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Home My WebLink About030-2141-00-002 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479423 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 3 Personal Onfdanation 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: Cameron Homes, Inc. St. Joseph, Town of 036 -- al `4 ( -fib CST BM Elev: Insp. BM Elev: IBM Description:. Section/Town /Range /Map No: 97.5'{ rpr(j 36.30.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic tE+ Benchmark 5 1 72, 5 ZS /62.7ct ( 1'7 , 5� Alt. BM B5 Aeration Bldg. Sewer �O <$ 95 •�Y Holding St/Ht Inlet 7 L`i 9 TANK SETBACK INFORMATION St/Ht Outlet -. $6 y. TANK TO P/L WELL jBLDG. Vent to Air Intake ROAD Dt Inlet Septic � �) � � Z � i � Dt Bottom Dosing Header /Man. Aeration < Dist. Pipe 1 9 a cl . 74 LS 5 Holding Bot. System Final Grade 46 17 - 3`7 PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM 1 C .0d r ��j �Q • �� Model Numb 71 TDH ift Friction Loss System Hea TDH Ft rj� 9 3 � 5 Forcemain L Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width ) Length/ f No Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS GHQ �'� ,. \ SETBACK SYSTEM TO G P/L JBLD IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: / UNIT tt q Model Number. J ; DISTRIBUTION SYSTEM Z,�+ Z =- J Header/Manifold ij Distribution x Hole Size x Hole Spacing Vent to Air I ke ' 1 1 h N, Dia \ R cl T t1 Length_ Dia '"T Lengt Spacing sZ.. SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/ odded xx Mulched Bed/Trench Center /� ` V Bed/Trench Edges\ Topsoil \ \Yes ❑ No �. Yes ]No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 806 126th Avenue Hudson, WI 54016 (SW 1/4 NW 1/4 36 T30N R1 9W) Natalie's Ridge Lot 2 Parcel No: 36.30.19. 1.) Alt BM Description = Coo 2.) Bldg sewer length - amount of cover = Plan revision Required? I ql Yes Xon o Use other side for additional Inform Date Insepctor's Signature Cart. No. SBD -6710 (R.3/97) Safety and Buildings Divisi 0 Q County 201 W. Washington Ave., P.O. Bo 7 lvii sconsin Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 "7 z Sanitary Permit Applie rationyou EIVED to Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal infide A/ may be used for second ary purposes Privacy Law, oject Address (if different than mailing address) I. Application Information — Please Print All Information e ( 11,26 °=' , / Property Owner's Name ZONING OFFICE cel # Lot # Block # Property Owner's Mailing Address Property Loc ton �L'"Y., Section fi::� 7;ne mber Sta te Zi CiCity, P Code - 30 M c Eoe e) N R II. Type of B (ding (check all that apply) Qk es.5 - 5,bnu' / L m or 2 Family Dwelling — Number of Bedrooms Subdivision Na CSM Number b ❑ Public/Commercial —Describe Use ❑ State Owned — Describe Use A +ts;- Cell, , 1 A, ZZ +-23 ❑City_ Ilage Township of r III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' N System p y g p Y ❑ Replacement S ❑ Treatment/Holding Tank Replacement Onl Other d - tion to Existing System B. ❑ Permit Renewal ❑ Pen-nit Revision ❑ Change of ❑ Permit Transfer to New List Previous Pennit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl K Non — Pressurized In- Gro und ❑ Mound > 24 in. of suitable soil ❑ n. o suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Welland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application te(gpdsf) Dispersal Area Required (s Dispersal Area Proposed f) System Elevation boo 1/ ✓ s 7 s � 3 � � �- ✓/ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Per's Name�nt) Plumber' Signature MPRS Number B�u Phone Number l� �i Plumber's ryXS:gV Address (Street, Ci VIII. C /De artment Use Onl pproved El Di Sanitary Permit Fee includes Groundwate Date Issue Issuing A ignature o rips) Surcharge Fee) 3rd 60 Z O caner Reason for Denia UJ IX. Conditions of Approval /Reasons for Disapproval 3) 2 J y (1 `d�y, PAL) 6 SYSTEM OWNER: � ,� p ✓ J 1. 4eptic t5nk, eftk*M filter and dispersal cell must all be services /main a;ned V as per management plan providad by plumtaf. 2. All eeback requirements must be maintai,ied IS per aWiCable code / ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) Faso 6 3 V /L) 6,JI- 0 " fit. tip ti-�. its �I � 3 G 193 ' M6 0 �� y /L) 1- as 7 f �I o (a • ` l ad. � S 1315 Wisconsin Department of Commerce 0 l "n, c REPORT P� 1 of 3 Qivision of Safety and Buildings in ce _ m 85, Wis ..... Tom Schmitt Attach complete site plan on paper not less than 8% x 11 inc in size/Alq myst � County St. Croix include, but not limited to: vertical and horizontal reference nt (BM), directanend� 4 U Q 1 , percent slope, scale or dimemsions, north arrow, and locatio and d' tarm to nearest road. ' Parcel I. D. Please print all infonnatfo ZONIN G ' ��. rew Date Personal information you provide maybe used for secondary purposes (Privacy Law, . F .S Q� Property Owner Property Location Grand Properties, LP Govt. Lot SW 19 NW 1/4 S 36 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 2 1 Natalie's Ridge City State Zip Code Phone Number J City J Village 1/ Town Nearest Road Somerset I WI 1 54025 715 - 247 -5900 St.Joseph I 80Th St. 01 New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD _f Replacement Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd/ sgft rating. Possible system elevation for Area 1 is 93.30'. Slope is 4 %. X40, r/N Boring # I Boring 3 '�° 6a- U ZAPI 4 Y' Pit Ground Surface elev. 98.0 ft. Depth to limiting factor 100+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF *Eff#1 *Eff#2 1 0 - 1Oyr3/4 none sl 2msbk mfr as 2vf .6 1.0 2 9 -23 7.5yr4/6 none sl 2msbk mfr gw 1vf .6 1.0 3 23-49 7.5yr5/4 none grlcos 1msbk mvfr gw 1vf .7 1.6 4 49 -79 1Oyr5/4 none grco Osg ml cs ---- .7 1.6 5 79 -100 10yr6/4 none ms Osg ml — -- .7 1.6 Boring # I Boring im Pit Ground Surface elev. 96.85 ft. Depth to limiting factor 96 + in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF *Eff#1 I *Eff#2 1 0 -10 1Oyr3/4 none sl 2msbk mfr as 2vf .6 1.0 2 10 -17 10yr4/6 none sl 2msbk mfr gw 1vf .6 1.0 3 17 -33 7.5yr4/6 none rc Osg ml gw .7 1.6 4 33 -72 1Oyr5/4 none grcos Osg ml cs ---- -- .7 1.6 5 72 -96 1Oyr6/4 none ms Osg ml — -- .7 1.6 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS X30 < 150 ng/L • Effluent #2 = BOD -s mg/L and TSS <,0 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 41 - 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 12/16/04 715- 247 -2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 a Boring # Boring Pit Ground Surface elev. 96.60 ft. Depth to limiting factor 97+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -11 10yr3/3 none sl 2fsbk mfr as 2vf .6 1.0 2 11 -25 10yr4/4 none scl 2msbk mfr gw 1vf .4 .6 3 25 -51 7.5yr4/4 none gdcos 1 msbk mvfr gw -- .7 1.6 4 51 -80 10yr5/4 none grms Osg ml Cs -- .7 1.6 5 80 -97 10yr6/4 none ms Osg ml ---- -- .7 1.6 F—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 GE *Eff#1 *Eff#2 F-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 GP *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 30 mg/L dhd''S8 <�3b n*4& The Department of Commerce is an equal opportunity service provider and employer. if you reed assisti ft& to docogs services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264 - 8717. Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name: Grand Properties, LP Thomas J. Schmitt, CST 227429 Address: 712 Rivard Street 1595 72nd St. City, State, Zip: Somerset, Wl. 54025 New Richmond, W1.54017 Phone: 715- 247 -2941 Subd.Name: Natalies Ridge Lot No.. Legal Description: S 1/4 AN 1/4 S36 T3 ON R19W Township of St. Joseph, St Coix County Bench Mark El. 100.00' Top of 1/2" rebar Alternate Bench Mark El. 7- S / Top of 1/2" rebar Slope = ___�/A Contour Line El. Scale 1 "' = 40' /Vo d t e 118 3 d ►4 Ooa \ -, QM t o act This soil report was done to fulfill a zoning requirement. A prelimina6 plot map was used, no drainage easements or driveway locations were established at the time this soil and site evaluation was conducted. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNE RSHIP CERTIFICATION FORM Owner/Buyer �o eeAN r�� .s Mailing Address - 6, 3 96-41 l Property Address [ a& L* � L- P �Y (Verification required from Planning Department for new construction) City /State 1JrcA gs Parcel Identification Number LEGAL DESCRIPTION Property Location !w' v4, N '/4, Sec. 3& T 36 N -R Town of Sfi ose�_ S Subdivision -4r7`4 L- l CS R 1,0 � .Lot # oZ Certified Survey Map # 7771/1 . Volume 16 --. , .Page # S Warranty Deed # g 0/72 c t . Volume — Jj - j S Page # 03 Spec housed yes ❑ 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 masterplumber, journeymanplumber, restrictedplumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal 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 z Office within 30 days the three year expirati date. _ W/17/O S16NATURE OF APPLICANTU DATE OWNER CER CATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owne(s) of the pr a des bcd hove, virtue of a warranty deed recorded in Register of Deeds Office. _ 7/ SIGNATURE OF APPLICANT U 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 U 2854 P 032 a,l 1 - 7eC3 State Bar of Wisconsin Form 2 -2003 KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI Document Number Document Name RECEIVED FOR RECORD 08/01/2005 10:15AN WARRANTY DEED THIS DEED, made between Grand Properties, LP EXEMPT # REC FEE: 11.00 ( "Grantor," whether one or more), TRANS FEE: 290.70 COPY FEE: and Cameron Homes, Inc. CC FEE: PAGES: 1 ( "Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Name LFAVI gMMEY BANK, N.A. interests, in St. Croix County, State of Wisconsin ("Property") (if more space P.O. BOX TO is needed, please attach addendum): 2501 Haley Road Lot 2, Plat of Natalies Ridge in the Town of St. Joseph, St. Croix County, Hudson, W164014 Wisconsin. 030 - 2014 -30- 000 ;030 - 2014-40 - 000:032- 2014 -40 -100 030 - 2014- 60 -000; 030 -201 5 - 20-000 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. (is) (is not) Dated Q �Y/ Grand P erties, LP (SEAL) (SEAL) * *B . Michael J Germain (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Grand Properties. LP By: Michael J. Germain STATE OF ) authenticated on ) ss. COUNTY ) * Kristina O land Personally came before me on TITLE: MEMBER STATE BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Oland Notary Public, State of Hudson, WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 • Type name below signatures. INFO-PRO- Legal Fortes 800.855 -2021 www.infoproforms.00m POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of FILE INFORMATION SYSTEM SPECIFICATIONS Owner _ Septic Tank Capacity �� al ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity gal ❑ NA Estimated flow (average) Q® gal /day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) 600 gal /day Pump Manufacturer ❑ NA Soil Application Rate t` gal /day /ft2 Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) :530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 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 f Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) :510' cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ 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: ❑ month(s) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA years) Clean effluent filter At least once every: ❑ month(s) ❑ NA 4 / year(s) month(s) Inspect pump, pump controls & alarm At least once every: ❑ year(s) ❑ NA Flush laterals and pressure test At least once every: ❑ month(s) 103 NA ❑ year(s) Other: At least once every: ❑ month(s) ❑ NA ❑ 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 Z of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tanks) 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 pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, 9 ravel 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 i l l, T Iv alua ' a o ing ttank be ' e ai a �RO{1193 TT�L1. �i2 Nom✓ �fVS7R(J�'lDN ❑ 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 Name Phone �s — e _ 6 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY / Name Name sT. k o ( 0v ZO/1�� Phone Phone —� / S— 3 W Co- ( 0 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. Z 2/ START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tankls) 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 tankls) 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 c (s) g ce Is1 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. ❑ 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 alua ' t be ' e ai a �RDf -ll'B Tf� CDR- A/ �NS"T72(lC�t nnl ❑ 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 Name Phone �s— g Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name 15' (n ( d ZDllf l �tJ Phone Phone " 7 t CE -- 3W( (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. LINE TABLE DRAINAGE EASEMENT 'D' / DIRECTION D1ST. DI S177838 'E 50.06' D2 S09V9'30 "W 89.65' D3 S76V2'35 "W 24.77' D4 N5633'37 W 67.88' D5 N2176'53'W 113.19' D6 58931'08 0 E 121.21' NORTH LINE OF THE D7 S0079'19'E 136.27' 51/2 OF THE NW1 /4 231.32 231.32 231.32 �" �� BENCH MARK: TOP BLOCK 01 OF 1 IRON PIPE. ' ELEVATION 927.5 o �a i 2.3 LOT 2 1000 ACRES N F 130.682 SO. FT. m L.B.O.- 935.5 LOT 3 LOT 4 U 3.000 ACRES 1000 ACRES 3.00 13O.W2 SO. FT. 130.682 SO. FT. 1 X11 35.5 Soo 1 0 N19 N89'S1'OS"W 704.07' g . 4a oD' — 1 77 r nom'