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HomeMy WebLinkAbout038-1209-90-000 3 3� 1!3 Wisconsin Deportment of Commerce PRIVATE SEWAGE SYSTEM County: St. rOIX Safety and Buik',ing Division INSPECTION REPORT Sanitary Permit No: 430069 6 GENERA INFORMATION (ATTACH TO PERMIT) State Plan ID No: Pe! zonal inforrhation 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: Oeverin , Ken Star Prairie Township 038 - 1209 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: S-Ek b Section/Town/Range/Map No: L o 1 0 C7 (d a &_ I. - c -I t.c. e 0 - S r") ve 13.31.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic W &44 - , Benchmark a 5a I W- (O d Dosing Alt. BM Aeration Bldg. Sewer Holding W W _ Inlet TANK SETBACK INFORMATION S Dutlet g•3q 4 V TANK TO P/L WELL BLDG. FVentto t ake ROAD Dt Inlet Septic C) /� �/ Dt Bottom Dosing Header /Man. �•'ti�`1 �'� -ate Aeration Dist. Pipe Holding Bot. System 4•*i Final Grade 4 9r 1 PUMP /SIPHON INFORMATION 4. B'. Manufacturer Demand St Cover ' /1 GPM 3. ��•`�d Model Num r TDH Lift Friction Loss ead T Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width T ength No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 � �,,. SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM ACHINqj ACHING Manufacturer: h INFORMATION Type Of System: OR N4 3 I% �q/ �� ` 1/� C UNIT Model NurS DISTRIBUTION SYSTEM ` /V Header /Manifold Distribution x Hole Size Ix Hole Spacing Vent to Air Intake it Pipe(s) Length 0 Dia_ Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Sys s Only Depth Over Depth Over I xx Depth of eeded /Sodded xx Mulched Bed/Trench Center Bed/Trenc l ,>> Yes No � COMMENTS: (Include code discrepencies, persons present, etc.) Inspectioi #1:_ D Inspection #2: Location: 1342 212th Ave Star Prairie, WI 5402 (NE 1/4 SW 1/4 13 T31 N R18WY II Lot 47 Parcel o: 13.31.18. 1.) Alt BM Description = b.e. `t✓ILk.�,,,,,,,� `(� Is N�I( �' 2.) Bldg sewer length= I ak f J -amount of cover= - f yg a 1 ) W-3 4 insepc Plan revision Required? Yes No Use other side for additional information. SBD -6710 (R.3/97) Date or's Signat Cart. No. 03 06:29p FOGERTY PLUMBING 17156355206 p.5 Fogerty Plumbing #221180 28288 McKenzie Rd. _ f 15) 35__,O i t d-3 U s /' `J � 3 ..� N �'�'. �AI`r0� �S ,Ora?r '`�y 7 . r� �p / e :If 7�IV7 S su*G6 J ~ > y , i.v.► -r d'►fT .lam rrresm rx ss ".O 300 es E. Rusch, RLS #1376 �`� Adjustment. Aegistered Wisconsin Land Surveyor M= Dated this 26th day of February 2001 f mom Revised this 3 i st day of May, 2001 Hudson O t o sua� 2 1 31 30 29 N O RT H AT ! Volume 7, Pt ts; Page 46 1 I N89 °07'26 "'J .11.00 2139.00' 190.00' - • 181.00' , : 28.00' 160.00' 78.00' 111.00' 225.00' 209.00' 6` 238.00' Clu 48 CU 47 54,562 sq. ft. 3 51,684 sq. ft. c 4 6 U W 1.253 ac. 1.187 ac. W M 60,300 sq. ft. r1 _ c � 1.384 ac. ruu oo r OD / v M 0 0 / ° ; E• z z ° --38.44' � . — -- - — — — — — 231.56' 00 � s � � N 8 51 00 W — . © s w - -- 207.47 = -- •44 �/ .a v 18 S88 270.00' t9 2 N7�A�,o., � , — — - 63.95' — — — 180.00' — — ,: — J A VE. ~26.05 15 16 ,0000 C'U ° o n U 12 7.01' 15 M L M th OD OBI w M / W W I (U S • 6 S :' ;r W W 66 W tt st 62,441 ft. CCU 6 4 ;U I 'C �1 N 64,744 sq. R. ° f4,744 sq. ft. ° u� 'C 1.433 ac.. v 1.723 ac. z z I °C S 88'50'52' E :U 1.486 ac. of 35. 00' ° z z 1;� S 88 E 1927. . r 33 ' I ! a ^ ^, ^^ 15' utility easement Safety and Buildings Division City ?01 W. Washiagton Ave., P.O. Box 7162 = r N vIrs"nsin Madison, Wl 53707 - 7162 Permit Nor (to be rued i by Co.) Dep artment of Co mmerce (608) 266 -3151 / J o0 0 Sanitary Permit Application Di 7* In accord warp Comm 83.21. wis. Alba. Code. personal may be used for secondary purposes Privacy , sl5ix' °'- D i Address cif different dean ma�liug address) I. Application Information - Please Print All Iatormation - 1 j . 200 Property-Ownees Na me Parcel y Block P Property Owner's M ailing Address Property Location Elk JU,C Dc. Stu Ii.Stxopo /3 city. State zip Code Phone Number (Circle ) 6/ S G T .� / N; R, /[ E O °., H. Type of (check all that apply) f � Kr1 or 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name CSM Number ❑ Public/Commercial - Describe Use A 71 ETC ��- ❑ State Owned - Describe Use _ - ❑City ❑Vi[Lw Wownship of M. Type of Permit: ((aleck only one box on rise A. Complete line B if applicable) ` A. stew System ❑ Rqiacemea System ❑ Treatmeru/Hol bW Tads Rgbmment Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Pamir Revision ❑ Change of ❑ Permit Transfer a New Last PrevaotLS Permit Number and Dace Issued Before Expiration Phrober owner IV. Typet of POWTS System: (Check all that ) &'Non Pressurized In-Ground ❑ Mamd > 24 in. of suitable soil ❑ Mound < 24 in. of suitable sail ❑ At -Grade ❑ SaWt Pass Sand Filter ❑ Constructed wetland ❑ Pressurized In-Ground ❑ VAldmg Tank ❑ Par Fiber ❑ Aerobic: heat au Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ing ❑ Drip Lmc ❑ Givroc - less AOd. (cxpl m) V. DispersaWreatment Area Inftirmation: Design Flow (gpd) Design Soil APplitatiaa ftWgpdso Disposal Area ltegaaed (st) Dispefid Area Proposed (st) I System Mevaoon / VI. Tank Info capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Talcs Teaks Septic oriial b%XaPk Aerobic Treatment Una Dosing Chamber VII. Responsibility Statement- I, the undersigned, assaim for installation of the POWfS shovm an the attached plans. Pkapber's Na me ( Print) -- Phtmbees si gasuire 'Io@fMPRS Number Business Phone Number Fogerty (print) 71 r J, P O # -bs PMRIP-t me �1 1 VOW. Zip c LSD ye�� :Z /o6 VIW!P��n Use Approved ❑Disapproved Cmdtrdes G Date Issued Lmriog; S' Stamps) Surcliarge ❑ Owner Given Reason for Denial / D IX. Conditions of AppmvalMeasons for Disapproval r2- Cd / rte /ate • G e L 3. 3- Attaeit c —plete (ft the Comp sya. m pa not 8— 81/2 11 filches in,i. f Fogerty Plumbing #221180 Y1 28288 McKenzie Rd. Spooner, WI 54801 k I (715) 635 -9 1 { Ls 3� X X i ® Ib5' �af �rorh \ i 4 Pi° i wwcL+ I i� N I I �y Vo• Sc/tLB �' = y 0 i = Blv 7v Bf / ' vo 'C � a /F d# s = 6/ X = jo.<s tJrr L!� / To (3- / sS � w r 'S s = fd u.�/p LOf coRN•cR l op 1°(e46(' �eKa os s wAF-LG > S0 ;-PeroH- OAy d ol-T .Fs�lsTC.r D U ct�J C - S•.� — .� L� ip _ O 3 I x 6 �jISC. �T// s•S rzo y Ifs A At / Fogerty Plumbing #221180 28288 McKenzie Rd. Spooner, VV 54802 (715) 635-9509 + a -3 x x 3 -s a -Z 3 BD141 p � n I � N I I I LoT -f 9 7 s.*46 /' = yo' Q #i = B•n, 71 6f' /' pe, )fir LL# 1 °ALT 4 01 1 7DI "r "?k ' Az®E 1441 !r 4-4 a 61 ' &A.140C, ©_ r more 6w. s r• j ne s W,6 > yo n st ey �.spT .� srts 7crr� a� c ao C7 II II � E5 r N la� • p V N #()o �� u. U � p cv CL ­ O bo too 9" COW \ A ca \ x� so \ VP �a a•. �A cis tu a " 3 c13 • . �,� —�\ �, ;: ' '.' .:' is rA b4 0 N�' S PA O (\ rn w 0 a o 0 ,u a a 4 N bo O a � to SOIL AND SITE EVALUATION KEPURT gage 1 0 ns o"'l0R of SwkV a l3usdEr+ps in Accord with IL.HR 83.05, Ms. Adm. Code Attach complete site plan on paper rM lase than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and hw"ntd r4 wonce pant (BAS, dirs~ and % of sbpe, scale or PARCEL I.D. d'mensioned, north arrow, and location and drstanoe to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Inc. GOVT. LOT NE 1/4 SW i 13T 31 XA 18 %0W PROPERTY OWNER . MAILING ADDRESS LOT tr BLS s SUBD. NAME OR CSM # 1416 Third St. NorthGate CITY, STATE ZIP CODE PHONE NUMBER OCITY C VILLAGE . 13'OWN NEAREST ROAD 16 (715 6 -3674 Star Prairie 214th Ave. l [)d Now construclion Use ([ ReWer" I Number of bedrooms 4 t t Addition to existing bdWV l 1 Replawi [ 1 Pwft or oommerdal desaitie Code deri deAy flow 600_ gpd Recommended des0 loading rate . 7 bed, gpollt .8 trench, 909 Absorplonwea 858 bed, tt 750. trench, it hAatdmum desrgn loadng race .7 bed. gpddt t - tlerlch, gpolft Recommended i Awaiion sumacs elevaftxs) 95.75 R (as reietred to site Pbn ber0awk) Addili W design i she eoneidwationa na Parent mderlal Outirash Flood pWn elevation, d appimW na tt S a SUiISM kN 8yStNtt CONVE10 ONAL Mt)IJNb W4 ND PFIMURE AT•GRAIIE SYSTEM IN FK t. HOLDING TANK u= uw to bw It Ou w Ou ®S O ®S OU Ms O ❑S Liu SOIL DESCRIPTION REPORT Baring ron Depth Dominant Color Mollies Texture Structure cbrwjstwm BMx1C q Roots GPD in. Munsell tau. Sz. Cont. color Gr. Sz. Sh. Bed trstdt 1 .. -8 1 3 3 1 2tnsbk mfr if .5 .6 8- s cl 2msbk mfr 9V if .4 .5 Ground 3 26 -84 7.5 r 410 none cos l ogg at1 na na elev. # 9 Dep to kne1irg Mellor +8401 Remarks: Boring # 1 10yr 3 3 none 2msbk mfr if .5 .6 E 1 - 10 r M4 none sicl 2msbk mfr if .4 .5 ml na na .7.8 Ground rA —U b Remarks: ET�gn am e. - Pl eats Pri G L. Steel Phow: 715- 246 -6200 : 1554 200th. . ear Richmo W154Q17 ure: Date: 11 -5--98 CST Number- mM298 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and HyEnan Relations Division of Salety & Buildings in accord with ILHR 83.05, Wis. Adm. Code " COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 038-1055-1 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION RE VIEWED BY DATE aji 1-JaH. 6 1 >q`t PROPERTY OWNER: PROPERTY LOCATION G reenwood Enter rises, Inc. GOVT. LOT NE 1/4 SW 1/4,S 13T 31 ,N,R 18 E�or) W PROPERTY OWNER'S MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM # 1416 T hird St. 47 na NorthGate CITY, STATE ZIP CODE PHONE NUMBER ❑CITY OVILLAGE [2rOWN NEAREST ROAD Hudson WI. 54016 (715 386 -3674 1 Star Prairie 214th Ave. [A New Construction Use [ ] Residential / Number of bedrooms 4 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft • trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Recommended infiltration surface elevation(s) 95.75 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S OU EIS ❑U OS ❑U ®S ❑U ®S ❑U ❑S 13U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ...1 1 0 -8 10 r 3/3 none 1 2msbk mfr if .5 1.6 2 8 -28 10 r 4/4 none sicl 2msbk mfr qW if .4 .5 Ground 3 28 -84 7.5 r 4/6 n one cos 0sq ml na na .7 .8 elev. 9 Depth to limiting factor +84" ,bn Remarks: Boring # 1 0 -11 10 r 3/3 none 1 2msbk mfr gw if .5 i.6 2 2 11 -29 10 r 4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 29 -84 7.5 r 4/6 none cos 0SQ ml na ':..,.8 elev. / 99 ft. Depth to limiting�� i factor , I +8411 Z _ ST cR Ix coommv Remarks: v, rfi�t. 690 l� INGOf F►c� f CST Name: -- Please Print Gary L. Steel Phone: 715 246 - 6200 (� Address: 1554 200th. New RichmoncL WI 54017 Signature: Date: 11 -5 -98 CST Number: m02298 PROPERTYOWNER Greenwood Entergri s SOIL DESCRIPTION REPORT Page . 2 of3! PARCEL I.D. # 038 1055 - Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Borxx* Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ...::: 1 - 2 11 -28 10 r 4/4 none sici 2msbk mfr Qw if .4 .5 Ground 3 28 -8 elev. 99 ft. Depth to { limiting factor �, +84" Remarks: Boring # 1 0 -12 10 r 3/3 none 1 2msbk mfr Qlw if .5i .6 4 2 12 -29 10 r 4/4 none sici 2msbk mfr Qw if .4 .5 Ground 3 29 -84 .5 r 4/6 none c s 0SQ ml na na .7 .8 elev. 99.05ft. — Depth to limitin g factor , (o + Remarks: Boring # 1 0 - 12 10 r 3/3 none 1 2msbk mfr 9w if .5 .6 5 `' 2 12 -28 10 r 4/4 none sici 2msbk mfr gw If .4 .5 3 2884 Ground - ml na na .7 .8 elev. r 9 . 8 9 5 ft. Pik �vice S Depth to limiting factor +84" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Greenwood Enterprises, Inc. 1554 200th Ave. CSTM2298 NE4SW4 S13- T31N - R18W New Richmond, WI 54017 MPRSW -3254 town of Star Prarie (715) 246 -6200 lot #47- NorthGate 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 or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 „ =40' BM.= top of 1 pvc pipe @ el. 100' Alt. BM.= top of 1 pvc p ipe @ el. 99.15 ' / 40 ` )� t X5 1 Y t 0 Gary L. Steel 11 -5 -98 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner per /C ;gJ &4U6 AZ A4_ Mailing Address e-IF Skofomcrn #rAzES GM &""lox/ 'S y" Property Address (Verification required from Planning Department for new construction) City/State /kr�v Xr�y�{, q� L. r Parcel Identification Number LEGAL DESCRIPTION Property Location i '!,, �4s� ' / +, Sec. /3 , T -R_W, Town of fli►-R �.�.�E Subdivision ,Lot # $/ 7 Certified Survey Map # Volume Page # '-- Warranty Deed # 7.2 c!4®6 . Volume 2-z 4e , Page # r47 Spec house O yes 5? no Lot lines identifiable M 0 no SYSTEM MAI 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. 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 Resouucei, 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 Q r �w.�.nr:.,. a.•_ SIGNATURE OF APPL ANT 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 owner(s) of the propert d above, by virtue of a warranty deed recorded in Register of Deeds Office. I - t , ' — J - / u— SIGNA OF APPLICANT DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Depa * * *•" '* 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 'FILE nVoRMAnaa _ SYSUM SPECMA Owner - �. ., Septic Tank capacity : - al 0 NA Permit # ?oo Septic Tank Manufacturer _ Y f ❑ NA PARAMETERS c� [ Effluent Filter Manufacturer AOCZ 13 NA Number of Bedrooms 3 17 NA Effluent F7ter Model wo 0 NA Number of Public Facility Units XNA Pump Tank Capacity a l 1 NA Estimated flow (average) , Tank Manufacturer _ �! NA :; � � � _ 5 �P Design flow (peak), (Estimated x 1.5) qty aUday Pump Manufacturer NA Soil Application Rate . galidayffe Pump Model D .NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit CI . NA Fats, Oil & Grease (FOG) 530 mg/L 0 Sand /Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (BOO 5220 mg/L 0 NA 0 Mechanical Aeration 17 Wetland Total Suspended Solids (TSSI 5150 mg/L 0 Disinfection 0 Other. Pretreated Effluent Quality Monthly average Dispersal CON(s) 0 NA Biochemical Oxygen Demand (BOD 530 mg/L )q In- Ground (gravity) 0 In- Ground (pressurized) Total Suspended Solids (TSSI 530 mg/L O NA 0 At -Grade 0 Mound _ Fecal Coliform (geomet mean) :K1W cfu11O0m1 0 Drip -Line 0 Other: Maxine um Effluent Particle Size Ye in dia. 0 NA ate' 0 NA Other: 0 NA Other. 0 NA Othe `Vakms typical for domestic wastewater and septic tumk effluent. ' O NA MAWNITENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 0 months (Max mum 3 Years) 0 NA ilk ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -Owd (Yj of tank votwne 0 NA Inspect dispersal cell(s) At least once every: 3 i year( t(s) (M..... 3 Years) DNA mont ear(sl T f ` Z- year(s) Clean effluent filter At least once every: 0 s) 0 NA .A Inspect pump, pump controls & alarm At feast once every: 0 O years) eads) (s) CIA Flush 0 yea r(s) laterals and pressure test At least once every: 0 month arts) Q NA Other: At least once every: 0 month rl 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 teaks, measure the volume of combated sludge and scum and to check for any back up or pondurng of effluent on the ground surface. The dispersal ceNts) 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 pondi ng of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Z' of Z iaffT t* AND OPERATION ' For new constrictioF4 prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals . that malt impede the treatment process andlor damage the dispersal cabs). If high cornCe+rtrations 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 paw Qereges pump tanks may fN above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cells) in one large dose, overload - mg 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 Maintamer to assist in manually operating the pump controls to restore normal levels within the pump talk. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact nthe area within 15 feet down slope of any mound or at -grade sod absorption area. Reduction or elirid nation of the following from the wastewater stream may improve the performance and prolong the Gfe of the POWTS antibiotics; baby wipes; cigarette butts; condoms; cotton swabs-. degreasers: dental floss; Japers. disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline. grease; herbicides; meat scraps, rmadications; ol; Panting producti: 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 sal absorption system. The replacement area should be protected from d atmice and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot runes 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. Repiacernent systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. e si a as not be n evaluate o identify itable re ement area. Upon fail e o the POWTS a soil and ske al i i n ust b pe ormed o to ate a itabi repla me area -- f repl ent area ' av a o tank b inst ire s a las re rt to re ache fail S. ❑ 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 INSUFFICI ENT 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 DN:RWLT OR IMPOSSMLE. A8920- 28M MUK&M ME #221180 %=net wt resin (715) 6 POWTS INST ALLIER POWTS MMT Name I C,60 Name Phone S'.- 365-1.o Phone d SEPTAGE SERVICIING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY �j Name Name I (X �u/l� ` t Phone Phones Vb This doommmt was drafted in compriance with chapuw Comm 83.22(2 IhH11(d1&M and 83.54111, (Z) & (3). Wisconsin Administrative Code- • q p I 724106 1( J 2- 2 6 0 P 3 8 II STATE BAR OF WISCONSIN FORM I 1998 I� v KATHLEEN H. WALSH WARRANTY DEED ( REGISTER OF DEEDS ST. CROIX CO., MI ' Document Number j �I RECEIVED FOR RECORD 06/02/2003 10:15AN This Deed, made between Greenwood Enterprises, ses,. I _ � a Wisconsin Corporation „ WARRANTY DEED - — - - -- I EXEMPT i Grantor, I REC FEE: 11.00 and Kenneth J. Oeve_rinq TRANS . COPY FEE 29 0 - — CC FEE: PAGES: 1 Grantee. if Grantor, for a valuable consideration, conveys to Grantee the following described real estate in S _ CrniX County, State of Wisconsin (the 'Prop 1 Recording Area -------- - _ _.. ij Name and Return Address (jLot 47 f the Plat of NorthGate II, recorded in the Edina Realty Title fi of the Register of Deeds for St. Croix County, 400 S. 2nd St., #115 (I nsin, on June 20, 2001, in Volume 8 of Plats, iI Hudson, WI 54016 at Page 55, as Document. Number 648882 i 038 - 1209 -90 -000 Parcel Identification Number (PIN) This is not homestead property. I (is) (is not) � i i' i I �I it I Together with all appurtenant rights, title and interests. ` Grantor warrants that the title to the Property is good, indefeasible In fee simple and free and clear of encumbrances except I' easements, restrictions, and reservations, if any, of record. �7Zi- I! Dated this = day of May 2003 I! OD S (SEAL) (SEAL) _ r?a'd n (SEAL) (SEAL) li •Ma Rusch Sec Tress I! AUTHENTICATION ACKNOWLEDGMENT I' Signature(s) State of Wisconsin, ss. St. Croix Count authenticated this day of Personally came before m nt . e this 7 —day of 'I _ May 2003 , the above named James F. Rusch, its President and Mary R -- Rusch it s Sec Trea TITLE: MEMBER STATE BAR OF WISCONSIN _. _ to (If not, me known to be the person who 5e tited' the foregoing authorized by 5706.06, Wis. Slats.) instrun fn, and acknowledge the same. "•� rt li THIS INSTRUMENT WAS DRAFTED BY Mary R. Rusch Sandra Gehrke 4 Notary Public, State of Wisconsin —� New Richmond, WI 54017 My commission is permanent. (If no jV expiration` date I' (Signatures may be authenticated or acknowledged. Both are not septt?mhar 2003_ necessary) • Names of persons signing in any capacity must be typed or printed below [heir signature. STATE BAR OF WISCONSIN Wisconsin Lega Blank Co.. Inc. WARRANTY DEED FORM No. 1 - 1998 Milwaukee. Wis.