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HomeMy WebLinkAbout026-1062-20-000 n CO) 0 3 T n d o f c a) o _1 eo eD in to c d f Cl) CD O S N N f�D v D. w N OD @ N W N O °' 3 a ' j 7 o O _"' eD m cp v D a a o I m cn ?_ �' a p o 3 d O W CD o A 3 O ° ° CD z !� N CD W CD CD W V7 Q. !V C Z 3 fl N lr CL C • O 0 0 0 a = =r o , D a4 =r CL 3 �vv ° = I . d ,z -4i N zcoz o I v o D v' i c m• CO ti ( c c N C (D W a z m -1 N ° D D o A ? v n A z 0 I o' C) 0 CD z ° 3 A ;0 ao D rn m m Da �� D 3 °' cl CL .��. my a� am n°i T (0/ — 2 0 0� <� 0 4 w3 U' m N N CD N N O. fD O 2 O CL O N O N O C t CD o 3 0 3 C cr a <. 7 O C CD - A 7 CD V W ti O W c cr tv N N O O 7 d H I A o °p M aro ° w M o O N C) � v' Parcel #: 026- 1062 -20 -000 06/13/2005 08:03 AM PAGE 1 OF 1 Alt. Parcel #: 20.30.18.306B 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): * = Current Owner * MOWRY, STEPHEN L & SANDRA L STEPHEN L & SANDRA L MOWRY 47 196TH ST STAR PRAIRIE WI 54026 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1008 140TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.680 Plat: 1440 -CSM 16/4254 SEC 20 T30N R18W PT SW SW LOT 1 CSM 4254 Block/Condo Bldg: LOT 1 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 20- 30N -18W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 07/12/2001 650973 1679/121 WD 07/12/2001 650972 1679/116 TI 280876 415/67 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/10/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.680 36,000 107,100 143,100 NO Totals for 2005: General Property 1.680 36,000 107,100 143,100 Woodland 0.000 0 0 Totals for 2004: General Property 1.680 36,000 107,100 143,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 219 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin 15epartment of Commerce PRIVATE SEWAGE SYSTEM County: St. CTOIX Ssfety and Building Division INSPECTION REPORT Sanitary Permit No 430407 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. L Permit Holder's Name: city Village X Township Parcel Tax No: Mowry, Stephen L. I Richmond Township 026- 1062 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: O G . e > jQd . e' l rs k sy - (3&... 19.30.18.3068 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACI STATION BS HI FS ELEV. Septic / Benchmark .SE Co ►y;i+i �. In 16 -4. 7 5� Alt. BM Q� Aeration IV Bldg. Sewer ?.L Holding St/Ht Inlet St/ utlet 3S 45, TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DQnlet Septic G // — Dt Bottom Dosing 3(0' 3 r Header /Man. Aeration Dist. Pipe N t: y Z S.Q qS- 71 Holding Bot. System Se 93.5 PUMP /SIPHON INFORMATION Final Grade G ' `.' 97• L Manufacturer Demand St Cover L � GPM y 7 - 9 9. 7 Model ber TDH tion Loss System Head TDH t Forcemain Length -7 Dia. to well SOIL ABSORPTION SYSTEM / Z ,'-12 f — BED/TRENCH Width 3' Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 Y s SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LCCH�AMBE Manu fccturer. INFORMATION r o ' Type Of System: y / S� t _ T Model Number: 0 Cc, n L, �r —I- d t t $¢ dt DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake rr Pipe(s) t Lengt 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 Bedrrrench Center Bed/Trench Edges Topsoil E] Yes H No Fa Yes H No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: /O Inspection #2: Location: 1008 140th Street New Richmond, WI 54017 (SE 1/4 SE 1/4 19 T30N R18W) NA Lot 1 Parcel No: 19.30.18.306B 1.) Alt BM Description = J � ^ 2.) Bldg sewer length = � � G " � G Z - amount of cover= :�+� S�°s- t•e..r..� '. � S, ,.5�� �c,� -r.-� S6v�,�., - `l In . � �1 ?. 7 Plan revision Required? ICJ Yes H No Use other side for additional information. _ Date e lnsep&es Signature Cert. o. SBD -6710 (R.3197) �'; r AL ,/ �' -- LoT Z b Zip - I osq -yc 191]/7 x. g . 2 gSi3 Safety and Buildings Division County ` 201 W. Washington Ave., P.O. Box 7082 d ✓ 0 /X Visconsin Madison, WI 53707 — 7082 Sanita Permit Number (to be filled in by Co.) (608) 261 -6546 3 d Y O Department of Commerce State Plan LD. Number Sanitary Permit Application. N In accord with Comm 83.21, Wis. Adm. Code, personal information you provide MAY be used for secondary purposes Privacy Law, s 15.04(l xm) Project Ad ess (if different than mailing address) I. Application Information — Please Print All Information 0� y ° �a� ST. CROIX COUNTY Property O er's Name an cep # Lot # Block # �' Property Owner's Mailing Address Property Location %ti.dG' /ti Section City, State � Zip Codeapprovat ` d be h�� 0 n AIi , ,nd v0+ ! T,k— N Eclr W IT. ype of Building (check all that apply) � Subdivision Name CSM Number or 2 Family Dwelling — Number of 1Bedrooms � /_ � 1 -� (J ❑ PubGdCommercial — Descrbe Use G ry ❑vill C/ , ❑ State Owned — Describe Use (7i d Z. 4 - l ❑Ctag ownshi / IIL Type of Permit: (Check only one box on line A. Complete line B If applicable) A. ❑ New System Z14uwment System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System . ❑Permit Renewal t evision List Previous Permit Number and Date Issued B ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner 4 3 U �0 -7 10 Jt d 3 IV. T of POWPS System. Check all that appl n — Pressurized In- Ground ❑ Mound ? 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Weiland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Chamber Line ❑ Gravel- ess Pipe ❑ Other (expla' V. Dispe rsal/Treatment Area Inf rmation: d Desip Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sue Dispersal Area Proposed (SO A System Eleva io VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fi Pl stir Gallons Gallons of Units Concrete Constructed Glass New Existing . Tacks Tanks Septic or Bolding Talc Z . Aerobic Treatment Unit Doting Chamber 7,�'O VII. Responsibility Statement I, the undersign ume respo III for installation a POWTS shown on the attached plans. Plumber's Name (Print) Plumber' a Number Business Phone Number Plumber's Address (Street, City, State, Z' e) oun /De artme t Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Gr�dw er Dar Issued ssuing Age Signature ps) Surcharge Fee) , �j sw 10 D ❑ Owner Given Reason for Denial � J v IX. Conditions of Approval/Reasons for DIsapproval 5� V Attach complete plans (to the Cosaty only) for the system as paper not Ins than 8112 z 11 inches is size SBD -6398 (R. 08/02) Soil Test and System PLOT PLAN PROJECT Steve Mowry ADDR s 47 196th Star Prairie WI 545026 SE 1/4 SE 1/4S 19 / 40/ / 8 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 10/6/03 BEDROOM 6 CONVENTIONAL XXX IN-GROI PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 2000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1306 # of chambers 42 BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL +H. R. P Same as Benchmark Alt. BM Base of Air Conditioner @ 98 .6' SY STEM ELEVATION 92.8/92.7/92.9/92.9 Plans Designed Using Conventional Powts Manual Version 2.0 Vent ALo Standard Biodiffuser Well 15' Leaching Chamber Existing 6 0 with 31.1 ft2 of Area 5' Bedroom House Alt M. 34" Grade at System Eleva on 0 Combo 35' 25 50 , d'� 12 Chambers each 30' B 2 -3' X 75' Cells 10' B -3 ' 30' Not enough slope to establish contours 30' 2-3'X 56' cells Vents 9 Chambers Each 80' B -2 0 , 1% 15' Slope B -1 40' 0 140th Ave Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / Of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code J County r. O 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. 1�` / percent slope, scale or dimensions, north arrow, and location and distance to nearest road. v 2& o& Zo —oae) Please print all information. evi Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Property Owner Property Location Govt. Lot 1/4 J" 1 /4 S T N R E Property Owner's Mai ing Address Or Lot # Block # I Subd. Name or CS City state Zip Code Phone Number ❑ City ❑Village To Nearest Road S ( ) /�� . ew Construction UsResidential /Number of bedrooms Code derived design flow rate GPD Replacement ❑ Public or commercial - Describe: __— Par � iC { 2- Flood Plain elevation if applicable General mmien ati ` e l� G �• . 4 0- oC C/ and recommerxiations:� i {�t.t ng - j � Boring © # it 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. Munselll Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 # Boring ❑ Boring Boring Pit Ground surface eley ft. Depth to limiting factor in•I lication 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 Y < Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 MW ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mgI CST Name (Please Print) - Si ture CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 �,— --�� 715- 246 -4516 Property Owner _ Parcel ID # Page of 113 Boring # Q Boring IQ 9 4. pit Ground surface elev. ft. Depth to limiting factor Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2 Lv 10 F1 Boring # E] E) ❑ 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/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff42 Boring # ❑ Boring 11 flit Ground surface elev. ft. Depth to limiting factor in. Soil ication 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 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. SB"330 (8.6=) Safety and Buildings Division a 201 W. Washington Ave., P.O. Box 7082 County, (� r Madison, WI 53707 — 7082 Sanitary Permit Number (to be filled in by Co.) cOns,n Department of Commerce (608) 261 6546 3o O - 7 Sanitary Permit AppliC State Plan I.D. Nym r In accord with Comm $3.21, Wis. Adm. Code, personal info ion i y (� ; AJIA may be used for secondary purposes Privacy Law, s 5.04(1 xm) Project Add (if different than mailing address) I. Application Information — Please Print All Information perty er's Name Parcel # t Block # 1 /Y1 operty Owner's Mailing Addresss Property Location o 3 0 1, Q11103 v ' %4� '/4, Section Cite Zip Code V_] . ;Obne Number 1 � dZ ~ 'L �S� T N; II. of Building (checNthat pply) �/ ,, bdivision Name CSM Number o 2 Family Dwelling — N drooms e s / �/ L?I ` / r U�� ❑ Pubiic/Commorcial — Descr 37— ❑ State Owned — Describe Us ! t/ .21 ❑City ❑Villag ownship o III. Type of Permit: (Check galy one box line A. Complete line B if applicabipF A ❑ New System lacement System Treatment/Hokiing Tank acement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ C f ermit Transfer to New List P vio i N Before Expiration Plumber er IV. Type of POWTS System: Check all that appl ;4 .n - Pressurized N -Ground ❑ Mound > 24 in. of suitab/s-oilMound able s < of suitable 11 At-Grade 13 Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In and 03 Holdin Peat Filter bic Treatment Unit ❑ Recirculating Sand Filter Recirculating Synthetic Media Fiber bin Chamber e ❑Gravel -less r ❑Other (expl `n) / V. Dispersal/Treatment Area Information: , vs_ Defign — Flow (gpd) I Design Soil A plication Rate7 I Dispersal Area fired (s Dis ed (sf) System Ele do VI. Tank Info Capacity in To Number Manufacturer ��/� b Site S Fiber Plastic Gallons of Units Ta // 2� / p� Con Constructed Glass New n og fit! �'Y�"' Teaks Teaks Septic or Holding Took rf Aerobic Treatment Unit L Dosing Chamber VII. Responsibility Statement- I, the undersig assume responsibili for installation of the POWTS shown on the attached plans. Plum 's Name (Print) Plum sgnature MP/MPRS Number Business Phone Number Z "S/ Plum (Street, Ci „State, Zi e Plumbe ' s A ddr y f(] e ,,- puz VIII. un /De artment Use Onl pproved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date ued uing Agen ign 7(N ps) Surcharge Fee) 0 L D ❑ Owner Given Reason for Denial a 5� 3 Y E�E ff" t ff . Approval/Reasons for Disapproval 1 Septic tank, effluent filter andary/n . 3 �2. ✓� dispersal cell must all be serviced / milintalned 3 as per management plan provided by plumber. . All setback requirements must be maintained as per applicable code /ordinance Attach complete plans (t be County only) for the system as low a t less than stp s 11 inches In size SBD -6398 (R. 08/02) PLOT PLAN PROJECT Steve Mowry ADDRESS 47 196th Star Prairie WI 545026 SE 1/4 SE 1 /4S 19 /T W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 BEDROOM 6 CONVENTIONAL XXX IN- GROUND WRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 2000 gallons LIFT' TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1306 # of chambers 42 BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION loo' Filter Zabel A -100 ❑ BOREHOLE O WELL sH.R.P. Same as Benchmark SYSTEM ELEVATION 92.3/92.2 4' below grade Alt. BM Plans Designed Using Base of Air Conditioner @ 98.6' Conventional Powts Manual Version 2.0 Vent Standard Biodiffuser Scale is 1" = 40' S 2,.3 of Cover Leaching Chamber unless otherwise 4 , 101 - with 31.1 ft2 of Area noted ocsAiq �` 11 " Vents 6 Long Grade at System Elevation Aa 1% B -1 3 X 3 2 > P 34 1 Cells Slope u with >3' S ac S 30', Well 15' Existin 6 5' Bedroom 0 House Alt B -3 45' 130' 65' l � cs 25' Not ough slope t 5 S 9 tabus o t urs - 5' Vents r 75' 140th Ave PLOT PLAN PROJECT Steve Mowr ADDRESS 47 196th Star Prairie WI 545026 SE 1/4 SE 1/4S 19 /T 30 1 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 /29/03 BEDROOM 6 CONVENTIONAL XXX IN- GROUND RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 2000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1306 # of chambers 42 k BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE I, • ) WELL *H.R.P Same as Benchmark �� SYSTEM ELEVATION 92.3/92.2 4' below gradel Alt. BM Plans Designed Using Base of Air Conditioner @ 98.6' Conventional Powts Manual Version 2.0 Vent Standard Biodiffuser Scale is 1" = 40' of Cover Leaching Chamber unless otherwise with 31.1 ft2 of Area noted is �' (f w 6' Lon 11 " 0. g Grade at System Elevation A"�� Vents 1% B -1 3 4 3' X 132' Cells Slope with >3' S aci 30' Well 15' 04 Existing 6 0 5' Bedroom House Alt. tB-3 45' 25' * S B. 25 Not enough slope to establish contours 75' 140th Ave Attach complete site plan on paper not less than 8 1/2 x 11 inches in si fi recti o n la&i ' E �'� x include, but not limited to: vertical and horizontal reference point (BM), and Parcel I.D. /) (� ��percent slope, scale or dimensions, north arrow, and location and dista o nearest road. v� / v0 n(J� Please print all information. ` 0 ewe y Date f Personal information you provide may be used for secondary purposes (Privacy w, s. 75.04 (1) (m)). 9 3b 3 Property Owner Property,! lzgc�EiQct= Lk4t` Govt. Lot 5,—r 1/4 1/4 S T N E (of w Property Owner's Mailing Address Lot # Block # Subd. me or M# 7— c, 6 '7;2 City State Zip Code Phone Number El City ❑Village T wn Nearest Road Sir s S ( -all 1 ;2 rl .Jew construction Us ' esidential / Number of bedrooms Code derived design flow rate GPD r eplacement ❑ Pubic or commercial - Describe: __— Par< ,i material Flood Plain elevation if applicable , AZ ft. General commends � and recommendations: S y S e, t lp_ )� 3 '� Se XQ M Boring # E] Boring 0 pit Ground surface elev. �� ft. Depth to limiting factor ll in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 An 6I In c✓ 3 t6-1 I I VI 4 All 4 I. L ev FcP—,] Boring # ❑ Boring pit Ground surface elev. P7' 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 —3 -1 p Al t Z Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) r CST Number Si Bird Plumbing, Inc. Shaun Bird 226900 Address / 9Y—o Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 3 715- 246 -4516 Property Owner_ Parcel ID# V L� �6CJ�O Z . Za zp< Page Z of Boring `r F 3 - Borin # 2 l Pit Ground surface elev. 3 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 rn C s 2 12 I ,.sl s (11) F -1 Boring # C] F] ❑ 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 F-1 Boring # ❑ C1 Pit Boring 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 Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mg/1- ' 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 (8.6/00) Soil Test Plot Pla Project Name Steve Mowry S B1 Address 47 196th St. d Star Prairie Wi 54026 ' CST #226900 Lot Subdivision ----- -- Date 9/29/03 SE 1/4 SE 1/4S 1 9 T 30 N /R W Township Richmond F1 Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of Siding System Elevation 9 2.3/92.2 *HRPSame as Benchmark Alt. BM Base of Air Conditioner @ 98.6' DW Scale is 1" = 40' 25' unless otherwise Dw noted 75' 1% B -1 Septic Tank location Slope unknown 30' Q, Well 15o Existing 6 0' 5 Bedroom 130' House Alt. B -3 45' 65' L-I *B.M. 15' Not enough slope to establish contours B -2 5'A L 75' 140th Ave ST CROIX COUNTY SEPTIC 'TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM i Owner/Buyer Mailing Address r �',r ��,c.,�, ` O oZ 16 Property Address (Verification from Planning Department for new construction) /' City/State A Parcel Identification Number ZQOl r LEGAL DESCRIPTION v 30& Property Location 1 /4, 1 /4, Sec. , T N -RaW, Town of Z CJ meri Subdivision Lott # Certified Survey Map # 1 ` °� ___ , Volume Z , Page # Warranty Deed # 6's O C I - 7 — 3 . Volume / & Page # 2 Spec house ❑ yeV no Lot lines identifiable <yes ❑ no SYSTEM MAINTENANCE 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 masterplumber, 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 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 statiA that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 X he three year expiration date. OF APP LICANT 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 p erty d cribed above, by virtue of a warranty deed recorded in Register of Deeds Office. S GNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.*** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Maintenance and Contingency Plan for a Septic System Maintenance Plan pumped once every 3 years. 1. Septic Tank is to be pump 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 v ia the inspections pipes at the ends of the cells. agrees to limit greases, garbage, and water conditioner discharge into the system. 4. owner 9 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 f stem fails, determine cause of failure, use alternate area and install new system or 1. I sy install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715-246 St. Croix County Zoning 715-386 -4680 Pumper Tom Mondor 71 5- 246 - Shaun Bird #226900 VOL 1679 PAGE 121 4,50973 STATE BAR OF WISCONSIN FORM I - 1999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between Marcella Watson, a single person 01 - - 2001 10:40 AN WARRANTY DEED EXEMPT N Grantor, and Stephen L. Mowry and Sandra L. Mowry, husband an CERT COPY FEE: COPY FEE: wife TRANSFER FEE: 270.00 RECORDING FEE: 12.00 PAGES: 2 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Name and Return Address see attached Exhibit "A" The First National Bank of New Richmond Box 89 New Richmond, WI 54017 � (� 026 - 105940 -000 026- 1062 -20 -000 ✓g' Parcel Identification Num r Together with all appurtenant rights, title and interests. This Is homestead property. (is) 01=0 Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights -of -way of record, if any. Dated this 1 /5 day of June 2001 ' Marcella Watson AUTHENTICATION ACKNOWLEDGMENT Signature(s) Marcella Watson, _ _ ^ STATE OF ) ) ss. County ) til^^ authenticated this day of June 2001 Personally came before me this day of the above named ' Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland, Notary Public, State of Hudson, WI My Commission is permanent. ( not, state expiration ate: (Signatures may be authenticated or acknowledged. Both are not necessary.) ') • Names of persons signing in any capacity must be typed or printed below their signature. irdo, wn Prof"smam Ca y. Faa au Lx. wt STATE BAR OF vk'ISCONSIN eoo-455-202t WARRANTY DEED FORM No. l - 1999 0 VOL 1679PAGE 122 A harcgl of approximptOly 4'.5 acres located n ttteiSW %• gf:SW Y. of Section 20 and the 4E Y.0 S Y• bf section 19;: ALL- in Towriship 30 North,: Range 16 West. St. Cralx Coun W � '.pe!of. on, In further described as fpl�ows: Pronh.the SW corner of .said Section 20, go .due!EaSL,, d�5t 9 fgot; thence due North a - distance of 233.2 feet to•an'irbn pipe slake in the fence lin � t the ,pom ofi`beginning for. the parcel, to be copyeyed hefein, ihenee N9 a distar pe of304.616et to an :iron ;pipe stake; th'Ope' N77°1l3'W along `a fence' Brie a rtlistance of 417. ?` fget tq! ani iron. pips : iO6 oq the bank of the stream; thence continues tlV�eSt.td khe centerline of Bald stream :.Jhencq SN1lly said center ltn e:to the genterline of thoitowrt road bridge; thence %1� along saip towrj Ygad centerline to a ppint Sly of the poirit of begWning:.thence North to the. point OP beginning a distance -of approximately 33 feet. i 6722$7 V L ]b PAGE 4254 - r REGISTER OF DEEDS ST. CROIX CO., MI y1 RECEIVED FOR RECORD _ 1 = A y z I ! �I < 02 -27 -2002 2:30 PM 0) > n m �!' 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