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HomeMy WebLinkAbout022-1015-70-100 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)], Permit Holder's Name: City Village Township Harting Xoatings TOWN OF KINNICKINNIC CST BM Elev: Insp. BM Elev: BM Description: Alto• •,r — S\1* TANK INFORMATION County: St. Croix Sanitary Permit No: SAN-2023-268 State Plan ID No: Parcel Tax No: 022-1015-70-100 Section/Town/Range/Map No: 06.28.18.90A ` '% ELEVATION D *%M u�X %OTlQ'VKV TYPE MAN FAC URER CAPACITY Septic Dosing •450 Aeration d H^!-ling _L7 TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Verft to Air Intake I ROAD I Septic �16, %, A Dosing ? l 7 l Aeration Holding PUMP/SIPHON INFORMATION 3� Manufacturer Demand •s GPM S�{ Model Number f9 bn5 TDH Lift Fric ion Loss Syst m Head TDH Ft .07 Forcemain Leng Dia. �` Dist. to 111 SOIL ABSORP ION SYSTEM STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer W' III St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom I Header/Man. Dist. Pipe Bot. System Final Grade t Cover . 00.3 BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Insid Dia. Liquid Depth DIMENSIONS SETBACK 01 STEM TO G WELL LAKE/STREAM LEACHI G , IManufacturer- _TIO INFORM CHAM UNIT Model Number: pe Of System: L\j DISTRIBUTION SYSTEM I` Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 525 90TH ST 1.) Alt BM Description "*vXA •VIVW.*AbVJ /h 2.) Bldg sewer length =,,* - amount of cover Plan revision Required? ❑ Yes �( No 1000, Use other side for additional information. el 7 01 6_10e 1"'? It f SBD-6710 (R.3/97) Date O;selctor's Signature Cert. No. �'4-)v -zap 7 - 2, (F 1 County Sanitary Permit Applicabon ST. CROIX COUNTY WISCONSIN CPO &04 In accofd with Chapei'1'12 St. GrOIX COLJAI'yS,-irlitary Ordinance PLANNING & ZONING DEPARTMENT 011� Personal information you provide may be used for -secondary purposes T. GHOIX COUNTY GOVERNMENT CENTER [Pr'ivacy Law. S. 15.04(1)(rn)] I 101 Carmichael Road Hudson, ill-77101 54016 -46t 7 15)3816-4686 (715'380 io Fax AtllElabs for the system oil paper not less 1hail 8-1.;` x 11 incht,q in size, _complete Co'Jnty sarillary Permit 0 171 Check 11 re\dsion to previous appli(­'i'lti oil �R-%V%-- 2C ) '9 I. Apelleation Information - Please Print all Information Location: 4 Property Owner N e P� rwr'Ma']Add Ing a�r PropertI y Ows ' 6 Lot NumberKb Block �DCT City, Stat Zip Code Phone Numer ff Si.ilbolvision Name or GSM Number it T a of Building.- (check one) - ocity IOVI1 I Town ol 1 or 2 Family Dwelling - No. of Bedrooms: El Public/Commercial (describe use): �D/f N*afestAload 11 State-owned 11. Type of Permit: (Check only one box on line A. Check box on line B if applicable) -Parcel Tax Number(s) A) 11.0 Repair Reconnection 3.0Noi1-plurT6rjq 4_oRejuvencilion 0 -dM IZI San'llation 7471 B) PerthItNumber —i:s:sued Date Issued 11 State Sanitary Permit was previ 0 01 Type of POWT System: (Check all tha apply) . -1 1 nds 24 in. suitable soil Ciro -pressurized In -ground Mound 2! 24 in. suitable soil ou *M Cl Mound A+O El and Filter CGnstrucled Welland D Peat Filter 0 Drip Line El Pressurized In -ground CD Holding Tank 0 Single Pass L1 Other El Al -grade Aerobic Treatment Unit El Recirculating V. Dispersal-o-Treatmen't Area Information; 1. Design Flo-,�i (gpdk 2. Dis-persal Area 3. Dispersal Area 4. Soil Appl.-cation Rate 5, Percolallon Rats' 6, System Elevation 7. Final Grade Required Propospd (GalIs,,/day/sq_f1.) (K441JInch') Elevation Total # of Manufacturer Prefab Site Con- Steel ;bud" - Plastic Vl. Tank Information Capaicly in Gallons Gallons Tanks Concrete s1ructed glass New Exisling7 Tanks Tanks 0 0 0 El 0 V11. Responsibility Statement 1, the undersigned. assume responsibility for rep 9�roi-iiien,ction/rpjuvenationfinstallat,Eon of non-plurnbing for the PO S shown on the attached plans. A 90_ 1'xen,se is nol required JeNWallfll ir"�Pair or [hi", ation of non -plumbing s-anilalion system. P=er's Nama.(prli Plurn Signalure (no stamps); MP..,MPRS No. Phone Nurrii I b Rr lumber's Ad (Street, city, sto. 0 Cok, e,-, V111- �.Ounty Use Only Sani;ciry Pviinit t-ee Date ISSUed Issuing Agent Sigfl�-I`[1_11-01 (NO StL-MIPS) iv( � < %. I Owner Give:)n�ln�i' verse LSD— 0&-4/7 Determin �..� JX. CondiflofIAf L' f)f A)j al: �5 -+ kf.- A. r OIL aA Y S TE r-ol N I--- PL: +a'4 Jim 61P_^ J r s5 a zi n i-cal Geldmust ' r �l :­F.jj7 ' 1't' bG- seZv,%-�ad maintalflai a5 Per Mani gement plan provided by plrjn-il.:�er. �r� �-- P 2. All setback requir,_-mcnts must L.e. maintained a 5 r-1, LLr a p p I i b le GGd e I P;rd i n� n ces 5 PICOT PLAN Scale l : SO Sa►�.Z:.3' �o � 5, 14a,, ff zZby Page B of 3 �rrrr ww+�+ti+iwr .N& t 14" tiz. - 4E.L. OTC •,V off. 6 `4 14-tG9, 3IY" Tz�l m- pNJ C eel p�Z lov/ LKN. PICOT PLAN Scale l : SO Page B of 3 �rrrr ww+�+ti+iwr Sa►�.Z:.3' �o � oo r.� oT cu t� p t�reT � N CK. a . �`8 s 71f\� lea; ... ........ .... .... . ....... 14" tiz. - 4E.L. OTC •,V off. 6,4 14-tG9, 3IY" Tz�l m- pNJ C eel p�Z lov/ LKN. FmF-NT PLAN POWTS OWNFER'S NIANUAL & MANAG S FILE INFORSYSTEM PECIFICATIONS MATION ------ Sepdr, Tank Gapa rmit dty owner , I f HadL P pe Sepflc Tank Manufacturer e# IN, Effluent Filter Manufacturer DESIGN PARAMETERS Effluent Filter Model Kj"rmKnr ref RMmnmS Q NA I I '00� M mhpf- nf Cnmmen lalUnits —0 NA VUMP I a K I aal Estimated flow (average) LZZ) .-JclaVday Deslgn now (peak), (Estimate4d x 1-5) SaVday Soil lication Rate J gaVda InfluentfEffluent Quality Monthly average* Fats, it & Grease (FOG) �0 mg/L f3iochemical Oxygen Demand (BODrj 0 rnglL Total Suspended Solids (TSS) :5150 m!9/L Pretreated Effluent QualitY 0 NA Monthly average" Bicrahemical oxygen Demand (BODs) �0 mg1L Total Suspnded Solids (TSS) :00 mg/L Fecal Cotiform (geometric mean) 10" CfU/1 00MI Maximum Effluent Particle Size Y, inch diameter MAINTENANCE SC H ECG U L E Inspect condition of tank(s) Pump out contents of tank(s) Inspect dispersal ce 11(s) Clean effluent filter Inspect pump, pump coritrols & alarm Flush laterals and pres5ure-test am pump Tank Manufacturer Pump Manufacturer Pump Model Pretreatment Unit 0 Sand/GMvej Filter [I Mechanical Aeratiotl C1 Disinfection Manufacturer, Dispersal Cell(s) Ej in -ground (gravity) El At -grade 0 DriD-4ine 0 NA 0 NA 0 NA C1 NA C1 NA 0 NA .10—F .0 ILI 11 NA 0 Peat Filter El Weland El Other- C1 In -ground (pressurized) Mound Vafuostypjj fur d()meS[,c, (rjon-mmcrdawastewater and sepbc tank effluent. Va Ju e s typical for pretre 2 ted wa stewa t e r, Service Frequency At least on every 0 months J��eaf(s) (Maximum 3 yrs.) when combined sludge and scum equals one-third of tank volume At least once every 3-� 0 months year(s) (Maximum 3 rS.) At least once every D months year(s) At least once every 3 [] months year(s) El NA At least once every Cl, m�ontlhs year(s) C1 NA At least once every 0 months El year(s) El NA At least once every [3 months ['1 year(s) 0 NA MAINTENANCE INSTRUCTIONS Inspekdons of tanks and dispersal cells shall be made by an Individual carrying one of the following licenses or ceruficaflons: Master Plumber- Master Piumber Restricted Sewer, POVVTS Inspector, POVVTS Maintainer-, Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any mis5ing or broken h ardware, ident-ity any cracks or leaks, measure the volume of combined sludge and scum and to check for any back Up or ponding of effluent on ttle ground surface- The dispersal oell(s) shall be visually inspected to check the effluent levels in the observabon pipes and to check for any ponding of effluent on the ground surface. The pond in of ehlfl.jent on the ground surface may indicate a failing condition and requires the Immediate notiflaition ef Vie icy, -al regulatory autl)ority. 1� When Me combined a0cumulation of sludge and scum in n any tank equals or (Y3) or mofe rif the tank vnIurne, the entire contents of the tank shall be removed by a. Septage Servicing Operator and disposl,-J11'11 of ri,accordan,w With Ch. NR 113, Wiswn s in Administrative bode. od e The servicing of effluent filters, rnechginical or pressudzed POVVTS components, pretreattment and any other maIntenance or monitoring at Aervals of 12 months or less shall be perfomled by a ceffifie(l f,(_)vvTS Maintainer. A servic;o report shall be provided to tile local regulatory authority within 10 days of completion of any service event, STARl? AND OPERATION r othet- For new oonstaiction, prior to use Of POWTS check treatment tank(s) for the presenu�, of painting products 0 chemicals that may irlpede the t���-��� �.��:ant process and/or damage Uie dispersal c�ell(s)- If I �Igjj cone entrations are detected havc, the contents of the tank(s) removed by a septage servicing oPW-atof Prior to LISe. page � Of l START UP AND OPERATION OWTS check treatment tank(s) for the presence of painting produ= or other chernicais 00 For new constructiOn, pHor to Use of th8 P high concentrati•ons are detected have the contents of th'�, may impede the treatth treatment Prccess and/or damage e dispersal cell(s). if jank(s) removed by a septage semi cIng operator pflor to use. rface System start up shall not occur when soil condlOons gre men at the inflitmfive su . Du(ing power outages pump 'tanks may fill above normal highwater levels. Men power is restored the excess wastewater will Ala di9charged to the dispersal cefi(s) In one Lsrge dose, overloading the cell(s) and may resuft In the tookUp Or 3urfaoe discharge of effluert. Y a Septage Servicing Operator prior to resWng pmer to the To avc,cj thj5 sftus�on have the contents of the pump tank removed b is to refire normal levels effluent pump or contact 2 Plumber or POVVTS Maintainer to assist, In manually operating the pump contro sto whh[n the pump tank. not drive or park over, or otherwise disturb or compact, the area withIn Do not drive or park vehicles over tanks and dispersal cells, Do 15 feet down slope of any mound or at -grade soil absMton area. Reduction or ellmination of the following from the wastewater stream may improve the performance and pro iong the life of the POWT�'" f1ws a ers disinfectants-o ,fit, foundafion dra�n cotton swabs; degreasers; dental dl p anbbiobcs,, baby wipes.- dgerette buM, condoms, herbicides; meat scraps; medications*, 011-&, PsInUng PnAUC (sump pump) water; fruit and vegetable peelings-, gasoline; grease; pests des; sanitaN napkins; tampons; and water softener br ne. systems is prope1y ABANDONMENT ice the folloWng steps shall be taken to insure that the When the poWTS falls ancifor is permanently taken out of sefv isconin Ad S mini trative Code: and safely abandoned in oompflance with chapter Comm 83.33, W, is 9 All piping to tanks and pits shall be dlLsconnected and the abandoned pipe openings sealed. a The contents of all tanks and pits shall be removed and propedy disposedDf by a Septage Servicing Operator, a After pumping, all tanks and pits shail be excavated and removed or their c*very removed and the void spaces filled with soil, gravel or another Inert solid material, CONTINGENCY PLAN I. e rnpfl;� nt If the POWTS fails and cannot be repaired the following measum have been, or must be taken, to provtde a cc�d cc replacement system: 13 A suitable replacement area has been evaluated and may be utilized , for the tocabon of a replacement soii absorption systelm. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requitled setbacks from existing and proposed structure, lot tines and wells. Failure to pnDted the replacement area will result In the n(ed for a new soil and site evaluat ort to establish a suitable replacement area. Replaoernent systems must oomply Wth the rule-111, it effect at that time. C3 uftab1e replacement area is not available due to setback and/or soli limitations. Barring advances in POWTS technologW holding tasK may bd insWited as a last resort to re la the failed POVVTS. suitable replacement area, Upon failure of the POVVTS a soil and sine evalual�or site has not been evaluated to identify a 4 The s must be performed to he to a suitable replacement area. if no replacement area is available a holding tank may be installed a% a last restart to replaoe the failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place follovAng removal of the biornat at the inf surfare. Rewnstructons of such systems must comply with the rules in effect at that time. -K<WARN1NG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. "' DO NO ENTER A SEPTIC, pUMP OR OTH ER T,EAT M ENT TAN / UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE 0 PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ADD;TIONAL COMMENTS POWTS INSTALLER 7Nga7m]e a AAA:�4� Phone 0 1 2 POWTIS MAINTAINER T- 1A L Name J Phone � — 2 ' ��] SEPTAGE SERVICING OPERATOR (PUMPETtL, LOCAL REGULATORY AUTHORITY , T.V N Name )ayv- C- e -T. F4 o. Name 1221Y Phone -07 Phone °� �:� ��r��`������� ���Ad-n1nistrat" bode_ Thisdocument was drafted in oDnViianoe wfth chaptw SPIS, and 303.54(1)1 �Z/i ST C R01' N T Y File SANITARY SYSTEM Offi�` ce Use Only VC01-ISU'l• OWNERSHIP/ADDRESS FORM Created 212021 L Community Development Department will LitjHze this information to provide the property owner with information regarding operation and maintenance of your now or replac ernent sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, -surface water, property values, arid county resources. Once approved, this completed form and educational information be sent tO YOU by email. Ilf you would like to view your issued sanitary permit online, YOU can do so by using the Prooerty Files Scanned weblink, OV f,1JEV/RUYF2 11JF0WVi4 Owner/Buyer Ci*.y/State/Zip Phone Number (required) Email Address (required) Parcel Identification Number 07- O (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Locationk � 1/4 t)W 1/4 , Sec. T 'DF N R j wjown of Subdivision Plat: Lot # Certified Survey Map —A9q-fl2-9 Volume Facie �joq Warranty Deed (before 2006)Volume Page Number of bed rooms Spec house 0 yes Xno Lot lkies idendfiable Xyes 0 no Ne--,r%r Property Address (Verification of new address required from Commu wate) Development Department for new coostruction) This form must be stibmitted °ith all Privcte nsite Water Treatment Systet77 (POINTS) upplicotioos- I - � N e vv S y s t e i m I u de with th is fa rin c) re co rde d warrant rran ty deed from the P, eg ist �-, t- () f 0 C� (> Cj'5 Off j r e w c� c G,;)y of the c c, r ' r, f- S Lj I' V c?y m op reference is m a de in the wo rro n ty deed. Cornmunity Developrnent Dcwirtn-ent — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cddwi,aa 1101 Carr�jirj,. L-iel Road, Hudson, Wl 54016 www.scc WARRANTY DEED Document Number Document Narr--�u THIS DEED, made between Robert J. Kaufman, a married person, ("Granter,"` whether one or more), and Hartung Xoalings LLC, a Wisconsin limited liability company ("Grantee," whether one or more), Grantor, f,L)r s Njaluablo consider loon, convevs to G�antee the foliowing described real - estate, together the fixture,_� rp-ofits, r L %C' T,tS, L a"u, he!apportenant interests, in Saint Cra;xCOLi1tV, S..ate of MaccnSin ("Property") (if mere space is needed, please attach adde.ndum): SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HERECF 1171523 BETH PABST REGISTER OF DEEDS T. CROIX CO.., WI RECEIVED FOR RECORD 09/26/2023 01:40 PM EXEMPT#-. REC FEE 30.00 TRANS FEE 480.00 PAGES: 2 "The above i-ecoiding infoi-niation verifies that this documerit, has been ck�ctironically recorded & returned to the, subrilitter Recording Area N:j, i �(_j and RcJurn Address-. CrOIX COUnty Abstract & Title Co., Inc. 575 N. Know'les Ave-, Ste- B LNew Richmond, VVI 54017 022-1015-70-100 Parcel Identificatior, Number (PIN) This is not homestead, property. Grantor %zrrants that the title to the Property is good, indefeasible7, i!) fee s,rnple and free and clear of encumbrances except, Dated: Robert J. KaufnTaIT AUTHENTICATION Signature(s): Robert J. Kaufman authentica"Icc cm TITLE: MEMBER STATE BAR OF VVISCONSIN (If not, awn rued by is. Stat, § 706.06) TH!S 1INSTRUMENT I)RAFTED 13Y.*/ St- Croix County Abstr,32t & Title Cc,, Inc. 575 N Knowles Ave-, Ste B New Richmond, W1 54017 Samantha Olson at the i,, irect4�,,n rj� the Grantor. S23-01023 ACKNOWLEDGMENT STATE OF WISCONSIN COUNTY OF S t C-,rm .1 X Persorially mai-ne before r this 17%17- daY Of 2�,33the ah;ove narned Robert J. Kaufi arine , to fknw on to be the person who executed the f re, i�nc�., instrument and acknowledge the same - I NEtary-Public County, Wisconsin 1 1 Commission is permanent: (If not, state expiralUnn date: (Signatures may be autheriticz-Aed or ackriow1r_dgf_,d- Both are not necessary-1 I 11!) If y A4 'Type name bp.lcivv Signatures A C, 3 C, St, Croix County 1171523 Page 1 of 2 EXHIBIT "A" Lot 1 of Certified Survey Map filed June 1, 2401 in Vol. 15 of C.S.M., pg. 4144 as Doc. No. 647128 located in the Northwest Quarter of the Southwest Quarter (NWI/4 of the Sw'f4) of Section 5, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. St. Croix County 1171523 Page 2 of 2 ol <i . w4vr Ur 4 �r r y 3 t 41 T "7 T T 1r T-7- r- e +se srt h 4 I I UAW E a 1I1 _ ►Yi TrM r l _ _J p � v rw ra Ur a itA ..Y �-t� •, Sri iR' Z x + Oi3 + € z p -4 lliVViiRR*�� � �-. •� •--'------:'....-..-...� _ _ t•Y ,-� � 7rAtrY ,.,..... ..................... _ „ K R 31;01 `� MUDROOM ! MECH.146 so . y : r m 11i IM y u•n i X 304 EIr y f'' 4 r- I rkq I r � I r 1 I 1 I Y� 4T € € � € r € �' .. L---- --- i €.---- ....-- a ! I r � • I I . I I I I .• I I a L-____ ___ 1 I j________ ___rn 1 I € € t f I { I i '•. 1 I { r �•4• -___...sr -- - - - Li ■� 1 'rt Y -------- �a M FOSTER ENTERPRISES LLC e 525 Corr, sr. Hudson, W[ 54016 I ST FLOOR PLAN scoLE. *� x� IMTE, 1011& 3 �ET�` 6 HARTUNG. MAWN BY. lE • 4a .......... r *,2 1fr T 4',2 1fr 41 T-Iir 4p a -& ----------- 0 0 m z mca 110 CO 0 514 Sir W-251i(r- 9 2 7W it -q :74 0 0 co m V,2 MV- W t m DOWS BATH Inch ;v 57 SO FT 0 CLOSET 66 SO FT 17-0 trr V%* SHOPSTORAGE 266 SO FT 65 W CrFILNG W' M FOSTER ENTERPRISES LLC 525 90th St. 2ND FLOOR PLAN SC"Q24'XSHEETMJM Hudson, W1 54016 IMTE tool&=$ HARTUNGO DRAWN BY, E.F.7 ---------- Mrscomin Department of Commerce SOIL EVALUATiON REPORT 0 ivision 0 f %S a fe ty and 8 uj I d1ngs Page of F in accordance w[th Comm 85, Ms. Adm. Code County Attach wmplete Site P19n on paper notless than 8 112 x 11 Inches in size. Pfan must include, but not limited to: verg and horizontal reference point u3M), direct and Parcel I.D. percent slope, scale or dimerlsicns, north arrow, and 1`0catJon distance and to nearest road. A Please print all information. < ReviP46 e Person al jr)(0m-wUcn you provide may be used for secondary purposes (Pnvacy Law. :S, 15.C4 (1) (m)). A Property Owner Property Logan IL I I 1/4 S�j 1/4 S T N R WE (04 W fty w PropeOners Mailing Address Lot 9 810d# Subd.NarneorC,5%M# 12>QX -Z 7 zc� — city State Zip ode Pharie—QmNer [I C4 []Village JZ Town Nearest Road qJ L Nj S-So Q tC New Constructon Use: j Res[dental I Number of bedrooms ved des' n fow rate g GPD RePlacement El Public or commercial Des de, niatedal Flcod Plain elevabcn if applicablo" Genenall =mments and re=nmendaficns- Q �,,A� 'v%j Cj y,_ L 1�� F— -S � F I 5V � U I-,,, E-L EtN Boring # Boring ��`r Pit Ground surface efev. YD,.o ft. Depth to ffmidng factor 11caton Rate Horizon Depth Dominant Color Redcx Desaip(Jon Texture Structure Consistence I f4o re ! GPD/ft2 in.Munsell I Qu. Sz. -Cont- Color Gr. Sz. Shut *Eff#1 WWFMMW� E ff#2 ri Z :LZ r\ FL 31 `t- 1 Zl_ .3 1YZ :S 6 0 hi M Bofi'ng # Boring pit Ground surface elev, Depth to 11mibng factor In. Horizon on ZOn DePth Dominant Ulor Redcx Dnscripbbn Texture Structure Consistence Boundary Solf Application Rate Roots GPD/ftl In, Mansell cu. Sz. C-0-nt. C-clor Gr. Sz. Sh. *Eff#1 &FfM C�s - 13, -1,S /E5 ww� I I Efftent #1 800 30 < 2-20 mg,`L and TSS >30 < 150 M4� Effluent n 000 < 0 Mg,"L 2 -r, d TS S < 3 0 m A CST Name (Plem Pr-iw--�) ign. �:.ir CST Number Ar t 1i u r 1,, a We ge re r 2? 202 54 T Address �, e e r Date Evaluaton Gonducted & Design Sn-vice' Telephone Number 421 V 0 r 1 13 1 54022 Y--Z 6 - 01 715-425-0165 Property Owner L ��Z.�'�Z. . n Boring pit Ground surface elev. f t. Depth to firnItIng factor 40/ in, Page Horizon Depth In. Dominant Color Munseli Redox Des cApI.Ion Qu., Sz. Cont. Color Texture W,. Structure Gr. Sz, Sh. Consistence Boundary Roots GPL)m' *E(f#1 *Eff#2 C! i )n 5 Boring # Boring I pil Ground surface efev. ft. Depth to flmlUnu facW Horizon DepLh In, Dominant Ccgcf Munsell Redox DesClipbW Ou. Z. Cont. lor Textum StmcAure Gr- Sz. Sh,, Consistence 13ounda'ry Roo Ls GPD1111 OEM "Eff#2 Boring # 0 E3oring Ground surfaoe eleov% pth It. Deto ilmlUng faor 0.ct Ej pit Soil AppPica ton to Hofton Depth (n. Dominant or Munsefl Red4ox DescrlpOon Qu. Sz. Cont. Cofor Texture Structure Gr. Sz. Sh. UnsIstence Boundary Roots GPD11V *Eff#1 I "Eff#2 11 EM uen t # I = 130 D11 > 30 < 220 wgl and TS S >30 < I 5U m pA. * Eftent #2 = BOD,,:5 30 mgfL and TSS < 30 mgVL The Department of Conin'lerce is nn equal oppoftunity servicc prow idcr and empluver, If you need assistance to access 5ci-vices c).r need =.ten' al �i an altemate fbplewe coma the department at 608-266-3151 or 608-264-8777. SBO-1310PLOW) PLOT PLAN Seale l'� Page 3 of 3 V S715-425-0165 220254 01.59-a1 CST Signature Date Telephone I-T a . CST No. Jab Na t� 1 °n ��� UHMAIMEBUH'N88`04'14W53D7.69'I. a� TOWER W@Lo d I191 f4 GC R. _.�..'..._. � ;-----...._. — SEA. 5 SECSP@ � 588°44'14'E o om � ------ �_ � 3945.89 N88°04`14W1337.2 1-----....... 6 , EAST -WEST 1 i4 LINE — CERTIFIED 0 m 14SURVEY w t co W € �►mAP W� � mow' �1 0 w L� I R LDCA TED IN THE 0 IN,, C4 CO) U.. z �_ @ 0 (o CD U. N W 114 OF THE r _ o r SWI14 OF �� �r 6 LOT 4 C� SECTION6 w r z }] a' a � "7 33.3ff8 ACRES INC. RIB � � CA E T28NTO WN R 18 �r a El[ m 1.453,506 SO. FT. o � � � 31.987 ACRES EXC. R/W 1� (� OF CD1,393,362 Sa FT @ w r cv . KfNNIC)UNNICs Q In 9 S T. CR Off 13 :3) oz z - 588 0414"E 498.81' °° m 1 26.53` ' 472.281 *. F: w U � COUNTY, - _ P WISCONSINs LOT 30 wit w c000 w �t _ x w cn , z � � ©a © 2.842 ACRES INC. R/Wr � N w zw 0 N � 0 115,101 SQ. FT. _ u' z. 6 PREPARED FOR: W ' 2.500 ACRES EXC. R1W N it , 0 J C� ¢ FREDERICK LENERTZ 5��,900 Sa FT � a 220 LIVESTOCK EXCHANGE ' 4'E499.52 �w APPROVED ? 3r- 2 BUILDING c 27.24' 472.26!�Iqtcc CRON ST. PAUL, MN 55075 w LOT Plannina Zoninn amp P_ c . 2.WACRES INC. R/W w ? SCALE 1`+ FEET = 200' 00 115, $0. FT. © 5D J UN 01 200 0 w N ' 2.5W ACRES EXC. R/W t�v ao IN w o� Oo sa Fr ° F 200 0 200 6 0 If not recorded wiLiiri �,. cam, m ' S 8 8°04' 14"E 500,23 ° awraval dale approval shall De LEGEND z27.g6 472.27' nto � �'r, x o co � @ LOT 1 FOUND ALUMINUM COUNTY SECTION ��] - CORNER MONUMENT 0 ,� r 2.649 ACRES INC. R1V�1 STEEL SURVEY MARKER FOUND VERIFIED @Aowc � ��n 0 D 115,412 SQ. FT. N - C9 �, WITH WITNESS MONUMENTS of RECORD N cm 2.500 ACRES EXC. R/W .- - - - 28. 67' ' 108,900 SO FT N ��'° " FOUND 1 " IRON PIPE 500.99 �� E 1366.42' SOUTH LINE ❑F THE SET 1' X 24" IRON PIPE, WEIGHING 1.68 1337.75 LBS. PER LINEAR FOOT �0�� "� 47 .32� N1h1114 ❑1= THE S1Jii114 13 _ 1318.201 865.43' x Ski COR. 1 uou: �@WE EXISTING FENCE --� D : �� a � 1 �± . ROADWAY SETBACK LINE (10CY FROM R/W SEC. - ---��� 0 ,;;)eptic System and Bird Plumbing Inc 1432 120th St. New Richmond Wi 54017 715-246-4516 sbir*@fro-iltiernet.net I Shaun Bird, certify that on 10/24/23 Inspected the Septic System (POWTS) Inspected the Well Obtained a drinking water sample Property Owner/Buyer Hartung Coatings LLC As a, result of my ins pecton, I certify that: `it Address 525 90th St. Hudson W1 XXX In my opinion, the septic system was, on the date of rny inspection, ire working order and in compliance with the standards set fort by the Departi-noWL of Safety and Proffesion al Services. Any exceptions or needed repairs will be listed below. Date of last PLIMPing needs to be pumped System appears to be sized for 3.-- Bedrooms In ni,y opinion, the well at the date of my inspection, is in good con difion and complies with all WID standards. See attached Property Transfer Wells form, Any exceptions or needed repairs will be listed below. In my opinion, the septic system or the well is not working or not in compliance with the Departmet of Safety arid Public Services or WDNR. See attached Property Transfer Wells Inspection form. Sepfic system i.Ns inspected to be used for future 3 bedroom house. Septic System rnantance inforrnafion: PUMP tank every R,-,y arnd clean effluent f i Iter if instal led once a year. For fUrther information, contact your local zonrig office. Disclosure- This testis not aguarantee of future performa,ij& but a proffesion al opinion, Usage can change frorn different owners. This is not a warranty of this system. -to"sclaim all liabilty for any loss caused by reliance on this cerfication. last pro blerns with this systemj if any �isclo��b the seller. -22600 DR�' 76 ShaUn Bird MPRS`CSTI`%."9N4 1 Dat/24/23e ST. CROTX COU14TY ZOWING FOR r IT-1 1 C'EIRTI-FICATIoN 0 F AN EXIS111ING SEPTIC TAUK j, t 4Y tlla-�_ J 'rVing the 8 InSpected the Ser L09 d(f 4we— I.- e Y ------ res'de eCtj e IOCat(jl N j3 Upon t:he tank and baffles f T cep fy '-_"Elt -1 have f(XM.1 1119 PrOperly. and it aPPears t7ime sc-'l-vicecl: back c)(, .cj, r `3 ,b,() rption o AP skiy) line). IL I., a te v 0 kliv e or t _01_5acl ty gal ions .3truc7t Prefal) Stee-] U T_ C j 0 t (_T f kncwn) ank kno & a (Name) P I F, e Pr I lit t 7 er q 4-4w, te be c'011'Pleted by 1. tatt tes) u 01- Licensed L) lcensed 1��% code) I-sPoser -Lnq for Aary permit) it above tank Iris tc) Lhe 141 %-. IDJO.s t: f my knuvrl- edge w �-i I I ape U L I t baft J COdCj, (eXcep't-_ I: 1P NCIIIAP J.9riat L MP/ N'L 6 i COPY 4 NOTES:-' 1. Elevations shown are existing grou 2. Install 4" observation pipes with 3. Septic tank to be 1oD6 /6SD gallon 1/\J\oZMQ�t --W/ 4. Bench marks-- SOL . Divert surface water around system �r'1� - LZ , ti❑ D - D F o� 1195 C0 �,MQ7L— �EL .ckq. 01 +za WWI Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT 00 GENERAL INFORMATION {ATTACH TO PERMITS 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 Ahlman, Craig Kinnickinnic Township CST BM Elev: Insp. BM Elev: BM Description: W L6 � L- 1+1(9ya- / +/1 . - S/V joX. 6 r� TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic .110fc K o o Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing �� t Aer Hvldin PUMP/SIPHON INFORMATION -+Ir3 ;�VU1A/ffJF Manufacturer Deman R Model Number GPMS 5Z 0 TDH Lift Friction Loss System Head TDH Ft o 1 -. AFI-or7ain Length Dia. Dist. to well -j IL SORPTION SYSTEM County: St. Croix Sanitary Permit Na: 399524 State Plan ID No: Parcel Tax No: 022-1015-70-100 ELEVATION DATA v r "1 /~0" STATION BS HI FS LEV. 0000 Benchmark "I'l, 3 Alt. BM f L. <1`4 Bldg. Sewer Ht Inlet �. 13. St/Ht Dt Bottom Header/Man. rc y Dist. Pipe 4 • j ' ��.� Bot. System Final Grade 7- qil a iw 60 64 J r.AL IA, �gzfdz'&L 1 0 /0 op" mr BED/TRENCH DIMENSIONSZ14� Width Length r No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Li uid De th y" SETBACK SYSTEM TO PIL BLDG WELL LAKEISTREAM LEACHI anufacturer: INFORMATION CHAM OR NIT Type Of System: .F .�� Model Num DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hale Spacing Vent to Air Intake � � � Pipe(s) . ..- r 3 � Length Dia Length Dia Spacing SOIL COVER x Pressure systems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes [❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection 1: l % I 0 Inspection #2: � Z- I Z15�z Y., { wow S Location: 525 90TH Street River Falls, WI 54022 (NW 114 SW 714 6 T28N R18W) NA of 1 Parcel No: 06.2 .'18.90A It BM Description =Y') e / � f, -� 1.)A 1�441j. 2.) Bldg sewer length = "' � 04�,. 6vp Je �y a� y�� - amount of cover = `� f �3. 3S' 3. Contour = $ 4 0 (S'pt Plan revision Required?] Yes [*No Use other side for additional information. _ z_ SBD-6710 {R.3197} Date lnsepctor's Signature Cert. No. i .L L LFV %C6A S TI CROI.X COUNT�No. STC -, S�v_zoz3 4SAIN.TAR I PERMIT OWNER I.ar—ulu-61 xa�TiAtCiS LLC PLUMBER j- AAuAJ 61jeD L I C. # 22.6 76 0 TOWN OF 9w*1AJAJ6fwor-1AJN1Cw00o� LOCATED 5VJ %f SEC T N;R� AND/OR LOT BLOCK ^� SUBDIVISION REPAIR ❑ RECbNiVECTION NON -PLUMBING ❑ SANITATION REJUVENATION El (a) The purpose of the sanitary permit is to allow repair, reconnection, rejuvenation, or installation of non -plumbing sanitation as described in the application for permit. -(b) The approval of the santiary permit Is based on regulations In force on the date of issue. (e) The sanitary permit Is valid for 2 years from original date of issuance and may be renewed for similar periods thereafter. Application for renewal shall be; made through the county and shall comply with regulations In effect at the time. (d) Changed regulations will not impair the validity of a sanitary permit until the time of renewal. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal Is sought. Changed regulations may Impede renewal. (f) The sanitary permit is transferable. A sanitary permit transfer shall be obtained from the 5t. Croix County Zoning Department. k If you wish to renew the permit, or transfer ownership of the permit, Tease contact the St. Croix County Zoning Department. Ve AUTHORIZED ISSUING OFFICER -DATE THIS PERMIT EXPIRES I��2 /p!%p'Z UNLESS RENEWED BEFORE THAT DATE TWO YEARS FROM ORIGINAL DATE OF ISSUANCE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION