HomeMy WebLinkAbout032-2117-90-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix
Safety and Building Division..
INSPECTION REPORT Sanitary Permit No: 420364 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:
Parkinson, Scott & N ncy I Somerset Township 032- 2117 -90 -000
CST BM Elev: Insp. BM Elev: BM Description:
/00 •U I /OD CA 44-V _h�
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic / J / f Benchmark / v � /� /• o / /00, U
Dosing Alt. BM d o
Aeration Bldg. Sewer
Holding St/Ht Inlet
p
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO ``P /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic ` r / /►r / Dt Bottom
Dosing J Header /Man. 93-
Aeration Dist. Pipe 1 G13n
Holding Bot. System 8 , -� 3 •O(
Final Grade
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover
4lA014 4 i. YZ oa 3c)
Model N ber
TDH Lift n Loss System Head TDH Ft
F main Length Dia. to Well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width r Length ( No. OfyLenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L JBLDG JWE L LAKE/STREAM EACHING Man factur
INFORMATION / CHAMBER OR
Typg Of System: A,/ / UNIT Model Number:
-3b ly I >��j
( h ve X 1
DISTRIBUTION SYSTEM
Header /Manifold Distribution f / x Hole Size x Hole Spacing Ven o Air Intake
it Pipe(s)
Len th Dia Length � Dia S acin
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only OM�t i
Depth Over epth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center �� Bed/Trench Edges Topsoil
' p ®Yes [] No Yes ] No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:�/ . / d' Inspection #2:
Location: 2187 59th Street Somerset, WI 54025 (NE 1/4 NE 1/415 T31N R19W) Shadow Pines Lot 22 / � u Parcel No: 15.31.19.1079
1.) Alt BM Description =I l Of fAu VA. — A16W kJklk^�f
2.) Bldg sewer length = 18
- amount of cover =� 44 t
_� Y��F
Plan revision Required? J Yes No ' I
b L S? � Use other side for additional information. _ -- — _ i --
SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No.
1.
Safety & Buildings Division
Sanitary Permit Application 201 W. Washington Ave.
I visconsin In accord with Comm 83.2 1, Wis. Adm. Code PO Box 7302
Department or commerce Personal information you provide may be used for secondary purposes Madison. W153707 -7302
p , Z (Privacy Law, s. 15.04(1)(m)) / )�� (Submit completed form to county if not
state owned.
Attach complete plans to the county copy only) for 1Wsystern, on paper not less than 8 -1/2 x 1 I inches in size.
County S- C� State
� Sanitary Permit Number rev q.j k if revision t o pre ' Lion State Plan I. D. Numbs
1. Application Information - Please Print all Information Location: 0"2 ST
Property Owner Name y
y Property Location
J` C)` /3/+C /Z�If`tS�.•, I, 1 S 2��2 1/4 N1/4 S N E or W
Property Owner's mining Address
Lot Number Black Number c�U c a a
City, State Zip Code one umb Subdivision Name or CSM Number
" fiT P.kl K . Ss�� S hpdO�4 s
II Type of Building: (check one) ❑ Ci
I or 2 Family Dwelling - No. of Bedrooms d � ❑ vi ge
O PubliclCommercial (describe use): 0 Town of
o State - owned Y M R
III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road 1 S ��
A I . ew a�
�+ N System 2• E3 Replacement 3. ❑Replacement of 4. ❑ Addition to Parcel Tax Number(a)
S e
rrt Tank Only Existing System Q - � - d
JKA B) Permit ale ued
Sanitary Permit was previously Number D
issued ed
IV. Type of POW" System: (Check all that apply) r2 W ZZ 3�xl�J
Non - pressurized In- ground ❑ Mound an Filter
❑ Pressurized In- ground ❑ Holding Constructed Wetl nd
Tank ❑Drip Line
❑ At-grade 8 O Single Pass ���C= li�?�t. -..
❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
V DispersalfIrreatment Area Information: Z"
1. Design Flow (tlpd) I DiapernIArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Gradey
Required Proposed V�� Rate (Gals. /day /sq. R.) (Min . /inch) r / q� 7J�
---'�
^R
VI Tank Capaci pa ty in Total # of Manufacturer
Prefab
Site Steel Fiber- Plastic
Information Gallons Gallons Tanks t Con- Con- glass
New Existing /�� 4 � structed
Tanks Tanks )
❑ ❑ ❑ ❑
o ❑ ❑ ❑ ❑
VII Responsibility Statement
1 the undersigned. assurne res nsibilit for installation of the POWTS shown on the attached plans.
Plumbs': Name nt) Plumber's Si trt M tgmtup MP/MPRS No. Budnea Phone Number
Plumber's Address (Street, Cit , State, Zip Code) `
VIII Count Uae Onl
ty y
❑ Disapproved Sanitary Patnit Fee (Includes Groundwater Date sued uing SiptaAms stamps)
pproved O Owner Given initial Adverse Sutcharga Fee)
Determination t5�• /6 /ate c
IX. Conditions of Approval /Reasons for Disapproval::' .
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1590
Wisconsin Department of Commerce SOIL EVALUATION REPORT P age 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croi
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. ✓
032- 17 -90 -000
Please print all information. !e t 3r oDi
- - - - -- - - -- ---- - - - - --
_ `� evi Date
Personal information you provide m y be used for secondary putrrivacy w, s. 15.04 (1) (m)). IL 0
Property Owner Property Location
J effry S. & Nan L. Parkinson Gov Lot NE 1/4 NE 19 S 15 T 31 N R 19 W
Property Owner's Mailing Address #
--- [ 64o — ck # Subd. Name or CSM#
1687 C Cr. # 300 22 Sha Pines
- Village Town Nearest Road —
City — — — Ste Zip 6 1o� I -� City a9
Saint Paul M"5125 Somerset 1 2187 59Th Street
0 New Construction Use. 0 Residential / Number of bedrooms _- 3 -- Code derived design flow rate 450 GPD
_f Replacement _ ,I Public or commercial - Describe:
Parent material Glaci outwash _ - - -_ ____— ____ ^ —__ Flood plain elevation, if applicable na _
General comments 0
and recommendations: Install two trenches at 93.00' using 22 leaching chambers. / -1
Boring # — Boring > - _ in. Soil App Pit Ground Surface elev. 98 .06 ft. Depth to limiting factor Appicaton Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft
*Eff#1 *Eff#2
1 0 -7 1 0y r 3/2 non sl 2fs mvfr as 2fmc 70.5 0.9
2 7 -18 10yr4 none sl 2msbk mvfr cw 2fmc 0.9
3 18 -30 10yr4/4 none Is 1 msbk mvfr aw 1 fm 1.2
4 30-44 10yr5/4 none Ifs 2msbk mvfr aw 1f 0.5 0.9
5 44 -85 10yr5/4 none s 0 sg ml gs If 0.7 1.2
0 10yr5 /6 none s 0 sg ml - - 0.7 1.2
. 72
a Boring # Boring -- --
Pit Ground Surface elev. 9 8.46- ft. Depth to limiting factor — > 116 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftZ
*Eff#1 "Eff#2
1 0-8 1 /2 none sl 2fsbk mvfr as 2fmc 0.5 0.9
2 8 -26 10yt3/4
none sl 2msbk mvfr c w 2fmc 0.5 0.9
_._ -- -- - - - - -- - -
3 26 -40 10yr4/4 none sl 2msbk t mvfr aw 1fm 0.5 0.9
4 40 -5 10yr5/4 none s 0 sg ml gs If 0.7 1.2
5 52 -116 10yr5/6 none s 0 sg ml - - 0.7 1.2
n
* Effluent #1 = BOD 5> 30 < 220 mg/L and TSS > < 150 mg/L * Effl - BOD < 30 mg/L and TSS <�30 mg/L
CST Name (Please Print) Signat CST Number
James K. Thompson at 3602
Dae Evaluion Cond ut ced Telephone Number
Address A.C.E. Sal &Site Evaluations t 340 Paulson Lake Lane, Osceola, WI 10/1/02 715- 248 -7767
Property owner Jeffry S. & Nancy L. Parkins Parcel ID 032- 2117 -90 -000 Page 2 of 3
F3 ]Boring # Boring - -- —
1� Pit Ground Surface elev. 9 8.51 ft. Depth to limiting factor > 119" in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 2
*Eff#1 *Eff#2
1 0 -12 10yr3/2 none sl 2fsbk mvfr as 2fmc 0.5 0.9
2 12 -28 10yr3/4 none sl 2msbk mvfr cw 2fmc 0.5 0.9
3 28-43 10yr4/4 none sl 2msbk mfr aw 1fm 0.5 0.9
4 43 -66 10yr5/4 no s 0 sg ml gs if 0.7 1.2
5 66 -11 10yr5/6 none s 0 sg ml - - 0.7 1.2
F-1 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 GRO
*Eff#1 *Eff#2
Boring # -j 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 :
*Eff#1 *Eff#2
* Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD <30 mg/L and TSS <30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the devartment at 608 - 266 -3151 or TTY 608 - 264 -8777.
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Safety do Buildings Division
201 W. Washington Ave.
Sanitary Permit Application
In accord with Comm 83.21, Wis. Adm. Code po Box 7302
lseonsin Madison, vin O Box 7302
Department of Comm*ros P rs nai 'nfortnetion you provide may be used for secondary purposes (Submit completed form to county if not
pZ [Privacy Law, s. 15.04(I)(rrr)) �lQ /a ,5-- state owned.
Attach complete Wiwi to the county copy only) for the s rem on paper not less than g - 1/2 x i I inches in size.
Cab'
ik
State ao nitary 3 it Number O Check if revision to prey rs application Slate Plan I. D. Number
I. Applicatio N Information - Please Print all Inforntati Loca tion:
P y Owner Name - - --
Property Vocation
r __ � ) _ � 2 _ _ 114/��i/4 S 'r3l N R/ or) w
Property Owner's Mailing Address NL1 Lot r Block Nu
City, Sate Zip Code phbm Subdiv sion Name or CS
b ur -/ ow umber
11 Type of Bulking: (check one) 5T?lf) y bd/ FPexIGK - ;)(,v4s 1w1r,. ' City
* I or 2 Family Dwelling -No. of Bedrooms: — ,� - _ �1I 37(�/�t�l� #Q";lY` O Village
O PublidCommercial (describe use):_ Re4)th X--b or
— -- _ --
O state - owned
Ill Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest ��
s�.
A) I • N Sys tem 2. ❑Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s)
system 'Tank Only l __ Existing System O_ - _ -- cis
B) O ✓
Pemril Number Dale Issued
A Sanity Permit was previously issued ,
IV. Type of POWT System: (Check all that apply)
IQ Non - pressurized In- ground ❑ Mound ❑ Sand Filter 11 Constructed Wetland
Fes r n -grou O 1lolding'rank ❑ Single Pass O Drip Line ,
❑ Al -grade O Aerobic'I'reatnrent (brit ❑ Rt•e'irculating ❑ Other:
V DisperselfIrreatment Area Information:
1. Design Flow (film) 2. Dispersalores j x Dispersal Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation�„� 7. Find Grad
4 t) () Required �7� Proposed Rate(Gals. /day /�11.) (Min. /inch) l /�'/ ' J Elevation
(e . 7 - � � gig U0
VI Tank Capacity in Total a of Manuractuter Prefab Site Steel Fiber- Plastic
Information Gallons Oallons 'ranks Con- Con- glass
New Existing Crete slructed
Tanks Tanks
Vii Responsibility Statement
t the undersigned. assume fesippmon s I 'lily for installation of the POWTS sh own on lire atlac
plu s t) Plumber's SI dr 06 abm s): j MPMPRS No. -- - — - nusfnew Phone Number
Jirn, - -1__ -
Plumber's Address (Strcei, City, Slate, Zip Cod
1076) kjwv 146145661 T �'
VIII County/Depariment Use Only
O Disapproved Sanitary Permit Fee (Includes Groundwater 1� Issued Si gnattare stamps)
0`Approved O Owner Given Initial Adverse Surcharge Fee) a dy f
Determination / 0 GCwr�-
IX. Conditions of Approval /Read its for DisapP ovgit ' -
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Wisconsin Department o}Commerce SOIL AND SITE EVALUATION
Divt„fon Safety and Buildings Page 1 of 3
Bureau 4wegrated services in accordance with s._ILHF3.83 Wis. Adm. Code
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches irys(zA „Plan mu ft
include, but not limited to: vertical and horizontal reference point (8M),,0irectiop and' °� St. Croix
percent slope, scale or dimensions, north arrow, and location anj nce to bfiai Patcei I.D. # dT
' �l p';2- C 0 - 000 Z2
APPLICANT INFORMATION - Please print all infrr►rati�' 4n Re a ed by Date
>,
Personal information you provide may be used for secondary purposes (Pri acy - s 15 l�+l
Property Owner ' zc 1 "NyRtefati `a
Richard Stout
Govt. Lot „ 1/4 NE 1 /4 15 T31 ,N,R 19 E (
Property Owner's Mailing Address Lo► #i Subd. Name or CSM#
1353 Awatukee Trail 2 S'iiddow Pine8.
City State Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road
Hudson j Wi P 4016 1015 b49 -6731 1 Somerset 160th Street
[ New Construction Use: [IResidential / Number of bedrooms _ 4 Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow 6 0 0 g pd Recommended design loading rate • 7 bed, gpd /ft - 8 trench, gpd /ft
Absorption area required 8 5 8 bed, ft2 _ p trench, ft 2 Maximum design loading rate ._ bed, gpd/ft gpd /ft
Recommended infiltration surface elevation(s) See plot plan ft (as referred to site plan benchmark)
Additional design /site considerations
Parent material G e G2 Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade - System in Fill Holding Tank
U = Unsuitable for system S❑ U I S El [ S El CA S El 1:1 S U ❑ S U
SOIL DESCRIPTION REPORT
Boren # Horizon Depth Dominant Color Mottles Structure GPD /ft
Boring Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
0 -4 1 0yr2 /1 -- is 1 fn mfr cs 1 f .7 .8
2 4 -81 10yr4/6 -- ms osg ml cs -- .7'.8
Ground
elev.
96 ft.
Depth to
limiting
factor
81 in.
Remarks:
Boring #
0 -1 10yr2/1 -- is mfr cs 1 f .7 . 8
2 10- 0 10yr3/6 -- is 1 Agb mfr cs -- .7 .8
L3 30-S Q1 0 r4/6 -- ms 0 ml cs
Ground
elev.
96 ft.
+ 2 _qs 3.2
Depth to
limiting
factor
_9_-�_ Remarks:
CST Name (Please Print) Signature ; Telephone No.
�`.� r< u �� 5'�i� � � 4 k' v L✓ � � 1 '��S- .� �'6 - 31,71
Address Date CST Number
S_� f ' ---77 ��d
Richard Stout SOIL DESCRIPTION REPORT
PROPERTY OWNER — Page — of 3—:.-
PARCEL LD.#
Boring Horizon Depth Dominant Color Mottles Structure 2
g Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3 1 0 -1 10yr2/1 -- is 1P1 mfr cs
2 '12-111 10yr4/6 -- osCT ml cs
Ground
elev.
9 4 -9-11ft-
Depth to
limiting 2 y ti
factor
81 in. '
Remarks:
Boring #
1 - - - t5.
4 10-83 10 r4/6 ins osq ml cs -- .7 t8
Ground
elev.
9 3 .ZIl_
Depth to
limiting
factor
85 in. 1J
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /f1
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # 1 D 1 0 r2 1 Is 1 mfr cs if
5.. 2 -79 Oyr4 /6 -- s os ml cs -- .7 ;.8
Ground
elev.
9 6 .2 -0- -ft•
Depth to
limiting Vy ?6 Cg yL
factor
7 9 in. Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBD -8330 (R. 07/96)
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p ; 3. - 3. . ACR �2
01 ' ACRES --
TOTAL AREA; TOTAL EA:
- 131,780 SQ. T.
3.03' / ACRES 950.8 137,654 S(. FT.
` 195 ACMES
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ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
A OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address �° �9 �� .i ✓v -� sr ��
Property Address
(Verification required from Planning Department for new construction)
City/State � �'�''fP f _ Gc> Parcel Identification Number 02cl ` 4117_ 15- -000
LEGAL DESCRIPTION
Property Location /y� v., EVE %, See. 15, T 3 j N -R-LLW, Town of �
Subdivision JA ae,11Oy—.2 oO n & f , Lot # �.
Certified Survey Map # A 4l , Volume . Page #
Warranty Deed # l� gD�o� `7 , Volume f Page # 2
Spec house ❑ yes J, 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
masW plumber, journeyman plumber, 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 Zoning Office within 30
date.
the three y expiration
days
/ le
SIGNA OF APPLICANT 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
the rty descnW above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNATURE 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
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 Desig Specifications
Sanitary Permit Number 3 (o
Number of Bedrooms
Design Flow - Peak (gpd) IS
Estimated Flow - Average ( d) 3 00
Septic Tank Capacity (gal) ) UuV
Soil Absorption tion Com onent Si 5 '
p p Si ft) �
(
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak ( pd)
Maximum Influent Particle Size cle S e (in) 118
Maximum BOD (m /L) 0
Maximum TSS (mg /L) 150
! Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Ins a nd clean at least once eveFy 3 ea
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, Slats. 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 P e Pits, Seepage e Trenches, Privies, or Portable
P
Restrooms ).
The operating condition of the septic tank 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 operation. The filter cartridge should 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.
When system fails, we will replace with another system
at owner's expense. Alternate area must be left undisturbed.
St Croix County Zoning Office 386 -4680
Boumeester & Sons Excavating 386 -9020
Tri- County Sanitation 386 -2130
3
' STATE BAR OF WISCON FORM 2 -9982 I!�
WARRANTY DEED 6:11 e0
XATHLEEN N. WALSH
Document Number i ! REGISTER OF DEEDS
ST. CROIX Co., YI
j This Deed, made between RECEIVED FOR RECORD
RICHARD --- STOUT and jANET P. 05 -28 -2062 9t00 AN
husband and wife,
Grantor, NARW11M DEED
and J rL�4.,,� c• PARKINSON and NANOY EXEMPT #
!
+—T. TRANS 17 .7
Grantee. COPY FEE:
Grantor, for a valuable consideration, conveys and warrants to Grantee the following CERT COPY FEE:
i County. State of Wisconsin: PAGES t 1
described real estate In _ $+ C -04
I' Recording Area
CTown 22, Plat of Shadow Pines f Nalre mid RMurnAddress
o Somerset, St. Croix County,
q 0 1n.
Edi na Realty Title
400 S. 2nd St., #115
1 I Hudson, W 1 54016 � 3S�J.33S
I
1 1 032 - 2117 -90 -000
Parcel Identification Whber tprNM l
This j - g„not homestead property. I�
(is) (is not)
p i it
I'
r
I�
�I f
Exceptions to warranties: easements, restrictions, rights -of -way and covenants
of record.
Dated this day of may 211D $
` 1! (SEAL) (SEAL)
• Janet P Stout
` --:. ° s ^visa- F�— C1's- 6♦_A•H'� ----- !I '
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Wisconsin,
s :.
St. Croix County.
authenticated this day of Personally came before me this day of
MAY . 2 0.02 _ , the above named
Ri r•harr9 0 Stnrnt and Jane} P
Stntrt
TITLE: MEMBER STATE BAR OF WISCONSIN to
(If not, me known to be th "a)iq %guted the foregoing
authorized by §706.06, Wis. Scats.) Instrument and a8y"& MCONSIN
#MRNQ .
THIS INSTRUMENT WAS DRAFTED BY '
Janet P. Stout
1353 AwatukPP Tr-
Hudson, WI 54016 Nota ubllc, State of Masconsin
My orn ifsI i permanent. (If not, state explratlo date:
(Signatures may be authenticated or acknowledged. Both are not
necessary)
' Names or persons signing In any capacity mute be typed or printed below their slgnstun.
STATE BAR OF WISCONSIN w—Ain LeDW Blares Go.. Inc. WARRANTY DEED FORM No. 2 - 199S Mlweukes. 00. �.
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