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HomeMy WebLinkAbout022-1082-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division • INSPECTION REPORT Sanitary Permit No: 405073 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: Yunker, Rose Marie Kinnickinnic Township 022 - 1082 -10 -000 CST BM Elev: , Insp. BM 7lev: BM Description: Q or TANK INFORMATION J ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ` , ,t&k4/ 1 0 0 0 Benchmark` 3 - 7 1 10�> i Dosing Alt. BM Aeration Bldg. Sewer Sl 2of4r 11 ! '75 �sr ,IS Holding iyHt Inlet 1 -75 -1 tJ G q / TANK SETBACK INFORMATION t/ t O TANK TO P/L WELL # BL DGVen t to Air Intake ROAD Dt Inlet T . p Septic i d 4 Dt Bottom Dosing 1 Header /Man. It S 47 let-, Aeration gist. Pipe a / Holding Bot. System PUMP /SIPHON INFORMATION Final Grade L I -3 9 -3, Manufacturer Deman St Cow GPM /fit }� B�, 1 0 . q ct -1 3 Mo umber TDH Lift ion Loss System Head TDH t Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BE DITRE N CH Width , Len No. Of Tren PIT DIME No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manyfa to er�� INFORMATION Type f Syste CHAMBER O m: ZLI ( �"� Model Number: 1 2y DISTRIBUTION SYSTEM 1 4 6 Header /Manifold IDistribution Hole Size x Hole Spacing q\r(ent to Ai Intake �^ —1 r N Pipe(s) / � I J -��� Length Dia Length Dia Spacing_ 1 � Q SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center I ( r Bed/Trench Edges Topsoil / �'" �r Yes No Yes (� No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 1 L ' Inspection #2: ! / Locatiorl:� 6 Rifle Range Rd River Falls, WI 5402 SSE 114 SE 114 28 T28N 11118W) NA Lot Parcel No: 28.28.18.448 1.) Alt BM Description = sue' WYe r, hi, �oYw. 2.) Bldg sewer length = Z & - amount of cover = Y� S ' Plan revision Required? Yes [ No Use other side for additional information. - - -- .. __ SBD -6710 (R.3/97) Date Insepctor's S nature Cert. No. r /�q( Safety and Buildings Division county {{ 201 W. Washington Ave., P.O. Box 7162 Viscons Madison, WI 53707 - 7162 Site Address °Department of Commerce - �;, --0 Obi �� Q� Sanitary Permit Application Sanitary Permit Number so3-3 In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision way be used for secondary ses Privacy Law, s15.04(1 m I. Application Information - Please Print All Information State Plan I.D. N umber --— Property Owner's Name l arcel Number E - 0 S © a -<d &A- �p Property Owner's Mailing Address r OZ perty Location �y 'k; Ss _ N, 194 City, State Zip Code hone G OFFICE t Number Block Number Subdivision Name CSM Number H. Type of Building (check all that apply) >1 - °P^w.'v` } e i []City or 2 Family Dwelling - Number of Bedrooms u ��^ ❑V171age ❑ Public /Commercial - Describe Use hip ❑ State Owned Nearest M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete Ilde B if applicable A For County use ew 2 ❑Replacement System 3 ❑ Replacement of 6 ❑ Addition to stem Tank Onl Exis ' S stem B. ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) MANO a - Pressurized In- Ground 2111 Mound 47 ❑ Sand Filter 50 11 Constructed Wetland A U Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. D' rsal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area S Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) pf © Elevation � 50 �� �33 �--- VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the and a responsibility for installation of the POWTS shown on the attached plans. Plu mber's Name �) Plumber' cure MP/MPRS Number Business Phone Number 1 , 2 1— Plumber's Address (Street, City, S te, Z' e) VIII. Count /De artment Use Onl Sanitary Permit Fee (includes Groundwater to Issued Issuing Agent Signature (No Stamps) Approved ❑ Disapproved Surcharge Fee) ev ❑ Owner Given Initial Adverse �- Determination ZZ� . IL LAAN. IX. Conditions of Approval/Reasons for Disapprov Attach rnmplete plans (to the County only) for the system on paper not leas than 81/2 x 11 Inches in size SBD -6398 (R. 05101) PLOT LAN PROJECT Rose Marie Yunker A RESS 1198 Rifle Ranae Rd River Falls Wi 54022 SE 1/4 SE 1/4S 28 /T 28 18 W TOWN Kinnickinnic COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/6/02 BEDROOM 3 CONVENTIONAL XXX IN -GR ND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 BENCHMARK .R :P. Top of Steel Fence Post with orang ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL •H.R.P. Same as Benchmark SYSTEM ELEVATION 91.0/90.0 Alt. B — Top of Steel Fence Post with Orange Ribbon @ 101.2' Property Lin Vent Plans Designed Using >611 Standard Infiltrator Conventional Powts of Cover Leaching Chamber Manual Version 2.0 with 31.1 ft2 of Area 6' Long 12" 3419 Grade at System Elevation Vents B ST 13 %' 2 Slo 5 ' Pro 3 150' B -3 Bedroom 2 -3' 94' Cells with >3' Spacing 145' 0 ' B- 5' Vents 10' 1 M. Property Line PLOT PLAN PRO Rose Marie Yunker' A RESS 1198 Rifle Ranae Rd River Falls Wi 54022 SE 1/4 SE 1 /4 * S 28 /T 28 N' 18 W TOWN Kinnickinnic COUNTY ST. CROIX ,7 MPRS Shaun Bird 226900 _ DATE5 /6/02 BEDROOM 3 CONVENTIONAL )= IN -GR UND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 BENCHMARK R.P. Top of Steel Fence Post with orang ASSUME ELEVATION 100' Filter Zabel A -100 - - -- ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 91.0/90.0 =Alt.Bo— Top of Steel Fence Post with Orange Ribbon @ 101.2' Property Lin Vent Plans Designed Using >6 „ Standard Infiltrator Conventional Powts of Cover Leaching Chamber Manual Version 2.0 with 3 1. 1 ft2 of Area 6' Long 12" t~ ✓ 3 4" Grade at System Elevation � — Vents ST 13% 10' Slo e 5' Pro 3 B -3 150' Bedroom 2 -3' X 94' Cells with >3' Spacing 1 451 0' LU B- 5 , Vents 10' 1 M. Property Line Pd 0113 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on pallier not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Reviewed by Date Personal information you provide may be used for ary purposes (Privacy Law, s. 15. (1) (m)). Property Owner Q PR O Prop Location n `o ti L 200 Govt. Lot 1/4 '1/4 S,, -,�' T N R E (or W Property Owner's Mailing Addres s ,n CL IX COUNT Lot Block # Subd. Name or CSM# f / P , ' . Z ING OFFICE City State Zip Code 0 Phone Number ❑ City ❑ Village own Nearest Road New Construction Use: Residential / Number of bedrooms _ Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable General comments c and recommendations: "'� �� l r ' l ' ! J i Cj'�r, 06 ❑ Boring # ,❑� Boring -f T 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 i in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2 1? — < 3o7(, G 171 Boring # ❑ Boring / C 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 ( I V L S" 9/. b ' Effluent #1 = BOD > 30 < 220 mg/L and T S >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L CST Name (Please Print) Signature CST N mber ✓J- G "s i L � ( -% Address Date Evaluation Conducted Telephone Number / l • SBD -8330 (R07 /00) 1 Property Owner Parcel ID # Page of 1 7�Boring # ❑ Boring Ground surface elev. ' ft. Depth to limiting factop in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'E Ef ff#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 Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz 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) r - - a i 4 Soil Test Plot Plan Project Name Rose Marie Yunker Shaun Bird Address 1198 Rifle Range Road River Falls Wi 54022 CSTW Lot ------ Subdivision ------- Date 3/30/02 SE 1/4 SE 1/4S 28 T 28 N /R W Township Kinnickinnic M Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post with Orange Ribbon System Elevation 91.0/90.5 *HRpSame as Benchmark Alt. BM Top of Steel Fence Post with Orange Ribbon @ 101.2' Prope Line v a� r 89 , 91' 93' B -2 13% 4M slope 5' Pro 3 150' 0 , Bedroom House Tr �i►. 45' 30' B- 25' 10' 10' .M. 10' Property Line 0 ? \ ° ? �m 7_( 7 § � $© M (/ 0 ° A C\ 3 m G f c % \ _ \ ' K) M. . ,@C B L o'\® w / \ . 00 $ ^ [ ƒ / _ \ = � § § \ k [ m 0§ � CO§ m O ° ) ~ / \ / - S m . E E m \! o o E ( § E \ o 2 g v » 2 \ . E y f } e § . 3 ) G. $ § (: o m, ® 0 $ £ - § C. § n r 2 S / 8 8 \ j & [ CL 0 0 0 o \ ' \, ! t oz 2 3 ■ ■ ■§\ y \ / R \ 2 > �ovf .) f } � cr [ D , § F to (. 7 2 z , �. \ z 0 / \ \ \ 0 ; \ƒ �, ƒ \ \ M � E :3 i \ § a \ . \ / \ / z m CD cn \ \ C ¥ \ I N) 00 ! ; m % 00 - } k z \ \ j , ƒ \ » G§«EC . /]\ k § C§��� \ &Entz cn E §\� \( //\ O N Co 0 c a / \/� \ EE) \ = k D o CD I /00 / \ � m ■ CD 0 \ < , . / \ CD Parcel #: 022 - 1082 -10 -050 03/26/2007 02:44 PM PAGE 1 OF 1 Alt. Parcel #: 28.28.18.448A -10 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner C/O LYNN SOMMERS O - YUNKER, ROSE M TRUST ROSE M TRUST YUNKER 1197 RIFLE RANGE RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 30.502 Plat: N/A -NOT AVAILABLE SEC 28 T28N R1 8W SE SE EXC PT TO CSM Block/Condo Bldg: 8/2282 & EXC PT TO CSM 9/2695 EXC CSM 16/4299 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 28N -18W SE SE Notes: Parcel History: Date Doc # Vol /Page Type 02/20/2004 754690 2512/602 QC 02/20/2004 754689 2512/601 QC 06/05/2001 647420 1653/414 TI 06/05/2001 270789 390/196 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/11/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 29.000 2,900 0 2,900 NO UNDEVELOPED G5 1.502 200 0 200 NO Totals for 2007: General Property 30.502 3,100 0 3,100 Woodland 0.000 0 0 Totals for 2006: General Property 30.502 3,100 0 3,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i FILED pp OCT 19 19 8 `at��ela5w JAMES O'CONNELL R ister ct oeds D _ \ St. Croix ` GO CERTIFIED SURVEY MAP j/ ARNOLO AND HOSE YUNKER \VV Part of the Southeast 114 of the Southeast 114 of Section 28, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix Coo -rity, Wisconsin. E //4 COP. S'C`C. 2B, r28N, R/9 W, (2 "IR0 N PIPE F0UNDI Owner's Address: Route 2, Box 186 UN PL A T T ED L A /V D5 River Falls, WT 54022 N 90 E 38 V, 29' 4' W h � b O � P v \ (n W w h w ) O � O N 2 0 o a � of w LOT' Q w 5, 003 ACRES ? H O 217, 92? S0. Fr, 1 h ti Q p 4.947ACRES EXC. ROAD R,O,W. 202, 406 60, Fr, o zt � � m b O I Z N C o J k» 2 v � O � U Y - s w 1 7 COURSE 3 �� � � \ � \ � ( O Indicates 1" x 24" iron 0 O pipe weighing 1,13 lbs. /lin• ft, set. oo ,w w \� \ ` �' W U R Y a } 1713 � e CP •. RIVF�R FALLS, w W ISC. ��.� / N ��at1t16s��� Si COP, :, r "c. 247, 7" 28 N, R 18 W, Laurence W • Murphy t COUNrr'SURV£YOR'5 MON.J Registered Land Surveyor SCALE l " • /00' Q 50' /00' 150' 200' 300' Gated: Sept. 21, 1990 Vol. 8 Page 22 Certified Survey Maps St. Croix County, Wisconsin. SHEE T l pF2 1 • • • • .. 1 • • . • .•- • - • . • • . . --• • •- •-. • - . • • • -. • .•• • -• • • ww • l Gib■ ■ ■ ■ ■ ■ ■ ■\��� ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ .... ■i ■iin ■ ■ ■ ■■ III !!������1:I' ■iF�71�1� ■ ■ ■ ■ ■ ■ ■ ■■ - . fi.�7l iii ■►a ■ ■ ■�1 ■� ■ ■ ■f�i■ ■LI ■ii��!Liiri!l ■ ■ ■ ■ ■ ■/! ■ ■ ■ ■ ■ ■ ■ ■ ■ii ■■ill! /, % ■!! ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ' . ■■ i■ ii�� ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■■■ T m EROSION CONTROL PLAN CHECKLIST, . Q F M Check (✓) appropriate boxes below, and complete the site diagram 1 m with necessary information. z 0 z Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. a ❑' Location of existing drainageways, streams, rivers, lakes, wetlands or wells. Location of storm sewer inlets. Location of existing and proposed buildings and paved areas. The disturbed area on the lot. Approximate gradient and direction of slopes before grading operations. Approximate gradient and direction of slopes after grading operations. Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices Location of temporary soil storage piles. Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway. Location of access drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less). Location of sediment controls (filter fabric fence, straw bale fence or 10- foot -wide vegetative strip) that will prevent eroded soil from leaving the site. Location of sediment barriers around on -site storm sewer inlets. Location of diversions. Note: Although not specifically required by code, it is recommended that concen- trated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow)from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or seeding with use of erosion control mats. Location of practices that will control erosion on areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In- channel practices should not be installed in perennial streams (streams with year round flow). Location of other planned practices not already noted. Indicate management strategy by checking (✓) the appropriate box. d Management Strategies Temporary stabilization of disturbed areas. Note: It is recommended that disturbed areas and soil piles left inactive for extended " periods of time be stabilized by seeding (between April 1 and September 15), or by other cover, such as tarping or mulching. v Permanent stabilization of site by re- vegetation or other means as soon as possible (lawn establishment). • Indicate re- vegetation method: Seed ❑ Sod ❑ Other • Expected date of permanent re- vegetation: • Re- vegetation responsibility of: ❑ Builde Owner /Buyer • Is temporary seeding or mulching plann if site is not seeded by Sept. 15 or sodded by Nov. 15? ❑ Ye No Use of downspout and /or sump pump outlet a ensions. Note: It is recommended that flow from downspouts and sump pump outlets be routed through plastic drainage pipe to stable areas such as established sod or pavement. Trapping sediment during de- watering operations. Note: Sediment -laden discharge water from pumping operations should be ponded behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off -site by wind or water. Maintenance of erosion control practices. ` Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the height o f the barrier. • Breaks and gaps in sediment fences and barriers will be repaired imme- diately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. For more assistance on plan preparation, refer to the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW— Extension publication Erosion Control for Home Builders. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available through the State of Wisconsin Document Sales, (608) 266 -3558. Erosion Control for Home Builders (GWQ001) can be ordered through Extension Publications, (608) 262 -3346 of the Department of Commerce, (608) 267 -4405. EROSION CONTROL REGULATIONS Erosion control and stormwater regulations can be complex. Local, state and, in some cases, federal regulations may apply. Before construction make sure you have the appropriate permits. LOCAL ORDINANCES Check with your county, city, village, or town for any local erosion control ordinances including shoreland zoning require- ments. Except for new 1- St 2- family dwellings, local ordinances may be more strict than state regulations. They may also require erosion control on construction projects not affected by state or federal regulations. UNIFORM IDWELLIN G CODE (DEPT. :OF COMMERCE , ' CONTROLS REQUIRED FOR MORE INFORMATION, CONTACT: • Silt fences, straw bales, or other approved perimeter • Local building inspector measures along downslope sides and side slopes. e Department of Commerce, Safety and Buildings Division, • Access drive. P.O. Box 7969, Madison, Wis. 53707, (608) 266 -2128. • Straw bales, filter fabric fences or other barriers to protect on -site sewer inlets. • Additional controls if needed for steep slopes or other special conditions. STORMWATER PERMIT (DEPT. OF NATURAL RESOURCES) CONTROLS REQUIRED FOR MORE INFORMATION, CONTACT • Erosion control measures specified in the Wisconsin Department of Natural Resources, Storm Water Permits, Construction Site Best Management Practice Handbook. PO, 7921, Madison, WI 53707 -7921, (608) 266 -7078. • Measures to control storm water after construction. w This publication is available from county UW- Extension offices or from Extension Publications, 45 N. Charter St., Madison, WI 53715. (608) 262 -3346 or toll -free (877) 947 -7827. A publication of the University of ,,,, Wisconsin— Extension in cooperation with the Wisconsin Department of Natural Resources. E agnsion ©1999 by the Board of Regents of the University of Wisconsin System. Send inquiries about copyright permission to: Director, Cooperative Extension Publications, 201 Hiram Smith Hall, 1545 Observatory Dr., Madison, WI 53706. University of Wisconsin- Extension is an EEO /Affirmative Action employer and provides equal opportunities in employment and programming, including Title IX and ADA requirements. GW0001A Standard Erosion Control Plan for 1 & 2 Family Dwelling Construction Sites A Printed on DNR Vi/T-458-96 R- 02- 02- 2M -10 -S Editing and design by the Environmental Resources Center, University of Wisconsin- Extension. roof recycled paper r Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. if system fails, determine cause of failure, use aftemate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 71 5- 246 -4516 q z n 7/ - 7/j -- 80 Shaun Bird #226900 ST CROIX COUNTY . SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 'A- Mailing Address Property Address 1 9 R (Verification required from P" Department for new construction) _ City /State 1'9L-1& l� � Parcel Identification Number 92-1- 2 - %U LEGAL DESCRIPTION ''// Property Location --�8 1 /4, �� i /4, Sec. a8 . T o28 N -R� K& _W, Town of rl Subdivision Lot # `-"— Certified Survey Map # . Volume Page # I g n Deed # c, /� �� Volume Page # l r Warrant Spec house ❑ yes d no Lot lines identifiable yes ❑ no SYSTEM CE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (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 113 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 vWinttaiu.ed must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLIC DATE 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 ro:des cribed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIA OF APP ANT DATE * * * * ** being revoked b the Zoning Department. * * * * ** Any information that is mis- represented may result in the sanitary g Y g p ** 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 I ���� r 1 ✓ f-- b ' - F , ✓- o i WARRANTY DEED. =Co Husband and Wife as Joint Tenants FORM 399 (Revised) , This Indenture, Made this . _. ._79 th -- _ ------ -day of . May___ . . . ..... i - - -_ -, - - -- , n the year of our Lord, one thousand nine hundred and ..- _S- iXty. -tWQ ----- -.- between -_.- - - - - - -- Arc -hibid .i,.. Love.Qty..dl�a- -C.eCe lid- A- ,-- _Iq`'`�- dry.,.- .husband__.a d wife., ... - ---- - -- - - -- - -- -- - -- - - -- - - - -- -- -- - - - - -- ..part- i - -of the first part, and --------- .----- - - - - -- -- - Arnold.M. Yunker. and Rose _Marie.- Yuaker,_ husband and wife, -- ...... _. -_ _ of St, Croix Count .- . _Y, .Wisconsin- _ _- husband and wife, as joint tenants, parties of the second part. Witnesseth, That the said part ..iES_ . of the first part, for and in consideration of the sum of - -- Fifteen Thousand ($15,000.00) -------------------- - - - - -- Dollars, to _them in hand paid by the said parties of the second part, the receipt whereof is hereht• confessed and acknowledged, ha ve given, granted, bargained, sold, renrised, released, aliened, conveyed and confirmed, and by these presents do give, ;rant, hargain, sell, remi�v, release, alien, eonvuv and confirm unto the said parties of the second part, as joint tenants, the following described real cst,rte, situated in the Connt) of St. Croix Mid State of Wisconsin, to -wit The South Half (S 1/2) of the Northeast Quart(_r (1\E 1/4) , the South - east Quarter (SE 1/4) of the Northwest Quarter (NW 1 , the South Half (S 1/2) of the Southeast Quarter (SE 1/4), the Northeast Quarter (NE 1/4) of the Southeast Quarter (SE 1/4) , Section Twent Eight (28) Township Twenty Eight (28) North, Range Eighte(m 0 t;) Xost, the Northwest Quarter (NW 1/4) of the Northeast Quart(:r (NE 1/4) , Sec- tion Thirty three (33), Township Twenty eight (28) North, Range Eighteen (18) West, and the West one (1) rod of the SuLiLnwest Quar- ter (SW 1/4) of the Northeast Quarter (NE 1 %4) , Section Thirty -three (33), Township Twenty eight (28) North, Ranyt� Eighteen (18) West. - IN Together with all and singuLu the hereditament, and appurtenances thereunto belonging or in any NNisc apper- taining; and all the estate, right, title, interest, claim or demand whatsoever, of the said parties of the first part. either in lay. ur equity, either in possession or expectancy of, in and to the above bargained premises, and their heredita- ments and appurtenances. To have and to hold the said premises as above described, with the hereditaments and appurtenances, unto the I said parties of the second part, as joint tenants. , t And the said Archibald L. Lowery and Cecelia A.. Lowery, husband and wife, - part ies of tilt, lirst part, fur their heirs, cvccutor, and adnlini'tiators, do -- _covenant, grant, bargain, and agree to and Ivith the said Imt - ties of the s,'cund I,;ut, and to and \vith the survivor of thern, his or her heirs and assil;ns, that at tilt tint• of the ensealinl; and delivery of these they are tte11 seized of the prenil w,; ;11 >occ dwe(ll)ed, as of a good, anre, p -11o' cl. ;tl)solutt' and indefea,ible esttte of inheritant t• in the I;nv, in fee pimple, :111d that the ,;ln)e are free and clew from ;111 in, nnlbrulcc :; N1 hatever, excepting any liens or encumbrances created or suffered to be created by the actions or defaults of the parties of the second part, :111(1 that the ;)hove k1l't;aincd in the (luicl ;ul.1 peaceable possession of the said parties of tilt' sct and part, :1s joint tenants, his or her heir, and ;�ssi�ns, :I ain�t Al and vvel-N persons la%%fully clainling tilt- whole or an "' part thereof, 'ley NNi11 forever WAItRA \T AN' I) I)P,FI ,NI). itt Witness Whereof, the ,aid part ies of tilt first p;u ha ve hereunto set their 11nnd Sand ,cal s thi, Of May A. 1)., 19 62. N' S"'lted, Sealed and I)clivered in Presence of I I Archibald L, Lowe Ce celia T�. Lowery Tohn d)L Davison ( »•:111.) J eanette J ensen ensen STATE. OF WISCONSIN, Pierce t'ontliv Person;llly c,uue before ne, thi, day of _ -- . -May - A. D., I 62 the ;1hovr l,nn,ed Archibald L. Lowery and Cecelia A. Lowery, husband and wife, w to nut knonn to h. the per,ons N\ f it) I pct utt(I tilt• for(Aoin� in�,trun)ent and ackno%%ledt;ed the same. . 1 � dl}t115 fMSTRUIPFTI'A -- E;I�r -r c - UNFj Notary Public, PicrCE, " y1 i My Commission Art )fea- -t -- - - - - - - �� is p,,rm'nen . (Section 59.51 (1) of the Wisconsin Statutes provldes that all Instruments to be recorded shall have plainly printed oa, typewritten thereon the names of the grantors, grantees, witnesses art t _ t C\I. O ,p L tB � YY o ) p W 0 L C ` o + U v i u l ur > Cl t o l� 259 21 CD 22 m rive ?38 238 • • � �' Q N 234 • r ' D ri ��, 231 - o 213 205 206 203 203 195 201 CID 199 204 193 201 194 • 197 �a r M )172 166 �� O I 60 • N � W 154. iff � 152 • A • 153 149 • 27 150 m 147 28 146 O Ix 136 30 130 • 1 131 123 115 117 n • 110 • 113 1197 • C N 103 87 8 75 � F 76 .^_ 85 0 o L 63 56 n 33 W E 55 N M 3 4 0 1 a w 32 26 aa` PIERCE COUNTY -----_--------------------