HomeMy WebLinkAbout038-1078-30-050 r
WistonsirrDepartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
515137 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:
Wendt, Darryl & June Star Prairie, Town of 038 - 1078 -30 -050
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
/Op PJ /L1 c5 18.31.18.321050
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic 1 Benchmark
(� Alt. B ,
F; ► e CAF / -,- 1.15 107,
Aeration Bldg. Sewer .59
`r 164-2
Holding St/Ht Inlet b3 "1
TANK SETBACK INFORMATION St/Ht outlet 1 A) / a3 • "�
TANK TO P/L WELL BLDG. Vent to Air I take ROAD Dt Inlet
Qd
Septic 7 1 Dt Bottom
7 76 /3 7
Dosing Header /Man.
Aerati Dist. Pipe
y. 4 5,
Holdi Bot. System /6.q I .
I
Final Grade t Z
PUMP /SIPHON INFORMATION 1. &,) S►c�Q, -_7 1 / 6- Z
Manufacturer Demand St C ver /
GPM ,`1 �tr— 40•►V, - 1b7 -C7
Model Number
TDH Lift Friction Loss S ad rb Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width / Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS Z r , ' _ r � \ �— �,
r5
SETBACK SYSTEM TO Ce7� P/L Z . 1 BLDG C WE r ELLL LAKE /STREAM LEACHING Manufacturer �� ��
INFORMATION CHAMBER OR
Type Of System:, �l 3b 1 /JA- UNIT Model Number: s
y 6
DISTRIBUTION SYSTEM �j� Z Z + Z Z 9il44 'fit .
Header /Manifold it Distribution x Hole Size x Hole Spacing V�e to 'r Ipta ee
Pipe(s) `� � %___ ii —^[[��
Length Dia Length Dia 't-_ Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
es [Efl No Yes [] No
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: / /
Location: 2142A 90th Street Somerset, WI 54025 (NE 1/4 SE 1/4 18 T31 R1 8W) NA Lot 2 .., , -,, rcel No: 18.31.18.321050
1.) Alt BM Description= CN
2.) Bldg sewer length = ) 3 j
- amount of cover = 1
Z. v�•
Plan revision Required? 1 Yes No
Use other side for additional information. IQ tt
SBD -6710 (R.3/97) Date Insepctor's Sig ture Cert. No.
P AN I DD
commerce.wl.gov a e and Buildings Division County
201
sco n s i n Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.)
W. Washington Ave., P.O. Box 7162
i
Department of Commerce 151:5
Sanitary Permit Application State Transaction
a Number
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental /V rV
unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if iffer � ailing address)
submitted to the Department of Commerce. Personal information you provide may be used for secondary
purp oses in accordance with the Privac Law, s. 15.04 1 m , Slats.
I. Application Information — Pleas nt All Information
1rty Owners Name / Parcel #
038 �o�B 36 -05(0
Property Owner's Mailing Address Property Location
J1 �nuinuuuNlr
E Govt. Lot
City, State Zip Code ne Ndinber ,
/e, Section
} (circle one),
T _ N; R � E oCW
II. Type of Building (check all that apply) Lot #
® 1 or 2 Family Dwelling — Number of Bedrooms Subdivision Name
t9k- � Block #
❑ Public /Commercial —Describe Use 11--"' ❑ City of
❑State Owned — Describe Use CSM Number 11 Village of tt
VO l0 ^4A 7— Town of
Z 7
Z A:ts� Gc.�ls t ZZ Glna,�o¢.CS $5f,
III. Type of Permit: (Check only one box online A. Complete line B if applicable)
A, New System ❑ Replacement System y p y ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain)
reviou
B. ❑Permit Renewal ❑Permit Revision El Change of Plumber ❑ List P Permit Number and Date Issued
Permit Transfer to New
Before Expiration Owner�'�
IV. Type of POWTS System/Component/Device: Check all that apply) ;
Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dispersal/Treatment Area Information:
Design Flow (gpd)/ Design Soil Applicatiop Rate(gpdsf) Dispersal Area Required (st) Dispersal Area Proposed�sf) System Elevation
7 5
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units
New Tanks Existing Tanks n / y c y'
w r in
Septic or Holding Tank
Dosing Chamber D ✓�
VII. Reaspo sibility Statement- I, the undersigned, assume resp sibility for installation of the POWTS shown on the attached plans.
Plum r' are Print Plumber's i e MP RS Number Business Phone Number
Plumber's ddress (Street, City State, Zip Code)
C' �$ — —5
VI . Coun iDe a ment Use Oal
pproved Permit Fee Date I sued Issuin ent Signature
Q
Q vt t i G =Re.o. for Den $ ial // ✓' 7 $ b
5
IX. Conditlb)d$TEN jQV&AMeasons for Disapproval r
1. Septic tank, eftlUent filter and 3, Q,('�. o �dpti 5 i 5
dispersal cell must all be services / maintained r
as per management plan provided by plumber.' f 17 r �' t ✓! 1
2. AN as;elback etllftments must be maintained / pp ,1(
as per apps f code I ordinances. /D tXX� F�- Z 4 C. " f ' -• �o aj
Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 inches in size
SBD -6398 (R. 02/09) Valid thru 02/11
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Soil Absorration System Cross Section
�ft
4° Schedule 40 Final Grade
PVC Vent Pipe
Wdh Vent Cap �� ft
Leaching — ►
Chamber ft
♦— Sys
Elevation
�3 ftft
Soil Absorption System Plan View
It
ft {
, z ft Trench 1
Vent Or Observation Pipe Chambers
4" Dia.
Trench 2 Header
Leaching Chamb Specifica
Manufacturer And Model
EISA Rating .�_ sq ft per chamber Soil Application Rate �7 gpol ft
I—B12_ gpd Design Flow - Z Soil Application Rate 4 X EISA = g Chambers
2 rows of :,r�c chambers each.
Page of
RECEIVED
JUN 0 8 2007
Wisconsin Department of Corn rce ST. CR01 COuNT EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Com 85, Ws. Adm. Code
County
Attach complete site plan on paper not less than 81/2 x 11 inches in size. PI must
include, but not limited to: vertical and horizontal reference point (BM), dire'' nd Parcel I.D. p
percent slope, scale or dimensions, north arrow, and location and distance re ad. ��D 7
Please print all information. R wed b Date
Personal information you provide may be used for second w, s. 1 .0 ). (p Z
Property Owner Pro erty Location 0 321 C Jv
xva / � Govt Lot 1/ – 1/4 S N R E (or ,
Property Owner Mailing Address P6 Lo Blo Subd. Name CSW
City State Zip Code hone Vii age ® Town Nearest Roams
New Construction Use:.® Residential / Number of bedrooms Code derived design flow rate zzn6 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material r17"2�'2 <Z Flood Plain elevation if applicable ft.
General comments /_ e
and recommendations: S�S �s�, �• ��.
5/1 Boring # E] Boring
Ground surface elev. ' / ft, Depth to limiting factor
1(� 9 in.
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 *Efr#2
Y.
t7 9
Boring # E] Boring
pit Ground surface elev. ft. Depth to limiting factor Vii? 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
3
S s'
q
* Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L * Effluent = BOD < 30 mg& and TSS _5 30 mg/L
CST Na Pri Sig to CST Number
a
Address Date Evaluation Conducted Telephone Number
I
*
Property Owner Parcel ID # Page of
❑ Boring # ❑ Boring
pit Ground surface elev. , /& ft. Depth to limiting factor 9 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
,.
99 3-
I � r
❑ �
❑ 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 GPDtfF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
F-1 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
i
I
* Effluent #1 = BOD > 30!S 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
I
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.07 /00)
z
,
Property Owner A/ O 7 Parcel ID # Page of
k
11 Boring
Boring # � ,�
Pit Ground surfaceelev, ,eft Depth to limiting factor 99 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Descnporr' "'' Texturej Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. S @b t Color Gr. Sz. Sh. *Eff#1 *Eff#2
as
99 3
Al
� r(
❑ Boring ❑Boring # ti ❑ pit Ground surface eiev. 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
❑ Boring # ❑Boring
11 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 >30 150 mglL * 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 60 &264 -8777.
SB"330 (R.07 /00)
.3'
S7
Parcel #: 038 - 1078 -30 -050 04/04/2008 09:12 AM
PAGE 1 O 1
Alt. Parcel #: 18.31.18.321C -50 038 - TOWN OF STAR PRAIRIE
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
08/02/2007 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - WENDT, DARRYL & JUNE
DARRYL & JUNE WENDT
2144 90TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 2142A 90TH ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 4.045 Plat: 5432 -CSM 22 -5432 038 -07
SEC 18 T31 N R1 8W PT NE SE CSM 22 -5432 Block/Condo Bldg: LOT 02
LOT 2
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
18-31N-18W NE SE
Notes: Parcel History:
Date Doc # Vol /Page Type
08/28/2007 859456 CO AFF
08/02/2007 856772 22/5432 CSM
07/23/1997 504/483
2008 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/13/2007
Description Class Acres Land Improve Total State Reason
Totals for 2008:
General Property 0.000 0 0 0
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
i
1 111111 II'' "'''!III {I 1111{ lilli IIII 111111 IIII Lill
y 6 7 7 2 2
856772
KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
E N o 08/ R S AM
010. O • IED SURVEY MAP
VOL: L : 22 PAGE: 5432
c n I REC FEE: 13.00
^' 4 a COPY FEE: 3.00
s �N Z o� Z �
f tM Z # I*' 2 N cp
C
C
THE EAST LINE OF THE SE1 /4 OF SECTION
18 BEARS S00'15 - W AS REFERENCED TO WEST LINE OF THE
THE ST. CROIX COUNTY COORDINATE SYSTEM
NE1 /4 OF THE SE1 /4
U NIPLATETTED LANDS
N0028'59'E 66218'
50 227.5 1 16.74 2 C��DA
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265. 5' i 33 ,\
1987.14 • —
s00•ts'3o'W 662.38
90TH S_T_R_E_E_T__ f
ST LINE OF THE SE1 /4
-- SOO'15'30'W 2649.52' -- �.
SHEET 1 OF 2 ,♦ Nom`'
1 o!
Vol. 22 Page 5432
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page / f
FILE INFORMATION SYSTEM SPECIFICATION
Owner Septic Tank Ca acit al ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
Effluent Filter Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Model ❑ NA
Number of bedrooms ❑ NA Pump Tank Capacity al _a:� NA
Number of C ommerci al Unit ,ANA Pump Tank Manufacturer . s NA
Estimated flow (average) gal/day Pump Manufacturer ANA
Design flow (peak), (Estimated x 1.5) gal/day Pump Model -Pt NA
Soil Application Rate gal/day/ft' Pretreated Unit
Influent /Effluent Quality Monthly Average* ❑ Sand /Gravel Filter ❑ Peat Filter
Fats, Oils & Grease (FOG) <30 mg /L n Mechanical Aeration ❑ Wetland
Biochemical Oxygen Demand (BODs) <220 mg/L o Disinfection ❑ Other:
Total Suspended Solids (TSS) < 150 m Manufacturer
Pretreated Effluent Quality 0 NA Monthly Average" Dispersal Cell(s)
o In- ground (gravity) ❑ In- ground (pressurized)
Biochemical Oxygen Demand (BODs) <30 mg/L ❑ At -grade ❑ Mound
Total Suspended Solids (TSS) <30 mg/L ❑ Drip-line ❑ Other:
Fecal Coliform (geometric mean) <10 cfu /100mL
Maximum Effluent Particle Size '/8 inch diameter * Values typical for domestic (non - commercial)
wastewater and septic tank effluent.
** Values typical for pretreated wastewater.
MAINTENANCE SCHEDULE
Service Event Service Frequenc
Inspect condit of t ank(s) At least once every ❑ months cK ears (Maximum 3 rs)
Pump out contents of tanks When combined sludge and scum equals one third ( of tank volume
Inspect dispersal cell(s) At least once every ❑ months cK ears (Maximum 3 yrs.)
Clean effluent filter At least once every ❑ months d year(s
Inspect purrip, pump controls & alarm At least once every ❑ months ❑ ear(s) _( NA
Flush laterals and pressure test At least once every ❑ months ❑ ear(s) NA
;Other: At least once every ❑ months ❑ ear(s) R NA
i Other: I At least once every ❑ months ❑ year(s) ANA
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 (' /s) 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 ch. NR 113,
Wisconsin Administrative Code.
The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other
maintenance or monitoring at intervals of 12 months or less 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.
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 my impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have
the contents of the tanks(s) removed by'a Septage servicing operator prior to use.
1
Owner: _ J to f _ 7 - P,, -2-f 1
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater
will be discharged to the dispersal 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 soft absorption are.
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.
ABANDONEMENT
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 ch. 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 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.
❑ 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.
❑ 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.
❑ 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 the time.
<<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES 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 POWTS MAINTAINER
Name -/ Name
i Phone = Phone
SEPTAGE SERVICING OPERATOR PUMPER) LOCAL REGULATORY AUTHORITY
Name
Name
Phone
Phone I ; 3
Omer; �a�"� T Page,:�?!_of
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater
will be discharged to the dispersal 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 soft absorption are.
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.
ABANDONEMENT
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 ch. 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 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.
• 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.
• 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.
• 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 the time.
<<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES 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
N POWTS MAINTAINER
Phone _ eq. Name
� Phone
SEPTAGE SERVICING OPERATOR (PUMPER)
Name LOCAL REGULA TORY AUTHORITY
Phone Name
Phone ; _„�
r
ST. CROIX COUNTY
SEPTIC TANK MAINTAINANCE AGREEMENT
bc, AND
C( I O CERTIFICATE FORM
Owner/Buy
�a
Mailing Address
Property
Address oZ �S
G
(Verif&ftonrequiredfrom lafl Depamnmtfarnewom&uctron 2 t T
City/Sta - � Parcel Identification Number
LEGAL DESCRIPTION
Property Location�I* ,��t /4 Sec:_T-�ZLN -R,W, Town 4
Subdivision C' S Vi'\ lzd ( Z Z . iQq 5 Loth
If J
Certified Survey Map# 2 (, 7 Volume ZZ Page 3 Z
Warranty Deed# , Volume Page
Spec house yes _ ' �jno Lot lines identifiable _,yes no
SYSTEM MAINTENANCE
Improper use andmaintenance of your septic system could result 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. Whatyouput.into the.systemcan 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 masterplumber, joumeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-
site wastewater disposal .systemisinproper.operating condition and/or (2) after inspection and pumping (ifnecessary),
the septic tank is less than 1/3 full of sludge.
Uwe, the undersignedhaveread .the.above_requirements and agree to maintain the private sewage disposal system with
the standards set forth, herein, as set by th Department of Commerce and use the Department of Natural Resources,
State of Wisconsin. Cedification. stating that your.septic system has been maintained must be completed and returned to
the St. Croix County Zoning Office within 10 days of the three year expiration date
;� cq V
SI ATURE OF APPLICANT DATE
#of proposed bedrooms
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 virtue of a warranty deed recorded in Register of
d s) of the p roperty rty described above, by
i
Deeds Office:
S ATURE OF APPLICANT DATE
****** Any mformatica that is misrepresented may rewk m the sanitary perms being revolted by the Zoning Department**'
** Indude with this application a tamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made inihe warranty deed
N. " wa rraats o..a--srort Fwn ; erars or, w PubU ad er ass MIN B+r • 966d@n.r, oa.
(esa 2!6.16. Wb. 1"tuus:l !rota Nw 9
3 -9 J. G4
04io Atbenture, Madeby Lee Soden and Doris Soden,husband and wife,
grantor g , of St. Croix County, Wisconsin, hereby conveys
and warrants, to •
Darryl Wendt and June M. Wendt, husband and wife as
joint tenants
grantee , of St. Croix County, Wisconsin, for
the sum of ' Thousand and no /100ths ($3,000.00) Dollars
the follow
ollowing tract of land in St. Crone County, State of Wisconsin:
The North Half of the North Half of the Northeast
Quarter of the Southeast Quarter (NI of NJ of NE4 of
SE4) of Section Eighteen (18) Township Thirty -one
(31) North, Range Eighteen (18) Vilest.
I
(Sale is subject to�,existing highway and road casements and conveyances)
i
REGISTERS OFFICR
M3ANSFER Sr. C ROI x CO., WIS.
�O 26th
Reed for Record
day of__Oct2ber-_A.D.19_7
at 8:30 -- - - - - A .- M. I'
r James O'C
3n Miitntoo 4abertot, the said grantor S havEQhereunto set their hands and seal S this
31st day of M A. D., 19 73
Signed and Sealed in Presence of
Lee Soden
�LV G�
jlnri s Soden
Frances Van Nevel
Rut A. Johnson
$tatt of U00conotn,
St-Croix Count y ss.
Personally came before me, this 313t day of May , A. D., 1973 .
the above named Lee Soden and Doris Soden, husband and wife,
to me known to be the person gwho executed the foregoing instrument and acknowledged the same
j,
J t
Notary Public, St. Croix t
M commission expires Jan. 1 +
+, AriRfted yy Edward R. wiser. Attorney at Law New Richmond Wi`
noK 544 PAA 83
(N.2 -0h. N Wb. 2Mats. WovWw tat A hwdrw s b M be robsrd.d shall ave plain!" printd or Oprw""m *we= to 8u of ow
rnatozs, 6rantsas. witn.asa atl neMq.)
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COMMERCIAL TESTING LABORATORY, INC.
514 Marn Street, P.O. Box 526
Colfax, Wisconsin 54730
715 - 962.3121
800 - 962 - 5227
ST. CROIX ZONING REPORT NO.: 17498/01 PAGE 1
ST. CROIX COUNTY REPORT DATE: 1/31/92
COLRTHOM DATE RECEIVED*. 1/30/92
HUDSON, WI 54016
ATTNS THOMAS C. NELSON
OWNERS Darryl It Jane Wendt
LOCATION! 2144 -90th St., Somerset
COLLECTORt M. Jenkins
DATE COLLECTED: 1 -29 -92
TIME COLLECTED: 2230pm
SOURCE OF SAMPLE'# Outside faucet
DATE ANALYZEDSI -30 -92
TIME ANALYZEDi2.04pm
COLIFORMSS 0 /100 ml
INTERPRETATIONS Bacteriologically SAFE
NITRATE -NS 2 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
Colifor* Bacteria /100 ml
Nitrate - Nitrogen, mg/L
12
�•� A-
°,
LAB TECHNICIAN. Pam Gave
WI Approved Lab No. 19 dP Sj y C N��E
<
Means "LESS THAN" Detectable Level Approved by:
ars►'�
® PROFESSIONAL LABORATORY SERVICES SINCE 1952
.. q
ST. CROIX COUNTY ZONING OFFICE
St. Croix County Courthouse
911 9th Street
" Hudson, WI 54016
Telephone - (715)386 -4680
The q;t. Croix County Zoning Office offers the service of septic
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
Completion of this form is essential so that the property can be
located.
Please provide the following information, enclose appropriate
fee made payable to St. Croix County Zoning Office, and mail,
along with form to the above address. Testing will be done as
soon as possible after fee and form are received.
WATER TESTING--------------------- - - - - -- -FEE: $ 25.00 xxx
(For nitrates and coliform bacteria)
WATER TESTING FEE: $127.00
(For VOC'S)
SEPTIC SYSTEM INSPECTION---------- - - - - -- -FEE: $25.00 xxx
(Determines if system is properly functioning at time of
inspection)
Property owner's name Darryl and June Wendt
Property owner's address 2144 - 90th Street, Somerset, WI 54025
Legal Descri tion NE 1/4 of the SE 1/4 of Section 18 , T 31 N -R 18
Town of �fiar rie Lot Number Subdivision Name
FIRE NUMBER 2144 LOCK BOX NUMBER 3� / C1 3���
Color of house Realty sign by house? If so, list firm: 5
_ PLEASE, CALL TO SETUP AN APPOI - JUNES WORK O N= (715) 246 -2101 .
PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK,
WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET.
Testing of residential water requires a sample that is fresh. If
the home is vacant, and has been so for some time, the water line
must be purged by running the water for several hours before the
test can be conducted.
WINTER TESTING: Many times water lines are turned off, or sill
cocks are turned off, making access to the home necessary. If
this is the case, please make proper arrangements with this
office to ensure time when entry may be gained.
Firm or individual requesting services Bank of Somerset
Telephone Number (715) 247 -3348
REPORT TO BE SENT TO: Bank of Somerset, ATTN: Kristen Dixon, P.O. Box 220, Somerset, WI 54025
closing date
Signature Q L,&7Y1
J
I
ST. CROIX COUNTY
WISCONSIN
d
r i�i ,i h
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
(715) 386 -4680
Jan. 30, 1992
Kristen Dixon
Bank of Somerset
P.O. Box 220
Somerset, WI 54025
Dear Ms. Dixon:
An inspection of the septic system on the property of Darryl and
June Wendt, located at 2144 90th St., Somerset, WI was conducted
on Jan. 29, 1992. At the same time a water sample was obtained
for testing. The results of that test will be sent to you as
soon as we receive them back from the laboratory.
At the time of inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based upon a surface inspection of said system, and
did not involve any excavating or chemical analysis.
Accordingly, there is the possibility of hidden defects in the
system not discoverable by this inspection. This does not in
any way warrant or guarantee the continued proper functioning or
operation of this system. It is recommended that the system
should be pumped once every three years. Therefore, the
prolonged life of this system may be dependent upon proper
maintenance of the system.
S'n rely, R
Mar T kins
Assistant Zoning Administrator
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