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.�§ � r 2 � g M 0 ■ WO z E z 7 a% R c o § K •[$ _ CD CD 9 � k § W k �2£ §/ {� � $CD \ C % % RL o E E e K B E � ~� a © 2 @ z > 2 % k' E § >\ R =. 3 \ $�� m 4 § I a j § $ § o 0 § o c � ( � � � � � ■ �. 7 0 0 0 x; .. / 3 I C3 1 § § § �� E 0 ; 0 ° § ¢ E / g D w� _ CD 15 \ 7 # T 7 CD D / 0 \ ° � / / £ / \ � ± m 2 CL § 8 E 0 §§ 2z� � _ ® § � � E 0 CL 9 ° Z ) § E { : » m § F : M co 2 . � # % � $ U) 3 � EQ ) § CL �n 2s E 2 §[ . \k � f\ � \ � D \ w 7 Cb � ■ 0 < \ _ 0 w � \ Wisconsin- Department of Commerce SOIL AND SITE EVALUATION Divi: Nn of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. AAm. CQod Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must Co include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Property Owner Property Location Cl t 6 Govt. Lot 114 < dS 30 ,N,R j q E (or)o Property Own e s Mailing Address Lot # Block# Subd. N e or CSM# /? City Pte Zip Code Phone Number ❑ City ❑ Village .®, Town Neares oad )?SL New Construction Use: Residential /Number of bedrooms y_ Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate 7 bed, 9Pd/f1 -ff — trench, gpd/ft Absorption area required e /3 bed, ft -'5r_<.3 trench, ft M ximum )dsi n I ding rate bed, gpde -_Z _ trench, gpd/ft Recommended infiltration surface elevation(s) /'/ /� /� (as referred to site plan benchmark) Additional designlsite considerations Parent material c��"� � Flood plain elevation, if applicable S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system S ❑ U Ja.r S ❑ U Ks ❑ U OS ❑ U ❑ S g U ❑ S w SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ground Depth to . limiting li� 36 Z Remarks: Opt— Boring # �y Ground lev ; y Depth to limiting 1as r �� Remarks: CST Name (Please Print) ' nature Telephone No. Address Date CST Number PROPERTY 01WNE � DESCRIPTION REPORT Page of PARCEL I.D.# f Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench Ground ? D S / vi tq, I Depth to in. Remarks: Boring if �lL 3 S / /64 N Ground v� v. Depth to -- limiting t Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # l t / s -t o� Ground Iq " ' V ft. Depth to ; limiting tact r ,OyL'n. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) Soil Test Plot Plan Project Name Dave and Aria Railsback Sha r Address 845 133rd Ave N Richmond Wi 54017 CSTM #226900 Lot 7 Subdivision Date 6/4/99 NW 1 /4 SW 1/4S25 T 3 0 N/R 1 9 W Township St. Joseph Boring ()Well PL Property Line County S T. CROIX Q��1 or VRP Assume Elevation 100 ft. Top of Steel Fen ce Post with Orange Ribbon System Elevation 90 .9/90.6 * H R p Sa me as Benchmark ,Alt. BM Top of Nail in Tree with Orange Ribbon @ 100.0 Pro Town Road 330' Property Line 10 A k 40' 60' B--2 15' t.. Pri A 15' M ' - 30''�' 30' o Rep A 15' o B-5 60 B -4 � 4% Slope — r a 00 Soil Test done to satisfy zoning requirements, may C not be suitable for buyers desired building site. 375' Property Line Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 430021 0 GENERAL INFORMATION 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: Matu a, Mark I St. Joseph Township 030 - 1066 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: to o , 0 C 5 1 Ice. i A S o tat h S hk 1 25.30.19. 2� � TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark oo .o Dosing Alt. BM Aeration Bldg. Sewer 5•a y�.2S Holding St1Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet / VoW Septic �17� , 3 3 `T I OG, Bottom Dosing e a Man. Aeration Dist. Pipe tu.zs 62— eu S. se Holding Bot. System q•S`/ y3, ?I Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover ••�� I/Gl ie°1 Cj �L GPM v(•0 ��La Model Number 5 � 1 � I�� y , k TDH Lift Friction Loss TDH Ft - ------ i•5o /01. Forcem SOIL ORPTION SYSTEM BfijhSffZl Width Length No. OfT-eRehes 2 � PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 S5 IgCh rch SETBACK SYSTEM TO P/L IBLDG IWELL LAKE /STREAM LEACHING Manufacturer. L INFORMATION CHAMBER OR B i a &( Se- Type Of System: /� q C T� G7noevi4 oO 71o0 1� I >JD >10b UNIT Model Nu er: H „- / V DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing / Vent to Air Intake q Pipe(s) Length 0 Dia Length is SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over j xx Depth of xx Seeded /Sodded - °' xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil No Yes Ji No CO S (Include code is�creepencies, persons present, etc.) Inspection #1: / 3l / 7f*4 3 1i I Location: 817 134th Ave New Richmond, WI 54017 (NW 1/4 SW 1/4 25 T30N R1 9W) Bass Ridge Pines Lot 7 Parcel No: 25.30.19. 1.) Alt BM Description = f 4Ibvt oY M An h 4> -t,r ("A 'l y � 7 7 j �'1 S ��X'��� 2.) Bldg sewer length = '64 o*Uk 0 3 � 4D Od - amount of cover = 14 i co'~ Plan revision Required? Yes rNo Use other side for additional information. 1 _ Y ► _L_ _ �� 1S 0_ -- SBD -6710 (R.3/97) Date Insepctor's Signature -- Cert. No. Safety and Buildings Division City W 201 W. Washington Ave., P.O. Box 7162 ST ' c.- go I a/Sconsin Madison, WI 53707 - 7162 A Site Addres q- De artment of Commerce lJ� w( Sanitary Permit Application Sanitary Permit Number o� / In accord with Comm 83.21, Wis. Adm. Code, personal information you provide a be used for secondary purposes Privacy Law, s15. 1 m ❑Check if Revision may I. Application Information - Please Print All Info State Plan I.D. N r Property Owner's Name Parcel Number vk MAY 30 , 1640lP - Property Owner's Mailing Address Property Location (Al a ll ST. CjI (),X CO UN IV V4 „l W VJi,4: S Z T N, R q City, State Zip Liumber Lot ber Block 41umber (I feA-J 1[� 1 1 Subaiyieion Name CSM Number ' H. Type of Building (check all that apply) ❑City 1 or 2 Family Dwelling - Number of Bedrooms y ❑Village ❑ Public /Commercial - Describe Use *Township ❑ State Owned 2 g tl�l I n p �4 Nearest Road 17 III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 1I New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use System I Tank Only [ Existing S stem B. El Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply) (numbering scheme is for internal use) 44 Jk Non - Pressurized In- Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constructed Welland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersal/Treatment Area Information: i Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate (Gals. /Day s /Sq.Ft.) (Min./Inch) ,/ Elevation � a 8 370 ✓ �T 6 VV, 8 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks k? _ /1 � 0 / f 100 Concrete Constructed Glass New Existing �G �i� Tanks Tanks Septic or Holding Tank J Z x Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI ber's Signature MPIMPRS Number Business Pho / Number 7 " A,V T I b , � PlumbeiVs Address (Street, City, State, Zip Code �_); J:�r VIII County/Department Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Is ent Signature ( o Stamps) Surcha a Fee) /� 2 ❑ Owner Given Initial Adverse , S d U `�' , 3 Determination M== r val/Reasons for.D' pproval P44� �1 s 3.5� � Ll 3- / Attach complete plans (to the County onjW the system on jaw not ffm than 8V2& 11 Inches in size SBD -6398 (R. 05101) JOB TIMM EXCAVATING SHEET NO. OF Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY �s.'r` DATE (715) 772 - 3214 (715) 386.5443 MPRS #3224 WI MPCA #6% MN CHECKED BY DATE SCALE i .............................. i i i j .. ..... ..... ..... .... .... .... .... .... .......i.......... i..........' s }... ...... ...i... ...... .. .... 1 i 7 ..'.. 7 i I i i I t ! i i I ! , , i ' 1........... ............................:... ........ {...........:.......... ..........:.......... ................;............. .............................. `.. .... - ...{...... .j.......... :........ .... .... ....... j- ..........j........... _. ... t , + . 1 - 7... i i , ``44 n Jl i.......... .i. ! ... .... .... .... .... ..... ..... ....... i..........«- ......... « .......... «......... I I I i ! s ................... ..... j...........;........... i.......... y.......... a .......... i-.......... ;........... 7........... j .........,........... i........ .. }..........:................. ....... i...................._,........ .... .... .......,........... j.......... .1..........1..... ..... y....... .......1......... I i ! i I i ! _ YVt .. ... i { i ! ! ! ! ! ; ! ! ! i ... .. { i i ! ....... ..........�1,....... .........,....................... .......... :.......... ............... i i r i i i , I I ....... ........ ...... ............ s..........'. .........!..................... ................. .... .... .... .......... .... .... .... .... ..... .... .... .... ... .......j.......... { e , 1 i .. , + e ..... ........... ..... .... .... .......... ........ ... .... ..... ...... ... ............... ....... ` f Y a ........... ii... Y �.S✓.�...t ..... .... ... ......I... ...I« -.. ._. ... .... ... 1 i i 1 i e e i e i ! , i i ...� ......... i . ......... €€ .......... ...... .' .... ! ` ........... ..... ..... .... .... .... .... .... .... } y b .- ..{. .........{ ...........:.........} .......... `..........i................... ........i ......... . .... .... ... ..... ...�.... ...« ...�....... ................................. i...........:..........1....... .1....... ' ... . i,� i .... ..... .... .... .... .... .... .... .... ..... .... ....... {._...... ' ..._ _.. I 1 .... ........:.......... ... ..;... _.. s...........! ................ ............................... .... ..... ..... ..... ... .... ..... ........ .......... . .. i ! i : { ........:....... ...:.... mks C ...:......: ... :......:... � j . ; .. ter ........... y�. ............... %. ........:.: .......................... ..................... ..... ..... .... e I..._...._....... . . . ...... : .... _ :....;. � ... ................:. .... .. .... a � 1 b .... � .. ... ... ........ llll�. _. � . . .... . G ....: .... .... .... ... ..... i : : : : : : . ..... .... .... .... ............... ............................... ......:......:... i C lu . ......:... ...:...... FWDU mlN WW -QmlK Mm 0101. To ORW PHONE TOLL FREE 14M 7ffi-{7!p JOB ✓� ! CeC. �G� TIMM EXCAVATING SHEET NO. � OF Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY 1 y DATE — 03 (715) 772 -3214 (715) 386 -5443 MPRS #3224 WI MPCA #696 MN CHECKED BY F/ DATE SCALE ? ..... ..... ..... .... .... .... .... .... ..... .... O.. �— ....:..... .........`... . .. .. ................. ..:.......... ... .. .. ... ... ......�....�..... ..... .... .. .. ... .... . t'�.. t, .... ..... ..:..�.. .. .. ...... ..: .. . ................. } ...... ..... ,.1 a :........ ..... ... .... ... l .... � ..... .... ... . .. ... ........... .......... . ...... . ..... ... .. . _ ...... ......... ........... . ... . .. 4 0 .. _ j O ... ci,��3 ----------- - .......... .. .............................. ................... ................ ........... ............. ................ ..... ............... ................ PRODUCT 205 -1 Inc., Groton, Mess. 01471. To Order PHONE TOLL FREE 1- 800 -225 -M ^n wi ORIGIN I: 1744 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8 %x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and — percent slope, scale or dimensions, north arrow, and to ' nce to nearest road. Parcel I.D. 030- 066 -20 -000 _ Plea • Re wed B Da Personal information you provi may u or secondary purposes (Priv Law, s. 15.04 (1) (m)). CCI I (� d Property Owner O $ Property Location Matuga, Mark & Amy MA� Govt, Lot NW 1/4 SW 1/4 S 25 T 30 - NR 19 W Property 817 134t O wner's h Ave Mailing Addre ST CRD G oOF CE Lot � Block # Subd. Name or B ass Ridge Pin City St a Phone Number City Village Town Nearest Road New Richmond WI 1 54017 St.Joseph 134Th Ave. ✓ New Construction Use: j6 Residential / Number of bedrooms 3 Code derived design flow rate 45 . 0_ _GPD Replacement Public or commercial - Describe _ -- Parent material sandy /loamy outwash Flood plain elevation, if applicable _ N A___ General comments and recommendations: install 2 chamber trenches w/ EISA at least 643 sot ft for 3 br, 22 shells (8 sq ft for 4 br, 28 she lls) @ system elevation of 93.8 FTI Boring # -...1 Boring ✓j Pit Ground Surface elev. 100.4 ft. Depth to limiting factor _ > 120 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 - 13 10YR 3/2 - sl 2 f sbk mvfr cs 1f /m .5 .9 2 1 13 -36 10YR 4/4 - sl 2 m sbk mvfr cs 1m .5 .9 3 36 -54 7.5YR 4/6 - s 0 sg dl gs 1m .7 1.2 4 54 -120 J 7.5YR 4/4 - s 0 sg dl .7 1.2 Boring # Boring Pit Ground Surface elev. 99.9 ft. > 110 in. Soil A hion Depth to limiting factor — pp' cat 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 -12 10YR 3/2 - sl 2 f sbk mvfr cs 1f /m .5 .9 2 12 -27 10YR 4/4 - sl 2 m sbk mvfr cs 1 m 5 9 3 27 -40 7.5YR 4/6 - s 0 sg dl gs 1m .7 1.2 4 0 -110 7.5YR 4/4 - s 0 sg dl - .7 1.2 Effluent #1 = BOD 30 < 220 mg /L and TSS >3Y < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mgL CST Name (Please Print) Signat re CST Number Henry F. Grote - 222 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 4/29/2003 715- 233 -0398 Property Owner Matuga, Mark & Amy Parcel ID # 030 - 1066 -20 -000 _— Page 2 _of 3 a Boring # j Boring ✓j Pit Ground Surface elev. 99.3 ft. Depth to limiting factor > 120 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 -14 10YR 3/2 - sl 2 f sbk mvfr cw 1f /m .5 .9 2 14 -42 10YR 4/4 sl 2 m sbk mvfr cs 1M .5 .9 3 42 -57 10YR 4/4 f2d 10YR 6/2 sl 2 m sbk mvfr cs if .5 .9 4 57 -70 7.5YR 4/6 -� 2 - s 0 sg d l gs 1M .7 1.2 5 70 -120 7.5YR 4/4 - s 0 sg dl - .7 1.2 horizon 2 has occasionlidl gy si coats on peds; redoximorphic features in horizon 3 are restrictive but not limiting, 2' rule applies ❑ Boring # Boring — Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots --Gn — __ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. F - Eff#2 F-I i i Boring # - Boring — j 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 `E ff#2 i ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ` Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3 15 or TTY 608 - 264 -8777. SBD -8330 (R, 07/00) Certified Soil Testing y , Co r4- Ir n1 � (r ✓ � N v c i -f 0 rp fA or rA .w i d i f J + _v J i J M � a d o w ? � I I ip _ i X46 r 4 � � ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer A1'17. L— Mailing Address Property Address g 1 1 3 q A u , ��// (Verification required from Planning Department for new construction) FLP City /State /��i�1 �e�.�.� S.k Parcel Identification Number D 30 —/d(o( -20- 0'00 LEGAL DESCRIPTION Property Location yv w '/<, `? r /4, Sec. , T_3,0 _N -R W, Town of Subdivision �Gt 5S i d� rn 2 1 V1�2 S Lot # Certified Survey Map #`` , Volume , Page # Warranty Deed # Ga // �j , Volume Page # a 3 Spec house ❑ yes 0 no Lot lines identifiable ; yes ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix 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 Zoning Office within 30 days of the three year expiration date. _o ' J /O? E/ d SidNA OF APPLI ANT DATE OWNER CERTIFICATION 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 virtue of a warranty deed recorded in Register of Deeds Office. . A?_P� ala4ld3 SIGI ATURA OF APPLICA DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** " Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATI109 SYSTEM SPECIFICATIONS Owner AI ( � Septic Tank Capacity /Z Sa ga l ❑ NA Permit # 306 Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 244e ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model A-- b ❑ NA Number of Public Facility Units A Pump Tank Capacity al XN A Estimated flow (average) gal /day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) &00 al /day Pump Manufacturer ❑ NA Soil Application Rate 01 gal/day/ft' Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit A Fats, Oil & Grease OG) S30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODd :5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L n-Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA ❑ At -Grade ❑Mound Fecal Coliform (geometric mean) :10 cfu /100 1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: 13 NA Other: ❑ NA Other: ❑ NA *'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 2 "'3 ❑month(s) (Maximum 3 years) ❑ A earls) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank vo ume ❑ NA Inspect dispersal cell(s) At least once every: year(s) ❑ month(s) (Maximum 3 years) ❑ Clean effluent filter ) AA : 5 N month(s) ❑ NA At least once every: I ❑ mont l Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ year(s)month(s) ❑ NA Other: ❑ month(s) ❑ NA At least once every: ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) 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 back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent 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. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page 2 of y START UP AND OPERATION 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. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer 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 dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After um in , all tanks and pits shall be excavated and removed or their covers removed and the void space filled with P P 9 soil, gravel or another 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 replacement 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 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 installed as a last resort to replace the failed POWTS. T A( alua ' a o mg� tank Iv e a� e TTY �Ci Al CANS 7'72UC� 1 ON b RD} -I18 ❑ 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 CONTAIN 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 . I1'1 j,, Name Phone L — 2 / y Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name ST. G ( (7(/ ZD�l�tJ Phone Phone (p (� This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. System Management Management of this system is critical. As a condition of approval of these plans this system management section must be rr ie" ed "ith the owner, and the owner must be provided with a complete set of plans including this management section. If problems deg elop with the adsorption system or any other system components, the installing plumber, Timm Excavating, 715- 772 -3214, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. Install water- saving appliances whenever and wherever possible. Repair even small water leaks as soon as possible. \ever pour grease or oil down any drain or stool. Garbage disposals are not recommended; if you must have one, use it sparingly. 6 No paper products other than tissue should go into the system. - �o chemicals should go into the system. 6 avoid surge flows of water; try to spread laundry throughout the week. Maintenance The septic tank must be inspected every three years by a properly licensed person. I f necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. A'hen the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6 The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve apacin to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or t. dais should pass before any necessary repairs can be made, avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8 A oid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. Y Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10 Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 1 Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 d( 403 _ STATE BAR OF WISCONSIN FORM 2 - 1999 1 651996 Document Number WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between David H. Railsback, I1, and Aria J. RECEIVED FOR RECORD Railsb h usband and wife, _ - - - -- - - -� ` - - -- 07 - 24 -2001 2:30 PM Grantor, and Mark R. Matuga and Amy C. Matuga, husband and E1 E?!PT N ` WARRANTY DEED wi CERT COPY FEE: COPY FEE: - TRANSFER FEE: 170.70 RECORDING FEE: 10.00 Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): D[-.t7, ass Ridge Pines, Town of St. Joseph, St. Croix County, Wisconsin. Recording Name and Retuetu rn Address Edina Realty Title 400 S. 2nd St., #115 Hudson, WI 5/sti7 030 - 1066 -20 -000 Parcel Identification Number (PIN) This is not - - homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. 0j) (is not) Dated this " I day of Jul - �-�_ _�. -_ , 2001 \ - - -- •David H. Railsback, 11 _ -- * Aria J. Railsback AUTHENTICATION ACKNOWLEDGMENT Signature(s) David H. Railsback, 1 1, and Aria J. Railsback; STATE OF WISCONSIN ) husband and wife, - - -- --- - - - - -- - -- ) ss. County ) authenticated this day of July — 2001 i -- Personally came before me this _ _day of - -- the above named • Kristt_ - 'na O�n TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Scats.) - -- instrument and acknowledged the saute. THIS INSTRUMENT WAS DRAFTED BY , Attorney Kristine Ogland H udson, W1 54016 -- - Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not necessary.) My Commission is permanent (If not, state expiration date: ' Names of parsons signing in any capacity must be typed ur printed below their signature. Ha Pro/ealomis Company. Fora du Lac, W WARRANTY DEED STATE BAR OF WISCONSIN eooass -zoat FORM No. 2-1999 I - X123254 19 \ • \ .O \ �... `11 �`�I o�i I I �u O O I� O O 1 • ►�� ` i � � • � R '�Q r� I I DRAINAGE EASEMENT 6y3,6 �•. N z I z Q � I � I 6 ,) •�` M Ld S89'59'59 "W'� ' I ' ° o n ° o I W I I , 57.80 c N. I p 2 1 045 SQ. FT. �* ' I Q 13 I I p I � J I ACRES I 1 to 3.0 �� � I I n- - 3. I MIN. F.F.E. .5 �, � - . -- -10o I h Z P Y 131,369 SQ. FT. N a I 3.02 ACRES F, ° ----- - - - - -- °' L _ 1 A V E Nt cn W I a • �� � J 0 I --- "-- - - - - -- I 3 133' I— 3 d I " / o I I r i ....L 101 .84' -- �i I 33 , N X 40' i I co Z uj I 87 7.24___ - 40. 8. 37 4.79' I r Z o Z I �I V --- - - -- �� ILi I 0 ^ 131,187 SQ. FT. i I N OA p1 3.01 ACRES Z \FOR Q I JO INT DRIVEWAY EASEMENT TO BE USED TWO HOMES ONLY -SEE DETAIL �' ,� . ..... ` Z 1 33' - - -- - -- 223.50' - -- _ 669.89' - - -- - 12. W. DEDICATED TOPUBLIC - - -- — ..— ..— ..— ..— .. —.. —. - - ?_5"W 743.88 13 2ND AVENUE � �'' ----------- - - - - -- I0 UNPLATTED_ L� 'If OF THE NW 114 OF THE SW 114 BM #3 TOP BOLT ELEVATION - 36.33 - 9 D LANDS OF OWNER NOTE: LOTS MAY BE SUBJECT TO FUTURE SPECIAL ASSESSMENTS -------- ----- - ---- FOR ANY UPGRADES AND IMPROVEMENTS TO THE ROAD. INDIVIDUAL EROSION CONTROL PLANS ARE REQUIRED FOR THE CONSTRUCTION OF HOME SITES ON LOTS #1 -9. COMPLETED EROSION CONTROL PLANS SHALL BE SUBMITTED TO THE ST. CROIX COUNTY ZONING OFFICE PRIOR TO THE ISSUANCE OF THE SANITATION PERMIT.