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HomeMy WebLinkAbout038-1118-30-100 ' 1061 SOIL EVALUATION REPO wage 1 of 3 Wisconsin Department of Commerce ,- Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code r Tom Schmitt County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must i oix include, but not limited to: vertical and horizontal reference point (BM), direction and ;, percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. ' Parcel I. t Please print all information. , c c 3 / ie d By G O 1 �' .,.1 Date 0 5� Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (t) (m)). �; AA , I �, Property Owner Property Location s r, r•�` M& G Inc Govt. Lot na SE 1 /4 h S". I �T 31 NR 18 W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 1359 Awatukee Trail 4 na CSNA ! j' y/ X/) City State Zip Code Phone Number j City � Village � Town Nearest Road Hudson WI 54016 715 - 549 - 5971 Star Prairie 93Rd St. New Construction Use: Id Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD J Replacement -j' Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a conventional system with a 0.7 gpd /sgft rating. Possible system elevation is 96.07'. �,- z oe ❑ Boring # Boring Ad - Pit Ground Surface elev. 99.46 ft. Depth to limiting factor >145 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 *Eff#2 1 0 -11 1Oyr3/2 none sl 2mgr mvfr cs 2f .5 .9 2 11 -23 1Oyr3/4 none grvsl 2msbk mvfr cw 2f .5 .9 , 3 23 -37 1 Oyr4 /4 none girls 1 msbk mvfr gw - - - - -- .7 1.2 4 37 -91 1Oyr5/4 none grcos Osg ml - - -- - - - - -- .7 1.6 5 91 -145 1Oyr5/6 none ms Osg ml ---- - - ---- 7 1.2 c(O •co �6 • fo� Boring # Boring jo Pit Ground Surface elev. 99.46 ft. Depth to limiting factor >146 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0 -12 1 Oyr3 /2 none sl 2mgr mvfr cs 2f .5 .9 , (P 2 12 -23 1Oyr3/4 none grvsl 2msbk mvfr cw 2f .5 .9 ( 3 23 -41 1Oyr4/4 none grls 1msbk mvfr gw 1f .7 1.2 4 41 -80 10yr5/4 none grcos Osg ml cs - - - - -- 7 1.6 5 80 -146 1Oyr5/6 none ms Osg ml - - -- - - - - -- .7 1.2 �- Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L Effluent #2 = BOD < mg /L and TSS < 30 mg /L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 6/12/01 715- 549 -6651 Property Owner M & G Inc Parcel ID # Page 2 of 3 3] Boring # jj Boring Ad Pit Ground Surface elev. 99.07 ft. Depth to limiting factor > 142 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 - 10 10yr3/2 none sl 2mgr mvfr Cs 2f .5 .9 2 10 -20 10yr3/4 none grvsl 2fsbk mvfr gw 2f .5 .9 3 20 -38 10yr4/3 none grls 1 msbk mvfr gw - - - - -- .7 1.2 4 38 -87 10yr5/4 none grcos Osg mt cs - - - - -- .7 1.6 5 87 -142 10yr5/6 none ms Osg ml - - -- - - - - -- .7 1.2 3 (e 17- F-1 Boring # A Boring � j Pit Ground Surface elev. ft. Depth to limiting factor in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # Boring ,:j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 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 —A matArial in a.. altArnatA format nlaaoA rnntant A— .lance f—f at !.(1R_7!+(._11 G 1 nr TTV AnR_')AA_9777 l 0 off �as'� Ga''✓ G�. of Sp`6 ICA =� /X,o l� � f � mi - f-h G. Q r�G t� r Ay : T/v7-7af T 3,N n /g ��•s� --�d / S I►,P a' 54r, Pr eA ri e j �o f y CONCEPT MAP Located in part of the Southeast Quarter of the Northwest Quarter and part of the Northeast Quarter of the Southwest Quarter all in Section 29, Township 31 North, Range 18 West. Town of Star Prairie, being Lots 2 and 3 of a Certified Survey Map recorded in Volume xx Page XXXX in the Register of Deeds Office for St. Croix County, Wisconsin. Prepared for and at the request of: Mike Germain 1359 Awatukee Trail EXISTING DRIVEWAY LOCATION Hudson, NA NEW ACCESS POINT TO ACCESS POINT TO OWNER: Mary y Sch TO BE MOVED — PROVIDE 200' SEPERATION PROVIDE 200' SEPERATION Drafted by. Ty R. . Dodge odge WITH NEAREST DRIVE TO SOUTH WITH NEAREST DRIVE TO NORTH I � r t 1 , . JOINT DR. FOR LOTS 5 AND 7 j t m� �y -- - - -- ; 0C ►iT -a �b z z rni r " s: °°.>< a O m .�. W , lLZ rn x� 0 O �. -� I VI V r m oo m � y am y ) h' X N W �. Z U V; W O 0 C 5� I m in CI .. J_ ll. -\I ' ` \� \ \ \ \. \ \ \ \`Il!11i; •.!,iii RL TY R. i JUL 2 4 200 INAMILIMI Y :I 652003 ERTI D SURVEY MAP Loc in part of the Southeast Quarter of the Northwest Quarter and part of the Northeast Quarter of the Southwest Quarter of Section 29, Township 31 North, Range 18 West, Town of Star Prairie, being Lots 2 and 3 of a Certified Survey Map recorded in Volume 10 Page 2780 in the Register of Deeds Office for St. Croix County, Wisconsin. UNPLATTED__ LANDS WEST LINE OF THE WEST LINE OF THE 66' XYNT OR/V£WAY - - SE 1/4 OF THE NW 1/4 NE 1/4 OF THE SW 1/4 EASEMENT FOR I LOTS 6 &7 "NTDR /WW,gY r NOO 44',37 "W �_ __$]M__ _ OM 4 & 5 83 o �- _ L "_W 430.88' w_ o, z m — - 127.49 -' 27.68' 99' _1 M o NOO "W - T • 213.81 I 300. O I N R/QYT -GY' 'N wAY rn y 1221.90'IN - I� — SOOSS'07'E 513.81' I -� A 1111 oY 1 L I m �2 # ao m +�; — co � ° j ....... p "/ a Ln 01 co __ _ C5 x"T NOO I m cli NOO "W . y 1310.70' - m y 3866.02' � � � -,4V_ µ03'5 9 34 W 270.66 v I � � IC In `��NOO'40'12 "W _ ��'� i`_ LA �. o N IA n0 Y, m No 5176.72' �z o n i -66'- g133 E S ? r w I � imirn F Z f' C � Z =J � j 522 & 8 �/ i O . �� I O Z I -4 19 e> I�ICn I O Z Oy K r N a in �� �> Iv O c Z C I� m� �_ v d 3 ' Im I� I r- �+ rn m e 2 M I i m y I - -� -N � m �f �-� Ir �"'i3 Z I { c� L' . ip • kw l> Z G 1 V do C7 I� � ,Qa 1 z � M I> " I 7j H NOTE: EXISTING DRIVEWAY FOR LOT 7 v w 9 n -a z TO BE MOVED TO PROVIDE 200' I< m SE RATION TO DRIVE WITH DRIVE TO ,o = O �o a m � O�FEM1 µApS: �� n m o Prepared for and at the re uest of: Iro { \ PE 0.0 N q Mike Germain P �1 �i 2 n 1359 Awatukee Trail APPOV D ��� / em ° r' Hudson , W. 54016 ST. CR 0 COIJ _ _ � {f � N p5 c '� � OWNER: Mary Schoor Planning Zoning1 Parks n "E l� ,P o E Drafted by. Jim Hahn I 169.92' / / PLPj c ^' JUL 4 Z `?`='' a CD a,0 BENCHMARK "A "• LANDS orn m TOP OR IRON PIPE ELEVATIONf eggtgVded within 30 days y > s�' o W BENCHMARK "B ": approval date approval ahall be x rn z m a, y 3 null and void 1 n ° ° o TOP OR IRON PIPE ELEVATION 862.47 r- > r r- > r N y z in M o0 v o v ozo > - o rn p e e V of C" D N N fmD �X��X --C C O�� �v ° : D a D a o o LEGEND ° C-3 Section Corner Monument r- r r- n m on eO cO° c) * m of Record >P > >�> _iz s> zcn �`� _30 • Set 1" x 24" Iron Pipe weighing > D M a M v o 11 m bn a aim ' -�+ 1.13 pounds per linear foot m M c; - H q r ° R w 01 _. ana'w� z o ZN� an 3!* O Found Iron Pipe v v o �p �p ° o= z rn a n n - • • • - • - •building Setback Line (100' from Right of Way) °A o N ID N z z m N (75' from navigable waters) n -n ,D ,O -n D cn m \m en s °� JOB # 057SU22 � m rn + rn i °o V1 m in o a I+ cn f 0 .+ m Prepared by. H rn !'3 N • c Z -< m o JEO CONSUL TING GROUP INC co r n q m n _ Phone No. (715) 246 -4319 N M 2 N N 109 East Third Street, P.O. Box 325 :P0 cn r+1 New Richmond. WI 54017 in r Sheet 1 of 2 H 0 VOLUME 15 PAGE 4131 Wisconsin Dgpiiirtment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430482 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: Sauer, Chett I Star Prairie Township 038 - 1118 -30 -100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 190:0 gyp„ TeP ( �'VG (�Vy? 29.31.18.490D10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer 97:3 Holding _ // St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet . q�S 9�•s`I TANK TO P/L WELL IBLDG. Vent to Air Intake ROAD Dt Inlet Septic j IVY 1 � Dt Bottom t7� lIT1w Dosing Header /Man. Aeration Dist R*e• .. d F 16 , b Holding 1 , �-. Bot. System C 1. . Final Grade PUMP /SIPHON INFORMATION , gg 15 Manufactu er mand St Cover ✓" GP o r loo, C) Model Number , c TDH Lift r Fric ' Ct. Loss System Head I DH dFt Force n Length Dia. I Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length,., No. Of Trenches ` PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS '51 f,�,� �N': t %!r € 11(1 ►y)� r.7 t' . - (I1 ?6:15 3t4l iIC6 ,n1bw%, S) SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: (� �,� INFORMATION CHAMBER OR t 1 Type Of System: ` � �' ° y 11 v-( I; III r . -'"`� UNIT Model Number: VIA DISTRIBUTION SYSTEM- Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ' / /� i r Pipe(s) Length Z+ _ Dia s_ I Length f Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over xx Depth of jxx Seeded /Sodded xx Mulched BediTrench Center — Bed/Trench Edges r Yes No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: _ /b"I / o — ! R& , @ , Location: 1951 93rd Street Star Prairie, WI 54026 (SE 1/4 NW 1/4 29 T31 N R18W) NA Lot 4 1 or /n Parcel No: 29.31.18.490D10 1. Alt BM Description ti � 1 C (, v .r ti + tion = '� (� . 1 r1 CM P y �, 7 .. 1 J � 0[ � � L� � I' >; � �i;}1 1.ltd 2.) Bldg sewer length = it C p - amount of cover = I l✓� "_ ) n revision Required? l Yes No Use other side for additional information. Date Insepctor's Signature Cart. No. SBD -6710 (R.3/97) r - Safety and Buildings Division County t W AN 201 W. Washington Ave., P.O. Box 7082 eons�n Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 261 -6546 0 8z- Sanitary Permit A __a....__.__1 State Plan I.D. Number In accord with Comm 8 Wis. Adm. Code, onal i '- . r I may be used for secondary purposes Pri Y Law, s .04(1 xm) Project Address (if different than mailing address) I. Application Information - Please Print All Informs on ,ag 5 73 Property Owner's am P I # Lot # $lock #� r ., �, K ( .;� �. -nig w c,FHCi � Property Owner's Mailing Address Property Location City, State Zip Code Phone Number Y4. P-4-4, Section "? `7 rein 1—"- T N; RE II. Type of Building (check all that apply) umber X or 2 Family Dwelling -Number of Bedrooms _ CSM v.rs X13 ❑ Public/Commercial - Describe use OA&PLdgk=16) CA ❑ State Owned - Describe Use ❑City Villageownship of III. Type of Permit: (Check only one box on Hue A. Complete line B if applicable) a 3g - ( o - /CD A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System . B- ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl Nen - Pressurized In -Ground ❑ Mound?: 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ 'rX Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ching Chamber ❑ Wp lane ❑ Gravel -less Pipe ❑ er (explain V. Dispersal/Treatment Area Information: (JO Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (si) Dispersal Area Proposed (sf) System Elevation 57(S 3 65 3 1 1 95.,07 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Septic or Holding Tank /000 _ `�� U_U_L*—A.' Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume Sesp@asibility for in talladon of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's ature PRS Number Business Phone Number l / 03s? Plumber's Address (Street, City, State, ip Code) !J # 1-r- -ma y ©o NVFI I1. Coun /be artment Use Onl 4 pproved ❑ Disapproved Sanitary Permit Fee (includes Groundwat Date Issued is in gent Signattue (N Stamps) Surcharge Fee) �0 , ❑ Owner Given Reason for Denial 25D /Z 3 IX. Conditions of A for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 Inches in size qD 3• . ,C3pL r COP 1 ,gyp, nee` y� 07 � dd o3S� C qo � d ,t Pt- r a . �vc, o�S7 1061 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimernsions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. iewed By Date 3 Personal information you provide may be used for secondary purposes (Privacy raw, s. 15.04 (1) (m)). Property Owner Property Location Saver, Chett Govt. Lot na E 19 NW 1/4 S 29 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1974 93rd St. 4 na CSM Pending city State Zip Code Phone Number City Village be Town Nearest Road Somerset I WI 1 54025 651 -603 -0300 Star Prairie I 93Rd St. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation is 96.07'. ❑ Boring # Boring of Pit Ground Surface elev. 99.46 ft. Depth to limiting factor >145 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtF in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0-11 1Oyr3/2 none sl 2mgr mvfr cs 2f .5 .9 2 11 -23 1Oyr3/4 none grvsl 2msbk mvfr cw 2f .5 .9 3 23 -37 1 Oyr414 none grls 1 msbk mvfr gw - -- .7 1.2 4 37 -91 1Oyr5/4 none grcos Osg ml - - -- - - - - -- .7 1.6 5 91 -145 10yr516 none ms Osg ml -- -- .7 1.2 Boring # Boring ✓ Pit Ground Surface elev. 99.46 ft. Depth to limiting factor >146 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. - Eff#1 `Eff#2 1 0-12 1Oyr3/2 none sl 2mgr mvfr cs 2f .5 .9 2 12 -23 1Oyr3/4 none grvsl 2msbk mvfr cw 2f .5 .9 3 23-41 1 Oyr4 /4 none gris 1 msbk mvfr gw 1 f .7 1.2 4 41 -80 10yr5/4 none grcos Osg ml cs --- -- .7 1.6 5 80 -146 1Oyr5/6 none ms Osg ml - -- - -- .7 1.2 " Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < mg/L and TSS < mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 6/12/01 715- 247 -2941 /3a 1 d ,Ct� j Lo 4 e 1 i f ---T- i P � ty lie P � , o _ s , L.✓.x' s`ol . i - r ' ':A J POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ' of ILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity QC)0 al ❑`NA Permit # ' q30 �Z Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer r ❑ fA Number of Bedrooms 3 ❑ NA Effluent Filter Model —/4 0 ❑ NA Number of Public Facility Units A Pump Tank Capacity al I LNA Estimated flow (average) 3 g al/day Pump Tank Manufacturer ["A Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer §kNA Soil Application Rate al /da /ft z Pump Model ( Standard Influent /Effluent Quality Monthly average* PretreatrTVnt Unit C�IoNA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter } Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD S30 mg /L JIQ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At- Grade ❑ Mound Fecal Coliform (geometric mean) 510` cfu /100ml ❑ 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: 13 month(s) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge -and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA '1 year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) A ❑ year(s) Flush laterals and pressure test At least once every: ❑ mo 13 yeaarr((ss) ) ) A Other: At least once every: ❑ month(s) A ❑ year(s) Other: A 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 belemoved by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Cod 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. r - - Page 2 of 2 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 0 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 cannojo repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: I 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 pr osed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and AlFevaluation 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. A / T Iv� alua ' o mg ank b e ai a ?Rp"l5 -1' Fop— A/6✓ a TR(!C-- ❑ 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 '� �''� G`�l� / Name 6 Phone P Name hone PTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name S ( 201 r-v Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPT,C TANK MAINTENANCE AGREEMENT AND QV✓NERSNI? CERTIFta,"'ATION FORM lhvtteriguvcr C._ /LQ s Mailing Address � ' Property Ad dress Si Q 3 r S r (Verification required ffom Platwing Derarmtent for new construction) city /State n. i� GJ 1.... Parcel Identification Number b 39 —///g -- 3Q JaO 199AL D S� CHUMOh (. Property Location �� 14 , I� /., Sec. - a T - RZS W, Town of 5 . Subdivision Lot #. Certified Survey Map # - Da 3 . Vol e Face # -- L 3 Wtt+rrtaaty Deed # , Volume l Page* o26 . Spec house ❑ yes C no Lot lines identifiable Q yes ❑ no SYSTEM CE bwoprrr use trod maioteeanceof your septic system emu MMA is its ymustare failure to hand[* Waste& Propertnaitrtenanee consists of peaaping out the Septic t2ukcvery three yeas or voone , if needed by a licensed pumper. What you put into dw aysrcm caa affect the function of ilia M: c teak as a etratcuwt stage in the waste disposal system. Tne property o%%= agrar a b siomit to St Ctaix Uzzing Dapartzacut a certificaton forxtt, signed by the oavaer and by a taster plumber, joutncym=Ptumbe:, rostrictcdplutuber or a liccuedpumper verifying that (I) the on -silo waatca a ud6pow system is in propor operating condition and/or (2) after inspection and pumping (if ncmuaty), the septic teals is less they 113 full of sludge. Uwe, the undersigned have read the iinove reguitt:raents and agree to maintain the private sewage disp=1 system with &a staztdards set forth, herein, asset by the departn entnf Commerce. and the Department of Natural Resoumc% State of %seansin. Certification stating that your ScPtic system hat been mainttiaedMust be completed and rcturacd to the St. Croix County Zoning Office within 30 days of nation date. SIGNATURE OF APPLICANT DAT O'WC CE1tTIFICA 1ON I (we) certify that all sMemeatt m this form an true to the best of ray (our) knowledge, I (we) am (are) the owner(&) of the prope des 'bed above, by virtue of a warrenty deed rccwded in Register of Deeds Office. SIGNAU OF APPLICANT DATE 4060«k AjaY info -atioa that is mis.►epteseaW tunny trsdt is the sanitary permit boing revoked by the Zotugg Deparbmi. •• v••• •• Include with this wppReataou, a atarnwd warranty deed from the Register of Deeds otTr: e a copy of the certified a wvcy map if retert = is made is the wartauty deed I A'! 1, B A K ('11 W 1'%( 'ONSIN FORM 2 - 1999 ? ii H. DI)i:11111vin Nmribcr WARRANTY DEED k..Rco. -J kit This Deed, made between Louis W. Schaar and Mary L. Schaar, RECEIVED TOR RECORD husband and wife, vg-074061 11!00 AN iWRANTY DEED Grantor, and Chett W. Saver EXEMPT A CUT COPY FEE: COPY FEE: TRRHEFER FEE. 1131.00 RECORDING FEE. 1040 PPGES.- Grantee- Gi-dnior, for a valuable consideration, ronveys to G ran t ee th followin* described real estate in St. Croix State of Wisconsin (if more space is needed, please attach addendum): Recording Arta Part of the SE11/4 of NWI/4 and part of the NE 114 of SWIM of Section 29, Name and Return Address Township 31 Norte, Rang 18 West, S4 croi County, Wisconsin, described as follows: Lot05, 6 and 7 of Certified Survey Map filed July 24, 2001, in Vol. 15, Page 4 13 1, Doc. No. 652003. 038-1118-30 & 038-1119-60 Parcel Identification Number (FIN) This is homestead property. (is.) XXOO Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this 69 day of JoW 2001 is Naar AUTHENTICATION AC NOWLEDGMENT Signature(s) Louis W. Schaar and ;Mary L. ScIsmar, husband STATE OF WISCONSIN snd %ife. County authenticated this 1110—'day of 3ui ir 2 001 Personally came before me this day of . ... A'. the above named Krishna Orland - 'TITLE: MEMBER STATE BAR OF WISCONSIN (if 110t, to nit known to be the Person(s) who executed the foregoing authorized by § 706,06 iris. Stars.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED 3Y Attorney Kristina Ogland ilf 54016 Notary Publi4:, Statc of Wisconsin My Commission is permanent. (If not, state expiration date: {Signatures may be authenticated of ackPo%vlr-dgcd. Both are not necessary.) \ 1 =cs of wsoyissigniig in any capacity must be hyped or printed below their signature. WormMan Frofe" w*13 C—Wy. Fow di U, vM WARRANTY DEED STATF BAR 014'WISCONSIN FORM No. 2 - 1949 ERTI D SURVEY MAP t.nc .n port of the Southen.;t Quarter of the Northwest Quarter and part of the Northeast Ovorter of the Southwest Ounrter of Section 2q, Township 31 North, Range 18 West, Town of Star prairie, beinq Lots 2 ant! 3 of o Certified Survey Map recorded in Volurrte 10 Page 2780 in the Register of Deeds i ?ttiCe for $t. Croix Count Wisconsin. UNPLATTE[7 LA1!OS WEST LINE OF THE 66' "Nr na`it,�w:I N 1 -- SE +/• ICE NW 1 /• E LINE OF THE EASEIrENT FOR JOWT VRIWIGAY NE 1 /1 OF THE SW 1 /4 + toys 6 A' 7 EASlrMrAIT FOR n a NW'44' b7miW7 LOTS 4 & S r tN4 ; 0 O'444 f _W 430.88' w CE NIER�M►f F ' 127.49 -- 27.66' - J03.39 gy' t Xx�ta+ jr al WA 12z1.90' �� T 213.81' eb I t 3o C -_. m 1 2 of Saa "55'07 513.81' ( 'h a a - O t 9 ill' r u N00' O yb•w N00'4612 W N a$s � -16 t•+ fn 38 $ h Q 34 - W Z 7A.88' d trn 1 �. r`' is si7e_7�' z ' a ��M I F. S r ZZ 0 ^ m p Z a z -1 1� m 1 - - ZZ ial i4 Z�38Zr a' I IQ (C7 C- n c --r a M r• v �' 9a� h' 19k11 1� zc p �� K °z0 I s' I Ic, .Zo NC 10 ZF:E.-^ o s � ? l D►A t d D R*1 0 ` h - or- 'o w 1=1 as t a o `� u W � Iwt C3 N. NOTE- EXISnNG DRIVEWAY FOR LOT 7 '� a 0 � � o U o O TO BE MOVED TO PROVIDE 21St) Ic m tf'1 '` �•' '� c � SEPERAIM TO DRIVE NTH D RIVE TO 10 � o / � n z " SOUTH. I r+ '+ _ ' • ° P _ inn 1 mc�i/ r� tti��µ IAA a o 1 u+ '0 r PER r N:.' Prepared for and at the requteat o(: Mike Germain App V 1359 Awotukee Trait Hudson W. 54016 S1. G niann�n!IZ�n cilPkvC� °t'0.4tYt2`E T�� ��� 4pN D5 0" a OWNf R: Mary 5chaor 1159.92' r I �� p�.P�f�i _ - -'1 ° c �' n•olled by. dkn Nphn UL ;r4 2 QD�UtJPIATTED r r VN� w o i I ; S lC rf t3ENCHMARK -A`: LANDS �r � o Owl TOP OR IRO`J PIPE ELEVATION! 8Smgv,md w,',n,n 3V da - V A"T" r n cn n ' g� epProval date a $' BENCHMARK "8r: aplova +Sha4ltia = a 3 0 _ d ° o Holt and void b r w N z N r*+ o v ^b TOP OR ]RON P ELEVATION 862.47 O X 0 tJ J00 D s ) b ryl oxOp p m�rm •I . x0 ►�av L £.GENO: > T r X 1- f 7Q 5 w p 5 y Se 'on Corner Monument D a D b fJ y i z z cn = . 3 0 of Record f .z: N m__ ., i in s