HomeMy WebLinkAbout026-1139-01-000 Ir Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
453271 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you p ,)vide IT rfy be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Luedtke, Bart Richmond Township 026 - 1139 -01 -000
CST BM Elev: q Insp. BM Elev: BM Description: Section/Town /Range /Map No:
(1 • / 61 5�— JZI -�7v7 36.30.18.996
TANK INFORMATION ELEVATICZVDATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
W D O. 3.6 y 9 f yF& - 9-6
Dosing At. BM
GcJ A v -54-
Aeration 8119. Sewer
'I Ws .3S 5
Holding t/ t Inlet
1
St/ t Outlet U
TANK SETBACK INFORMATION 7 G
TANK TO P/L WEL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic 2 O / / / 2 / Dt Bottom �- rj
Dosing c \ & eader Man.
Y& - 7 •1 2
Aeration Dist. Pipe 7. Z Z
Z. , 2 7
Holding Bot. System 1 . Y
vx 2 .83
Final Qr
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover
Model Number
T Lift Friction Loss Head TDH Ft v �
Forcemain f7o Dia. Dist. to well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width �� Length No. Of Trenches n PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG LA KE /STREAM LEACHING Ma tyr j �sC INFORMATION CHAMBER l
Type f System: I / f
Z S Model Number.
RISTSI SYSTEM
Header /Ma if Id Distribution x Hole Size x Hole Spacing Vent to Air Intake
i Pipe(s) y
Length Dia Length Dia Spacing_ r 5 / J
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over yJ Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed /Trench Center t / Bed/Trench Edges Topsoil 1H Yes [_] No [] Yes No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:_1 / Inspection #2:
Location: New Richm-o/ndd', WI 54017 (SW 1//4 N_W� 1/4 36 T30N R18W) Torey Pines Lot 1 ( Parcel No: 36.30.18.996
1.) Alt BM Description = 1 0�7 of &I)
2.) Bldg sewer length = 3L)
- amount of cover
Plan revision Required? [ j Yes o I
Use other side for additional informatio
SBD -6710 (R.3/97) Date Insepctors Signature Cert. No.
Safety and Buildings Division County
I v isco n sin W 201 W. Washington Ave., P.O. Box 7162
Madison, WI 53707 - 7162 Sanitary P rmit Numher (to be filled in by Co.)
608) 266 -3151
Department of Commerce ( a
. Sanitary Permit Ap State Plan I.D. Number
m
In accord with Com 83.21, Wis. Adm. Code, personal information you provide
may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address)
I. Application Information - Please Print All Wormation if "
i E EIVEC , w tic,
Property Owner's Na me t Parcel /( Lot tr Block ;/
L
Property Owner's M ailing Address tq 4a Property Location NA
f
tb , to ,Section
City, State Zip Code ne Number
9 1W Rl(lr46N t I u Pho gyp` I U rctepM
II. Type of Building (check all that apply) � �.>D� to � O rr � t+
T 3V N; R E or µj
1 or 2 Family Dwelling - Number of Bedrooms
Subdivision Name CSM Number
❑ Public /Commercial - Describe Use I okt P oe
❑ State Owned - Describe Use la.f +Vl C�St ❑Village hrownship of lC
- R � mop d
III. Type of Permit: (Check only one box on line A. Complete line B if
A ' .New System ❑ Replacement System Y p y ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System iJ1
B. ❑ Permit Renewa X Perm it Revision ❑ Change of ❑ Permit Transfer to New ist Previous Permit Number and Date Issued
Before Expiration Plumber Owner 1 0 Y
IV. Type of POWTS System: (Check all that appl
Von - Pressurized In- Ground ❑Mound > 24 in. of suitable soil I� Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter
❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter
❑ Recirculating Synthetic Media Filter M xaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain)
V. Dispersaliffreatment Area Infor ation:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
50 .7 t�Y3 � 4 .00
V). Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass LA
New Existing
Tanks Tanks
Sept c o Holding Tank 000
Wet
Aerobic Treatment Unit G�
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Na me (Print) I Plumber's Si cure MP /MPRS Number Business Phone Number
� m %U OIPRs 1a16;a;� ;Z. D
Plumber's Addre ss (Street, City, State, Zi ode)
1 670 W w ' 35 �? uDS�s
VIII. Count DepartmeneUse Onl
Approved El Disapproved Sanitary Permit Fee (includes Groundwater Date issued Is uin gent Sign r o Stamps)
Surcharge Fee)
❑Owner Given Reason for Denial G �
IX. Conditions of Approval/Reasons for Disapproval
SYSTEM OWNER:
1 Septic tank, effluent filter and +� t
dispersal cell must all be serviced / maintained 6.6 o SS CL lot,
as per management plan provided b Vl y plumber. J
2. All setback requirements must be maintained
as per applicable code /ordinances. —I A
5t
Attach complete plan (to the County only) for a sy em on4rapgr not less than 81/2 x 11 inc a I ;
SBD -6398 R. 01/0 UtS� •'� SS
3
�av-fi due of Ke t� Y KS aka 9�Y
L A �
L 1
A I i
sk
New R1(, �rnahtb
A 6 oK)< To o�
CowGhtt,
5IQv
9� 1000 34 1 Sep i
� WI p) ou F, lfi R
3 L'� n►�o� ►�
�orn�
'6 l
6ewo rnpa a�
T o p US CoNclup
7
3x `8,75 a --
LA u
� a�
1
.0 l
N
���fi Lug n� ke M X OV
�OR� �i IvyS m - &u ly S � -
� �l
Kok I
JJS3 1 � 6 11, S{
�eU1 �►Ghrnei��
i
j
C
A 6 rhog) T °P o�
couchtfii Fay
a 9
loud ��, 541C
ulp )uo
3 ?.4r)KU
Sao'
C3euc YnPiL1� Q'
tu� v�t CoHcKt�e f
7
■
1803
Wisconsin Department of Commerce SOIL EVALUATION REPORT ' PAID 1803
1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations
Attach complete site plan on paper not less than 8'/ County x 11 inches in size. Plan must St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 026- 1139 -01 -000
Please print all information. Wm-ed B Date
Personal information you provide may be used for secondary proposes nn Law, s. 15.04 (1) (m)). '
Property Owner Property Location
Bart Luedtke ( Govt. Lot SW 1/4 NW 1/4 S 36 T 30 N R 18 W
Property Owner's Mailing Address J UN j 0 2004 Lot # Block # Subd. Name or CSM#
1351 144th Street 1 Plat Of Tory Pines
City State Zip CQd� City J Ullage 0 Town Nearest Road
New Richmond I WI j , 5401 0 7 NI17(85 X495 Richmond 1 140Th Street
Ir New Construction Use: 0 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
J Replacement J Public or commercial - Describe:
Parent material Glacial outwash Flood plain elevation, if applicable na
General comments
and recommendations: Install two trenches at elevation = 94.00' using 22 leaching chambers.
Boring # _j Boring
/V Pit Ground Surface elev. 100.11 ft. Depth to limiting factor >118" 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 *Eff#2
1 0 -8 10yr3/2 none I 2fsbk mvfr cs 3fm,1c 0.6 0.8
2 8 -20 10yr4/4 none al 2fsbk mvfr cs 2fmc 0.6 1.0
3 20 -29 7.5yr4/6 none Is 0 sg ml cw 1fm 0.7 1.6
4 29 -54 10yr5/6 none s 0 sg ml gs 1vf 0.7 1.6
5 54 -118 10yr6/4 none s 0 sg dl - - 0.7 1.6
3L d
Boring # Boring
if Pit Ground Surface elev. 97.63 ft. De limiting >99" in. Soil Application Rate
to limiti factor APP
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
1 0 -8 10yr32 none I 2fsbk mvfr cs 3fm,1c 0.6 0.8
2 8 -18 10yr4/4 none sl 2fsbk mvfr cs 2fmc 0.6 1.0
3 18 -26 7.5yr4/6 none Is 0 sg ml cw 1fm 0.7 1.6
4 2 -58 10yr516 none s 0 sg ml gs 1vf 0.7 1.6
5 58-99 10yr6/4 none s 0 sg dl - - 0.7 1.6
9.
C)
" Effluent #1 = BOD ? 30 < 220 mg/L an TSS >30 < 150 g/L ffluent #2 = BOD .5 mg/L and TSS < 30 mg/L
CST Name (Please Print) ignature: CST Number
James K. Thompson _ 3602
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceo , 1 54020 6/82004 715- 248 -7767
Property Owner Bart Luedtke Parcel ID # 026- 1139 -01 -000 Page 2 of 3
F3 ] Boring # I Boring
16 OR Ground Surface elev. 98.61 ft. Depth to limiting factor > 108" in. Soil Application Rate
Horizon Depth I Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2
1 0 -14 10y02/2 none I 2fsbk mvfr cs 2fm,1c 0.6 0.8
2 14 -27 10yr3/2 none sl 2fsbk mvfr cs 2fm,1 c 0.6 1.0
3 27 -36 10yr4/4 none Is 0 sg ml cw 3f,2m 0.7 1.6
4 36 -48 7.5yr4/6 none Is 0 sg ml gs 1vf,2f 0.7 1.6
5 48 -72 10yr5/6 none s 0 sg ml gs - 0.7 1.6
6 72 -108 10yr6/4 none s 0 sg dl - - 0.7 1.6
F Boring # J Boring
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
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
F—I Boring # J Boring
pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF
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 = 800 <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.
f
e ✓Q�GCQO��
♦ C 1e✓a
�r�," C /ne8 icc
cry'
/2S,3
F - I o-
Pr,posed
3 b edre�o�+-+
arK - T o jr Q:q e de �s,'d en e - C - A 116-4. re o r' Con cir
\ t 8z \ �t - -- -- �� � e rev = lr�'J,s/t'
11
core t-ou.r'
x,91.0 �Ya.o' � X94.0
4i
N MA, Safety and Buildings Division County
INS 201 W. Washington Ave., P.O. Box 7162 y (�
VIsconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.)
Department of Commerce (608) 266-31 `{j - 1) 2 ?v
Sanitary Permit Application -• State Plan I.D. Number
In accord with Comm 83.21, Wis. Adm. Code, perso n gotLprn _
may be used for secondary purposes Privacy aw, s RGOGEI 4/ Er, Project Address (if different than mailing address)
I. Application Information - Please Print All Informatio I a S3 1 0
` 7 2004
Property Owner's Na me Parcel q Lot Block N
u a� C 996
r.c�oixco,Nr� oat,1i139_a1
Property Owner's M ailing Address Property Loca
3S 1 V� s
S w 2
City, State Zip Code Phone Number <.f t � '.Section J
Now o w i1 d my f 5 V 01 N N /� (circle e)
II. Type of g (check all that apply) as ,�, T 3 N; R 1 E or�V
El 1 or 2 Family Dwel - Number of Bedrooms ( _ Su rvision Name C91ef NnntbeF.
� r
-. .❑ Des ' Use
Public /Commercial - ,,,., r') rc r ra�+ — � UP
El State Owned - Describe Use i$ a De w u a a ❑City ❑Village ownship of fno
` ave -.{� lose wo �iXle>�1S
III. Type of Permit: (Check on one box on line Al. Complete line B if applicab a
A.
I New System ❑ Replace nt System Treatment/Holding Tank Replacement y ❑ Other Modification to E Ling System
B. ❑ Permit Renewal ❑ Permit Revist ❑ Change of List Previous Permit Number Date Issued
EPe it Tra ns to New Before Expiration Plumber
IV. Type of POWTS System: (Check all that 1 )
54 4 on - Pressurized In- Ground ❑ Mound > 24 in. o itable soil ❑ Mound < in. of U rade S ❑1 Filter
Constructed Wetland ❑ Pressurized In- Ground ❑ ding Tank 11 Peat er El ent Un(, i Ling Sand Fi er
❑ Recirculating Synthetic Media Filter ❑Leaching Chambe ❑Drip Line Gravel le❑ Other (expl�ft
V. Dispersal/Treatment. Area Information: 11 wNwali
Design Fl �(gpd) Design Soil Application Rate(gpdsf) Dispe� Area R ired (sl) Dispe Ar Pr sed f) s � i ° l ( V 8
a j >• .
VI. Tank Info Capacity in Total Number Manufacturer P Site S ' iber Plastic
Gallons Gallons of Units Con Construct Glass
New Existing
Tanks Tanks
Septic or Holding Tank I ij50 I t
Aerobic Treatment Unit
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume jponsibWty for installation of th OWTS shown on the attached plans.
s
Plumber's Na me (Print) Plumber' nature MP/MPRS Number Business Phone Number
Q A -) D� 9 u"
Plumber's Addre ss (Street, City, State, Zip e)
VIII. County/Departident Use Onl
Approved El Disapproved I anitary Permit Fee (includes Groundwater Date Issued ssuin Agent Signatur (No Stamps)
Surcharge Fee)
❑ Owner Given Reason for Denial
IX. Conditions o pprov
SYSTEM
1 Septic tank, effluent filter end
dispersal cell must all be servic
as per management plan provi d by plumber.
2. All setback requirements must a maintained
as per applicable code /ordina es.
Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size
SBD -6398 (R. 01103)
i
,
e'
•Yy .'
l w
e 3'
�I
l
3 Beproorn I
o IS' }ovuybl ft', W ri cR
6
l 1
'7 ST Neil �ti,fi�
Wl °5 �14v, 100D
W GIeV = Ld0.0
Got
G
� sc�gh
_ ___
i � � � .
i
i
,.
�':
{�'� �'
r
Y'r°t
3
�, �� � �
.. � _
Brpt, �qP-Al � ?(�A ��6r, - T m
W5 �j Daa90'
Sal, 0
3n���m
o
if 4xi
e w s a O �3eu v�. YYIb►��! No.
N6� , Gil
T 5
W
1b
r
I
JAI
4
1
i
r
Vftconw Department of Commerce - SOIL EVALUATION REPORT Page of 3
Division of Safety and Buildings
in accordance with Comm 85, Vft Adm. Code
Attach complete site plan qn paper not less than 81/2 x I Vmc sin hes in size. Plan must
include, but not limited to: ver6Cal and horizontal refeMVtce io&ct (BM), direction and Pa�ncel 1.D. r)
percent slope, scale or dimensions, north arrow, and location curd distance to nearest road.
Please print sB l �•. R Date
Personal information "u provide mar be used for ( j a3
Properly Owner ,�' 4ircE4�C� pe location
�, laovf;tot 114N yU 1/4 S T N R I E (or)
Property Owner's Mailing Address L " i — Block #
vu Subd. Name or
1 '1 2�
-� S .
, T ROtx
City State zip Code UMber COUNT ❑ Vittage � Town Nearest Road
e'l Su o (cat r ), 1y - s
( New Construction Use: 110 Residential / Number of Code derived desgn flown rate ��rJ O n GPD
❑ Replacement ❑ Public or commercial - Describe.
Parent material 4 ; 11 Flood Plain elevation if applicable X / A ft
General comments a nmendations: Sys-c vin t~t -e. v . 9C� • �o O j� T �2 l�iJ ,! �Q ��
L.4. a tt v. 92• $0 ��� rC `SS ff-q •�
oval {d
tom+.
5 Boring # a pit Ground surface elev. 9y • ZO ft. Depth to limiting factor � in.
Sol Application Rate
Horizon Depth Dominant Color Redox Description Texture Stntcture Consistence Boundary Roots GPM
in. Munsei Cont Qu. Sz. Co Color Gr. Sz. Sh. 'EffA11 "E1#2
1 — SL r I VY 1.
2 S L CIS — 5
MS 1.2
6d--
`F3 • �� -
ZBo �, # ❑ Boring
® Pit Ground surface elev. . �ft. Depth to limiting factor �_ in. Sol Applicalion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. - EfW 1 -011#2 -I L -- SL 2 -pr I .5
r q16 Ms
' Effluent #1 = BOD > 30 220 mg& and TSS >30 150 mg& ' Effluent #2 = BOD < 30 mg/L and TSS 5 30 mgll..
CST Name (Please Print) alure CST Number
Address Evaluation CondocW Telephone Number
z - oa iS-z - yDo
Y
Parcel ID # !.�-/' / Pap � of
Property Owner � .
F3j Boring # ❑ Boring ,
Pit Ground surface elev. q1e • .70 ft. Depth to limiting factor 1 b ` 7 ' in. Soil Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistanoe Boundary Roots GPDM
in. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. *Eff#1 *Eft#2
1 -10 10 2 5 c I v� 5 9
F-1 Boring # ❑ Boring
El Pit Ground surface elev. ft. Depth to limiting factor in. Soo Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *EfF#2
Boring F-1 # ❑ Boring Ground surface elev. ft. Depth to limiting factor in.
❑ Pit Soil Rate
Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots G
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 *Eff#2
Efficient #1 = SOD, > 30 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 nrglL 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 - 2648777.
SBD4330 (R.07/00)
I
r
r
f
PAGE 3 OF 3
NAME LOT# LEGAL DESCRIPTION Sw 1 /4 ryt AS '�(oT ,3U,N,R
SCALE: 1 "=
BM 1 ELEVATION 160 • C)
BM 1 DESCRIPTIO (rJ/
BM 2 ELEVATION /ice ,
BM 2 DESCRIPTIO u ( n 1 act
SYSTEM ELEVATION c 9 d
ALTERNATE ELEVATION
CONTOUR ELEVATION Corr6ur►c , 4'y,00, 9S. CX�3 y(�.ov
f
I
boa cp
OL
IX
v
l u tc0. + Q
PC
• Q3
I Pr' �
•
• l
• bml
SIGNATURE DATE
STORM WATER �� �� , 2.0 ACR�)
RETENTION AREA ` \\
H.W.L. - 1009.0 I J
29T I i i ` 317' �
O
• r; x 1005.81 340' / 1
STORM WATER
RETENTION ARE
MIN FFE �
H.W.L. = 1006.0 - 1008.00,,
008.00, ./
-LOT ,2Z
1.7 /�CCRF�S W L
1.4 ACMES) _ -_� f 2. r
340' / � / /) / /MIgFYE
Zl/ 1 A� "E$
� ,
x w I
rx� X � (l 6 RES) � 1021.20
LOT
3.7 AC
4OT \`� \�� - - -- (3.2 ACF
�.e �kc S
f "I.61ACRES) `\ \ \ ` 1019.46
L OHO!
W1 /4 COR �- 34Q 4i
SECTION f� 8
EXISTING
Lu
co
Private 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 5 2
Number of Bedrooms
Design Flow - Peak (gpd) 50
Estimated Flow - Average (gpd) 3 00
Septic Tank Capacity (gal) Ouu
Soil Absorption Component Size (ft
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Coryiponent 1
Design Flow - Peak (gpd) UTD . 2 J
Maximum Influent Particle Size (in) $ 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 1 SU 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, Slats. 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 septi k and outlet filter shall be assessed at least
once every 3 years by i s ection. T c i r shall be cleaned as necessary to Pnsi era
proper operation. The i e ge s o not be removed unless provisions are made to
re ain solids in t e 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 P 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
P P P
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.
9 99 9
2
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.
When system fails, we will replace with another system
at owner's expense. Alternate area must be left undisturbed.
St Croix County Zoning Office 386 -4680
Boumeester & Sons Excavating 386 -9020
Tri- County Sanitation 386 -2130
3
ST CI OIX COUNTY
EI" `TIC TANK. MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
L—xx
LL I
`tU S �' ° ' E ����� ►�
+ Haan requbcd from Planning Department for new
( c,� Lc �'1►'�U� kJS- Parcel Idayrttil� tier► l rntttber to — l 13 1 — Ci i — GOO
y y� 14!
_ l
°J,, See;. , T,30 Ai-R W, Town of ( L1 \V�'i�� n..:
1 ( - ) T 6
Volume
page
a _ t �? Volume p Pale
1 a ata Lot tines identifiable yea 0 no
i;s j MA maintennuccof your septic system could molt in its premature failure to handle wastes, rnpzw u�, E , �v ,ue
fvv the Septic tank every three years or sooner, if needed by a licensed pwnper. What youpW iiit
septic; task as a treatment stage in do waste disposed system
mmaer agrees to submit to Sit. Croix Zoning Departm a certification foram, ai d dsG
e asv YX�ff lau plumber, xestrictedpluniber or a licensedpumper verifying that (1) the on -site wastewat'a 4i ikb&4
r a i comflition and/or (2 inspection and pumping (if necessary), the septic tank is leas thm III h0
}; : ;,,- read the above sequiremeats and agree to maintain the private sewage disposal syste
A t by ft Department of r� aid the Department of Natural Resources, State of istor -If; ..
Ac aystem has been wahauiw4a ma be completed and returned to the St. Croix Cminty ZonWu Offic-o
w o- atiam date°
r.' Allr1pi KANT DATE
t A
w ,� V� dhat all .statetttents on this faun are true to the best of any (our) knowledge. l (we' jury
y above, by virtue Ora warranty deed recorded in Register of Deeds Office.
r 1 xaa �t coca -repxa
mtftd toy modt in the unitary permit being revoked by the Zo N
4 , wl lia»adidrrt: a stamped warranty abed from the Register of Deeds offit
a coM of tins tifte:d surrey map if mle:reme is nude in the wan - anty der
I�
U 2560P 3S
0
STATE BAR OF WISCONSIN FORM I- 2000 7C 1 I j 7 3
Doc6mentNumber WARRANTY DEED KATHLEEN H. WAGSH
REGISTER OF DEEDS
This Deed, made between Robert L. Allen, a single ST. CROIX CO-- WI
person RECEIVED FOR RECORD
_ Grantor, 04/29/2004 01110PK
and Bart J. Luedtke and - Debra L. Luedtke . Husband WARRANTY DEED
and W=e — EXEMPT #
Grantee. REC FEE: 11.00
TRANS FEE: 119.70
Grantor, for a valuable consideration, conveys to Grantee the following COPY FEE:
described real estate in St. Criox County, State of CC FEE:
(the "Property ") (if more space is needed, please attach addendum): PAGES: 1
of 1 orey Pines, Town of New Richmond
Recording Area
Name and Return Address
Title One Premier Group
706 19th Street South
Hudson, Wisconsin 54016
026- 1139 -01 -000
Parcel Identification Number (PIN)
Together with all appurtenant rights, title and interests. This is not homestead property.
(is) (is not)
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
Roadways, Easements, and Restrictions of Record.
Dated this 29th day of April 2004 ,
Robert L. Allen
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN )
Signature(s) ) ss.
Kay V. Pam St. Croix County. )
authenticated this day of NOUVI publig Personally came before me this 29th day of
April 2004 the above named
State of Wisconsin Robert L. Allen
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, to me known to be the person who executed
authorized by §706.06, Wis. Stats.) the forego' nst and a o edged the same.
THIS INSTRUMENT WAS DRAFTED BY
*Ka V P aZm
Michael H. Forecki, Attorney Notary ublic, State of Wisconsin
Eau Claire, Wisconsin My Commission is permanent. (If not, state expiration date:
( Signatures may be authenticated or acknowled ed. Both are not necessary.) December 12
*Names of persons signing in any capacity must be typed or printed below their signature.
WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000
ttomey Michael H Forecki 3452 Oakwood Hills Pkwy Ste I, Eau Claire WE 54701 -7928
Phone: (715) 835 -3029 Fax: (715) 8354112 Michael H. Forecki T4947780.ZFX
Produced with ZipFormTM by RE FomtsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 49035, (800) 383 -9805
¢ l�lututa��aa�\ "' a x X 1� Z a Z
pyZ�� 1 1 x94 11�+ wW 1 ►+ 1
Z�H 1 i W i-- F � 1a LY I p Z 1
.—I.- 1 I � } q� >- Do I W 3 I
Z Z Z l7 I I_ ~ 1
Q...p 1 Q Q 1-W I W 1 p p 1
O�I'Jh I . W�.W�o,
QO0-Z< I ►W" gOWpF- I p2 I WW 1
W LO aOOWd 1 V N dMZQO 1 Z JO 1 1..}
O LL. ADO 1 d "X �� =HQ IW �O d U I Qq 1
U Q la ►-� to I� dUp! - J Id F WJ I = I
fax X R Z W Z l ilz J H ~W �I
x
LAJ LL.XVQl I W DU >y ZW Id'W O I_ ' F-
1 Li
z wMQ +.. I J O H ►(n -�h- Jl ` xW 1>y d QZ Id F-A 1
W W O 00 ¢ H Z
� = ,Ny„ � 3li WdWQ~ IJW Hy IQ LAI
Li 0 IJ
l&0 �W Q AW I
3 LLJ J W I q
U W�W O >- > P > IZQ A4 a xW A O z I ¢¢OUJ >-Z Z OVf 1�� � t WNd 2 �W 1 O 1 XQW'�aU Wf �IQ=
W x1- 1 z x U v►c� ..r -rv�� IxU ►- tYa 3u ..�C cr
Lu
VOQ O
o�1 0z
m w a �z X Q � OWG`�]CED_ wP117mm
W LU 1- ->- SOO°08'28 "E 401.50' x
g0 Q�
0 im_ OO�Z3w z L�J,
— �=Z�I —zwzw _j ~ =¢WpO _j cwm� * oil
cn0 LL W r
W 8,2(56 -� - W� >1
N JZmQO X
o -o c� so
Wp� w OZZ1� W Cn vN $ �s f� L i
10 WwO0Q>- M N
r r j
occ0O (5< F-W x $ ��
IL ¢ m Wmzzom 01
Z�
3: O 1
OwOQ A 01
0:3 J�z -> p
Z Z 0 I
1
z
�,.
soo°oa'2s'E 277.92 .� DEDICATED T THE PUBLIC t $ a
NOOU2M 277.9e �
.sz N00 401.50'
�1
Z ro
oz
a
W
E � 3
i
mpr l-r y ui:44p F.arliti Realty 715- 749 -4446 p.2
Ij
r' I,
—�— ; m
_
LOT
l
w _.3 ACR
)' { , i ' '•� (>.3 ACRES)
! 2.i2 AphE
lP A CII C Y /
t
I , t i
t
Y
I' 297 ) LOT 24
k i ACRES
r .• .: /mIN FFE l
I = 1oll.ocl r f• � `� (2AACRESJ..__ ... J l / l ! I It
4 j LOT, 3 11 , , \, ` -r tQ
ACFIES /' LOT I �
VD
° 2. ALOES / *
tP ALOE '
"- 'STORM WATER 1 • �, ,' y�
RETENTION AREA l 1 ( ` �2.0 ACRIkS)
C / H.W.L. - 1009.0
29T 1 I t 317
r
PROPOS)�D �TO'i/VN
\.1 ) / f.
x idU5.131 and' 1� lat I.Ga
�fER
1 ARE
0 A
)6.0 I MIN FFE i '' I� 1 ' 1 . / Ig
,(1A A CRES )
(1
I j / k o T+WrlON RM WA7 ER � 1j 7 � AREI� ) ,
H.W.L. 1007.0 1
9' 1
0. A RIS) ( 1021-20 $ � i , \� �\ \ \
\ MIN r1=
3.7 AG' , ' '' �
NOT ` `� -
( 3.2 ACRES \ l 1
�" .`\ `��` 1 IO19.•tGJO f�RA �'� f t, i �` -
AS M
1 I
CT ION ' 475' t
C7t�nYlG'�11�U ( ^3V ���'Ii1nIL�l��'3
I
�J .j
T �NSl
/d