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HomeMy WebLinkAbout020-1295-30-000 (2)St. Croix County Final Property Report Page 1 of 1 _~ St. Croix County- 2006 Property Report -:~ rant Report Generated: 11/6/2006 3:19:34 PM Data Updated: 11/6/2006 1:00:00 AM ~1, PARCEL MAP NUMBERU 24E29. 9?1464 5-30-000 `~~ -~ ~~tC~~ ~1 q'1 `- ~~ 2002 2003 2004 2005 2006 <-- Click on the year to select the annual record. (* & dark red =delinquent; Property Description Billing Information Municipality: 020 -TOWN OF HUDSON Name /Attn.: GINA M HAINES Document Number: 814887 Address: 881 MCDIARMID DR Volume & Page: V2948, P235 Public Land Survey: SECTION 24 T29N R19W City, State, Zip: HUDSON, WI 54016 Quarter: Country: USA QQ /Tract: Ownership Plat: SUNRIDGE II Primary Owner: GINA M HAINES Description: SEC 24 T29N R19W PT SE NW BEING Secondary Owner: LOT 40 SUNRIDGE II Total Acres: 2.23 ACRES Site Address: 881 MCDIARMID DR Assessed Value Other Valuation Date 10/25/2005 Fair Market Value: 0 Assessment Type Acres Land Improved Total Assessment Ratio: 0.0000 Value Value Value Net Assess. Val. Rate: 0 Gl -RESIDENTIAL 2.23 85,900 202,000 287,900 School District: 2611-HUDSON Totals --> 2.23 85,900 202,000 287,900 Tax Installment Dates Tax Detail Period Date Due Amount Category Tax Paid Balance 1 0.00 Amounts Due 2 0.00 Real Estate Tax Due 0.00 Total Taxes --> 0.00 Lottery Credit (-) 0.00 Tax Payment History Net Property Tax 0.00 0.00 0.00 Special Assessments 0.00 0.00 0.00 Date Paid Receipt Number Amount Special Charges 0.00 0.00 0.00 NONE Delinquent Charges 0.00 0.00 0.00 Specials Private Forest Crop 0.00 0.00 0.00 Category Amount Woodland Tax Law 0.00 0.00 0.00 NONE Managed Forest Lands 0.00 0.00 0.00 Penalties 0.00 0.00 Interest 0.00 0.00 Totals --> 0.00 0.00 0.00 ~~ ~k~ ~Z~ http://72.21.230.178/website/LRPortal/total process.asp?IDValue=020-1295-30-000&new... 11/6/2006 c o "' ~o ao ~ 4 h c 0 O N h 'r .Q h .~ 0 N .~ •~ O ~~`IwV '1 C O L W ~I L~ Rt ~". A V I, '. m ~' Z V z .- rn N F- (n ', C (7 ozd' d Z ~ ~ f" r '! ~ ~ LL O N E m U O M a N ~ N E O O a m c ~ Z Z O y E ` ~ rn m a 'A N d i ~ °'c o a ~ N N N ~ ~ ' ~ O O O ~' N a a a a i s ~ ~ m co ~ p N _ t/1 J U p 0 0 > N N ~ M N r r ~ v m ', ~ m ~a of ~ 00 O ~~,,, ~ N C m °v o c M I ~ ~ ~ I ~ N 6j y .'., N ,a O N ~ ~ C ~ N V' > >- O O O N S S~ O ~ >, w E `~ E a o at .a i a a °, m ~ I' a y c ~ '~ ', c ~, ~ w 3 v° a ~ ;i O ~ U I O ° 3 o I ~ I 0 cn o I o I c ! c I ~ ~ o >, c o c c ~ ~ c o a E ~ C o U ~ ~ ~ ~ ~ p y r lD y ~. N N 'O >. O ..O--per N N~ N ~ H j y p ~ 3 . O f0 n p ~ ~'p N O ~ C a~ N L ~`~ ~.i ~ N I °~~3 ~ O.L.. N N e - L r c ~ N O ~ O .. ~ _ O C ~ ~ C N Y ~ 7 ~ ~ j N N O N ~ N C~ L p' m >~ m •~~oN3o m c Z ~ ~ O d C Z ~ N N ~~ y 7 N~ U (OL C O C '~ ~ .. I O LL C O 3 N O U N N C N> "O N ._ ~ N C ~ T3 N y N C N L O C- a E i i Q p j ~a Q 2oma'v,m I I M I I ~ C '~ N N i E w p ~ i a m C O ~ C •y C O I - w I E w ~ C Z C y ~ ~ ~ ~ ~ ~ ~ M ~ ~ ~ .~ .~ O. N N ~ N ~ N -p °~ o I f ~ .C ~ ~ ~ ~ a~ L .E n O o O ~ ~ O a~ ~ '~ ~ Z Z .o z z b `c ~ E = i ~ °' ~ ai P c o ~ cD o a ~ '~ ~ m~ ~ c 3 c cp co 0 ° ° 17 > ~ ~ O ~ d LI p O o i N N 7 .~ 7 C a N z z I~ F 0 ~~ 0 0 a = ?~ N N t o o ~, I p N a a a l ~, i ~ 7 I n rn ~ rn I } ~ Z O O O O O ~ ~ O _-~ m d ~ O O m (1 to a Q z4, N ~ ~ I~ ~ 'C ~ Vl ¢ Q L7) z~r O o I 0 ~ I w y o E o I~ w c o` ~ ~ o ~n I dU7 N N U 4. p ~ pVj C C U~ p p t71 fL (` t6 N N ~ m N ~ C ~ ~ N N ~ ~ C ~ C~ U C ~y ~ N Y ~ W C .`. .~+ N ~ C .mom. ~ ~ ~ ~ C C N ~ ~ ~ U~ -p N ay N Z3 C N ~ .C O N a"'w N - N Y Y riY UJ 1 7 J ~ N O C2 cq Z N _ O f9 Z~ ~ ~ w E £ a a ~ :: c ' i ; O :°. vJ o U Wisconsin Department of Com erce I IVA E SEWAGE SYSTEM Safety and Building Division INS ECTION REPORT • ~ rrqq ~ r GENERAL INFORMA ION ~N ( ACH TO PERMIT) Personal information you provid may be used for secondary purposes [Priva Law, s.15.04 (1)(m) Permit Holder's Name: ity Village X Township Haines, Gina Hudson, Town of CST BM Elev: Insp. BM Elev: BM Descri lion: 0 TANK INFORMATION ~1 ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic t ~ lZc~ Dosing ~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ ~ ~' ~ ~ 1 Dosing (. ~ ~~ `~ N ~ ( r Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand ~~; L.~.b{~. GPM Model Number ~,L ~ p~ W- O TDH Lift Friction Loss ystem Head S TDH Ft Forcemain Length ~ Dia. Dist. to Well z ~, C DTICIN C - ~- County: St. Croix Sanitary Permit No: 499249 0 State Plan ID No: ~.~ ---^ Parcel Tax No: 020-1295-30-000 Section/Town/Range/Map No: 24.29.19.1464 STATION BS HI FS ELEV. Benchmark 2. S'f o2 r OZ~ . (~ Alt. BM Bldg. Sewer ' (• b ~ ~ , Q• St/Ht Inlet 2. to / ~ •`{~ SUHt Outlet 12.2(0 0 • Zg'' Dt Inlet /. Dt Bottom 1 S~f3 f g~• 1 Dist. Pipe Bot. System Final Grade St Cover BEDITRENCH Width Length o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO L BLDG LL LA E/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: ~ UNIT Model Number: DISTRIBUTION SYSTEM ~ `~ /nU / Header/Manifold Distri lion [fin x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) V Y Length Dia Length Dia Spaci SOIL COVER x Pressure ystems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil =l Yes i -.:' No I Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection 1~/~'~"" y ~~/ ~Y Inspection #2: / / ~~.t Location: 881 McDiarmid Drive Hudson, WI 54016 (SE 1/4 NW 1/4 24 T29N R19W unRitlge ff Lo 4 + ~-}- ~~?"~,~ 1.) Alt BM Description = ~~~~ 0. I, ~ ~~ Q r.`~^~ Lv-~ v~N~~ ~ I ~~ 'T"~~' 2.) Bldg sewer length = ~ ~~• `foQi ~9 .(_ . -amount of cover ~ r-' ~ ` ' ~~x 3) ~ ~~ ~ Plan rev ion Required? Use other s' for a~lditi na ( SBD-67(1 i0 (R.3/97) iQ. V ~~.~r' ~~P ~ PR ~. - ~( r es o II ~~i ~T ~ ._ I I ~ S b or lion. _ __ ~ _ - - - - E - - ~ --- ./ ~r1 y Permit Application ST CROIX COUNTY WISCONSIN ~ GO ~ ~ In accord with Chapert 12 St. Croix County Sanitary Ordinance ' . PLANNING & ZONING DEPARTMENT ~~ b Pero 1 nformation you provide may be used for secondary purposes [Priv Law S 15 04 1 ST. CROIX COUNTY GOVERNMENT CENTER $ ~ . , ( . )(m)] ~ 1101 Carmichael Road ~ ~ ~ Hudson, WI 54016-7770 (715)386-4680 Fax (715)386-4686 Attach complete plans for the system on aper not less than 8-1/2 x 11 inches in size. i ary ermit ~ ~ Check jf revision to previous application e Z 1~ I. Ap lication Information -Please Print all Information Location: Property Owner Name a ~ S~ 1/4 N~ 1/4,Sec o2~ ~~' Property Ow is Mailing Address ~ ~ N, R / 5'' E (or a~ ! ~ O ' ~ Lot Number Block Number C- 2 ST. CROIX COUNTY ~~ /-lA, City, State ~ ~~ ; Zip Code - Phone Numer Subdivision Name or CSM Number ~ ,a a.av.. i.~ Yo l ~ 5 fast - ~I7o - 8 a~ 3 ~ S II Type of Building: (check one) 1 or 2 Family Dwelling - No. of Bedrooms: ,3 -f-' fJ~.t,.. pity ^ Village ~TOWn of ^ Public/Commercial (describe use): f~ ^ State-owned Nearest Road I. Type of Permit: (Check only one box on line A. Check box on line B if applicable) y't1 ~ ,~;A-^~.-e~ fit A) Repair, . ^ Reconnection (sf i~ .^Non-plumbing 4. ^Rejuvenation Sanitation Parcel Tax Number(s) B) Permit Number~(,C~ Date Issued State Sanitary Permit was previously issued Z 7 / ~ ~ 3 '~ i6 IV. Type of POWT System: (Check all that apply) ^ Non-pressurized In-ground ^ Mound ? 24 in. suitable soil ^ Mound <_ 24 in. suitable soil ^ Mound A+0 ^ Sand Filter ^ Constructed Wetland ^ Peat Filter ^ Drip Line ^ P ressurized In-ground ^ Holding Tank ^ Single Pass ^ Other ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating . Dispersal/Treatment Area Information. `'YZ,o.~ir- ~ ~ o ~ , 1. Design Flow (gpd) 2. Dispersal Area Re uired 3. Dispersal Area P 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade q roposed (Gals./day/sq.ft.) (Min./inch) Elevation 1. Tank Information Capaicty in Gallons Total # of Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing G ons Tanks Concrete structed glass Tanks Tanks o d ao~ w ~.,~.. ~, ^ ^ ^ ^ 00 ^ ^ ^ ^ ^ VII. Responsibility Statement ~~,~ °'~ , 1 the undersi ned assu i i ~ e ~ , g , me respons b lity ior r p air/rectfnnencti /reju nation/i stallation of non-plumbing for the POWTS shown on the attached plans. A license is not required for terralift re ai th i ll p r or e nsta ation of non-plumbing sanitation system. Plumber's Name (print) Plumber's Signature (no stamps : MP/MFRS No. Business Phone Number ~ o ~~. ~ ,t/e ~k ~. I t ~ t 9 ~~ . .~ a z~ ~ ~ o ~ Ls- ~ v - 3 ~ ~ Plumber's Address (Street, City, State, Zip Code) VIII. County Use Only Disapproved Approved O`~`~ Given tial Adverse ~ ~ Sanitary mit Fee ate !ss ~ ~ ~ s ing ent Signature (No tamps) ~ etet~ a ,~a '' IX. Conditions Ap ro asons for Disapproval: n ~/P -~- • h`t- ~ ~. Cam.. ~ , -~- ~~~~ j S~~e ~~~~ -ro,~ , s ys ~,~-.. ~~,,;.-~ ~.,~ office 4 ~~~ ~ ~ ~~ ~ ~`~ c.~ ~~ ~ ~ ~ A e.~,,~~ ~~ 4. ~ v-ar" 1 oZo a ` ~ ~ o ' ~~ ~^ o l~.5. .rim w1. N ~' ~~~ ~~, F 5, i3. g ~' ~~o 1~~~ ~~ e~. s7 g~~ ~ 3 ~ ~~ I ~ ~~~ r .l~" _ ~ l C~~~ ~I ~ ,~ s ~ " R ~~ ~ ~`'' ~ POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION Owner s ~ e Permit # ~ ~ ~ ~ ,~ q DESIGN PARAMETERS / Number of Bedrooms ~~~ ^ Nq Number of Public Facility Units ~ NA Estimated flow (average) Lf ©p al/day Design flow (peakl, (Estimated x 1.5) (gyp p allday Soil Application Rate `Yt~ ~ ~al/da /ftZ Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease fFOG) 530 mg/L Biochemical Oxygen Demand (HODS) <_220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODE) <_30 mg/L Total Suspended Solids (TSS) 530 mg/L ^ NA Fecal Coliform (geometric mean) 510° cfu/100m1 Maximum Effluent Particle Size Ya in dia. ^ NA Other: ®NA Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Septic Tank Capacity / ..~ o o al ^ NA Septic Tank Manufacturer ~ ~„r ^ NA Effluent Filter Manufacturer ~„ ~~ ^ NA Effluent Filter Model ~ _ J c p ^ NA Pump Tank Capacity $oo al ^ NA Pump Tank Manufacturer (,~ ~y~,,~, ^ NA Pump Manufacturer ~ o-e~Q~ ^ NA Pump Model ~ ~ 8 ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: ~NA Dispersal Cell(s) ^ NA ^ In-Ground (gravity) ^ In-Ground (pressurized) ^ At-Grade Mound ^ Drip-Line ^ Other: Other: M NA Other: ®NA Other: ®NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 ^ month(s) (Maximum 3 years) year(s- ^ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,1 of tank volume ^ NA Inspect dispersal cellls- At least once every: 3 ^ month(s) (Maximum 3 years) ~ year(s) ^ NA Clean effluent filter At least once every: 3 ^ month(s) ~ yearls) ^ NA Inspect pump, pump controls & alarm At least once every: J 3 M month(s) ^ year(s) ^ NA Flush laterals and pressure test At least once every: $ ~ month(s) ^ year(s) ^ NA Other: At least once every: ^ month(s) ^yearls) ®NA Other: ~ NA MAINTENANCE 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 cellls) 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 (Y31 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 14/01) Page of t START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cellls) in one large dose, overloading the cellls) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall lie taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ~ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name (~, ' Phone --l` S _ Z cE ~ _ 37~ ~Z.Z SEPTAGE SERVICING OPERATOR (PUMPER) Name ~_ ~~1,rj.,s.~-~-t.P Phone -~ l S- "7 ~ 9 O l~ POWTS MAINTAINER Name (~ Phone ZLS-?y4 ~ ?,~~j,Z..,Z, LOCAL REGULATORY AUTHORITY Name S ~~ Phone '7LS - 9j 8 Id - 4!0 ~ This document was drafted in compliance with chapter Comm 83.22(2)Ib11111d1&If- and 83.54(1), (21 & 131, Wisconsin Administrative Code. ~ ~ 201 W. Washington Ave.. P.O. Box 7162 ~scons~n Maat~ ~ 53707-7162 (608) 266-3151 Oe aftmettt of Commerce Sanitary Permit Application In accord with Comm 8321, Wis. Adm. Code, peisenal infom-ation You Provide may be used for socoridary purposes Privacy Law, s15.04(1 xm) 1. Annlication lafortttatioa -Please Print All Information GxN ~ l~ ~_T' Nr S NOV 0'~ 2006 ~~"""'/ R ._!^ZS's-3n.-a~a Flo ~'4, Sanitary permit Numbs (to be filled i ~9~z ~9 State P .D. tau Project ~ ~ ilf t it Property Owner's MailingAddrcss ~ ~ t /~ ~. ~ ~ ~ M z D D ST. CROIXCOUNTY -f``` -~-"° ,.~ N~ Section ,~ ~ City, State b ~ 1~~ DS /v ~ Zip Code o S~ t / rv Phone Number ~ S/ aV? o - $ 2 ~ ~ (circle one) Ta'Z9 N; R~4 Eo~ [L Type of Building (check all that apply) ~ ~~ Subdivision Name CSM Number Q 1 or 2 Family Dwelling - Numbs of Ballrooms t • S .Wr~~ ^ public~Commenciat - Dcsaibe Use t _. r . /c19 any ^yillage ~fownship of~~„~.e ^ State Owned - Destxibe Use „_ . .. n . r ape of PetYrtit: (Check only one twx on ~r ^ New System ^ Replacematt Systtari ~$ TrcaunattMolding Tank Replaownait Only ^ Other Modi6ation to Existing System ^ :... o.,..":"^~K Permit Number and Date Iss B. I ^ permit Renewal I ^ Permit Rcvision Before Expiration ^ Change of ^ Permit Transfu to New Plumber ()wna IV. t• Oi YV YY la7 .~ erR: ~,uccn u^ auaa w ^ - ^ Non -Prcssuriaed in-Ground ^ Mound > 24 in. of suitable soil ^ Motutd < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Flier Constructed Wetland ^ Pressurized hi~'mound ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis rsaUTreutmeat Area Information: S an Elevation .._.~ ~_...._..,,. t,..:..., c,.:r •nniirArine ltatelepdsfl Dispersal Area Required (sf) Dispersal AtYa Proposed (sf) yst Info t:apacrry m ww ^.uuu,c. Gallons Gallons of Units Concrete ~ Constnrcted ~ I Glass ranks ra~ucs ~~ Septic or HoldinE Tmk / ~ ~(pG , Aerobic Tieatmeal Unit - Dosing Chambu VII. Responsibility Statement- I. the anderstgned, assume responsibility far installation of We POWTS shown oa the attached plaits. Plumber's Name (Print) Plumber's Signaturo MPRvIPRS Number Business Phone Number Wg,[ e~ ri/ea~.>+' if ~ l~ ~a-7 2/ o ~ ~s- Z~14 - 33•~-~'- Plumber's Address (Street, City, State, Zip Cede) qb? lid c~ ~ ~ /~ c~9 ~ 5 Yo a~ Approved ^ rove , . ~..... Surcharge Fce) ^ Owner Given Reason for ial SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. SBD-6398 (2 01/03) ~ ~~~ /t / 6) . ,- 8 ~ . 3) ~. p , ~~o s~. c,La; x Cz?a-~ . 1J ,e..~i . ^e systaa ea not kss than ala :1[ roc io size S) ~ t~~ Q ~~~ c~t~ ~,~..~: .~ ~ ~ t~.t tom- s~~ -~ s ~- I~, z ~w 1 ~~~ ~~~` ~~m`~ ~~a~.~. 2 ~~ ~ ~ 5 o 0 P P ~. ~ ~ e. ~~ ~y~ ~~ 0 '~` ~ 1 ~`~ ~ 4 8~~ ~ b ~~~ ~~~~~ ~~ 0 q Copy r ~" wo al o~ _~ f e t t 1 / I } ~: C' ~~ ~( f I~~ `lib. h i1D 8• ,_..__v_ ~____~_.__, ~M_~._ .._ o ~~ ~ ~ Cg (~ s ~ • ~ s a ~'~ 0 s rJ' O r ~~ ~ ~ ~~ ~~ ~~ ~~ 0 1 ~' W O ~y -~ , I .~ c n A • r $-$ Cooling Systems BELLOWS THERMOSTAT X 1758 Fig. 15 -Types of Thermostats INS~ECTI®N AN® TESTING ®F THERi~®STATS If a thermostat is broken or corroded, discard. it. If it is not of the proper temperature and type, as indicated on an application chart, replace it. The number stamped on it is the approximate tempera- ture that it will reach before starting to open. • Never use ahigh-temperature thermostat with an alcohol-base antifreeze. • Never use a bellows thermostat in high-pressure cooling systems [9 pounds (60 kPa) or higher]. Test the thermostat as follows: 1. Suspend the thermostat and a thermometer in a container of water {Fig. 16). Do not let them rest against the sides or bottom. 2. Heat and stir the water. 3. The thermostat should begin to open at the temperature stamped on it, plus or minus 10°F (5.5°C). It should be fully open -approximately ~/a-inch (6 mm) at 22°F (-6°C) above the specified temperature. 4. Remove thermosta! and observe its closing action. 5. If the thermostat is defective, discard it. BNSTALLBBdG THE6iwA®STATS When installing a thermostat in the engine water jacket, position the thermostat with the expansion element toward the engine. FOS - 30 Litho in U.S.A. x 1759 Fig. 16 -- Testing A Thermostat Some thermostats are marked with arrows that point to the radiator or to the engine block, or are marked "top" or "T". "Front" is indicated on some models. The frame must not block the water flow. To prevent leakage, clean the gasket surfaces on the thermostat. Use a new gasket; normally it need not be cemented. When the outlet casting and gasket have been properly located, tighten the nuts evenly and se- curely. ENGINE ®IL C®®LE~t Coolant flows through coolant tubes to the cylinder block. As oil flows through the cooler. Heat is trans- ferred to the coolant tubes and coolant. Some engines are not equipped with engine oil cooler. C®®LI~BG S~S~'E~ f~®~E~ Flexible hoses are used in connecting cooling sys- tem components because they stand up under vi- bration better than rigid pipes do. However, hoses have weak points, too. Radiator hoses can be damaged by air, heat and water in two ways: • Hardening or cracking-destroys flexibility, causes leakage, and allows small particles of rub- ber to jam the radiator. • Softening and swelling-produces lining failure and hose rupture. BIMETALLIC THERMOSTAT ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~j } rl(,~t ]~ ..~-/~} y~ ~' Mailing Address g ~ 1 M L b~ o~rm iot l~r, ~Hvtd S~ ~ . 1..~ l SZ-E 0 1 b Property Address g~~ M C D i u ~~, t d n~ NudS o~ . W I SZ-f O 1 (~ (Verification required from Plamfing & Zoning Department for new construction.) City/State S p h ~ Parcel Identification Number ~ ~ -1285 =30 - GL~ ~ /Tto ~~ LEGAL DESCRIPTION Property Location '/ , '/ ,Sec. Z~ , T Z~ N R 1 q W, Town of t~ttdSb n Subdivision Suny'id~ T.~ ,Lot # 4'O . Certified Surve~ # ~~ ~ ? ~- ~ ,Volume to ,Page # ~ 7 Warranty Deed # ~ / y ~ ~ 7 ,Volume ~ Y ~ $ ,Page # 8 ~ 3 ~ Spec house ^ yes 6~ no Lot lines identifiable' yes ^ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper. maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms S NATURE OF APPLICANT(S) /~/ O (o DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) (n ~ ~ Z m Z 3 d N `Z .~i ~ O A CO (O CD 7 ~' N L d N (D N ~ A A ~p 3 7 ~ _ ~ Q N ~ ~ [n O~ O ~ N N ~ O f J7 ~ d ~ ~ cn Z D m cQ D N -~ a W c 3 O ~ i Z O o C ~ 0 0 ~' ~ ~ 0 0 ° rn 0• ~ ~ ~ ~ ~ N a Z 0 v ~~ O o ~~ m a v ~ ~ c w ~ m oa c 3 Z O ~ ~ N N ~ fyA o 7 (Q O 3 m m 7 -~, ~ N 7~ N 7 C Q -~ p. CO `Z f~D N N O ' OV ~ ' ~ 7. N Z (D N ~f ~ ~ N C O ~D~•v~,~•c3 = ai w a ~~ r'm O (SD (~ ~ N a O N ~~~~ma 'mad Donny` ~ ~ ~ p m~M,c„o~ ~•~ o o ~~ ~ K ~ p~ N N y~ O,O (=p S ~ ~ N ~ ~ ~ (~D O Q ~ x ~ C O y p~j ~ N O N j .~•. O (D EA O o g O ~- nv~0 3~n [~ ~ ~ ' ' ~ 3 ~1. ,7 ~ ~ ~ ~ c :.' ~ ~ m ~ ~ .^! '~ ~r .. i ~. ~ OND C ~~ ? = A N c r ; • N ~_. ~~ a N O y (D -+ drl ~ OD ~ V ~ ~ ~ ~ O N r A l \ 1 ~ f ~ O 7 ~ ~ O O 7 fp ~ ~ O p .w. ~ ~ !r ~~a. ~ a w °m `~° ~ V ~A~ ~ < ~ ~ ~ ~ ~ ~ _ ~ O C O O ~ °~ ~ O ~ ~ ° ~ v f/l f/1 f/J ~ y ~ O O ~ o ~ ~ ~ ~ m 3 M °-' N D D o I O c I ~r a ~ • /y, v ~' ~ N A ??T n J ry A ~ .. ao~ ~ N ~ m a ~ ~ A Z ~ r: O i Z ~ ~ ~ !~ Z ~ W A G C 3 a 0 A 0 S i ti W N O a a N Oq O~ ~ N ~ e ti U ~ 9 ~ ~ U 'S~',~->~B~tt ~F WISCONSIN FORM 3 - I998 QUIT CLAIM DEED Document Number I~ This Deed, made between G1r~a- M.T~,y~iw ;I ,a~~ C tea . ,µa. -' T- l, TTM ~+r~ - _. Grantor, and G:r..a__M~ilo~~.~-a--s~4 rG+Sr~f' ~ Grantee. Grantor quit claims to Grantee the following described real estate in ~~. C.rniK .County. State of Wisconsin: IPI~,+- of $~w.rl YC. to -Flhs. ~lewvt d il~lSorr, ~ S+. Croix (.ot+iw~-, WltGonSldl -r-, t s i s o. ta-»~1 uti-.~. o„ y ~ ..at- .L cd, ~ ~ «. Together with ali appurtenant rights, title and interests. Dated this 2.2a~1t~ day of ~CtGa+~~ , ~?~tts~0 _ (SEAL) * ~lna M . emu. jr>I~c (SEAL) AUTHENTICATION Signature(s) authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06. Wis. StatsJ THIS INSTRUMENT WAS DRAFTED BY _~In~ M. ~IainGG _ (Signatures may be authenticated or acknowledged. Both are not necessary.) 'Names of persons signing In any cspacity must QUIT CLAIM DEED 814887 KATHLfiE11 H. 1i1ALSH REGISTER OF DEEDS ST. CROIA CO.* MI RfiCEIVfiD FOR RECORD 12/22/2 03:1APl1 OUIT CLAIM DEED EXElPT i ILEC FEE: 11. fA8 TRANS FEE: COPY FEE: CC FEE: PAGESs 1 Recording Area Name and Return Address Gina M. }I+atihdS 88! McC7iavw+r3. 'Dr. }1~dscni W! SZ401 1. 020 - rt9s - 30 -ooa ._ Parcel Identification Number (PIN) This i 5 homestead property. (is) (is not) ZOOS -r.; t ~~ ~ I~ J-~~.~ i l~. •wY• ~ ~I ~... > . ~ j .:k. • (SEAL) ~ * ~ li ' !~ ~i .. . ~ (SEAL) I; .. ~I1 ACKNOWLEDGMENT State of Wisconsin, ~ ~~ ss. ST CROIX County. II PetsonaUy came before me this _~~ND day of ECEMBE_R 2005 ,the above named ~~ GINA M I~IAINES ~~ I 'I to me known to be the person who executed the foregoing li Instrument and acknowledge the same. !~ ., *PAULETTE ORF ~ II Notary Public, State of Wisconsin ~'• My commission is permanent. (If not. state expiration date: '~I DECEMBER 31 2006 .) ;~ or printed below their signsturc. STATE BAR OF WISCONSIN FORM No. 3 - 1998 I. -_-=__=_----___ _===-~1 Wiscwrsn Leal 131ank Co.. Inc it M~lwaukaa, WIS. i .,.,.- - - so°~. VISION TRIANG m ~ -^-_ -----701.01 36s9w N ~ .-.. __165.00 _ ~ ~ ~ ~: . 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O 259.02 ~~ ~ y.~0 'A ~ l~ - 94.05 S3), V,, a . ti IAGE ~- O EASEMENT ~ ~ ,_ .~. .. _.2 ~v_NP~ ArcIMS Viewer 'fir.. ~.. ~.4 ~r 4~ ~~ `!~,:; ~; Page 1 of 1 /'S ~~NG http://72.21.230.178/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 11/13/2006