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HomeMy WebLinkAbout026-1101-90-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St, Croix Safety and Building Division + INSPECTION REPORT Sanitary Permit No: 405104 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: M.W. Johnson Construction I Richmond Township 026- 1101 -90 -000 CST BM Ele Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing l� (- r� —� (�. Alt. BM ( ] Aeration Bldg. Sewer Z Holding - — SVHt Inlet q q4 8 t/,Ht Outlet TANK SETBACK INFORMATION -) L� TANK TO P/L WELL BLDG. FVentto Intake ROAD Dt Inlet Septic f r j Dt Bottom Dosing Header /Man. y , -/� Aeration Dist. Pipe Holding - Bot. System q.� 5_ c ✓, Final Grade PUMP /SIPHON INFORMATION h Manufacturer Demand St Cover _� - - - -- GPM Model Number TDH Lift Fricti System Head TDH Ft Forcemain ngth Dia. to Well S ABSORPTION SYSTEM /C' BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No Of Pits Inside Dia. Liquid Depth DIMENSIONS !� SETBACK SYSTEM TO P/L LDG WELL LAKE /STREAM LEACHING Manufacturer: / , IN ., CHAMBER OR - ;� ' ( u =la��� Typ Of System: f t 1✓ UNIT Model Number: DISTRIBUTION SYSTEM H eader /Manifold Distribution �� j �� = / x Hole Size x Hole Spacing Vent to Ai Intake Pi / . engt Dia Length f _ Dia Spacing `1 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth,Dvcr Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bedffrench Center C� / Bed/Trench Edges / Topsoil j" Yes No Yes �' No -� _ C ❑ _� COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: /�/ C Inspection #2: Location: 1255 140th St New Richmond, WI 54017 (SW 114 NW 1/4 36 T30N R18W) Torey Pines Lot 2 Parcel No: 36.30.18.855 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover = Plan revision Required? Rl, Yes No j Use other side for additional information. L SBD -6710 (R.3/97) � Date y Insepctor's Sig ature Cert. No. Safety and Buildings Division County w • 201 W. Washington Ave., P.O. Box 7162 N isconsin Madison, WI 53707 - 7162 Site Address Department of Commerce /a 4545_ / ST- 3anita�ry ]Permit Application �'`� Permit Number in accord with Comm 83.21. Wis. Adm. Code, personal' o ❑ Check if Revision may be used for Privacy Law s15. I. Application Information - Please Print All Information State Plan I.D. Number AA Property Owner's Name 002 Parcel Number N C D • pLt.rl S (f p� � T. CR 9 Property Owner's Mailing Address ZONING OFFJCt Property I ocadon /► r 9 17� � J �/t✓tJa /� GL � ✓� (A"7 '�c' f , SL�J .iULI A; S 3ie Zt T N. R ld City, Stare Zip Code Phone Number Lot Number Block Ntumber Subdivision Name CSM Number / 1rl C ady 7o- H. Type of Bufitling (check all that apply) ❑City XI or 2 Family Dwelling - Number of Bedrooms ❑village D Public /Commercial - Describe Use ownshi ", G 4 "NJ,- ❑ State Owned 3 TaE:W CAS 3 x 602. S rN l Nearest Road EC S M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable `+ 1 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ® Addition to For County use System Tank and Exis ' system B. k if Sanitary Permit Previously issated Permit Number Date lssu - IV. Type of Permit: (Check all that apply)(numbering scheme is for internal ttse) L4 Q r I G� yw � ct EI j (��h 44 ,&Non- Pressurized in- Ground 210 Mound 47 ❑ Sand Filter 50 E'j Constructed Wedand I `0 22 0 Pressurized in-Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recircula 30 D Otber B f d t ti 11 V. Dis ersall'Treatm Area Information: Design Flow (pd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevati final Grads red Propos "" Rate(Gals./Days/Sq.Pt-) (Min./Inch) �' Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks / / vo /,�� Concrete Constructed Glass New Existing r _ t7 Tanks Taub Septic or Holding Tank k l a 8 d 1 r Dosing Chamber VII, Responsibility Statement - 1, the undersigned, assume responsibility r lion of the POWT5 shown on the attached plans. Plumber's Name (Print) Plumber's Signature Number Business Phone Number f 7 RS ?qpD 1S 3F-& --31v Plumber's Address (Street, City, State, Zip Code) VIII. County/Department Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Dix Issued Issv' ens Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse �� G Determination EX. Conditions of Approval/Reasons for Disapproval � �� Aar 17a"- t .ec• Gt °, y o < C 5 T". Attach complete plans (to the County only) for the aystem on papa not lsw than al/2 z 11 welites it site SBD -6398 (R. O5/01) i l.J Z i(J ;, 4 � a /'r " V es ,3 3 S �D t s 1 � p 1�� ��•�� Use '� F I p t C� �c�S� vYrscons Department of Commerce SOIL EVALUATION REPORT Page I of t3ivislon Safety and Buildings in accordance with Comm 85, Vft Adm. Code C=* Attach complete site plan on paper not less than 81/2 x 11 indresin size. Plan must include but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. PieBSe prim# aB i & R � _ by Date J ).... Personal inronnation you provide may be used for Purposes (Privacy( raw. 15.04 (1) (m)). Properly Owner tt P rty Location • GcIyti t c J 1/44W 1/4 S3(� T N R. . E(or)® Property Owner's Mailing Address r Lot # Block # Subd. Name or Mfrs City take Zlp done Numb&T CROIX ❑Villag $I Town Nearest Road IR New Construction Use R Residential / Numberofbediooms: '—, �W Code derived design flay raie 5M/6 00 GPD ❑ Replacement ❑ Public or commercial - Parent material 4- . - ( ( Flood Plain elevation if _�/ /4 - it General comments Sy5t4Mti t4 ti1/• 1bf 4 k.10 Gowz 9 &0 and recommendatrons: A•!.F• Cie-4 • 10 P sf.sv Low er 88.Sv 7 Boring # G❑� Boring t�M Pit Ground surface elev. f ft Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell cu. Sz. Cont Color Gr. Sz. Sh. i *EM1 *Eff#2 m-P i c S * 9 r Z • Boring # ❑�t Bonn te51 Pit Ground surface elev. It Depth to limiting factor � � V in. Sod Akpplication Rate. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. •0101 *Eff#k2 ---_ L — 2 k Z I v�G --- ----, k k v R � q!• o� * Effluent #1 = BOD > 30 < 22D mglL and TSS >30 < 150 mg/L * Effluent #2 = BOD _< 30 mg/L and TSS < 30 rnglL P" _ CST Name (Please P ature CST Number S 6q Address )a* Evaluation Conducted Telephone Number apt �f•O o 416/0) 2- Property Owner S Parcel ID # Page _" of F 3-1 Boring # Bones Pit Ground surfaceelev. !92 .00 ft Depth to limiting factor in. Soil Application Rafie Horzon Depth Domi nant -Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl= in. Munsell Qu. Sz- Cont Color Gr. Sz. Sh. 'Eff#1 - Eff#2 q2- Sl k m ; c •�" 116-34, t0 C p m( c .? 1. ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. Depth to Uniting factor in. Soil Rabe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fE in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2. F Bow # ° f ❑Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture StrucWm Consistence Boundary Roots GPDR in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'EfM 'Eff#2 ' Effluent #1 = BOD > 3o 22o mglL and TSS >30 150 mg1L ' Effluent #2 = BOD, <_ 30 mglL and TSS _< 30 mg& 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 fonnat, please contact the department at 60 9-266 -3151 or TTY 60 &264 -8777. I sso -9330 (rt.mroo) PAGE OF NAME � M LOT# Z LEGAL DESCRIPTIONS c- 1 TE (or)60 SCALE: 1 "= BM 1 ELEVATION /QU BM 1 DESCRIPTION hu;I i (9 p.' t,) /f /a tc� — 4 BM 2 ELEVATION 9q, S X 3 ( BM 2 DESCRIPTION IP vf, z C o ncL u , +-- SYSTEMELEVATION �P YO (O C ALTERNATE ELEVATION �9•So CONTOUR ELEVATION q .v v y y. v v 3 9l0 • o v 3 qo d vi Z, � 0 a. a. a rk I \ � Slop< S �o I I 0 .. I I y6� I 3 y� SIGNATURE I 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 Y ( oval b of r conditions o p Y the department, agent, the parameters of Comm 83 and 84, and the co P 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 Desi n Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak ( pd Estimated Flow - Average (gpd) or Septic Tank Ca aci ( al) b Soil Absorption Component Size (W) Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak ( pd) 1/8 Maximum Influent Particle Size (in) 220 Maximum BOD (m /L ) 150 Maximum TSS (m /L) Table 3: Maintenance Schedule Se tic Tank inspect and /or service once every 3 years Outlet Filter Inspect once Ty#ar and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years §2p tic Tar 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 .. Manag ement Plan f a Septic Tan ago Sol' Aasorpti Cornpanent filter is equippe i with an alarm, the filter shalt be SOrvlcsd if the aiar'm is go iJ 8 d 00 tThe us► lnterrl # tent filter alarms MY Indicate Burge flow or an Imponding oo a in the tank sept4o tank shall have Its WmW is removed when the ft tw a and moved at the not exceeds 4t3 the liquid volume of the tank. K the contsnta of r Of when the next service time of an asseerrnent► nu tenance pers $hail advise the owM ulatlon In the needs to be performed to maintain ices than msxirmurn scum end alud a tank. should be Inspected for water tightness and Manhole risers, access risers and Cov ers aoundneas. Moss openings used for $entice and ��yl � ***l upon must the c*mplstlort of service. Any opening d "n* unaau be replaced Expo sed soGaa opt � i greater than B- inohea to d*R*tr $hail bs Secured by , ntai or unsutho� zed ontry into the lank. an effadve looWnq device to prevent aoolde No one shwid enter s septM or odrer tnabrnatt or any ratan w/th"t Wig M aaP>WOO IWO 0" #MN" a oont W iptal:e t h e 8 "Oopm W &W n M# Soot or QVW ttr+t+tblwtt of hd ltnlr MYsenlNa jgki N �►��po�b�e. person l oft Ml�or of die loth MY Tank abandonment Oftl be to Mooardaru4e with Comm 83.33► Wb. Adm. Code when the tan k Is no IonptN' used n • POW r$ COMPanent am The ao1l abaaplion co!1poneMt servjmg this s truatwe is designed to accep domestic wastewater ffwm a raildentlal faculty. The Ilmlts of operation of this Component are shown in 'i W* 2. The Iorigevity of a soil absorption Component depends greatly on proper and t1m*ly malntananoe, and system Ulf within or below the Limits of rellable operation, ©cod water coneervatiorr practioes by all occupants and the instalbttlon Of way oortserving plumb lures are key fscdors in extending the useful Oft of this comno The toll absorption Component`s operation rnwt be aaeesaed by inspecalOn at least once every "so yea». The Insp*010n aha11 Include recording the Isvels of ponding. If any. In the observation pipes, an a Vle In sp#don for any #VWSMCe of SUftot $#*page or discharge !o i ites areas of smolon should bs ident and from the ocrnponent. On steeply s p � s reposed to the owner for repa The surface discharge a of do Ord, sstt"ter or $*woes from tine system is prohibited and considered r Tr*Mc around or over the soil absorption component should ov er the l"d Ps�t 1�►y lead during winter n3onths, The compaction or frernoval o f stars + fy te mporary, but be dN�u1t ar to hydraulic failure b f raesin ty g. This pe e is i � soil Compreccti over this Impossibis to repair until weather oondl Mons improve. In penes wrW&M w1i1 mduce 4041 at oxygen lnto the Soli end dispersal Sri, which may 10" to !'Wore ln*nw, and earlier, ot+genlc clagog of the GOH x Management Pion for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over of within ten feet of the comment should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan In the event of system (allure, a now system could be Installed in an alternate area. With the installation of a diverter valve, the existing system could also be reused after a period of three to four years. 1t is the property owners responsibility to maintain the alternate area free from any planting of Von, shrubs, stc. In case of failure of the original system, the alternate am will be needed. If any trees, shrubs, s,ta. have been planted on N'te alternate arcs, they will have to to removed at property owners expense. If alternate area is destroyed, there are other alternative systems that can be used, in which, could result in added expense to the property owner. Any tank abandonment shall be done in accordance with Wlac. Gods 83.33. Any questions regarding this code, pieass contact your local Zoning Office or contact the installing plumber. Zc�N►N 'ate ►��. (ai )39 to y b8 0 01 S) S S 6 ( � State of Wisconsin County Department of Commerce SANITARY PERMIT Safety and Buildings Division Transfer/Renewal Uniform Permit Number Integrated Services Bureau Personal information you provide may be used for secondary p urposes [Privacy Law, s. 15.04 (1)(m)]. Permit Renewal Date Permit Transfer Date Original Permit Issuance Date State Regulated Object Property Location Town 1 Village f City s 114,&A, 1/4,S 3,0� ,T �� N.R Ir E ( W Lot Number Block Number Subdivision Name ar t o ?6 or Landmark 02 L PREVIOUS SANITARY PERMIT HOLDER — IF CHANGED: SANITARY PERMIT TR NS UNTY Name (Please Print) Signature Name (Please Print) Address Phone Number Street Address, City, State, Zip Code a- I, the undersigned, assume responsibility for installation of the private sewage system that has been previously approved for this property. Plumber Signatur Previous Plumber Name (if changed) ` 1 Gdt irJ ti S' Plumber Address Previous Plumb address / P MPRSW Number Phone Number MP /MPRSW Number Phone Number Issuing Agent Signature Date Approved SBD -6399 (R.4/99) Wisconsin °epa tment of Comrrwoe PRIVATE SEWAGE SYSTEM �e1Y and � Vision C ounty: INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.. Personal ktforumfon you provice tray be used for secandwy purposes (Privacy Law. s.15.0a (1 xm)]. 384294 Permit Holder's Name: city ❑ vi l ine Town o : State Plan ID No.: M.V 1. Johnson Construction ___7 Richmond Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 26- 1129 -02 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION 85 HI FS ELEV. Septic Benchmark Dosing k il. BM Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. ventto ROAD Dt inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION _ Final Grade Manufacturer DemanclE t over Model Number GPM TDH I Lift Friction System TDH Ft ead Loss Forcemain Length Dia. Fi Dist.Towell SOIL ABSORPTION SYSTEM BED / TRENCH Width Length No. Of Trenches PIT No. Of Pits inside Dia. Liquid DeptF D IMENSIONS IMEN I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manu adurer: SETBACK CHAMBER INFORMATION Type mod Number: System: OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size I x Hole Spacing I Vent To Air Intak Length Dia. I Length Dia. Spacing I SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil ❑Yes ❑ No 1 ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons presen ln%t"ction #1: / / Inspection #2: / / Location: 1255 140th Avenue, New Richmond, WI 54017 (SW 1/4 NW 1/4 36 T30N R18W) - 363018855 Torey Pines -Lot 2 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision required? ❑ Yes ❑ No Use other side for additional information. SEIO -6710 (R.3197) Date lnspedoi s Signature Cert N< 2- ,, �cQ p 3 /27 Sat tM. Pamm AFpHeadaa Saraty fn aeeoad � M � 63.21, Vft Atha. Coot w tin se ra:e aide fbr mp rthi mt hmmat � ��my ft °° P M+ . Wt�sm -f =v j Aft Pfticy Law. a. IS.Aq[ tsub�ait oaawkbd roan to ooenty t Comb .. the an not dam a :1 s )- A done Iaf float - Plan Plot aft Iafarmatfoat tiiPbO+meWt� faeatlat: Nuvk w "f BaUd 'fy►pe2 F f kr. ` {eJteclt su$) © ,�, iC Y� �C S city AY No.ofBed<ooaa �Io..S n vow El Staae -Owned tdaaibe o � g '�1 t Towm `. Neaeeat flood yv� m. T t of etaeit; t Ow box On tine A. t boot oa IiAe B if • iicabk � ( c ` �. L- Li fly of 4 . S 6. El Addition to Took lV TYPO of POW Ste: 3(0.30 unwed aft >5at V*) p o 140tand n Sand fatter O Weiland �� o n a unit S7tq<lo Pus Odter. v tm mt Area Iatoranettatt• fi �gaiae it) 96LN i�) q8 i f ©� So 0 s! VU; Tank ti �i S9 9y B! ties * r fnfidi OM Steot f� flsa rtes. 'raa�b Lba- Cos. Tuft Tomb e,ae xuaced © © o o 0 Ri�il;lp teat 1 Ma f awrt abasra as We atta�ad C f CoeAfy/itfpRent only Q Saaidrp Foe {Iadudw Oeortdswter Qata tmind E n Dcamakhmiairm WW Advan Foe) ep p Afeae ) �. tjaas Of /lteq�= for ZZS. 4 200 - S�vw►+:4 �. w�o� Prarat• ac �.a.� C.e.RQ �cncQi.�a+tic e ■ MEN M5111 MEMO SOMEONE Rose "MEN ■rn Al11AIt�!■!��r:�?!�rl��!w - 029- MEMO MR I .R.1111111 �■E ■■■■■�■ EnE�E ■ U PA. ■■ ■■■■ ■M■■M■■■■■■■■!■■E■t1■ MM Milon MEN Migam " E a 8 11111112 NNY ME memo ONE EMINERMT M ME EPENEW No 111110ta ME EE5►10 ■■1OO► ��► EE MI I'm '•�■ M� IIII' K im M 0 0 MENEWAN M■■MEN■� ■.�■� INME ■ ■■■■■FINN ■■M ME Fla M ■■ SO ■ ■O■ SEE SE lNOESS■ ■E ■■ ■ ■ ■E INN ■ ■ ■■ ■ MMES■ EE I■E ■ ■ !!■■ ■ ■ ■E■ ■E ■ M■cI■F ■■ _ ■ ■ENE ■ �14 CAi ON w Sic _j Ad_ I �_ em ed 1. I. 1, j Aa 14 4 a Pit ( i i t I t 1 i i j . , L i ! i f ; � ' � i �_ � I I ' I � � J I -i I i -_ I _- i � I 1 I ' I j I I I. I I I I I I I i I , I , t ; , , I I I i I i - , I I I I I I i I i I { f � ' , I : r i } { : I , ,I I I r i i I , I I = I I ! I , i i I , i i I { I I I I f , : i I i , ' I i 1 { I , , I , 1 , , I , r 1 Y° M 03 o ., "n. ml 0 0 10 3 .i n 1! ! Tq 01 S Ch JAM 0 CL + k• 1 ' �_ ~'� J t •. Y p �� fu�T j E � f j a t0 N tD [�D C ar r ur cn C O� 0- N 'CJ n '+ .,� $ f 0 } D $ to O N Q �.�< 5 Q CD !� - 3 ca t x w Q,R v v ' Cdr a' v i y rn x < 53 c�. d t r C 4 C O _ P' t--- invad i PrMft 4nsbs Wash ewster Treatment Systwn Mttnayeintent Plan Septfc Tank And Gravity In-Ground Soil Absorption Component Pw t to Comm 83.54 Wls, Adm. Code each Priv * ora to Vlhwwewater Treatment System (POWTSi) shall include irdbM abon and procedures kw naming One system wwon PWOMMUM Of COMM 83 and 84. and Ow conndtiora of approval by the depwbnaM, agent, or 90VOInmen1 at urn&. The apprawld plans and permits for system am an go at the county ming or health deperftnent. This managemet t plan canplies with Canm 83.54. M. Aft. Code. and the haoux! Soil Ab®ap6on Camonerd Mares kx Private OnWle Wastewater TreaWw* SyMerns SBD- IONT-P (8.6199). Tab 1: 9 bm Perm t l+lrrrrtber Number Bedrooms Design Flow P eak EINtflidsd Flow - A 0 D 5oi! Size T of L 0mestic Table 2: Sob - L knits of RsillalMa Tank cOrrnponerd Design Flow _ peak (7 Maodrt�tun kdluestt Particle Store 1f8 Mndrntttri 320 Meidmutt TSS 150 Table 3: Merinieaaace Sclte"O Snt Tank kuped arxlkx service once 3 Oust Fl ante a M and dean at least once every 3 yews Sod once wing 3 Vem soodc Tank The septic tank shall be n ewdained by an individual certified to service septic tanks under s. 281.48. mss. The contacts of Ore septic tank shall be deposed of in sacorda ce wM iR 113. Wis. Aden Code (Servicing Sew or Holding Tanks. Pumping Chambers. Geese inhweepUn. Seepage Beds. Sege Pits, Seepage Trendws. Privies. or Portable Restrootra). The opera" cotton at the and outlet filter shall be assessed at least once every 3 years by inspection. T o at &had be loaned as n2au**gdq_e - sWe ornn , er wa Won. The Iftr eatrtr�e be removed unless provisions are made to retain solift in the tank that rney slough rf the tiller wtm removed *orn its enclosure. If the I I t Management Plan For a Septic Tank and Soft Absorptdan Component Ma is ewipped with an alarm, the finer shall be serviced If the alarm is activated cort*%Miy. irvterrrrnfifient fiflaeralarms may nrdicate surge Rows or an inrhptnding aortr►nuous alarm. The septic tank shall have its corAerds rerrnoved when the volume of scum and sludge in the tank exceeds 113 the liquid volume of the tank. if the contents of the tank are not removed at the time of an assessment, finance personnel shall advise to ow w of when the next service needs to be m s and sludge aocoxT#Aation in the i to maintain less than rrtatorrnu cxxrt udga per�mned tank. Manhole needs, access risers and covers should be inspected for water tightness and soundness. ACCess openings used for service and aesamwit shall be serled watertight upon the compWw at "moo. Any opening deemed unsound, dame, or subject to failure must be replaced. Exposed access openings grew 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 wNe► a mpffc or outer bvaoitent or hoMv gw* for any reason WWKwt behtg in ltW ootoeplit0no@ with OSHA standardff for enwring a confled space. The a6noaphene t+tri6lWn 6 aep6iC err outer 1h w6ttN t of hOMS19 tan/r nNy conlain AWW games, and reeae of a person *on the ht wkw of me tw* rosy be MMM or hapossAW& Tank abandonment shall be in accordance with Comm 83.83, Wis. Adm. Code when the tank is no longer used as a PONVTS component. Soil Aft"T"on Comoorreet! The soil absorption component serving this structure Is dWgrwd to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a sod absorption component depends Weedy on proper and W nets rns ntenonoe, and system use within or below the limits of mftble Operation. Good water conamvation pre by all occupants and the installation of vJ*W Coraennng phxrtbing frAurres are key factors in extending the ursefal We of this component. The soil etmiorption component's operation must be assessed by inspection at least once every tm years. The inspedMon shell in ch4e recording the levels of pondirg, if an in the observation pipes, and a visual inspection for any evidence of surface seepage or doge from the wff pony. On algiapty sloping sties, areas of erasion 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 sob absorptkm component should be avoided Particularly during winter Months. The cexnpacton of removal of snow cover over the component may lead to tnydrauiic faNexe by f€r.ezlrg. This type of ierrka'e is usually t+r. but is ddlicult or impossible to repair until weather conditions improve. in general, soul Compaction over this component will reduce diffusion of oxygen NO the sod and dispersal cell, which may lead to more intense, and earlier. organic dogging of the soil. 2 I 65 /02/01 WED 10:36 FAX 715 366 4666 ST CRX CO ZONING Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep - rooted tress and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. * aT. CROIX ZONING = 386 -4680 * plumber = Calvin Powers - 246 -5135 ** Replacement site ill be that soil tested area by . CST A-A, ��� ( # a5 ) . ** Replacement site must be left undisturbed, or - management/ contingency plan must be modified and filed with the zoning office, outlining the steps to be taken in event of septic system failure. 3 06/19/01 15:14 FAX 6128927900 1111 J OHNSO N CONSTRUCT IA 002 l 715 - 245 P• 2 Jun 11 01 01:26p ChLVIPI POWERS I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIF CATION FORM ()wner/Buyer su �oyy Mailing Address I A -1 W Property Address , (Verification required from Planning Department for acw construction) City/State •p L,) Parcel Identification Number - O LEGAL DES PTION p rop " Location S V., ' /,, $eG 3 , T -I N _R W, Town of t O Lot # Subdivision 'e Ccrtifted Survey Map # , Volume Page # _ Warranty Decd # Volume Page # - � Spec house � I%IAINTEN ANCE yes O no Lot lines identifiable l yes d no SY M IrmprgW use and nsa>n�ec of your septic system could result in its prematutre failure to handle wastrs Proper rnaintepanct consists of Primping Out the septic tank every three years or sooner, if needed by a licensed parnper• at You put WO the slfstcm can ailed the tw etion of the septic tank as a trcatotent. stage is the waste disposal system TIM property owner agrees to subo* to St. Croix Zoning DcPwumw a certifreatfon form, signed by the owner and by a nosier plumber joumeyni„ tplumber,r asbictedpl umbcroraiiccusedpwaperverif yingthat(1)theon -site wastewaterdisposalsystem is in ptoper operating condition andlor (2) after ittspeetiea and ptm *19 (if necessary). the septic tank is leis tban 113 full of sludge. Uwe, the anddersigned have read die above roquitemcuts and agree to maintain the private sewage d;s�sal systtmt with the standards set fort nt h. herein. as act by the DepeSateof Comore Ce and the Dc�entof Natural Resources. State of Wisconsin. C�ific3d n stating hat your septi c system hat been maints�d must be completed and returned to the St. Croix Coamty Zoairg Office within 30 t days of the three year expiration date_ / � 1 ►9�01 DATE S1tiNAnw,a O PLICAwr O�YNER CERT1� fCAT ON the owrtcc(s) of I (we) certify that all stattaneotc on this form ern true to the best of my (our) knowledge. I ( we ) era ( am) the property dcacribed above, by virtue of a watsanty dead recorded in Register of Deeds Olftce• DATE IGNAT RE t7F PLICAWT M ata "� • • • •••••" y inforriom not is nri reirresentedatay result in the sanitary perms revoke b the Zoning Deparuncat. bciag •` Include with this application: a stamped warranty deed from the Register of Decds office a copy of the certified survey map if reference is made in the warranty decd 06 /19/01 15:14 FAX 6128927900 K JO HNSON CONSTRU 2003 ' %O v.... 1634mE 405 6.>k 4S8 3 t t N H. WRLM FORM 2 - 1999 M R T4 . E sYATt:anttt�wlswNStN c Tfik OF DEEDS R WARANTY DEED By, rR "IX CD.. YI r th Mr – MO FOR REM 1� benaaea MR- gN Car raa�ha I LC�a wS !I� ?Mt t0:]o JIM ExSeP! 4 CELT CWT FEE: .W. J ob m* Coo111WRE iatl , copy FEE: TR*08t FEE: V.=199 FEE: 19.00 ' C,nnior, for a valttabk catsidetatiatt. wttvcys t0 Gmtee The following &- witted Mal astute llt St. Croix County. Stec of Wixumin (if more spate is aeMm. plea9e attach addevulm): Rawr4jal: Mtn Nam ma Raw. Addrest La Plat of T iKa i the Town or Richman!, St. Croix Counly, C � iscomtn. 029.110140. 02 101-90 Pattxt t/wiEnata Narttb�+ (riN) This is ee�__ . hhttatleod 06) Gs amt) Tatctptitxts w watran[iti Essemettts, TcsO i °tic aid F%W of-way of .cmd. If airy. J , Dated this day of _IMay ZWl y' A eats C tim mL A U'fHENTICATIOIY ACKNOWLEUGM647 STATE OF WISCONSIN } County I t' o.dteaticatcd this ^ day of ptxsonaw came berOM m9 this ._ T dxy of f natss_K tuWO _ MaY mt the above named — p� - A Asa m itateats Cs K w LLC,. mioawa t.aticad – _ _ �1 to pubtic L_t t --ZM by ���p W�c,�Q� I t'. �-- -- T17 MEMAI `AI — S ^ IJCt7NSIN to me knows to be the ipv —ks) who ezcc d wr Cote�otnR (If not. Ins x*nvWkdRtd the aamc. authorit+xt by ii 706.06, Wis. State) THIS 1NMUMENT WAS DRAFFED By AMOMCY Vandna a Ngwy public, Supt of Wisconsin aH dsw �1 X01 _ Niy Comma net t UI' not, stotn "pitation date; (S'�wrres mar be wdtt ed M ackaom4edged. 801h am net aeceasaey.) Ntaats �paanas mat is nay eaoaky not he r ptd or pt� belay th- aipraist, rra.o.a wew�.r.b taa�y raea�w ts STATC !AR OF WUCDK%m W ARRANTY DEED FORM ma, 2 • M» 06/19/01 15:14 FAX 6128927900 KW JOHNSON CONSTRU _ 0004 . 1 THIS PLAT. AME PLAT IS RE=f THE FO-LOVINC 29 0 4 DEPARTMENT OF i IN WITNESS VF - D THESE I i _DDAY Q r ' low n ` ; IN THE PRESEN 2.08 ACRES AMES INVESTMI 90750 SO- FT- STORM WATER �v STATE OF � RETENTION AREA j CMMTY GFk- j H.W.L =10(Ro PERSONALLY C 0� 200L_, JEFF �'� THE ABOVE NF •� WHQ EXECUTE) PRCWOSED T0VM ROAD r SUC MENDER HE EXECUTED DEED Of I NO OWNER OR RESfDENT SMALL DO ANYTHING WHK:H -- NOTE THE OPEAA►nON NOTARY DU I WOULD INTERFERE w" OR CwwGE OF THE APPROVED 00MPRlHENSIVE WATER DRAINAGE MY C13NNISSID AND SOL Ep4DMN PLAN FOR THIS PLAT. THIS ` INCLUDES BUT IS NOT LIMmm TO BUILDING UPON. OBSTITUCTM , ALTERNG, Fn -UING OR EXCAVATING, OR COUNTY TREA' ` PLA gnNC3 IN ANY POND EASEMEMS. W A TER STATE OF VI it DRAINAGE DITC HIES, WAXER RUNWAYS. WATER C OF S CULVERTS. 9th OR CRASS SEEDINGS• I. MARY JEM N"°S714"E 373.0& TREASURER O MY MICE SI 3 ,p ppr SPECIAL ASST INCLUDED IN I 2 MARY L O 1.50 ACMES iQ I� COUNT Es 664W SO. FT lEg 12 TOWN HOARD p RESOLVED. -•� i� i� I I AMES INVES 1� 1� Ne9'S1'IS'E81000' m to WARREN BAL i9- i CHAIRMAN r O ; ; I HEREBY CI A� Q A 1.6 Q I@ N 71060 SCE. FT. I� I� CE SAL ; ERK e g�7'48 373.00' -_ Wl /4 340.011 EAST-WEST 1/4 LM r- SECTMN 36 o O 1C� S3 DS'l OO t?(nl ° IJ V LSI J LSG�tIV - __-