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030-2083-95-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 538787 0 GENERAL INFORMATION 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: O'Meara, Patrick C. I St. Joseph, Town of 030 - 2083 -95 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No A4 66T 36.30.20 713 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic moo Benchmark ' I � ' • / 1 � p � J �"�� EXi �� �I� '7 Dosing ems' add AItj�M it v Bldg. Sewer P " Holding St/Ht Inlet ,4e C51h /, St /Ht 0 tlet TANK SETBACK INFORMATION 6LJ /-7 1 TANK TO All L WELL LD Ve to Air Intake ROAD �, � s• �� � . , 7 Sept /3 9 Dt Bot% as 5.7 98 De / 5 i Header /Man. 7 IT 1, �� �� • �f Aeration v Dist. Pipe C � � 9 7 � D 't %-6 �p Holding Bot. System a Ql. PP Final Grade !! 77 PUMP /SIPHON INFORMATION /m. Manufacturer Demand St Cover GPM . G rJ Model Number TDH Lift Friction Loss stem Head TDH Ft rte+ 71. Forcemaln g Dia. Dist. to Well ���� h /• � SOIL ABSORPTION SYSTEM a.lJe. �Jd dl s 98•i BEDITRENCH Width I Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 9Z I _7 '`MV-4-� ^1 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufact i INFORMATION CHAMBER OR -\ I tGr Type f S�V �: t , +� �� /�� /�x UNIT Model Nurr ,, f _ Li DISTRIBUTION SYSTEM O (,� (, 23 t-Z3 UNIT a ` S Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake / t( Pipe(s) Length_ Dia ( Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only E Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center G', Bed/Trench Edges \ Topsoih y �i No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: (0/tl_,ff Inspection Location: 253 Red Pine Trail Hudson, WI 54016 (SW 1/4 SE ,F I Lti 1/4 6 T GN220W) Pine Tree Meadow Lot 10 Parcel No: 36.30.2 1.) Alt BM Description = vdJ'��. / r C� a ; $� �. � /1, s' 2.) Bldg sewer length - amount of cover = V �, Ov �'�'• Plan revision Required? ❑ Yes KNo �r /- & 475 Use other side for additional information. l (pv SBD -6710 (R.3/97) Date Insep or's Si atur Cart. No Safety and Buildings Division County 1*i An201 W. Washington Ave., P.O. Box 7162 57i C' Po X �O��,l Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 L - Sanitary Permit Application S tate Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal infonnatiorWftpr ide may be used for secondary purposes Privacy Law, s15.04 Project Address fferent than mailing address) L Application Information - Please Print All Information Y � 7 Property Owner's Name �+,� Parcel # Lot # / Block # E A - � 64R4 ` °��' !D3 O -Z0 -oop Property Owner's Mailing Address J/ Z4 , ocation ^ 13 1 2 tfl! ' R it; � � S Sc Y,, section � & // Ci ty, State Zip Code um /`/ N 0 5 O tv �� / ► V I y0� �O ON UIjN J, ucle on H. Type of Building (check all that apply) UF�iC T d N; RE or 1 or 2 Family Dwelling - Number of Bedrooms F Subdivision Name CSM Number ❑Public/Commercial - Describe Use P Ne eE ' ,yt q,&0 S ❑ State Owned - Describe Use ❑City ❑Village IRTownship of .S% SySC III, Type of Permit: (Check only one boa on line A. Complete line B if applicable) A. ❑ New System ld Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision El Change of 11 Permit Transfer to New List Previous Permit Number and Date ` Before Expiration Plumber Owner g 7� IV. Type of POWTS System: Check all that apply) / Q 1 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 ln-(r ptmd ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter VhingChamtg Drip Line. ve -1 Pi ❑ Other (exp ) V. DispersaVIreatment Area Information: Design Flow (gpd) Design Soil Application Ra f) Di Area Required (sf) Dispersal Area Proposed (sf) System Elevation �� o c. S 00 9z0 9J. �o VL Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank O0D p Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement - I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum Si ere MP/MPRS Number Business Phone Number /�rU S CFfiytCrl Z 76 0 715- _0 cl Plumber's Address (Street, City, State, Zip e) v6 VII Coun /De rtment Use Onl Approved ❑ Disapproved Sanitary Permit F (includes Gry�yndwater Date Issued uing t S Starups) Surcharge Fee) ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval C 3 ) SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained V .& (�(�(,Q �t lit -G.��e- • �Le -- as per management plan provided by plumber. � LcJ 'd 2. All setback requirements must be maintained LV as per applicable code /ordinances. . Attach complete plans (to the County only) for the system on paper not less than 81/2 z 11 inches is sine yZP4 - IV SBD -6398 (R. 01/03) PLOT PLAN (O'Meara Property) ♦ BM1 Elevation = 100.00' Top of 2" PVC pipe A BM2 Elevation = 98.93' Top of 2' PVC pipe. ■ Backhoe pits N Slope =9% New System Elevation = 95.50' Existing System Elevation = 97.99" Lot No: 10 Pine Tree Meadows Legal Description: SW1 /4, SE1 14, S36, T30N, R20W Township: St. Joseph County: St. Croix Scale: V= 40' 2 3X cf2 to TkVJCI+ s I-e PE % 8rn2 + 1 IT % a 5r� s tPr 741UK �QD� LA ill IT►+ PL N T.4 01 r SZ ® £2(1571A)tc AAJDONe!' VV L 3a' �yC /S�f1UC� 5 EPi►c T►�NK T© 66 ci5�m olc' /-FB u sr o 'T�1 �11jN r'iV5�4 ci/odV 7 - 0 &,6 colt/ %ICTrd N prPraa�N� un � AT j i V 5T A U - r1 -"I'0 A) ��4� CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: O'Meara Conventional In Ground Owners Name: Patrick O'Meara Owner's Address 253 Red Pine Trail Hudson, WI 54016 Legal Description: SW1 /4, SE1 /4, S36, T30N, R20W Township St. Joseph County: St. Croix Subdivision Name: Pine Tree Meadows Lot Number: 10 Block Number Parcel I.D. Number 030 - 2083 -95 -000 Plan Transaction No. Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross Section Page 4 Septic Tank Specifications Page 5 Filter Information Page 6 &7 Management and contingency plan Page 8 Septic Tank Maintenance Agreement Page 9 Existing Septic Tank Certification Page 10 Warranty Deed Page 11 CSM or Plat Attachment Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 6/9/2011 _ Phone Number: 715 - 760 -0486 r Signature: In- Ground Soil Absorption Component Manual Version 2.0 SBD- 10705 -P (N. 01/01) Page 1 of 11 PLOT PLAN (O'Meara Property) ♦ BM1 Elevation = 100.00' Top of 2" PVC pipe 4 BM2 Elevation = 98.93' Top of 2' PVC pipe. ■ Backhoe pits N Slope =9% New System Elevation = 95.50' Existing System Elevation = 97.99" Lot No: 10 Pine Tree Meadows Legal Description: SW1 /4, SE1 /4, S36, T30N, R20W Township: St. Joseph County: St. Croix Scale: V= 40' Ri=p Pr�r i -3x yz' / 1 _ QN 1 if y T2E�JC�+� S ` �,vSTln►c� � � ®3 � �' 90 SL ©Pc � rle,.a �9a5La�� sTi N (e 5 �/�'f/ c TIC j� K ( /�O �Al W ITH / _ ® �XisTIlA1to T4 4AWOA)El� WELL 3r3f_bl2 ©or� tX /S� /IUC� SEpjrc 1"i4 N 1� (3 � u5td DQ /48 N0US� p E PEND1N c4 TANK r vSpt cT/ 06V i`0 Be CD�vDucr � AT £ NSTAU-A - /0A� NV isconsin V� EVALUATION REPORT #1647 Department of Commerce in ac c dance with Comm 85, Wis. Adm. Code Page 1 of 4 Division of Safety and Buil Schmitt Soil Testing, Inc. +►++� County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and MIAI , firection and percent slope, scale or dimensions, north ar"Is i©i dista ice to nearest road. Parcel I.D. 2083 - 95-000 Please print all information. Revi Date Personal information you provide may be u for seconds purposes (Privacy , s. 15.04 (1) (m)). D � ZD Property Owner Property Location U/ O'Meara, Patrick C & Patricia E 51. uMAX COUNTY Fovt. Lot SW1 /4, SE1 /4, S36, T30N, R20W Property Owner's Mailing Address ti of # Block # Subd. Name or CSM# 253 Red Pine Trail 10 Pine Tree Meadows City State Zip Code Phone Number City ❑ Village N Town Nearest Road Hudson WI 54016 715 - 549 - 9112 St.Joseph Red Pine Trail ❑ New Construction Use: Z Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Z Replacement ❑ Public or commercial - Describe Parent material Outwash Sand (Chetek- Flood plain elevation, if applicable na f(. General comments and recommendations: Replacement area is suitable for a conventional drainfield with a 0.5 gpd /sgft rate. Possible system elevation for replacement area is 95.50'. F - 1 I Z Boring # F Boring Pit Ground surface elev. 100.18 ft. Depth to limiting factor 97+ in. ISoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -21 10yr3/3 none sl 2mgr mvfr a 2f,2vf .6 1.0 2 21 -31 10yr4 /2 none sit 2fsbk mfr gw 1vf` .6 .8 3 31-41 10yr4 /4 none SO 2msbk mfr gw lvf .4 .6 4 41 -47 10yr4 /4 none grsl 2msbk mfr gw 1vf .6 1.0 5 47 -73 10yr5 /6 none s Osg ml cs - - - - -- .7 1.6 6 73 -77 7.5yr5/6 none sl 2msbk mfr cs - - - - -- .6 1.0 7 77 -97 10yr6/4 none s Osg ml - - -- - - - - -- .7 1.6 Boring # El Boring Pit Ground surface elev. 99.19 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots I GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -30 FILL 2 30-40 10yr3 /3 none A Om mfr gw 2f,2vf 0.0 0.2 3 40-49 10yr4 /3 none sil lfsbk mfr gw 1vf .4c .6 4 49 -66 10yr5 /4 none sicl 2fsbk mfr gw - - - - -- .4 .6 5 66 -84 7.5yr5/6 none grifs Osg ml gw - - - - -- .5 1.0 6 84 -96 7.5yr5/6 none grs Osg ml - - -- - - - - -- .7 1.6 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD s30 mg /L and TSS <_30 mg /L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt .l��� " 227428 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 5/16/2011 715- 247 -2941 SBD -8330 (R.07 /00) Property Owner O'Meara, Patrick C & Patricia E Parcel ID # 030 - 2083 -95 -000 Page 2 of 4 3 ] F Boring # El Boring Pit Ground surface elev. 100.54 ft. Depth to limiting factor 96+ 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 -29 FILL a 2 29 -35 10yr3/2 none I Om mfi a ivf .2 .5 3 35-44 10yr5/3 none sicl 2fsbk mfr gw lvf .4 .6 4 44 -52 7.5yr5/4 none sl lmsbk mfr gw ivf .4 .7 5 52 -61 10yr5 /6 none sl lmsbk mfr gw - - - - -- .4 .7 6 61 -96 7.5yr4/6 none sl lmsbk mfr - - -- - - - - -- .2 .6 Boring # Boring Pit Ground surface elev. 100.32 ft. Depth to limiting factor 100+ 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 -27 10yr3/3 none sil 2fsbk mfr gw lvf .6 .8 2 27 -35 10yr5/4 none A 2fsbk mfr gw 1vf .6 .8 3 35-44 7.5yr4/6 none grsl 2msbk mfr gw 1Vf .6 1.0 4 44-71 10yr5 /6 none s Osg ml gw - - - - -- .7 1.6 5 71 -80 7.5yr5/6 none grls Osg ml a - - - - -- .7 1.6 6 80-100 10yr6/4 none s Osg ml - - -- - - - - -- .7 1.6 F --s] Boring # Boring Pit Ground surface elev. 100.46 ft. Depth to limiting factor 100+ 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 -16 10yr3 /3 none sl 2mgr mfr gw 2m,2f .6 1.0 2 16 -29 10yr4/4 none grsl 2msbk mfr gw 2vf .6 1.0 3 29-49 10yr5 /6 none Is Osg ml gw 1vf .7 1.6 4 49 -59 7.5yr4/6 none grlfs lmsbk mfr CS - - - - -- . 5 1.0 5 59 -100 10yr6/4 none s Osg ml - - -- - - - - -- .7 1.6 * 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. SBD -5330 (R.07 /00) Schmitt SON Testing, Inc. Property Owner O'Meara, Patrick C & Patricia E Parcel ID # 030 - 2083 -95 -000 Page 3 of 4 F Boring # Boring ® Pit Ground surface elev. 99.69 ft. Depth to limiting factor 108+ in. ISoil 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 *EM 1 0 -16 10yr3 /3 none I 2mgr mfr gw 2m,2f .6 .8 2 16 -23 10yr4 /4 none sl 2msbk mfr gw 2vf .6 1.0 3 23 -39 10yr4 /4 none scl 2msbk mfr gw 1vf .4 .6 4 39 -65 10yr5 /6 none Is Osg ml gw - - - - -- .7 1.6 5 65 -75 7.5yr4/6 none grlfs icsbk mvf gw - - - - -- .5 1.0 6 75 -108 10yr6/4 none s Osg ml - -- - - - - -- .7 1.6 F-1 Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # D Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 * 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. SBD -8330 (R.07 /00) Schmitt Sal Testing, Inc. s Conducted by: Conducted For: Page 3 of 4 Schmitt Soil Testing, Inc. Name: Patrick C & Patricia E O'Meara Thomas J. Schmitt, CST 227429 Address: 253 Red Pine Trail 1595 72nd St. City, State, Zip: Hudson, WI 54016 New Richmond, WI 54017 Phone: 715- 60 -1978 Subdivision: Pine Tree Meadows Signature Lot No.: 10 °a Legal Description: SWI /4 SE1 /4 S36 T30N R20W O Backhoe Pit Township, County: St. Joseph, St. Croix County ♦ Bench Mark 1 El. 100.00' Top of 2" PVC pipe D Bench Mark 2 El. 98.93' Top of 2" PVC pipe Slope= 9% Scale: V=40' I/ r� 8 s ZtA 1 u5E 56' NV Isconsin S IL �#1647 O EVALUATION REPORT G����� Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 4 Division of safety and Buildings Schmitt Soil Testing, Inc. Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all Information. - -- -, 03"083-W000 Rev' By Date Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). / D / Property Owner Property Location - O'Meara, Patrick C & Patricia E Govt. Lot SW1 /4, SE1 /4, S36, T30N, R20W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 253 Red Pine Trail 10 Pine Tree Meadows City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Hudson I Wit 54016 1 715 -549 -9112 St.Joseph I Red Pine Trail ❑ New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ® Replacement ❑ Public or commercial - Describe: Parent material Outwash Sand (Chetek- Flood plain elevation, if applicable na ft. General comments and recommendations: Replacement area is suitable for a conventional drainfield with a 0.5 gpd/sgft rate. Possible system elevation for replacement area is 95.50'. a Boring # U Boring ® Pit Ground surface elev. 100.18 ft. Depth to limiting factor 97+ in. ISoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenct Boundary Roots GPDfftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 r "Eff#2 1 0-21 10yr3/3 none sl 2mgr mvfr a 2f,2vf .6 1.0 2 21 -31 10yr4/2 none sil 2fsbk mfr gw ivf .6 .8 3 31-41 10yr4/4 none sicl 2msbk mfr gw 1vf .4 . 4 41-47 10yr4 /4 none grsi 2msbk mfr gw lvf .6 1.0 i 5 47 -73 10yr5/6 none s Osg ml cs --- .7 1.6 6 73-77 7.5yr5/6 �� none sl 2msbk mfr cs ---- -- .6 1.0 7 77 -97 10yr6/4 none s Osg ml ---- .7 1.6 a Boring # ❑ Boring ® Pit Ground surface elev. 99.19 ft. Depth to limiting factor 96+ in. ISoill Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD /ftz in. Munsell Qu. Sz. nt. Color Gr. Sz. Sh. "Efr#1 "01#2 1 0-30 FILL 2 30-40 10yr3 /3 one sil Om mfr gw 2f,2vf 0.0 0.2 3 40-49 10yr4/3 none sil lfsbk mfr gw ivf .4c .6 4 49 -66 10yr5/4 none sicl 2fsbk mfr gw ----- .4 .6 5 66-84 7.5yr5/6 none grlfs Osg ml gw .5 1.0 6 84-96 7.5yr5/6 none grs Osg ml ___ ___ ,7 1.6 " Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg /L " Effluent #2 = BOD <_30 mg /L and TSS 1.30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt ..1� , - 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 5/16/2011 715 -247 -2941 gral"zan M W him Propertwowner O'Meara Patrick C & Patricia E parcel ID # 030- 2083 -95 -000 Page 2 o f 4 0 Boring 100.54 ._ft. Depth to limiting factor 96+ in. Soil Application Rate I 3 I goring # ® Pit Ground surface slay GPDlftz Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. 'E1Nk1 "Eff#2 � -' CS 1 0-29 FI 2 29 -35 10yr3 /2 none I Om mfi cs ivf .2 .5 3 35-44 10yr5 /3 none std 2fsbk mfr 9w 1vf • .6 4 44 - 52 7.5yr5/4 none sl lmsbk mfr 9w 1Vf .4 .7 5 52-61 10yr5 /6 none sl imsbk Mfr 9w •4 .7 6 61-96 7.5yr4/6 none sl imsbk mfr ---- ----- .2 .6 El Boring # ❑ Boring Ground surface slay. 100.32 ft. Depth to limiting factor 100+ in. Soil Application Rate ® Pit Ground Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Gr. Sz. Sh. •Eff#1 'Efl#2 in. Munsell Qu. Sz. Cont. Color • 6 .8 1 0-27 10yr3J3 none sil 2fsbk mfr gw ivf SO mfr 9w ivf •6 .8 2 27 -35 10yr5/4 none 3 35-44 7.5yr4/6 none 9rsi 2msbk Mfr gw ivf .6 1.0 4 44 -71 10yr5 /6 t/ none s Osg ml gw ,7 1.6 u none gris 059 MI a .7 1.6 5 71 -80 7.5yr5/6 _ _ ,7 1.6 6 80 -100 10yr6/4 none s Osg ml --- Boring # ®Pflring Ground surface 10 face elev. _ 0_46 ft. Depth to limiting factor 100+ in. Soil Application Rate Dominant Color Redox Description Texture Structure Consistence Boundary R oots GPDtft' Horizon Depth Gr. Sz Sh. 'EM `Eff#2 in. Munsell Qu. Sz. Cont. Color 1.0 1 0 -16 10yr3 /3 none sl 2mgr mfr gw 2m,2f .6 2 16 -29 10yr4 /4 none 9� 2msbk mfr gw 2vf .6 1.0 w ivf .7 1.6 3 29-49 10yr5 /6 none Is 1K9 ml g _ 4 49 -59 7.5yr4/6 none gd lmsbk mfr 5 59 -100 10yr6 /4 none s Osg MI `Effluent #1 = BOD 30 <_ 220 mglL and TSS >30 <_150 mglL * Effluent #2 = BOD < 30 mg/L and TSS - 30 mgll. 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. sdw'M Sol Teov bw propertyrowner UMeara Patrick C & Patrida E Parcel ID # 030- 2083 -95 -000 Page 3 of 4 H Boring # Boring Ground surface elev. 99.69 8. Depth to limiting factor 108+ in. ii Application Rate ® Pit GPD/ft Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eif#2 1 0-16 10yr3 /3 none I 2mgr mfr gw 2m,2f .6 • 2 16 -23 10yr4 /4 none sl 2msbk mfr gw 2vf .6 1.0 3 23 -39 10yr4 /4 none sd 2msbk mfr gw lvf .4 .6 4 39-65 10yr5 /6 none Is OS9 MI gw — . 1.6 5 65-75 7.5yr4/6 none grifs lcsbk mvf gw .5 1.0 6 7 1 10yr6 /4 none s Os9 ml -- .7 1.6 5 -08 Boring ft Depth to limiting factor in. Soil Application Rate Boring # El Pit Ground surface elev. GPD/fe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff#1 -EmR2 in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. F-1 Boring # ❑ Ground surface elev. Boring g Depth to limiting factor In. Soil Application Rate El Pit GPD /f' Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots , EfW1 I *Efl in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. EE " Effluent #1 = BOD? 30 <_ 220 mg/L and TSS >30 <.l 50 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. 9dwW soa Tes*v, Ire. r Page 3 of 4 Conducted by: Conducted For. Schmitt Soil Testing, Inc. Name: Patrick C & Patricia E O'Meara Thomas J. Schmitt, CST 227429 Address: 253 Red Pine Trail 1595 72nd St City, State, Zip: Hudson, WI 54016 New Richmond, WI 54017 Phone: 715- 60 -1978 Subdivision: Pine Tree Meadows sipnadire Lot No.: 10 nee / Legal Description: SW1 14 SE1 /4 S36 T30N R20W Y Backhoe Pit Township, County: St. Joseph, St. Croix County A Bench Mark 1 El. 100.00' Top of 2" PVC pipe O Bench Mark 2 El. 98.93' Top of 2" PVC pipe Slope= 9% Scale: 1"=4V Re q� r ,'"" "' //JCL% 104 "�;_ /� S � ap 4e 1„vC,l� � r ON IV SP�7'ic ��- 97, 9q Soll Absomtlon System Cross Section 99.50 ft 4' 8chedub 40 Fine) GnWe PVC Vent Pipe WAh Vent Cap 96.50 ft 95.50 ft. 77 3 ft >3 ft Soil Absorption System Plan View 92 ft 3 ft IIIIIIIII IIIIIIII 3 ft Vent Or Observation Pipe lac m Trench 1 Chambers 4' Die. Trench 2 Header Leaching Chamber Specifications Manufactuer and Model INFILTRATOR Quik 4 ESIA Rating 20 sq. ft per chamber ESIA Rating 5.8 sq. ft per 2 endcaps DWFF gpd Soil Aplication Rate 0.5 gpolsq. ft 450 gpd DWF + 0.5 Soil Aplication Rate + 20 ESIA= 45 Chambers 2 rows of 23 chambers each. D z X D rn m a 61" 86" Z c 42" 0 Z m v s O � I o UP 41" ;a 4" CAS a ' s x ( �D 1 rn 3" 36" 4" I I v -n D 0 rn W r N m UP 38" - � 4" CAS \ m � / N V I rn . m 0 g X v mN0 r;.i > Oc Xa� ` rn ° 39" r� v* n - O F> N m D r 0 0 m D D A ,n m � ;a m x n x n z 0 C� m O D Z x r m x g o c --1 -mi m —I �N ;- mZ Z 0 occ) o - 0 -p D�z pmaZ my C O C - Of- c)0 X X 0r p ��-1 =n0 U) V xp xxm �Fz N� mm =J 0) x r-�iz D mOp mDp -� F.' ; � 0 � of A � Z -4 N r z CC)so \c A z ox's cnN �� a,�^ � v�a; zZ 0Om x >O D yDm �A� `OyON xm\ v n o -1 a � v ` D ` O O D D m N -� N I co !- .. p;� m� v ^; O v U z OOD ZD R1m O C7� �mD m O(A 9pAn — ZA O ;a m n < z v cn Z 0 w (� Dr- N a'N CO c� 'Tl O r m m 0 �0 Z Z � mmr N p ;u ;v O` I z� C to 1 � 1 O � S. Z g 0m v z ODv D D 0 Z x�o ro CA -0 > =1 Z7 OD 0 ca 0 > Z o� D D C) 0 � 0 :. v z X m :3 N c V v 0 M 00C O g o V) D � � o om No v m > v X o -.� Z v Z r D M m c M v O o r Z r m z F <n WLP1000 -AIR m \ DRAWN BY: SME SCALE: 1/4'=l'-O PRE -POUR: n -4 SEPTIC MANUAL C ®�CAETE DAIS: JANUARY 2010 DATE:. L OST-POUR: z W3716 US HWY 10 MAIDEN ROCK. NA 54750 ° REVISED JAN. 2010 800- 325 -8456 RLE: ■PWOO -W INSTALLATION INSTRUCTIONS l ,XP Im PL- 525/PL -625 FILTER INSTALLATION INSTRUCTIONS Center filter with opening ., C1 � w J to a:0 S Additional pipe or v Polylok Extend & Lok° Glue for centering. Step 1: Step 2: Step 3: (A) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the (B) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. if necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the filter can be housing, making sure the filter removed from the tank for cartridge is properly aligned and maintenance and service. completely inserted in the housing. MAINTENANCE INSTRUCTIONS Step 1: Step 2: Step 3: Locate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter cartridge back I DO NOT USE PLUMBING if necessary. into the the housing making sure WHEN FILTER IS REMOVED (B) Pull the filter out of the housing. the filter is properly alighed (C) Hose off the filter over the septic tank. and completely inserted. Make sure all solids fall back into the (B) Replace septic tank cover VANN CLEANDO I LTC-R septic tank. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page it of Z FILE INFORMATION SYSTEM SPECIFICATIONS Owner: Patrick O'Meara Tank Manufacturer: W i c ❑ NA Permit # ®® _ 8 [� Septic ❑ Dose ❑ Holding Volume: 10 0 0 gal DESIGN PARAMETERS Tank Manufacturer: Wieser Concrete ❑ NA Number of Bedrooms: 3 [1 NA ® Septic ❑ Dose ❑ Holding Volume: 10 Q_0_ gal Number of Public Facility Units: ® NA Vertical Distance Tank Bottom(s) to Service Pad: It Estimated (average) Flow: 300 gauday Horizontal Distance Tank(s) to Service Pad: ft Desi n Specific servicing mechanics must be provide if vertical is >15 feet or if g (peak) Fl = estimated x 1.5: q S 0 g al/da y horizontal is >150 feet. Specific instructions to be provided on back. In Situ Soil Application Rate: 0.5 gal/day/fi Effluent Filter Manufacturer Polylok ❑ NA Standard Domestic Influent/Effluent Monthly average Effluent Filter Model: 525 Fats, Oil & Grease (FOG) s30 mg/L Pump Manufacturer Biochemical Oxygen Demand (BOD5) 420 mg /L ❑ NA ® NA Total Suspended Solids (TSS) x150 mg /L Pump Model: High Strength Influent/Effluent Monthly average Pretreatment Unit Fats, Oil & Grease (FOG) >30 mg /L Manufacturer: Biochemical Oxygen Demand (BOD >220 mg /L Total Suspended Solids (TSS) >150 mg /L NA ❑ Mechanical Aeration ❑ Peat Filter NA Monthly average [I Disinfection Pretreated Effluent ❑ Sand /Gravel Filter p other � Biochemical Oxygen Demand (BOD X30 mg /L Soil Absorption Total Suspended Solids (TSS) s30 mg /L ® NA rption System Fecal Coliform (geometric mean) s10 ® In- Ground (gravity) ❑ In- Ground (pressure) ❑ NA Maximum Effluent Particle Size: in dia. ❑ NA ❑ At - Grade ❑ Mound ❑ Drip - Line ❑ other Other: ❑ NA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) ❑ When combined sludge and scum equals one -third (3) of tank volume ❑ When the high water alarm is activated Inspect condition of tank(s) At least once every: ❑ month(s) Maximum 3 ears year(s) ( years) ❑ NA Inspect dispersal call(s) At least once every: ❑ month(s) Maximum 3 ears 3 ® year(s) ( years) ❑ NA Clean effluent filter At least once every: 3 ® m on'th(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ year(s) ❑ NA Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ month(s) witch Drainfields At least once every: Other: year(s) [I NA ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). 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 a 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 treatment tank equals one -third (X) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of X12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. (Rev.2/05) Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended 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 and may overload them resulting 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) discharge; 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, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide the opportunity to obtain a sanitary permit for a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and /or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POINTS technology, a holding tank may be installed as a last resort. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING: TREATMENT TANKS AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES AND LACK SUFFICIENT OXYGEN TO SUPPORT LIFE. NEVER ENTER A TREATMENT TANK OR HOLDING TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK IS VERY DIFFICULT. ADDITIONAL INFORMATION: POINTS INSTALLER POWTS MAINTAINER Name: John Schmitt Name: John Schmitt Phone: Phone: 715-760-0486 15 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name: Owners choice E715-386-4680 St. Croix County Zoning Phone: This document is intended to meet minimum requirements of Ch. Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. (Rev. 2/05) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to cert ify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 3 ,�� /�, , VLF Je4 f L located at: SW %4, ,5,E '/ Section -3 6 , Town 30 N, Range Z © W, Town of v% J 0.56P , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service _6 /f y/ze) Did flow back occur from absorption system? Yes _ No �K, (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: ®OD Construction: Prefab Concrete V Steel Other Manufacturer (if known): W 55 c K Age of Tank (if known): Permit number (if known) (L' eased Plumber Signature) (Print Name) Z Z 3 76 D (Title) (License Number) MP/MPRS (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer - P ATRick AN 17 AT Ie I Ci Al 0 '10 F A RA Mailing Address 53 R Eo A ive T k' ,q/ L Property Address .S A 1 4 t a (Verification required from Planning & Zoning Department for new construction.) City /State N W I Parcel Identification Number 0 3 0 _z ©83 LEGAL DESCRIPTION Property Location 1 /4 , ' /4 , Sec. T 3 0 N R Z® W, Town of S i J 45i Ply/ Subdivision Plat: P/ N F_ S , Lot # / Q. Certified Survey Map # , Volume , Page # Warranty Deed # 6 8 641 Z 4 7 (before 2007)Volume f 9 , Page # / / 7 Spec house ❑ yes Cat no Lot lines identifiableK yes ❑ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. bedroom :� NA RE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 09/07) U 1999P I17 7 7 STATE BAR OF WISCONSIN FORM 1 - 2000 6 8 6 4 2 9 Document Number WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS This Deed, made between Bruce E . Masters and Robin L. ST. CROIX CO.. WI M_ asters , husband and wife REGEIYED FOR RECORD Grantor, 08 -09 -2002 9:00 AN and Patrick C. O'Meara and Patricia E. O'Meara, husband and wife as survivorship marital p WARRANTY DEED roperty EXDPT le Grantee. REC FEE: 13.00 Grantor, for a valuable consideration, conveys to Grantee the following TRANSFFEE: 687.00 CAIPY described real estate in St. Croix County, State of CERT COPY FEE: Wisconsin (the "Property ") (if more space is needed, please attach addendum): PAGES: 2 East 30 feet of Lot 9 and all of Lot 10, Pine Tree Meadows in the Town of St. Joseph Recording Area Name and Return Address Burnet Title Fran es- ALP . Bloomington, MN 554 l. - }l 030- 2083 -95 -000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record. Dated this, day of July 2002 .Z fit... * * ruca E. Masters * * Robin L. Masters AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ) ss. County. ) authenticated this day of Personally came before me this day of the above named * TITLE: MEMBER STATE BAR OF WISCONSIN (If not to me known to be the person who executed authorized by §706.06, Wis. Stats.) the foregoing instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Michael H. Eorecki , At a - 339 / J Notary Public, State of Wisconsin Eau Claire, Wisconsin My Commission is permanent. (if not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necess *Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 -2000 homey Michael H Forecki 1830 Brackett Ave, Eau Claire WI 54701 A627 Phone: (715) 835 -3029 Fax: (715) 835 -4112 Michael 1-1. Forcc6_i T6901223.ZFX Produced with ZipF_MT" by RE Fo nNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 49035, (800) 383-9905 19�yP 118 State of County of Personally came before me this �` day of Ut the above named �� (3 rueP M a n.� 62 L M as�/ /3 to me known to be the person � who executed the foregoing instrument and acknowledged the same. Notary Public, State of My Commission is permanent. (If not, state expiration date: Iv •3v -o.� _) (Seal) CHRISTINE CROSS NOTARY PUBLIC: state Ot Kansas My Appt. Expvese"Af yl area :r.c K ,V3J'OL' O 137-80 80,00 17 L N '/A aC 6'►Y GO p0 aj y •0 2 ° O �'" A � M sBr^�.�z'w c.o.aa ., •,ry*+a�' ` � 2.ds A 2..19 A 0 �I W;A - SOW / pt.7fp 00.00 ". -S-"' � P /,r P K74+K "r, •drf':'o 60.00 "8.4tµ" p 0/1 /00 J61��i6{ /l7df Bq.CG tJY�tJ i� A JY ,T�II'7�'30 "W I.�,t.,y►ei ` � SAG Yurva y MaA L e4 / _ {/ot /J+7a { $y6 6® rA -- — - -- C+rr/'f/iacl Surer! dWap j s9 yi - - -_ __ Ya /ur►7e 1, Ra t 208 9_ - -- t . Fwd. - -- ~- - rye. iJ' .S7"Z .2 • Hy - -,. _...�.t- ^'...'"' S p OP • •,; flTE / 0 T '• Gr . • �. Tony ly 4f o 2, OP A .s"'dtlF.so all -T4)19en4-- N © 1 E3' Q g r• �►� 4 w q �D D ,` o L 1 :l jig' p +� b �. o A ❑ Tg ngen t - w sh 74n • NB O S ©'w , ding O 7h� O . $•G' 3D" y eR3' ,� /3p � /00 1 T - N56s'2G� 1 �\ + \"� / \ e % /V Bit 3-Z E �p 1 2 pIO 810 ysr Tcsrt�O n IY31'3 /'rr d v 9 9 A M . fir' o• _��` \ 371'.03 . y n N O 3 v 0 r� r 0 d `i1 (D _ N i O N (n p w OD r CA d) w O O W t ,• O V O c X l m m N Q. O Z Q O N N C- N O O (D ' N CD W S V O W OD O 1 N N N N a O A7 N O (.0 O O O 0 -D h O n �J W Vt O W N O to . c d U) D a O) 01 N (D 1p' Cl) N N 1 O N W Ln j c m c w N N N N 3 O O a O O O O O W v 3 c rT v � O O O n (� � c CA N N ? �Q c v v o C m (D (D A 0 ° N DWO O O a5 (D N . (D N N y A o .0 N c N N a 3 (D (6 1 N o a ? m N c 0 A Z O a C 7 Co cn < O 0) C m _ Z a � II O A Z7 3 ;-. U) I m � N Z U) CD a y 0) c OD O O N 7 y o (D a N 3v aco a �� °) m w� ; U+0 o CD SD o o rno f ^2 a -n �vm N o ;4 �, aoN ��v m Q N CD N CD 7 CD o m aai v, a�� R< o a omm o it 0 i4 g C a y w o`ID W --0 = �CD oo3 fi rn 0� v o° o'er o w o o ° c o 0'o•m (:F) Co OD w 3 .° v *t — v a 0 3' OO J m n� = O v ( 0 - 3 WN� CD N �v(D O CD _3 O 0 ti O DO a C En O r v, O O yb 0 r .1 Parcel #: 030 - 2083 -95 -000 01/10/2008 12:56 PAGE 1 OF F 1 1 Alt. Parcel #: 36.30.20.713 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - O'MEARA, PATRICK C & PATRICIA E PATRICK C & PATRICIA E O'MEARA 253 RED PINE TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description ' 253 RED PINE TRL SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 1.720 Plat: 04- 022 -PINE TREE MEADOWS SEC 36 T30N R20W PINETREE MEADOWS LOT Block/Condo Bldg: LOT 10 41ty E 30 FT OF LOT 9 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 30N -20W Notes: Parcel History: Date Doc # Vol /Page Type 08/09/2002 686429 1944/117 WD 07/23/1997 1088/423 QC 07/23/1997 1076/408 WD 07/23/1997 894/08 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 221092 249,300 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.720 65,300 152,800 218,100 NO Totals for 2007: General Property 1.720 65,300 152,800 218,100 Woodland 0.000 0 0 Totals for 2006: General Property 1.720 65,300 152,800 218,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 116 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 RE-PORT OF I1TSPHCTIO1-- I- ZDIVIDIJAL SL74AGE DISPOSAL SYSTEM Sanitary Perm ii State ptic i ' A.lE �v �'� TOWNSHIP St. oix unty SEPTIC A'M s t 3( so a-L Size j p;allons. "lumber of Compartments Distance From: TJell f ft. 12% or greater slope Building " ft. Wetlands f` Ilighwater ft. DISPOSAL SYSTEb2 Tile Field or Seepage Pit(s) Distance From: TJell , "- ft. 12% or greater slope -5:�D ' e ft Building e ft. Wetlands f: FIELD I - ft. Total length of lines `' ft. Number of lines Length of each line _ft. Distance between lines r: ft. Width of the trench _ft. Total absorption are r j, sq. ft. Depth of rock below tile in. Depth of rock over tile in. Cover over rock, Depth of tile below grade S��' in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. FITS "lumber of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: __yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required Square feet of seepage nit area required Inspected by: Title: Approved ' �.�,,� Date - '� 197. pP Rejected Date 197 — EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES C./ �� �. DIVISION OF HEALTH, BU HEALTH P.O. BOX 309 � MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TEST S {� /C.u'Lfa LOCATION L ' /a� /a, Sectio R. f0(or�fownship or Municipality / ) Lot No..� � , Block o. �i 'vo- rrer2 bQ a�:.�S County Q Subdivision Name Owner's Name: & AI ,�`• �0 . / ,Q Mailing Address Z / mew il�` TYPE OF OCCUPANCY: Residence — No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT d DATES OBSERVATIONS MADE: SOIL BORINGS /a"✓ / - ?7 PERCOLATION TESTS AO 1Q' 7 7 SOIL MAP SHEET A� A.Z3 SOIL TYPE 6 // � 39'1 .t� A d42Ai�N-- PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL PERIOD 1 PE MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 2 PERIOD 3 P - / syb s-e o2i� A/b I Z ? `r 3` 3 P-2 M,4 Sew O M j o f -3 - J P--3 See A re 44 2 A/0 lo / SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B- / Q6 Qg t 0 7�5, / -s:` , 8'".54 2 -� I�"'f Qr i! 7S 2.Z S I ` 1 "SL, B- S 96 `' A41; L ; P �� /J • ACj / 7" S, G, 81" S4, 6D " �i� SZ 6" �ur[t - fs /j P` - S'4 6 �f "'4fc S,t PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square eet of suitable areas. I di to nu b f f sgyare fe of absorption area needed for building type and occupancy. / ,/ 0 6 , / t c�J ��c 'e l S r Indicate sca or distances. Give horizontal and vertical reference poin In br 'ate I pe. /A -P e-A fcr 5 'f - G !3 0$ C t N AN A r m n. Ow \. 1 State and County State Permit P L B6 7 Permit Application County Permit # — 3( O 0 for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY �Mailing Address: R � B. LOCATION /4 '/4, Section T 3 N, R jb (or) 6)Lot# — City Subdivision Name, nearest road, lake or landmark Blk# Village Towns / ,�� ,� dd � C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family Y— Duplex No. of Bedrooms 3 No. of Persons 2;� D. TYPE OF APPLIANCES: Dishwasher _ ) < YES NO Food Waste Grinder_YES__,&NO # of Bathrooms? — Automatic Washer __YES NO Other (specify) E. SEPTIC TANK CAPACITY 000 Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation X— — Addition - Replacement _ Prefab Concrete X *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _a 2) 3) _Total Absorb Area_ sq. ft. / New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length �' Width /,2 , Depth '' Tile Depth " No. of Lines 2— Seepage Pit: Inside diameter Liq id Depth Tile Size y�i Percent slope of lan °ja . Z. /y Distance from critical slope �-- 1, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the C ified Soil Tes r NAME C.S.T. # — ® and other information obtained from (,s1 (owner uilder Plumber's Signature MP /MPRSW# Phone # Plumber's Address PLAN VIEW: Provide sketch bel of system (include direction of slope and all distances in accord with H62.20, including ll►. r� 0 o a • - is a T -rya O i g 3 rhiS instrument was drafted by Janes A. Grubb, .41.'4 7L 2, Jan. i o g B 7, 1976. LLJ Q� q ~; Rev ;sad this 2Sth day 1,2.73A ka h ofAlarc4. Il76. LLJ i � � o 51" of Ksconj ---- - - - - -- J ^ County efSf Croix ss M u being +ha duly alse+sd, quah ro ifiad and acting town treasurer of the Tewn of "lo 4 ,0� ; S•I.Jes..ph, do hereby ear +ity the+ 607 oeeordanea o rry.es e o with raeerdf in nsy office, there. era P70 mm - `0 sd9' c Paid taxes or un/eaid specie/ gssassn,anfs as of /!re on any of the land in- cludad in +ha p /o+ of A'ne T! Meadows. LLJ ` o o a N89• Doted: I /l7i. LLJ siee 1S. ad Town Treasurer �• State of WiJCOnsihj L7 County of St.Cro;A ° o being the duly 1 /Sated, 440/- 2 {" - - - -- c ifad 0ndactin trsesursr *IF '%croirCevn� do �. u u o ; y hsreby certify that the reeards in 'ny offreiayw y a , 2. , no srnpard tgxer or spee'a/ assaesr•/en+s os of Z 4 , 1970 aff g ectin the /ands inc /ua4d o ei in the plat of Pine hw Meadows. Doted /976 the Ceynfy Treasurer 0 " resolved, that +he p /at of Ai7&7raa h(eadows �'... a te• '� ;n the Tewn of .If.Joseph, Are.Priester real Q r 1 lj Estats.Lx., Leslie Linsfrero, and 417070 Ley Linstro'•s, owners,if haecby approved by the b o St. Croix County Board.' Dots /OFi.APprsved o O I Cha'r'na07 i v' 8o TI /oa o so I Dope ll7i. S'g07sd T O y NE9'07 I u c Cflair,nan _ i /S. I hereby certify +hat the feregeirry if a copy of a,4 a resolution adopted by the StCro'r Coanfy -t j I ,`� Pro ', Hoard. l 3 613 Counfy Clark I c To '�• Resolved, that the p /a+ of Pina Traa Maadou.Yr in the Tewn of St Joseph, K. S.. Pr'as+ar Rae/ L` 1 Z1 ° ° i/ Je Estate, Inc., Las lie Lin3tronr, and 407070 Loa Lin'tre'n, owners, ;s hereby approved by the W I pI o b o 0070. 31 Joseph Town Degrd' I harsby certify that the foregoing is a copy of a 0-030 adepfad by the Sh 10seph lbw" / Bo ° 075 lq beard. -I' Survylar.iflff;dovif. Town Clark CL- !ate of Wisconsin. ` Lounfy ofPiarca I roimcounfy; Sfata of Wriconsinjj f" _ f I,Ja'nes R.0 rr ubb,owrvayor,a,Dsp,o,.ffa county of S +.Crerrf d ;. d.d and n napped Pins " I SE'k of SWti ofSaction 3 ,DepsrfnN!rf of fltnseno // Ca'.n'ba {ere ors this dry of �artd Souo/ 1976, KB. Pl-iasfar, 0 r&jjden +, and Tsrry E. county MS., fv. +her duk4 0/l /o +s Piiiw, Seerstor L;ns eft a above ' „ 444 t nI uerte coiner of said S y h On d A d eor- o v� �; said See.3G o ds +once. cans. nor Porq -tie ", grfd 40 'S/4 trorry and Annq ingrsae or Loy o Linshe..r, to .ne kno,✓q +e bs the pal- �I f ST.H.SS; tha,nea o/eng ; Qxpraas /y 'ens w/70 sxseuted th. fenegei7 instru- feef; thence N89O7'W is resrric- r»ent, qnd to rr/a kgown to be6 sacs a "I +hen Movi ,9 *E S98 51 ,93 ap'p's. officers a laic/ eerpora'tion and ack- �y ? - }FlanceNBl'tS'E 2G2.Fi /../, O N /'00E 29SSO tae.+ ;688' 9hu/ay heuiladgad 'l�ha t• they arseu+sd sold iq- +hanceN88 % /'W�f77etfee efru'n.n+ as off'csrs, er ownsv, as +he autad -the dead of said corpoiat' "on, b its author ;t "'hose chard bears SPB:'eo! Eatgte, Notory Pub /ic y Y. Z fret; +hence S6S'04'E S K 8 F► r ests Hudson, W'i. thence N0039E250.00faias,ifs Aenrrenon+ Co'n'ryiae'on John .a He area N'/'f $00.05'faa +; d seo/ +o be whose Chord bears SWOP Z, resen0s ep: A.04-, Slp.nca S00•#9W.CL: P Point of beginning.I 441 K ` division, and plat by tllecrefar 0 ST. CIZOIX COUNTY ZONING OFFICE St. Croiy County Couri_hou5e 911 4th Str eet � Hudson, 11I 54016 Telephone (71 5 ) 386 - 4680 The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. , Completion of this form i s essent ' so that thc�ro�crty c an be located Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and forri.!are received. -- fl WATER TESTING- ------- -- - - -- - - - - - -- -- FEE: $ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 (For VOC'S) SEPTIC SYSTEM INSPECTION - -7,;,- -FEE: $25.00_ (Determines if system is properly functioning at time of , inspection) :r .I Property owner's name Property owner's address�3 r ' Legal Des ripti n 1/4 of the 1/4 of Section, Town Lot Number Z6 Subdivision Name �� AL `2 � ,J FIRE NUMBER LOCK BOX NUMBER M Color of house &r — ui21_ Realty s;i'yn by house ? I/crr so, list firm: ; PLEASE INCLUDE, IF AT ALL POSSIBLE, A 1A P,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SKEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the %•rater for several hours before the test can be conducted. WINTER TESTING: Many times :rater lines are turned off, or sill cocks are turned off, making access to the liome necessary. If this is the case, please make proper arrangement_ with this office to ensure time when entry may be gained. Firm or individual requesting services: c .��J Telephone Numbe REPORT TO BE SENT TO: Closing date ___ - - -- Signature -- 46, LbWUL -- bras - Vjje,'y /P ATTST.JOSEPH T 29 - 30N - R -20 -19 . P ACE SJ A // ? Ei Er »e, rnncT b- � do p o� • i � libkU .. l y r,l ��$ �� �o K /uc -df.F 7w 'ee z ?� E ,r o J . OQ� .Ylracs• ® 00 Erma_ e t Evo /y � Way9e K /u�df.Er r. OrKe //n er, � 9 C •N 7 $ � w t0� � v� Fo y J r"1 f Lent �< w TRAC73 : �� /90 dQ• rn farc e /k- "' rzu rw /e• r°Pr•f� �o f Toyyca e,N, ur Ti yce. M\ �` >e.ot f+ rtL " r¢Yv •, U L I IV E E'•C �knmo P L �� a /e /r 9 O � U F ny�ec,E. � f +4 4 � � q • ✓� 0. !nyf d v q Mhnb: :Jim 99 dt <�ur E ..� K U 64 94 tl i t•�,ur•s - rKOr e " � � �� Ave .lr /csfc o . W U = ..r 9 io�sm ' Mt.B /� ' ers F� 3�yLflrcn 9 f9/6 cce , p�o Y soo. V we PER eo War Jo r' 7a f6 wEs 1 L /oyd H /r /ka .+nsr R: c U J b u eer " _ •^, W /B9 lAB � Fyn o� C k v am ♦ y V. , • Av ry .w<R W(� � W orr // f P/aY°' /[r Jnh/ ..F f E /�¢6C ,.:. a s . / •� - ar/ �''^ TR f:: y W rolrrson r+i� -� ' /card, N C Lb / V. /Ha 4ern/d rak • ' e h f • C� 9 / 3 s / uae ;e..er e • i .4 is i'e � O' a Lc O n � _. r � U K C '�f O - U / � Ali c�` N 'P - .� �'o � C ru 9s " ' `F eo tee. ,;• Np ?� yEV c ro w � ti E J � � { ' JJ J1j Harr r .r i5r¢ra �JV s 4 (I Y. A vrenD¢ 1 7 -GPt `NrL'/ srra �- W&4ow �� i ♦. ue v7 r4 .:AI 1 oaa Poc Ffordly4°fL6 G[I PA GE Zf a JQ - N Po D �A K v Ed e in Rea ny. >h Property Info. Sheet ADDRESS 2 Red pine Trail f r 1 PRICE $104,900 i 4 CITY /TOWN DISTRICT 1 I N� u LOT SIZE/ACRES 1 .7 Acres ADDITIONAL SALES HELPS: Have Your Cron Private world in The home is all newl a grove of pines. -- — . y carpeted with 'a f ireplace in the Living Root and :-a,_fbXm]..DR. Geart location north of Hudson and east of Stillwater. PR' CF: 4 109,900 # EFDPOC4S: 3 W S4THS• 3 M WI• n BB M TFRI.IS /.:D?;F.SS: 253 RED PINE TRAIL C1T1': HUDSON 2I P: 54016 ST. CROIX LT S2: 1.70 ACRES DI ST: 1 F .SCHOOLS/ 1Zk?•f: HUDSON 1•fID: HUDSON HUDSON per ST. PATS L FCAI.: PINE' THEE MEADOW - LOT' 10 -' - -- S''A'LF: RAMBLER -- FJTLpIOR; CEDAR YEr,R EUJLT: 1978 TPJ X2902 ,1T1: 79 89 SQ J7 LL1TF : 1180 70TAL FIN IT; 2150 R0 1•f DD•f72SI L l$. F F(lJIJ `RT / I•f1SC LR 1 9.0 X 1 M C REFR]G: NO C. 1TITi DR; 12.9 x 11.5 M C _OPEN: YES C SIR I:T: 17'X 8.10 M V 12PIYli; YES 1,F1L YES FR: 30 X 12.9 L C DWSHR• YES SEPTIC: Y I�qt: 13.6 X 12.9 M C D] SP: YES DEC ;: YES bR2: 12.5 x tl M C WS; YAT10: ER3: 13 X 9 M C A /C: YES WALKO b •; G4R• 2 CAR GIX) YES DEN 1� FRPLC: Liviur RQom TOSS rd' _ HFAT: As CHARMING RAMBLER`SNUGGLED IN THE PINES FEATURES FIREPLACE IN THE LIVING ROOM, FORMAL DINING ROOM, SPACIOUS FAMILY ROOM WITH A WALK OUT.LOWER LEVEL, 2 X 6 CONSTRUL'TION, y 3 BATH ROOMS, 1 BATH IN MASTER BEDROOM. NEW CARPET THROUGH OUT, PARQUET FLOORS IN FOYER, AND ASPHALT DRIVE WAY: L � B/C SJ'ER: SHIRLEY NELSON Big 386 - 3801 L1STm: 2.4 Er'rr: E DI N A REALTY 41 260 1 PIia E 715 386 - 8236 612 - 436 - 7072 ER 213A (8/89) ST. CROIX COUNTY WISCONSIN r� t' ZONING OFFICE x ST. CROIX COUNTY COURTHOUSE =r 1 911 FOURTH STREET • HUDSON, WI 54016 j 715 386 -4680 Feb. 21, 1991 D Shirley Nelson Edina Realty 700 2nd St. Hudson, WI 54016 Dear Ms. Nelson- An inspection of the septic system on the property located at 253 Red Pine Trail was conducted on Feb. 13, 1991. At the time of inspection, the sanitary system appeared to be functioning properly, however, the house had been vacant for an undetermined period of time. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operations of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of the system. Should you have any questions, feel free to contact me at this office. Sincerely, Ma J nk s Assistant Zoning Administrator cj ST. CROIX COUNTY WISCONSIN ZONING OFFICE p M M p p p p p p *OUR ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road �'=- Hudson, WI 54016 -7710 (715) 386 -4680 April 28, 1994 Ms. Carrie Johnson Edina Realty 3 6 ` 36 7 / 3 700 Second Street Hudson, Wisconsin 54016 I'l 1 1-O� 10 RE: Water Test for Rod and Carrie squires Address: 253 Red Pine Trail, Hudson, Wisconsin Dear Ms. Johnson: Enclosed is the original water test results from Commercial Testing Laboratory, Inc. of the above property. If you have any questions with regard to said report, please let me know. S' ly, es K. Thompson Assistant Zoning Administrator mz Enclosure ?14ai RCIAL TESTING LABORATORY, INC. St reet, P.O. Box 526 Colfax, Wisconsin 54730 715 - 962 -3121 800 - 962 - 5227 FAX 715 - 962 - 4030 a# ST. CROIX CR NT` ZONING OFFICE REPORT NO.: 60712/01 PAGE 1 ST.CROIX CTY GOV.CTR REPORT DATE: 4/22/94 1101 CARMICHAEL ROAD DATE RECEIVED: 4/19/94 HUDSON, WI 54016 ATTN: THOMAS C. NELSON OWNER: Rota Carrie S%w i res LOCATION: 253 Red Pine Tr•r Hudson COLLECTOR** Jim Thompson DATE COLLECTED S 4 -18-94 TIME COLLECTEM 3:50pm t SOURCE. OF SAMPLE! Kitchen faucet DATE ANALYZEDE.4 -19 -94 TIME ANALYZED:2:00pm COLIFORM#MF'CCt 0 /100 m( INTERPPETATION2 Bacteriologically SAFE NITRATE -N: 2 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria /100 ml Nitrate- Nitrogen, mg/L 2 A RCM O 1994 ST CiaJlX cry,` cooly r. r ZONINGOFfiGE � LAB TECHNICIAW Pam Gane WI Approved Lab No. 19 :Means "LESS THAN" Detectable Level Approved by: ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY .� ., WISCONSI N _21� ZONING OFFICE M N r u r ....i ST. CROIX COUNTY GOVERNMENT CENTER 11 41 Carmi�c_RnHd ''�• ' _ _ _ Hudson W L 540 1 6 -771 0 � • � j am-- (715) 386 -4680 To !AL SEPTIC INSPECTION / WATER TEST REQUEST FORM Please specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure that entry can be gained. D (VOC's) $185.00 X Septic $50.00 Water (Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria retest $1 Owner: Requested by: 7'l-J Address: 3 Address: > a � �d�„J Gu ZIP ��/o/ r" ZIP S�c l6 Telephone N °: ( ) .� �- �z�73 Telephone N °: (_J) 3,fG TA 31b Property address (Fire N' & Street) Location: ;, Sec. 3(e , T N, R Town o L Realty firm: Q e i w Lock Box Combo: 6 & Closing Date: - o TO BE COMPLETED BY PROPERTY OWNER )k PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM* Water sample tap location: �As Is the dwelling currently occupied? 9 Yes D No If vacant, date last occupied: Age of septic system: t Septic tank last pumped by: - fs - Date: \ �3 � sV Previous Owner's Name(s): 'dam 2 Have any of the following been observed? \ ❑Y BN Slow drainage from house. A DY 1114 Sewage Back -up into dwelling. DY CAN Sewage discharge to ground surface or'roao ditch DY CAN Foul odors. Other comments relative to system operation:' I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE: �( DATE : u�, 1/94 ova r" OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION I N TO BE COMPLETED BY INSPECTION AGENCY System design & /or permit on file? ❑Yes ONo Soil series per SCS Soil Survey: sheet # Type of soil absorption system ❑Below grd OAt -Grd OMound Approx. size 'X OGravity ❑Dose OPressu_rized Ft. ❑Bed ❑Trench ODry Well Molding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank Setbacks: ❑House OWell OProp. line OOther Dose tan Setbacks: ❑House OWell OProp. line OOther ❑Locking cover OWarning label ❑Pump /Floats ❑Alarm OElec. wiring Soil Absorption System Setbacks: OHouse OWell OProp. line OOther ❑Ponding: ❑Discharge: General comments INSPECTORS SKETCH OF SYSTEM LOCATION N Inspector Title ST. CROIX COUNTY WISCONSIN ZONING OFFICE N V I N I N v " "' "6. ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road �- Hudson, WI 54016 -7710 (715) 386 -4680 April 20, 1994 Ms. Carrie Johnson 700 Second St. Hudson, WI 54016 Dear Ms. Johnson: An inspection of the septic system serving the Rod & Carrie Squires property, located at 253 Red Pine Trail, was conducted on April 18, 1994. 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. A water sample was taken at the same time. The test results will be mailed to you when we receive them. Most septic systems consist of a septic tank which traps the solids and greases from the sewage stream and then allows the remaining sewage effluent (liquid) to drain into a subsurface drainage area. Once the liquid reaches this point it seeps away by percolating through the soil surrounding the system. Failure results when the soil surrounding the system becomes plugged with microscopic bacteria and sludge, which form a clogging mat. As time goes on, this clogging mat becomes progressively thicker, allowing less and less liquid to seep away from the system. When this clogging becomes severe enough, liquid sewage is trapped in the drainage area, a condition known as ponding, and results in backup of sewage into the structure or the discharge of sewage to the ground surface. At the time of inspection, this system appeared to be functioning, but not at full capacity. I noted that there was approximately 7 of sewage effluent ponded within the drainfield. This indicates that the system is partially plugged and will no longer allow sewage effluent entering the system to drain away from it. Because the failure of a septic system is a progressive process, I cannot predict how long this system will continue to dispose of sewage effluent nor how soon the system will fail completely. With proper care, I believe that it could last a few more years. Again, I want to stress that I cannot guarantee or warrant that this system will continue to function properly in the future. In an effort to prolong the system's life, 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. Please feel free to share this report with,anyone who may have an interest in its findings. Should there be any questions or concerns that I can clarify, I can be reached at this office between 8:00 am.- 5:00 pm., Monday - Friday. ince ly, ames K. Thompson Assistant Zoning Administrator cc: file l • AS BUILT SANITARY SYSTEM REPORT /'c . ��N LcrLti � ��' yl'n- ^7ER L J c. , TOWNSHIP - t` ;50 SEC. T�D N, R Z� W Q. ADDRESS C,< ' ST. CROIX COUNTY, WISCONSIN. - d1�fy �i C��o,� Geier' /� �� ' 3DIVISION ,��p ,o, , LOT LOT SIZE ��jL� �'►';C� �UW-J PLAN VIEW -Distances & dimensions to meet requirements of H62.20 , SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ro i • � � , • Z Z �,tN�° • �UUSF _ .. oob (,(a L Seer IC • w 'TIC TANK(S) lbd0 (, AWGR. U) e fS e,t S CONCRETE STEEL NO. of rings on cover Depth DRY WELL ENCHES NO. of width length area J no. of lines 1 Z width length are depth to top of pipe 3REGATE 'r �K RATE AREA REQUIRED f /"S` AREA AS BUILT 2 `1 sclaimer: The inspection of this system by St. Croix County does not imply complete apliance.with State Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for :item operation. However, if failure is noted the County will make every eff rt to ermine cause of failure. ZIASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. `•INSPEC DATED PLUMBER JOB �/z _ ti LICENSE NUMBER