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Home My WebLink About032-2146-80-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479427 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: Village X Township Parcel Tax No: City Thell, Scott Somerset, Town of 032 - 2146 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: 2 Sectionlrown /Range/Map No: 6 I� M \ G� ` 15.31.19.1279 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 30 Benchmark 1 ®� 5 ZS Alt. BM c ` 5 - 7 �.eJr 2 •�s5 /�S . Aeration u Bldg. Sewer - j l u4 Holding St/Ht Inlet . 6 a`Z TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 3 `Df _ IA- Z 4 ' Dt Bottom jnJ Dosing Header /Man. '7. JO I 1p Aeration Dist. Pipe 7. Holding Bot. System 1 O 94,3 Final rade PUMP /SIPHON INFORMATION a l Manufacturer Demand 1 and St Cover \ Z roS S? t/� "J Model Number TDH Lift Pfiction Loss System Hea TDH Ft y -;- f,sZ c i yl Forcemain Len Dia Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 (0 �— SETBACK SYSTEM TO P/L JBLDG 1 WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: j i UNIT Model Number. J1 DISTRIBUTION SYSTEM 46 1 - Header /Manifold Distribution x Hole Size x Hole Spacing ' it to Intak 1 Pi L C. �. Length Z Dia Lengt Dia \ Spacing \ l P SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over De th Over xx De th of xx Seeded /S dded xx Mulched Bed[Trench Center �' Bed/Trench Ed es To soil g p Yes [?l No Yes ]No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 2133 54th Street Som rse WI 54025 (NE 1/4 SW 1/4 15 T31 N R1 9W) Oak Haven Lot 8 Parcel No: 15.31.19.1279 �e - Gov 1.) Alt BM Description = 'IC Z_ Ca Ors 2.) Bldg sewer length = 30 - amount of cover = r Plan revision Required? -._j Yes No IZ O 3 Use other side for additional in forma ion. ______ —_ L Date Insepctor's Si ature Cert. No. SBD -6710 (R.3197) Safety and Buildings Divisio County Nvisconsin 201 W. W Mad n, `) MP Sanit Permit um r (to be filled in by Co.) Department of Commerce (608) Z.. Sanitary Permi G 4 2 State Plan I.D. N m r In accord with Comm 83.21, Wis. Adm. Code, per a t n you provide may be used for secondary purposes Privacy e�OIX COUNTY Project Address (if different than mailing address) I. Application Information - Please Print All Information Property Owner's Name ' Parcel # Lot # Block # Property Owner ailing Address Property Location G V4,_:51L� /�, $CCtIOn / S City, fate Zip Code Phone Number ��"T�� —t-- 7/ (circle 0M) f� 6 )-, I _TV&2 - T � N; R f�E or I 1Z, II. Type of Building (check all that apply) Ok ab L Subdivision Na CSU-NM%beF, W I or 2 Family Dwelling - Number of Bedrooms 1 ' ❑ Public/Commercial -Describe Us((ee� ❑ State Owned- Describe Use 7 U.OA �� S �. 23 i-Z� i1 l ❑City _ ❑Village Township of s^ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' New System p y P Y ❑ Replacement S ❑ Treatment/Holding Tank Replacement Only Other Modification to Existing System B. El Permit Renewal ❑Permit Revision El Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plutmber Owner IV. Type of POWTS System: Check all that appl J9146n - Pre In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter X Chamber p the -less Pipe ❑ Other (explain) V. Dispersal/Treat ent Area Information: Design Flow (gpd) Design Soil Application ate(gpdsf) Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation t// 91 . 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. Respyfisibility Statement- I, the undersigned, assn a responsibility for installation of the POWTS shown on the attached plans. Plum er am (P ' t) Plumber' Sig c MP /MPRS Number Business Phone Number 'Plumbers ddress (Street, City, S e, Zip Code VIII. ount /De artment Use Onl Approved ❑ 'approved Sanitary Permit Fee (includes Groundwater Date Issti d Issuing nt Signature o St _ Surcharge Fee) dp $ zq D 1 v en Reason for Denial L IX. ('onditions of Approval /Reasons for Disapproval .11 SYSTEM OWNER: 1. Septic tank, effluent finer and J t VVU dispersal cell must all be services / maintained as per management plan provided by plumber. Z. AN seback requirements must be maintained as'pllr applicable code / aidk r4ft. 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) � o `0 0 - nl Q a M M ��m y -- -- /J -- 7 m a \ 4 1 3 4 Q \ h h � � m u a � " v 4 -_ v \ vi "� L C�L___J Wisconsin Department of Commerce grepoint &WY AR ON EPORT Page ( of Division of Safety and Buildings in accordan m 5, Code ( Lu��. County Attach complete site plan on paper not less than 811s in size. Plan must include, but not limited to: vertical and horizontal refeB Parcel I.D. per cent s lope, scale or dimensions, north arrow, and tJNt pf&wst roa Please print all infor Reviewed $ Date S Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z�j Property Owner Property Location Govt. Lot 1/4 114 S /T—�'/ N R (or� Property Owner's Mailing Add ress Lot # Blo # Subd. Name or 3 1 Ste Zip Code Phone Number ❑City ❑ Village ® Town Nearest Road New Construction User Residential ! Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material �,,�,/ Flood Plain elevation if applicable ft. General comments and recommendations: Boring # r] Boring to Pit Ground surface elev. )66 9 ft. Depth to limiting factor >/0,5 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 " Eff#2 izz 44Z cr 9 .4 W Boring # F1 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 GPDlfti in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 _O 3 a q * Effluot #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L Ofluent #2 = BOD < 30 mg/L and TSS < 30 mglL CST Na P ' ) k ) Signature CST Number Address Date luation Conducted Telephone Number Property Owner Parcel ID # Page of F-1 Boring # El F1 ❑ pit Ground surface elev. R Depth to limiting factor 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 Boring Boring # E] g E] pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#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 GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30:5 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. 30D -8330 (R07/00> b ' �- � b `1\ M Yl � h � � o (2 d Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 —of 3 Dhision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. CL'OlX Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. in Please print all information. R Vle d by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Gerald J. Smith Govt. Lot NE 1/4 SW 1/4 S 15 T 31 N R 19 F W Property Owner's Mailing Address =8ia Subd. Name or CSM# 11160 190th. Ave. Oak j4aven City State Zi p Code Phone Number ❑ City ❑ Village ® Town Nearest Road Elk River, M 1 55330 ( 612 ) 441 -8888 Somerset 1 New Construction User Residential / Number of bedrooms 4 Code derived design flow rate %'fl ' ` ' GPD ❑ Replacement ❑ Public or commercial - Describe: h twas Parent material ou Flood Plain elevation if applicebl6 _;� � Tla LCL+ F `! 1 ft. General comments 1 and recommendations: x , 2001 ROIX trenches @ el. 103,40',spaced to code 3.50' belwo gr ade CotmTy j # ❑Boring Boring 1 90 Ground surface elev. 1 O1 .30 ft. Depth to limiting factor in. Pit �'' lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -14 10 3 3 non 5 2 14 -30 7.5yr4/4 none is os 3 30-901 7.5yr4/6 none ms Osq ml Borin Boring # 1 90 F Pit Ground surface elev. 02' 30 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fY in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 10yr3/3 none sl 2csbk mvfr qw 2m 2 8 -25 7.5 4/4 none sl 2csbk 3 25 -90 7 5 4 .7 " Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L ffluent #2 = BO < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address DateeEvaluation nducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 6-6 -2001 715 - 246 -6200 t, 1 Property Owner Q-rald ,T Smith Parcel ID # Pend j ng Page 2 of 3 Boring Boring g # pit Ground surface elev. 1 06' 90 ft. Depth to limiting factor 90 in. _§_o Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 -10 10 3 3 mne S1 2csbk .5 -..9 3 5 -90 7.5 4 6 none Ms Oscr ml na na .7 1.2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. - § - o 7 i — lApplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. El Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff 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 < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.6100) l • f Property Owner ,aral d T 4ni 1 Parcel ID # pendi ng Page ?_ of 3 3] Boring � Boring g Pit Ground surface elev. 1 06.90 ft. Depth to limiting factor 90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 -10 10 3 3 .5 -f .9 3 5 -90 7.5 4 6 none _ Os mi na na .7 1.2 F-1 Boring # El Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in- Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # E] Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF 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 < 30 mg1L and TSS 5 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD -8330 (86/00) STEEL'S SOIL SERVICE Gary L. Steel Gerald J. Smith 1554 200th Ave. CSTM2298 New Richmond, WI 54017 NE4 �4 , S15- T31N -R19W MPRSW -3254 town of Somerset ( 715) erset 246 -6200 lot #8 -Oak Haven This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may may not be as shown as permanent lot lines were not established at the time the test was ducted. _& 2ZI N s - 1 "= 40' m BM.= top of mid -lot survey stake @ el. 100.00' �� k alt. BM. = top of 1" pvc pipe @ el. 105.10' � Gary L. Steel. 6 -6 -2001 M - -� i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ownedBuy" : :L Mailing Address Pro portY Address (Verification required from Planning Department-for =w construction) City/State <zK,& I /tl-r- Parcel Identification Number LEGAL DESCRIPTION Property Location J S Y,, Ad y,, Sec. - e , T-gJ—N -R-- Town of nw►uSc� Subdivision —4� °� f� av ►� Lot # Certified Survey Map # _ . Volume Page # Warranty Deed # ,7 92 . Volume r age # Spec house ❑ yes no Lot lines identifiable &kyes ❑ no SYSTEM MADU 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 needcdby 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, s*wd by the owner and by a masterplumbet+J°mneynan plumber, restricted phrmber or a licemsedpumper verifying tbat (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 dm 113 full of sludge. Vwe, the undersigned have read the above requirements no agree to maintain the private sewage disposal system with the standards set forth. hemim, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of Priffie year exp i `date. S NA OF APP ICANT DATE OWNER CERTIFICATION I (we) certify that all statements this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property d 'bed above, by vi a of a warranty deed recorded in Register of Deeds Office. SIGN OF APPLICANT DATE "" Any informabonAat is min- xq= senudmaynendtinlbeaaaitwypemtit being mvokedbyshc Zoning Department. airs•• " Include with this application: a stamped warranty deed ftom the Register of Deeds office a cove of the certified survey man if reference is made in the wammty deed U 2826P O1? 7982D55 State Bar of Wisconsin Form 2 -2003 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., NI Document Number Document Name REGEIVED FOR RECORD THIS DEED, made between Todd R. Mishler ( "Grantor," whether one or more), and 06/20/2005 10:30AN Scott C. Thell and Ann Hellriegel- Thell, husband and wife, survivorship marital property ( "Grantee," whether one or more). WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee the following EXEMPT # described real estate, together with the rents, profits, fixtures and other appurtenant REC FEE: 11.00 interests, in St. Croix County, State of Wisconsin ("Property ") (if more space is needed, TRANS FEE: 214.50 please attach addendum): CCPFEE: PAGES: 1 Lot 8, Oak Haven, Town of Somerset, St. Croix County, Wisconsin Recording Area Name and Return Address Exceptions to warranties: All easements and restrictions of record. Guaranty Title Services, Inc. PO Box 126 Osceola, WI 54020 032- 2146 -80 -000 Parcel Identification Number (PIN) This is not homestead property. Dated: June �Q�� 2005 (SEAL) (SEAL) * * Todd R. Mishler (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF Wisconsin ) ) ss. authenticated on 2 Polk COUNTY ) Personally came before me on June 16, 2005 * the above -named Todd R. Mishler TITLE: MEMBER STATE BAR OF WI (If not, �`� Qv / ST to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 70 p�� ins and ackn ledggd the same. M ; 1 ,� THIS INSTRUMENT DRAFTED BY: * QVB� -� 2 � * Sheri Soderquist Louis J. Andrew, Jr. s O Notary Public, State of Wisconsin Andrew Law Offices, SC �' OF My commission (is permanent) (expires: June 17,4W (Signatures may nticatFd or aclmowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 2-2003 "Type name below signatures. INFO -PROTM Legal Farts . (B00 )655 -2021 . inlopmfomis.com Z top - rn t 0 24 rn t a, rn 0 : r1� z o o rm i i ....... ............... �.............. I i 208.78'- -- -- -- - 208.78'- - -- - TOWN ROAD ° c ; o w _ _ mmF � nm, - 212.03' _� _ ._ _ .._212.37' - -...- - mg) of y0 Ov zC);oz I ;vmoom o > I ' N O n ; m m to ..... ....... ...... �i 1 N D 77 QDt7 rn =1 rVI m An 0 0 I ZN co$S p v �cyw I Sr + >- :1 Z r z "0 - �Dof ;o z �o if -4 = 1 c z N� �y > - Z mo Lo N ^ z (1) � < 58 D ; o+ �Z 0 V 2 ' o � oz L 2 m > C1 Mm '3 / po \ D �rm 212.02' 212.36' ^ 7 1 1 a' - -� - -- POWTS OWNER'S MANUAL & MANAGEMENT PLAN_, P a9e_..Z 1 _ of Z2 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner J Septic Tank Capacity al ❑ Ni, , Permit N Septic Tank Manufacturer ❑ N DESIGN PARAMETERS Effluent Filter Manufacturer O NA Number of Bedrooms l� ❑ NA Effluent Filter Model _ ❑ NA I Number of Public Facility Units 0 NA Pump Tank Capacity Gal j2fN Estimated flow (average) gal/day Pump Tank Manufacturer Design flow (peak!, (Estimated x 1.5) g al/day Pump Manufacturer NA Soil Application Rate 7 at /da /W Pump Model NA O Standard Influent /Effluent Quality Monthly average' Pretreatment Unit Ni- d Gravel Filter ❑ Peat Filter Oil Grease / I Fats, O & FOG! 530 mg /L ❑San ( Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland 5150 m /L ❑ Disinfection C3 Other: Total Suspended ended Solids (TSS) 9 1 Pretreated Effluent Quality Monthly average Dispersal Call(s) NA ' Biochemical Oxygen Demand (BOD 530 mg /L g i n - Ground (gravity) ❑ In Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L U'd NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510' cfu /100rtl1 ❑ Drip-Lino ❑ 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 I MAINTENANCE SCHEDULE Service Event Service Frequency ❑ monthts) (Maximum 3 years) ❑ NA Inspect condition of tanks! At least once every: earls) Pump out contents of tank(s) When combined sludge and scum equals one -third (K) of tank volume ❑ NA ❑ month(s)' ` (MeAmum 3 years) ❑ NA Inspect dispersal cells) At least once every: PF year(s) Clean effluent filter At least once every: ❑ month(s) C3 N�, years) ^ ❑ month(s) O�NF. i Inspect pump, pump controls & alarm At least once every: Q ear(s) m 1 ❑ month(s) ,. , „ - 0 - NA Flush laterals and pressure test At least once every: ❑ earls) Other: ❑ month(s) ❑ NA At least once every: ❑ ear(s) Other: C) 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; POWT5 Inspector; POWTS Maintainer; Septag® Servicing Operator. Tank inspections must include a visual inspection of the tanks) 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 cells) 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 thu 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, we 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 S12 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. t3MW (a/0 i 1c:7 Page —2 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(sl 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(&) In one large dose, overloading the oell(s) and may result in 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 systern 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.codo compliant replacement system: JG1/ 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 rnusi comply with the rules in effect at that time. 0 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.-�--�- O The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area.. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Cl 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 M AINTAINER Name Name t Phone — Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone (his aocument was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 93,54(1), (2) & (3), Wisoonsin Administrative Code, ,1.-x:•1.;. Page C--Z of START UP AND OPERATION For now 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 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 ndt 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 coll(s) In one large doss, overloading the ooll(s) and may result InAhe bookup or : ourfaoe 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 ths'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 awa 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 a led,, 1. • 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.- t�-'•• -� O The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a. soil and site evaluation must be. performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ,_ .:. , 0 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. Vl�l ; 4. < < 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 INSTAL ER POWTS MAINTAINER ..:' Name Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name i Phone Phone _` c 11 Phis document was drafted In compliance with chapter Comm 83.22(2)(01)(d) &(f) and 83,64(1), (2) & (3), Wisconsin Administrative Code I I M i Cfl i I j z � i g II II 1 212' Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 - - Ui►hsion of Safety and Buiidirgs in actor vwa with Comm 85, Ms. Adm. Code Courtly St . 1piX Attack complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must Indude, but not Bruited to: vertical and horizontal reference point (9M), dcreeton and Parcel LD. percent WWe, scale or dimensions, north arrow, and location and distance to nearest rued. perklim please print all information. Rdq by Date pmonal w merien you pruvido maybe used for socentlary pmmus (Pri - Law. s.16 -w (1) (m)). Pmpadyowner Property Location Gerald J. Smith Govt, Lot NE 1/4 SW 1/4 S 15 T 31 N R 19 %(od W Property Ownews Maft Address Lot # Block # SuW. Name or CSW 11160 190th. Ave. 8 City state Zip Code Phone o CKY OV1111age WTMn Neat Road Elk River, VIN 1 55330 1 ( 61 2 ) 441 -8888 Somerset Auva Now cawbucrion w e-M Redder" / Number of bedroom 4 code derlved design flaw rate • ' - GP ■ Repiecenrent ❑ Pubic or uonnrrterdal - Desaba• Parent tttaterlat outwash Flood Plain elevation 9 _ -- -.f n CER =f ! L General Convents �! t and reconNt erndations: Curt Four 6�fw u $1 d *SZ, �IF.t,! = vf' 0 8 7Q0� A4 B 3 - oyskw, oe v -4� �► �a x'w ST (;� , trenches @ el.. 10 spaced to code 3.5 belwe gr ade any aorliry # � l_...'_J C� Pit d surfaceelev. 101.30 �, to " 90 �, j ion Rate Horizon Dept, oorninant Wor Redox DesC"on Texture Savcture consistence Boundary Roots GPDW In. Munsell Qu. Sz. ConL color Gr. Sz. SN 'Eff#1 'Etf#2 1 0 -14 10vr3 2 14 -30 7.5 4/4 none is 3 30 -90 7.5yr4/6 Wane ms cog m1 a eori„y # � Boring ,✓' 91 pit Ground sarcoma wev. 102 .3 0 R Depth to Imibrig factor 90 + Application Rate Soll Horizon 1 Depth Dominant Cokx Redox Description Texture Shmhua Consistence Boundary Roots GPDW in. Munsd Qu. Sz. Conk Color Gr. Sm SK 'Nf#1 'Eff #2 1 0 -8 10yr3/3 none 61 2csbk Mvfr qw 2m 2 -25 7.5 4 4 none s1 •_ 3 5 -90 7 .7 ' Mient 91 = BOD > 30 < 220 nVL and M; 150 mglL rt #2 = 2% 30 mglL and M;5 lL 30 mg CST Name (Please P" Signakexe . CST Number Gar L. Steel 02298 Address net veluaeon Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 6 - ; =2001 715 -246 -6200 1 r - ' Property Owner Cara 1 a ? Smith Parcel ID ff pemd i n J POGO ._.7 of 3 Boring 0 ° " plt Ground surface elev. 1 06.90 it. NO b Nag feria 90 in. Soe oh Rate Horizon Depth Dominant Color Radon Desa"on 'Texture Structure Consistence Boundary Rods GPDIft' in. Munwil QU. Sx. Cont Color • Gr. Sz. Sh. "Eff#i 'E02 1 —10 t 3 3 W. _ ✓ 3 —90 7.5 4 6 room M1 net na .7 1.2 ❑ Pit Gland surface etev. ft Depth to fads In. Sol &2kaft P.Ae Horizon Depth DadnaM Color Redox De="on Texture S6tr*" Corwlstema 9ounde y Roots GPM h Munsell Qu. Sz. Coat. Color or. Sz. Sh. 'Eff#i 'Efftr2 fa F Bor ❑ pit Ground srxfacs v' Depth b Nmtlnfactor in. Sol Appliesdon, Rafe Hwfzon Oeplh Dominant Color Redox Description Terdure Stuchxe CoraMunce Boundary Roots GPEW In. Murad Qu. 3z. Coht. Color Or. Sz. Sh. 1 `Eif#2 EMuant #i = BOD > SO < 220 rrdL and TSS >30 S M mgk " EtNued 92 BOD 5 30 mgll. and TSS :5 30 hV L. The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264-8777. sewnor�sroo► STEEL'S SOIL SERVICE Gary L'. Steel 1554 200th Ave. CSTM2298 Gerald J. Smith New Richmond, WI '54017 Miw'S4 S1 5 N 9W MPRSW -3254 fawn of Somerset (715) 246 -6200 lot. #8-Oak Haven ibis soil evaluation etas conducted to satisfy a zoning requiremnt, it shay or may not be suitable for your use. The location of the test may or may not be as dhcAm as permanent lot lines were not established at the time the test vas cor,ductW. � '1 — 0 2 0 1 y � n I�aF N �f�. et 5 — 1 " =40' •� 13M. tap of mid - lot survey stake 6 e].. 100.00' alt. BM.= top of 1" pvc pipe @ el. 105.10' IA . Gary L. Steel.. Parcel #: 032- 2146 -80 -000 08/29/2005 11:32 AM PAGE 1 OF 1 Alt. Parcel #: 15.31.19.1279 032 - TOWN OF SOMERSET Current X • ' t ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co SCOTT C & ANN HELLRIEGEL THELL O - THELL, SCOTT C & ANN HELLRIEGEL 684 207TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 2133 54TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.100 Plat: 2232 -OAK HAVEN 032/01 SEC 15 T31 N RI 9W NE SW LOT 8 OAK HAVEN Block/Condo Bldg: LOT 8 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 15- 31N -19W NE SW Notes: Parcel History: Date Doc # Vol /Page Type 06/20/2005 798055 2826/17 WD 03/23/2004 757308 2531/476 QC 03/23/2004 757307 2531/475 QC 05/06/2003 720205 2230/457 �11I D m re... 2005 SUMMARY Bill M Fair Market value: Assessed with: 0 Valuations Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.100 48,500 0 48,500 NO Totals for 2005: General Property 3.100 48,500 0 48,500 Woodland 0.000 0 0 Totals for 2004: General Property 3.100 48,500 0 48,500 Woodland 0.000 0 0 Lottery Credit Claim Count 0 Certification Date: Batch # Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00