HomeMy WebLinkAbout430127 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division -
INSPECTION REPORT Sanitary Permit No:
430127 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:
Boche, Bob I Stanton Township 0 D / a-
CST BM Elev: Insp. BM Elev: IBM Description: Section/Town /Range /Map No:
00 '0 100 t� [3� .5U44'<'_
05.31.17.
TANK INFORMATION ELItOATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark y J
ov. W
�f /ov,a
Dosing Alt. BM _ _ j I j
TI� YYt
Aeration Bldg. Sewer
_-S'ca Y old 3 �>5d
Holding St/Ht Inlet
TANK SETB K St/Ht Outlet INFORMATION S.3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inl
Septic \ W / Dt tt m
Dosing Bader Man (7 -3 - �y
a
Aeration Dist. Pipe
v g,�
Holding Bot. Syst
14
PUMP /SIPHON INFORMATION Final Grade � ld Z
Manufacturer Demand St Cover
/�Z, /
Model Numbe
TDH Lift Fricti System Head Ft
Forcemain ngth Dia. Dist. to Well
SOIL ABSORPTION SYSTEM ( Q
BED /TRENCH Width 7 Length / No. Of Trenches PIT DIMENSIONS No. s Inside Dia. T id Depth
DIMENSIONS / 1
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM j LEACHING M acturpr�
INFORMATION CHAMBER OR t' y'Y�TO ti
Typ Of System: t ` �� UNIT Model Number:
DISTRIBUTI SYSTEM 3 }� -<Iu___t_
Head Manifold Distribution r _ Ls x Hole Size x Hole Spacing Vent t it Intake
Length � Dia Length r Dia Spacing ('
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only 3 F C7►
Depth Over epth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center V/�' Bed/Trench Edges Topsoil ! .'1 No
L Yes No Yes
COMMENTS: (Inc a code discrepencies, persons present, etc.) Inspection #1: /,2—/ Inspection #2: /_ /
Location: 2325 150th St Star Prairie, WI 54026 (NW 1/4 SW 1/4 5 T31N R17W) 40 acres Lot ��C Parcel No: 05.31.17. 7 l
1.) Alt BM Description =� /SST �taiY� 6�/t. � Wry KaA ¢S //
2.) Bldg sewer length = D GI r_ , /
24 - amount of cover = > ✓vC� �Gt(�/Z� �ih w
3
Plan revision Required? Yes / (� ^2 FJ_
Use other side for additional information. 2v 6
- - - - -- - - -- - C % �'t-P .-�
SBD -6710 (R.3/97) r Date Insepctor's Signatur Cert. No.
1 -
Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave.
` See reverse side for instructions for completing this application PO Box 7302
`�SCO/1S Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302
Department of Commerce (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 the system, on paper not les than 8 -1/2 x 11 inches in size.
County State S itary Permit Number ❑ Check if revision to previous application State Plan I. D. Number
I. Application Information - Please Print all Information " Location: Z ST
Prop ner Name Property Location
1 /4,S 117 ( QdV
- 4
Pro Er s Mailing Address ; J i Q i Lot Number Block Number
t
Ci State s A � Zip Code s Phone Number- Name or CSM Num ,
C.41,)
II. Type of Building: (check one) 3 d f ❑ City
JV 1 or 2 Family Dwelling - No. of Bedroo ms: lj/!
❑ •✓ ❑ illage
Public /Commercial (describe use):_
Town of
❑ State -Owned
(h Nearest Road
Parcel Tax Number(s)
III. Type of Permit: (Check only one box on lin A. Check box online B if applicable)
A) 1. FFNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to
System System Tank Only Existing System
B) Permit Number Date Issued
❑ A Sanitary Permit was previously issued
IV Type of POWT System: (Check all that apply)
4re — s on- res - 4n -grom� 11 Mound ❑ Sand Filter ❑ Constructed Wetland
s urized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade ❑Aerobic r atment nit Recirc ating ❑ Other:
V. Dispersal/Treatment Area Information:
L Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final
Required Proposed 0 ,b' Rate (Gals. /day /sq. ft.) (Min. /inch) T G , 1��k. levation �h
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 ✓
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑
VIII. Responsibility Statement
I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
C7, Plum Name (print) // Plumber's ture (nos s):
MP/MP No. Business Phone Number
Plumb s Address (Street, City, State, Zip Code) y�
IX. County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued suing A t Signature tamps)
Approved ❑ Owner Given Initial Adverse Surcharge yee) a / b 3
Determination a ` 1 �
X. C� di /� Ap royal /Reasons f�r� is� oval:
All
SBD -6398 (R 07/00) 1
I _
PLOT PLAN
PROJECT Bob,Boche Jr. ADDRESS 1550 `0 Co. Rd H StarPrairie Wi. 54026
NW 1 SW 1 14s 5 /T 31 N/R 17 W TOWN Stanton COUNTY ST. CROIX
6 -23 -03 BEDROOM 4
MPRS Byron Bird Jr. 2205 DATE
CONVENTIONAL XXX t -Grade CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1260 gal LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE 0 LOAD RATE .7 ABSORPTION AREA 857 # of chambers 28
hL BENCHMARK V.R.P. top of 1/2 steel pipe ASSUME ELEVATION 100'
❑ BOREHOLE O WELL *H.R.P. same as BM
f L Vent SYSTEM ELEVATION 12" dard Leaching Cove mber with 31.1
per chamber �r o�— 9S �j Ox- 5o Long 34 Elevation
320' 235th ave
Y Garag
way 7 71 '� Hou
v
1501 st B3 , 1 O bpi
120' 1341 G 7. � BM fob -o
�-
60'
B2
Sj i ao - 0
ei
i
PLOT PLAN
PROJECT Bob Boche Jr. ADDRESS 1550 Go. Rd H StarPrairie Wi. 54026
NW 1/4 SW 1 /4S 5 /T 31 N/R 17 W TOWN Stanton COUNTY ST. CROIX
6 -23 -03 4
BEDROOM
MPRS Byron Bird Jr 22,05 - DATE
CONVENTIONAL XXX t - Grade CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1260 gal LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE 0 LOAD RATE .7 ABSORPTION AREA 657 # of chamber 26
kk BENCHMARK V.R.P. top of 1/2" Steel pipe ASSUME ELEVATION 100'
❑ BOREHOLE ( DWELL *H.R.p. Same aS BM
AIT" nt SYSTEM ELEVATION,
Standard Leaching Chamber with 31.1
ft ^2 per chamber de at sygem
Long 34 Elevation
320' 235th ave
Garage
660'
4 bed
way House
15'
st �g
1501: st B3 A 1 4 �� O ob pipe
k75 4vt nA kv
50' qGj ,
120' 84' G `7.q BM
B2
609 B1
f
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page —L
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County
Attach complete site plan on paper not less than 81 /2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and parcel 1.13
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. — p� — oZ 0 V V 0
Please print all information. Re ewes by Date
Personal information you provide may be used for se ndary (1) (m)). k 2-6016
Property Owner Pro Location
Bp q Govt. of 4 ) w 1/4 5w 1/4 S S T 31 N R I 'y E (or)
Property Owner's Mailin dress qj Lot # Block # Subd. Name or CSI#
5a D &qao
City State Zip e e N NG OFFICI ❑ ity cc ❑ Village ® Town Nearest Road cc'�
Ko U ( 71-6 L1 - do v vt 5 � L7T.
[� New Construction Use: Q Residential / Number of bedrooms �_ Code derived design flow rate C70 GPD
❑ Replacement 5k 6 ❑ Public or commercial - Describe:
Parent material A a--r— i A , a's \ Otx 5 Flood Plain elevation if applicable ft.
General erall comments �, s ' & K A. a - s L , A 5
+ T, l (96 .08' - r'; 4/ C q y. 75 /) WA So�'� S +
5 ?� r' . ? A f 95, v3' 15;4e— o� , T, 5 (9 V. 3 r '� / st rb b
Tr 7
r�
M Boring # Boring 4v-e,,
® pit Ground surface elev. q 9. 93 ft. Depth to limiting factor 00 in. Soil Appication 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
G- lu _ L r aF S r
SL 2Psbk mT� IF o5 ill
3 I - yJ L .J1 bk .err c� Iv r- . ( v
av 3q 5 4 s6 k MvFv Ls-o i uF I a
YQq/ L ,
5 3
Boring # Boring LJ
Pit Ground surface elev. 71 ! .. ft. Depth to limiting factor I b0 in.
Soil 'ca!*Eff#2 n Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1
I - o r 3 l — SL a F 6 K., M as a
Effluent #1 = SOD > 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 , /
✓VN v f, 7
Ad dress Date Evaluation Conducted Telephone Number
O ✓ ���. 2
4 1
uz
-off -
i
� b
Property Owner (�oGh '1 V Parcel ID # Page of
F s� Boring # ❑ Boring
pit Ground surface elev. ft. Depth to limiting factor q 5 in.
Sal 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
C) IU yg 3 L- cQF 1"Lr GS
3-- 5 Y y c- L C M y 4 I v
P2 :3o v --- L-S able. My R I ,
Boring # ❑ Boring
Pit Ground surface elev., ft. Depth to limiting factor in. Sal 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 0 - V-: ---- L aP6 2 m Tr ck s c 9 17 -
v
10 -S L --
❑ Ong d ' ,r'7 � nX - 3
a pit Bonng # Ground surface elev. ft. Depth to lim' n factor in.
Sal 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 1150 mg/L - Effluent #2 = BOD, 5 30 mg/L and TSS < 30 nvyL
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- 2648777.
SBD -8330 (R.07 /00)
dab + - Soyce
w' �, Ste / S 151 �2 � 7
N 1, f y� c.� 5� ma h A
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STANTON PLAT T -31 —N • R -1
al
See Pa . _g e 112 For Additiona
(Landowners)
POLK CO. 1 _ _
OWN RD 0 ax crala Law- James & 00
o 00 I Erna o0 county ' cros Johnson Mary
Ausen B a Jacobson ' Forea 44 44 o
i
Farms Inc 4 ° Wham
Dunbar t
C
o ,
85 Ada 8 236 80
40 155 Mkhad D H Witham 2 � & � V as 00
g 235th AVE
A r(y� R bert & ' "'
Manske o C J Is , Hammes Anderson co t _� Lolamae 40 I Fouks
40 Jo lee I `" ; 40 Margot c 118 ' Lawrence o b
tool ames & , Hammes ' 160 ', 3
he Jr ,� o Y qW ~' Croes
all & 1 L N �
Joan 158 Gea - KB
W� Morten- 279 f., h T rust lo� 70 H
tlnik ' G 120
10 3O° 4 H as K o 4 American Gary & '
Theodore Howard & Nancy warren M 70 ^ ° r Materials Arlene
& Sue Margaret INaser Irie 80 c ^ Corp Halleen I 40 40
40 ' °g v
Irle go Krueger 80 Douglas °g ° 4 110 Gary. Daniel Gal
&Jean Donald *� o °o ' o. �;,' I Char
Hansen 15 Dubois o Ha0een , 40 Cr
'� ZAU Ir+ 120
80 Elmer 160 _ IAMON 1 a r ° 1 Steven 2
Dittman
OA RIDGE KE 20 ^ •e o ^ ty Hall 89 '
8 LA' E ° b 9 Brent60 . 1 _ 8' State Richard & ' ,a A ~A Gary.
Suv�rne i 5 T &c Kei]
Volkert Derrick 120 w 3 e s s 3 a V x' 77 x aueen R 7
��
158 80 158 1
c g" Robert & N AVE h o0 0o y sKannem Duai
2
E &Karen amerson y IGwson Marl-
Farm 66
Steve T am ara
Frank a 70 Er Cr aig I 'L T H 39 I Alfred Knoll
Crisdh BOM GAG& 118 David & °°° �+ °
Deena ;; ! o Larson
204 Halleen SIV Peper 82 1551 0 E+ 120
169 8 fr Todd U.& w•wg 39 Willis I Leo &
'
'aye luue 36 Brabec g Savadge Merlin & Margot
so Bishop Richard & u „ '°° 79 Kevin Joan Hammes 120 Ho ward &
Robert a, 0 67 r Steven Jarchow I Frank Gary & Johnston
., m Robert & Arlene
Derrick A i p � � xoogheem Tamara 160 239 Halleen 801210th AVE
is 70 152 206 �.rez 92 Frank 80 s n eg Robert Ni
�, 2 4 0 4 oavae �.°, 0 10 r � 10 I &Tncy
1 Viola 4 a2 o Gary & ° o $ Steven , auiso 40 40 a 2
x & Kunze a Arlene b b
le 79 Walter & r ^ I �' Gordon _ Halleen 1:2
' Halleen I w w
Rita rson Ral h x Garrison A 3S w '11 1
&Doris Anderson A € `1 156 3 150
155 2
161 Settle 77 m 154 0 75' 21 Raymond
o eg r Crisdhome w �` David Richard &Kenneth
R
& Allan Farm Inc I Fuller Gayle 120 William & Janet I Gleason
itz Vehrs 05 az M ' , A 184 40 Wicken- OShea Krampert
' Frank & hauser Stott &
> ►� I Grace McNamara 160 Bonnie 801 160 160 I 240 rt
iday I Gary n on ry x 140 Johnston
208 116 1a 60 Trust , 200th AVE 3 Christian &
mw Kcx zo oo 13 ~ Loretta
- Mi a Geraa K I Thomas & Bethke
1 n� s S �on2 1 L 4 Neal lee p "'� sy e«e ^ 40 40 40 Richard Pamela e
Simon ss Melby Darren r; o Krampe McNamara rn 4
ea 4p I 160 ��
& 120 & Lisa x ; 160
al
,ce 57 2 Steven
=may-do A &Mary /
000 Steven & i 1 i Gottfried ' 40 Bethke N & � 80
N Am +d A & Emma ,�
166 o g N N C N N A I y Krumm Q� Lamers , Ros m >< K Mac io 18 c
Dalton 118 tr "
80 W 270 4o m 64 316 Trust 157 a e
2 tr
a0 s O
Genevieve Richard , „ , s " 0 F James &
Francois Pederson Gary & . U) Arliss
n David & 80 Richar & 4 C s 3 C °�' l James 8
60 60 k 43 , V Robe ad ,g m Trust Clea
Waldroff D� ,� ;a � Dalton
166 I 146 A 80 154
_ 3 s' Calvin &
Debra .6 �� � Gary. c � Dalton ' 1 � .� I Poowers Jr
Frey „ s Steven' & 242 3 s W &J so
so c s Traiser / I_ Charles
e O � � x I 237 Halleen G” � t7 ; Polf s PON 1401 7 1 tr 54 4 3 K �� 152 3 8 -i
1_AVE .» r�sarr, osd^c AA ERI PRAIR PAGE 52
. ST CROIX COUN'T'Y
SEPTIC TANK MAINTENANCE AGREEMENT
AND
/ OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address
Property Address's S~ /`���
(Verification required from Planning Department for new construction)
City/State Parcel Identification Number
LEGAL DESCRIPTION
properly ' ' /., Sec. � ,? , T�N R, zw, Town of fe
Location /.,
Subdivision . Lot #
Certified Survey Map # 4/11 a n ¢5 , Volume . .Page #
Warranty Deed # 7��y� , Volume / 30 . Page #
Spec house ❑ yes ;2� no Lot lines identifiable $-yes ❑ no
SYSTEM CE
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 wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
e undersigned have read the above requirements and a to maintain the private sewage disposal system with the standards
�� � gn requuc 1�
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State
of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of dw, three year expiration date.
SIGNATURE OrOPLICANT 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 grope des abo , 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
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page / of C/
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner r Septic Tank Capacity f -Aep a l ❑ NA
Permit # I VA) - Septic Tank Manufacturer ,Gc! A ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units 5'-NA Pump Tank Capacity a l ❑ NA
Estimated flow (average) al /day Pump Tank Manufacturer ❑ NA
Design flow (peak), (Estimated x 1.5) �p g al/day Pump Manufacturer ❑ NA
Soil Application Rat g al/day /ft2 Pump Model ❑ NA
tandard Influent/Effluent Quality Monthly average" Pretreatment Unit MIA
Fats, Oil & Greas OG) 530 mg /L [3 Sand /Gravel Filter 13 Peat Filter
Biochemica xygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Othe
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD 530 mg /L Xln- Ground (gravity) ❑ In- Ground (pressurized)
Total Suspended Solids (TSS) 530 mg /L NA ❑ At -Grade 13 Mound
Fecal Coliform ( geometr ic mean) 510° cfu /10Om1 ❑ 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
y ear(s)
Pump out contents of tank(s) When combined sludge and scum equals one -third IY of tank volume NA
Inspect dispersal cell(s) At least once every: p mon 1ls) (Maximum 3 ye nt) ❑ NA
Clean effluent filter At least once every: ❑,•m ❑ yeaarr((ss ) ) 1 ❑ NA
❑ month(s) ❑ NA
Inspect pump, pump controls & alarm At least once every: ❑ year(s)
Flush laterals and pressure test At least once every: p year(s) month(s) ❑ NA
(3 month(s) Other: At least once every: ❑ year(s) ❑ NA
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.
GMW (4/01)
Page of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products tfr 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, 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
(1-i ` 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
S f &I-**' 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 a failed PO S.
e site hbs o been a al ted to ' an fy a su' ble eplacem t a a. on ilure th PO soil and site
luation m st a pe rm to to to a itab replac ant rea. I n eplace en area i dable a ing tank
' may be int it led a a st resort replace th iled POWT .
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 Phone 3g U
SEPTAGE SERVICING OPERATOR (PU PER) LOCAL REGULATORY AUTHORITY
Name Name
Phone Phone
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.540►, (2) & (3), Wisconsin Administrative Code.
�'752G VOL .306 MCE 495
QUIT CLAIM DEED -
k
REGIS��t}FFICE
ROBERT H. SOCHE quit - claims to ROBERT H. BOCHE AND JOYCE E. 5T. C IX Co., W I
SOCHE, HUSBAND AND WIFE, AS SURVIVORSHIP MARITAL a ""'d for Maerd
PROPERTY the following described real estate in ST. CROIX County MAR 1 $ 1998
State of Wisconsin:
9:30 A r
Re efe. of Oe�ds
t
RecordkV Area
Name and Return Address
(
ROBERT K BOCHE
16E3 COUNTY ROAD H
STAR PRAIRIE, WI 5102.E
00-1012,20
(Parcel Identification Number)
THE NORTHWEST QUARTER OF SOUTHWEST QUARTER (NW 1/4 SW 114) SECTION 5 TOWNSHIP 31
NORTH, RANGE 17 WEST.
This IS NOT homestead property. Dated this day of MARCH, 1998.
'ROBERT H. BOCHE
t
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) ROBERT H. SOCHE STATE OF
COUNTY
Personally came before me this day of the above
named to me known to be the person(*) who executed the
a enticated this /day of MARCH. 1988 foregoing instrument and acknowledge the same.
Signature t ps prints nawne
type or print name
Notary Public County,
TITLE: MEMBER STATE BAR OF WISCONSIN My commission is permanent (N not state expiration date:
(H not . 19 .)
authorized by § 706.06, Wis. Stats.)
*Names of persons signing in any cap k*. should be typed or
THIS INSTRUMENT WAS DRAFTED BY printed mow their signstures'
DANIEL M. BYRNES LAW OFFICE
314 KELLER AVE. NORTH, AMERY, WI 34001
s
kdornuMm ProMsmnars Company Fond du Lae. W swamis e06E66 2021
i
STANTON PLAT T -31 -N • R -17 -W
E'
(Landowners)
See Page 112 for Additional Names.
PoLK Co.
TOWN RD 1 _ 1 _ _ 7700 — 1 — _ — _ 2 000
u w E rna d• St ee ae
STAR Ausen acobson °° C.
PRAIRI Farms Inc I 4 44 4
-T CC { William r
85 a 236 I `� A so
40 155 85
�sara.d g 235th AVE o William s aAA"a 24,
p ® Robert & i ` O1 o & � J o Hammes c, �� e
oyee 1 .o �o "s �
n -oo A -s, Jr - r o rra Hammes 118 , Lawrrncc
sa..w
RR. 1-a 1$8 laK m n Croy 160 .S3
WG
N , - I 4r 279 ,., ,, s+ 4o sm�a ' 70 of 120' H ma H uK o &
Theodore Howard & Nancy arses w so �. 4 American G � I m
W
Ir Sue Margaret Naser is , Materials Arlene
Isle L
Irk $ e n Corp Halleen 40 40 I
80 Krueger 80 $ u ' 40 40 n'ti o y - 110 a-�'im-a � �� Gerald &
Hansen Donald y�y� g o 1 g o, .m I if " Charlotte
Elmer 15 Dubois 3 ZOV I� 120 w Croy q
80 L Dittman 160 - IAMON 1 �: 1 Stev , 1
ao OA RIDGE EKE 20 I 5
00 I � dQ 'd O y
of 160 �' State o j, p Gary. 89 ' 441
y Bren - - - - � _ _ # 1 Richard & C^ J;. �� & DenaM -
p s� tl 54.m 75 t tc
2 ]58 80 Volkat 158 Derrick 120 77 3 rs a�3 A= 77 F-�S FlaOem K 7 Kellen 69
2 Robert & N h
, AE ao ao 1 a Ke Dualne &
R E &Karen a Steven Taman 39 I%'°'°° - Marlys
Lowell Crisdhome Bohl 66 Halleen p Frank 70 Craig ' L , T Knopp
65 o Farm Inc A �& 118 S D E g E I �
204 y Halleen ro Peper 82 155 O� �� 120 f
169 190
tr o load a as Willis I Leo & io
&C — )utle 36 Erb. - g Savadge Merlin & Margot v m
, 1a--- m aO P Richard a& 1 79 Kevin loan Hammes 120 Howard &
u Robert o 67 Jarchow Gary I Frank e
a �.^ Derrick as r. 5 r Robert & Arlene T
owl & Johnston
Taman
gu > io 70 y 152 206 vz frank 80 160 239 Halleen 80 210th AVE 256 Z
N gi q Viola 4 2 4 e 4 n „° NP 3 - - Rearrt O 3 a
anice &
7 Kunze 79 Walter & � I Vie -a S I Steven 40 I �.
n &C
Ritz Gordon r Halleen Halleen H I o
Ralph arolyn a
& Doris � d � OII � '^� Garrison � 155 4- 156 150
1 161 Selte 77 m 154 7q o 21 p a Rayymmond 2
Ro��r Crlsdhome c w ao & K zezmeth I ^
&Allan Farm In I Fuller Gayle WBBam Richard Gleason
Fritz Vebrs ` 4d �. 184 40 Wicker- 120 ' & Lori & Janet @ 'L
_ 60 hauser Scott & OShea Knmpert a
I Friday / Shannon Ii cP n« Bonaile
208 116 5oed
- x 7tus 140 160 Johnston 8O 160 ]60 i 240 "- ss u4tx
ss 40
ss 4 R o. K aaa m jl1 g; .200th AVE 3 Christian &ter Loretta
I �� 1 0- ss s 4 M Neal
C 11t 40 40I an Pamela Richar & t Bethke 246
�- — -
Darren o Kram McNamara -
& Lisa ° 40 ` 160 = ^ w
Neal ' & 120 V �97 uas 160E �e$
a S n 2 Steven
[ :!y ! ro Steven & Gottfried 40 Bethke 80
166 C Amy & Emma 1 _ su ra 1Ka1 -
lamss t Krumm J — Lamer - Gillis smart' m K a"� S-
�� _ X1 - " 8 @�
O 80 s � 270 0 �o m 316 Trust 157 (. 118 ° ' 4' o
o 4z
Richard
2 r " chael
Genevieve
N Francois Pederso� cy 9 u David & 80 Richer 14 & m L Miss & &Mark
t � ar7 `i- Dalton 88 N
iot 43 ulle Ro o 3 Cody
8 7 aldroff _ Derri 'dam m Trust p Pd Clea 150 a
CH C♦L�i 366 6 f0 so 154 D - 185th AVE
James & 3 s Calvin & cG'h —eryt
a
Q Debra 4i Ga. ° L Clea
Frey lil Arle ne, & 2 Dalton so Powers Ke
3 ' 1 I 120 io
s 6 Steven 242 3 0` T r amen &
A 0�IM Halleen GODS ^ irises Charles carol
r 237 '� P �-'� (7 Polfus
7 1 tr 54 8 4 3 _ 2� — 152 3 _s 20 401
181st AVE RICHMOND PAGE 48 K ERIN PRAIRIE PAGE 52
BUTLER PLUMBING, INC S KOG LU N D
New Construction • Remodeling 1, OIL COMPANY, INC.
00 ` � DEALERS IN:
/- �JIo Bulk Farm Delivery of Gas • Fuel Oil • Diesel
Gary Butler (p �� g g1 - 80th Avenue Fuel & Heating Oil
Owner Roberts, WI 54023
WI Lic. # MP 6081 Phone: (715) 749 -3311 NEW RICHMOND: 246 - 4767
MN Lic. # 4094 PM Fax: (715) 749 -3447 Toll Free: 1- 888 - 756 -4586
68
LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02
REAL ESTATE TOWN OF STANTON
COMPUTER NUMBER 036- 1012 -20 -000 Parcel Number 5.31.17.74
OWNER NAME: First ROBERT H & JOYCE E Last BOCHE
PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment
SECTION 5 TOWN 31 N RANGE 17W '/4160 1 /440
Line Description Line Description
TOTAL ACREAGE 40.000 PLAT LOT BLK
01 SEC 5 T31 N R1 7W 40A NW SW 15
02 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, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit