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HomeMy WebLinkAbout026-1137-02-000 Wisco� of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division .y Sanitary Permit No: C INSPECTION REPORT 395223 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: P.C. Collova Builders, Inc. Richmond Township 026 - 1137 -02 -000 CST BM Elev: Insp. BM Elev: BM Description: !moo r«� ` R, TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ept V�-� X000 Benchmark Dosing Alt. BM Aeration Bldg. Sewer fi•3? q 7. Holding St/Ht Inlet �s� 9•. TANK SETBACK INFORMATION St/Ht outlet b , 40 TANK TO P/L WELL BLDG. V nt to Air Intake ROAD Dt Inlet Septic � � s / N t Lt7 / Z (� Dt Bottom _ Dosing Header /Man. ?40 `•S / .0 Aeration Dist. Pipe Holding Bot. System �G r ( a i �O D f Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss S em Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. ILiquid Depth DIMENSIONS a r C52 Or T SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LE G Manufacturer. INFORMATION CHAMB ype Of System: / NIT odel Ny�rPba A 7 DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake 0 / e Pipe(s) � — Length Dia L Spacing — SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over rBd/Trench Over xx Depth of xx Seeded /Sodded xx Mulched D ed/Tren er Center Edges Topsoil 1] Yes [� No F Yes [M] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: !b / / 0� Inspection #2: Location: 1496 112th Street New Richmond, WI 54017 (NW 1/4 NW 1/4 21 T31 N R11 8W) Golfview A Parcel No: 21.30.18.928 1.) Alt BM Description = �s� wjw 604;4uid 01 I - A y w� / %p •b�'pvh 4. '[' - 2.) Bldg sewer length = to • s) Ir a'C'k ,4 b - amount of cover = Y 6 IN c.'(-d 3 � t x � k l 5 � �taOLp/L � � `� 'i!ti `N t i �) 1 ny,►,, Q i D�� 4 1�� a GkwM �2� older t?'"'l #&CAL Plan revision Required? L Yes F1W No /�1 /0 / /��0� Use other side for additional information. Date 4 Gcw, Signature SBD -6710 (R.3/97) r /4 ; Sanitary Permit Application Safety &Buildings Division NVIsconsin In acco rd with Comm 83.21, Wis. Adm. Code 201 W WSS PO B 302 See reverse side for instructions for completing this application Madison, WI 53707 -?302 Department of Comme Personal information you provide may be used for secondary purposes (Submit completed form t0 county if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 1 i inches in size. Coun q State P g grit Number ❑ Check if revision to previous application State Plan I. D. Number s C �j I. Application Information - Please Print a Information Location: Property Owner Name Property Location ) I . c �C? < Y> [J cv �� . 0 /4 AIJ S 21 T J ,N, W Property Owner's Mailing Address Lot Number Block Num City, State Zip Code / Pha u b r = Subdivi Name or CSM Number II. ype of Building: (check one) ©City I or 2 Family Dwelling -No. of Bedrooms: L� y� (A ❑ Village ❑ blic/Commert:ial (describe use):_ — wn of ❑ State -Owned �► Es` Nearest Road area IT ax Number( IIi. of !Emit. Type Check o one box o n line A. Check box on line B t a e { Y plicabl ) A) i. w 2. 0 Replacement 3. 0 Replacement of 4. 5. 6. 0 Addition to System System "tank Only Existing System B) eP Number Dgfs s YA Sanitary Permit was previously issued j x4 O/ IV. of POWT System: (Check all that apply) AL'N bn-pressurized In -ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland rized In -ground ❑ Holding Tank ❑ Single Pass 0 Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirc lating Ct Ot er: ILL r V. Dispersal/Treatment Area Information: 3 X 6iS 1. Design Flow (gpd) 2. Dispersal Area 3, Dispersal A 4. Soil Application 5. Percolation Rate 6. S ystem Elevation 7. inal. Grade Required Proposed Rate (Gals. /day'sq ft.) (Min. /inch) Elevation d 2 2-5 .- 3 7 � � - � 2 o' 6 VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed 'Tanks Tanks 13 13 0 0 ❑ 0� n ❑ VIII. Responsibility Statement � I, the undersigned, assume responsibility for insta ation of the P S shown on the attached Elans. Pl umber's Name (print) Plumber (no MPIMPRS No. Business Phone Number Plumber's Address (Street, City, State, Zip 9 I.X. Count /De artment Use Only County p Y Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued g Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) pp Determination ,00 X. C o itions of Approval /Reasons for Disapproval: OL— SFID -639R rlt 07101 PLO LAN PROJECT P.C. Collova Builders Inc. RESS 705 Countv Rd E Hudson Wi 54016 NW 1/4 NW 1/4s 21 /T 30 1 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 1 0/7/01 BEDROOM 3 CONVENTIONAL )00C IN -GROUN P SU E CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 BENCHMARK V.R.P. Top of 1" iron Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL - H.R.P. Same as Benchmark SYSTEM ELEVATION 96.0 Property Line Vent c > 12" Sidewinder High Capacity pacity Leaching Conventional Plans Designed Using of Cover Powts ,� Manual Version 2.0 t 6' Long " 16 3 4" Grade at System Elevation 'vt 0' 40' B -3 y "� 2 -3' X 69' Cells 40 with >3' Spacing Ven 160' I 80 ' B -1 B -2 25' I S � N 20' I r Pro 3 ' >, Bedroom House i o � � w••� a,Il B.M. #2 PLO LAN PROJECT P.C. Collova Builders Inc. REss 705 Countv Rd E Hudson Wi 54016 NW 1/4 NW 1 /4S 21 /T 30 1 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 10/7/01 BEDROOM 3 CONVENTIONAL X)OC IN- GROUNIy P SU E CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 BENCHMARK V.R.P. Top of 1 " iron Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark B.M. #1 Property Line SYSTEM ELEVATION 96.0 Vent t > 12" Sidewinder High of Cover Capacity Leaching Plans Designed Using Chamber It Conventional Powts Manual Version 2.0 6' L on g 16" 34" Grade at System Elevation , {- IDD 0 , 40' B -3y "I� 2 -3' X 69' Cells 40 with >3' Spacing Vents I 160' 80' B -1 l B -2 25' I S � N 20' 1 Pro 3 Bedroom .� House o ` N� ��>�8l'L► B.M. #2 Wisconsin of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must County 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 information Reviewed by Date Personal Information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). Property Owner Property Location rn. ;Paa, )546t,�G�W Govt. Lot A1,()11�/fi4i'1/4 T N R s� E (or} Property Owner's Maflin ddress Lat Block # Subd, Name or CSM# I r,a City State ZWCode Phone Number ❑ City [] Village Town Nearest Road ew Construction Use: Residential I Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or com erclai - Describe: Parent material d [ate Flood Plain elevation if applicable ft. General comments ;-��� and recommendations: � /� J �� ` 1 172-ce — � F�l Boring # Boring it Ground surface elev. - _? 4 ft. Depth to limiting factor y 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 *Eft#2 0 S .5 Z c� �S�� 3 Q Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Ap plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots . GPD/ft In. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS > 0 m * Effluent #2 = BO�D 30 mg/L and TSS < 30 mg/L CST Na (Please Print) - nature � CST Number Address Date Evaluation Conducted Telephone Number . -8330 (1107 /00) P /ARESS LAN PROJECT P.C. Collova Builders Inc. 705 Countv Rd E Hudson Wi 54016 NW 1 / 4 NW 1 /4 S 21 /T 30 TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 10/7/01 BEDROOM 3 CONVENTIONAL X04( IN-GROUNfaRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 BENCHMARK V.R.P. Top of 1" iron Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark B.M. #1 Property Line SYSTEM ELEVATION 96.0 > 12 Sidewinder High P tY g Capacity Leaching Plans Designed Using Chamber Conventional o of CP wts Manual Version 2.0 6 ' Grade at System Elevation 34" 0 , B -3 40' rG- 2 -3' X 69' Cells 40 B -4 with >3' Spacing Vents 160' ft 80' 12 -1 B -2 Pro 3 >, Bedroom t House 0 B.M. #2 wisoonsi�Departmentotcommerce SOIL EVALUATION REPORT Page l of Dkrision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County 1 Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must S-� • C r Ul include, but not limited to: vertical and horizontal refers BM), direction and parcel I.D. percent slope, scale or dimensions, north arrow, a I�d talance to nearest road. \ Reviewed by Date Please priirt all rin- c P' YLaw;s 5. Z-t Personal information you provide may be usedndary p1.4 Property Owner lDerty Location R I d e n n PFoI Lot tiw 1l4 1/4 ( T Q N R E (or 1J V Property Owner's Mailing Address ST C►�Jix Lot Block # Subd. Name or CSM# i�.0. 60y, IQ . .... ' COUNTY ` C- �ol��iev� Acres [LI)V, le 805r Lake 11 N 15 5110 State Zip Code City ❑ Village Town Nearest Road ® New Construction Use: ® Residential / Number of rooms 3 - `� Code derived design flow rate 1 450/(080 GPD ❑ Replacement ❑ Public or commercial - Describe: ft Parent material 60 fl�..rL S Flood Plain elevation if applicable .V /! General comments Y S� -e W1 G(Z V. 9lo v and recommendations: 441 k�,r J, 9'6.O F1 Boring F-1 Boring # ® Pit Ground surface elev. 99 9D ft Depth to limiting factor 1 lam_ in. mil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 o -� 10 3 3 -- 51 Z rrobk c �j Z I -3g I p LI kl — 5..1 a Boring # Boring ® Pit Ground surface elev. /00. /O ft. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Descr"Oon Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 3 -- '5 F bk m� 65 Z 16-Ay 16 v e , y ly — 5,1 2 rrrrr C S — 5 3 -//v to e 4 ko m D M 1 ? 11Z k.�1• * Effluent #1 = B00 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg1L and TSS < 30 mg/L CST Name (Please Print) nature CST Number Aidof,n Sch ker -� � 2533cA Address Date Evaluation Conducted Telephone Number 2113 SomerseA W1 S - o/ (-1 15)2111 -AJ60S Property Owner 150 Parcel ID # Page 2 of 3 r F 3] Bonn # � Boring OK pit Ground surface elev. 99 �V ft Depth to Igniting factor JO 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 Si l 2nybk Mfr c I - $ Z _ 4 4 -- 5 2 ryinb CS 'S S 3 l -/0 I mS r'• Z Ong # [] Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stare Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 'Eff#2 F-1 Boring # pit Boring Ground surface elev. ft Depth to Igniting 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/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 -030 ( o7roo) r PAGE __ 3 OF. NAME e I.So LOT# Z LEGAL DESCRIPTION/uw ' /4aJ /4 S Zt T o N R E or dO SCALE: 1 "= yo X� BM I ELEVATION Ajo • C- BM I DESCRIPTION - k i p a�' r •Tkan BM 2 ELEVATION 9 r S PG . Z l BM 2 DESCRIPTION -+ o SYSTEM ELEVATION 9� • O ALTERNATE ELEVATION 9(C)• O P t CONTOUR ELEVATION lld SI o pt g -3 ■ ��al I,o+ Shupe pr; N 1 I DATE -� �U - SIGNATURE ,� - 1� � CD 8 ✓►1 Z FROM P C COLLO'JiI BLDRS, INC PHONE NO. : 7_5 549 5911 Hug. �Gi1 E� :D3Ph1 F'1 e e Le 0 O _ Q � G O P NJ A 49 Ja Ui c� ■�� m.3 cy - F Z o C� w S M m Qm M � z w O ■ � c �o � � u � t'M tl � l7 « � � = O L - LiJ qg m C w g a LW m v >= 0 L o � � tai � W � > 0 c � W o� Li z O LL cn � d D z w a �„� w U _ LL LU Z �� 0 cl) H- u� a w m ❑ z �, E a J0 Wz !y9 ov Sanitary Permit Application Safety & Buildings Division ^ In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 ' V ISC®nSen Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach complete plans (to the county copy ortly) fbr t e- systezn;:an,paper not less than 8 -1/2 x 11 inches in size. County State Sanitay Permit Number' � Chcck if revisi 1fto'jn�vious application State Plan I. D. Numb r I. Application Information - Please Print all Information ;, ^, 't - Location: Property Owner Name �: Property Location MAM POk1 /4, S31 T3QN, R/ fior W Property Owner's Mailing Address ST , Lot Number Block Number 7© G Z` Ct,l1M'Y , City, State Zip Code Phone Numb ubdivision N r CSM Number 2y(_,) I- 11. Type of Building: (check one) - ❑ City 1 or 2 Family Dwelling -No. of Bedrooms: l - et pc 1�tr6 Village Public /Commercial (describe use):_ , Town of C4 - ❑ State - Owned A — DQ — /Q 5 Nearest oadt4 �! I PaS6 e umber III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) OR& — — C T O A) 1. _kNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) Permit Number ate Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day/ q. (Min. /inch) Elevation q , 5 -1) 3 75 7 /, 2' / 7 /o® VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete strutted Tanks Tanks ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for install ion of the POWTS show on the attached plans. Plumber's Name (print) I Plumber' ign re (nos P PRS No. Business Phone Number Y o3S 7iS—a6g Plumber's f �Address (Street, City, State, Zip go 4) C� IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued ing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) ,-6i Determination � / 7,1 0 / X. Conditions of Approval /Reasons for Disapproval: ' Ie - 4wwltv� l3 lµa, q' /, ���.e�` 1�1> �L ►^nwkv� ►,/l,Q r� "r� �4�l`�' SBD -6398 (R.107/00) �S� P L- r /coo ,� _ l / J 14 !d o r Z3 -3 X,C� ` ) x x � 13-cz �I s 3 i, r - / S ao 7 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak (gpd) O Estimated Flow - Average (gpd) Septic Tank Capacity (gal) O Soil Absorption Component Size (ft Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) 3;'�3 Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 4 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep - rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. oy\- �- N C 7 .5) �? i5) 3g h FROM , .P C COLLOVA BLDRS, INC PHONE NO. : 715 549 5911 Aug. 21 2001 02:50PM P1 PC. Coffova Buiffers, inn. Collova But-WT -s 705 County Road E Hudson, W 154016 (715) 549 -5977 FAX (715) 549 -5911' 0 MN 1D#1073 WT 1D #15195 G. 4 "J ou�2 h o� AND /FVF /. j�e� • FROM :'P C COLLOOH BLDRS, 1140 PHONE NO. : 715 549 5911 May. 24 2001 02:40PM P2 ST CI OIX WUN't'Y SEPTIC'1'ANK MAINTENANCR AOR1, ANi) OWNPR311IP CERTIFICATION VORM Owner /l.Itlycl �. t b (1c.>vA 6116S Mailintl Address 7 D -> _ Oe�P C Property Address (VCriflcatioll rccinited front Planning Depattlnellt for pew coustruelioli) City /State NE i ��-U/ Parcel Idelitificntiott Mumber WIT: r.T+CAI<.r 1�1l.SC`.I2I1''I'1'f7N Property Localioll ' _ v yv y,, -Alv %, See, S u bdivision _ a o I -'vi cw Lot 11 2- Certified Sin A11111 11 Volt►tnc w � , Pag It tVstt't auty Y)ced 11 _ Vo111111; Page U 5pco house C] yes > 410 Lot lines idcntiftablex Ci m S1' TEM MAIN' A CC-, lruptbper use gild ulaiulcnallceof your scptic system could result fit its promalurc fallurc to haudlc wastes. Proper maintenance eotlsists of putnping out the septic tank every illree years or soolur, if needed by a licensed ppnlper. What you put into the system can affect the fustc"on of 1110 sep(la tank as 0 treatment stage in tilt waste disposal system. 'li propCr(y OWAICr OUCCS to 011brllit to . Cro'r Zoning 1)cpalhrte0t a MU11CAlioll 161-1, WigllCd by the aWUcr and lly a ilia Alcrpiumber, Jouruoy ,,all pluultler, restricted piunlhcror a licensed pumper verifying Ilia( (1) the an -site waslcwaterdisposat system is to proper operating condition and/or (2) after luspeetion and pllrnpiog (if uccessag), the septic tank is less than 113 full of sludge, 1 /wo. the uudcrsigoed bavo read the abovn and agrco to nlailltain the private sewaGc disposal system wi41 Ula slandardy set failL, herein, as set by the Depaiyncttt of Commerce an <I the Department of Natural Rcsources, State of Wisconsin, Certificatiou Slating that your septic system Iles bceu ulahltalacd ntusl be completed and retooled to lite St. Croix County Zolll00,0ffVjcc within 30 day a year expiration date, ��- z - GRAf Or APPUCArfl' 11A1'i+ O WNER r T h 'r10_N I I (we) certify that all statements all this futlll are (lne to the bc$l of Illy (onl') kl lowlcdce. I (we) atu (ate) the owncl(s) ul tilt proper ribcd above, by S lue of a warranty decd lecurded in Register of Deeds Off ice, 7 ri slank ar• PPI;1CANt' (, l / I ATF. * ** ** Any iaforrnatioll that is nits rgresentedniay result in thcsllnitary permit Wall revoked by tile'Louiug Dcparttueat. +' *•' *• include Mill Alts applieatiuu: a stamped warranty decd (loin ilia Register of Dccd; ofricc 4 Copy of the ccrtiA «t sutycy map if rcfr(encc is madc in Ule warranty deed . 08/0 . 8/01 WED 08:01 F-AX 715 380 4887 REGISTER OF DEEDS 001 R Y... 65�a1 ?C3 STATE BAR or Nsr 2 -1999 KATHLEEN H. WRLSH WA R TY T AD REGISTER OF DEEDS Document Numbcr ,'•'• BT. CRi12X CO. y W1 { RECEIVED FOR RECORD This Deed, made between Hillva Develdpm L► sii�d, s • Min nesota Limited Liabili 'Partn _ 08- 07 -2mi 9:30 AN ;.. --- IIARWTY DEED Grantor, and P. C. Collov$ Buil Tnc., a M • Corporati on, _ EM COPY FEE. , CORY FEE: - -- TRANSFER FEE: 760.60 _.... REMIND FEE: 10.00 PAGESI I Grantee. Grantor, for a valu.616 consideration, conveys to Grantee the following described real estate In St. C County, State of Wisconsin (if more space is needed, please attach addendum); Rcccrding Aron Name and Rcturn Address Lots 1, 2, 3, 6, 7, 29, 301 31, 32 and 33, DAVID J ESTREEN Golfviev Acres, Town of Richmmd, St. Croix County, Wisconsin. 304 LOCUST ST HUDSON WI 54016 N 026- 10 12.50 _ Parcel Identification Number (PIN) This k not homestead prop crty. oil (is not) Exceptions to warranties: Easements, restho - Dona and rights -of way of record, If any. Dated This _ day of June 2001 }illlvale Development Limited • _ _ ' By: Richard Nelson AUTHENTICATION ACKNOWLEDGMENT Sigt►ature(s) — STATE Of WISCONSIN } St. Croi x...._ County ) authenticated this day of _ .. Personally came before me this _„ ;?—Cr �� day of June 2001 the above named HIIIVale velopme Limited, a M innesets Li mite d Liability r Kristian lea - _ Wind _ _.. _.. Pxrtnc a ,r pib xRicftard Ne lso n, TITIA -1: MEMBER STATE BAR. OF WISCONSIN — • — to'l rson(s) wlio cxc ;sited the foregoing (If not, ged the same. authorized by § 706,06, Wis..Stats.) THIS INSTRUMrNT WAS DRAT I'En BY Attorne Kristine Ogl Nast - 3� ' isconsin !• udso WI Salo My i'' arient. (If not, state expiration date; (Signatures may be nudiandcaled or a4riowledgcd. Both are not accessary.) a Names of persons signing in any eiipacity must be typed or printed below their signature. Prereymone.a C=WWri Fan du Lao. 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