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HomeMy WebLinkAbout042-1073-20-000 o N d o C rr o, f 0 y__ 1 C m 3 (� (D Ln W N cp CD M ro 0 AO (D (p C W -4 .. ( D i,.s N N 0 W .. ND N) O O -� �^; N (D D) ''. * A p O C p C o j 7 O Ia? O a a O N O O O d D Q. O v CD V CD ? n a C/) C V O 0 0 CD c ` ID O ' O m p p m .. m c�D ° A ° Fn N o c G < G ON A w o a v o v fD N 3 m — I D o 0 0 O � it CD c (D !�►r . N N cn CD (D C I CD 5 (D a CD � y c a n N _ CL a z o I C/) -I N W A m CD z Oa p o m OD OD CD N � A A N ' n ro (n O 2 CD CD (D a O— Cf r = O O :3 T j Q M = O 'ro0 O G 0 (R. (D rr I v I (D p R _ 4 8 A q v ca. I � a (D o m do CA O CD y ST. CROIX COUNTY 4 � WISCO - ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 _ (715) 386 -4680 august 11, 1994 Al Cowles Century 211 706 - 19th Street South Hudson, W 54016 I -�� �3 RE: Septic inspection on 01av Haukenes property 2 If Dear Mr. Cowles: On August 10, 1994, a septic system inspection was done on the Olav Haukenes property located at the SE 1/4 of the SE 1/4, Section 26, T29N -R18W, Town of Warren, St. Croix County, Wisconsin (716 140th Street). This inspection was based upon a surface inspection of said system and did not involve any excavating or chemical analysis. Accordingly, there may be hidden defects in the system not discoverable by this inspection. Our records do not date back to the time this system was installed, so it is impossible to determine exactly what the system consists of or how many square feet of drainage area there may be. At the time of inspection, the system appeared to be functioning, however given the lack of information, and the age of the system, it is difficult to estimate the useful life remaining n the system. I g Y cannot predict how long this system will continue to accept sewage effluent or how soon the system will fail completely. In an effort to prolong the system's life as long as possible, I recommend that steps be taken to minimize the wastewater flow from the house which enters the system. For example, repair any leaking water fixtures and /or replace them with water conserving fixtures, reduce time spent in the shower, wash clothes and dishes only when there is a full load. use a washing machine with a suds saver feature, etc. I would also recommend that the septic tank be pumped at a minimum of once every three years. Should you have any questions, please contact me. Sincerely, Mary `J. Jenkins Assistant Zoning Administrator ST. CROIX COUN T Y WiSGONSIN ZONING OFFICE Iizittiir L � C R 1 q GOV E R N M C F rE _6 tic >' r 16-7710 SEPTIC INSPECTION / WATER-- TEST ;REQUEST PO Please speci y desired test(s) & S Y,�re i'i ropr z,� fee w� =zn application. Outside water lines are'o,fteri' o °- cur_rc winter Tlenths, ne -Ring access to the Pl ease na ;e arrangements with this office to insure tR� -,r=!r,t V can be 0 hater (VOC's) $185.00 O Seotic $53.uo 0 hater (Nitrate & Bacteria) 45.00 0 ?i trate s =aster =_ retes $15.30 O oko bLlyet rS Requested by: .4/ C o Ule , G Address: 7 /(t. /�r�f S' f - Address: 7010 / sf• Sd ZIP SW 1.3 ZIP �oil4 Telephone tt: ( ) 7/?- 3YO-5 Telephone P: ( ) 3 - xe? L. Property address (_Fire V &Street) : 7W 0�0 f S Location: ;, Sec. .� T R y W, uaele-- Realty firm: - 4j- XLLock Box Combo C1 c=_i-^ Da gldS Q� TO BE COMPLETED BY PROPERTY OR ;PROVIDE A Si.= CH 0= HOUSE & SEPTIC SYSTEM O N ; L `' a = -S= i' - -S ' =%'T Water sample ta-a location: D � Is the dwelling currently occupied? ® Yes = :c If vacant, date last occupied: Age of septic s %-stem: ((d years Septic tank last oumiped by: , Da_� Previous Owner's Nar.,e(s) Have any of t:nle following been observed? El CMI Slow drainage from house. OY lk4 Sewage Back -up into dwelling. OY RN Sewage discharge to ground sur c: C1Y 50' Foul odors. Other com_ients relative to system operation: 01 Gcct uw / S art tSS �ctsf lS YY.L s %�iKK was �s.�otr 1 ctvy-ek 4aj - ; 1y G CC , 1 , , J Leo I certify that the above information is ccmolete a::--; best of my knowledge. OWNERS SIGNATURE: //��2t,,v� 1/94 I' OWNERS DRAWING OF HOUSE & SEPb C S STEM LOCATION I S u1 1N o �JA cr � k TO BE COMPLETED BY INSPECTION // AGENCY System design & /or permit on file? OYes 60 Soil series per SCS Soil Survey: sheet Type of soil absorption system ❑Below grd OAt -Grd OMound Approx. size 'X I ❑Gravity ❑Dose OPressurized Ft.' OBed OTrench ❑Dry Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES OOther 9(inknown Septic tank Setbacks: OHouse J DINIell ✓ OProp. line ❑Other Dose tank Setbacks: OHouse OWe11 ❑Pram line ❑Other OLocking cover 1 ❑t a ' -Ilg_l a- r el ❑Pump /Floats OAlarm OEle wiring Soil Absorption S st m Setbacks: OHouse OWell OProp. line ❑Other OPonding- ODischarge: General comments INSPECTORS SKETCH OF SYSTEM LOCATION Id e l l Xl Inspecto Title Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453400 0 GENERAL INFORMATION (ATTACH 1 P State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15,04 (1)(m)j. Permit Holder's Name: City Village X Township Parcel Tax No: Pinke, Dana I Warren Township 042- 1073 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown /Range/Map No: /00 / Q) 26.29.18.414 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing lt. BM g -k 3. Z 16q. 3 1 BIdq. Sewer 636 4MZ2�*41 Holding St/Ht Inlet 1 659 /6O,'G7 TANK SETBACK INFORMATION St/Ht Outlet 7 �3 A6. TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic �5 i g I $ / Dt Bottom Dosing , iM 45 I I $ r /� f Header /Man. Aeration Dist. Pipe $ �� q5 •8 Holding Bot. System i y.t q't.�l Loc��6yv Final Grade -7 f PUMP /SIPHON INFORMA i0 Q " ; b r 5 .S Manufacture Demand St Cover GP � 35(0 /a3. , �o Model N ber )t' 7.6ir 107.510 f116 TDH Lift Friction Loss Sys ead H Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BEDITRENCH Width �� Length J No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liqui Depth DIMENSIONS Jab u ) Tom• \ �� SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: t INFORMATION e� CHA UNET OR c i l e . Typ Co ti System: I 1' o o I 1 ` n I F} Model Number: j 1 01 . (�C DISTRIBUTION SYSTEM v 7 , V /(� C„� I '7 Header/Manifold I � Distribution x Hole Size x Hole Spacing Vent to AhIlnt 1 z . Pipe(s) Length Dia Length Dia Spacing �C v� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of x xx Mulched Bed/Trench Center Q Bed/Trench Edges Topsoil es � No es No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 716 140th St Unknown (SE 1/4 SE 1/4 26 T29N R1 8W) NA Lot Parcel No: 26.29.18.414 1.) Alt BM Description �- 2.) Bldg sewer length - amount of cover Plan Required? Yes >� Use other side for additional information. N o �! 3b _ _ -_ _ I Sig ure Cert. No. SBD -6710 (R.3/97) Date Insepc s Safety and 13ui dings.Division County Npi 0 201 W. Washington Ave., P MAI 2 M adison, sconsin on, WI 53707 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 261 -654 3 Sanitar y Permit Application State Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, person yefHse>Fide.,_ -., ,. ,. � may be used for secondary purposes Privacy fAw, s 11�r1t� t6 Project Address (if different than mailing address) I I. Application Information - Please Print All Informatioq 1 716 /�/O -" 51�7'eG� Property Owner's Name Parcel N but N B4ee4 -# r 0 q2-- /073 - ZO - 000 . �! Property Owner's Mailing Address U ! ;i Property Location 0. "_ 5 / SF '/4, • ' /., Section - 2 "° City, State Zip Code Phone Number p Sjc/ Z3 (' /s 70— VIO ircle one) II. Type of Building (check all that apply) T N; R �r W �Si L1 I�r 2 Family Dwelling -Number of Bedrooms CSM Number ` Subdivision N El Public/Commercial - Describe Use _Y1 a am atA.L- ❑ State Owned - Describe Use 3 ❑City_ ❑village W. ship of Wa elV� III. yo of Permit: Check only one box on line A. Complete line B If applicable) A. Replacement System g Replacement Y 8 Ys � art ❑ Treatment/Holding Tank R lacement Onl 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 L7 Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching hamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: tan d&,- - o ; , CAAni bev-5 41 31. 13 A C- r. S.A = / S,t3.9 SE £. r. S. -4, Design Flow (gpd) Design Soil Application Ra e(gpdso Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation (oG0 cl 0.5! •S I S60 s / 513.9 -V C- 3.4. ?e l 9b VI. Tank Ynfo Capaci to Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Z � iw I lv� c5er eo»e�e& Aerobic Treatment Unit Dosing Chamber D VII. Responsibility Statement 1, the undersigned, assume responsibility for installation of the PO o the attached plans. Plumber's Name (Print) Plumber's Signature MEP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, p Code /070 X" &,,- �2'� uJ VIII. County /De artment Use Onl pproved prov Sanitary Permit Fee fincludes Groundwater Date Issued Issuin Agent Signature ( Stamps) Surcharge Fee) 7 ' ❑ O iven Reason o nial 2 IX Conditions of ApprovaUReasons for Disapproval �&.A� SYSTEM OWNED; C 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained D as per management plan provided by plumber. 2. All setback requirements must be maintained `( ) as per applicable code/ordinance-s. Attach complete plans (to the County only) for the system on paper not less than 8 /2 x 11 inches I stze C- ) S -6398 R. 08/02 f)i..t \ a &W I k� � O NIO O . ■ S G'd � E'. � Q �u G do P � 6Z eleNa o� pro Pas ed cl is W-<,Zl ce 11, Tare e W frone.� C S. &e Qf 8:v 1.Z'F�usc�( -io� - T p. jx'• Cfia 6,e -s in 14P,0 rfYend. 63 Assumed 2/ev = /GiI• Two 6 - e nCkFS of 3 ,r1od u 3i �a �6 �ia.y6crs �f1'°j�. (Jr'oPoS -c� l.JieSc/ �UnLr� -�c WLP (200 /8c0 (+tR C ombirla Grp ^ kto a, 6Wo o f 60 6e 303y ��• A pro^x . �. c . e��CiutnE. /me F Fence I Gbsf . 6 v.� _ /0,3 S.Z, /o��; on o f Fro�os H ■ v `= 1 t9l: lip g,.,. 7#6 c',ti5fr�tJe �oCa� -td O pump tti�st. ✓ d/So��tb 5,lsve� k9 r a P � -,Lie 62 eleva�o /� �r d - iS --a4 ce!I Tire e (� frenc,�,5, ©ne a� 3'y 1 06,2S' 11 - 51, /7 �► 8;vJ;A4,,5Cr(3&� c d k firms in eltu = /c�•w.' Two 6 'emckes of 3W490 3i �4 A, �iaro6Er 5 tl . wL CO 1 0 gco -fitR Coro t.; IaJ 6 �., ■ �S /11� � n 5� -�(ld 8 ca..,hc.zd Sep c• e ti�ti,�, Babel 4- /w zfFlu�. f, � �j EO b e i h 5 tn-/� -6 C )" , 2 'i 1 �. r►l. Top aF S&t r `� �eneelGbsf. E /ev. � Q � ■ 8� oQa� ce. s � i 7 � �r�llocwY� t C6:. yso r-o 'tv __ 1699 Wisconsin Department of Commerce SOIL EVALUATION REPM p� 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8'/ County x 11 inches in size. Plan must St. Crob( include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. 042 073 - 20-000 Please print all information. Reviewed By Date Personal information you provide may be used for secondary p iposm (lacy Law, s. 15.04 (1) (m)). Property Owner Property Location Dana & Sherri Pinke Govt. Lot SE 19 SE 19 S 26 T 29 N R 18 W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# P.O. Box 57 City State Zip Code Phone Number City r I Village 601 Town Nearest Road Roberts I WI 154M3 ` 715 7494187 Warren 1 716 140Th Street New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement - I Public or commercial - Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments t and recommendations: Install three trenches at elev. 95.5' using a cling chambers. Boring # �j Ong Cak ,A" Ad 01 Pit Ground Surface elev. 98.17 ft. Depth to limiting factor 77" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/I? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0 -12 10yr32 none sil 2fcr mvfr as 1f 0.5 0.8 2 12 -19 1 oyr4 /4 none sil 2fsbk mvfr cs - 0.5 0.8 3 19-33 10yr5/4 none sicl 2fsbk mfr cW - 0.4 0.6 , 4 33 -77 10yr5/4 none Ifs 2msbk mfr gw - 0.5 0.9 S^ a4, `jq- 5 77 -96 1 oyr4 /4 f2p 7 5/ 8 sUlfsJvfs 1 csbk/1 msbk mvfr - - 0.4 0.6 H #5 consists of an unsorted mixture of 10yr4/4 sl, 7.5yr4/4 Ifs & 10yr7 /6 vfs with f2p 7.5yr5/8 redox concentrations in vfs. a Boring # ,.,;,f Boring Z-- 116 Pit Ground Surface elev. '998X ft. Depth to limiting factor >99 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -14 10yr32 none sil 2fcr mvfr as if 0.5 0.8 rr 2 14 -21 10yr4/4 none sil 2fsbk mvfr cs - 0.5 0.8 ( 3 21 -37 10yr5/4 none sicl 2fsbk mfr cW - 0.4 0.6 . 4 37 -80 10yr5/4 none IFs 2msbk mfr gi - 0.5 0.9 5 7 3' 5 80 -99 10yr4/4 none Ifs/sl 1 csbk11 msbk mfr - - 0.4 0.6 A* considts,of an unsorted mixture of Ifs & sl. " Effluent #1 = BOD ? 30 < 220 mg/L and TSS < 150 mg/L ' E #2 = BOD < 30 mg/L and TSS <-.,30 mg/L CST Name (Please Print) Sig ure: CST Number James K. Thompson 5--- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 7242003 715 - 248 -7767 Property Owner Dana & Sherri Pinke Parcel ID # 042 - 1073 -20 -000 Page 2 of 3 F3 ] # Boring 4 /G Pit Ground Surface elev. 98.50 ft. Depth to limiting factor >96" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 "Eff#2 1 0 -14 1Oyr3/2 none sil 2fcr mvfr as 1f 0.5 0.8 4 2 14 -20 1Oyr4/4 none SO 2fsbk mvfr cs - 0.5 0.8 , 3 20-40 1Oyr5 /4 none Sid 2fsbk mfr cw - 0.4 0.6 q 4 40 1Oyr5/4 none ffs 2msbk mfr gi - 0.5 0.9 .5 Z / 5 52 -96 1Oyr4/4 none Ifs/sl 1csbk/1msbk mfr - - 0.4 0.6 H #5 consists of an unsorted mixture of Ifs & al. H #5 contains few 1/4 - 2" discontinuous irregular bands of 1 Oyr7/6 We bands. F 4 Boring # j Boring OM Pit Ground Surface elev. 97.92 ft. Depth to limiting factor 60" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -12 10yr3/2 none sil 2fcr mvfr as 1f 0.5 1 0.8 + 2 12 -18 10yr4/4 none sil 2fsbk mvfr xs - 0.5 0.8 3 18 -25 1Oyr5/4 none sicl 2fsbk mfr cw - 0.4 0.6 4 25-00 1Oyr5/4 none tfs 2msbk mfr gw - 0.5 0.9 . S^ 5 60-88 1 Oyr7/6 f2p 7.5yr5/8 fs Om mvfr - - 0.4 0.6 L�J Boring # Boring 1� Pit Ground Surface elev. 97.88 ft. Depth to limiting factor 42" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2 1 0 -13 1Oyr3/2 none sil 2fcr mvfr as 1f 0.5 0.8 2 13 -18 1 r4/4 sill 2fsbk mvfr cs - 0.5 0.8 Oy none 3 18-42 1Oyr5/4 none sicl 2fsbk mfr cw - 0.4 0.6 - 4 42-60 1 Oyr7/6 f2p 7.5yr5/8 ft Om mvfr - - 0.4 0.6 _ H #5 consists of an unsorted mixture of 1 Oyr4/4 sl, 7.5yr4/4 Ifs & 10yr7/6 vfs with f2p 75yr518 redox concentratices in vfs. Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. 1 1 c9 o � v R� £ � Ejl /S�� �rcu�le 42 eleik+ -�o� ��ooF Yz''p.de. pr�ae. 43 As5amed e w.' Bi ,c \ ■ 8�1 _ ►I.? Top or 56ee 1 /off 17' 4 4 p rO7 . � e�ee IGbSf. Ele = /o3 dce - en o Ic P(Oxsej ` qq 11 6.edrrvm /'eSia�ei�C �J i C ■ � ,8S y Conte( /!nq �rcide 7 � - 5, = /oG•Is EX�Sfi�r�q well loca � jya� 7D f1� . i� 3 o � _3 I, g. BioDiffuser Standard & High Capacity Chamber Specifications 76" p a r t, MR 00 0 0o a o o �Chamber 0 Height 0 All three BioDiffuser sizes can withstand H -10 loads when installed with properly graded Chamber and compacted soils. A mini- Height mum of 12" of cover is required for H -10 loads. The 14" High Capacity BioDiffuser End is designed for H -20 loads. A minimum of 18" of cover is 34 required for H -20 loads. 4" Knockout Universal End Cap Available Sizes 11" 14" High 16" High Chambers Standard Capacity Capacity H -10 H -20 H -10 ADS Prod # 1100BD 140OBD 160OBD Length 76" 76" 76" Width 34" 34 34 Invert 6.5" 9 11.3" Units / Pallet 51 38 45 Units / TL 1071 798 945 M A 0 IN ADS / PSA BioDiffuser Chambers can be ordered in pallet SYSTEMS quantities. Contact your ADS Customer Service for ordering details - 1- 800 -821 -6710 i Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adiii. Code, and shall be maintained in accordance with component manual SBD- 10567 -P (R.6/99). All local and/or state Hiles pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pa4, with bottom of tank to be 5 15' below service pad elevation. The operating condition of the septic tank and outlet filter sl all be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in acco dance ,v.th NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when ser✓ice wil I oc needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as neces�iiry to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. if the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or anaudiorized cr.try into tLe tank No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POW''.TS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection Traffic (other than for vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the irliltrative sLrfacc within the system and will promote frost penetration during cold weather months. Cold weather installations (October - February) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BODS, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to 1e owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent nomtorinf.. Contineency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary or by insta i h ng a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to installing plumber_ Mike McDonell at G 12) 865 -1927, or the St. Croix County Zoning Department. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner43m;Lrr Mailing Address &fir 57 /PpG S GJ /. 5"Y023 Property Address Ste- (Verification required from Planning Department for new construction.) City /State ate, Parcel Identification Number 0 /d 73 ;_6 - 000 �• �� `�� LEGAL DESCRIPTION Property Location .56 '/, , SE -A, Sec. ;7-6 , T 29 N R It W, Town of Subdivision Aa Lot # Certified Survey Map # ►'!a , Volume Vl a , Page # _/lam_ Warranty Deed ' Volume Spec house ❑ yes B'no Lot lines identifiable V`y ❑ no SYSTEM MAINTENANCE 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 County 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 ful l 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 Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department within 30 days of the t`ee year expiration date. G� x /!?lam SIGNATURE OF APPLICANT DA`1 I OWNER CERTIFICATION Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am /are the owner(s) of the property described above, by virtue of warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT x DATE, * * * * ** Any information that is misrepresented 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 and a copy of the certified survey map ii reference is made in the warranty deed. o� si>- Q, td Z 1178 Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service 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 pares I. D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. _ 042- 1073 -20 -000 Please print all infonnation. / d 3 Vie' // 5 Reviewed By Date Personal information you provide may usii M rri y L s. 15.04 (1) (m)). t^" e Property Owner Property Location Pinke, Dana & Sherri � Govt, Lot SE 1/4 SE 1/4 S 26 T 29 N R 18 W Property Owner's Mailing Address k J Lot # Block # Subd. Name or CSM# 716 140th St na na 40 Acers City State Zrp Code PhWne lV n City Village Town Nearest Road Roberts WI "'S 715 749 - 4187 Warren 140Th St New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Ridges of ground moraines underlain by weathered Flood plain elevation, if applicable na General comments and recommendations: Mound design , system elevation 98.95ft based on contour line 97.95ft a Boring # Boring Pit Ground Surface elev. 98.65 ft. Depth to limiting factor 27 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= "Eff#1 I `Eff#2 1 0 -12 10yr3/3 none sil 2msbk mfr cs 1f .5 .8 2 12 -27 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 27 -50 10yr7/2 sandstone residuum na na na na na .0 .0 Boring # Boring Pit Ground Surface elev. 98.65 ft. Depth to limiting factor 71 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/(t "Eff#1 I "Eff#2 1 0 -20 10y13/3 none sil 2msbk mfr cs 1f .5 .8 2 20 -32 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 32-42 7.5yr4/4 none sl 2msbk mfr gw na .5 .9 4 42 -71 7.5yr4/6 none Is osg mvfr cs na .7 1.2 5 71 -96 10yr7/2 sandstone residuum na na na na na .0 .0 " Effluent #1 = BOD ? 30 < 220 mg /L and TSS >30 < 150 mg /L Effluent #2 = BOD s mg/L and TSS <30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel `G 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 10/8/2002 715 - 246 -5085 property Owner Pinke, Dana & Sherri Parcel ID # 042 - 1073 - - 000 Page 2 of 3 F3] Bodng # Boring Pit Ground Surface elev. 95.85 ft. Depth to limiting factor 46 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' *Eff#1 *Eff#2 1 0 -24 10yr3/3 none sil 2msbk mfr gw 1f .5 .8 2 24 -36 10yr4/4 none sicl 2msbk mfr gw 1 of .4 .6 3 36 -46 7.5yr4/4 none sl 1 csbk mfr gw na .4 .6 4 46-65 10yr7/2 sandstone residuum na na na na na .0 .0 F-I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' *Eff#1 *Eff#2 F-I 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 GPM' *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 Page 3 of 3 STEEL'S SOIL SERVICE David I Steel 1564 Cty Rd GG CST- POWTSM Dana & Sherri Pinke New Richmond, WI 54017 Lic. # 248956 SEI /4,SEi /4,S 26,T29,R18W (715) 246 -6200 Town of warren, St. Croix Co. (715) 246 -5085 40 Acers Legend 1 = 40' u ♦ = Benchmark El. 100.00Ft Top of ' /z "pvc pipe • = Alt Benchmark EL 100.65Ft Tap of /2" pvc pipe ❑ = Borings Boring Elevations BI = 98.65Ft B2 - B3 = 95.85Ft B4 =00.0017t FX, YS Puff 15 ddron ,5' /aP c' 151 cPa.�s� �•'sh� p ,�x71 go A Tr F/-•- 47 gs-F P ' !S' >f VII 1563 PA6E 591 6.4531 KATHLEEN H. WALSH REGISTER OF DEEDS WISCONSIN DEPARTMENT OF AGRICULTURE, ST. CROIX CO., WI TRADE & CONSUMER PROTECTION RECEIVED FOR RECORD 2811 Agriculture Drive, PO Box 891 l Madison, WI 53708 -8911 12- 01 9:30 AN RELIN. OF FARNLAHD PRE Parcel I.D. # (See Exhibit A) EXEMPT II CERT COPY FEE: COPY FEE: RELINQUISHMENT OF TRANSFER FEE: FARMLAND PRESERVATION AGREEMENT OR RECORDING FEE: 12.00 TRANSITION AREA AGREEMENT PAGES: 2 AND NOTICE OF NO LIEN FILING RELINQUISHMENT Whereas, Dana R. Pinks and Sherri K. Pinks is or was the owner of farmland subject to a Farmland Preservation Agreement or Transition Area Agreement, No. 13135 -2 under Chapter 91, Wis. Stats., recorded on July 31, 1995 in Volume 1133 Page(s) 101 -102 Document No. 531922 in the office of St. Croix County Register of Deeds, which expired on November 15, 2000. NOW, THEREFORE, the Department of Agriculture, Trade & Consumer Protection in accordance with s. 91.19(l 1, Wis. Stats., hereby relinquishes the above -cited Farmland Preservation Agreement or Transition Area Agreement on the property as described on attached Exhibit "A ". NOW, THEREFORE, the Department hereby gives notice that a lien will NOT be filed under the provisions of 91 .19, Wis. Stats., by the Department on the property covered by the above Agreement. p � Dated at Madison, Wisconsin this �V day of N C''R'► be c 20 _Q Wisconsin Depart Agriculture, Trade & Consumer Protection artment By W Keith W. Foye, Section Chfaf Farmland Preservation Program DEPARTMENT ACKNOWLEDGEMENT (Official Use Only) STATE OF WISCONSIN ) )SS. COUNTY OF DANE ) `( This instrument was acknowledged before me on 20 Cb by Keith W. Foye as Section Chief of the Farmland Preservation Program for the Department of Agriculture, Trade and Consumer Protection, acting on behalf of the State of Wisconsin. (SEAL) andra V. W - S Notary Public 3 r>ti4i31c Sin a s � . ♦ ♦r = My Commission TN. doC 1 M.h d by M. '� D*P- H. /A*6i 1W ., Tr.da �r • �•.• ..... •• • • *' _d C.-r hct.et IRwiN 1M95) �• Relinquishment Of FPA and Notice of No Lien Filing Dana R. Pinke and Sherrie K. Pinke PAGE 592 Page 1 of 1 Exhibit "A" The East Half of the Southeast Quarter; All in Section 26, Township 29 North, Range 18 West; Parcel Nolsl.: 26: 042: 1073 -20; 1072 -90; O�V Q�� / o Ica _ ova - �o V CUMENT NO. I! ' Q ya 1413 - .7 -0 ./ ARRANTY DEED /' MS SPACE RESERVE O FOR RECORDING DATA 52069 'STATE B OF WISCONSI FORM 2 —1982 L Ji REGISTER'S H OFFICE aukenes a .......................single person.,....... �i ST. CROIX CO.. W1 ........................... c'd fer Re Ree rd ................................•------.............__.._.........._. .....--- ••- ......•- •........... iI - - -- -- - AUG 2 6 1994 ya and warrants to _ ... .Dana R Pinke and Sherri K I II 12 - 5 _ / as joint tenants Pinke•, V �►,o• - � , 1 ''". .................................. .............•••• ... . ..........•........................... V M Reg! ....... .............•--- •............. � �. � L � . . i ........- •._....... .....:, sterofDeeds i .......... ............................... ._..................... d' .�= ......... RETURN — ... UR. _ Y .......... .......... following described real estate in St. " Croix of Wisconsin: •.........• ............. County, qi Tax Parcel No: ................. F�SFk, Sec. 26- T29N -R18W. i S i ubject to the terms and conditions of the Farmland rmland P r Agreement date eservat' d November 1 ion 5 19 Vol. 88 � 90, recorded December 7 3 page 1990 4 i , 37 � n P g as , , Doc. No. 464563. I D � ti..IJf•'I I This ....... s) ...ls ' � ........ ...... homestead property. (i � Exception to warranties: , EaS emen is restrict strict>.ons and r' _ i h - ts if an g of way of record, , ted this .......................25th ................. day of ........... ... A. ugust ....... ......................... . ................_ pp i .......... .........................(SEAL) ... (S1AI,) Olav Haukenes ................................... ............................... (SEAL) .......................... ...... (SEAL) .... ............................... ............................ ................. ............ ... . A UTHENTICATION AC KNOWLEDGMENT I I ..... STATI' OF WISCONSIN ............. ............................... St. Croix uthenticated this ....... day of ........................... 19.... ...................................... Count Person lly .an:c brfore na thi 25 day. of .............................. August ............. 199.4.•.. the abov .. ...................... . ................................. . .. .. Olav-._ Haukenes MBER STATE ..................... ITLE: ME>J R OF WISCONSIN BA (If not -•------------------•-•- --- -•-......................._. _ authorized b � -• - -• ............... .......... .._......_ y �os.os, Wis. Stats.) to me known to be the person ............ . who executed the fo 5ng in rument and acl owled a th ame. t THIS INSTRUMENT WAS DRAFTED BY '- .. - . - ••Kristina-- Ogland.. . . ..................................... ..... . Attornex at Law J ne Terkelsen No ary ublic St. (Signatures may be authenticated or acknowledged. Both D4y emission is permanent. (if not state o expi�rat on re not necessary.) (late: ............. .. MaV....14 mes of Persons signing in any capacity should be typed or — "— — — •"--- - -- - -- Prinked below Lhwir I+ignu to res. WARRANTY DRPD -- —` STATR nAn 07r