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HomeMy WebLinkAbout026-1121-01-000 Parcel #: 026- 1121 -01 -100 02/24/2010 12:56 PM PAGE 1 OF 1 Alt. Parcel #: 05.30.18.716A 026 - TOWN OF RICHMOND Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 08/06/2008 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner 0 - HALLE CUSTOM HOMES LLC HALLE CUSTOM HOMES LLC PO BOX 373 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1717 105TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.000 Plat: 07- 057 - PARTRIDGE RUN 1999 SEC 5 T30N R18W PT SW SE PARTRIDGE RUN Block/Condo Bldg: LOT 01/02 LOT 1 (1.820AC) & INC N 101.77FT LOT 2 EZ -U- 1446/251 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 05- 30N -18W SW SE Notes: Parcel History: Date Doc # Vol /Page Type 08/06/2008 879674 WD 08/27/1999 609363 1452/230 WD 07/23/1997 1165/306 QC 07/23/1997 904/302 more... 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 18731 34,000 Valuations: Last Changed: 09/17/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.330 34,500 0 34,500 NO 00 Totals for 2009: General Property 2.330 34,500 0 34,500 Woodland 0.000 0 0 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 Depa"ment of Commerce Count PRIVATE SEWAGE SYSTEM St. Cro Safety and Building Division INSPECTION REPORT Sanitary Permit No 514804 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: Halle Builders Inc. I Richmond, Town of 026- 1121 -01 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 05.30.18.716 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION IL TANK TO P/L WELL BLDG. Vent to Air Intake RO Inl Septic D ott Dosing I f I ) k1 eader/ n. Aeration e Holding Bot. System Final Grade b'� f PUMP /SIPHON INFORMATIO Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing 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 Bed/Trench Edges Topsoil _ Yes • i No Yes L] No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1717 105th Street New Richmond, WI 54017 (SW 1/4 SE 1/45 T/3}0N�R18'W) Par d e RyI of 1 ,q� D Parcel NO: 055.3 / 1.) Alt BM Description = / V v' 2.) Bldg sewer length - amount of cover = f �S( • s� Plan revision Required? i Yes n�j No Use other side for additional information. Date Insepctor's Signature Cert. No SBD -6710 (R.3/97) commerce.wi.gov Safety and Buil ' gs Coun t n 201 W. gton Av . O. 71 J Washin / , sco ■ S I Madison, WI 5370 162 Sanitary Permit.Number (to be filled in by Co.) Department of Commeroe 5 �y ( PU Sanitary Permit Applic State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this orm toE0� ental / v A unit is required prior to obtaining a sanitary permit. Note: Application forms or state -owne S are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you rovide may be used for secondary urposes in accordance with the Privacy Law, s. 15.04 (1)(m), Slats. 7 7 S T I. Application Information - P se Print All informati Property wner's Name Parcel # I A e ST. CROIXCOUNTY Property Owner's Mailing Address Property Location / t710 /// / J Govt. Lot City, tate Zip Code Phone Number �— t � �j ty, p (,tJ /., � /., Section / t Y,W 4d i y Q � / �1 J .� 10TI3 T �__ N . R (circle orW H. Tv a of Building (check all that apply) 7 Lot # or 2 Family Dwelling - Numb of Bedrooms V Subdiv ion Name j �Yj �11 d T "f Ile, 1 Block # ❑ Public /Commercial - Describe Use ❑ City of �d� R k_2 CSM Number El Village of El State Owned - Describe Usd x7 4 d,G<-Q. -7b /� ,� f� / ❑ Town of /e C III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. f New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑Permit Renewal El Permit Revision L(Checkallthata ge of Plumber List Previous Permit Number and Date Issued ❑ Permit Transfer to New Before Expiration Owner IV. Type of POWTS System/Component/Device: 1 Non- Pressurized In- Ground ❑ Pressurized In- Ground ❑ At-Grade ❑ Mound > 4 in. of s�ui bb e so� El Mo �d�J< 24 in. o s le s El Holding Tank El Other Dispersal Component (explain) / ^'/ rreneatme D'ce pfatn) (% / 1 V. Dispersal/Treatment Area Information: / 7 Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (A) Dispersal Area P posed (if) System leva n VI. Tank Info Capacity in Total # of Manufacturet Gallons Gallons Units n d New Tanks Existing Tanks 2 p a U rn m rn w C7 LL Septi or Holding Tank /00o d0 () Dosing Chamber VII. Responsibility Statement - I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI u Sign ture MP/MPRS Number Business Phone Number Eni9iS ;l z /y7/ iY= a(,7 - Plumber's Address (Street, City, State, Zip Code) 3SZ /i/o� ST Aili tvi S4bo l VIII. C n /De artment Use Onl proved El Disapproved Permit Fee Date Issued Issuing Agent St rg r (} J /l ❑ Owner Given Reason for Denial $ L ` ' , ^ D 7 Ili, 1W4i (0131AVA$Fxoval/Reasons for Disapproval ; 1 Septic tank, effluent filter and dispersal cell must all be serviced . 1 maintained V t/ u�_ , �� `�-4�� _/� as per management plan provided by plumber. 2. All setback requirements must be maintained � art eom lete plans for the system and submit to the County only on paper not less th 81 x 11 inch size �CC a•�- -- SBD- 8 (R. 01/07) Valid thru O1/09d1(� �Q Je t-A • -F --?, * ./,, 4 NE 1 've t7 0 - 10 3,41Z 22c) c 77 , 0 .21 D an,.. � uO Z Z,/ q *7 Scv� 5E i SS'73o N>� JB'cv 5�.�Q R I �A c d 74, J . I= o v u. N /on /03� YZ gi doe ' L $. rr► Z a 1sT v f CM - cl7to" 0 2.1 i Al JJ IJ -J- - __ Ti in. 1 J - - - - 1 1 A A I i - i : i i I ' J j I i i I I I I I 044/04/2001 10 :07 PAZ 7158376847 BARRON CO ZONING �J01 SYSTEM SPECIFICATIONS In- ground Soil Absorption Component SBD - Project Name: Distribution Cell Type Septic Tank Aggregate ❑ Le- aching chambecsK Min. Septic Tank Volui ae Wo gal. Wastewater Quality Septic Tank Volume /000 ga i Treated [] llntreared Manufacturer 1 4w cr Number of Bedrooms 3 Effluent Filter Design Loading Rate PLR) (Iv�x - Sod Application Race) Manufacttiuer - Combined wastewater; Model 9'2 Number of bedrooms 3 Pump Tank gal /dap /bedroom x 150 Manufacturer Daily Wastewater Flow (DWP) = -'15V Volume gal- Clear and gtaywater only. Number of bedrooms Qy es O Diverter valve no gal /day/bedroom &I Manufacture Daily Wastewater Flow (DWF) = .. Model _ Blackwadte r Note : Th use of a dive ux valve shall be indicated on the management plan lod piling how and when the valve Number of bedrooms Shall be used, gal /day /bedroom x 60 Daily WaswwsLter Flnw (DW>-) Distribution Cell Sizing (Aggregate) DWF / DLR / ft Distribution Cell Sizing (leaching chambers) Leaching Chamber Manuf wture 't- Model (:`� Z/ Adjusted Design Loading Rate gpd/fe Chamber size, bottom area 1 fe C4 3 �' -xe,4 System - suing = DWF / ADLR Ch amber S� : *,q _ � = . amber size 9 4 - 1 1 2,b , 9 PWF) (ADI,R.) (sq ft.) # of chambers Number of chambers to be used= --S Page of o p l 0 cr O A. I Go co .ter ' a - • � •� \+\ .. \. ... C cr on -it CID f ti `�� z� ... p; t} w ! 1� A bjD. +rdrr :5-+c . P fe-V.eoS ipavC.. A O- V � (Dl ov- .SePt:c. Sy _$Je.., by ro&,I ,S}c.�e.l._ �a) 1'h;s 0-t Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ofa Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 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. Q a — / p _ 000 Please print all information. Reviewed b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Propert Owner Property Location � '� Govt. Lot S W 1 /4 5 +F 11 S 5 T3 N R E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# I t l (o `I I 1 1 Q rtr City g� Sthte Zip Code Phone Number ❑ City ❑ Village jid Town Nearest Road 1 New Construction use: Residential / Number of bedrooms Code derived design flow rate y '.5 d GPD ❑ Replacement mot- ❑ Public or commercial - Describe: Parent material ,j 4.5 Flood Plain elevation if applicable ft. General comments and recommendations: M es 4 6L - $1 - 75 r' 1Q,,f A) C%, 6VS: r� i v% f: ( - 10'4+bes -T (95.3x' \'' Fo w t t ; s s: 4 N; REcE�vEO v nkhow r I; f T. 9 J' 3 41 e. Boring # ❑Boring e) $�0� Ground surface elev. Pit "'(t. �egpKW4imiting f LRO �� in. - °, Soil Application Rate Horizon Depth Dominant Color Redox Description `,Tex 446 sistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color ` ' Gr. Sz *Eff#1 I *Eff#2 7— uyR. 3 .. ~�° �.�.. �— F 1P L ok G v i s f - IV O l L aF,S K C IvF 5 g ® Boring # ❑Boring 0 © Pit Ground surface elev. I ft. Depth to limiting factor O 0 in. 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 1�? - 7.5 fey/ L V Tth Gan *,.' * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signature CST Number -A a17 1 1 Lp, Address D a „ ♦ Date Evaluation Conducted Telephone Number .� - 7 �. 0 " t -IS- . - M - 3SU SBD -8330 (R07 /00) r Property Owner 4s h e- ..I ht cs Parcel ID # b a — ! D - r -� "p C? Page a of _ F -31 Boring # ❑ Boring 9 7.3 Pit Ground surface elev. 7 6 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 I *Eff#2 I o -� 0`1 R3 --- L F� ds �+ s a F • 7 -I o 3 IL F PL A4, C I F L a b �v C r 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 /ftz 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 /ftz ins 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) i Ift ?>O St. es w� ail t 7 yc lot C, l o l l YID 8rn I F -rap taE I- Co p-fC.r'.[1Z�y - d � Nw�sp� - �� rk rloe -Vk I:n - 1 ' tl 6ac K, h t M ° o . a } ... -- -- - ��o PasE b p���e S 1 ti 6 ao 81 9 9,so' rc.Fcrtv►v Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #6/ 1/—�� dimensioned, north arrow, and location and distance to r�aart7g gsad., 026– – APPLICANT INFORMATION- PLEASE PRIN/7rALL,11,0ORNIATION� R IEWED BY (o D PROPERTY OWNER: 5 PROPERTY LOCATION / t Li I' L, GOVT. LOT SW 1/4 SE 1/4,S 5 T 30 N,R 18 l5(or) W HaLLE Builders PROPERTY OWNER'S MAILING ADDRESS I n r T LDT, BLOCK # SUBD. NAME OR CSM # fs ' -k na Partrid e Run 1113 Hy. i64 CITY, STATE ZIP CODE PHONE Nt11ri6gmax ❑VILLAGE ]TOWN NEAREST ROAD New Richmond, WI. 54017 �P15) 24®u6Tn3 Richm nnd 105th St. {� ] New Construction Use [x] Residential / NU"r i b.ed= ' [ J Addition to existing building j ] Replacement [ ] Public or commercial ''bb Code derived daily flow 600 gpd Recommended design loading rate — gi bed, gpd /ft .2 trench, gpd1ft Absorption area required ' np bed, ft 500 trench, ft Maximum design loading rate gi bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 102.70 ft (as referred to site plan benchmark) Additional design/ site considerations ssytem el based on contour line of el 101 70 Parent material gl acial dri _ Flood plain elevation, if applicable n a ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem El S a ®S ❑ U ❑ S Ea El S CCU El S E ❑ S CC SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch .................. ................. .................. ................. 1 0 -10 10yr3 /3 none 1 2msbk mfr gw if .5 .6 ..t..l......... 2 10 -16 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 16 -29 7.5ry4/4 none sl lcsbk mfi gw if .4 .5 elev. 102. ft 4 29 -43 7.5yr4/4 none sl lcsbk mfr gw na .4 .5 Depth to 5 43 -60 5yr4/4 none scl �M na na na np .2 limiting factor 43" Remarks: Boring # 1 0 =9 10yr3 /3 none 1 2msbk mfr gw if .5 .6 2 ` >- 2 9 -20 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 20 -45 10yr4 /4 none sl lcsbk mfr gw na .4 .5 Ground dev. 4 45 -60 5yr4/4 none scl oM na na na np .2 10 ft. Depth to limiting factor 45" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. A New Ric-binonA, WI 540J7 Signature: Date: 10 - - CST Number: m02298 Os PROPEWYOWNER Halle Builders SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D. # 026 1019 -10 -000 Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench `{ 1 1 0 -12 10yr4 /3 none 1 2c 1 mfr C1w if n .2 2 12 -24 10yr4 /4 none sicl 2fpl mfr 9w if np .3 Ground 3 24 -29 10yr4 /4 none sicl 2msbk mfr 9w if .4 .5 elev. 4 29 -38 10 r4/4 none sicl lcsbk mfr n .2 9 9.8 ft. Y 9w a .3 Depth to 5 38 -55 5yr4/4 c2p 7.5yr5/8 scl M na na na np .2 limiting factor 381, 7-1 Remarks: Boring # Ground elev. ft. Depth to limiting factor I Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # .......... . Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Halle Builders New Richmond, Wi 54017 MPRSW -3254 SW4SE4 S5- T30N -R18W (715) 246 -6200 town of Richmond lot #1- Partridge Run N 1 =40 BM.= top of SE lot stake @ el. 100 Alt. BM.= top of lot #1 -2 lot stake C el. 99.10' gyp• t s t A Gary L. Steel 10 -1 -98 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address S erification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number O 2 _ - �.r��_ a 00 d LEGAL DESCRIPTION Property Location t /a t/a , Sec. . T -3 0 N R � W, To of I C�i o •� `J Subdivision , Lot # - 7— Certified Survey Map # , Volume , Page # Warranty Deed # 1�o 7 3 C 3 , Volume � , Page # 3 y Spec house e yes no Lot lines identifiable yes 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. 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 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. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ( , :) d '�J �� f /?!�/_D SIGNATURE OF APPLICANT(S) DATE ** *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. Dams) „ POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page —.I/— of Z FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity /O04 ❑ NA Permit # _ al S Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units ja NA Pump Tank Capacity al ❑ NA Estimated flow (average) 3bf? al /day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) U gal/day Pump Manufacturer ❑ NA Soil Application Rate /ft Pump Model ❑ NA Standard Influent /Effluent Quality monthly average• Pretreatment Unit A Fats, Oil & Grease (FOG) s30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L (A ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 150 mg /L ❑ Disinfec 'on ❑Other: Pretreated Effluent Quality Mon a Dlsp a) Cell(s) ❑ NA Biochemical Oxygen Demand (BOO,) 530 mg /I_ Iq In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA ❑ At -Grade 13 Mound Fecal Coliform (geometric mean) u /1O t Om ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Is in dia, p NA Other: ❑ NA Other: ❑ NA Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 ❑ month(s) (Maximum 3 years) E3 NA year(s) 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: 7 ❑ month(s) (Maximum 3 years) ❑ NA J it year(s) Clean effluent filter At least once every: 13 month(s) 91 ❑ NA ,� years) Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: 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 Coca( regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third W 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 S12 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. GMW (4/01) Page 2 - of � STAwr 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 call(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 riot drive or park over, or otherwise disturb or compact, the area within 18 feet dawn 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 falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant repiace tsui y table sstem: 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 tit C! 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. El 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 ANDfOR 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. A DDITIONAL COMMENTS POWTS INSTALLER — —'� POWTS MAINTAINER Name Enni t��•e Na ma Phone �, _a o-- �, 3� Phone SEPTAGE S ERVICING OPERATOR (PUMP LOCAL REGULATORY AUTHORITY N ame Nama Phone � _ Phone -71 S_- 4 This document was drafted in compliance with chapter Comm 83.22(211b)0)ld) &(f) and 83.5411). (2) & (3), Wisconsin Administrative Code, Parcel #: 026- 1121 -01 -000 11/28/2007 08:57 AM PAGE 1 O F 1 Alt. Parcel #: 5.30.18.716 026 - TOWN OF RICHMOND 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 O - HALLE BUILDERS INC HALLE BUILDERS INC 1113 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 1717 105TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.820 Plat: 07- 057 - PARTRIDGE RUN 1999 SEC 5 T30N R18W PT SW SE PARTRIDGE RUN Block/Condo Bldg: LOT 01 LOT 1 1.820AC EZ -U- 1446/251 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 05- 30N -18W Notes: Parcel History: Date Do Vol/Page Type 08127/1999 609363 1452/230 WD 07/23/1997 1165/306 QC 07/23/1997 904/302 07/23/1997 867/592 more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.820 26,800 0 26,800 NO Totals for 2007: General Property 1.820 26,800 0 26,800 Woodland 0.000 0 0 Totals for 2006: General Property 1.820 26,800 0 26,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 1452 KATHLEEN H. WALSH DOCUMENT NO. State Bar of Wisconsin Form 2 -1982 REGISTER OF DEEDS ST. CROIX CO., WI WARRANTY DEED RECEIVED FOR RECORD 09-27 -1999 9:15 AM WARRANTY DEED EXEMPT N 15 Wesley W. Halle and Linda R. Halle, husband and wife, convey CERT COPY FEE CORY FEE: and warrant to li: a Wisconsin corporation, the TRANSFER FEE: following describe real estate in t. Croix County, Wisconsin: S DINIi FEE: io.00 Halle Builders, Inc. 1113 Highway 64 New Richmond, WI 54017 Parcel ID No. 026 - 1019 -10 -000 The Southwest Quarter of the Southeast Quarter (SWl /4 of SE1 /4) of Section Five (5), Township Thirty (30) North, Range Eighteen (18) West, EXCEPT Volume 728, page 136 as Document No. 407700, now known as Lots 1 — 26, Plat of Partridge Run, in the Town of Richmond. This is not homestead property. Exception to warranties: municipal and zoning ordinances, easements and restrictions of record. Dated this day of August, 1999. r 4wcy W. Y l Linda R. Halle ACKNOWLEDGMENT STATE OF WISCONSIN ) ) ss. ST. CROIX COUNTY ) Personally came before me this -l5 day of THIS DOCUMENT DRAFTED BY: August, 1999, the above -named Wesley W. Halle and ON L, Hg4, ' da R. Halle to me known to be the persons who Judith A. Remington c - �x ted the foregoing instrument and acknowledge REMINGTON LAW OFFICES S1i, Y the s P.O. sox 177 ,� NOjAA �_� - � New Richmond, WI 54017 ' • ' (� (715) 246 -3422 if P US Publip Stat f Wisconsin Commiss' xpires: qrF 0 F W�SG °� R > 8 W, T O WN OF ' _ !' _ W W W JOIN �� tsrtnct+f Z W Z WV) ( Q : L, s MLLJ Le LLI 0 cr o =_ Q z W ; i Lo' b _j g-- - Z N N1/4 CORNER Ur a Q SECTION 5 wo m cn vi m �o 0 rn Ln m !'ION SKETCH UNPLAT 180TH AVE S I 89'08'4 STH 64 I 33.00 I 220.00' 0�� ?V S89'08" I I STORM WATE \. I RETENTION ARE I o I MINIMUM BLDG. 3' / I ELEV. = 978*7 cn 1 N O 1 0 M I ' .. - -- N77 1.617 ACRES 1 33' 33' 70;430 SQ. FT. I ON R18W I ., 5 T3 � I N89'S5 � E 220.02 w125.00 'v= SEPTIC SYSTEM (V Ri; I o� EASEMENT N I � I N TO LOT 1 -- - - - - -- S89'32'57 "W LECEND tij I o o I 100 1 00.00' A' �, o ; 1 2 N AL COUNTY SECTION CORNER O) Q'i ; i 1.019 ACRES MONUMENT FOUND N I _ _ _ _ . _ . 44,389 SQ. FT. W N ' 1" IRON PIPE FOU D A, It I W ir) /Ac cunun.,\ [ ., - MOM Em H. M. � III 11 w� lolls Iloilo Mm �u 0 I 3 5 /e• r -e 3/8' POST LL. _____________ N I ! ________ I I� a I � I I I I I I I I I I ty - I � j I 13' -O" �_ _• 17•-0• � I I I I ? I 4 I ! kn I i p1 I 1 ! I I I 1 I I �_�'_'• �� I I Z I a 9b I D O I I 1 1 i P l I I I I I I I I �- Z ~� j i I I l t l i • 1 I I I I I I I I ___ Q A I co m In 7' -B —__ —_ -- \ m 9 5/6• O i �� I A B /B' N 1 I �• �a a 717 ? y POST G-' I I 1 p v A y F m N I I m i i �,mpTi pgty �-A z I 1 I 3� rn v fffiiiil111 � ��� d� � I I N g I 1 r u` rn I I I I I I o 1 I C _ _ _ ____ ____ _________ ______ __ __ __—___— I k I I w•p. NEVI HAVEN N681 M^II /1b /�i � w Act ' HALLE GUXTO Hq#5 (ST. 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I A ` '� II II I II j II I O 11 9 I 2/g II e II II II I I I II z c II I x j ° 0 I I 12• -O' j W m o I I I a I I j 1 __ __ ______ i Z U p Q rn T _ I•_p� 32' -0' fi � 'tl 1 �NEV1 HAVEN N601 � /10/300"I m.^O' A3I w HAILE GUX iqN Hl ES eqY •- ......°' vuuv.0 ..°.�. 1131a (ST. C2] J WI