HomeMy WebLinkAbout026-1294-12-000 S T CRD�x cOU
December 17, 2008
Joy Van Niel
1337 116 Street
New Richmond, WI 54017
RE: House & POWTS Property Line Setback Determination
Parcel #026- 1294 -12 -000 (Computer # 28.30.18.1494)
Lot 12 Richmond Acres Subdivision
Code Administration
715- 386 -4680 Dear Ms. Van Niel:
Land Information & Today we received information from a potential buyer for lot 13 that the Private Onsite
Planning Wastewater Treatment System ( POWTS) installed on lot 12 may not meet the minimum
715- 386 -4674 setback to the north property line and the house constructed on lot 12 may be partially
on lot 13. Recent aerial photos from the St. Croix County Land Information System
Real Property indicate that there may be a violation of zoning ordinance sideyard setbacks per Sec.
715- 386 -4677 17.13(4)(a) as well as possible violation of WI Dept. of Commerce Comm 83.43 -1
Recycling Horizontal setbacks for POWTS treatment components.
715- 386 -4675
Although inspection report data from August 9, 2006 recorded the septic system as
being 14 ft. from the north property line and the septic tank as 75' from the nearest
property line, the air photo (easier to see in color on -line) shows the vegetation mowed
on an angle and the northeast corner of the house is over the lot line.
The POWTS installer, builder and /or subdivision developer will need to schedule an on-
site visit with county staff to determine the location of the house and POWTS in relation
to lot 12 north property line. Until that information is available, it will be impossible to
verify whether or not the house and POWTS meet minimum setbacks. If the treatment
component (leaching chamber cells) is less than the minimum 5 feet from the lot line,
you may have tp apply for a variance with the Dept. of Commerce. If the variance is
denied, or if it is determined the POWTS extends across the lot line onto lot 13, the
portion of the POWTS beyond the setback will have to be moved into a compliant
location. Luckily, lot 13 has not been sold nor any building or sanitary permits been
issued as yet. We have pulled the soil report for lot 13 and put a hold on any future
permit applications until the above verifications have been completed.
You have thirty (30) days from receipt of this letter to schedule the site visit to determine
whether or not the above violations have occurred. If you have any additional questions
feel free to contact me at 715- 386 -4680.
Si. erely,
Quinn, Zoning Sp cialist
CC: Richmond Acres LLC c/o Gerald Smith
Herb Pelke, Pelke Plumbing
Dean Albert, Town of Richmond Building Inspector
ST. CRO1X COUNTY GOVERNMENT CENTER
1 10 1 CARMICHAEL ROAD. HUDSON W1 54016 715-386 FAx
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
488137 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:
Smith, Gerald I Richmond, Town of 026- 1294 -12 -000
CST BM Elev: Insp. BM Elev: BM Description: n / -C Sectionlrown /Range /Map No:
/ L 1 28.30.18.1494
DATA
TANK INFORMATION ELEVATION D A
TYPE MANUFACTURER „ CAPACITY STATION BS HI FS ELEV.
i
Septic Benchmark 7 �o Z, fb7 • IP
FtL,-_ 1z5L
13eaittd j Alt. BM G ,(
z w � acor 6: t( &> 3 /i3.9z
Aeration Bldg. Sewer y,
r 5. 5 Z - /Z�7
H�ng t/ t Inlet
TANK SETBACK INFORMATION St/H O $ /Oct /
Vent o it Intake net
ep is -7,5 / 7 5o� 5 / 7 Z6 C) B ottom
osing Header/Man.
i
; is . ipe (p17 mg Bo t. bystern , j, 9S • 7
/. 45
ma ra e
PUMP /SIPHON INFORMATION 7 • $ - 71 77. 7 5
m anufacturer Demano st Cover
GPM �. 5.3? 112- . '95
o e um r �.
i c ion oss m Fle a
It - orcemain g in na.
SOIL ABSORPTION SYSTEM
Mr-u U1 t-IL5 It twue LAd JUquin uepin
DIMENSIONS
INFORMATION // II LLtL CHAMBER OR ��� l -��
UNIT SV—a
dot /(o +-/ -l-/ 7 =
Length 1 , Dia�_ I Ln e gt Dia ` Spacing Z o
x Pressure Systems Only xx Mound Or At -Grade Systems Only
Bed /Trench Center 3. Bed/Trench Edges � Topsoil Yes No Yes !j No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 1337 116th Stre t yw Richmond, W 54017 (NW 1/4 SE 1/4 28 T30N R18W) Richmond Acres Lot 12 Parcel No: 28.30.18.1494
1.) Alt BM Description = �v -- Uav` ^- LC4-k-, a
2.) Bldg sewer length = S \
- amount of cover = Jr
C oy •.-�.
Plan revision Required? ] Yes No q O �g
Use other side for additional information.
t
_.._._I tnsepcto ture - - --
SBD -6710 (R.3197)
Safety and Buildings Division County
1 201 W. Washington Ave., P.O. Box 7162 e;eovx
seonsen Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.)
' Department of Commerce (608) 266 -3151 4g81
Sanitary Permit Application State Plan I.D. Number
In accord with Comm 83.21, Wis. Adm. Code, personal informati( a you REC C
may be used for secondary purposes Privacy Law, a 15.04 1Xm) Proj t Address (if different than mailing address)
L Application Information — Please Print All information AP R 1 06
'=~
# /334 6 .S
�
Property owner's Name
# Lot # Block #
ST. CROIX 44T
( /Z
Property owner's Mailing Address A Property Location
I ll ea �Jr'`d �'r �i dE !� J ys 1 E v., Section �_
City, State Zip Code Phone Number
(circle e)
L dF.�t x .S'D 7�3 - � S T Q N; R /lt' ; o� / C�
IL Type of Brill ' (check all that apply) �/ S
Subdivision Name CSM Number
1 or 2 Family Dwelling - Number of Bedrooms
❑
Public/Commercial - Describe Use lel AlA
❑ State Owned - Describe Use 'BEilp_PV*age&owaship of ,O
IIL Type of Permit: (Check only one box on line A. Complete line B U applicable) — I y - ( a V
A ' XN. Systems ❑ Replacement System ❑ Treatmeat/Holding Tank Replacement Only ❑ Other Modification to E)dsting System
B. ❑ Permit Renewal ❑ Peamit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
W. Type of POWTS System: Check all that appl i CIL L r S
0r Non - 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 JKLeaching Chamber ❑ Dri Line ❑ Gravel -less Pipe ❑ Other (explain)
V. Dispersal/Treatment Area Worms on:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area ed (sf) System Elevation
sac So 7. z / ii9y !"f!8 le
VL Tank Wo Capacity in Total Number Manufaoturer L"rC Prof Site Steel Fiber Plastic
Gallons Gallons of Units ye /� �l Concrete Constructed Glass
New Tanks /.'
Tad Ta
s Tama
Pee er ` /,zr
Aerobic Treatment Unit
Dosirg Chamber
VIL Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber' MPaZ= Number Business Phone Number
S. /E` 2y /Z 715 t7 --rwe
Plumber's Address (Street, City, State, Zip )
8 Sr. .?S Qi� ,✓o S
VUL Cotm /De artment Use Ord
gApproved 11 Dis Sanitary Permit Fee (includes Groundwater Date Issued lssuing t Sig-bar (No Stamps)
Surcharge Fee)
❑ Zatven Reason for Deni
IX. Conditions o Ap rov Zisaw"VA
SYSTEM OWNER:
1 Septic tank, effluent filter and
dispersal cell must all be serviced / maintained
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code /ordinances.
Attack complete plans (to the County only) for the system on paper rot less than Ka z 11 inches in also
SBD -6398 (R. 01/03)
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Private On -Site Wastewater Treatment System (POWTS)
Index and Title Sheet
Owner:
Project Name and System Type: G .T .ro daw rs
Location:
Street Address
.xlA SE �o,/ , :, La s' /Z
sc �/�i✓�o..io /��A�s
Legal Deription �
Township /County
Contents: Page 1: ,4,edrY r r�&I
Page 2: G'-1 a r 0...✓ C4e sr - Sic ri. •✓
Page 3: J4a4r rt D�.,.Ea `f �ro.✓w,.� /ro.✓.Rs�.y�.�r mss...✓
Page 4:
..........
Page 5:
Page 6:
Page 7:
Page 8:
.Page 9:
Attachments: _5 Gw.4,9 eew 1 1 MV o r
Plumber/9esigfier: ,�E�6 Age Signed:
Credential Number: , />� �y /L - Date: 3 -/o -a6
Wisconsin Department of Commerce J U^, EVALUATION REPORT Page of
Division of Safety and Buildings
in Wcordance with Comm 85, Wis. Adm. Code
County S1 C C) I Y
Attach complete site plan on paper not less than 8 1/2 x 1 � but not limited to: vertical and horizontal referen point �nr}"' Parcel I.D.
percent slope, scale or dimensions, north arrow, and locution and distance to nearest road.
a �.� ', 23 R ewed b Date
Please print all information. t, , I u
Personal information you provide maybe used for secondary p poses (Privacy Law, s. 15.04 (1) (m)).
Property Owner ,y (� ZONING OF l� ocati
1/45E 1/4 S aq T30 N R I E(or
Property Owner's Mailing Add re Lot # Block # Subd. Name or CSM#
I i/too 90T e• N W a at o f rc m A c re s
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
F_1K R -Vep, I KIN 30 ( 8 (s►ch rn a r4 T S'F
($ New Construction Use: (15 Residential / Number of bedrooms Code der &—gesign flow rate __ GP
[j Replacement C3 Public or commercial - Describe: �� �� G t r
_ �— ft.
Parent material Q �� � � 1'H � � _ Flood Plan elevation if applicable R -__
General comments Z 5 ussa -5 3 - '(rGtn U Kno w na i
and recommendations: . -(; y f
5;+e- ; 7 a 99
' ' N a (t tl
-r, To 4,
Boring #
Fi�
C] Boring Lor /
49 Soil Application pit Ground surface elev. 9 �r .95 p (7 _ ft. Depth to limiting factor j in. 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 - L L_ w, -r a.w a? F , y
m —' '
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Boring # ❑ Boring
® Pit Ground surface elev. l 13 ft. Depth to limiting factor / D O 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
s L I FPL m F; C-0 F. y •
l He-^ IM k fi ; cw ) •
q16 L_
t y
Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 5 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 5 30 mg/L
T Name (Please P Signatur CST Number c;k c q A � a O M S .� Date Evaluation Conducted Telephone Number
- 7 15 a y 8 35s8
X40 AP
9
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Property Owner Gera Ids - +k Parcel ID # ___ Page C�_ of _
Boring # F1 Boring IL
pit Ground surface elev. $s 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
o is o 3 L- I r s 6 is aw F- Y
4 '7- y L7 lM m w I F -
- lo 7. S YR, L / to -
F
F-1 Boring # ❑ Boring _
❑ Pit Ground surface elev. __ ft. Depth to limiting factor in. Soil Iication 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 # ❑ 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 5 220 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•&330 (R.fi=)
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HUG- ee -20b 11:43 FROM:JEO CONSULTING GROUP 715-246 -3830 TO: 2487E339 P.001/001
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POWTS OWNER'S MANUAL AND MANAGEMENT PLAN
FILE INFORMATION SYSTEM SPECIFICATIONS
caner (,,&rr�4 T. S w� �Ttt Se tic Tank Ca ci So gal ❑ NA
rmit # / 3 Se tic Tank Manufacturer 411d e 4 p NA
DESIGN PARAMETERS Effluent Filter Manufacturer Z "Ec DNA
Number of Bedrooms 100 droom D NA Effluent Filter Model /oo p NA
Number of Commercial Units NA Pump Tank Capacity M'NA
Pump Tank Manufacturer ❑ NA
Estimated flow (average)* gal/day Pump Manufacturer ❑ NA
Design flow ), estimated x 1.5* al/da p NA
g (P� Pump Model
Soil Application Rate gal ft Pretreatment Unit U NA
Influent/Effluent Quality (NAO) Monthly Average "* ❑ Sand/Gravel Filter ❑ Peat Filter
Fats. Oil & Grease (FOG) 5 30 mg/L ❑ Mechanical Aeration ❑ Wetland
Biochemical Oxygen Demand (BOD5) p Disinfection ❑ Other:
Total Suspended Solids (TSS) 5 220 mg/L Manufacturer: Model:
5 250 m Dispersal Cells)
Pretreated Effluent Quality p Monthly Average * ** W In- ground (gravity) ❑ In- ground (pressurized)
Biochemical Oxygen Demand (BOD 5 30 mg/L ❑ At -grade ❑ Mound
Total Suspended Solids (TSS) 5 30 mg/L 0 Drip-line ❑ Other:
Fecal Coliform (geometric mean) _ <10 cfu/1001111 ) Leaching Chamber Manufacturer /y,c e am; 4
Maximum Effluent Particle Size 1/8 inch diameter Model _Laying Length/Chamber
*Wastewater Flow Verification and Calculations: Soil App ication Rate �gpd/ft Area Req. /Soo ft
(Other than bedroom based) Infiltrative Surface/Chamber -ESIA Ratin ft
Minimum Number of Chambers ,f
❑ A gregate Design Flow/Loading Rate= ft min
** Values typical for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code
and septic tank effluent. COMM84 and be installed per manufacturers specifications
** *Values typical for pretreated wastewater. and approval letters.
DESIGN CRITERIA
p "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990)
C3 "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler.
Publication 15.22
p "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6
p "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis — ASAE Publications 5 -77 and "Design Manual —
Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1- 80-012 October 1980
❑ SBD — 10570 —P (8.6/99) "At -Grade Component Manual Using Pressure Distribution"
)<SBD — 10567 P (8.6/99) "In Ground Absorption Component Manual"
❑ SBD — 10705 —P (N.01 101) "In Ground Soil Absorption Component Manual" Version 2.0
❑ SBD — 10628 —P (N.6/99) "Recirculating Sand Filter System Component Manual"
❑ SBD — 10656 —P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual"
[I SBD - 10572 —P (8.6/99) "Mound Component Manual"
p SBD - 10691 —P (N.01 101) "Mound Component Manual" Version 2.0
❑ SBD - 10595 —P (8.6/99) "Single Pass Sand Filter Component Manual"
p SBD - 10657 P (8.6/99) "Drip - line Effluent Disposal Component Manual"
❑ SBD - 10573 —P (8 6/99) "Pressure Distribution Component Manual"
D SBD - 10706 —P (N.01 /01) "Pressure Distribution Component Manual" Version 2.0
❑ Drip -line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units
MAINTENANCE AND MANAGEMENT
MAINTENANCE MONITORING SCHEDULE
Service Event Service Fre uenc
Inspect condition of tank(s) At least once every ❑ months j Oyear(s) (Maximum 3 yrs.)
Pum i out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume
Ins ct dispersal cell(s) At least once every D months W year(s) (Maximum 3 yrs.)
lean effluent filter At least once every IV ormonths O year(s)
Ins ct um , um controls & alarm At least once every ❑ months ❑ ear(s) NA
Flush laterals and pressure test At least once eve [3 months D year(s) ❑ NA
Valves At least once every D months D ear(s) D NA
nce eve D months El year(s) D NA
Other: At least o
Page_,? of =S
I
START UP
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.
OPERATION
The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity
and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water- saving
appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water
softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface
whenever possible. Note: this does not include laundry waste, showers, dishwater, etc.
This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit
peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only
paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins
condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint,
disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS
and contaminate your drinking water supply.
Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components.
Compaction of snow over the dispersal unit may cause it to freeze up.
❑ Valves
Valves shall be operated in the following manner:
❑ Alarms
Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service
POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any
problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing.
INSPECTIONS
Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master
n / Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule).
Septic Tanks Component
V Tank inspections must include a visual inspection of the tank 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 backup or ponding of effluent to the ground
surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any
defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective
locking device to prevent accidental or unauthorized entry into the tank.
When the combination of sludge and scum in any tank exceeds one -third (1/3) 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.
The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's
specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more
frequent intervals than stated in the maintenance schedule to keep the system operating.
❑ Pump Chamber /Treatment Tanks Component
The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be
made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of any filters.
Any service needs or repairs shall be promptly taken care of.
�] In- Ground Gravity Component Dispersal Cells
inspection shall include recording he levels of ponding, if any in the observation tubes and a visual inspection for any
The g
evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory
authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending
hydraulic failure necessitating more frequent monitoring.
Page 5� of .�
f
❑ Mound, At- Grade, In- Ground Pressure
The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any
evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory
authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure
necessitating more frequent monitoring.
The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals
should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to
ensure that equal distribution of effluent is occurring to promote the longevity of the system.
REPORTS
Reports for maintenan ce inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative
pec n, g
Code.
ABANDONMENT
When the POWTS fails and/or is rmanenti taken out of service the following steps shall be taken to ensure that the system is
Pe Y
properly and safely abandoned in compliance with Ch. COMM 83.33,
Wisconsin Administrative Code.
- All P i P g in to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
- The contents of all tanks and pits shall. be removed :nd proxriy disposed of by a Septage Serrxing 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 other inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replace ent system:
A suitable 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 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 time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a
holding tank may be lace the failed POWTS.
installed as a last resort to re
ho g y P
it
Upon El The a
The site has not been evaluated to identify a suitable replacement area. po so and site evaluation
failure of the POWTS a
in
must be performed to locate a suitable replacement area. If no replacement area is available b a holding tank may sta lled
be
as a last resort to replace the failed POWTS.
❑ 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 CONTIAN LETHAL GASSES AND /OR 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.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name IV ead Name hzZed [,tE ,�i.✓s
AMLPhone Phone >iS L7•?-S.TI�
AGE SERVICING OPERATOR (Pumper) — �./,✓,r�.ad LOCAL REGULATORY AUTHORITY
E
Name
PT
P A en Phone one 7/S 384 - G 80
KAWPDATATIAPOWTS OWNER'S MANUAL.doc
Page S of .�L
I
Maintenance
The interval for servicing septic tanks is set by state and local code. Throughout the United States there is a
wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years.
The Zabel'" filter, which does not increase the frequency of servicing for the tank, should be cleaned when the
septic tank is normally inspected and pumped. However, our filter is virtually self- cleaning. The continued action
of the anaerobic organisms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of
the tank. If your filter contains a SmartFilterm alarm, you will be notified by an alarm when the filter needs servicing.
To service the filter:
'Servicing any Zabel filter should only be done by a certified septic tank pumper or installer.
Locate the
outlet of the
septic tank.
t 1 Firmly pull the filter handle
r _ and slide the cartridg6 out
Remove the tank of the c96N
and pump the _ *Note: A tee handle ma A
necessary to pr , to be used it the filter is tbQ y
any solid below ground level to
escaping to th Contact Zabel for info
when the f handles
rem
s 4
While holding the carttid 6 "'60Y
the access opeiliniQ fix ,.`'`3 Insert the filter'0tfFld;9
cartridge with fresht
careful to rinse all back in the
b sure the filt
*Note: !t Is not nece proper)
completely i
'spotless ". The biome
aides in the pretreatme tl
be left on the filter. (!f n �.
may be disass Replace t
A U
MADE IN USA
The product(s) shown are covered by one or more of the following patents:
,U.S. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683,577, 5,582,716, 5,779,896, 5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482,621
U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand: 264824,
Other Patents Pending
Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1- 800 - 221 -5742 • Website http: / /www.zabel.com
A100/300- 1- M,61499
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Wisconsin Department of Commerce s EVALUATION REPORT Page _� of
Division of Safety and Buildings
e with Comm 85, Wis. Adm. Code
y County st C a I -A
Attach complete site plan on paper not less than 8 1/2 x 1 inch I
include, but not limited to: vertical and horizontal referen point Parcel
percent slope, scale or dimensions, north arrow, and to Ion and distance to nearest road. �O 2 -q (- 1 - 13 - 66b
Please print all informa on. A U G „ eviewed Date
Personal information you provide may be used for secondary pu oses (Privacy Law, s. 15.04 (1) (m)). `�� • /� 2 V
Property Owner ST. CR01 RkQ WNocati
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City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Roa�
HK 9 KIN 30 ( - $ Kic.� rn I I Io s�,
[$ New Construction Use: L Residential / Number of bedrooms Code de
riv -d design rate S Q �___ GP
❑ Replacement ❑ Public or
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Parent material —0 2 .�S�!_!_!. Iti1 _ Flood Plain e!evation if
General comments T 5 V 5 S e-sfi 3 . r � rL 4� �S (. y) Fo'' QG- G h
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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
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Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDffF
in. Munsell Qu. Sz. Co Color Gr. Sz. Sh. I 'Eff#1 'Eff#2
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T Name (Please P Signature CST Number
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Add ss .t s.,t Date Evalua 'on Conducted Telephone Number
a �`� `� 0 0-0 p S 7 IS a ya 3588
Property Owner Gera ids S" Sm � i 11 Parcel ID # ____ Page � _ of
Boring # ❑ Boring /�
Pit Ground surface elev. ? �5 9 ft. Depth to limiting factor CIS Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
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Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # ❑ 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 Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 5 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.6/00)
r
Property Owner Gera Ik �, S m � �' ` Parcel ID # Page � _ of _
F-_31 Boring # ❑ Boring p c
Pit Ground surface elev. v! 5 9 ft. Depth to limiting factor 9 S —in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
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In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # ❑Boring
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Ground surface elev. _ _ ft. Depth to limiting factor _ in.
El pit Soil A 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
Effluent #1 = BOD > 30 1220 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•&330 (R.6=)
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e U 2 8 1 4 P 5 3 1 KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIR Co., MI
DOCUMENT NO. WARRANTY DEED RECEIVED FOR RECORD
06/03/:2005 12:00Pd
WARRANTY DEED
EXEMPT it
This Deed, made between David A. Ball and Kimberly A. Ball, husband REC FEE: 13.00 .
and wife and Denni F d and wife. TRANS FEE: 3185.40
Grantors, a erald J. Smith, a married person, Grante CC COPY FEE:
WITNESSE a say a ors, or a va uable consideration PAGES: 2
convey to Grantee the following described real estate in St. Croix
County, State of Wisconsin .-
RETURN TO:
Parcel 1: The East Half of the East Half of the Southwest Quarter Loberg Law Office
(E' /. 359 West Main Street
/El/2 Ellsworth, WI 54011
/SW %) of Section Twenty Eight (28), Township Thirty (30) North, PID #026 - 1082 -40 -000
Range Eighteen (18) West, Town of Richmond, St. Croix County, 026 - 1082 -70 -100
Wisconsin, EXCEPT Lot One (1) of Certified Survey Map filed April 026 - 1082 -95 -000
24, 1990, in Vol. 8 of C.S.M., pg. 2199, as Doc. No. 457843, being 026- 1083 -10 -000
part of the Southwest Quarter of the Southeast Quarter (SW' /JSEY,)
and part of the Southeast Quarter of the Southwest Quarter
(SE' /. /SW'/.), both in Section Twenty Eight (28), Township Thirty (30)
North, Range Eighteen (18) West.
Parcel 2: The West Half of the Southeast Quarter (WI/2
/SE %) of Section Twenty Eight (28), Township Thirty (30) North,
Range Eighteen (18) West, Town of Richmond, St. Croix County,
Wisconsin, EXCEPT the following described parcels:
1. Lot One (1) of Certified Survey Map filed April 24, 1990, in Vol. 8
of C.S.M., pg. 2199, as Doc. No. 457843, being part of the Southwest
Quarter of the Southeast Quarter (SW' /JSE %) and part of the
Southeast Quarter of the Southwest Quarter (SE' /. /SW %), both in
Section Twenty Eight (28), Township Thirty (30) North, Range
Eighteen (18) West;
2. Lot One (1) of Certified Survey Map filed August 13, 1981, in Vol. 4
of C.S.M., pg. 1093, as Doc. No. 372738, being part of the Southwest
Quarter of the Southeast Quarter (SW %JSE' /.) of Section Twenty
Eight (28), Township Thirty (30) North, Range Eighteen (18) West;
3. Commencing at the Southwest corner of Lot One (1) of Certified
Survey Map filed August 13, 1981, in Vol. 4 of C.S.M., pg. 1093, as
Doc. No. 372738, for the point of beginning; thence N89'59'1 5" West
20.00 feet; thence NO'01'41" East 262.00 feet; thence S89'59'15"
East 224.00 feet; thence SO'01'41" West 15.00 feet; thence
N89'59'15" West 209.00 feet; thence SO'01'41" West 242.00 feet to
the point of beginning;
4. Commencing at the Northeast corner of the Northwest Quarter of
the Southeast Quarter (NW%JSE %`) of said Section 28; thence South
16 feet; thence Northwesterly to a point 10 feet West of the point of
beginning, thence East to the point of beginning.
This is not homestead property.
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And grantors warrants that the title is good, indefeasible in fee simple and free and clear of
encumbrances except easements, restrictions, covenants and conditions and will warrant and defend
the same.
U 2814P 532
Daattee�d1 % %�• '"(1� this 1166th/ day of�May, 2005.
�iJ U` - �(/""' (SEAL) lip - SEAL)
David A. Ball Kimberly A. B
(SEAL) (SEAL)
Dennis F. Ball Naficy A. Bair
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) ilVbt/f': �,�- STATE OF MINNESOTA }
) SS.
authentirated this ay of COUNTY OF
Personally came before me this 16th day of
May, 2005 the above named David A. Ball
Kimberly A. Ball and Dennis F. Ball and
TITLE: MEMBER STATE BAR OF WISCONSIN Nancy A. Ball to me known to be the persons
(if not, who executed the foregoing instrument an
authorized by §706.06, Wis. Stats.) ackno eedge the same.
THIS INSTRUMENT WAS DRAFTED BY "- C�$"
LOBERG LAW OFFICE Notary Public County,MN My
Robert L. Lobern Commission is permanent.
, — )
(Signatures may be authenticated or acknowledged. Both are not necessary) (if not, state expiration date: 20
jb /
SST1042 MNOtwy
0 W. N ff -- n N
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner /Buyer ero��''•!
Mailing Address / J' lsd-t v�
Property Address 7
(Verification required from Planning & Zoning Dep new construction.)
City /State LIZ Parcel Identification Number
LEGAL DESCRIPTION O� " - �1S —OOO
— 0 — 10 — 000
Property Location NKJ '/4 , SE '/4 , Sec. A < 0 7 , T 2 0 N R P9 W, Town of ^' r�h�
Subdivision c�,� a_ /9�r s , Lot # �.
Certified Survey Map # �� , Volume , Page #
Warranty Deed # 77& 6 ' 5 ( , f Volume /c� , Page # .
Spec house ye no Lot lines identifiable CYO 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.
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
property described above, by v i rtue of a warranty deed recorded in Register of Deeds Office.
Numb r of bedrooms 7
/ /OG
SIG ATURE OF APPLICANT(S) r 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. 08/05)
AMMS Viewer Page 1 of 1
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