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HomeMy WebLinkAbout030-1014-30-025 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 514966 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: Wefel, Jeffrey & Robyn I St. Joseph, Town of 030 - 1014 -30 -025 CST BM Elev: Insp. BM Elev: BM Description: ��'I ?/ Sectionrrown /Range /Map No: q6- 10 9& .- A � GyjrX ""� m 04.29.19.59A25 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I ( LEic(�v Benchmark - Z/ / Dosing Alt. BM , of Aeration Bldg. Sewer Holding SUHt Inlet -3y t/Ht Outlet � b . Z TANK SETBACK INFORMATION TANK TO BLDG. Vito Air Intake ROAD Dt Inlet Septic ` 101 / V y 2 v/ Dt Bottom t Dosing J ,/ ,, 1 Bader/ an 8. 3' AIX6P. AIL Aeration Dist. Pipe 04 3 D Holding t. System _ b j. Final U PUM /SIPHON I NFORMATION ) '�j 6. 2- Manufacturer G P and St Cov r / - Z 2J Model Number ? 5 //� r Z TDH Lift Friction Los �System Head TDH Ft r o a h s 0, g i i2. Z8 Forcemain Lengt Dia. t. W/ SOIL ABSORPTION SYSTEM 2 Z -1— BEDITRENCH Width Lg qt � � No. Of Trenches PIT DIMEN NS No. Of Pits Inside Dia. Liquid Depth I DIMENSIONS o d ^ y / - SETBACK SYSTEM TO P/L 3 BLDG WELL LAKE /STREAM EACHIN Man INFORMATION T f S stem: CHAMB OR L W yp y 2 �/ I �� IT Model Number: DISTRIBUTION SYSTEM WW h, Header/Manifold Distribution / x Hole Size x Hole Spacing Vent to Air Intake / /i Pipe(s) Length Dia Length_ is Spacing / � ; ZD SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over xx Depth of Seeded /Sodded Mulched 7 xx Bed/Trench Center L,I � Bed/Trench Edges Topsoil Yes 0 No E] Yes [T] No COMMENTS: ( Include code discrepencies, persons present, etc.) Inspection #1: 9 / / Inspection #2: / / Location: 601 Cty. Rd. E Hudson, WI 54016 (NE 1/4 NE 1/4�+4�T,2�9�N� R119W) NA Lot 1 Parcel No: 04.22j9..199..5,9,AA2�5i 1.) Alt BM Description U 2.) Bldg sewer length = 2- 3 i - amount of cover = y I 0 �' (�,Q`L (/)jt �. y gyp¢ Q��1� J �+ /t / I` Plan revision Required? Yes No Use other side for additional information. ' ' O; t✓ �4- SBD - 6710 (R.3/97) = -- Date Insepctor's Si nature Cert. No. or- 0 0 I i L `V y W t „gam► Safety anti Buildings Division County 201 W. Washington Ave., P.O. Box 7162 e ✓ Madison, W 53 1 6 Sanitary P (to Permit Number be filled in Co.) dapatrbrtsnt of Comntorxre 5/ (o Sanitary Permit Application State Transaction . Number � t i o n I In accordance with s. Comm. 83.21(2), Wis. Adm. Cappropriate Code, submission of this form to the ap grnremmena unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS we project Address (if diiferontthan mailing address) submitted to the Department of Commerce. Personal information you provide may be u dmY purpo in accordance with the Privacy Law, 1 s. 15.0 in 3tats.�? r j C u I. Application Information - Plewse Print All Information Property Owner's Name - Parcel 0 0 Lid el �I e Property Owner's Mailing Address A t- G03 ,x coJN” Govt. Let Check G O ,/� ��' y,, Section cl City, tale Zip Code lq /{� C (caaelc onl l Y9- 10 O e T _q 97 N R/gr nE W 11.. �'ype of Building (check aN that apply) Lot # ® � Subdivision Name 23 I or 2 Family Dwelling - Number of Bedroome Block Public/Commercial - Describe Use /�/j� ,[� l/' City of El MAX v p CSM Number ❑ Village of State Owned - Describe Use �-7 p L 9 ! 0 S 1 ® Town off Ill. Ty it: Cheek only one IXM on line A. omplete line B if app8esbk) A New 3y Replacement. TreatmerwHolding Tank Replacemem Only Other Modification to Existing System 04 01111111 ) System B. to List Pmvious Permit Number and Date Permit Permit Revision Change of Permit Transfer 1ssu� Renewal Before Plumber New Owner lion _ Com 0neat/Dovkc: Check all that a > ?A in. of su' a soil Mound < 24 in. of s i soil • Non- Pressuri Pressurized In- (hnttnd At- (3tnde l�found _ Iding T k ❑ Ot Di crsal Colnponern (expla') ❑Pretrial Twm 'ice (explain) t / V. Dis rsaVrreatment Areb In-- Dispersal Anew Proposed (af) Elevation Design Flow (Bp(l) Design Soil AppiicaYton Rate(gpdsf) Dispersal Arcs Required (110 O o Manaf Material /r,,�przi - X 8 _0 Vi. Tank Info Capacity in Total # of _ _i Gallons Gallons Units S -, L / ^ �� /dam -T7 r Near Tanks Existing Tanks W/ D Septic or Holding Tank '0 , j , I�' �i B d Dosing Chamber a rea for bongo"" of the POWs an the attaelred plans. VII. Responsibility Statement- 1, the andersieped, shame poaafMtitY Number Busituss Phone Number Plumber's Name (Print) Nh ber's 3;gnature - J am. - ! 7 Plumber's Address (Street, City, State, Zip Code) V oan riment use on pproved _ Disapproved Permit Fee Date Issued (� I tng ant Si _ Owner Given Reason for Denial $ 2 5 0U I](.. Conditions of Approval/Reasons for Disapproval - - SYSTEM OWNER: l/` (.0 yLw �t� � �j � 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by lumber. se ac req u IXtlliiB *X*ftM"tP ad aubmit to C Gas an pa/ar act Im eae a x t t iaeAea as per applicable code /ordinances. SBD -6398 (R. 01/07) Valid thru 01 /09 u ti b a Zj - :4 b ` o� ass r epo G �)J Q �L Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County ST. CROIX Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Pao I,.,D� .. (pending) percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Wi e. , 36) - /(j / • - Date3 — Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). f `F. `` Property Owner Property Location )/ +� uF tia: �y An►b ARTHUR &NANCY HAWKINSON Govt. Lot ---- NE 1/4 NE 1/4 S 4 T 29 N R 19 E�(or� Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 603 C.T.H. E 1 -- (Pending) City State Zip Code Phone Number []City � Village ■ Town Nearest Road Hudson, WI 54016 ( - 6872 C.T.H. E 0 New Construction Use Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement n Public or commercial - Describe: Parent material Flood Plain elevation if applicable NA ft. General comments and recommendations: onventional In- ground trenches -- 0.7 loading rate --� 132 i(6'3 - KI � 2 MAY 012 P r = e ❑ Boring # ❑ ng ZONING OFFICE Q pit Ground surface elev. 100.13 ft. Depth to limiting factor 115 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 I *Eff#2 1 0 -10 10YR2 /2 1 3fgr mvfr cs 3vf -co 0.6 0.8 2 10 -21 10YR3/2 sl 2fsbk mvfr cs 2vf -co 0.6 1.0 3 21 -36 10YR3 /4 sl 2fsbk mvfr gs 2vf -m 0.6 1.0 4 36 -52 10YR4 /4 sil 2f -msbk mfr cs lvf -m 0.6 0.8 5 52 -115 7.5YR3/4 6 -- ` s Osg ml -- -- 0.7 1.6 Horizon 5 has some pockets /layers of 10YR5/4 cos; some gr 1 - 5% 2 Boring # E] Boring 91.83 92 0 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10YR2 /1 I 3fgr &sbk mvfr cs 3vf -co 0.6 0.8 2 10 -16 10YR3/2 sil 2f -msbk mfr cs 3vf -co 0.6 0.8 3 16-IIJ 10YR3/4 sil 2fabk mfr cs 2vf -co 0.6 0.8 4 24 -60 10YR4 /6 s Osg ml gw lvf -m 0.7 1.6 5 60 -70 10YR5 /4 Q �' cos Osg ml -- 0.7 1.6 6 70 -92 s Osg ml __ -- 0.7 1.6 Horizon 4 has some gr 5 -10% * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sionature CST Number Mary Jo Hollister Hollister's Soil Testing & Design L & 224832 Address Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 04-21-08 (715) 426 - 1775 ■ Plot Plan for Site and Soil Evaluation Page 3 of 3 Property Owner A P-,u-g- g jj & -+aw r.► s� 3mEi�.6 : ��r- Izz'i?w WEFEL- I" = 40 ft. Legal Description Nwi cFvL j +j, m tg- '1i it (except where noted) = Backhoe it "file �+4�. T�wa e�F S�'- :SG���l, p 10 AMIE5 North o` P RgCR � pRokbs�ry 0" A� ! 00 �O 3` eL- qq6 f cA O 3 J �' � •pVG "P4 �E Site Loca 'on: �M�2=,52 i��ggpVE�O � V Rfl. VOL. 23 OF CSM, PAGE 5546 CERTIFIED SURVEY MAP, No 5546 IN THE NWM OF THE NEM, AND IN THE NEM OF THE NEM, SEC / N 4, T W, 29N, R TOWN Y OF ST JOSEPH ALL POR770NS OF THE JOINT DRIVEWAY WI S C ONSIN LOCATED WITHIN ROAD RIGHT OF WAY ST. CROIX COUNTY, W SCONSIN \ NEED TO 8E BwLT TO TOWN STANDARDS 1 % Y CHAPTER 149 \ EAMMG CL ORAC \ Nf CORNER SECRON 4 FND. ALUM. MONT, I POWER LINE / Rl , SEMENT DETAIL I /3 66' WIDE INGRESS - EGRESS /.: / I S00 EASEMENT RECORDED IN /•�^ ^ ti/ VOL.1c PA GE / b GE_ __FOR THE USE OF 00 1 OF THIS p' IS17NG CL DRI EX CERTIFIED SURVEY MAP. / 3 2 Io .0 All 1 �1�2T�� NB 4J5..9D7'E ` 155.6 '' \I 2 l � t I;R N 8 W I Ih LOT 1 N 441.705 SOFT. 10.14 ACRES I I 1 13s . 240 500 SCALE: 1 " = 250' _ LEGEND w v ^ - - -- FND. 1 -1/4" REBAR r 0 - - -- SET V 0.0. x IS IRON PIPE 0. F WEIGHING 1.13 LBS./LIN.FT. 00 1 PETER J x i zu . 'fit w W : GARTMANN L S2279 mom TEC DESIGN, INC. i Z 5828 ARNDT LANE f ` EaU CLAIRE. w1 54701 1x71 tea CARD No. 08071 7- u. 7JI YIoB ry I SHEET 2 OF 3 Vol. 23 Page 5546 RECEIVED VOL. OF CSM, PAGE MAY 0 5 2008 ST. CROIX COUNTY ZONING OFFICE CERTIFIED SUR VEY MAP, No. IN THE NWX OF THE NEX, AND IN THE NEX OF THE NEX, SECTION 4, T29N, R19W, TOWN OF ST, JOSEPH, ST. CROIX COUNTY, WISCONSIN = N£ CORNER - 3 SECTION 4 o FND ALUM MONT. 0Z 0 75 150 300 W -0 LO SCALE: 1 " = 150' v w o) EACH PARCEL SHOWN ON THIS z z MAP IS SUBJECT TO STATE, uj w COUNTY AND TOWN LAWS, RULES W I W LL w AND REGULATIONS I.E. WETLANDS, ? 2 w m MINIMUM LOT SIZE, ACCESS TO 0 NOTE: TOWN OF ST JOSEPH PARCEL, ECT. " BEFORE z z LJ ALLOWS FOR ONE LOT TO BE PURCHASING OR DEVELOPING ANY 2 I 2 � J SERVED FROM THE EXITING ROAD PARCEL CONTACT ST. CROIX Li IMPROVEMENTS ANY FUTURE COUNTY ZONING OFFICE AND THE a DEVELOPMENT WILL REQUIRE m TOWN OF ST. JOSEPH FOR ADVICE. CONSTRUCTION OF ALL ROAD I IMPROVEMENTS AS REQUIRED BY UNPLATTED LAND THE TOWN OF ST. JOSEPH, N89'41'00 "E 435.9A I NOTE: LOTS MAY BE SUBJECT TO FUTURE SPECIAL ASSESSMENTS FOR ANY UPGRADES AND IMPROVEMENTS TO THE ROAD / 441,705 SOFT. 10.14 ACRES I in O N I 00 ur " b r r NOTE: DISTURBANCE OF 20% I V / SLOPES WILL BE REQUIRED TO I w I • / �/'R` OR/VE C BUILD THE DRIVEWA Y ACCESS PROPOSED HO SE., OCA ON I I �+ AND WELL SITE SO BUILDING SETBACKS I 3 1� 75' FRONT V QI 20' SIDEYARD = wl © R =233. 25' REAR YARD I 00 a B =Nlt 53'50 "W n �I UNPLATTED LAND % t t C =173.9 N al e O T2 =N3 '49'17 "W — B I S89'40'56 "W 815.60 N89'40'56 "E CURVE B -C I N89'40'56 "E 2603.28' 1301.64' d= 4350'54" L=12780' ` R= 167.00' � ��h LOT 8 I LOT 9 ZI B= N16'53'50 "W C= 124.71' - -- I I J� T1= N05'01'37 "E \ T2= N38'49'17 "W CURVE A -B 4= 1J1'00" paRr '�. `\ HOLLOW I z� N L =6.17' - R= 233.00' B= SO4'16'07 "W C =6. 17' LOT 7 T1= NO3'30'37 "E T2= N05'01'37 "E LEGEND £ ; CORNER 0 - - -- SET 1" O.D. x 18" IRON PIPE SECTION 4 0 WEIGHING 1.13 LBS./LIN.FT. FND ALUM MONT. TEC DESIGN, INC. N 5826 ARNDT LANE j X ---- FND. 1 -1/4" REBAR EAU CLAIRE, WI 54701 1 ' CADD No. 08071 7 — _ _ _ - 1 2 U TILITY EASEMENT SHEET 1 OF 3 — SHADED AREAS DEPICT 207 SLOPES OR GREATER SEPTIC TANK PUMP CHAMD �1' ON AND SPECIFICATIONS WEATHERPROOF AppROV ED 11 CI VENT PIPE I2 �W • aR BQ � + JUNCTION BOX MANHOLE COVER > 25' FROM DOOR, W WITH CONDUIT W PADLOCK & FRESH AIR INTAKE WARNING LABEL FINISHED GRADE,, Cl RIM - - 4 t} MIN. 18" IN. E 11 MAX. r NLE'r _ CAS.. WATER TIGHT SEALS '"'' SIGHT `+ VAPPR4VED A SEAL +, JOINTS WITH ALM APPROVED PIPE 3' ONTO kPPROVED • ' ; ON SOLID SOIL 'IPE S OLID INTO S , or RISER EXIT ;OIL PUMP OFF ELEV . FIT '° PERMITTED ONL' IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDT.Ix% U# P TAN Y CONCRETE FAD SI�4TI ".1 / DOSE A DQ$LS PER DAY: SEPTIC . TANK MANUFACTURER: YO xNCLUDTNG GAL. Dpi 1 9 GAL. TANK S_ I��: SEPTIC �� GAL, FLOWBACK' --- DOSE r ` GAL CApAOT T I ES : A = _ INCHES = `'f �77► ALARM MANUFACTURER; 2 INCHES = GAL MODEL NUMBER : B SWITCH TYPE: . 0 .5. ----- C $_ INCHES = ��GA = PUMP MANUFACTURER : ,R INCHES MODEL NUMBER: D SWITCH TYPE: .,, •;�°" �' 16.23' W! LI l'� GPM Fum ., AI RM WIRING AS PER ILHR REQUIRED DISCHARGE RATE _.._ IQ_ FEET 2,5 FEET VERTICAL DIFFERENCE BETWEDN PUMP 0 A N pxTUTION PIPE • ��„ FEET * MINIMUM NETWORK SUPPLY PRESSURE " FRIG ION FACTOR FEET + �� _ FEET FORCEMAIN X '�.� T 4p T Q , , AMIC HEAD WIDTH s IjIAMETER INTERNAL DIMENSIONS OF PUMP TANK: Q1 &6L pet SIGNED: �" ,�� LzC:EN$Lr NUM, 19..� DATE: f [Q GOULDS PUMPS Effluent Efflueut Pump 387 EPO4 1 EP05 PPt ICAT10N5 • Fully submerged in high ■ EPOS Impeller: Thermoplas- ■ Bearings: Upper and lower A grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. wnstruction. following uses: heat transfer. ■ Casing and Base: Rugged AGENCY LISTING • Effluent systems thermoplastic design provides • Homes Available for automatic and superior strength and corrosion Q Canadian sun&v s Mw ww • Farms manual operation. Auto- resistance. CSA listed model numbers end • Heavy duty sump matic models include 0 Motor Housing: Cast iron • Water transfer Mechanical Float Switch for efficient heat transfer, in "F" or • Dewatering assembled and preset at the strength, and durability. factory. a Motor Cover: Thermoplastic 60uws Pumps s 'so 900 Registered' SPECIFICATIONS cover with integral handle and FEATURES Solids handling capability: float switch attachment points. • /a" maximum. ■ EPO4 Impeller: Thermoplas- m Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1'/2" NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers, • Temperature: 104 (40°C) continuous _....... I . _ .- METERS FEET 140 °F (60 intermittent. • Fasteners: 300 series I fSGPM stainless steel. a 30 • Capable of running i zsn dry without damage to components. 25 ..... � � _._ _ , Motor: x 6 20 • EPO4 Single phase: 0.4 HP, 115 or 23o V, 60 Hz, 1550 - RPM, built in overload with o 5 _ ._. 15 EPOS automatic reset, a 4 • EP05 Single phase: 0.5 HP, o 115 V, 60 Hz, 1550 RPM, ` 3 10` EPO4 built in overload with z automatic reset. • Power cord: 10 foot s 1.. -: .... .... standard length, 16/3 t ' SJTOW with three prong 0 00. 10 5 0 GPM '.. grounding plug. Optional 20 zo as foot length, 16/3 SJTW with I I 10 12 m3/11 three prong grounding plug 0 2 4 6 8 (standard on EP05). CAPACITY Goulds P ® 2000 Goulds Pumps ITT Industries Effective February, 2000 83871 l ST. CROIX COUNTY SPPTIC TANK MANTTINANCE At UMAENT AND Owr sRP CERTMCATTON FORA Wiling Address le 03 GT� ej e. os and \nJ Z Property Addrua . ,� (Vcril'toatiou r®ghtirted ft)m Pimming & Zjkg Dcp nt for w Wustruc yatidti.) Cit �Staw- Parcel Identification NumbOr 1L3, g property Y,,oaatian L X14 , %4 Ste. W , T - ZQ N Tt� Townt)f J OSGPtf Subdivision Lot # Certi%W Survey Map # � � � S � � , �aluma `� 3 , pago 5 ,(e Warranty Deed # � S -2 Volume Page # Spec house yam rug) i.c►t lmw identifi4bt��ycs� r+o W TIE 1A1VCE Irtgnpor use and ttxtitt mewe of your septic system could rrs & in its preumttnrES MM to handle wastes, Pr oper nhssehtisq�sncc -0= b% o €pru qft out the w0c tank every thrM Years or doother, if needed, by a licensed pumper. A ut you put ho the system aan thf act dhc Ettuetion, of die sggie task as a treatmmt 10,90 is the waste digmal system. Ownax aaAintrMoe respaasibiiliaes are gwifim in Kot=L 83.52(1) mid in Chgftr 12 - St C�rakt County SauitmtY 0rdin5n0e. The pmpaaty owner ap as to subrruit to St. Croix County Plxv Aa & Zhnuig DoparbnW a rrttiticatton fur= signed by the owner and by a master plu *nr, ywmwy=n plumber, restd0k plat*:* at s HMM4 pwW" vO fying dut (I) the o>a i.%swwarnr disposal system is io pmpet opetating rotulitiou and/or (2) after kwpe Lion and pumping; (if aocassary), the septic lank is IM than 113 full of siudge. Vwe, the undusigned have red the above requirmaots and agree to tihaintaw th ovate sewage disposal syneua with the sWidards set ibr&, bereitt, as act by the Department of ca metre and the Dopschnent of NOW Res, State Of WiWVABi L Caft6catim stating %u your septic syd= has been 0rr,iuthmad toast be carepleted and returned dt tkee gt. CrWxx County P14040h$ & ;Lotting Dot within 30 days of the thtco year expkWon date, Uwe certify that eu atatejamm on this Farht are troy ro Tht beat of my/our lmovAefte. Uwe am/am tho owwr(s) of tho property described above, by vichw of a warranty dead tucarded is kcl*tex of Dwd$ Of xe. } Number of bedrooms X IZZ VF3 Ar I N TURF M APPLICANT(S) DA "`"`Any infmrruWan that is mistgmwntod mhy result is the saaitary pc zmh being revokod by the Lykatu ug & zmdns Dcparwwnt. * "e trhaha n VWtb this apphemia. a td omod wrnh•rh<hhty dod PORI ft 4000W of DOWN offto Wd a copy of the ca'til1w survey trap F re� is msute in the warranty deed. MY. oamp POWTS OWNER'S MANUAL. A MANAGEMENT PLAN Page / of Z FiLE INFORMATION Y '� MA SPECIFICATIONS Owner ✓ E�''e l ✓erne I $000 Tank Capacity a s O al 13 NA Permit # �� Septic Tan Manufac ❑ NA DESIGN P ARAMfETERS �f.'flarefnt Filter Manufacturer 6-0-0 ' ❑ NA Number of Bedrooms N A 9ff Filter Mod el '' El NA Number of Public Facility Units NA pump Tank Capacity Q ❑ NA - g al Estimated flow (average) Pump Wank Manufacturer � �� � � ❑ NA 1 R _ Design flow (peak), (Estimated x 1.5) / Pump Manufacturer ❑ NA Cs O 1h.1 0k Soil Application Rate o. pl/ /f Pump Model ��Po ❑ NA Standard Influent /Effluent Quality Monthly aVflro' 'rptfeatment Unit NA Fats, Oil & Grease (FOG) 530 mg /L P Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD i 5220 ml ;lX P N Q Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS! I <_150 mg /L q Disir faction ❑ Other: Pretreated Effluent Quality Month avafegaa Cell(s) I A Biochemical Oxygen Demand (BOD.) 530 mg /L n «43ruund (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) s30 mg /L NA A At -Grade 13 Mound Fe Coliform (geom etric mean) t.1pq 11QOri f [I Dri p -Line ❑Other: Maximum Effluent Particle Size Y in dia. Q NA tJthe ❑ NA Other NA .. ❑ NA * Values typical for domestic wastewater and septic tank eff(yent. Qthet; 0 NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank At leapt Qn,se e�+ey E3 month(sl ry year(sl ( Maximum 3 years) ❑ NA Pump out contents of tanks} Whon cprnbinad sllido and scum equals one - third i Y 3 ) of tank volume D NA Inspect dispersal cell(s) At I+fA:at snare tlul9r 13 month(s) year(s) (Ma)imum 3 years) ❑ NA Clean effluent filter At least carpe � !�/ � earl 'is) 0 NA � ❑ ye ar( s) Inspect pump, pump controls & alarm At leatst grltsaf evpryr; ❑ m onth(s) i ❑ NA Flush laterals and pressure test At least gripe every; ❑ month(s) ❑ NA ID year Other: ❑ month(s) At leas t Qneq evory: ❑ NA Other: ❑ yearls) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made lay an individuai carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; P. WT9 1rrs parrtoF POW TS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankle) tP id6hfify # ny misting or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum end to pilaitGk for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to chafsk the effiuelft levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of efflyen, on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority:: When the combined accumulation of sludge and scum In any tank equals one -third (Y 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. ( other services, including but net limited to the servicing of effiuent filters, mechanical or pressurized components, etreatment its, and any servicing at intervals of 512 months, shall be performed •tav a certified POWTS Maintainer. A service report shal a prove u on y w t n sys o comp a ant. Page v Of (/ START UP AND OPERATION For new construction, prior to use of the POWTS ohaAb{t bIIi1�►ht fIlld{tis) fpr the p of reeance p aintin g that may impede the treatment process and /or darn p roducts or ether chemicals high concentrations are detected have the contents of the tankls) removed by a septage servicing opelra" qr l 1 , Iii. System start up shall not occur when soil conditropll t Ml 1f)f�l l'a4tive surface. During power outages pump tanks may fill above_ I fiil #1 �1" 111 1►. Man power is restored the excess wastewater will be discharged to the dispersal ceAis) in one large dot -{i }�3� d may result in the backup or surface discharge of effluent. To avoid this situation have the contents Qi ;id!MCI by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a PlumberF {lirW to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispat"q l:, l}i b fit! rlfWorl", or over, or otherwise disturb or compact, the area within 113 feet down slope of any mound or at- gratla rIWI) i q it �o Reduction or elimination of the following from the Rtiiltt i fF'i!? improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; fi Pi degreasers; dental floss; diapers; disinfectants; fat; foundation drain }sump pump) water; fruit and valrkiil% {ill l {) , F l grease; h erbicides; most scraps; medications; oil; .��. painting products, pesticides; sanitary napkins; to 4C1 {it f i{ i tins. ABANDONMENT When the POWTS fails and /or is permanently takeli gilt df ,00, 0i tkiio +1100 lrig steps shall be taken to insure that the system is properly and safely abandoned in compliance with oh}titlr�l;tonsin Administrative Code: • All piping to tanks and pits shall be disconrldtil t117d tfiE IikliIf pipe openings sealed. + The contents of all tanks and pits shall be r Am rki'plitaly �lfiM{fpped of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be 400 000 40 i'IIitio"o dl their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the PO TS fails and cannot be repaired the fMli;Eill( p?rfalil<! hAv� then, or must be taken, to provide a code compliant replace ant system: A suitable replacement area has been evaiilAip� i111I kt�aly , for the location of a replacement soil absorption system. The replacement area should be pr`r i# Alih f 1p ji' t1C19A ,#nd compaction and should not be infringed upon by required setbacks from existing and propo�rrR1� l yells. Failure to protect the replacement area will result in the need for a now soil and site evixl!uglliidih iii il)laita replacement area. Replacement systems must comply with the rules In effect at that time. ❑ A suitable replacement area is not avalla lj p I� 00W pr soil limitations. Barring advances in POWTS technology a holding tank may be installed i'llliA+� the failed POWTS. The site as not en evaluated to identiff oll etrj �� �l l + . area. Upon failure of th POWTS a soil and site 1 evaluation be performed to locate a 6Uj1t,0 � t MI:Mi�. If no replacement area is available a holding tank may b I s a last resort to replace 1g }�1 C3 Mound and at - grade soil absorption systaitl- tli�3r fti riAllftbl . In place following removal o f the , biomat at the infiltrative surface. Reconstructions of such AylRti^pY "ilki'�V�ii'K vfth the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS - { SES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT f S TANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY ADDITIONAL COMMENTS POWTS INSTALLER JASINTAINER c Name Phone 11l�i' ? 8 1 S a., SEPTAGE SERVICING OPERATOR iPUMPER) AjULATORY AUTHORITY Name I �� Ck D ;LOW Qr Phone O.Pill - v This document was drafted In compliance with chapter Comm f�040'i,IlmI i��� {f� fin4l 1��,�4(t i, i21 & 13} Wisconsin Administrative Code, i v 7 K f- 5 State Bar of Wisconsin Form I -2003 8785 7 WARRANTY DEED )y KATHLEEN H. WALSH ]� REGISTER OF DEEDS Document Number Document Name �l ST , CROIX Co " , W+I RECEEIVED FOR RECORD 07/18/2008 10 :30AM THIS DEED, made between A_ _rthur F. Hawkinson and Nancy L. Hawkinson WARRANTY DEED husband and wife EXEttpT # 8 ( "Grantor," whether one or more), RE C, ; EE 11 : and Jeffrey M. Wefel and Robyn L. Wefel husband and wife , FEE 1 ("Grantee," whether one or more ). Grantor, for a valuable consideration, conveys to Grantee the following described real 1i Recording Area estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is Name and Return Address needed, please attach addendum): f Arthur and Nancy Hawkinson is 603 County Road E Part of the NW %4 of the NE ''/4, and the NE 'A of the NE '/4, of Section 4, Township i Hudson, w► 54016 29 North, Range 19 West, described as follows: Lot I of Certified Survey Map recorded in Vol. _ ., Page �& _ , as Document No. I ► Together with a 66 foot ingress – egress easement for the benefit of Lot I as Part of 030 10i4 - 10 - 000 and 030 - 1014 - 30 - 000 described in Easement recorded as Document No. 4a ��vd' Parcel Identification Number (PIN) 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: Easements and restrictions of record, if any. Dated July 17. 2008 (SEAL _o1 � (SEAL) * * Arthur F. Hawkinson ( SEAL) T a �° y. r- r--. 3 (SEAL) * * Nancy L. Hawkinson 4` - - WN AUTHENT10 -4 f,S fit ACKNOWLEDGMENT Signature(s) © C �!< STATE OF WISCONSIN } authenticated on ViRGt ) ss. —�— St. Croix COUNTY ) Personally came before me on July 17, 2008 the above -named Arthur F. Hawkinson and Nancy L. TITLE: MEMBER STATE BAR 4 VJISC�IVSIN Hawkinson authorized to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) inst nt and acknowled ed thv same. THIS INSTRUMENT DRAFTED BY: Arthur F. Hawkinson and Nancy L. Hawkinson * Vi_r I-a R • Gartman 603 County Road E, Hudson, WI 54016 Notary Public, State of Wisconsin My Commission (is-pef-ma (expires: Nov. 27. 2011 ) (signatures maybe authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. 1 -2003 *Type name below signatures. 7 4 JUL 2 a znoR 3 878574 VOL. 23 OF CSM, PAGE 5546 KATHLEEN H. WALSH REGISTER OF DEEDS ST, CROIX CO., WI CERTIFIED SURVEY MAP No. 5546 RECEIVED FOR RECORD 07/16/2008 10:30AM IN THE NO OF THE NEW, AND ERTIFIED SURVEY MAP VOL: U 23 PAGE: 5546 IN THE NEX OF THE NE, , REC FEE: 15.00 SEC77ON 4, T29N, RIM,, COPY FEE: 4.00 TOWN OF ST. JOSEPH PAGES: 3 ST. CROIX COUNTY, WISCONSIN i NE CORNER W S2Cn0N 4 FWD ALUM Mow.. o s 0 75 150 300 w SCALE.' 1" = 150' 40 0 1 I ' W = = EACH PARCEL SHOWN ON 7NIS MAP IS SUB rCr TO STATE. u Gj COUNTY AND 701414 LAWS, RULES I Z AND RECULA nONS 9,f. WETLANDS, 'b` m MINIMUM LOT .. ACCESS TO I _ U W W PARCEL, fiC" BEFORE z z PURCHASING OR DEVELOPING ANY o. , a PARCEL CONTACT SL CROIX , 1 a COUNTY ZONING OFFICE AND THE TOWN OF ST. JOSEPH FOR ADVICE, &LNPtATTEO J,ANO ' NOTE; LOTS MAY BE SUB 1489'41'00 "E 435.67' JECT TO I FUTURE SPECIAL ASSESSMENTS FOR ANY UPGRADES AND IMPROVEMENTS TO THE ROAD LOT 1 e j 441,705 Sati. Iv1 r , 10 I v o 'PROPOSED DRIVE ItA PROPOSED HOUSE I I AND HELL SITE � J ! o T t i l 5 `� DING \� '4iRh LfYyi' BACKS I 3 0l 1`4151 d ,. FRO Jr S I REAR YARD 00 0 is �I 6 p.�I 589'40'56 "W 749.40' y 1�y1y F r � rA" f' ,. 589'40 "56 'W 1 •_� 1I I 1301.64' 3 for s ,: r r• 1,• LOT 8 Z I PARK \ \`.� \ \ \\ HOLLOW�SC \ \ �• \ ' 1 PETEFI J. k I GARTI \. \ S 2M KN LEGEND 0 - - -- SET 1" O.D. x 18" IRON PIPE SE 11 4 WEIGHING 1.13 LBS./LIN,FT. FND ALUM MONT TEC DESIGN, INC, N_ 5828 ARNDT LANE I �---- FND. 1 -1/4" REBAR EAU CLAIRE, 17 54701 c J._ _ _ _ - 12 UTILITY EASEMENT aoD No. oao71 -- (XUt 7�14IDU' f - - -- SHADED AREAS DEPICT 12% SLOPES OR GREATER SHEET 1 OF 3 Vol. 23 Page 5546 t CERTIFIED SURVEY MAP, No 5546 IN THE NW/. OF THE NE V. AND THE NE' /. OF THE NE ' /,, SECTION 4, T29N, RI 9W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN SURVEYOR'S CERTIFICATE: 1, PETER J. GARTMANN, REGISTERED LAND SURVEYOR, HEREBY CERTIFY: THAT BY THE DIRECTION OF ARTHUR F. AND NANCY L. HAWKI.NSON, I HAVE SURVEYED, DIVIDED AND MAPPED THE LAND PARCEL WHICH IS REPRESENTED BY THIS CERTIFIED SURVEY MAP. THAT THE EXTERIOR BOUNDARY OF THE LAND PARCEL SURVEYED AND MAPPED IS AS FOLLOWS: A PARCEL OF LAND LOCATED IN THE NW ti OF THE NE'b AND THE NE % OF THE NE %, SECTION 4, T29N, R19W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NE CORNER OF SAID SECTION 4, THENCE S00 °10' 13 "W ALONG THE EAST LINE OF NE '/, OF SAID SECTION 4, A DISTANCE OF 1238.01 FEET; THENCE S89 °40'56 "W A DISTANCE OF 1301.64 FEET TO THE POINT OF BEGINNING; THENCE S89 °40'56 "W A DISTANCE OF 749.40 FEET; THENCE 178.31 FEET ALONG THE ARC OF A CURVE CONCAVE WESTERLY HAVING A RADIUS OF 233.00 FEET, CENTRAL ANGLE OF 43 °50'54" AND CHORD BEARING AND DISTANCE OF N 16 °53'50 "W 17199 FEET; THENCE N38 °49' 17 "W A DISTANCE OF 120.01 FEET; THENCE N55 ° 13'29 "E A DISTANCE OF 601.82 FEET; THENCE N89 °41'00 "E A DISTANCE OF 435.97 FEET; THENCE S00 °46'54 "W A DISTANCE OF 230.78 FEET; THENCE S07 °58'44 "W A DISTANCE OF 374.35 FEET TO THE POINT OF BEGINNING AND BEING SUBJECT TO EXISTING EASEMENTS. THAT THIS CERTIFIED SURVEY MAP 1S A CORRECT REPRESENTATION OF THE EXTERIOR BOUNDARY SURVEYED AND DESCRIBED, AND THE DIVISION OF 1T. THAT I HAVE FULLY COMPLIED WITH THE PROVISIONS OF CHAPTER 236.34 OF THE WISCONSIN STATUTES AND THE SUBDIVISION REGULATIONS OF THE TOWN OF ST. JOSEPH AND ST. CROIX COUNTY, WISCONSIN IN SURVEYING AND MAPPING THE SAME. �/ //C PETER J, TMANN, R.L.S. No, 2279 DATED THIS DAY OF 2008 LANDOWNERS/ SUB - DIVIDER: PET NAME: ARTHUR AND NANCY HAWKINSON * ER J. ADDRESS: 603 CTH E GAI TM,ANN CITY: HUDSON WI 54016 S2279 KNAPP S TE OF WISCONSIN 4 COUNTY) SS r\ I, he j J �' n "► being the duly elected, qualified and acting treasurer of the county of U �_yJ do hereby certify that the records in my office show no unredeemed tax sales and no unpaid taxes or special assessments as of 1al31 1 01 (date) affecting the lands included in the plat of (Date) W(Treas APPROVED IT. CROOt COUNTY Phu"* a zek JUL 14 2008 SHEET 3 OF 3 11 no "Wd*d within 30 days 01 amp'" OW bo d my 1 wvd void Vol. 23 Page 5546 o d f = °; O �1 m d (D 3 '�s z T z o � Q O_ N 0 O CD A .•. 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