HomeMy WebLinkAbout030-1079-80-300 j
rosin Department of Coe; meree PRIVATE SEWAGE: SYSTEM nt St. Croix (�
.sty and Building Division
% INSPECTION REPORT Sanitary Permit No:
430415 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).. rn
Permit Holder's Name: City Village X Township Parcel Tax No:
Traeger, James I St. Joseph Township 030 - 1079 -80 -300
CST BM Elev: Insp, BM Elev: BM Description: Section/Town /Range/Map No:
" 3M4- ti G5T
28.30.19.290A30
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
foe . ou
Dosing Alt. BM C1
Aeration 4- ILL-- B dg. Sewer
Holding St/Ht Inlet Ll
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Cit Inlet
Septic n1 aT Dt Bottom
Dosing e— i ` Header /Man.
Aeration Dist. Pipe J c� 1. 9 o 149,
s 9. - 71 J i 2. 3 7
Holding 13ot. System N w ie . 46 4 f. Z-
Sw
Final Grade
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover
Pe-,> .. c . i. C �` 5 GPM
Is
Mode! Number
TDH Lift Fric ' n Loss System He ad J TDH t , , Q I 3. 1 71. 1
/ /.Z ] 4 1L U G tt 7 1 3 1 97,
Forcemain Length Dia. Dist. to Well
t�T
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length No. Of Tren PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 7 c ,-
SETBACK SYSTEM TO P/L JBLDG >WEEL LAKE /STREAM LEACHING Manufacturer: +
INFORMATION CHAMBER OR 3 r `"
Type Of System: 7 N - UNIT Model Number:
Lvv2viV�n� il�e� J l7 /uu ' ------- r�1 541
-1b w
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) 1 1.11 S . T'-
Length Dia N length Dia Spacing
_ ...__.
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 2 Bed/Trench Edges Topsoil
�. L J Yes I-'j No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /Z /_4/ 0 3 Inspection #2:
Location: 538 Perch Lake Road Hudson, WI 54016 (SE 1/4 SW 1/4 28 T30N R19W) NA Lot 5 M� / Parcel No: 28.30.19.290A30
1.) Alt BM Description r `' �
2.) Bldg sewer length
H J
- amount of cover
tL0`� /
Plan revision Required? .] Yes kon
4 /
ether side for additional informa �— 7 - -1 - -- J -_._ - - -- -- - - -. -- --------------- _- - -__ -� _ _i Cch
10 (R.3/97) Date Insepctor's Signature Cart. No.
o iw
Fogerty P180 bing
28288 McKenzie Rd.
Spooner, WI 54801
(715) 635 -9609
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RECEIVED
wnV 9 2003
Sa f and Buildings Division County
CROP COl$OT 1GV. W bington Ave., P.O. Box 7082
no
j ON I N G OFFICE Ma son, WI 53707— 7082 Sanitary Permit Number (to be Sued in by Co.)
Department of Commerce tom) 261546
Sanitary Permit Application s Plan 1D ' "`
In accord with Comm 83.21, Wis. Adm. Code, personal information you p rovide
may be used for secondary purposes Privacy Law, sl5.04(l xm) Pmject Address (if different than mailing address)
I. Application Information - Please Print AN Information 6 -nor L , A
Property Owner's Name Parcel M Lot 8 'V^ Block #
Iii! - A- aco
Poolidify Owner's Mailing Address Property Location . 29 oA - p
!� o dtv V... S.a) Y., Section - ,P
City, State Zip Code Phone Numbr
114(za�d ce_r_ I t S - — T ZOL N, RVZE �Od D v 1 (�
0
II. Type of B ' g (check all that apply) o�W�
,. / � Subdivision Nam CSM Number -
-
f I or 2 Family Dwelling - Number of Bedrooms
❑ PubliclCommercial - Describe Use —_
❑ Stall Owned - Describe Use K ❑City ❑Village Woowusbip of
III. Type of Permit: ( Cbeck only one box on Use A.-Complete line B if applicable)
A. mJew system ❑ Replacement System ❑ Treataert/Hoiding Tads Replacement Only ❑ Other Modification to Existing System
B. ❑ Permit Renewal ❑ Permit Revision Lint Previous Permit Number trod Date Issued
tlxt ❑Permit Transfer to New Before Expiration Owner T
IV. TnW of POWTS System; Check alt that a
Rkon - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mormd <24 it of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑
Constructed Welland ❑ Pressurized lo- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Reci —Wng Synthetic Media Filter ❑ Lcaching Chamber ❑ Drip Line ❑ Gravel -Iess Pipe ❑ Other (explain)
V. DispersaVrrtatment Area Information:
Design Flow (gpd) Design Sail Appikatm Rate(gpdso Dispersal Area Required (sf) Dispersal Area Proposed (si) ystem Mevation
S7 t �_ `�
VI. T ank Info Capacity in Total Number Manufacturer Pretiib Site Spec! Fiber Plastic
Gallons Gallons of Units Concrete Constructed GIM
T I = rat/ z�/lG v
septic « 1
Oe
v
°°``», -- 7
VII. Responsibility Stat ent -1, the undersigned, assume for i nstallation of the POWTS shown on the attached plans.
's Nit)- Si *lttrriotPRS Number Bnsiaess Phone Number
P) 's A (Stria, tity, State, Z.ip )
. Coun rtment Use On
Pppro. era 1 ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Agent Si Stamps)
Surcharge Fce �
❑ Owner Given Reason for Derma;
OL Conditions of ApprovaUReasonsfcr Disapproval
SYSTEM OWNER. 3 ) — p�,�.
1 Septic tank, effluent filter and •
dispersal cell must all bPgenriced ! maintained as per management plan provided by plumber.
2. All setback requirements must be maintained
t
as per applicable codelordinanceS.
`f dect
Attack complete plans (to the canary only) for the system on paper not lag than 81/2 :11 Inches la�
nr+r� i�nc� it+ noinn� � �'�-► �rtA•r ��9t� -�/WI �1lNq ner'�."
1AS
Fogerty- Plumbing_
A #221180
28288 McKenzie Rd.
Spooner, WI 54801
(715) 635 -9609
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PUmp Spel�rfllcah0ns
HP METERS FEET
Up to 40 GPM' 10 MODEL 3 9n
Discharge size 1 NPT s 30
Solids: Ya maximum e
Motor 7
Single phase: 115V
s 20
Materials of Construction
Brass/thermoplastic 5-
fits ,S E
Features and Bene a 4
*Top suction eliminates
impeller clogging. 2 EM
• Corrosion resistant + s
construction. °
• Float actuated switch. 0 0 2 , o Z0 so use++
4 B • 10 12 M3Y
CAPACQY
MEMIS FEET
25 Pump SpecHicati0ns Features and Benefits
MODEL DVP03
B � '!M and' /: HP • EPO4 impeller- semi -open design
Up to 60 GPM with pump out vanes to protect
Maximum head to 32' mechanical seal.
4 Discharge size 1 NPT • EPUS impeller - enclosed design
o ' 70 Solids:' /: maximum for improved performance.
0 2 s Motor • Rugged glass - filled thermoplastic
1 All motors feature ball casing and base design provides
superior strength and corrosion
° ° 0 S 10 ,S 20 21 ao 95 1 R. 411111 const ruction. resistance.
Single phase: 115V
0 2 - 4ccnx 6 " ,oar Materi Of Construction • Cast iron motor housing for
Cast iron efficient heat transfer, strength,
Thermoplastic and durability.
Stainless steel • Corrosion resistant threaded
stainless steel shaft.
• Available for automatic and
manual operation.
• CSA listed models available.
All Models are designed for continuous operation and feature stainless steel hardware.
f
,
1024
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page t of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt
County
Attach complete site plan on paper not less than 8 %x 11 inches in size. Plan must St. Croix
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.
-- - -- part of: 30- 1079- 80 -1Q9 O
Please print �lF fi�fc,irEnetioft: \ Re ed 13y Date
rl ' Personal information you provide may es (Privacy4w, s. 15.04 (1) (m)). 11
V
Property Owner � r , ,- `� Property Location
/4 S 28 T 30 N R 19 W
O'Connell, Sean Govt. Lot SE 1/4 SW 1
' `- ' `"
Property Owner's Mailing Address # Block # Subd. Name or CSM#
540 Perch Lake Rd. - - ' CSM Pending
City ate Zip Code Pttot ben ,` µ , City
h6 Village iel Town Nearest Road
,v
Hudson j VV/I 1 54016 k5- 1�f�F5448 7 St.Joseph Perch Lake Rd.
✓j New Construction Use: � Residential 1 Number of ooms 3 Code derived design flow rate 450 GPD
Replacement Public or commer ' escribe:
Parent material Outwash Plain Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a conventional septic system with a rating of .7 gpd /sgft. Possible system elevation
for Area 1 is 93.25'.
F Boring # I Boring
✓� Pit Ground Surface elev. 95.75 ft. Depth to limiting factor >100 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -9 1Oyr3/2 none sil 2mgr mfr cs 2f .5 .8
2 9 -20 7.5yr4/4 none sicl 2fsbk mfr gw 1f .4 .6
3 20 - 29 7.5yr4/4 none Is 1 msbk mfr gw - - - -- .7 1.2
4 29 -100 1Oyr5/4 none ---- Osg ml - - -- - - - - -- 7 1,2
a Boring # Boring
✓f Pit Ground Surface elev. 98.25 ft. Depth to limiting factor >110 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 -10 1Oyr3/2 none sil 2mgr mfr cs 2f .5 .8
2 10 -16 1Oyr4/4 none scl 2fsbk mfr gw 1f .4 .6
3 16 -32 5yr4/4 none grsl 2msbk mfr gw - - - - -- .5 .9
4 32- 7,5yr4/4 none Imsbk mfr gw - - - - -- 1.2
5 42-110 1Oyr5/4 none ms Osg ml - - -- - 7 1.2
i
* Effluent #1 = SOD 5 > 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) Signature: CST Number
1"/ Thomas J. Schmitt 227429
Address Tom Schmitt Date Evaluation Conducted Telephone Number
586 Valley View Trail, Somerset, WI 54025 11/20/00 715- 549 -6651
Property Owner O'Connell, Sean Parcel ID # part of: 030- 1079-80 -100 Page 2 of 3
Boring # Boring
✓{ Pit Ground Surface elev. 92.16 ft. Depth to limiting factor >100 in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. CoM Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-8 10yr3 /2 none sil 2mgr mfr cs 2f .5 .8
2 8 -21 10yr4/4 none sil 2fsbk mfr gw 1f .5 .8
3 21 -36 7.5yr4/4 none Is 1msbk mfr gw - - - - -- .7 1.2
4 36 -100 10yr5/4 none ms Osg ml - - -- - - - - -- .7 1.2
❑ 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 GPM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
B or i ng
F-1 Boring # g
_I Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 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
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ST. CROIX COUNTY
y WISCONSIN
ZONING OFFICE
rrrurrr■r - n.,r
ST. CROIX COUNTY GOVERNMENT CENTER
` 1101 Carmichael Road
- - Hudson, W154016-7710
EROSION - CONTROL PLAN (715) 386 -4680 a Fax (715) 386 -4686
For 538 Perch Lake Road, Lot 5 (St. Joseph) — Owner(s) James & Tammy Traeger
Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion
prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requires the
building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site
has been stabilized. Erosion control is a requirement of the conservation easement recorded for this lot.
The Owner is responsible for notifying all contractors performing construction on this site that an
Erosion Control Plan is in effect and the following activities will be required in order to maintain
compliance with the plan:
1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any
soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds
to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed
and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize
sediment movement. Surface drainage is toward Perch Lake, however the proposed septic system is >200
ft. inland from the 75 feet setback at the OHWM shown for Perch Lake (CSM #640793).
2. Route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded
ALONG CONTOUR between excavation areas and any potential receiving waters (includes drainage
ditches). Do not allow diverted runoff to be directed onto neighboring properties. (See specification sheet
for temporary diversions provided by Zoning Dept.)
3. If excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate
vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or
other approved sediment control products will be required if sediment'cannot be contained on owner's
property with the diversions and vegetative buffers. The POWTS or Building inspector may evaluate ESC
plan effectiveness and make recommendations to owner for any action required to comply with applicable
regulations.
4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy
equip meat; this includes cement tnicks, well drillers and other contractor's vehicles that access the property
during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach
waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple
access points and sediment tracked on public roadways must be removed at the end of each workday.
5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation - do
not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If
weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until
grass /vegetation can get established. Erosion control matting can be applied any time of year and if
installed properly, will provide protection even if seed germination is delayed.
The owner of record during site construction will be responsible for compliance with the ESC Plan.
Please feel free to contact me with questions regarding erosi nt c of installation.
Prepared by: Pam Quinn, Soil Erosion Inspector #665
Owner acknowledgement of ESC Plan requirements: /z/2003
O /
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
- y 1101 Carmichael Road
Hudson, WI 54016 -7710
EROSION C ONTROL PLAN (715) 386 -4680 • Fax (715) 386 -4686
C
For 538 Perch Lake Road Lot 5 (St Joseph) — Owner(s) James & Tammy Traeger
Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion
prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requires the
building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site
has been stabilized. Erosion control is a requirement of the conservation easement recorded for this lot.
'Tb is rponsible for notifying all contractors performing construction on this site that an
of Plan is in effect and the following activities will be required in order to maintain
compliance with the plan:
1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any
soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds
to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed
and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize
sediment movement. Surface drainage is toward Perch Lake, however the proposed septic system is >200
ft. inland from the 75 feet setback at the OHWM shown for Perch Lake (CSM #640793).
2. Route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded
ALONG CONTOUR between excavation areas and any potential receiving waters (includes drainage
ditches). Do not allow diverted runoff to be directed onto neighboring properties. (See specification sheet
for temporary diversions provided by Zoning Dept.)
3. If excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate
vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or
other approved sediment control products will be required if sediment - cannot be contained on owner's
property with the diversions and vegetative buffers. The POWTS or Building inspector may evaluate ESC
plan effectiveness and make recommendations to owner for any action required to comply with applicable
regulations.
4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy
equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property
during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach
waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple
access points and sediment tracked on public roadways must be removed at the end of each workday.
5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation - do
not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If
weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until
grass/vegetation can get established. Erosion control matting can be applied any time of year and if
installed properly, will provide protection even if seed germination is delayed.
The owner of record during site construction will be responsible for compliance with the ESC Plan.
Please feel free to contact me with questions regarding erosion nt of installation.
Pr aced b Pam Qui So il Erosion In ector #66505 `
.
er knowled ement of ESC Plan r uirements: / •' j
5 ,
------------------
..........
fit%► n
w
OWNER APB DOUGLAS �Oi -. S N LAND SURVEYING
SEAN 0000, NELL y = DOUGLAS J. ZAHLER
540 PERCH LAKE ROAD ZAHLER 2920 ENLOE STREET
HUDSON, W154016 5.2145 HUDSON, WI 64016
HUDSON,
IS
CONSERVATION EASEMENT ON
PERCH LAKE IAKESHORE AND REMAINDER PROPERTY
The areas of the conservation easement are shown on the attached map as A, B. C and D. Terms of the easement
are as follows:
1. Area A: No structures or vegetative disturbance on 20 percent or greater slopes shall be allowed.
2. Area B: No structures shall be allowed within 25 feet of any 20 percent slope facing the lake.
3. Area B: Selective vegetative trimming /cutting is allowed within the 25 -foot setback to create a view
corridor to Perch Lake. To prevent soil erosion, complete removal of vegetation is not allowed. Selective
cutting of vegetation having a trunk size of less than 6 inches in diameter measured 4 1/2 feet from the ground is
allowed to provide for a reasonable view of the lake from the property without unduly interrupting the continuity of the
vegetation in the area subject to further restriction by special permit it it is determined that such selective cutting
would cause significant soil erosion or significant degradation of the aesthetic quality of the land as viewed from the
lake. This provision is limited to a cutting area no greater than 25 percent of the length of the east line of Area A. A
permit shall be obtained from the County Zoning Office prior to any cutting.
4. Areas A & B: Vegetative cutting is allowed to install one motorized lift for access to the lakeshore.
a. The lift shall be for transportation of persons only up and down the slope to the lake.
b. The lift shall not be utilized for the transport of boats or machinery.
c. AN visible parts of the lift shall be painted or finished in natural or earth tones and be visually
inconspicuous
d. No construction shall begin on the lift until the applicant has provided the County Zoning Office
with a plan showing all necessary construction data, including location of the lift, design, size,
color, dimensions and other pertinent information. The plan shall contain a certification by a registered professional
engineer or architect that the lift components are securely anchored to prevent them from shnng and causing
erosion.
e. The car of the lift shall not exceed 4 x 6 feet. The car may have hand rails but no canopies or
roofs shall be allowed.
5. Areas A & B: No motorized vehicles shall be allowed.
6. Areas A. B & C: No animal units other than household pets shall be allowed.
Mims C &'D: Kaingle- farniy residence and accessory structures are perrWhad for each legacy created lot. The
height of arry structure shall not exceed 35 feet from the lowest point of grade at the structure.
8. Area D: There shall be a limit of two animal units in this area, other than household pets. If the property is further
subdivided there shall be a limit of one animal unit. The definition of an animal unit is found in St. Croix Countys Land
Use Ordinances.
9. Area D: A vegetative filter strip shall be maintained across the bottom of the barnyard to filter animal
waste (northwest portion of Area D). Fencing and gate shall be installed around vegetative filter strip prior to County
sale of property. Out -of- pocket material and installation costs shall be bome by Watershed Project funds. Labor
costs mall be an in - kind contribution from St. Croix County. Any future property owner must maintain the vegetative
filter ship, fencing and gate after installation.
a. Fenced area shall be 100 feet from north to south by 75 feet from west to east.
b. Vegetative fitter strip should be maintained as 4-inch grassed vegetation (no woody debris) by
mowing once after July 15th of each year.
C. Any woody debris over 3 feet in height must be removed form vegetative liter strip.
410 'Areas C & D: -- 'before any construction . or land disturbance activity is undertaken by arry person, an •
OPP ved construction site erosion control plan addressing waft stormwater drainage and erosion mug be obtained
St. Croix county land and water Conservation Department Reference documents include the Wisconsin
#I Ero� Co
Cor&d Manual and the Uniform Dwelling Code.
11. The land on which this easement applies remains subject to all state and local zoning and land use
regulations.
SHEET 2 OF 2 SHEETS
DRAFTED BY KEVIN REED JOB ill 00-109 DATE 11127/00
VOL. 15 PAGE 4051
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address 19 0 AIrGUD ®/J L
Property Address ED.
(Verification required from Planning Department for new construction)
City /State #Uj25 n &.h' _MJ1 S Parcel Identification Number -0 '2' ,3 0 0
LEGAL DESCRIPTION
2W -,3U
Property Location ,5C '/4, SyL '/ Sec. ,gg , Tj Q _N -Rj
_W, Town of .S
Subdivision , Lot # _ -
Certified Survey Map # Ct10 2 9 , Volume , Page # z/_ oS /
Warranty Deed # l� 2G �5 3 , Volume 7 Page #
Spec house ❑ yes 10 no Lot lines identifiable 8 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, restrictedplumber 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.
Uwe, 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 a three year expiration date.
---- =;;a— –
AIRM OF AP111LICXNT 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 owners) of
;;AIT rty described above, by virtue of a warranty deed recorded in Register of Deeds Office.
/�C /
LICANT 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
y ono /0 -/q Ea to z�a9 /u
4PPROVED 3
ST. CROIX COUNTY /O 79 �, _ 200 •� �� 'j
Plannina Zoning and Parks Commiti
4 MAR 1 9 2001
030 /O79 80 boo 0! 9 20
If not recorded within 30 days of L�' 6 ,Z44A3J R
_ apprDyal date apiwoval shall be ca tS
YAW
DRAFTED BY KEVIN REED JO &M 1Z6 DATE 11127100 REVISED 12/14/00
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�xcn LOCATED IN PART OF GOVERNMENT LOT 3 OF SECTION 28, T30N, R1 9W,
TOWN OF ST. JOSEPH, BEING LOT 3 OF CERTIFIED SURVEY MAP RECORDED
IN VOLUME 12, PAGE 3397, AT THE ST. CROIX REGISTER OF DEEDS OFFICE.
_ OF w /S
OWNER DOUGLAS JO;ta SURVEYOR SURVEY DOUGLAS J. ZAHLER
SEAN O'CONNELL N1 Z
540 PERCH LAKE ROAD ZAHLER 2920 ENLOE STREET
HUDSON, WI 54016 5-2145 HUDSON, WI 54018
HUDSON,
IS.
CONSERVATION EASEMENT ON
PERCH LAKE LAKESHORE AND REMAINDER PROPERTY 3 (c{ - t
The areas of the conservation easement are shown on the attached map as A, 6, C and D. Terms of the easement
are as follows:
1. Area A: No structures or vegetative disturbance on 20 percent or greater slopes shall be allowed.
2. Area B: No structures shall be allowed within 25 feet of any 20 percent slope facing the lake.
3. Area B: Selective vegetative trimming/cutting is allowed within the 25 -foot setback to create a view
corridor to Perch Lake. To prevent soil erosion, complete removal of vegetation is not allowed. Selective
cutting of vegetation having a trunk size of less than 6 inches in diameter measured 4 1/2 feet from the ground is
allowed to provide for a reasonable view of the lake from the property without unduly interrupting the continuity of the
vegetation in the area subject to further restriction by special permit if it is determined that such selective cutting
would cause significant soil erosion or significant degradation of the aesthetic quality of the land as viewed from the
lake. This provision is limited to a cutting area no greater than 25 percent of the length of the east line of Area A. A
permit shall be obtained from the County Zoning Office prior to any cutting.
4. Areas A & B: Vegetative cutting is allowed to install one motorized lift for access to the lakeshore.
a. The lift shall be for transportation of persons only up and down the slope to the lake.
b. The lift shall not be utilized for the transport of boats or machinery.
c. All visible parts of the lift shall be painted or finished in natural or earth tones and be visually
inconspicuous.
d. No construction shall begin on the lift until the applicant has provided the County Zoning Office
with a plan showing all necessary construction data, including location of the lift, design, size,
color, dimensions and other pertinent Information. The plan shall contain a certification by a registered professional
engineer or architect that the lift components are securely anchored to prevent them from shifting and causing
erosion.
e. The car of the lift shall not exceed 4 x 6 feet. The car may have hand rails but no canopies or
roofs shall be allowed.
5. Areas A & B: No motorized vehicles shall be allowed.
6. Areas A, B & C: No animal units other than household pets shall be allowed.
7. Areas C & D: A single -family residence and accessory structures are permitted for each legally created lot. The
height of any structure shall not exceed 35 feet from the lowest point of grade at the structure.
8. Area D: There shall be a limit of two animal units in this area, other than household pets. If the property is further
subdivided there shall be a limit of one animal unit. The definition of an animal unit is found in St. Croix Countys Land
Use Ordinances,
9. Area D: A vegetative filter strip shall be maintained across the bottom of the barnyard to fitter animal
waste (northwest portion of Area D). Fencing and gate shall be installed around vegetative filter strip prior to County
sale of property. Out -of- pocket material and installation costs shall be bome by Watershed Project funds. Labor
costs shall be an in -kind contribution from St. Croix County. Any future property owner must maintain the vegetative
filter strip, fencing and gate after installation.
a. Fenced area shall be 100 feet from north to south by 75 feet from s, t^ ea:,t.
b. Vegetative filter strip should be maintained as 4 -inch grassed vegetation (no woody debris) by
mowing once after July 15th of each year.
c. Any woody debris over 3 feet In height must be removed form vegetative filter strip.
10. Areas C & D: Before any construction or land disturbance activity is undertaken by any person, an
approved construction site erosion control plan addressing onsite stormwater drainage and erosion must be obtained
from the St. Croix county Land and Water Conservation Department Reference documents include the Wisconsin
Erosion Control Manual and the Uniform Dwelling Code.
11. The land on which this easement applies remains subject to all state and local zoning and land use
regulations.
SHEET 2 OF 2 SHEETS
DRAFTED BY KEVIN REED JOB # 00 -109 DATE 11127/00
VOL. 15 PACE 4051
1
`!yMconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division ,
INSPECTION REPORT Sanitary Permit No: 430415 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:
Traeger, James I St. Joseph Township 030 - 1079 -80 -300
CST BM Elev: Insp. BM Elev: T Description: Sectionfrown /Range /Map No:
CST BM Elev: Insp. BM Elev:
28.30.19.290A30
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing Alt, BM
Aeration Bldg. Sewer
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header /Man
Aeration Dist. Pip
Holding Bot. stem
Fi I Grade
PUMP /SIPHON INFORMATION
Manufacturer Demand tt Cover
GPM
Model Number
TDH Lift Friction Loss System Head TDH
Forcemain Length Dia. Dist. to well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. its Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG 1JELL LAKE /STREAM LEACH[ Manufacturer:
INFORMATION Type Of System: CHAMBER UNIT Model Number:
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) Length Dia Length Dia pacing
SOIL COVER x Pressure Systems niy 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 -
[ Jl Yes ?1 No Yes No
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / 41npection #2: /
Location: 538 Perch Lake Road Hudson, WI 54016 (SE 1/4 SW 114 28 T30N RI 9W) NA 5 arc No .1 . OA30
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan Use other de for additional No
addit onal information.
- A t
SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No.
�
Nov 17 03 10:25a FOGERTY PLUMBING 17156355286 p -7
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Il
Safety and Buildings Division County
N* i scons f n 201 W. Washington Ave., P.O. Box 7082 Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled in by Co.)
Department of Commerce (608) 261 -6546 (1� �Ils y
Sanitary Permit Application State Plan I.D. Nu� pr r
I v
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide A
may be used for secondary purposes Privacy Law, s 15.04(1 xm) Project Address fif different than mailing ress)
I. Application Information - Please Print All Information
Property Owner's Name O ,, 1z I VJZ[) 1 # Lot # - Block #
co
Property Mailing Address 1) Perry Locadon
^ 0 y
2003 Cove 3 '1 - 3�)
Lf - %, Section &J
City, State Zip Code COU,�J7 •
UQSQA( FFIC� (circle one)
`S Q T 3 jO N; R,(f 00
I. Type of Building (check all that apply)
Subdivision Name /s /� _ �,SM Number
r I of 2 Family Dwelling - Number of Bedrooms
❑ Public/Commercial - Describe Use CELL G o
`
❑ State Owned - Describe Use l� T` G LL I•tJ ❑City_ ❑Village INTownship of fj1
AE
III. Type of rmit: (Check only one box on line A. Complete line B if applica A. f New S ❑ Replacement System ep ys ❑ Treatment/Holding Tank R cement Only 13 Other
Modificati xisting System
B. ❑Permit Renewal Permit Revision
❑ Change of ❑ it T Pre " us ber and Date Issued
Before Expiration Plumber er
IV. Type of POWTS System: all that appl
It Non - Pressurized In- Ground ❑ M 4 in. of suitable soil ound < 24 in. of suitable 'I Ingle Pass S lter ❑
Constructed Wetland Pressurized In-Gro ding Tank Peat Filter ❑ Aerobic Tr Uni irculatin Fill ❑
Recirculating Synthetic Media Filter chin Ch p Line ❑ Gravel -less Pipe r e lain)
V. Dis ersal/Treatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) mal Area Required (st) Dis yst Elevation
✓ 92 , 3, •
VI. Tank Info Capacity in Total umber Manufacturer Pref Site Steel Fi stir
Gallons Gallo of Units Cons
New Existing
Tanks Talcs
Septic or Holding Tank y
Aerobic Treatment Una
Dosing Chamber QDo r CA
VII. Responsibility Statement- he undersigne assume responsibility for insta!!atio of the POWTS s --the attache ans.
Plumber's Name (Print) PI 's Signature M ber Business Phone Num
3—
Plumber's Address (Street State, Zip Code)
t
VIII. oun /De ent Us Onl
Approved D Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Yssuing Agen)Signatur tamps)
Surcharge Fee) }} /� bro lU
C1 Owner Given Reason for Denial OC �U �� 3 d
IX. Conditions of Approval/Reasons for Disapproval
-SY STEM OWNER:
1 Septic tank, a uent filter and yyf
dispersal cell must all be serviced !maintained ✓ ���c✓
a r
2. All setback requirements must be maintained
as per applicable code /ordinances. 4wL,, � • 0 . q3
J/
Attach complete plans (to the County only) for the system an paper not tots than litl2 s t I inches to sin
SBD -6398 (R. 08/02)
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ST. CROIX COUNTY
WISCONSIN
�' _ T N N N N M N N NN - ���• ZONING OFFICE
- ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
EROSION CONTROL PLAN (715) 386 -4680 • Fax (715) 386 -4686
For 538 Perch Lake Road Lot 5 (St Joseph) — Owner(s) James & Tammy Traeger
Cro County Zon Code 17.70(3)(b) 5: "The (Zoning) Under St. Cro t g ( g ) Administrator may attach reasonable erosion
prevention conditions to a permit approved for issuance." Wisconsin Admin. Code Comm. 21.125 requires the
building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site
has been stabilized. Erosion control is a requirement of the conservation easement recorded for this lot.
The Owner is responsible for notifying all contractors performing construction on this site that an
Erosion Control Plan is in effect and the following activities will be required in order to maintain
compliance with the plan:
1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any
soil stockpiled until final grading and stabilization is complete. Septic system excavation/installation adds
to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed
and mulch as recommended in #5 below. Maintain existing vegetation wherever possible to minimize
sediment movement. Surface drainage is toward Perch Lake, however the proposed septic system is >200
ft. inland from the 75 feet setback at the OHWM shown for Perch Lake (CSM #640793).
2. Route contaminated runoff into stabilized vegetated buffer areas by creating temporary diversions graded
ALONG CONTOUR between excavation areas and any potential receiving waters (includes drainage
ditches). Do not allow diverted runoff to be directed onto neighboring properties. (See specification sheet
for temporary diversions provided by Zoning Dept.)
3. If excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate
vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or
other approved sediment control products will be required if sediment - cannot be contained on owner's
property with the diversions and vegetative buffers. The POWTS or Building inspector may evaluate ESC
plan effectiveness and make recommendations to owner for any action required to comply with applicable
regulations.
4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy
equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property
during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach
waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple
access points and sediment tracked on public roadways must be removed at the end of each workday.
5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation - do
not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If
weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until
grass/vegetation can get established. Erosion control matting can be applied any time of year and if
installed properly, will provide protection even if seed germination is delayed.
The owner of record during site construction will be responsible for compliance with the ESC Plan.
Please feel free to contact me with questions regarding erosion nt c of installation.
Pre ared by: Pam Quinn, Soil Erosion Inspector #66505 `
Owner acknowledgement of ESC Plan requirements:
..........
pr rir �,
SURVEYOR
OWNER ��� DOUGLAS Joyce SU RVEYING
SEAN O'CONNELL h Z DOUGLAS J. ZAHLER
AM 540 PERCH LAKE ROAD ZAHLER 2920 ENLOE STREET
HUDSON, W154016 3-2145 HUDSON, WI 64016
HUDSON,
I3.
CONSERVATION EASEMENT ON
PERCH LAKE LAKESHORE AND REMAINDER PROPERTY
The areas of the conservation easement are shown on the attached map as A, B, C and D. Terms of the easement
are as follows:
1. Area A: No structures or vegetative disturbance on 20 percent or greater slopes shall be allowed.
2. Area B: No structures shall be allowed within 25 feet of any 20 percent slope facing the lake.
3. Area B: Selective vegetative trimming/cutting is allowed within the 25 -foot setback to create a view
corridor to Perch Lake. To prevent soil erosion, complete removal of vegetation is not allowed. Selective
cutting of vegetation having a trunk size of less than 6 inches in diameter measured 4 1M feet from the ground is
allowed to provide for a reasonable view of the lake from the property without unduly Interrupting the continuity of the
vegetation in the area subject to further restriction by special permit if it is determined that such selective cutting
would cause significant soil erosion or significant degradation of the aesthetic quality of the land as viewed from the
lake. This provision is limited to a cutting area no greater than 25 percent of the length of the east line of Area A. A
permit shall be obtained from the County Zoning Office prior to arty cutting.
4. Areas A & B: Vegetative cutting is allowed to install one motorized lift for access to the Lakeshore.
a. The lift shall be for transportation of persons only up and down the slope to the lake.
b. The lift shall not be utilized for the transport of boats or machinery.
c. All visible parts of the lift shall be painted or finished in natural or earth tones and be visually
inconspicuous.
d. No construction shall begin on the lift until the applicant has provided the County Zoning Office
with a plan showing all necessary construction data, including location of the lift, design, size,
color, dimensions and other pertinent information. The plan shall contain a certification by a registered professional
engineer or architect that the lift components are securely anchored to prevent them from shifting and causing
erosion.
e. The car of the lift shall not exceed 4 x 6 feet. The car may have hand rails but no canopies or
roofs shall be allowed.
5. Areas A & B: No motorized vehicles shall be allowed.
6. Areas A, B & C: No animal units other than household pets shall be allowed.
I Areas C &'D: 7 single -family residence and accessory structures are perrii *bd for each legally created lot. The
height of any structure shall not exceed 35 feet from the lowest point of grade at the structure.
8. Area D: There shall be a limit of two animal units in this area, other than household pets. If the property is further
subdivided there shall be a limit of one animal unit. The definition of an animal unit is found In St. Croix Countys Land
Use Ordinances.
9. Area D: A vegetative filter strip shall be maintained across the bottom of the barnyard to filter animal
waste (northwest portion of Area D). Fencing and gate shall be installed around vegetative fitter strip prior to County
sale of property. Out -of- pocket material and installation costs shall be borne by Watershed Project funds. Labor
costs shall be an in -kind contribution from St. Croix County. Any future property owner must maintain the vegetative
filter strip, fencing and gate after installation.
a. Fenced area shall be 100 feet from north to south by 75 feet from west to east.
b. Vegetative filter strip should be maintained as flinch grassed vegetation (no woody debris) by
mowing once after July 15th of each year.
c. Any woody debris over 3 feet in height must be removed form vegetative filter strip.
410 C & D: , before any oonstruction or land disturbance activity Is undertaken by arty person, an
approved construction site erosion control plan addressing onsite stormwator drainage and erosion must be obtained
ftrk" SL Croix county Land and water Conservation Department Reference documents include #* Wisconsin
,ConW Manual and the Uniform Dwelling Code.
11. The land on which this easement applies remains subject to all state and local zoning and land use
regulations.
SHEET 2 OF 2 SHEETS
DRAFTED BY KEVIN REED JOB #► 00 -109 DATE 11127100
VOL. 15 PAGE 4051
I
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Wf C.2. PIPE I III W /C.I. PIPE
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RISER EXIT PERMITfEO OMLy IF TAWK MANUFACTURER HAS SUCH APPROVAL,
SEPTIC E SPECIFICATIOM§
DOSE
TAAIKS MANUFACTURER. t'llEh fr s WMBER OF DOSES: 1r _ PEK DAy
TAWK SIZE: �l�L> GALLOWS DOSE VOLUME
ALARM MANUFACTURER: .rs Te,. gym. 4, -S INCLUDING 6ACKFLOW: &G.3 ��,�GALLONS
MODEL MUMBER: _ jj CAPACITIES: A= INCHES OR %1
SWITCH TYPE: �72� g= INCHES OR _7 �� 1. � / i�L^_ , . QQ GALLOUS
PUMP MANUFACTURER: 2 n�EL �-= 2 C = 9 IUCHES OR LL LLSt.{jGALLO
MODEL NUMBER: D= INCHES OR, GALL0IJS
SWITCH TYPE: MOTE. PUMP AUALARM ARE TOO BE
MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFEKENCE 5ETWCEIJ PUMP OFF ARID DISTRIBUTION PIPE.. 10 - FEET
f MINIMUM NETWORK SUPPLE PRESSUR, X L
E��.. . . . . . . 2.5 �y FEET
+ �Q� �" FEET OF FORCE MAIN X Z o,,, ,FRICTI 0 IJ FACTOR.. FEET
TOTAL 0y10AMIG HEAD FEET
IIJTERNAL DIMEIJSIONI; OF TAUK: LE�.IC.TH ;WIDTH - ;LIQUID DEPTH
r y
SIGrJED• LKEi�! E I�lUMBER: ?j u UATE: •moo _3
III - - - - - - --
i
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _,_,- of Z
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner r' Septic Tank Capacity a l 0 NA
Permit 2� S� Septic lank Manufacturer O NA
� J
DESIGN PARAMETERS Effluent Filter Manufacturer Z ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model O NA
Number of Public Facility Units 11111 NA Pump Tank Capacity gal O NA
Estimated flow (average) Voo gal/day Pump Tank Manufacturer ❑ NA
Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer L — O NA
Soil Application Rate a 7 gal/d Pump Model ❑ NA
Standard Influent /Effluent Quality Monthly average' Pretreatment Unit O NA
Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD,) 5220 mg /L O NA O 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 i in- Ground (gravity) ❑ In- Ground (pressurized) )
Total Suspended Solids (TSS) 530 mg /L 0 NA ❑ At -Grade ❑ Mound
Fecal Coliform (geometric mean) :51W cfu /100ml O Drip -Line ❑ Other:
Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA
Other 17 NA Other: O 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: ❑ month(s) (Maximum 3 years) 13 NA
y ear(s)
Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA
❑ month(s) (Maximum 3 years) ❑ NA
Inspect dispersal cell(s) At least once every: i year(s)
❑ month(s) ❑ NA
Clean effluent filter At least once every: M year(s)
❑ month(s) ❑ NA
Inspect pump, pump controls & alarm At least once every: 8 year(s)
❑ month(s) ■ NA
Flush laterals and pressure test At least once every: ❑ year(s)
Other: ❑ month(s) ❑ NA
At least once every: O 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, snail 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.
t
r
• Page of
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 cells) 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 pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
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.
13 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.
� Th ite has not been ev ated to id i a su�ta�le r lacement Upon failure of the POWTS a soil and site
v ion st a pert m o to e a sui bl eplace nt ar If n eplac ent ea is a
ma b in Iled a ast resort replace the failed POWTS.
D 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 Na
Phone Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name �� u
Phone Phone
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code.
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Parcel # : 030 - 1 079- 80-300 07/03/2006 11:53 AM
PAGE 1 OF 1
Alt. Parcel M 28.30.19.290A -30 030 - TOWN OF SAINT JOSEPH
Current X', ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner
JAMES R & TAMMY L TRAEGER O - TRAEGER, JAMES R & TAMMY L
I
538 PERCH LAKE RD
HUDSON WI 54016
-Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 538 PERCH LAKE RD
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 4.958 Plat: 4051 -CSM 1514051
SEC 28 T30N R19W PART GL 3 BEING LOT 5 Block/Condo Bldg LOT 5
CSM 15/4051 CONSERVATION EZ- 1302/58
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
28- 30N -19W
Notes: Parcel History:
Date Doc # Vol /Page Type
10/20/2003 744176 2439/254 EZ -U
04/17/2002 676532 1874/99 WD
04/09/1998 576749 1313/156 WD
08/01/1997 1255/266 WD
more
2006 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations Last Changed: 05/31/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.958 187,800 459,200 647,000 NO
Totals for 2006:
General Property 4.958 187,800 459,200 647,000
Woodland 0.000 0 0
Totals for 2005:
General Property 4.958 187,800 459,200 647,000
Woodland 0.000 0 0
Lotter redit
� Claim Count: 1 Certification Date: 10!25!2005 Batch #: 05-41
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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