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HomeMy WebLinkAbout020-1074-30-075 nyp~ o ~ ~ ~ 3'on c ~ o C A r~ `i1 ~ Cf 'd ~ r ~ ~ ~ ~ I p 1 " 3 ~ ~ '~ M ~ !n ~ ~ '0 ~ Z N y O C~ 2 W p! S N P C V N ~ H~ d ~ A ? C N 'O (D 3 B C p~ N A p C I ~ N a C, p ~ 7 , ~~ O No o ~ m ~, F CO o ~ ~ 1 O ° ~ `° ' ~ ouo o K ~ ? .o• o cn ~ ~ ~ O ~ ~' m io D y - a <~',., B _ ~ - o ~ W . W a °~~ N _ ~' rn ~ a, ~ Q O Z ~ ~ r 2 V O O O Z O W ~ p I ~' ~ c ~ U! Ul W~ i ~ N D I ~ m a N ~' ~ v v ~ ~ p V ~p C 1 'C ~ ~ ~ ~ fn ~ ~ L .e a 3 ~ .. I Z .. ° C ao z I o °-~~ ~ ° o~a.Z1 m to N C p ^ C N ' p ~ ~_ ~ W ~ . ~ . v i Z ~ ~ ~ ~ ~ o • z~ ~ D o ! _ -1 UJ A Z T m y ~ ~ ~ ~ ~, I ~ a ~ .. ~ ~ N N CD Z N V I o d a~ I~ Z ~ G A ,T 1 ~ m 3 ~ Z ~ ~ m CC G X N Z ~ A p N Q - p ~ ~~ ~ C ! fD O G d 7 N 'B C ~ p Z a ~ o ~ ~ ~ N c 0 `< V1 ~ A N m ~ ice` N ~~ 'O I ~ O~ ~ n I N 3 ~ ~ A O fD ~ ti ~ 0 ti ~ o rn ! v 'b o ~ 1 , ~, Parcel #: 020-1074-30-075 10!20!2004 04:33 PM PAGE 1 OF 1 Alt. Parcel #: 27.29.19.2958-30 020 -TOWN OF HUDSON Current ~X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * =Current Owner * HOUMAN, KENNETH A KENNETH A HOUMAN 653 BADLANDS RD HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description '" 653 BADLANDS RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.396 Plat: 1672-CSM 17-4490 020-03 SEC 27 T29N R19W PT NW NE CSM 17-4490 Block/Condo Bldg: LOT 02 LOT 2 3 396 AC ( . ) Tract(s): (Sec-Twn-Rng 40114 1601/4) 27-29N-19W NW NE Notes: Parcel History: Date Doc # Vol/Page Type 09/22/2003 740850 2416/111 EZ-U 09/22/2003 740827 2416/10 WD 09/22/2003 740826 2416108 EZ-I 03/31/2003 715302 17/4490 CSM ~nnd c11MMAr2V Bill #: Fair Market Value: Assessed with: --- - --- 1,300 Valuations: Description Class Acres Land RESIDENTIAL G1 3.396 51,500 Totals for 2004: General Property 3.396 51,500 Woodland 0.000 0 All 3.396 51,500 Last Changed: 07/21/2004 Improve Total State Reason 27,300 78,800 NO 27,300 78,800 0 27,300 78,800 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)[. Permit Holder's Name: City Village X Township Houman, Kenneth Hudson Townshi CST BM Elev: Insp. BM Elev: BM Desc ' lion: ~ ~.~ ~ Z TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ ' Dosing ~~~ Aeration r' Holding TANK SETBACK INFORMATION TANK TO P/L WE~,1... ~ BLDG.. Ve~Air Intake ROAD Septic , 1 ' ~~ 2 ~ Dosing Z ~/ ~ (j°i~. Aeration Holding PUMP/SIPHON INFORMATIONJ~"~ Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Len h ~ ~ Dia. ~ Dist. \ Well' SOIL ABSORPTION SYSTEM 1C,6 ~+L,~ti,,, /~n,r ~~ ~L county: St. Croix Sanitary Permit No: 430484 0 State Plan ID No: Parcel Tax No: Section/Town/Range/Map No: 27.29.19. STATION BS HI FS ELEV. Benchm Z 3~ ~ ~~2, ~8r ~a Alt. BM S Bldg. Sewer X2.7 ~ •~f~ S Ht Inlet l3.a g ~- t s t Outlet 13. ~ Dt Inlet ~ 3 ~ g~. -7 Dt Botto 5,~~ Header/Man. ~~j, Dist. Pipe T~ ~ 7' .,e ¢ •. Bot. System Z3 Final Grade 1 'f+' ~ ~ ,~~ ~ ~ . St Cover / / ~, ~ L . ~ ~ / G~ " 1 (/ BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ / ' ~c,~L. SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM I-EACHIN Man facturer: ~ INFORMATION CHAMBER OR Typ Of System: ' ~ ~ ) ~ `~V ~ ~ UNIT odel Number: DISTRIBUTION SYSTEM Header/Manifold ~'' Distributi n Pipe(s) ~ x Hole Size -... x Hole Spacing Vent to Air Intake ~ t Di Len L th Di S i ~ ~ /' g a eng pac ng a SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil r ~i i ~ YesJ;, No J Yes J No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/~ Location: 653 Badlands Road H/u~ds~on~,,WI 54016 (NW 1/4 NE 1/4 27 T29N R19W) NA Lot 2 1.) Alt BM Description = ~'~ ICJ V N~~~ 2.) Bldg sewer length = !Z~ - amount of cover = ~ _ - _~ _. . ~_ Use other's de foruadditional in Yes [] No formation. -- - , -J _ _ _ - --- -- -- ----- SBD-6710 (R.3/97) Date Insepctor's Signature Inspection #2: / / Parcel No: 27.29.19. J I- - - -~ -- ~--~ -T Cert. No. f #~ S 3 ~~L~JpS ~~ • Safety 6c buildings Division pp Sa ary Permit Application 201 W Wa PO Box 7302 `~scoAS/h In accord with Comm 83.21, Wis. Adm. Code Madison, WI 53707-7302 Department or Commaroa Personal Information you provide maybe used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] state ownud. Attach com isle Isns to the count co onl for the s tem on a r not less than 8.1/2 x 11 inches in size. County ~~ /j . Slate Sanitary Permit Nun er ~~^ Ct~C j('revision to previous application State Plan I. D. Number -Please Print all Information y Owner Name Properly Location ` ~ 114 1 /4 S T N R~~ or y Owner's ai ing Address ~ Lot Number Blaeinl~ll~er ~ .~ ~Z P r. /~• ~ d~ City, S ~e ~ Zip Code~ / ~ Phone umb~ ~ ~ ~ ~ ~ ~ ~ ubdivision Name a CSM 'tuber II Type of Building: (check one) 2 Famil ~ 1 D lli N f B d cw ~ye/ tM. S ~ ~ ~ ~ ~ Z ~ ~ ~ °' city village , or y we ng - o. o e rooms: . fl Public/Commercial (describe use): ~ ~Ik GUliN1'f Town of 0 3tatC-OVfmCd ~ III Type o[ Permit: (Check only one box on line A. Check box on lin eareat Road. S p) I. 'Flew System 2. ^ Replacement 3. ^ Replacement of 4.. ^ Addition to Parcel Tax Number(s) ~{- ob ~ S tem Tank Onl Existin S stem • G) - 3U - Bdd $) Permil Numtxr - Dale Issued ^ A Sanitary Permit was ureviously issued IV. Type of POWT System: (Check all that apply) ~'Flon-}fressurized In-ground ^ Mound ^ Sand Filter ^ Constructed Wetland ~~[[~~ Pressurized In-ground ^ Bolding Tenk ^ Single Pass ^ Drip Line • O At-grade ^ Aerobic'freatment Unit O Recirculating O Olher. V Dia ersaUTreatment Area In[ormation: 1. Design Flow (gpd) 2. DlspersalArea 3. Dispersal Area 4. Soil Application S. Percolation Rate 6. System Elevation 7. Final Grsde Required r~ Propos r7 // Rate (Gals.s/d~ay/sq. (1.) (Min./inch) Q l f, l l Ele iron VI Tank Information Capacity in Gallons Total Gallons q of Tanks Manufacturer Prefab Con- Site Con- Steel Fiber- glass Plastic New Tanks Existing Tanks Crete atructed - ~ ^ ^ ^ ^ O ^ O ^ ^ Vll Kesponsibtlity Statement. __ I, the undersigned, assume responsibility for installation of the POWTS shown on the attached clans. 1.1; ~ e ~ ~~':~' d ~ 'I/~ -386 •- ~~ Plumber's Address (Street, City, Stale, Zip Cod VIII County/Dep rtment . se Only ^ Disapproved SaniWy Permit Fee (Includes Groundwater Date Issued 1 ruin AggetOS (No stamps) Approved ^ Owner Given initial Adverse Surdurge Fte) Z~ ~ ~ `~ f Z'~,a 3 • Det~rminetion ~ . IX. Conditions o[ Approval /Reasons for Disapprovalt'' 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. .1`J t~ (u / l`~ ~'l v t / ~/~ :, «~kl _S ~~~1 ~ cc~i ncle rs~ .. i _ ~` ~ -~ ~~ a ~~ ,o ~. , ~ ~N~ T~ P oft ~ ~ ~H si~,l P"+p~ ~,,,:.~' , 162,. 1 a'' _.. 37t' 0 a`~ ~- .7~0~ '~ y9' 5 ~"~'- Q ~ ia~~y~~ 5.~-~ . SU~ w 1b~~~ ~i }~c~ , ~ b ~~ ~~ H ~' . S \\\\ ~ ~ OO~/y (~vRou n^ u~~ ~~ c a -Tn~N~~ r 3 ~ 8~• S d d will -1 t 6 ~+aRK 0 0 ~I-ev = l off. s ~ ._---- i~ W ~n~pUUl ~~~~> u~ h. (~ ~t U u~01"~ 4 nt N G j ~~.Uv --- -~ ~~ - tI'~~~,I A~,!''r~ .. // w .'.'! O ~~ ~. ~ ~~~ y N- ~..I ~ .~~~ x ~~ ~. --~~- _._._ ....___.. __ _..._._...._- - - ..l ~l. .~. _..... _._..-- -.----- ._.. /y1an.___._...._.._.. ..__. N~M_ L-J ... _ gym. _. ~~u.m~,.e~ ~e1.''. ... _.L..,c~,C~r.L~r-~-3.. ~~.d~~ ~~~ ~.. . __ .L~~ c,~ GIs L ~ ~~~ yU.. y~. . _..._ _. _ ._ _... .._ ... _ ~~ ~ 7-- . ~~ a ,o Top o~ ~~~y SI'<{) P'i~t ~5, ~ ,' .r 3x' p ~°~ ql ~ 33 X Z~ ~o~ 75 v~ ss Q, y9' 3 ~ ~~~ S v ~~~~ . ~I-ev = 1 oa. s ~ ,.._-- i~ W ia~o yb~ 5~~,~ W~ b I uu ~~ }~{~; S ~ ~r~~eW ~ u~~ __ d w{ 11 f C~' -~- c !~- c u~ r- y N- R ~tt l.~ 001^1 V ttt N G r ~~,UU ~A~ .:q .. // O C `~ 0 .~ ' o~ .~ ~. ~ ~ .~ ~• ~ V D vvv a vm N h ~ ~ to rK x J i~ ~ f~l r ~~ Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code 1242 Page 1 of 3 Steel Soil Service County Altach complete site plan on paper not less than 8% x 11 inctres in size. Plan must St. Croix indude, but not limited to: vertical and hor¢ontal reference point (BM), direction and Parcel I D percent slope, scale ordimemsions, north arrow, and location and distance to nearest road. _ - " . . Pending Please p al~.i ~ettt4~r.. t £ ~ * ~ , a.. ev' By Date ~ ,, , _ Personal information you provide may used for secondary purposes (Privacy Law, .15.04 (1) (m)). / ~ Z}/03 Property Owner ! ,y r, ~~:~ Property Location Kelly, David Jr. Govt. Lot NW 1/4 NE 1/4 S 27 T 29 N R 19 W Property Owngr's Mailing Address Lot # Block # Subd. Name or CSM# 44 Kenwood Parkway ~'';; ,~~:: 2 na 3.396 Acres Ciiy State a hone Number ~ City J Village ~ Town Nearest Road Saint Paul ~ MN 55105 612-341-0881 Hudson Badlands Rd. New Construction Use: yJ Residential / Number of bedrooms 4 Code derived design flow rate _f Replacement J Public or commercial -Describe: Parent material outwash plains and stream terraces Flood plain elevation, if applicable General comments and recommendations: System elevation 93.70ft, trenches spaced and depth to code S.OOft below Bade 600 GPD na Boring # ~ Boring V_,_J Pit Ground Surface elev. 98.70 fl. Depth to limiting factor ~ 20 in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GP D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-16 10yr3/2 none sil 2msbk mfr gw 1vf .5 .8 2 16-42 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 42-51 7.5yr4/4 none Is osg mvfr di na .7 1.2 4 51-120 7.5yr4/6 none ms osg ml na na .7 1.2 ~ 9z•~! ` ~ 1b ~ `>' Boring # ~ Baring /~ Pit Ground Surface elev. 98.70 fl. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-14 10yr3/3 none sil 2msbk mfr gw 1vf .5 .8 2 14-36 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 36-60 7.5yr4/4 none sl/Is <-- 2msbk mfr gw na .5 .9 4 60-120 7.5yr4/6 none ms osg ml na na .7 1.2 .'F l l6.5~ "Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mg/L "Effluent #2 = BODS < 30 mg/L and TS5 < 30 mg/L CST Name (Please Print) Sin re: CST Number David J. Steel ~~ 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 1/29/2003 715-246-5085 Property Owner Kelly, David Jr. Parcel ID # Pending Page 2 of 3 Boring # J Boring /_J Pit Ground Surface elev. 98.00 ft. Depth to limiting factor 120 in. Soil Application Rate Hor¢on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. CoM. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0-16 10yr3/3 none sil 2msbk mfr gw 1vf .5 .8 2 16-36 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 36-48 7.5yr4l4 none sl 2msbk mfr gw na .5 .9 4 48-120 7.5yr4/6 none ms osg ml na na .7 1.2 qz.a' _----- ~ z~j o8 ^ Boring # ~ Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Hor¢on Depth Dominant Color Redox Description Texture Stnucture Consistence Boundary Roots in. Munsell Qu. Sz. CoM. Color Gr. Sz. Sh. "Eff#1 'Eff#2 ^ Boring # J Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Stnrcture Gr. Sz. Sh. Consistence Boundary Roots 'Eff#1 *Eff#2 'Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 < 150 mg/L 'Effluent #2 = BODS < 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 need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST-POWTSM David Kelly Jr. New Richxnond,WI 54017 L1C. #248956 NW1/4,NE1/4,S27,T29N,R19W Bus.(715) 246-6200 Town of Hudson, St. Croix Co. Res.(715) 246-5085 3.396 Acres Lot 2 Legend 1" = 40' Benchmark Ele. 100.00Ft Top of 1 '/a" steel pipe Alt Benchmark Ele. 102.SOFt op of 3" steel pipe -~ ^ =Borings _ _ _ ____ .___.__ Boring Elevations B 1 = 98.70Ft B2 = 98.70Ft B4 = OO.OOft AD ~ ~ ~ 6~ ~~ 3pFN , ~o~~ ~~~ a ~ 7 OBI ~ C , U2 ~,; ~ ~:4 i % -~~ ,~~<<.~ I /-zr-o3 SSA -~ ~~ q 3 N ~ ~~~ ~~ v-1r ~ 3 z` 2 ~, ~~ G ~~ rrt~ / `~ z ,y,/' ~y ~y I/ERTI~IED SURVEY MAP' A. Davit! Kelly. Jr, .'.rxw-ed iii jxiri vjthe Nor:/ixrest !'. tfie NruTJfensf '~. Oj.SCClI01I l7, 7•lM775{71p 29Norlh, Ru»~e 19 Wes/, %i~wtr aj1/adrrsi Sl. Croixt:cnuTty, Wi>~ur+~-r. 'i ~QT_t. C~'BT1.F.1ED.~ttf?Y~YMA~ - ~ . VOLsj_M_.E 1Q, PAGE287! KELLY ESTATES - ~ - !1N?.l~.~l~A ~ ~7.7~0 ~S ~ ~ aan1 ur RM~t ~. ~ ~ --- H ao s~cnc>wr2~.r•RRr9w ~° =s ~ pt=sw+rlrE2mtorJ -319'IfY3'E?drlall- I>'~pN ~ ~ •' ~ E .OCr -_ f[X~is 514'NY3'Ey L 2SN0.0~' _ _ _ +.~ NO,t,NLNE /~ ~ ~ ~ N E Q,OP ~. ~~ ~`~ 4- ~ N ~~ ,~\ ~ OFwl1 S ~ ~ NE7M ~ Y ~ S~~piyplr~ COfR/iVBERN7SE~1 q( ! ~~~ ~ ~-/r ~~ a ~ LASE .H.IANNlkA10AAlMEN1) - $ ,tplltrDR1VE1M9Y~ •~'( 'b'~+, rwESr ~ T f 3$ ' 'yam ~• ~ AfldliGSA14ERfED 9f ~ ~ r r~DrfENbRi!lLREO~F7flE ---- W ( s ~~ ~ ~ mORT~srfMOFSOECTfotrtf: r~1~ Rnw,Aasuum~As LOT 2 ? = 717925 SQ. FT. T f`~188' Ol~33Y6AC. 9CAi.EMF~ 8 I * ~ 1 ~•~ - 1W ~ a: $ ~ ~ 3 ~ ar~asAOC~ss ~ 778 HIlLFARM ROAD ~ ~ ~_.,, HU050N, IM 54016 m,~ ,y ~ ~ ~ ~ DoT f ~ ~ ~W ~ LEA ~ Tt0,78Q SQ. ~ ~ ~ ~- O ~ ORd.t50AL. /n MGXCA7ES 1.1/4' OA x 18"IROIV ~ PM~SETif$ly. yyr • t.t3L8AF.) ~ • IMIMCATES f"RON PIPE fOtlAfD MYdCATES 3' RON PIPE fQtkVD 4t-. % S 89'53'36' E 363.08' S p $Or. BORBYOS (PROPOSED SEP71C SYSTEM) ~ - ._- ~ sECTAOUCORIUeRManrlnu~urinslvota:D1 In~rcaTesr~IVC~I.aE OUTLOT 7 ~ ~~' DEt~MBER 3i, ZG02 .. 130,B~ SQ. f r. - OR3.000AC. ~ GpNStti ROr~icsore. i ~ v~uRE~=6" w r` , i~ ' M ~* *i 6 8 _,,.~~~~~ ~. ~ ~ 3.08' N~ ' ~ RIV6R FALLS. ~ ~' w~. _ dt rz I . ~ ~9 - - L11~BAOILIYYDSPRAdP7E ~ ~ ~ ~ '•-.... • ~o IANn sJ /~ ~1 I ~ ~ ~ ~ I ' ~~ SHEET7OF2 rlasavsrnu+NSkroa~rEneY.~auD~ cnasau ~~ 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 (POWYS) 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- Table 1: Svstem Desian Saecifications Sanita Permit Number Number of Bedrooms Desi n Flow -Peak (gpd) l) v Estimated Flow -Average ( pd) 07) Se tic Tank Capacity ("al) ~ Soil Absorption Component Size (ftZ) ~ ~- ~ Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Compo Soil Absorption Com onent Desi n Flow -Peak ( pd) 2(Q.© b ~ Maximum Influent Particle Size (in) i 1/8 Maximum BODE (m /L) ~ a V 220 Maximum TSS (mg/L) (S d 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 eve 3 ears 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 upgn the completion of service. Any opening deemed unsound, defective, yr 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 maybe 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. Soli Absoration 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 Tabte 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 piurnbing 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 was#ewater flow. When system fails; we will replace with another system at owner's expense. Alternate area must be left undisturbed. ~. St Croix County Zoning Office 386-4680 Boumeester & Sons Excavating 386-9020 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSI-IIP CERTIFICATION FORM OwnerBuyer Mailing Address Property Address ~~. (Verification required from Planning Department for new City/State ~ ~~~ /_~~". ~ Parcel Identification Number , LEGAL DESCRIPTION V ~ ~ ~~~ti~~ - Property Location ~ r~ 1/4, '/<, Sec. ~, T~N-R~.W, Town of ~ ~'L- Subdivision .Lot # ~,_. Certified Survey Map # ~~ ~ 5 G%~ ~ ,Volume .Page # a Warranty Deed ~~- . ~~'~`~~~ ~,~~ 1f ~, ,Volume Page # . /D Spec house ^ yes ~, no Lot lines identifiable (~l yes ^ no SYSTEM MAINTENANCE Improper use and maintenanceof 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastorplumber, journeymanplumber, restrictedplumber or a licensedpumperverifyingthat (1) the on-site wastewaterdisposal 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 Zoning Office within 30 days of the three year expiration date. ~_ '/ 03 GNA OF P ICANT ATE OWNER CERTIFICATION I (we) 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 pro rty d 'bed above,_by virtue of a warranty deed recorded in Register of Deeds Office. GNA OF ICANT DATE «s**ss Any information that is mis-representedmay result in the sanitary permit being revoked by the Zoning Department. ****** «* Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed u z~isP olo STATE BAR OF WISCONSIN FORM 2- 2000 Document Number WARRANTY DEED THIS DEED, made between A. David Kelly Jr, a married person, Grantor, and Kenneth A. Houman, a married person, Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: SEE ATTACHED EXHIBIT A Recording Area 74rb827 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. , WI RECEIVED FOR RECORD 09/22/2003 11:00AK WARRANTY DEED EXEKPT li REC FEE: 13.00 TRANS FEE : 240.00 COPY FEE: CG FEE; PAGES: 2 Name and Return Address: Edina Realty Title, [nc. 400 S. 2"~ St. -Suite 1 IS Exceptions to warranties: Hudson, WI 54016 Easements, restrictions and rights-of--way of record, if any. 405937 020-1074-30-000 tC ' Pazcel Identification Nu er (PIN) This is not homeste d property 1/ Dated this 19th day of September, 2003. ,~~~U,,,~11,~,t~-~ J~ . * A. David Kelly Jr * * AUTHEN'TiCATIOAI~-^'° ,... Signatures} ~' DIANE ~• BP`RRON authenticated this 19th d ~ r;'"101Y'3°~ s TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Edina Realty Title -Doug Berg 400 South Second Street # 115, Hudson, Wl 54016 (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 ACKNOWLEDGMENT STATE OF WISCONSIN ) ST. CROIX COUNTY. ) ss. Personally came before me this September l9, 2003 the above named A. David Kelly Jr, a married person to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: ~~~% g~~D~O ) ~3 WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 U 2~i16P 011 EXHIBIT A Parcel 1: ~' . of 2 f Certified Survey Map filed March 31, 2003 in Volumes 7 of Certified Survey Maps, a e 4 90, as Document o. 715 02 located in the NW 'h of the NE'/, of Section 27, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin. .03 03 b ~y Parcel 2: Together with a joint driveway easement dated ~"~~ , recorded q~o1o~, in Vol. ~`'~~, page D as Document No. (said easement is set forth as a requirement on Schedule BI Item No. 8. r7 Cf 0 g' aI0 ~, A 7 1 534.'i2 VOL17 PAGE 4490 KATHLEEN H. 1(~TL~R-- REGISTER OF DEEDS ST. CROIX CO.` XI RECEIVED FOR 1{ECORD 03/31/2003 10:45AM CERTIFIED SURYEY liAP CERTIFIED SURVEY MAP FAGESFEEZ 3.00 A. David Kelly, Jr. Located in part of the Northwest l/. of the Northeast ~/. of Section 27, Township 29 North, Range 19 West, Tawn of Hudson, St Croix County, Wisconsin. LOT i,-CERTIFIED SURVEY M~P VOLUME 10- PACE 2871 II UNPLATfED - - KELLY_ESTATES ~,AI110$ I ~7_T_~D 1- kGWiN}MCORWBQ~ (R(•(RRRZYI--~SSR00.S~~~3O3R'963%~~ - ~~~T~FROMS I (R~N'14/~ ~-S~MYYE~1~ N 00'OQTP E l7.OD' .. (R•NOD'25U0'EJ _ FouND r 1~PrE S00'~Y7.3' 1 LOT 2 ~ 147,925 SQ. FT. OR 3.398 AC. ~~ ~W 8~ ~g ~ ~~ ~ ~ ~4w~ IY ~ a s ~ 4 ~~ ~~€ ~ ~~ ~ 7 :, ~ ; ~li s a9.2s4r w n T.o ~ 3 I o ry 3~ ~~ 4 ~ LOT 1 ~ ~ g 4 190,780 SQ. FT. g OR 4.150 AC. ~ s 69°53'38' E 383.08' 5 OUTLOT 1 130,889 SQ. FT. OR 3.00'0 AC. (TO EE ADDED 70 LOT B, NUMB820 hNJ.S OR LOT 1 TO TFlENORTH) 6 N BEAIBNG4AI8: ro~~~~ KoRrreASr 1w of sECt1cN n, rsµ a 1s w, A4S1lMEDA: S M'41'IJ' E 3CALENFEET 1'~MI' 1 10 4410 KENWOOD PARKWAY ST. PAUL, MN 55105 LEGEND O INDICATES 1-1/4'O.D. x 18'IRON F1PE SET (MIN N?. - 1.13 LB.A.F.) • INDICATES 1' N20N PIPE FOUND BYDICATES 2' IRON PIPE fOUND e soa BowNCS (PRDPOSED sEPnc srsTEMi SECTION CORNER MONUMENT (AS NOTED) --~- M~ICATES FENCEL81~ x N 89°53'36" W 363.09' - •_ ~R ~ Y2 RODS OR 981 ~' . -" tp ~p/ ~ .. MONUMENTED NORTH '~'I~Y.D~ WrEBAttAIYDSPRASUE // 31 I 30 4 26 ~~~ ---- THIS INSTRUMENT DRAFTED BY JERALD L CARSON R~F r ~ NcrrTNeASrcarzvER SOIJTMRIGMDF.INAY -7 SECAQMY7, T79K R191Y S LMEBADLANDSROAO (FOUAI~j•y 8 ~a~ DATED: DECEMBER 91, T002 ~SG~NS~ti s1 ° ~ •LAURENCE ••~ w. MU `F~Y(Y ~' ~7~3 .* VER FALLS, ~ ~ p wi. ~0 ~J RFO •u,NO •9, SHEET 1 OF 2 Vo1.17 Page 4490 ntno' 3'on d m o ~ ~1. ~~ ' ~ v ~ ~~ ~ I ~ 3 ,~ ~ ~ ~ n 'Y I ~ 0 I Z Z O y O ~P = = N O ~ N ~• u ~ c a o N ~ ~ d (p N O~ y C p O O ~' f~D ~ ~ O ~ ~ O d ~ A~ r. 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