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HomeMy WebLinkAbout030-2072-40-000 h p °e tlo c a a o w ~ ~ I o - N m "O T O ~ Q 2:2 C O O ~ V T U) N ~ C O N U U) 0 y U O ) T z 3L= co cc ti O V/ O Q w S2 a M ~ a I _ d 0 3 0 ~ r O Z M IL co co 0 o z v U d z ° o rn z N ~ ~ c (D a w a~i m ` Cl) ~ w ~a N N c a _ O- o c O 0 Z H Z o z V N O c N ~ O co G •l6 0 O O O O H O N N N c c a Q ! m m m L o 0 o Z S !0 N N N OOO zCDC oaaa ~0~ILn CD~ w > o a o f N N = Q a L O O '0 :3 :3 M co C CL N O m a co (D co y d Q U) co V 0 O N C O p m c U C N d O N CO O 1 T N J O Y C -O N N V N C; a C C C (D N a"~y n0 N N N - N w~ N 0 U) 04 0 ICI M L Lf) ad+ c4)~ C N a 6 OD '6 O M !A O N O z N Z fn a € a I L: a. w a c d rw r Q 0 a2 OaQ STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER dL/E ADDRESS1~~jL(f S SUBDIVISION / CSM# LOT # SECTION_ J T_,YQ_N-R_2_0_W , Town of-,Fl'/ rToq ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 14o u S f /r'Ekc/f~S - S X52' sc14c15:7 ~ ; yo r B17 %oP S~ Ca,PN~/Z o F C17T jio c 1.ioO o of s INDICATE NORTH ARROW r Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 7 BENCHMARK: Z~Q a Se- 4"n C/yT ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: I~IL6F,( Liquid Capacity: f f Setback from: Well_ (2 House Other Pump: Model* e Float seperation ns/cyc Alarm cation :SOIL ABSORPTION SYSTEM Width: Length Y7 ` Number of trenches Z Distance & Direction to nearest prop. line: /O Setback from: well: /00 House 30 , Other ELEVATIONS Building Sewer ST Inlet: ST outlet PC inlet- A(A PC bottom- Al _ Primp Off IVA Header/Manifold Bottom of system- 9S, JG Existing Grade- Final grade DATE OF INSTALLAT PLUMBER ON JOB: NUMBER: 320S- INSPECTOR: 3/93:jt Visconsir artmentofIndustry, PRIVATE SEWAGE SYSTEM County: Labcir ~nd an Relations Safety INSPECTION REPORT ST. CROIX and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 268505 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: DIETHERT, LONNIE ST JOSEPH CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION LEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /0 - Dosing Aeration Bldg. Sewer Holding St/Ht Inlet 7_031' TANK SETBACK INFORMATION St/ Ht Outlet Verit TANK TO P/ L WELL BLDG. Airito ntake ROAD Dt Inlet Ar Septic r~5 u a S T a NA Dt Bottom Dosing NA Header/Man. g 96 < Aeration NA Dist. Pipe g _ 3 ~ a io, sa ' Holding Bot. System ,j 9 S s. f PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand ~U /oo..:~y/ Model Number GPM TDH Lift Friction System Loss mead TDH Ft Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS J 5-121 1 ~L-' DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O model Number: System: -fDp ~a 160 /F OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over r, Depth Over of xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center ~U Bed /Trench Edges C9 6 -~C! Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ST JOSEPH.36.30.20W, SE, SW, HWY 35 Plan revision required? ❑ Yes Of"No 3 `J~ f Use other side for additional information. SBD-6710 (R 05/91) Date s s Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code couNTY~ \ STATI SANITARYp PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER VIDITY LOCATION C L /a VY4,S T'Q,N,R 0 E(010 PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 8 g~ .3A CITY, STATE IP CODE PHONE NUMBER SUBDIVISI NAME OR CSM NUMBER ,1~ansow wil 49/6 II. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) State Owned VILLAGE : r vs a.6 jo AeV Y_ 3 6' ❑ Public M or 2 Fam. Dwelling-~# of bedrooms y~ PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 63 1 ❑ Apt/Condo © ^ 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. 1^ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ( Seepage Trench 22 ❑ In-Ground 420 Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 0 T 70 L3 F~~, Feet Feet CAPACITY VII. TANK Site in allons Total of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holdin Tank Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumb s gnature: (No Stamps) M Business Phone Number: Plumber's Address (Street, City, State, Zip Code): 586 1,JALLggX 5 SC ` IX. C NTY/DEPART ENT USE ONLY Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued ssuing A nt Sig ps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination /01~ S- X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewar Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) 0 ! 36 C c~ ~ (i ' Co~ ~ r c~ ~o "/7t7 1-7 N ~vus~ i,AT/O / 6 rl 01-0 (Scprr~' /ooo G/►L '7 n3 2 - ~X' S°7 r S~E,pAGc= T,/1uvc~~s M f~f I o~ or- SL Cc3T'NL C, -7i' , = 2 I .S OCCT C~ ~ G+ j~ FIB ~ Y L i N N a rl ez)/. 5 ''x.25 WiscorrtjApepartment of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor a urnan Relations Dih4ftn o4Sa%ty & Buildings in accord with ILHR 83.05, Wis. Adm. Cod&"7 , ~ <«1 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ' uds but "et;lIvro ix 1RCE not limited to vertical and horizontal reference point (BM), direction and % of slope, srcal@;6r P~ dimensioned, north arrow, and location and distance to nearest road. r I0. 03 72-40 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION RF~V~WED DATE PROPERTY OWNER: PROP OCATION.r Lonnie Diethert GOVT. L , 1~4= I'Y1/4,S 36,Q( N,R 3Mor) W n _0 PROPERTY OWNER':S MAILING ADDRESS LOT # U N # 1204 W. Ramsey St. na HY. #35 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VIL 0 NEAREST ROAD Stillwater MN. 55082 (613 439-2764 St. o St. Hy. #35 [ ] New Construction Use Ix ] Residential / Number of bedrooms 3 [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd/ft2 - 8 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 95.72 It (as referred to site plan benchmark) Additional design / site considerations na Parent material stream terrace outwash Flood plain elevation, if applicable n= ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ® S ❑ U ®S ❑ U ®S ❑ U 30 S ❑ U ®S ❑ U ❑ S C$U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bcu~ Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Twich 1. 0-17 10 r3 3 none d 2f .2 .3 1 2 17-29 10 r4/4 none sicl 2msbk mfr cs if .4 .5 Ground 3 29-40 7.5yr4/6 none sl lmsbk mfr gw na .5 .6 elev. 99.05 ft. 4 40-88 7.5yr5/4 none s osg ml m na .7.8 Depth to limiting factor +88" Remarks: Boring # 1 0-16 10yr3/4 none sil lfsbk mfr cs 2f .2:.3 U2 16-32 10 r4/4 none sicl lfsbk mfr cs if .2.3 3 32-78 7.5 r5/4 none s osg mfr na na .7:.8 Ground elev. 99.0 ft. Depth to limiting factor +78" Remarks: CST Name:-Please Print Phone: Gar L. Steel 715-246-6200 Address: 1554 200t Ave., New Richmond, WI. 54017 m02298 Signature: Date: CST Number: 5-13-96 PROPERTY OWNER Lonnie Diethert SOIL DESCRIPTION REPORT Page 4jL_'of 3, PARCEL I.D. # 030-2072-40 r Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ggw 3 1 0-8 10 r3/4 none sil lfsbk mfr cs 2f .2 .3 ??r#=:«t 2 8-18 10yr4/4 none scl lfsbk mfr 9w if .2 .3 Ground 3 18-31 7.5 r4/4 none sl 2csbk mfr cs na .5 .6 elev. 100.0t. 4 31-06 7.5 r4/4 none cos os ml na na .7 .8 Depth to limiting factor +96" Remarks: Boring # 44;t i\ti Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Lonnie Diethert New Richmond, WI 54017 MPRSW 3254 WIWI S36-T30N-R20W (715) 246-6200 town of St. Joseph I N 1"=40' BM.= top of SE corner of cement patio C el. 100' 3 P~};o NL- Gary L. Steel 5-13-96 ' i STC-105 SEPTIC TANK MAINTENANCE AGREEMENT / St. Croix County OWNER/BUYER L_©/'UN j e J~ ~ b I E' M MAILING ADDRESS 1220 {BUJ 3S- 14(-)D_S0 J (~t~..~- 51-fO/o PROPERTY ADDRESS 12-2T3 6TV W 3'~;_ (location of septic system) Please obtain from the Planning Dept. CITY/STATE QSD/~ W:T7 S- ® PROPERTY LOCATION SE: 1/4, _5iW 1/4, Section 3(o, T__3-0 N-R Zd W TOWN OF '__Ms F_ P 1+ ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained in t be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year iration date. SIGNED- DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 . This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property Zpaini1c: . O i e"TlZ E lz ( Location of property S 1/41/4, Section 3(0 ,T 30 N-R 20 W Township ST . Sc)5EP V-1 Mailing address (22$ i4k0 fWAY 3S L W ~O IJ ~ T7 S40 Address of site (26 4W q W ()SD/J OT S -c-10 / h Subdivision name Lot no. Other homes on property? Yes No Previous owner of property 3TEVEN J) , SC[- WM I flT LA N(JA L, W- 44/N-A I U T Total size of property 2 -AC2,e75 Total size of parcel Ae-ei5 Date parcel was created 1560 Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes )C No Volume 53O and Page Number ~y3(o as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. c(S S r of App is t Co-Applicant 6 -2( - 94;~ Date of Signature Date of Signature i -i7 EUrQ C_ { 4 ~ T Ci 0 ST CFCiX "T(., VJ e. j APR 1 1996 0 10:30 Lj WARRANTY DEED m....~ - Having received sufficient consideration, STEVEN D. SCHMIDT and LINDA L. SCHMIDT, husband and wife, hereby grant and convey with warranty of title, to LONNIE J. DIETSERT, a single person, the real estate legally described as: A parcel of land located in the SE 1/4 of SW 1/4 of Section 36, Township 30 North, Range 20 West described as follows: Beginning at the point of intersection of the North lin- of the said SE 1/4 of the SW 1/4 and the West right of way line of State Trunk Highway "35" as travelled and laid out on the 18th day of April, 1960 this point being 346 feet East of the Northwest corner of the SE 1/4 of SW 1/4 of Section 36, Township 30 North, Range 20 West, thencew West on the said North line for a distance of 236 feet, thence South for a distance of 300 feet, thence East parallel with said North line for a distance of 326 feet to the West right of way line of State Trunk Highway 1135", thence Northwesterly on the said West right of way line of State Trunk Highway "35" for a distance of 314.08 feet to the point of beginning. Togetner with an easement for shared ingress and egress as granted by indenture filed in V lume 538, page 636 as Docu- ment No. 333695, St. Croix Coun, Wisconsin T,ie street address of the property is 1228 Highway 35. Its tax number is 030-2072-40. This is homa'stead property. T /STEVEN D. SCHMIDT LINDA L. SCHMIDT STATE OF WISCONSIN) ACKNOWLEDGEMENT ST. CROIX COUNTY ) Personally came before me, this,-y//n day of March, 1996 the above-named STEVEN D. SCHMIDT and LINDA L. SCHMIDT, to me known t be the persons who executed the foregoing instrument, and c nowle d the s e. I i~ I Notary Public, Wisconsin. My. commission /5- ~F2LcC2tic~[ Drafter C. W. Malick, 413 .Brookwood Drive Hudson WI 54016. .......r v~ ST. CROIX COUNTY , WISCONSIN ZONING OFFICE 1 1 N 1 N N N M r rnrf ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichae 70 Hudson, WI (715) SEPTIC INSPECTION / WATER TEST REQUEST R tVE0 N fry ;996 Please specify desired test(s) & remit appro to S7emqpj;aith application. Outside water lines are often to Mu'ftring winter months, making access to the home necessary i i%a%qfFWfa arrangements with this office to insure that entry c ❑ X Water (VOC's) $185.00 Septic $50.00 Water (Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria retest $15.00 Owner: Requested by: Address: Address: I-JIV t4 Telephone NQ: ( ) X37- ~ Telephonl;~ ) Property address (Fire W & Street) : c Location: Sec, _1_3 P , T 3ON, R W, Town 'of --7-7' Realty firm: Lock Box Combo: Closing Date: C4a 2.- 4o 3(0. `~,o. 20. Z(13 TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS Water sample tap location: Is the dwelling currently occupied? AI~Yes 0 No If vacant, date last occupied: Age of septic system: Septic tank last pumped by:~ Date: Previous Owner's Name(s): O /YI o L !s Have any of,,-the following been observed? ❑Y BK Slow drainage from house. ❑Y [ Sewage Back-up into dwelling. ❑Y ~ Sewage discharge to ground surface or road ditch. ❑Y EN' 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 SIGNATU DATE:-.2-2- n 1/94 OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION IN TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? ❑Yes ❑No Soil series per SCS Soil Survey: sheet # Type of soil absorption system: ❑Below grd ❑At-Grd ❑Mound Approx. size 'X ❑Gravity ❑Dose ❑Pressurized Ft.z ❑Bed ❑Trench ❑Dry Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Urkrown Septic tank Setbacks: ❑House ❑Well ❑Prop. line ❑Other Dose tank, Setbacks: ❑House ❑Well ❑Prop. line ❑Other ❑Locking cover ❑Warning label ❑Pump/Floats ❑Alarm ❑Elec. wiring Soil Absorption System Setbacks: ❑House ❑Well ❑Prop. line ❑Other ❑Ponding: ❑Discharge: General comments: INSPECTORS SKETCH OF SYSTEM LOCATION N Inspector Title 4*16 PRIVATE SEWER SYSTEM AND/OR WELL LOCATION MAP This form approved by the Minnesota Association of REALTORS", which disclaims any liability arising out of use or misuse of this form. 1. Page of Pages 2. Please use the space below to sketch the real property being sold and the location of each SEWER SYSTEMNVELL on the Property. (circle all that apply) 3. Include approximate distances from fixed reference points such as streets, buildings and landmarks. 4. Property located at C-'/ c 5. ) i f J~ . \1 4 t ST. CROIX COUNTY WISCONSIN ZONING OFFICE p p r r p p r p■ ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road xa _ _ Hudson, WI 54016-7710 (715) 386-4680 March 12, 1996 Steve & Linda Schmidt 1228 Hwy. 35 North Hudson, WI 54016 Dear Mr. Schmidt: An inspection of the septic system serving your home at the above address was conducted on March 5, 1996. 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 that time and submitted to Commercial Testing Laboratory for analysis for bacterial and nitrate contamination. The results are enclosed. Most septic systems consist of aseptic 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. Our office has no records concerning the installation of this septic system. Accordingly, we do not know when the system was installed, the construction methods used, or the size of the system. The system appears to consist of a septic tank followed by two below grade, gravity fed drywells. At the time of inspection, this system appeared to be functioning, but not at full capacity. I noted that the first drywell was full of effluent, indicating that it is plugged and does not drain properly. The second drywell contained approximately 12" of sewage effluent ponded within the drywell, indicating that the lower 12" of the system is plugged and will no longer allow sewage effluent to drain away from. the system. 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. I believe that the system may be nearing complete failure. With . t proper care, however, it could conceivably 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, direct sump pump discharge away from the septic system, 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. jerely, ames K. Thompson Assistant Zoning Administrator cc: COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800-962-5227 FAX - 715-962-4030 ST. CROIX COUNTY ZONING OFFICE REPORT NO.: 13443/01 PAGE 1 ST.CROIX CTY GOV.CTR REPORT DATE: 3/08/96 1101 CARMICHAEL ROAD DATE RECEIVED: 3/06/96 _ HUDSON, WI 54016 ATTN: THOMAS C. NELSON ~ 'ECEIVED .7. y _ MAR 1 1 1996 r OWNER; Steve 6 Linda Schmidt 5T CROIX COUNTY 'ONIN.G:OFFiCE LOCATION: 1228 Hwy 35 dt.. Hudson COLLECTOR: Jim Thompson DATE COLLECTED: 3-05-96 TIME COLLECTED: 11:00am SOURCE OF SAMPLE: Kitchen tap DATE ANALYZED:3-06-96 TIME ANALYZED: 2:00pm COLIFORM,MFCC: 0 /100 ml INTERPRETATION: Bacteriologically SAFE NITRATE-N: 1.7 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L LAB TECHNICIAN. Pam Cane WI Approved Lab No. 19 Means "LESS THAN" Detectable Level Approved by: PROFESSIONAL LABORATORY SERVICES SINCE 1952