDGMENT
Signature(s)
STATE OF WISCONSIN )
authenticated this day of C�Wrs' ) ss.
County )
Personally came before me this p� day
of September, 1999, the above tamed Timothy T. Balsimo
TITLE: MEMBER STATE BAR OF WISCONSIN and Barbara R Balsimo husband and wife.
(If not,
authorized by § 706.06, Wis. Stats.) _ to me known to be the person(s) who executed the
foregoit 'nstrurno and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristin Ogland
Hudson, WI 54016 '
(Signatures may be authenticated or acknowledged. Both are riot Notary Public, State of Wisconsin
necessary.) y ommissio s petma nt. (If trot, state expiration date:
1►7�VFi1< � �4YLa►.N7
>RM OF WISCONSIN
.Names of persons signing in any capacity should be typed or printed below their signatures
WARRANTY DEED STATE BAR OF WISCONSIN
FORM N". 2. 1998
INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 80"55 -2021
7 .
i
- VOL L 1460PAGE 20
EXHIBIT "A"
'PARCEL I -
PART OF NE % OF SW N OF SECTION 23, TOWNSHIP 29 NORTH, RANGE 19 WEST, ST.
CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: LOT 2 OF CERTIFIED SURVEY
MAP FILED SEPTEMBER 23, 1999 IN VOL. 13, PAGE 3726, DOC. NO. 610909 EXCEPT
BEGINNING ON THE EAST -WEST QUARTER LINE OF SAID SECTION 23 AT THE
SOUTHWEST CORNER OF SAID LOT 9; THENCE ALONG THE SOUTHWESTERLY LINE
OF
SAID LOT 9 NSWOV15 "W 54.07 FEET; THENCE ALONG THE WESTERLY LINE OF SAID LOT
9 N00 "E 50.00 FEET; THENCE NORTHERLY 18.02 FEET ALONG SAID WESTERLY
LINE, BEING THE ARC OF A 167.00 FOOT RADIUS CURVE CONCAVE EASTERLY, WITH A
CENTRAL ANGLE OF 5°29'51" AND A CHORD WHICH BEARS NO2°5W49.5 "E AND MEASURES
16.02 FEET; THENCE SOUTHEASTERLY 218.77 FEET ALONG THE ARC OF A 233.00 FOOT
RADIUS CURVE CONCAVE SOUTHWESTERLY, WITH A CENTRAL ANGLE OF 53 °4T50" AND
A CHORD THAT BEARS S62 °40'51 "E AND MEASURES 210.82 FEET; THENCE ALONG THE
SOUTH LINE OF SAID LOT 9 NW4WO6 "W 143.48 FEET TO THE POINT OF BEGINNING.
STATE BAR OR WISCONSIN FORM t - IM
WARRANTY nium
This Deed, made between Timothy T. Balsbno and Barbara R.
Balsimo. husband and wife.
Grantor, conveys and
warrants to _LaCasse Custom Homes. Inc.
, Grantee.
Grantor, for a valuable consideration, conveys and warrants to Grantee
the fallo
�,
/d ing described real estate in St. Croix County, State of Wisconsin
Me "_ r roperty "):
Recording Area
Name and Return Address
020.1062- 70.100 & 020. 1063.30
Parcel Identification Number (PIN)
This Is _ homestead propeny.
(See Attached Exhibit "A ")
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any
Dated this _ 0 1 0/ day of September, 1999.
• Ti othy T. Balsimo
• * Barbara R. Balsimo
AUTHENTICATION
ACKNOWLEDGMENT
Signsture(s)
STATE OF WISCONSIN )
authenticated this , day of . ) as.
County )
• Personally came before me this iW day
of September, 1999, the above named MMgd r T. Balsimo
TITLE: MEMBER STATE BAR OF WISCONSIN and Barbara R. Baldruo. huabaud and wife.
(If not,
authorized by § 706.06, Wis. Slats.) _ to me known to be the person(s) who executed the
forcgoi nstru nd acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Attorney Krisdm Ogland
Hudson, WI 54016
(Signatures may be authenticated or acknowledged. Both are not Notary Public, State of Wisconsin
necessary.) y o ission is perms nt. (If tat, state expiration date:
NOTARIIPUBLK
*Names of persons signing in any capacity should be typed or primed below their signatures
WARRANTY DUD WATE aAR OF WiSCONSW
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