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HomeMy WebLinkAbout032-2039-20-000 0 �� � � 0ƒ 7 o °° 0 o§ S- i � \ m E \ § 2 §_ § ` C- CD d / W § k§ §2§ g /C f ° E $ § # 0 C , i \ 4 U -4 O � CL Q e « o 0 2 n r■ $ e 2 / q & % . 2 - i / a k \ \ } 0 \ { v � § ƒ / ° } N f - Z CL 5 7 .. C � J = m § E 7 \ \ / X , - ( _ CL o ca \ $ m k - ; X a 0 Ri k 9 [ § § o � E § 7 2 k ® 7 2 2 k � g7# 3 »§ ma- § K%§ ;z % § §� � a � � k � � ƒ > � � ( } } ) � E q 0 2 � C- 0 $ < f ? 1 o » � S �■ LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SOMERSET COMPUTER NUMBER 032 - 2039 -20 -000 Parcel Number 10.30.19.623B OWNER NAME: First JANET L Last JARNEFELD PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 1648 CTY RD I SECTION 10 TOWN 30N RANGE 19W %160 '/•40 Line Description Line Description TOTAL ACREAGE 1.000 PLAT LOT BLK 01 SEC 10 T30N R19W 1A IN NW SW 15 V ° /1 02 COM INT N LN & W R/W HWY "I" 16 Z Yo 03 TH S 208.75'W 208.75'N 17 W D 0 rip fp Z g U 04 X08.75' TH E 208.75' TO POB 18 3 g� 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SOMERSET COMPUTER NUMBER 032 - 2039 -10 -000 Parcel Number 10.30.19.623A OWNER NAME: First VINCENT T & ANNETTE C TR Last GERMAIN PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 10 TOWN 30N RANGE 19W '/.160 '/40 Line Description Line Description TOTAL ACREAGE 39.000 PLAT LOT BLK 01 SEC 10 T30N R19W 39A NW SW 15 02 EXC 1A IN P623B 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, 175 -Next Parcel, F7- Valuations, F8- History, F10 -Exit 1* ( f e. ei��Wr, Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count t, C roix Safety and {3uildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanita Personal information you provice may be used for secondary purposes (Privacy Law, 815.04 (1) (m)). oe Aflame: ❑ City ❑ Vwt &STeINTdwnshi State Plan ID No.: CST BM Elev.; Insp.,.ccBccM Elev.: BM D Parcet d�4039- 20-000 TANK INFORMATION ELE TION DATA /D 30 ' i9. 6 23 8 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic S P o - ttS �� Benchmark ,fir Dosing IVIA Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION S Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic >5 >tfs, 2Z/ r NA Dt Bottom �^ Dosing NA Header / Man. Z , $ 3 IF Aeration NA Dist. Pipe l• S (• B (. $ �- ' �8 , Holding Bot. System L�• z k3 ?I X3.2 PUMP/ SIPHON INF Final Grade s� J Man facturer e � •2S• � � . 0 Model ber GPM TDH Li Friction System TDH t F cemain Length Dia. H Dist.Towell SOIL RPTION SYSTEM o d\o� �s RENCH Width Length , No. f T enches PIT No. Of Pits Inside Dia. Liquid Depth IMEN I 2.5`O 3 DIMENSION LEACHING Man ure SETBACK SYSTEM TO P / L BLDG WELL LAKE,/ STREAM INFORMATION Type Of r r CHAMBER - Mod el Num er: System: C tl+ S + 9 S� + OR UNIT cq a-CA , DISTRIBUTION SYSTEM Header / M m fold N Distribution Pipe(s) x H x H Spacing Vent To Air Intake Lengths Dia. ngth Dia. pacing SOIL COVER x Pressure Systems Only xx Mound Or At- Grade Systems Only Depth Over a Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center 3S Bed /Trench Edges Topsoil E] Yes E] No C] Yes El No COMMENTS: (Include code discrepancies, persons present, etc- Inspection #1: 0 41 2 9 /0( Inspection #2: +- -T ---- Location: 1648 County Rd. I, S merset, WI 54025 (NW 1/4• . W 1/4 10 T30N R19W) - 1030196238 1.) Alt BM Description 2.) Bldg sewer length - amount of cover Plan revision required? ❑ Yes 1j No Use other side for additional information. 0 134 1 - s - t SBD -6710 (R.3/97) Date Inspector's Signature Cert. No t � 1 +� t V I 11 1T ` I F wy Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 1* 6 consin Personal information you provide may be used. for second u oses Madison, WI 53707 -7302 Department of commerce [Privacy Law, s. 15.0,4(!)(m)] P (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on per of less than 8 -1/2 x 11 inches in size. Cou State Sanitary Permit Number ❑ 717 eck if revis' s application State Plan I. D. Number Ca - %3 3 3 - I. Application Information - Please Print all Information 1- Location: Property Owner Name 1 Property Location PA Afe 114 5aj 1/4, S /0 T ,N, R/ (or Property Owner's Mailing Address o Zit Lot Number Block Number �, � r ,'/ A NA City, State Zip Code Phone Subdivision Name or CSM Number �. II. Type of Building: (check one) ❑ city Rf 1 or 2 Family Dwelling - No. of Bedrooms : —_ ❑ Village ❑ Public /Commercial (describe use):_ I$ Town of ❑ State -Owned Nearest Road r � � k � Z - 0 Parcel Tax umbers) III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) /0 30, 1 3 A) 1. ❑ New 2. Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) 4 F� - (OD E 00 Non - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade y/ Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevati y�� / S So ! r 9/r 1 / / C./ VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks QD 4Dp O GL✓� ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on ttached plans. Plumber's Name (print) Plu 's Signature (no stamps): MP RS N Business Phone Number D011 01A( gf T Plumber's Address (Street, City, State, Zip Co e) _` _ s IX. Countyffiepartmenf Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Sur arge Fee) Determination Z2S } X. Conditions of Approval /Reasons for D'sapproval: � . or•� � t S C-6 o c�L l tM A �� a t`►1 P� SBD -6398 (R. 07/00) I i I i r 1 � , i ' iy ",pUC ��irs/�c�' ✓vim V��vr Pi Ael 4E , I , i , , { ' , I I : , -- ' - `��,- 1�.- }- 1�I1_�I - -�F _ S. LL1�cd- ___Rdc�ttus� - - - - -- • - -- — - ---; -- - I ' I , , g�y I , 7 -- t- j ' VQ 1AM4 V G<< S� , D I — I f SA--7- _ ! j ; ( I ( I I ! I I : 1 i ! i � • s I I i � I I 1 } 1 111 i f , 1 ' r f 1 i t t , v i } 1 1 I — I I • 1 f • 1 t T 7 r i � 5 ' , 1 , I , 1 t i I ! i i fi i I ' I ! • � -, i , i I 1 ! y t � r : s tt i 1 L . I I sC 7 v E r Pi � /V.p 51 FC Os- -Ad T71 �0 el r,-D A-too /-'i e z S� tf Y!1 aul I a 1027 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safe and Buildings Safety h 9 in accordance with Comm 85, Wis. Adm. Code Tom Schmitt 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 Parcel I.D. percent slope, scale or dimensions, sions, north arrow nd distance to nearest road. r 032- 2039 -20 Please prin al�yakr�lg ,, , Reviewed By ate Personal information you provide may ".s@d second urposes (Ptivgcy, s. 15.04 (1) (m)). r Property Owner Property Location �..,_ • z Parent, John & Kathleen �_ govt. Lot NW 1/4 SW 1f4 S 10 T 30 NR J 19 W Property Owner's Mailing Address 4;yU 1 of # Block # Subd. Name or CSM# 1648 Cty. Rd. City State Zip Code / ' ; J City Village J Town Nearest Road FL -� Somerset I WI 1 54025 47 - 3, - Somerset Cty.Rd.I J New Construction Use: y( Residential / Numtier,ofi ' rooms 3 Code derived design flow rate 450 GPD Replacement _J Public or dommereta1- Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a conventional septic system with a rating of .5 gpd /sgft. Possible system elevation is between 94.62' and 93.16'. vertually Boring # Boring ej Pit Ground Surface elev. 98.16 ft. Depth to limiting factor >97 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Murrsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 `Eff#2 1 0 -8 10yr4/3 none sl 2mgr mfr es 1f .5 .9 2 8 -20 5yr4 /4 none sl 1 mpl mfr gw - - - - -- .4 .6 3 20 -96 5yr4 /4 none sl 2msbk mfi - - -- -- - -- .5 .9 Boring # I Boring ✓1 Pit Ground Surface elev. 97.47 ft. Depth to limiting factor >96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I - Eff#2 1 0 -7 10yr4/3 none sl 2mgr mfr cs 1f .5 .9 2 7 -24 7.5yr4/4 none sl 1 mpl mfr gw ---- -- .4 .6 3 24 -96 5yr4/4 none sl 2msbk mfi - - -- - - - - -- .5 .9 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 130 mg/L and TSS < 30 mg /L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt ^,-..0 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 11/25/00 715 -549 -6651 ti Property Owner Parent, John & Kathleen Parcel ID # 032 - 2039 -20 Page 2 of 3 3] Boring # J Boring ✓_j Pit Ground Surface elev. 97.64 ft. Depth to limiting factor >97 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPQM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr4/3 none sl 2mgr mfr cs 1f .5 .9 2 8 -21 5yr4 /4 none sl 1 mpl mfr gw - - - - -- .4 .6 3 21 -97 5yr4/4 none sl 2msbk mfi - --- - - - -- .5 .9 F4 ] Boring # Boring i✓j Pit Ground Surface elev. 97.90 ft. Depth to limiting factor >96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr4/3 none sl 2mgr mfr CS 1f .5 .9 2 8 -21 5yr4/4 none sl 1 mpl mfr gw - - - - -- .4 .6 3 21 -96 5yr4/4 none sl 2msbk mfi - - -- - - - - -- .5 .9 F 5-1 Boring # Boring ✓j Pit Ground Surface elev. 97.39 ft. Depth to limiting factor 36 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 1 0 -8 10yr3/3 none sl 2mgr mfr cs 1f .5 .9 2 8 -24 10yr6/3 m3p 7.5yr5/8 sil 2msbk mfr cw if .5 .8 3 24 -36 5yr4/4 m2d 7.5yr5/8 sl 2msbk mfr - - -- - - - - -- .5 .9 * Effluent #1 = BOD 5 > 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 —d —4—;.1 1 „1-- —+.,+ t1,P A..+„o,+.,,vnt .mot fnR-1A.A-1I G1 —T AAQ-')A.A- Q7'17 T_ I 10D ioe -- '— -- i e�xr r it I , i i I t ( � I I I I � 1n S as - - - -- ea- _ I - __ ! �E`v��s -�'•�� IC I (, i� � ;5�-�- �7 -- ( rl�94 I , ' I i I I II I i : II I - 1 I i I I I I I I I I I I I i i : � I , I r I ; f _ ' I I I L I I I i I , I - , I I i I I I i I , I , I I j { I I I I I I i t I , I _ I , { I I I : I I I I I I ( i , I i I I I I : I 7- a 1027 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt 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 parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 032- 2039 -20 Please print all information. R viewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Parent, John & Kathleen Govt. Lot NW 1/4 SW 1/4 S 10 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1648 Cty. Rd. I City State Zip Code Phone Number J City J Village kej Town Nearest Road Somerset WI 1 54025 715 - 247 - 3482 Somerset I Cty.Rd.I New Construction Use: jej Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD e Replacement I Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a conventional septic system with a rating of .5 gpd /sgft. Possible system elevation is between 94.62' and 93.16'. vertually Boring # I Boring lei Pit Ground Surface elev. 98.16 ft. Depth to limiting factor >97 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0 -8 10yr4/3 none sl 2mgr mfr cs 1 f .5 .9 2 8 -20 5yr4/4 none sl 1 mil mfr gw - - - - -- .4 .6 3 20 -96 5yr4/4 none sl 2msbk mfi - -- - - -- .5 .9 o A 9336 �c, 9+0 Boring # — ) Boring ✓i Pit Ground Surface elev. 97.47 ft. Depth to limiting factor >96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0 -7 10yr4/3 none sl 2mgr mfr cs 1f .5 .9 2 7 -24 7.5yr4/4 none sl 1 mpl mfr gw - - - - -- .4 .6 3 24 -96 5yr4/4 none sl 2msbk mfi - - -- - - - - -- .5 .9 " Effluent #1 = BOD 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 Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 11/25/00 715 -549 -6651 Property Owner Parent, John & Kathleen Parcel ID # 032 - 2039 -20 Page 2 of 3 3 Boring # Boring ✓] Pit Ground Surface elev. 97.64 ft. Depth to limiting factor >97 in. Soil Application Rate odzon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots PD z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 10yr4/3 none sl 2mgr mfr cs 1f .5 .9 2 8 -21 5yr4/4 none sl 1 rrpl mfr gw - - - - -- .4 .6 3 21 -97 5yr4/4 none sl 2msbk mfi - - -- - - - - -- .5 .9 I 4 Boring # Boring ✓j Pit Ground Surface elev. 97.90 ft. Depth to limiting factor >96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 " Eff#2 1 0 -8 10yr4/3 none sl 2mgr mfr cs 1f .5 .9 2 8 -21 5yr4/4 none sl 1 mpl mfr gw - - - - -- .4 .6 3 21 -96 5yr4/4 none sl 2msbk mfi - - -- - - - - -- .5 .9 c 9z F 5-1 Boring # _.l Boring ✓l Pit Ground Surface elev. 97.39 ft. Depth to limiting factor 36 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 `Eff#2 1 0 -8 10yr3/3 none sl 2mgr mfr cs 1f .5 .9 2 8 -24 10yr6/3 m3p 7.5yr5/8 sil 2msbk mfr cw if .5 .8 3 24 -36 5yr4/4 m2d 7.5yr5/8 sl 2msbk mfr - - -- - - - - -- .5 .9 I Effluent #1 = BOD 5> 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD <30 MWL and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need gAistance to access services or —A n,otPr;al ;,, — f -4 -1-- — f—t +)­ i1a..orFinanr .r f11R_7Af -11 G 1 -, - 1 V 9AQ -')AA-8777 i r I t ; f • — { • _ ` - i v� , - 31 A V , i s � I I I _ I` , : t 1 • { '. a -- • - _ - I w , I ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT roil 119 7,hTT11N M" AN T%.Xi f:9'TN(. !;T,T"C'Tt" 'DANK This is to certify that I have inspected the septic tank presently serving the rT� � /?,E& residence located at 1/4, Sec., T 30._N, R W, Town of SS2 Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced adjd 'h& W n/ Did flow back occur from absorption system? Yes No (if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: /D ®D 64, Construction: Prefab Concrete X Steel other Manufacurer (if known) : )2,0W 1ZS Aae of Tank (if known): Ao Yfl (Signature) (Name) please Print /'7P_ns .2 1 1 = �7y/ (Title) (License Number) (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: I t In accepting the above statement regarding existing septic tan) condition, I certify that the tank to the best of my knowledge wil: conform to the .requirements of ILHR -83, Wis. Adm. Code (except fol inspection opening over outlet baffle) 1. Name Ak1 / Ghlr /TT Signature MP 5/88 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 3 Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) tT0 Septic Tank Capacity (gal) Soil Absorption Component Size (ft') Type of Wastewater Dom tic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorpti n Component Design Flow - Peak (gpd) S Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: M aintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se tic to and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper open The filter cartridge shou not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the ' Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. ' This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. I 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer � (+ K &ff ent Mailing Address _ y8 C 7y 9D S©mces e T G'Ui' ysz 6� Property Address (o 4's Q_ � P-CQ T., So cl- /1�i' ��f 4•�� (Verification required from Planning Department for new construction) City /State SOWC "Se_ Parcel Identification Number s a0 9 -�30 gyp, 30 .I c l z3B LEGAL DESCRIPTION Property Location '/4, ' /a, Sec. j , T .2O N -R�(Q W, Town of SCMe ESCII- Subdivision , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # y QB Volume 736 , Page # 2;L(. Spec house ❑ yes M no Lot lines identifiable ® yes ❑ no SYSTEM NANCE . 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 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. Itwe, 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 d ( 7Z hree ex it ion date. P SI NATURE OF APPLICANT DATE OWNER CERTIFICATION I (w ) certify that all statements on (his form are true to the best of my (our) knowledge. I (we) ant (are) the owner(s) of t p pe escribed ove, by virtue of a %varranty deed recorded in Register of Deeds Office. x 7q 13 /d SIG ATURE OF APPLICANT 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 a y ' JMUiT KW N©. WrATD MR OF WISCONSIN FORM 1— ills !t n„e waae waawm Paw NBOGR%M SM WARRANTY OM � Z( * 1 i 'j' �.t��,. Robert D. Ste: fen and 0 OWE VA , h Jsca ert uaband' and w1 fe as joint 5L (I= WV W�► ..... �snaii'Fs._....... ---•• ........................................... ......................... tier I tseoord �p� . .............................. ........................... .. .. -► t#ran1�. 0/ Januat9 y6 �i seta John M.. Parent and Kathleen A. P�r�n_t_,.h� ?>il!►Q.....____..- -InU -• = - Q I9 ►1 and wife, as otnt tenanta ............................. _----...----•--__-- Nl� 1:3 ............ I ............................. _ ...................................... .............- •........._ - -• - -- ....._ ............................... - __..... Grantee. ( I .�tT1e$sethl, That the said Grantor. for a valnabls a-osisideration..Rf One Do 1 1 ar (f1.00) and other va 1 uab t e conk i d�lstf �.Qtt__ -___ i ............... •---- - -•• -- -- •- •- •...... .. •- conveys to Grantee the following described real estate in .... St..- Cro).x.... -- N 'My j� M U 3K/= P. County, State of Wisconsin: �[�� j i �i TaxParcel No: ------ ._..._......... I Part of Northwest Quarter of Southwest Quarter of Section 10, Township 30 North, Range 19 West, described as follows: Commencing at intersection of North line of said Northwest Quarter of Southwest Quarter and West line of County Trunk Highway aIr; thence South on said West line 208.75 feet; thence West 208.75 feet; thence North 208.75 feet to said North line; thence East on said North line 208.75 feet to PLACE OF BEGINNING. \ r, This deed is given in satisfaction of a land contract between the parties dated November 29, 1983, and recorded in the Office of, the St. Croix County Register of Deeds cn November 29, 1983 in Volume 677 at pages 460 -461 as Document No. 389430. Transfer Fee Due is This --.- --- --- -s not ------ homestead property. 031 (is not) i Together with all and singular the hereditaments and appurten inces thereunto belonging; And ... Robert D. Steffen and Jacal yn K. . 5teffen___ ____________________ _ warrants that the title is good, indefeasible in fee simple and f.ee and clear of encumbrances except zoning, easements and restrictions of record, and will warrant and defend the same. Dated this --- . -------- -- - - -- --• -- day of ---- ---- -- January............... ........ •-- ••-• - - -. 19. �... f ••.... -- ......... (SEAL) leE�'�'.� : /� --" - (SEAL) Robert D. Steffen - -- --•--- ---- -- ............. .. . .. ... .......... . (SEAL) -. - ......... ..... -- (SEAL) ---- - -- -•- ------- --•........ Jac 1 yn K. Steffen AUTSBNTICATION AACIKN WAX KI Signature(s) -- ------ --•------- --- ••--•----• STATE OF NJF �R AX as. RAM ....... .......... - ------------- county. authenticated this ........ day of ........................... 19...... Personally came before me this .... ...... day of dap Ua[- y---- -- ------ --- -- -- ---- - ---•, 19.86. -. the above named ............................................. .................................. Robert D. ,tef fen and Jaca l yn_ K..•--- •-......... a Steffen_ husband and wife, as_ joint__ _______ •---- -•- ---- •--- -- --- -----........ •------------ •-••...........•-• °- ••-•••••. - - - -- ... ................................. TITLE: MEMBER STATE BAR OF WISCONSIN tenants - -- -- ------- --- - -- ---- ------------- (If riot ............................................................. - -- ••- -• -- -• ................. - - - -- authorized by 1 706.08. Wis. State.) to me known to he the person g........... who executed the foregoing instrument and r THIS INSTRUMENT W AS DRAFTED BY rL' cs - -- ---- •• - --- - ••---- -•-- -- �-- OTI..RY »a�. : F. � -ldWi CSOTA _ y ? :� :r� Kr�Pe._......... ^ '. y N a 4. • otary Public -- -_ _ (Signatures may be authenticated or acknowledged. Both 31r Comm is pe nt. (If not, state e=pl -ation are not necessary.) date: ....f(��� Si ..................................... 19. 'Naas of persons sisnins is any capacity should be typed or printed below their sian -tyres. WAARANTT DaxD STATE BAR OF WT�CONSIN wi...in Kral Blank Co. Isa FORM No. I — 190 Milwaukee, win. ��