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HomeMy WebLinkAbout020-1395-29-000Wisconsin 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)1• Permit Holder's Name: City Village X Township Classic Home Desi ns Hudson Townshi CST BM Elev: , m Insp. BM Elev: ' BM Description`s , , ~ t ' ' ~ a l orJ . D t ro.,~• . ccT ~~ ~ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ ~'15~-- 1'~-~O Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 3D ! ~ ~t ' ~ ~ -----~ Dosing tae 5 /~- Aeration Holding PUMP/SIPHON INFORMATION Ft Dia. \IDISt. to C°a°~~ St. Croix Sanitary Permit No: 399643. 0 State Plan ID N Parcel Tax No: 020-1395-29-000 STATION BS HI FS ELEV. Benchmark b,Z( lo(,•Zi l~~ t Alt. BM O• ~ ~ psi Bldg. Sewer~~ ~ ~ • ~( ~. ^ ~ t~'+,~t~ ~' SUHt Inlet Q'•~/ SUHt Outlet ~' (° off. $'-} ~ Dt Inlet Dt Bottom Header/Man. q 9~ ~~ ~ Dist. Pipe 9.S8 4.4`I (p.63 ! Bot. System /°•S'S l •28 9S.Io~vi Final Grade r . ~ .1._ D St Cover ~ 3 D ~~ ~ i SOIL ABSORPTION SYSTEM (- o.µ~'s ~ BED/TRENCH Width Lengt No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~•~S! ~'Z I SETBACK SYSTEM TO P/L BLDG WELL. LAKE/STREAM LEACHING Manufa~?y~(fffr. U ~~ ~ INFORMATION CHAMBER OR l't'. - ~ O.~P~ ~ Type Of System: ~~ ~ ~~ t + ~--- UNIT Model N~ bars tf DISTRIBUT ION SYSTEM e _ L. _ Header/M~a'nQif~old Length Dia ~- ~ Distributi tJ~+ P/L. x Hole Size Pipe(s) L pac x Hole Spacing Vent to Air Intake ' ~y,~ 'v SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems OnIV Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bedlrrench Edges Topsoil ~ Yes ~ No [] Yes ®No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1 ~/ l~ y,? ,~ Inspection #2: Location: 842 Highlander,,Tll__rail Hudson, WI 54016 (SW 1/4 NW 1/4 25 T29N R19W) Scenic,~Hill~,s,~Lpot 29 ~ a el No• 25.29.19.2423 1.) Alt BM Description = ~j+DT~a"'~ ~ ~ tr,~ ~/ ~yw~2 tuz~r ,, ~ ~ "~' ~ ~(~ - ~ ' _ ~~ 2.) Bldg sewer length = 2~.~.1 - amoun/t~of cover = I $ Plan revision Required? ~1 Yes No ~.r ~ `g) ~ a ~- S Use other side for additional information. •~J '"~ SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. ~- _ _..r..~~._..__ -~^ Safety and BuikdsnSs Livision } ~.c~unrY r-.~,_~ e x t ~ ~~~~~~~~ 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53701 -- 7162 ~~ Site Address ~' ~{ ~ ~ y Department of Gatnmerce ~~ ~~` av ~~ , ~ z ~ffiry Pormic)r r Sanitary Permit Application 3 q ~ 6 y3 ~ acrd ~,~ Comm 83,21, Wis. Adm. Code, personal informa6an you provide Q Gluck if Revision ,may be used for secorrdasy p see Privac Law, s15. 1 m Stau Plan I.D. Number I. Application Information -Please Print Ali lnfomtation _._.-- property Owner's Name Parcel N ber Qzr~'- i34f Z9-poo zr. z . ~9. a ya3 C~ cL ~-. 8 ~ ' Propcrry Location ess Addr Property Owner's 1Vla ~ k : S aS 7' ~ N. R I L/ 'k /V~' / '"~' G t ~ s~ Zip Code Phase Number , Lot Number Block Number City, State Subdivision Name CSM Number ~ , ,, ~ ® II. Typo of lEfuiiding (+~ ail that. apply} ak .~.r ~-'; ~ QCiry ~ ~i or 2 Family Dwelling - Numbcr of Bedrootus _ J iu~~° " t Qusllage ibe Use D ~ ownshi r~ ~0.~ escr ^ publiclCommercial - -- ~ ~' -~ _ c rv3 I~r d u R ^ Statc Owned z . , .. ~1i-" , Gpp`X , ~ oa Nearest yf~;r; ( ~, . 4 / ; ~. scheu-e r II[, T~yQe at pexrnit; (C:heck nniy one box oa lfQe A (utunb onzpl~o ~o B if applicable) '+' t New 2 ^ Replacerrxnt System 3 ^ Replacement o b Q°Adrlition to ~~ \ a use Stela Ta na (? Petmis Number Dose Issued B. ^ Cluck if Sanitary Permit Previously Issued 'pype of Permits (Check s1D that appiy)in~~g scheime Ts for internal use) IV . 47 ^ Sand Filter 44 ~ Non -Pressurized In-Ground 21^ lvtouad SO a Constructed Wetland 41 Q Holding Tank 48 Q Single Pass 2;2 Q Pressurized Ia-dround Sl ^ Drip Lira 3Q ~ Other 46 Q Aerobic Treatment. Unit 44 Q Recirculatin 45 ^ At-Grade , , V. Dig eatanerit Area Informatit-n: Design Plow (gpd) Dispersal Area Dispersal Area ~ ,Percolation Rate Sail Application Ft•} (lvtin.nnclt) slsq (Q /Da ts t It System 81~a~oa 9y ~ final Grade P.Icvation O a geq„i~l pmpasrxl ~°~~ ~~~/ . y . a a e jd ~, ~j ~lf'~ / 0 ~7 ~~~ ~ ~(1.2cr~al~+ ~~ ~Q ~ ~1$` /0~, lit/ ~ Tanit Info Capacity in .Total Number Manufacturer Prefab Concrete Site Coastr~ted Steel Fiber Glass Plastic . Galioas t3alloas of Tanks New Busting 'Tanks Tanks Septic or lioidiog Teak - ~ ~Q / ~ `2 ~'C f~' Dosing Ct-amt+er n of the POWYS sbovra oa the attached plans. ~„_,__ Res risibility Statement- i, the underxignedy assume responsibility for Business Phone Number VII . RS Number Plumber's Name (Print? Plumber`s Signature Plumber's Address (Street, City, State, Zip Code} L'd~ G Gam` r ~ J~ ~ r ._ VjII. Count /i)e ent se Orii Saaimty Permit Fec (includes Groundwaur A eat 5i Harare (No Srarnps) Date Issued Issuing g g Approved Q pisappcoved Surcharge Pee) Q Owner Gives laidai Adverse J~ Z Z~~ -tr ~ z Z ~ ~~ ~ Determination IX. Conti/i~tioas of AppravtallReas~ fo Dtsapprova/l / / ~ct, ~< rhs~4!/(O QN-d LkGlir~.ta~'hG~ ipev ~ ~'i~ "/~~ ~ /~ r Pt. ~s /G Cf7Ht!*~'~a ~'Dh` ~'' ~-.l<~f'ctC7'~ltiv j kC t ~' ~ Sys-fc~. e~PVa~`®+1- ,~~,~(l be >~~~, he~ew or~`9,'~a,( ~roaPQ ~o r`>tist~vc ~G~~o>ti~er ~s Attach complete plans (to the County ealyi far the saslem oo paper sot less tltaa 8112 s 11 Inches la sire SBD-f398 (R. OS/O1) a ,~ c~- 1 ,Ls `~' Q 4 Sc e,d c' c ~/ 7~~G~S4~ ~ ~ l~~~ 6r ~~ O 6 " Ur y7 ~~ ti ~ ~~ d fis'1 s s.,,f~ p;Jt~' ~ ~`~~ ~ c ~~Q~ ~ ~.~ vas-- s G YY`<iC4~~ TrDneo,3 ~~~ ~-t `~ 6j q ~~ e,~r/c~C 9U~ ~~a ~kG~4~ 'v ~ l ~~~6c I ~~ ~ !`~~~ v~ ~D y M Phi ~~ C 7a~B( __ s~ //_ ~G y~,~~ ~~~ ~b ~, e ~a ~~b ~~,~ ~~ A ;J .., ~. v ~~.- ~~,~ a' ~c,' L :" r err w t~ 5 :~ rte. ~~ __ . !1~ f!~ II~ m udrw ~ p L tl ~ `,,,, ~~~ "~ ~ u. fI~ ~ ~ „~.. „~ -~ S w Op ~;,. ~'~ ~~~ ,.~ VtiS ~~ ~4-. G ~ uanu~ ~ G ~= ~~O CC~~ :~~~~. ~ ~ t ~' ~~ O E v~ ~~~a c~~~m. ff' u ~ O o Q' ~ C m _ . m t~ ~~ ~' ~~~~~~ ' N cIJ 'Q O ~ tI1 ^^ +} ~ i~{r V ~ ~ ~ G ~ ~ ~ ~ V .~ ~. ©~ ~ ~ OJT QC~~ .^~, r s • • ' X s a ~ '+"' X crj ~ ~ vj ~ ~~ x ~rn r~ U ~ r ~~ s (yJ~~ /~r}O,y J1 ^ . M VJ , TT y ~' ~ ~ J X j } Cif _ ~y ~ +.. ~ ~d7 o ~ ~ ~ . fJ~ fly ~ V~ z~ ~ : >~ s 3 ~ ~ ~~ .. .. . .~. a ... ti Q ~ a ~~ ® ~ ~ ~~ 1 ~ z v m ~i ~ ' - ~ ~ . s M ~r. ~ ~ ~~ ~~ ~~ k b x ~ •~ ~ ~ • ~ ~ • ~~ ~_. ~~ . ~ ~_ - o ~. C Pb ~ ~f = 7 ~ y A '~ ~ ~ n„ ~ a ` M~ .:! S - .~ V C; tNrsconsin Department of Commerce - SOIL EVALUATION REPORT Page 1 of Division of Safety 8nd t3uildings' m aoooraarroe wlm wmm esa, wn:. ran. was ' 81 Pl t i 1 i a ~~ ~ crol an mus n s e. 12 x 1 n Attach complete site plan on paper not less than indude, but not limited to: vertical aril horizontal ` bon and Parcel I.D. • percent slope, scale or dimensions, north arrow, a rand d 'tgneare~ road. ".. PleBSe print 8N f ' '~, atfOD. ,e~. '~ r ` ~~ :>1 ~ R Date i.. Personal information you provide may be used for ry . ~ F P~' ~1`~PL: P,~`t~1 ~• s 415°~~" ~~) (m))~ P~Ky Owner ._...i P . ~~ ~ ."' - ~ ~ ' ' ~ . i s G ~ ~ ~' ~~ ~ ` ~~~ f :."? Go{it:-t 114 ~, 114 S Zs- T Z9 N R 1 E (or , -' .~ Property Owner's Malting Address r ~ UNTI' L ~ _ Block # Subd. Name or CSMif c.v ~ Z O S-1• i ~ ~ WG- ~^`"~, G OFFICE , S G t ~. City State Zip Code ,~ City ^ 1/illage [~ Town Nearest Road ~STi:1 L w«-~r V11 w, . fS"o ~Z ( 3 -~=;._'.. ~ s 1-< <~. r, l2 ® New Construdiort Use: ® Residential / Number of bedrooms„ 3 ' `l~ Code derived design flaw race DSO ~(o O O GPD ^ Replavement ^ Public or commercial -Describe: Parent material DU fcaJa-S (.. Flood Plain elevation if )U ~ R General comments S S ~ rv~ t I G iJc~.f.b /~ _ fi~ 9 ~. ~0 l.ovv ~r q7. ,30 and rectxnrr~ndations: ~ L..,~ 2- I ~J 0.. d-.`o ri - -gyp ~~ • frd LoW~er 55. ~ l:pl Pit Ground surface elev. l U '`~- yoflt. Depth to limiting tador~ ~ ZS in. Soil n Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistienoe Boundary Roots GP D/fP in. Mansell Gtu. Sz. Cont Color Gr. Sz. Sh. 'Efi#9 'Eff#2 I . ~-12 lb 313 - 5~ 2 k~k mfr cs Ivy _5/ ,~ / Z i t -cop 1 U ~-I I~1 -----, S. ~ I Z m S b K ti^n-~r c 5 _ .!-~ / . C.P / 3 cam- i ~s ~p ~ y- ~11co =- m s DS m l - - ~ / /. 2. Boring # ^ ~~ ® Pit Ground surface elev. /6 c - (~ U ft. Depth to limiting factor ~ /2 ~' in. Sod Rate Horzon Depth Dominant Cobr Redox Description Texture SWdure Consistence Boundary Roots GP D/ff? in. Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ , o - i~ to ~ 313 =- - ~ i - 2 ir~~'~ c_5 ~ v . 5 , g ~ - ~~ -ss. ~~ ~~~~ ~~ ~S;~I 3 - 55-/zo / ryf~, mS CAS.. ,~-, ~ ' 1 '' ~' Z~ r ' a~4~~' ~ .moo . ~ bZ~y 'Effluent #1 = BOD_ > 30 < 220 moll and TSS >30 < 1 50 mall • Effluent #2 = BOD . < 30 rrLg/L and TSS < 30 mglL CST Name {Please Print) S' aWre CST Norther ~clc ytn. ~ ~~ w~c..k ~ r ,~`~ ~~~~ 2 ~"~3 ~q Address Date Evaluation Conduc6ed Telephone Number ~ 113 &~~~ S-~ . 5~~~.~~e-~, ~~~ ~1a2~ - l- y~ -l 15 -Z~+~1-yC`~~ PropeRy Owner I~.Y' ~~ ~ 1 Parcel ID # . Page z ~_~ a Boring # ^ Boring ® Pit Ground surface slay: ~~ 3 . ~ ft. Depth to limiting factor ~ ~ l ~D in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft? in. Mansell Qu. Sz. Cont Coto[ Gr. Sz Sh: "Eif#1 *EtT#2 ~ - o-« i ~ 31 S'-1 2 bk ~ ~S I v~ . 5~ .gam mS ~~ ~ j ~ , ~ I. 2~ ^ Boring # ^ Boring ^ Pit Ground surface env. ft. Depth bo limiting factor in. ~ n ~~ n i H th D Dominant Cobr Redox Desription Texture Struchme Consistence Boundary Roots GP DliI? or zo ep in. Mansell Qu. Sz. Cont Color Gr. Sz Sh. *EtT#1 *Eff#2 Boring # ^ Bonng ^ Pit Ground surface elev. _,,,_ft. .Depth to limiting factor in. Soil lication Rate Horizon Depth Donrnant Redox Descriptan Texture Structure Consistence Boundary Roots GP /f~ in. Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 _< 220 mglL and TSS >30 < 150 mglL * Effluent #2 = BODS < 30 trx~ll. and. TSS _< ~ mglL The Department of Commerce is an equal opportunity service provider and employer. If you need as§istance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBp-8330 (807/00) Property Owner,_ 1Q.r k~ ~ ~ ParcellD # ~ z ~~ ®Pit Ground sur•Faoe slay: !D 3 . Sr0 R Depth to r fiacbor ' I I ~D in. soy Rate a# Horizon Depth Dominant Cob Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsefl Qu. Sz. ~ Cont. Cobr Gr. Sz Sh: "Eff~kt ~ . O--b t 3~ S~ ~ 2 LS ivy .~. .$~ ^ ~9 # ^ Boring ^ Pit Ground surfaces elev. ft. Depth to IKniting factor in. ~ Rate Horizon Depth Dominant Colo Redox Description Texture Strvclure Conde Boundary Roots GPD/l~ in. Munsell ~ Chr. Sz. Cont. Cobr Gr. Sz. Sh. 'Etf#1 "Eff#2 ^ Pit Ground surface elev. ft. .Depth do limiting factor in. ~~ # ^ B~ Sod Rate Horizon Depth Dominant Colo Redox Desa~tion Texture Structure Consisbenoe Boundary Roots GPD/fE: in. Munsell Qu. Sz. Coat. Cobr Gr. Sz. Sh. 'Eff#t 'E~ ' Effluenrt #1 = BODE > 30 < 220 mglL and TSS >30 <_ 150 mglL ` Effluent #2 =BODE < 30 mgA. 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 TTY 608-264-8777. sso.s33o cRa~roo~ PAGE ~ OF~ NAME 14 Y` K-e-- ~ ~ LOT# 2 q LEGAL DESCRIPTIONSw '/e~J'/4,S zs" TZ4 N,R -9 E (or~ SCALE: 1"= yU BM 1 ELEVATION /DO • O ~ BM I DESCRIPTION -~-oP o-~ ( Z fo~n A ~'~D-e ~ ~ X BM 2 ELEVATION ~ T ~ ~ ~ ~ . Z5 BM 2 DESCRIPTION ~ o a -~ (~~ Av ~ {~ ~_o ~. SYSTEM ELEVATION -~o p `($ . $U Gower 97.3 U ALTERNATE ELEVATION fr, y 9~• ~ U ~ o w a r 9 5 g 0 r,!'1lTTl~T TT T?T Ti / A TT/•lAT Co-~~~ FROM Schumak.er Fi~amk,inq FFu: hd0. 71~s.,853121 Sip. l0 2091 ~:96f't9 F4 sr cRa~ couriTx saPrrc TaNr~ MAnsrBrlANCa Aaz~$MErrr ANp OWNERSHIP CLRTIFICATION FARM Owraer/Buyer /~i~~~ f~~ ~', k' K .~ ~N Mailing Address Property Address (Verification required firm Planning Departmert for new ~~~~ (~ty/State ~tll s C- Parcel Identification Number ~ ~~ ~ ~ i T(~AL DESCf~OI~I s,~r ,~ ~~licr~ L ~g.,o-/ v.c/ t~ u~, property Location '/., '/•, Sec.,=, T~N-_VV, Town of ~ !'~~i1 Subdivlslan s" C ~'/V ~ ~ ~ /s L~at # ~. Certified Survey Map # , 'Volume ,Page # warranty Deed # ~ Y ~ ~ _ .Volume /CGZ .Page # -~'`~`.~'__' Spec house ^ yes ~- no Lot lines identifiable ~ yes ^ no ~YST~ NrAnvT~lvArta~ ~,mper use and maiabenarsoe of your septic System canld result in its premature failure to handle wastes. Proper maintenance cau.~ists of pumping out the captic tank evexy three years or sonnet, if Feeded by a licensed pamper. What yon pert into the system can a~'ect the fuactioa of the septic tank as a treatment stage in the waste disposal system. 'Ibe property owner agrees to submit to St. Crofx Zoning Department a ~xrtificat{°n farm, s~gved by the orvoer and by a P~mbe~ jou~ytnanPlumlxr+rtcdplumberora IicensedpumpGCVmify~b il~at (1) the on-sitewastawatesdisposatl system is irr proper operating comdltiou and/or (2) after isispocHon and pumping Cif tseaessary), the septic tank is lass tLaa 1/3 foil of sledge. II wee, tha und,trslg:ued have read the above rr:qu~mtnts and agree to maintain the private sewage disposal system arlth flue standards set forth, herein, as set by the Departmart of Commerce find the Depattmemt of Nataaral Resources, State of Wisconsin. Certification stating that yaar septk system has boon maintained must be completed and returned to the St. Croix t;,ounty Zorrin$ Of&ce within 34 days of tt-e throe year iratio~n date. /~~-~ -~/ &I AT[JRB OF APPLICANT DA'rl3 OWNE~i, CERTIF'ICA.'I'IOI~I 1(wc) certify that a1i statements on this form are tare ib the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro descn above, by virtnc of a warranty deed recorded in Register of Reeds OlI•ice. DATL' ~ A OF APPLICANT wr«+=. pny information that is mis-relsresented may result in We sanitary pcmuit being revoked by the Zoning Department. `«"*`« a" Include with this :pplicRtion: a stamped wairanry deed from the Register of Deeds office a ropy of the certified sarvey map if reference is made in the warranty dud Priv~t~ t~nsit~ Wa~tea~er Treatrr~ent Systram IUlana~ement Plan Septic Tank And Qravity In-ground Soll Aiisorpti~ai~ component Pursuant to Gomm 83.54 Wis. Adm. Coda Bach Private t~nsite lrltastewat~;r Traat~ment System (PaWTS) shall Include information and procedures for maintaining the system within the parameters of Gomm ~S3 and 84, and the conditions of approval by the separtment, agent, or governmental unit, The approv®d plans and p®rmits for system are on floe at the county zoning or health department. This management plan :;ompfies uvith Camm 83.54, V4°is. adm• Code. and the !n-Ground Soil Absorptian Component Manual for Private dnsite Wastewater Treatment Systems SBD- Tahle 1 ~ svstem Des{on Sgeclflcat{cans Senita Permit Number Number of 13adrooms Deli n Plow -Peak ( d ~stit~ated Flow - Avara e d I Se tic Tank Ca aci (al) ~z Sol! Abso tjan Com Went Size (ft Si ~~ T pe of Wastewater aornastic ~ Tables 4~ s~~l Ahanretien Cnerrr~nnent • L{colts Of R@{iabr~ {~peratinn Se tlc Tank ~mponen# r Soil Abso tton Com anent Design Flow -Peak ( pd} Maximum Influent Particle Slze (in} ~_ 1l6 Maximum B4D6 m JL) ~. 22~ iVAaximum TSS (m /L 150 Tah1~ 3: ll~afrttor~ancg ~GhBrdLt~- 5a flc Tank ~ ~'~ Out{et Fi{ter Ins fns act andlor service once eve 3 ears I art once a ear and clean at least once ova 3 ears Soil Abso ti~c~n Com onent {ns act once eve 3 ears Septic Tank The septic tank shall be maintained by an individual Certified to service septic tanks under s. 281.48, State. ThQ contents of the septic tank shelf be disposed of in accordance with NR 113, Wis. Adm. Cade (Servicing Sept(c ar Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, ar Portable Restrooms}. The aperatir+g ~ndition t~f the septic tank and outlet filter shall be assessed at least once every 3 years ray Inspection. The outlet fliter shalt be cleaned as necessary to ensure proper ape~ratian. The fliter cartridge should not be removed unless provisions ere made tc- retain solids itt the tank that may slough off the fliter when removed from its sncfosure. !f the Management !'~lar? for a Septic ~'anx ~r~~ Soi: prior; tio~ CamAr~nent - _ , filter 48 equipped with an alarm, the tR~ter shall ~ sanrieed if tl~s alarm ~~ scilvat8d continuously. lntarrra4ttartt fiJteralarms may tndi~te sure bows or ~-~+ impe~dir~ opntin~caus elarrr. The uiptits tank shu~Ll ;have ire oontente rertiCVad when tt~a volume a# acttrr'c ar~d eluctQ+te in 4J3e tanx ex~ede 113 flee liqukl volume of the tantc. if ti~s conter~ ot''the tank a of when the r~ct oNice time a~f art sseesirment, f`FlalntliilBllCe patrOtltReJ ahsJL l~dvlse th1! own+~ n11et~ to be pertom~<eci tD maintain Less than maximum r~ ~ eiud~e a~i~IatJOn }n the tattle. Manhote hsen~~ access risers end covsra shoes be irtapected for water tJphtness end ou~ndness. Aooeae apeni~~e used fc~r aatvLt~ and asrensrne~nt gh~IiL ® ~~ ~ /Q f~'~ rr~si ~ thi campletLan a~f rarvlce. Any cpenln~ doerr:ed unsound, dete~tl~e, be rrppiaced. , Expt~sed arse openin~e greater than 8-inches in dish Shalt ~ ~~red t.y an e~tfactive IockLng deaice to prevar<t aocider4tal or unauthorized mrttr'y' Unto the tank. No one nltould enter a j~rptlc or otha~r trra#m~t ar hatofln~ tattle ter any reaaan rv~-fhotrt belrr~ 1tt fst11 eotnp-litrte+ w1~ p$H~ s~tttdar:"ia k-r a~srln~ a i~lrted apa+ar. "~~ at~rl~~~~ err tht !c +~r over trwt#ir~t o#' holdlr~ ttok tt~y aorttatrr e~ r+~aur os a p~oe~eorj t1~ lc~rirlar of ~ bnlr Wray ba dri~~ of 1tnp~oa-s1d~1+a r TattJc abandonrnet~t ehail be 9n acCOrdar~a with Comm g3,~-, v~'L:. Adrn. Code when the tank Is no Lonpei' ut~d a: a PpiNTB comtx~nerrt, '1'ha rail +rbaotption ca~mpansrtit servJn~ this s~ctute le dmsi~ned to accept domestic waet®w*ter from a t'eaLderttial fac~ILty. The ISmits of c~o~?an ai the oczzrr~poRent era shcvm +n ~'abie 2, Ths- ions®vlty of a evil a~arptian cornponart depends preatiy qn paper and timely >~aintenance, and system wee withsn or t3eiow ~ iimfts o ~ wef~~can~enrin~ pia b~~~ aortllt~t~ration pnctis~t by aii oocupantr and tJ~e lnata a hxt~ures are key factors in extending the u~teiul ii~e o~ thin sasn~ponsn~ The soil ek~aorption component's opNration mart be a+sarusd by inspsctiat~ at Least Lf artiy. i~ GrtCe every three yaau°a. The Inspection shstLi Lnelucis recording the ievsl8 +~f partdL~ o-r d~schar~e the ot-8arvadon Pifses- and a vlessel inspeoflon for ar~y evkience of surface seepag fream the eonent. 0n steeply alopirt~ aLtee- areas o{ ®rasiion ehauid be Idantl~ed and reported to tl't~ owner to repair. aonsldsred a?hwnan health haTard. ~tewatar or a-ewsgP Fromm the eystetn rs prohibited and Traffic around ar cvrr the soil atli0r~+¢.IOr? component ei~ouid be avoided p nsLnt may Lead dt~rLr~g winter menthe. The compaction or removal of snow cover cover the compo to hydraulic failure by fr®asing. Thin type of faifurg is usually temporary, but is dJfficult or impoaeibie to repair until weather car~diti rninto tphev oil a d d epena ~ W~hL~'t m y~8adl to compcanent will redur~ dLltusion ~ oxyae more iV'tt+3rti~- 8ntl eatlLer, organic cioggin~ of the soil. 2 a'~snapement Piart for a ~rptiL ~ar';k and Soi4 AbsOrptson Componeryt F'iant~npa of r1+~dp-rootrad trsvs artd attrub~ directly over o€ witl~rt tern t`set of tree c~tarnpanant a~o~,id be Ided ~inae root intru~+an into t"rte car~~nent may ~ wegtewater fic~w. Contra+wnay P4en 1n the ewrt# at'~ystem feriture, a new:y't•m could be in~~lied in an atterriat+r arse. 1~41ith the ir~atalla-tlrsn cif ~ diverter vaiw, tote exi3tinQ systwm ccwld also be reused after a period ~ three to 4t~" y~irro. It le ~'t4 p~roperky ownewre respor+sibiiity to maintain the aterrtate use free franc erry plerttir9q of trees, shrr~be, sta. In case at' failure of the aripirtal system, the etternete arse will ba needed. If arty trees, shrwbe~ etc. hitw been piartted cn titer alterriete arae~ they will have to brr rernaved et l~' awrwrrs exxpanss. ~ ~itarna~te area is tteNtroyyed, there are other alternative uyetenta that cart bw ~raed, in whECl~, tsouki ree~llt In tided exRerns to the prapert)r owner, any tank abandonment srftali be done in rccasdance with 1~liac. Cade X3.33, ~y queetiane re~ardir~q Attie sods, ptaaee contest your Ipcal Zoning pffioe ar contact ttte lnatslVinp piunsttbsr. ~,~-.~ r tea c~ '~~-'~s ~~.R.. ~'1 f S' ~ •3 ~ (v -w ~ ~G ~3 'C~ ~, K bOCUhAE,ryT hf0. , ' ,,,, wwrtst.,txzr ne>Sn ~{; BTAYC OP WlSCpNRrN-FU31M 0 • ytl 1. ~~~~"-"'~ ~ THIe f-ACa R[itn V[O FtlA i{CCRCtAp D4Y• THIS INDENTURE, Mad by.RICHAFA N. 1?E~IRSON and JF~F1N M. ' husband an ..................._............, pS~C.._ .................... r grantor_.5...~ of...,S~•...Ct~zx .......................,..............,...........,.....,........._..,..~.,.............; . . ..................................... ........ _................Cou n t CARRIAGE H at'isconsin, hereby conveys and warFants to OMF.S kXZ p' M_lnnB50td cor ratl4n, ....................................._....... r INC:. r a .~ W'asEi'i nc~ £ari .._.._..., ...._ ................................................ t p........... t-~ ragtee...,......ot ......_......._ ..................._..... County. ~3`tltr~l4ifelS ~ar 4?~e._.R4.~1.~~...~......:...~.. _.......~~._..•.,....)......... the Burn of-. ,,7 nd *l0 100 i 00 and other good ard. valuable '•i[rynrl TO ` {eQl).~.;SI~t~ ~ kQ~....,..... ....................... ..... •..-.....,, ~ ci n,~~ ~ Tali '[ ...._.. ............. fSfil3rtl13 I`1G`c s, I u r , Lt.!(e• t<:it. ..,...._..... ........ .......__...............,......,~..................................................................._._...... g f J u c the fotlowigg tract of land in.....5~. Cl:oix ............................. ........................- :, rvF •~,~ >Sr { J ~t~-~~,~ ~yl/~' :.... ............................ .....Gaunt , : S'ii t iuonsin: .A~.,I..Q~._~k1~..Nc?~thw~S.G..~ud.~4~~...iNw;~, and...i~k?r.kh..S.aaylf (lad! of the souttn~r~st Quarter (SV7~) of Section Twenty-Five (25), Tcwmship '1Wenty-Nine ,29) !North, Range Nineteen (;.9) ldest, St. Croix County, Wisccrosin, except IAt tine of Certified Survey Map filed June 29r 104, recorded in Vo?ume i0, page 2782, St. Croix Ceunty Register of Deeds, as Docurtent hlo. 518144. See Attached Exhibit A Parcel Identification flurnber 7t?is is nat hor7estead property Ia Wltacss Wbtraof~tha said grantor. 5,. have..,.,,, hereunto scr.........their hand 5.. attd aeal5.... this ..._.._ day of.........1' .......................... ........... .............._.. ......., .t. D., Y~..2(l~f asomsn ar+n xaAZ,sn r*r rszssxo>/ or ...................... ..._.......-.....,.....:........,............. .(SEAL) ._ ........................... ( .. ...rst~x .......................fSFAG) . e M'. tSU1~' . ........... . gg~~ta f .~.~~~..~ .................~.......................................(srrtr.) ...................... ~ri~, Y ~ Y ,.. .. y Was~lzngtrxt.........».Count , FC[sonall came before tne, this. da of....,,.. " S to of '...-....._..^..._.. ................FEAE?S•CNl. ;Husband,. end the above named ,..... CIiARD 1~3,. ,~EARSON ana JF,AIV M. ...:................... A. D„ 1)fjY+..~4,01 wife, to ma known to be the persons.... mha cxrcutad the foregoing instrument and ackgowledged the same. . ................ . Tl~fv rNRTW UMRN7 A D Af Y ~'~ Richard J. csa~r'~et, '~~z~~a ------~IAPI€1-Y-MOUNTAIN xOTA JiY I`1Cta[ Public, . "'~ ~ K rAFY pIJBtIC'AtINNESUTA 880 Sibley Memorial Hwy., #x1.4 9EAr. Y 1f MyQComm.E[pvASJan.~i,2p06 Gaunty, ~Jis. •i736 rty tommissiarv (rSr ' ($eclioi }9.11 Ill of the COIa<auin Stalurcr p,>Veda shat all inaeNmenu ro tc :ecucded ahcn nave p4inlr printrd pr typrftiarn tilrttor. athne namta of the gremon, garNSCS, wftnesu5 tOd natlry. Sertioo }q, 113 rimiiatjy requires that the n:rre of the puaon vlra, or govrln• mental stoney IrbiCtr, dt{fled wch iaunrclenr, rhsll nc pri nrad, typrorirtea, st1 d or rcifrca tLeeun in t teaiulc manor.,) w,tnnANTY next STATE flb' W1SCpNS~N wleconeti [.oxnt clank 9amnanr P`p rtrl Na. t stlMankae, 9Vii, t7ob a3F t1 ! Y~! .~UU~PAf,' ~9~, ~XHIBYT A Parcel Identification 1Vumbers 020.1069-70-UtJO 020-1069-80.000 020-1069-90-000 020-1070-00-OOq 020-1 070. 1 0-()00 020-1070-20-000 .. ~ ~ '~ +, . via ~UG~PAGL~~a7 64$C-y04 Fi'EGlS?ER aF DEEil5 ST. CROIX Cp., Wy RECEIVb FOR RECORD 46•!A-2041 12:45 PM WflRRA4TY DEED EXEMPT N CERT CQPY FEE: CtlVY FEE: TRriNSFER FEE: 3400.00 RECORDING FEE; 14.OU PAGE5: 3 Raordin,~ Mea tdiso asd AeLarn Addrn; 1.cLa1 '7'~-~lE J ~nL . lROP S~'~~y~r La.k< NCuJ L~Ci ~ ~OC~d i C' C~2O- JQ6g- 7p coos, rduc xa~~„ x~ ~~ c~~v--racy-~©~-GUQ. d 2: r~ -. ~ X65 _`1C~ - vvc, p 2t~ - ) t7'7D - too - ~a o~ao~ too -rv_~,~ C72c~ - )a-~p, -zo -~ `OTHIS P.AGg YS PAR'P OF TBfIS LEG~bL AOC@~lxT •. pp NUT BEHOVE" 7'4is wfon+utioa owabs oomplpod hr ai6miaa: i a aG/e. ae e6e jrondat daa~.v, ktot dcratpdon, eer. n4ms ~ rcmrN addn+a oad plltr rc! rs4r4sd~, Oficr yJoe.~naw..usk ~+~ ~ We q/ali4 i~orer pate odds o~ ~ ~~ `N vi1+1~++~+ pare of the doaw,ov er ~7' & pbecd oti ad8darwt F"t~* 1e ~ ~x~wwu ~ t,~.00 ro rl~r nror~.~ ~ _ Wfscs.Nn Swart, Jp.SI~ ~li8p{ 2rSV °° .l ~ 1S . ~ ~ - ~ ° ~ ~ 252,297 SQ FT ' " ~~ ~ 5.792 ACRES H.W.L= 924.3 ~ i i i r' ,,~-_~ 30 155,136 SQ Ff 3.561 ACRES ~~ Q ng F 112,245 SQ FT 2.577 ACRES . , ~ - N~T- /- .~ ~ ' i - ~/' ~ ~ .~ ~ &~ ~ B~ .try,, ~ ~ ~ ~ . 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