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HomeMy WebLinkAbout026-1108-90-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety arx."Building Division INSPECTION REPORT Sanitary Permit No: 506333 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: Theis, Mark I Richmond, Town of 026- 1108 -90 -000 CST BM Elev: Insp. BM Elev: BM Descr' 'on: Section/Town /Range /Map No: /P •p I 04.30.18.607 f0(), U TANK INFORMATION ELEVATIbN DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / 2- i 2 S'f I• q /a /. v �va Dosing 7�' Alt. BM Com: bb • Aeration Bldg. S wer o-�ol / t iv o. v 1/ - Holding St/Ht Inlet �! 9/. TANK SETBACK INFORMATION SUHt Outlet TANK TO P � /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ' 30 / >3 0' 2 0 Dt Bottom Dosing ' Header /Man. S 17 1 O Q Aeration Dist. Pipe f ki l q Gi3.s Holding Bot. System �'"` t f .0 Final Grad� PUMP /SIPHON INFORMATION 5 . 1 Manufacturer Demand St Cover i YS Z ' C� GPM Model Number 5-- &4) ` �• SS ice. TDH Lift Friction Jo&s System H d TDH Ft / e7 l r (� 7• Forcemain Len th Dia. n &) Di , to Well , �/y� 4-Z 3 2 C� SOIL ABSORPTION SYSTEM / c t, BED /TRENCH Width Length No. Of Trenches PIT DIMENSIO No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Ofi SETBACK SYSTEM TO ' P/L G BLDG WELL LAKE /STREAM EACHING Manufactur INFORMATION HAMBER o Type System: 6 u Model Number: J 2,9-q- D RIBUT N SYSTEM �jy1 7, CE4 wa nev YwR $ Heale anifo Distribution x Hole Size x Hole Spacing Ve toAir Intake h Pipes/1 �►� 7 0o ength Dia Length �U Dia Spacing ! ",_ J SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only J Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched t� „� r Bed/Tr Center Bed /Trench Edges Topsoil Yes g,s!, No Yes No J'• COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:�/ Inspection #2: / / Location: 1187 174th n Avenue New R Ri» iichmond, WI �54017 (NE 1/4 SE 1/4 4 T30N R18W) Vie�7 brocks� River Valle Addition Parcel No: 04. " 1.) Alt BM Description = F d/ W � 2 �' "� �—► Vi " �a'`� . `° r-.,,/� yS ���f 2.) Bldg sewer length = /� i� /� ��iW L 15'D76 �/a'Y(�G� /C 1171Ar'w`" - amount of cover => Q Plan revision Required? 1 � Yes VeNo Use other side for additional information. Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) commerce.wl Safety and Buildings Division County e 201 W. Washington Ave., P.O. Box 7162 s co n s� Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) tiepartment tmnt Of a ■commeroe 3 3 Sanitary Permit Application State Transaction Num r In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than ma ing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary /g7 77 }k p urposes in accordance with the Privacy Law, s. 15.0 1 m Stats.� J 1. Application Information — Please Print All In rm 'on Property Owner's Name Parcel # of � -6 Property Owner's Mailing Address Property Location / 6 7 iX COUNTY Govt. t City, State Zip Code. Phone Number /LJ� ' i y, Section ongk &,-J V2- ` , l O) T N; R circle 0UW V (�J � V � E o(W J 11. Type of Building (check all that apply) Lot # or 2 Family Dwelling - Number of Bedrooms _ Subdivision Name o. Block U`e�oP Iu-cti� L� ❑ Public/Commercial - Describe Use ❑ City of ❑ ❑State Owned - Describe Use CSM Number Village of 3 A / , 6 1.5 G � `Townof 41 111. Type of Permit: (Check only oon box on line A. Complete line B if applicable) A. ❑ New System Iacement System g p Y g y (explain) ❑ Treatment/Holding Tank Replacement Only Other Modification to Existing System ex lain ) . ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber List Previous Permit Number and Date Issued B ❑ Permit Transfer to New � Before Expiration Owner p' IV. Type of POWTS S s m/Com onent/Device: Check all that a I n- Pressurized (n- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. ofsuitable soil ❑ Mound < 24 in of suitable soil ❑ Holding Tank Other ispersal Component (explain) ❑ Pretreatment Device (explain) 3 `d2 V. Dis ersaVrreatment Area Information: De 'gn Flow (gpd)/ Designs it Apptic on Rate(gpdst) Dispersal Area Required I) Dispersal Area Proposed( System Elevation ? Vt. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanks 2 U 'w 5 G. Septic or Holding Tank Dosing Chamber .— VII. Responsibility State t- 1, the undersigned, assume ponsibility for installation of the POWTS shown on the attached plans. Plume yyy 's Name (Print) Plumber's Wature MP /MPRS Number Business Phone Number Plumber's Address (Street, City, Sta Zip Code) LA-A 5 VIII. ount /De artment Use Onl pproved isapprove Permit Fee Da sued Issuin gent Signa r Given Reason for enia! $ 7J z) . 00 / � �� IX. Conditj�'��fReasons for Disapproval a tank, e 1. S 3' olt� 6/49��J'P%A,� k: tflttient ruler nd dispersal cell must all be services / maintained ' as per management plan provided by plumber. 2. AN setback tequiremeltt: must be maintained P as lAds 1- ogees. / Attach to complete plans for the system and submit to the County only on paper not less than g 1/2 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 T PLAN PROJECT Mark Theis 430/R DDRESS 1187 174th Ave New Richmond Wi 54017 N 1/2 SE 1 /4S 4 / 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 /20/07 BEDROOM 4 CONVENTIONAL IN -GROUN P ESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SI LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 917 # of chambers 45 IL BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100 Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 92.2/92.3/92.4 3' below qrade @ B - setbacks required by WDNR 174th Ave Plans Designed Using Conventional Powts Manual Version 2.0 Scale is 1" = 40 ' unless otherwise noted * 100' B.M. � Vent gy p, Existing 4 >6 » Quick4 Standard -W Bedroom House of Cover Leaching Chamber 5 Z o ` with 20.0 ft2 of Area W 1 12 „ 5.8ft ^2 /pair of end caps 25' 5' 4' Long Huffcutt 5' 5 34" Grade at System Elevation 20' 1 OCombo Tan 4' 0' T H 50' Old tanks are to be D 35' I pumped and buried garage B -1 B 75' 3 -3' X 62' Cells with >3' spaci 2% Slope ; rt � Vents B -2 Y C/ ` , IAX� T PLAN PROJECT Mark Theis 430/R DDRESS 1187 174th Ave New Richmond Wi 54017 N 1/2 SE 1 /4S 4 / 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9/20/07 BEDROOM 4 CONVENTIONAL IN -GROUN P ESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SI LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 917 # of chambers 45 IL BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE 0 WELL H. R. P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 92.2/92.3/92.4 3' below qrade @ B - setbacks required by WDNR 174th Ave Plans Designed Using Conventional Powts Manual Version 2.0 Scale is 1" = 40' unless otherwise noted ,� 100' B.M. Vent Existing 4 >6 „ Quick4 Standard -W Bedroom House 5 ' of Cover Leaching Chamber with 20.0 ft2 of Area Well 4' Lon 12 5.8ft ^2 /pair of end caps 5 Long 3431 Grade at System Elevation 20' 1 kombo Tank 5 45' 0' T 50' DW Old tanks are to be 35' pumped and buried garage 20' B -1 30 B -3 75' 3 -3' X 62' Cells with >3' spacing 2% Slope W T, Property Vents B -2 Line Wisconsin Department of Comme x OIL EVALUATION REPORT Page of Division of Safety and Buildings E AW LWI Comm 85, Wis. Adm. Code Attach complete site plan on pa 1 inches in size. Plan must County C Y �� 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. Qa b' r J r Please print all informatio Revi ed by Date Personal information you provide may be u for s F96y Law. . 15.04 (1) (m)). 9 L b 0 Property Owner roperty Location CI- 2 U L u l ovt. Lot � 1/ S / T D N R E( ) W Property Owner's Mailing Address Block # D §0d. Name M# p� // r--- OUNTY il"e ' V li U' �t.C/ City to Zip Code Phone44umber Jo City Village F own Nearest Wd ❑ New Construction Uidential / Number of bedrooms Code derived design flow rate 6 40 GPD eplacement Public or co eraal - Describe: Parent material - Flood Plain elevation if applicable General comments and recornmendations: 1 c System Type &" q" ) , �] L System Elevation Z Boring # ❑ Boring Pit Ground surface elev. S 1 ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 z /o as Boring gip- '�-- � �S ✓ � i H ❑ Boring # 0-pit Ground surface elev. 9'r' z- ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 A nc , ,� .6 /. .3 ,t Effluent #1 = BOD > 30 < 220 mg/L and TSS 30 1 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Nance (Please Print) Signatur CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �--dJ 0 7 715- 246 -4516 Property Owner i Parcel ID # M ,� Page of El Boring # ❑ Boring �it Ground surface elev. t ft. Depth to limiting factor in. - §O - ilAPplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 ot i Z� 14 F-1 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 'Eff#2 a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon r)epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF 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/_ ' 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. SB0.8330 (8.6(00) Property Owner _ Parcel ID # p Page of El Boring # ❑ Boring �it Ground surface elev. C t ' ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM P ry in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z' 04 ❑ 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I ❑ Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ')epth Dominant Color Redox Description_ Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA. • Effluent #2 = BOD, 130 mg& 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 -1330 (R.6r00) Soil Test Plot PI Project Name Mark Theis S Bird i Address 1187 174th Ave New Richmond Wi 54017 ) TM #226900 Lot 8 Subdivision Viebrocks Date 9/ 20/07 N 1/2 SE 1/4S 4 T 30 N/R 18 W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of Siding System Elevation 92.2/92.3/92.4 *HRpSame as Benchmark 174th Ave Scale is 1" = 40' unless otherwise noted ,� 100' B.M. Existing 4 Bedroom House 5 25' Well 5 ' 20' 45' 10' T 50' DW garage 20' B -1 30' B -3 5' 2% Slope Property Line B -2 I I 27 A, rL h goo° 2 3 2 °`a` 226.42' 1 06 O°j' o !y M 36- Un�latte lands as ° ^ �� 92 0 o3 247.27 1 069 5 3 2. 90' 2 s' 16 I66 ° o7 East 7'80.17` St. _M argaret _ _ - 73 East 821.00' 1 116 0.00 0 60.00' 41 0 87. 50 X0087.50' eoo 94.00' 94.00' 94.00' 4.00 90.00 l ; to i O a 4 ! �1 O PS - O tD O O C 0O Pit O O 10t - °9 8- 7 °6 54 3 ci =1 O •- o o C m o C 0) N p O —0 7 N °. ° s 27o °i 0 N ° 94.00' 94.00' 94.00' 94.00 0 l )0.00' A° 87.50 °27 0op0 West 646.00' point of W est o ° :34.24' Weet 81 87.50'00 Unplatted_Iands SE comer of 3 West 2 °37'E 90 0 SO 100 200 300 � 400 3 2.50' o 105.00' 105.00' 0 is ?° O l'3 , Ui SCALE 1 "s 100' a � _ N p C p t �' Denotes 2 "x 30" iron pipe minimum welyht 3.e3 pda.Nr 1010061 11 0 O O .. t 5 • 14 � r 0 , "x 3a" 1.13 1 3 o . 0 9a0 ° • 105.00' 105.00' 9° 100.00'�O COUNTY TREASURER'S CERTIFICATE STATE OF WISCONSIN) SS ►ix and ST CROIX COUNTY ) I Carl Dahlin being he .dui y elected, qualified and ctiing re_q,suser of the County of ,d tax sales and no unpaid taxes or special assessmgts as of ,1966,affectii of the M 83006' E 198.00; finning CERTI FICATE OF TOWN TREASURER ind and 1, being the duly elected, qualified and acting treasurer of office, there are no unpaid taxes or special assessments as of ,1966;, off ecti COMMON COUNCIL RESOLUTION Resolved that the plot of Viebrock's River Valley View Addition, in the Town of Rich David R. and Marguerite C. Boeddeker, owners, is hereby approved by the common council of I hereby cert ify that the foregoing is o copy of 4 resolution adopted by co on council of the 'City of New Richmond, Wis.� 1 TOWN BOARD RESOLUTION gate City lerk) Resolved that the plat of Viebrock's River Valley View Addit ion, in the Town of Ric David R. 81 Marguerite C. Boeddeker, owners, is hereby approved by the Town Board of the I hereby certify that the farego>Itg e a oopy of o resolution adopted by the Town Board of the Town of Richmond, Wis. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number a ` �f D 2�— 9Z70U (7 LEGAL DESCRIPTION Property Location /,j 'I ,' r-7 ' /4 , Sec. , T 3 U N R / W, Town of g Subdivision 6 e � /Z� ✓eti1J (/ Lot # �. Certified Survey Map # , Volume , Page # Warranty Deed # / / Z T , Volumez 6 .� Page # v Spec house yes no Lot lines identifiable ye' no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Numbe r of b ooms § IGN — AYURE OF APPLICANTS) DATE I ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08105) A14g Sp €C FDTIp3�FS SEPTIC TANSi"ls C iB£R C'ti flSS SECS � RWF .r � v E GRADE TID14 BOX APPROV pT�`E I2 14TN. .#I33 C DLE COVER , V COMMIT GI i I ow DR I B P L y � g{t D40 FttES� I3Z`3 � .4" HIM' GRAD E IS I NLET T"ja WATER TIGHT SEA1.5 � ��� £ '. 'A3I� AP C.. pjpF. 3 i SOt ID. pow OF' ZLEV - D SOI{. T "� . Appgot ED g=Dl v co £TF PAD e x , llvwo SpyCIT'ICAT �£B BUSES PER SEpnC DOSE / tE _ _ f l! 3ZLL- TANK � S-' GAS.. 6 s s _..: - sE� GAL. _ o� ON SrZES .2 INC / 7 Y 11us m C l a �„�.•. � C '' C S S —rGAL moor.L Pump �' . v a � p A�� w�RZ �FEC'T I3ZSCMRGF. IBu - - FEET' REQIR�E $£T� €4p O'F AND - �3IS - VERTICAL D irm Pi . 9.0 E - Eg ;CTS i 9 A CTOR - FEET p£w� �pgt.Y � �'� II3 Q • ET' Al. �Y � � -MINA F " EMX 6 . DTAMETE& ._--- I .�,�,}, � iI��SIIIA Of ' ZZ I A Z -1-2 •• -DATE =� LICENSE � TOTAL DYNAMIC HEAD /CAPACITY w HEAD CAPACITY CURVE PER MINUTE Lj LLJ MODELS 53/55/57/59 EFFLUENT AND DEWATERING 25 _ Model I 53/55/57/59 20 6 Ft. Meters Gal. c 1 63 <, 1 5 1.5 43 1 � 10 3.1 34 129 a c 15 4.6 19 72 10 Shut -off Hecd 19.25 ft. (5.9m) c 2 5 ---{ 3 15/16 -- 6 5/32— 4 5/8 I � � 1 1/2 - 11 - /2 NPT 0 i U.S. GALLCNS I 10 30 40 50 LITERS 3 15/16 IT r � 80 160 FLOW PER MINUTE 00eee7 4 1/16 C ULT FACTORY FOR SPEUAL APPLICATIMS Variable level float switches available. Variable level long cycle systems available. v Available with special cord lengths of 15', 25', 35' and 50'. Alarm systems available. 10 1/16 Duplex systems available. 3 3/32 stcase single seal Control Selection s SELECTION GUIDE Model Volts Phase geode ; Amps Simplex Duplex Py UL 1. Integral float operated mechanical switch, no external control required. M53155 & M57159 115 1 Auto 1 9.7 1 — Y 2. Single piggybackwariable level float switch or double piggyback variable level NST55 & N57 11a 1 Non 9.7 2 3 or 4 & 5 Y float switch. Refer to F11010477. BN53 115 1 Auto 9.7 Y 3. Mechanical alternator V-Pak' 10-0072 or 10.0075. BN57 115 1 Auto 9.7 Y 4. See FM0712 for correct model of Electrical Alternator. BE53/57 230 1 Auto 4.8 Y D53/55 & D57/59 230 1 Auto 4.8 1 -Y Y 5. Variabl8 level control switch 10-0225 used as a control activator, with Electrical E53155 & E57/59 230 1 Non 4.8 2 3 or 4 & 5 Y Y Alternator (3) or (4) float system. Single piggyback switch included. For information onadditionalZbellerproducts refartocalajog on PiggybackVarlable Level Float Switches, FMO477; Ali ins'caitation of controls, proiectton devices and wiring should be ac:ie by a quaiifie_J Electrical Alternator, FM0486; Mechanical Aftemator, FM04K Sump/Sewage Basins, FM0487; and Single Phase Itcensed electrician. Ali eiecarical end safety codes should be followed it ctuding Lhe most Simplex Pump ControMAlarm Systems, FM0732. recent r4i;onai _iGetric Code (NEC) and the occupational Safety and `'i 111-:111 Act tOShA). RESERVE POWERED DESIIIN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. AWL T0: P.O. BOA r Louisvd1e,KY �' Manufedirrersof.. L SHIP TO: 3649 Cane Run Road ® Louisville, KY 40211 - 1961 �uaury sivc,< 199` ® PUMP !O. f J FAX (502) 77 PUMP ° � 4 httpJ/www.zoelle' corn _ - -__ -- ® Copyright 2002 Zoeller Co. All rights reserved. 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 years, 3 cells are to be inspected via the inspections pipes at the ends of p 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 Option #1. If system-fails, determine cause of failure, use altemate area and install new �sststem in tested replacement area. ption #2. stall system at a lower elevation, by removing chambers, removing biomat, a install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900 J 2163? 403 - 712 -7 � KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 1999 REGISTER OF DEEDS Document Number WARRANTY DEED ST . CROIX CO., MI RECEIVED FOR RECORD This Deed, made between James W. Peirson and Beverly E. 03/06/2003 09:45AN Peirson, husband and wife, EXEMPT It REC FEE: 11.00 Grantor, and Mark J. Thies and Janelle C. McBride, husband and wife TRANS FEE: 414.90 as survivorship marital property, COPY FEE: CERT COPY FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 8, Viebrock's River Valley View Addition. Recording Area Name and Return Address WESTconsin Credit Union P.O. Box 269 New Richmond, Wi. 54017 026- 1108 -90 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: municpal and zoning ordinances, easements and restrictions of record. Dated this day of February 3 Al • ME PE ON �l * • BEVERLY E. IRSON IV AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. ST. CROIX County ) authenticated this day of Personally came be`���I ' r� T/ day of February he above named James W. Peirson an and and wife, TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known son(s) who a cut the foregoing authorized by § 706.06, Wis. Stats.) to 'in t a v:e ? 7 � THIS INSTRUMENT WAS DRAFTED BY rrAt G s �� OF Judith A. Remington, Remington Law Offices, Notary Public, State of Wiscd P.O. Box 177, New Richmond, WI 54017 My Commission is ermanent. not, state exprrptrpn ate: (Signatures may be authenticated or acknowledged. Both are not necessary.) 'R__ V b ) • Names of persons signing in any capacity must be typed or printed below their signature. Intortretion Professionals company, Fond du tar, Wi STATE BAR OF WISCONSIN 900- 655.2021 WARRANTY DEED FORM No. 2 - 1999