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HomeMy WebLinkAbout020-1479-18-000 S I C C*UN 1 11041k PLANNING November 19, 2009 Kernon Bast c/o Edina Realty, Inc. 400 South 2n Street ` Hudson, WI 54016 Code Administrat`n RE: Compliance deposit refunds for Cottonwood South '07 lots 715- 386 -4680 Section 36, Town of Hudson Land Information 6 Planning Dear Mr. Bast: 715- 386 -4674 I recently reviewed the Board of Adjustment Decision for the above subdivision while Real Pro pe, ' processing a sanitary permit application and noted that you have compliance deposits that 715 77 may be eligible for refund. According to Condition #5: Re• :;•cling "The plan shall be accompanied by a $100 nonrefundable staff review fee and a cash ',. - 386 -4675 compliance deposit for the lot. The compliance deposit for the six lots under construction shall be $1,100 each, and the compliance deposit for the remaining lots in the subdivision shall be $300 each. The cash compliance deposit will be held by the Zoning Administrator until construction is complete, permanent vegetation has been established, and the project is found to be in compliance with the conditions of this approval, at which time the deposit will be refunded in full. Upon completing construction on each lot, the applicant shall submit to the Zoning Administrator photos of the completed construction and certification from the 4.# project engineer that the construction has been completed as approved to serve as proof of compliance." Our sanitary database records show eight 8 rY g t ( )permits were issued whose POWTS have been installed and inspected. However, there are some non - compliance issues that must :x be resolved before lots 2 and lot 24 will be considered "complete ". We need to obtain elevations and documentation of the building sewer and tanks that were installed on lot 24 without county inspection and the mound on lot 2 does not meet the required setback from the north lot line. When we have received photos that document completion of construction on each lot, your 04. deposit refunds will be processed. Si ' - ely, Pam Quinn Zoning Specialist Cc: Brian & Molly Hayes, lot 24 property owners Andre Buechner, lot 2 property owner ST, CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715 - 386 -4686 FAX PZ@CO.SAINT-CRO /X. WI. US WWW, CO.SAINT- CROIX.WI.US •Wisconsin e artment of Commerce County: p PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 506355 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Bast, Kernon Hudson, Town of CST BM Elev: �7 Insp. BM Elev: BM Description: Section /To n /Range /Map N V U , U / O D , D X/ f 5 LL (/ is t gL6 36.29.19. TANK INFORMATION ELEVATION DATA —.--' TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. a jite__, Septic / 2— 0° Benchmark (Of, �� q� 1 D Dosing Alt. BM / Aeration ` Bldg. Sewer cs7 r/--) Sub cad i24,-0(44_ 4 /5 I 7_____ Holding St/I;_ft Inlpt /o -m cry = 7 5 St/Ht Outlet TANK SETBACK INFORMATION /D• E3 9s• 5° TANK TO P /L,/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet ----- J. Septic , f I f / C '" Dt Bottom 3b Dosing .S fax b / - 415- 23 Aeration - � Dist. Pipe --- - � lrt6ev /i. v" Holding —' Bot. System 0 � / 9 z-3 . Final Grade �� PUMP /SIPHON INFORMATION A / _ l ( 3-1 I I D Manufacturer D - mand St Cover ,J if GPM —�— v 4 � .( #,z/� J Model Number r,( S / / / V } O � 'ry �Q ° °0 iii Lift Friction Los� - Head TDH Ft Forcemain Length D Dist. to Well 1 SOIL ABSORPTION SYSTEM j t, ' GE/U.-- eCc..c&— BED /TRENCH Width / Len�9th t Of Tr es PIT DIMENSIONS No. Of Pits Inside Dia Liquid Depth DIMENSIONS (/I 1No. SETBACK SYSTEM TO P/L *r/ BLDG WELL /STREAM EACHING Manufacturer: INFORMATION 't rn ' CI AMBER OR Typ Of System: f N� I t 1 UNIT yodel Number: - IBUTION SYSTEM \ ' St friti Of_ f"" u. - :: g ,, IP istribution� t rx Hole Siz x Hole Spacing Vent to Air lntal�e,¢.„4 - -s Pipe(s) ���i�llll I --f �� 0 (/ Length Dia Length Dia Spacing SOIL OV ER x Pressure Systems Only xx Mound Or At - Grade Systems Only V 'J 1O h d I Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mu lc e Bed/Trench Center / _ '/� Bed /Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ( f_/ 2c(1 01 p/ pection #2: / / Location: 614 Schwalen Court Hudson, VJ 54016 (SW 1/4 SE 1/4 36 T29N R19W) Cottonwood South '07 Lot 18 � Parcel No: 36.29.19. 1.) Alt BM Description = ‘4# T Uk— 65: 2.) Bldg sewer length = / g r - amount of cover = f Plan revision Required? ',,1 Yes AZ i �[i Use other side for additional information. r! 1 2 � �� Ji� !/ �� _ (i(A-vim 4 ' -C" Date Insepctor's S re Cert. No. SBD -6710 (R.3/97) commerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 p Madison, WI • 17 1 ttisconsin San itary Permit Number (to be filled in by Co.) Department of Commerce 5 C (? 355 Sanitary Permit Applicatt 1 state Transac{ion ber In accordance with s. Comm. S3.21(2), Wis. Adm. Code, submission of this form to th • •rop - gove..mental " unit is required prior to obtaining a sanitary permit. Note: Application forms for s .. own - . • • d are roject Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be • d for' .ndary purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. 111111110......... • rp I L (' ° °-' 641111--- I. Applicatio Information - Please Print • . f , , i - ;on " ( � ``ter Property Own 's Name � " ® Parcel # < A 11Y C CE r esOLD∎ Prop rty Owner's Mailing Ad 2 r 10 Property Location l:9 ,4/)(5,1-4-Z., � � � s 1 e Govt. Lot City, 3 . e / Zip Code 111 11.1 Phone Nu NTy < /.,/ �/,, y., Section 36 r ,(circle one i► A' II. , T o? 9 N; R/ E or 11. Type of Building (check all that apply) Lot # 1 or 2 Family Dwelling - Number of Bed oms %, -P. r b I Q Subdivision Name V O \ 1�1�1� Block # (J _ j / )it/OM .Pr d ❑ Public /Commercial - Describe Use r F.Jf/ ❑ City of ✓w MI r S CSM Number ❑ Village of ❑ State Owned - Describe Use • � Z2 -ZZ jg Town of di.)e/J III. Type of Permit: (Check only on box on line A. Complete line 13 if applicable) A. ' New System y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only 0 Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New r S )/ Before Expiration Owner dicft. IV. Type of POWTS System /Component/Device: (Check all that apply) 0 Non - Pressurized In- Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd ).- Design Soil Applicati Rate(gpdsf) Dispersal Area Required (sf) / Dispersal Area Proposed sf) System Elevation / 106 • te , 7 5" VI, /, y/c.,2 I Der VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ;? ° o '° 0 New Tanks Existing Tanks 2 0 .- e a m �t �• o ' / w U v ) ti, rn it, t7 P . Septic or Holding Tank ) � V , , / , L 1I Dosing Chamber / � 4 ��� / . VII. Resp • , sibility Statement- I. the undersigned, assume respons' . ility for installation of the POWTS shown on the attached plans. Plumb 's ame •rint) Plumber's a MP/MPRS Number Business Phone Number Plu .ers . ddress treet. City, Stat Zip Code tY. P ) / rd VIII. County/Department Use Only / / y�ppprovcd t Disa Permit / Fee Date Is ed Issuing i nt Signature • PP • S �� a) / D 3 6 7 J - r Given Reason for • - *al �f IX. Condieasons for Disapproval /1k4 1. !Se tankeffluent filter and ) i7a 0r 1d[ . At, 64- %coo; dispersal cell must all be services / maintaineq • / Owy�,L ?Wet) A 'A -e. as per management plan provided by plumber. �Vv‘e•b'..—' 2. Alt setback requirements must be maintained P te-+ ae per app licable code / ordirri�es. 1 . ttach to c omplete plans for the system and sub 't to the only on paper 3ne � not less than 8 1/2 x 11 s in :4e `- - {� i s)5 -� � ' �b w� 4 r ' J p2G1a S.XG��t r" !0. Pe,f,M•• A is ' t SBD -6398 (R. 01/07) Valid thru 0l /09 d r 4- Gy. 1 - limas,. '� s prof 1. 4-74)611) J - 7'�9_ 7°/9t✓ 44.0.5& .r S"10 /Z 1 % /7 g h W' Aom.3 1 y9• _ .. V. t. 0 ,&n/ \ G',tedea- , 4&// 4, 10„,o.7/ /-31c r',o,,: -. l o --`3,1 ..i:/-Ahe tOk_ i__9& , 0,-/ F�.Zs : / 90 ' , /1/4)/tA) ... , ,4_y ' -- ;. :-/- 7,- - :4),5A) El. kg,A. -2— .___,) W-___,- 7 .- .,:-.ci_ _5 - 7:1;?Y 7"/7tti 1 , 9::>;9 .4 ,gin-,A, X _,X S J 61,0 Oi k) ,r •i ��/Z ■ i 2 /- /g 1 y , 1 9% /6e,3 V‘ , ' . , \(< S5 k ' ' \ \ \ \ \ a p ---- ; , ‘ .4",1\ �► d -2 , 1 ous;c 4.3 ,--/ /J / - . ,,.-1. 7Vc r ;a -._,` J o ' m. ,2A:'/fife ; ,4ostT / y / T 9 6 <i t - ,ice 9R ' sk ,Thedfmily 1 '� �6fi /�CoL�G25 e o 0. 1 -- 5- ;, 1>� ../;:A/V lAlk , X 4 ,1 ,y - ! /_s \-2�� , Y . Wisconsin SOIL EVALUATION REPORT ) #2004 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 ' Division of Safety and Buildings Steel's Soil Service Counf9 Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. / Pe ding Please print all information. Revi ed By Date Personal information you provide may be used for secondary p es (Pr acy Law, s. 15.04 (1) (m)). r , I ,, /Z / / co Property Owner �� 4O Property Location / Bast, Kernon �E,G� Govt. Lot na SE1 / SW1 /4, S36, T29N, R19W Property Owner's Mailing Address 6 0 6 1 Lot # Block # Subd. Name or CSM# 948 Labarge Rd. \I d 18 na Cottonwood Ridge South City State Zip CM Ph er City ❑ Village ❑ Town Nearest Road Hudson i WI i .401 . +1 - 3: • 5 Hudson 1 Cty Rd N New Construction Use: E Re identi- I umber of bedrooms 4 Code derived design flow rate 600 GPD r ri Replacement ❑ Pub is or commercial - Describe: na Parent material Silty sediment over Fractured limestone. Flood plain elevation, if applicable na ft. General comments Conventional system, sytstem elevation 96.55ft. Trenches spaced and depth to code 3.75ft below grade. and recommendations: # ❑ Boring Boring g E Pit Ground surface elev. 100.30 ft. Depth to limiting factor 110 in. Pp 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 -12 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 12 -29 10yr4/4 none scl 2msbk mfr cs na .4 .6 7. 3 29-36 7.5yr4/4 none sl 2msbk mfr cs na .6 1.0 4 36 -110 7.5yr4/6 none ms osg ml na na .7 1.6 1 y /l ii 9 6-7-66 It 1 I oq. J V 15 ❑ Boring 2 Boring # ❑ Pit Ground surface elev. 100.30 ft. Depth to limiting factor 110 in. 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 -14 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 14 -29 10yr4/4 none scl 2msbk mfr gw na .4 .6 3 29 -34 7.5yr4/4 none gr cos osg mvfr gw na .7 1.6 4 34 -110 7.5yr4/6 none / ms osg i ml na na .7 1.6 Ii q 7/ II 10 Z5 3 1 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg/ * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signatur - V CST Number David J. Steel /O' 248956 Address Steel's Soil Service A ./ — Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 10/20/2006 715 - 760 - 0347 SBD -8330 (R.07 /00) • • Property Owner Bast, Kernon Parcel ID # Pending Page 2 of 3 3 Boring # ❑ Boring 3.75 Pit Ground surface elev. 99.90 ft. Depth to limiting factor 110 in. 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 -14 10yr3/1 none sil 2msbk mfr cs if .6 .8 2 14 -36 10yr4/4 none scl 2msbk mfr gw na .4 .6 3 36 -110 7.5yr4/6 none ms osg mvfr na na .7 1.6 I I / / i► 4 {5 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 /ft 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/ft 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 <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 (R.07 /00) Steel's Soil Service • STEEL'S SOIL SERVICE 3 of 3 David J. Steel Kernon Bast 994 200 St. CST- POWTSM SE1 /4,SW1/4,S36,T29N,R19W Baldwin, WI 54002 Lic. #248956 Town of Hudson, St Croix Co. Direct 715- 760 -0347 Cottonwood Ridge South, Lot 18 Fax 715- 684 -3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. /- Legend N 1 " = 40' • = Benchmark Ele. 100.00 ft / �� Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.85 ft Top of 3/4" pvc pipe 1"�� ❑ = Borings Boring Elevations B1 = 100.30 ft B2 = 100.30 ft B3 = 99.90 ft B4 = 0.00 ft q� l% l e D • q v I Z ) 1 / • Q' .--:--)) . q.,:....------ 1039.7 _ ' � _® 1 037.9 rr.rr_ X \ '- r . + rrr - rr rrrr. . ' ‘ ri - --- . ...-i --K41--t---- - ..\.-\\ .., 1 .... ,0 ,_,.,.. „.......... _..;;.11.:6.......7,, r _ \ \, 1 ik,,, // Immi.---. __.....16-,-. \ t 10 L $szz, 7 _,,,,, e ,___, , ,,,,,/ •. _.,___ ,,...______,.........._.„ / / 7 i 'I' F� .. ' X p, z �� 046.3 is 00 ; vs 5 ;15 I ET!, , ; '- .... - N ro i 10 - ' 1 o . -7"1"1 111116- 441111L 'ij iI % 3 4Acr 1 es 1 ( •, 150786 sq. • X A. 3.4 1 16 10385 LBO 1040. +• 1-95548 3.59 • res 156247-•.ft • 'V C.B.A. - 1, : • C. ‘ 1100p, r5 LBO. i'040. 4 0 X 1036.2 1039.4 1G'• 1 2.60 Acres y - 3 2.84 110 - 8 113304 sq. ft 123840 sq. ft C.B.A = 1.6 AC. "-� t • • ` x- 2.39 Acres LB0= 1041.00 C. =.:. = Z.8AC. � . 103959sq. 00 =1+ •0 N 1 '' �°r - s78 °1 C.B.A, = 1.7 AC. N r" ` -- _ _ \ 4, -- - -_ LB0= 1042.00 CO — g - il X O -- ----- SB ° 501'E 20601 - 1 _ \ %F. 1039.0 � O r".''''`.............. 103674—_„0„,„„„„..\-:----- - - -- , ; - / /____ \ '19'1\ 6 , EE �p ,' ''''. PCl = 103 B O -;= pp 15 �°I IilI \ � � T \v ,BSS ♦� N `� � ;LW y =1:� �: - ,. • 10 �.;� �_ �� N PIT DEPTH 15' � • , _..,._- / _ f POND 1Ti�RING PI DEP �� � ! 1 J � X \ \ / ,+ 1 .39 i $ 1 - -- - -- - -- - -- -- - - -- - - - - -- - - - - - -- - -- - -- . E PREPARED FOR: COUNTY PLAT A KERNON BAST AND COTTONWOOD SOUTH OONA BARGER AD B4S LeBAROE Rg9AO HUDSON, WI 54016 N LOCATED IN PART OF THE OF SW1 /4 OF THE SE1 /4, IN PART OF THE SE1 /4 OF THE SW1 /4 AND PART OR OF THE NE1 /4 OF THE SW1 /4 OF SECTION 36, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, SURVEY EDWIN °,FWV WISCONSIN; INCLUDING LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 6, PAGE 1642. NORTHLAND SURVEYING, INC. 0560 HWY'65 00014 �' LEGEND LOCATION SKETCH ROBERTS, WI 54023 PHONE 715-744171B E L u —.. _1/ FAX 715.749-1719 S >441 >tB °w� d AEUH RUN COOxry s.rnON - - - -- - - -� __ ° caxxEx uoxur Z4O°xo — — tiitcmm,[v� }___- ...._� W ENGINEER € x D. IRON IRON RERAN ND Gn NG KIP JOHNSON ['I . LDS. a „NEAR FOOT __. 2920 INC. 'o .n t PER n FOND N 17 N\ f' 2929 EN STREET O x14 °10 PER O R SE, z i a I.so.BS HUDSON, WI 54010 1 f G 0 PHONE>1S3B152]] m (� ,'siEE H A it FAX 115-361 5338 _ ....... - - (6)# S g .. -. ,. UTILITY EASEMENT ONe N I���S sa ROADWAY WRACK .,,,‘.0.9.9!!".,‘,4",,, S , -- a UNDID AND Dn.wwE EASEMENT '.� _._ =J` U 3 • 1 : DRIVE - - s y * F u v 'l NG OPENNG E4vnn04 / // // 9 sox .om„ ;/ ». E4Y.r00 _ �•�r .� - / / �O UaE (Yq N SECTION 36, T 19 9W 6 / W.x.,Gx °xNnYxGNwAnumu. 60 'T C6)0 [©4 COTS` / a' D (10OVI MfaGn?MM© MO E Z ' P.tc,MS[ AT-010 1 ©,c9/4 - oANK0/0nE5 0 J / 0' 1 1 nrl nonUIMr,I -- I °' l a . \ a, , _ _ n � o / N » °s --- ° (0 1J G' vJOOO UD WfIC[3L - n a °g°W 987 as C9UN o a • NOM � • e19 _ TYTRUN N° LENDS INUNDATEDm E vsu. 90 - ma y - x ... - q _ NnEURAUY OCCURRING 44 ow NAVIGABLE WATER ARE .s >I I ` a — � SUBJECT TO TN! WIGGGNS � yy N ! q " .44`h5 43 0 , E \ S s Nz 4 wsucrm a,OOGm HE 6 2_ rv1y N 1 J xm A s lam_, 1SeI�F, tea,• a .es., . `07 V ON 19 � 1] DRD xN NIGN • e kr .. - _ wAEERNARN 00.000G. B x'4 LED.IDn 1 a . SN EO a ROT! ,.Am DnDPRE�R .. a $ELEVATION „ow N °x •..,.. r IN 1. ,zos LE0.10.0 DTI — --- m.r Y. e I ,, _ 24 � '�. �"'`” i fl 13 17 m .... 21 a s r • P 20 A 2 2 a D.,e NASD x SD rr. 2 20 nay. l ,weBB ¢ 8 ESD SD • T. SHAPED TURNABOUT s • ° ,� LOCATED AT TM END Or q ^� ex L] p ' oP.,a° w sEnLExExroxrvecorONxeo ,,< _ • _ - - Ro.o EX,Exe ox WILL DE REMOVED AT TIME OF :5 5 i ns eC5, - Y " \ _�-' -- xo_e,uE — s � --- I 10 G N EUEVA ON.In.,. 1 1 Ng 5 j r ya°: Qi- 12 *O N - �p 50o= low.00 G ^ . s . r s 8 i } w - 7 _ x HNG 1 E DSG ....... w s i 2 39Yw p E .,� E• 15 � � � 1 , � o �.—� I U LOT RESIDENT NOTE NO OWNER OR A I .Li I.. T _ -SnrN B I/ m / oR y� IAC ' OR CHANGE ENE N . q .BO.IOU OO o Io I _ I 1 i 1 :- A m , ." -. ‘0,'''' �9 NJ GN wAnREUI,r WNICN WOULD APPROVED N N �_ . p 8 S IB - Vrse ; -� MIS P OPERATION Or ENE COMPREHENSIVE WAIERA NSINe °w,exo MIS uE DNS INCLUDES Bur s NOT UNITED TO TRurnxG ALTERING, F LwN BUILDING UPON, oss `. - ORMAYAN°.OR PLANTING IN ARVDRAINAG! , � 'I J AREAS OR EASEMENTS. WATER DRAINAGE DITCHES. WATER R °NW.n WATERCU.vERn, BERxs GR ` #.# ,pr -..- ' N _ 40 °taBOa .N005 0 7 > • NW. =IOU. °P ORASSBEEDINOB »W .,D,eD LI1 13 J • D 1 . s] J •370:P ire, -i PW sw CORNER : -- uA.r WATER , EMIT mrE 1318 ea 21177 - K '2°°'� 1 n `�� "" Ners �r I ♦ D xoszz LIE ENESwU. ,1 s S E T IONw N 1 .80 - mm — N onx .w wGE EASEMENT RECORDED IN Doe. NO. eseal. m N8°60 3"E316.60 uallw_¢ek wm - - _. I_ ssenaxr .__: _ 6 _ .. - . 12660' 8750277 1716. NOVEL SC:NV/ALEN DRIVE CONTAINED OF NW COMmON sumo SYSTEM FOR LANDS INDNDATEO RV NO POLE OR Mimeo cAoLTS ARE To DE PLACED WEN WITHIN TNE RIGNT.ONWAII ANO LOTS S. 7. O. 0,10 A 11. OWNERS OF SA10 , , NATuRALLT OCCuRieNG TNAT ENS IRSTALLANON WOULD DISTURB APPI SURVEY TIME OF Lois NIEL, NAVE COmMON .0 EQUAL STAKE.OR OBSTRUCT VISION ALONG ANY LOT LINE OR YOU SE R0.00n0 AT ROAD EXTENSION. DwNEnsH1..N wD oUF.or. .Dn.Ic ,nUS. DOCTRINE . EDDA, TO THE WISCONSIN w ...form is A VIOLATION OF SECTION 338.32 OF YASCONSIN SET FORTY ARE FOR EN E E . U S D r BLICDO SAND oroe DESIGNER MR SE wI,H EA TG A4BEDRDDNN U.E. EACII PARCEL SHOWN ON THIS MA,PL" euiSUI ONO TO STATE, COWMAN° TOVNISNIP . ACCESS TO ARCED ETC,. BEFORE PURCHASING OR DEVELOPING PM PARCu. OP LIWO CONTACT ENE ST. CROW COUNTY A OFFICE AND APPROPRIATE NBArO Lan CONTACT TNE ZONING EDDE ERxIRE SUBJECT TO SNORELADD lONINO. OFAcT PRIOR TO 131711.01.10 COUNTY REOUIREMENTS. SCALE IN FEET 1' = 100' Inal 100 0 100 200 SHEET 2 OF 3 SHEETS TNIS INSTRUMENT MARTO SY ilnYN REED JOB PS-05 DATE 014607 Sep 17 2007 11:251* TERM SPEERBRST 7153868660 p.1 WI,_ iD:Yo rlattsa7O C - ST CROIx COUNTY SEPTIC TANK MAINTENANCE AGREEMENT • AND . OWNERSHIP CERTIFICATION FORM - Owner/Buyer Kasen__ .1 `r' Lillti Mailing Address _ Q� L4 - . kwg; 5�_ .. W 0� Property Address (verification required from Planning Department for sew constr tion) City/State Minn. 7l+u+s ''7 Panel Idcntirtcatioa Number LEGAI,yESCI 1YTION • Properly Location Sul ' /.. SE ' /•. Sec. �., T Zn! N-R / W, Town of f �, o samf Lot N /8 • Subdivision � . Certified Survey Map N ■ Volume Page d Warranty Deed* , Volume _, Page Spec house I( ycs 0 no Lot lines identifisblefil yes 0 no . SYSTEM MAINTENANCE - macntertan:c Improper use and epaimenoneeof your septic system amid math n h in o }remana a failure w hat you oner es of pasaptgg out the septic task terry three years or so. if needed by a harried pumper Whet into the system can efface die fuectioa of the septa took as a unman stage in the wane disposal system s.eernfiaation fang, � by die anger and br s -� property owner agrees to submit= St. Gout Zoning D tiny on�ste wrostewoteedisposst systrrn masrc. plumber, joueocyr•.taa► plumber. tcstrtetedolven or $ licensed pateuer fi� that ( ass at Metier uverarsg condition avubor in aftrr rmfrcnee sad pumping (if itetessaryL the septic tank is less ehaa 1/3 lull of sludge. maintain the wtm sewage disposal system .wadi the stvndsr' re t ' easacss and epee w i man Pa tad the above 1 Cut to Coro-mama Uwe the w -- a , . have ent of Nature It esorrres, Seale of W Ocea set Math. aa< ,, try the Deportment as beam g r asMil n res sad rise Do an mummy to the Sr. ratio County Zenina Office wAltntt 70 tnwse be sees - . ye � strsteag has brew rrw.tltar�.'r► eat d of t wan dum liA'Cts r A CT) APPLICANT it INN ". ' u A .:11 t ;1 • asked ! (we) am (are) the owrse r(s) 1 we) . - . uses this all statements u this florin tm true to the best of nay (our) knowledge of :I u1r I by ramie of a rarraesy died recorded to Regatta of Deeds Office. Nth __ t)wTE - 5 r• A :i APPLICANT permit being revoked by the Zoning Dcp•� ° a vast g abort Met a gnus- nprescnud may result s the unitary pe''R' Any onu D rrf •• Inchede with this eppticaooa: a stamped warrewmy deed from the Register of Deeds office s copy. of the certified surrey map if reference is made In ;beamingly deed • • . . Z 'd 3S8L996ST L u o s u t { o C uosnr d t T : t . E'QY t 82 . % 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page / of FILE INFORMATIO h 3,j,,,,0 ,,,, ��, ,,1,, L /g SYSTEM SPECIFICATIONS Owner L ,c r'4(7..) Septic Tank Capacity ga l ❑ NA Permit # Septic Tank Manufacturer ) ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ,y ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity gal KNA Estimated flow (average) J�a gal /day Pump Tank Manufacturer m`NA Design flow (peak), (Estimated x 1.5) (V.) gal /day Pump Manufacturer Ef NA Soil Application Rate gal /day /ftz Pump Model fiff NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit 'NA Fats, Oil & Grease (FOG) S30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total < otal Suspended Solids (TSS) _150 mg /L 0 Disinfection 0 Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (800 530 mg /L J in- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) <_30 mg /L NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA I I MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: r onth(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: � ❑ month(s) (Maximum 3 years) ❑ NA 1� year(s) month(s) Clean effluent filter At least once every: ❑ NA year(s) ❑ month(s) Inspect pump, pump controls & alarm At least once every: ❑ yearlsl ANA mush laterals and pressure test At least once every: ❑month(s) 12 NA ❑ year(s) e At least once every: ❑ month(s) ❑ NA ❑ year(s) 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 cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y 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 <12 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. Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) 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 cell(s) in one large dose, overloading the cell(s) 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 be 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 INSTALL RY POWTS MAINTAINER Name j `, %2d Name Phone 7 /S / / / TTT 7 C S / — Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name ,! ' , Phone Phone 7 This document was drafted ^n compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that Rnay impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) 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 cell(s) in one large dose, overloading the cell(s) 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 be 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: 34 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 INSTALL R POWTS MAINTAINER Name ih ✓ yyL . 0(--,Zad„Eli Name Phone 7 —_ 7 – Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name l j (44/./ I' / Phone Phone 7 3 -- , � 5 ?4 This document was drafted i^ compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.