Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
012-1062-20-100
Wiscon nefart0,ent of Commerce PRIVATE SEWAGE SYSTEM Safety . 'Building Division • - INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Persnnai information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Murtha, Michael J Erin Prairie, Town of :ST BM Elev: Insp. BM Elev: BM Description: /q'S Pj ~ ~ ~~( TANK INFORMATION TYPE MANUFACTURER !~ CAPACITY Septic (,J.~es~. y .w /Zoo Dosing o~oa ~~ Aer~ierr d ID lz. Sz 5 Holding TANK SETBACK INFORMATION TANK TO P/L SoJ WELL BLDG. Vent to Air Intake ROAD Septic ~~ 13$~ ~ ~ `7 ~ ,L~ ~ L~ 1 ~- Dosing Q i , 3~ ~ J f 7 1 "~7 Aeration Holding Pl1MPJSiPHON INFORMATION 1 Manufacturer ~ ` Demand M U ( GP Model Number ~ n ~ ~ I JJ~ t~~j TDH Lif~ ~ Friction~o~~ System HeaS TDH 5 ~ ~ . Forcemain Lengt~s ~ Dia. Z ~ / Dist. to well ~~ / C(111 ARCCIRPTIl1N SYSTEM County: St. Croix Sanitary Permit No: 499232 0 State Plan ID No'. Parcel Tax No: 012-1062-20-100 Section/Town/Range/Map No: 28.30.17.431610 ELEVATION DATA STATION BS 6 . Zo HI !OD . Z, FS ELEV. / 00 Benchmark ~/I ~~ qg / _ ~f /~ Alt. BM /. ~5 98.75 Bldg. Sewer / •~C 7 7 ~~~ ~S SUHt Inlet tZ. Z~f $7~ 9la St/Ht Outlet ~ ~ Dt Inlet ` ~ Dt Bottom Header/Man. 15 92 •zS5 Dist. Pipe ~ . Z 9 Z Bot. System $.~ si- Final Grade 7. 15 C 93 • a 7 St Cove( / J ~oJ .7~ y 5 ~,~-2 . ,~ 5 o ~o .. 7. ~d 9l~ , ~C~ BED/TRENCH Width ~ Length / No. Of Trenche PIT DIMENSIONS No. Of Pits - Inside Dj~~ Li uidc~ Depth DIMENSIONS `7 $•5 (~ ~ ~ ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: CHAMBER OR ~ INFORMATION Type Of S stem: Zy ~3 / / , /~ ~`/Y` UNIT Model Number: ~ o~ Z. 39 r11CT~IQ11T1~1A1 CVCTGM Header/Manifold ~ /~ ~J ,S Length / ' " Dia Z Distribution ~ I Pipe(s) Length ~ Z' / ~ Dia 1 Spacing Z ' `~~ x Hole Size ! I - I 1 ~ x Hole Spacing ~ r Z Vent to Air Intake /~ J ~~E.~-. c.~ C/lll /'•l1VCD .. n____..__ c....a......., n.. i.• .... ne,.....,a !lr D4_RraAn Cvctamc Only Depth Over / t / L h C Depth Over es Bed/Trench Ed xx Depth of Topsoil 1 ~~ xx Seeded/Sodded xx Mulched No Y en er /~ _ Bed/Trenc g Yes No es O.(p ~t COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ f / L /_~ Inspection #2: / / Location: 1754 130th Ave ue known (SW 1/4 SE 1/4 28 T30N R17W) NA Lot 1 Fr~b ~iG.. v'zL~ Parcel No: 28.30.17.431810 ~~ ' 'dam ~'\, 1.) Alt BM Description = ! 2.) Bldg sewer length = ~ ~ Z~ ~ ~~~ J ~ ~.. ~~ ~ l r .~. ~~ sQ'j~~'~~' - amount of cover = G ~! ~ ~-aN~ ~ ,p ~~~.eQ~~ ? o _ __~_..__ Pfan revision Required? :' Yes ~No ' ~ ~ ~/ ~j~3~7s Use other side for additional information. __ Date Insepctor's Signat re Cert. No. SBD-6710 (R.3/97) • Safety and Buildings Division „~ ! 20I W. Washington Ave., P.O. Box 7162 County ~~ ~ ~ C.('~ Q !}~ IS~~I~SI~ MadisUn, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 08)266-3151 - ~`j' % Z3 Z ~ Sanitary Permit Ai~t~1~1CatlOll ~ r r State Plan I.D. Number ~ In accord with Carom 83.21, Wis. Adm. Code, pe rso rtal information you provide / 3 3 S ~ a may he used for secondary purposes Privacy Law, s15,0 ' (m) ~ ~ Project Address (if different than mailing address) I t a~ t -Please Print All Info n ~ 175' ~3b ~ ~'i7e' roperty Owner's Na me Parcel ;Y Lot A ~ Block q _ m~C~ ~_, i°~ ~~1~- ~V~,1~\~~ O ' Al ili ola-loba-ab~lo~ o rty wner ng A s a Pr perty Locaticn l ~ ~ ~ 13 ©-~-~, Ci State ri. Zip C o de Phone Number a$ SW 'Q, S~'.4,5ection L f A rn m oN ~ W~ _ ~ t o I • ~ rS ?9 ~ `" ~ ~ I 3 .~ (circle one) < L 3 ~ __ ' II. Type of Building (check all that apply) -- T N; RJ]_,E or U ! g _ RECEIVED ~. 1 or 2 Family Dwellin Number of B ooms _ 1 Subdivision Name ~ M N r i ^ Public/Commercial -Describe Use _ ___ _ ~(p 1 ~,I 1 t~-~- ~-~ _ ~ i~ State Owned -Describe >_Jse ~ ~X ~ ~~ v 1 LU~~ ------- ^City ^Villag:~Township of~'~1 ~ i __._ _ -- P ~~ ~~ ~ III. _- Type of Permlt: (Check only one box on line C p l~ifrATpl~ilica e) A. ^ New System ~ Replacement System Treatmen o t ment Only ^ Other Modification to Hxisting System $. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer m New list Previous Permit Number and Datc Iss:ted Before Expiration ~ Plumber - Owner f IV T e of POWTS S stem: (Check all that a l YP ) ~ !~' . y pp y o oaf- - ~ ~.~__~__~__.__.__ ~ ^ Non -Pressurized In-Ground Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sarxi Filter ^ Const cted Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Pea[ Fitter ^ Aerobic Treatment Unit ^Recirc. lacing Sand Filter / /~/~ // 1~ ~ Recirc lating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ~-! Gravel-less Pipe ^ Other (explain) ~q _, , (-~' ____. ~ _V, llis r sal/Treatment Area Inform_a_tion: __ _ _~ Design Fl ' w (gpd) Design Soil Application R~te(gpds~ Dispersal Area Requir sfl Dispersal Area Propose System Elevation ~ ~ ~ to d ~ d d' ate ~ (~ d t`D 9l .~O ' _ e ~ ~ VI. Tan Info Capacity in Total I Number Manufacturer Prefab TSue ' Stee! Fiber Piasttc ! Gallons Gallons of Units Concrete Constructed Glass ! ! New Tanks 1 Existing Tanks _ ///~ 1 ~ ~P~ 5Z W ~d a J ~ , ~~~ Septic or H ~ Iding Tank 1 ~ i~~Q 1 '~ sP Y ~ Aerobic Tr atttrent Unit -- -- - ~ T Dosing Cha ber O ~.- S'e. ~/' _ _ _, ~__.1 VII. Res nsihility Statement- I, the iindersigtted, asstune rrspoitsibility for llation of the POWTS shown on the attached plans. Plumber's Na me (Print} Plumber's Si gaature P PRS Number ~ Business Phone Number -jl ' A ~ ~7 q ~y p ~ Flumber s Addre ss (Stree t. C ity, St a te, Zip Code) ~ ` ~ ., / J ~ 1 VIII. Co t /IJe artment Use Onl ~Appro ed ^ Sapp Sanitary Permit Fee (includes Groundwater 4 Date Issue Issuing ent Signatu (.` ! ^ w iven a eniat Surcharge Fee) .j~ ~ ~ i ~D ~-I' S 5 ~ ' 3~ a(o IX. Con I itions of Approval/Reasons for Disapproval ~ ~ ~ ~ T~ _..m_ , +Q ~ 3 ~ r`~r ~ a ~ S o ~ ~~ e-N-~ °-~~ • ~ SYSTEM OWNER ~ ~ „ , - ..- . : 1 , 1. Septic tank, effluent finer and g~~,~--- w ~,i s 2(',~wi ~~- ~ P dispersal cell must alt be servlt:ea / maintaYted as per management plan provided by plufrtWr. \ L ~ ~~~~ t I ~ ~a 2. All setback retlttiremeMs moat be mairkaitwd ~'}' t ~ (~ ~a „„~~ v-a '~~---000" / ' ` I a Per applk~ble code / ordinances. ,J j ~ Ga _____._.. _____.___._____ _-~ ~j} n~ !'ll~~ s.am,aa wmpaeae p+rrrs tw rue a.ounry oury~ ror ore system on paper nor letiS tDSII ails x it lncneS to slZf o~ AdO~ • So; ler/2/ua,~,y, p; ~ ~ EXi;SEr'ny ~/'adc e/ev,- N 5 ca,Je • / "S10, 0 / 7SS/ /30~/l/c., ,~,,,,~adnd, tel. /° t/ c5M d~ /S, ~. ~,z~o9, ScvYySEyy Sec.zB, T. 3on.~~? /7cvy ~. PF Erin /~ cii/>~P, ~. C/29iX ~'o~ cc7/ /3.2.75" 39.39 ' (~~o~s~/r!°cu~d of z/ S3;r /o/. 3s' ~,y/ 70,Y 85. ~i S~d~'S~G/Sct~Ce// Six (~ ds$'i~u-6'ar~/a~/a„/saf /~st,2/8" UP~-~ ~ 6~~a~~, /O qj S/off ~7'irok~~ 5~5~~ ~9rca ~~ " .~ i' i S' ~ .- "/ - ,,o- ~, ~c ~' ~" ~~~ ~. ' ' c ,~, , ~~ , ., t ~ ~ 4 ~ ~ ; ,p ~ ~ ; , ! ," . .. ti. / my.5a O,SD 9 q~.Sa Corrt~rour ~waoded/~µ5(~~, Sur,~au o4'seho~ ~e tc%- _ ioo,w: From d rjr uiG!/. ~ E/C[t m~ foP e~ 9.r/~' ~'''---~~ grade a ~uc • 98. ~Q' , ~ e ~ ; ~i'o~oosed ti1ieS~~ 'f jgSTi.? 3o3yA,/.! ~ ~ Cencr.a~e~.JiaS~r?.5~ bw/~c, Sc...vvf r~ ~ ~ :e °L~sn binci.~lc+-~ s.r.~RC. (~t in S a~d aS ' wIP lyLo/(P,C-szs P,cr coda . ~ Sc~i. af%5.7: owt/e~ oucrd~sfu/bcd Soils a,t'a6a.~do.! ~ \ A/~. 8...~ ~ TaPo~ fc%Alca~c /Otd. E/atl.'= C.S. Pk.b/~'c Surc~cy n'l~t'i•: /-~4 ~~~e. sr~ Cottle! s«.~. F~ ~$ ~ ~ ~a ~ ti ~ .~ W ~~ ~y,:lfin9 Sgof,ZfR"+K~` day we// ~ is aba"• drncd aSP~~• 41t. ~.rri.:l~a:/ in u~,•I,~y po/i. ~~ev- ~ceis/' 3 a L ~, Bo~'9 ' ` / 7SSi /30.4/C., ,~-r„nand~w /o t/ C5M //off /S, ~. s~.zo9, ~.o~'E/in /~airiP, St. C/bif'~o'. c~/. /3.Z. ~S" - 39..39 ' ~~o~sec1 /rlaund of 2/.S3;r /o% 3S" ,,,/ > o;,- 85. ~s''d,S,aciSa~Ce/% Six (~ dsfi"ibuf.'a~ /a~/a-1sa-~ /;t-SC,Z./8' oP~~ ~ 6~ka~~, /e 9S S/o~t!-rok~q ~ ~• Sys{en f}rcA, , ~9'~ , ,, "~ 59 ~. ' S 1~ 41..5'a Confnu~ ~ .'~ ~~ i ,, -- ~ ~~ ~ ,_ ~~.vooded~j~y,µs~y s , - ~~, , , ,~, 13cn~cl _~/ca,,l~: 80-x++, PPS ~ ~- ,~' ~~ `ti ~ ~ ~ Sur~'aU °~iSG.~tar4`e ItJ _ /OO.GCO. r Q ~ ; /~'rm-r~ d ~'~r WG!/. !/ E/CCt a~ ~Eop ~ 9.r/~~ ~ j ~ ~' ~p beti /a/Inaa Sec.d~f: Af; `~ ' ~' ~ ,~ rade oYur • 98. s~9' ~ i , 62 `~ i 9.~ ~9' ~ ~ r e ~ ~i'o~oos2t~ ~ieSxr `f j45Tw13a3yR/.C. ~ CencC'.a~e W IzSvr75a w/aC, sc..vvf~ < < C.rr-~ bina+Elcr~ S.~r.-/Rt, b~ i~-S~a~t.al 4S o ' ~^ ~• wlPel 1.~,~(P,[-szs pcr eed¢ , ~ sc4.yo r ~ 40.7 14~ e#/u~~~;/~sr' fs~b~e~~st~~d a~S.T. o~/it oucrdrSfurbcd 5 of /s ~,t a6n.~ stp~ ~ {r,,,.„t~. po% Sl,c.d ~ \ ff/~. B...f ~ Topo~ fc/ya/ca~~ /Otd. E/ev' ------• S%{ Cork! Scc.?8. F~ ~~ ,o '^ W ~~ ~XiJf%n9 Scp~+Gts~K~ dry we // ~p bt a,ba~ clrncal 45Pc''~• qlt. ~.M : lea: / in cc~,'l,~yPak. 3I ~O V ~, BoF9 S • ~ ,' Wisconsin Depa Commer REPORT p~ 1 ~ 4 Division of Safety and Bui ,......a., ..:.~ ~___ Attach complete site plan on paper not less than 8 1 x 11~~N7dp~s~ s~z~ ~(~ must County St. Criox inctude, but not limited to: vertical and horizontal re rence point (BM), direction and parcel I.D. 012-1062-20-100 percent slope, scale ordimensions, north arrow, an lacafu~+ ~n~~i~n~~t~arest cad. Please print all info Rev' wed by Date Personal information you provide may be used for secor~ary purposes (privacy Law, s. 15.04 (1) (m)). ~ 2 Property Owner Property Location ^ ^ Michsel J. Murtha Govt. Lot SW 1/4 SE 1/4 S 28 T 30 N R 17 E (or) W Property Owner's Mailing Address Lot # Blodc # Subd. Name of 1754 130th Ave. `~ y~0 City State Zip Code Phone Number ity ~vllage ^ own Nearest Road Hammond Wi 54015 ( 1-'~15-796-8822 130th Ave. New Construction Use>~ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ~ Public or commercial -Describe: Parent material Glacial Till Flood Plain elevationrf applicable ~1/~ g, General comments and recommendations: 6" Mound at Contour of 90.8 1 I Boring # ~--~ Boring I_J n Pit Ground surface elev_ 91.7 a rb..4-..,, r...,:.:.,.. c.,,..,.. 43 Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil lication Rate GPD/t~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-8 10YR3/2 ---- sil 2mbk ml cw 3c 0.6 0.8 2 8-20 10YR4/4 ---- sil 2mbk ml cw if 0.6 O.g 3 20-43 10YR4/4 --- sl 2mbk mi cw lvf 0.6 1.0 4 43-60 10YR6/8 c1p7.sYItS/8 (streaks) vfs 1 vfgr mom' ---- ---- 0.4c 0.6 a Boring # ~ Boring . n 89.75 42 Pit Groundsurfarx±Plav a r~....u. a.. ~:~.:__ ~~__ Horizon Depth i Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil lication Rate GPD/flQ n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10YR3/2 --- sil 2mbk ml cw 3c 0.6 0.8 2 10-18 10YR4/4 --- sil 2mbk ml cw' if 0.6 0.8 3 18-42 10YR4/4 ---- sl 2mbk ml cw lvf 0.6 0.8 4 42-62 10yr6/4 c1p7.5YR6/8 (streaks) vfs 1 vfgr mvfr ____ __-- 0.4c 0.6 * gym.... . ,., _ o,,., ----_...... ......., - .,~ . «•, ~ ~ y,~ a~ ~~ 1 JJ ~w ~ i au mgrs ' EfllueM #Z = BOD < 30 rl'Ig/L and TSS < 30 frlg/L CST Name (Please Print) Signature ``, T Number Thomas W. Gedatus uQi kJ.. 962178 Address ~ Date Evaluation Conducted Telephone Number Stang Plumbing & Electric P.O. Box 263 Baldwin, Wisc. 54002 12/23/2005 1-715-684-5166 ~~ Property Owner Michael J. Murtha Parcel ID # 012-1062-20-100 Page 2 ~ 4 3 L„~ Boring ~ ~ Boring # 90.65 Pit Ground surface elev. ff. Depth to limiting factor i Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/tt= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 l0YlZ3/2 --- sil 2mbk ml cw 3c 0.6 0.8 2 10-30 10YR4/4 ---- sil 2mbk ml cw if 0.6 0.8 3 30-44 10YR4/4 ---- sl 2mbk ml cw lvf 0.6 1.0 4 44-60 10YR6/8 ---- vfs mvfr mvfr ---- ---- 0.4c 0.6 Boring # Boring pit Ground surface elev. ff. Depth to limiting factor in. Soil I'xxtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 •Eff#2 ^ Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mg/L " Effiuerrt #2 = BODS < 30 rrglL and TSS < 30 mgJl. 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-8330Test (R07/00) _`~~~ ~ r 17~~ 13vZti ~v~ ~~m r»Uh~ ~~ "3w~Ud~ ~~_ S~' S. ~S t 3 ~ N R t? ~J ~e ~~~, ~~~'r1?~ ~ ~ rJ~ ti 165 ~ a ~,1-vf, ~~-t ~~•~ {-'.-.-~*.T.~ l A ~d ~® a ~ N t( ji l ~~ ~-~ t i ~~ ~~ ~ ~ ~ J. r i f ~~ i - ~ ~ ~ ~,. V 'i i_~ 3 ~- t C ~ ': y ~_ E ~~ ~~ ~S T ~ 962 ~ ~~ ~~ ,~, , a ~ /j 6 /~~•v fi s !B°~ t ~ ~~ ~~L~ ~ ~~~ ~~ks~ ~~~ ~~ ~~ ~~,~. ~ s J ~~... \~u t 13oZh ~~~ f 60Zh a5ad Sl'!o/~ M.6S~6E.8aN tlvae of oswnssd '8Z ~ ~ w c°D.I N01103S d0 ~/L3S 3H1 ~O 3N11 H1nOS 3H1 Ol O30N~tl3~3FJ StlV S°JNItl~B ~ ~ Z ~ ~ ~~ r Z Z ~ f!i N Z ~ N ~W~ a~~ O 0 ~V ~W~ ~~~ O y~~ N 0 a WFz IioW ~~O a Wzo ~o~ a~ ~~ JZo MMP~1~r'4CD [~CQMD~ SOO°~ 7'59"E 244.51 2~ 7.oa 27.sr I i I I O 8 r r r ~ O z W V ~A g N Y. r W Z ~A ii 8 O I w ~ N ~~ ~ I~w ~ ~, _ g ~ a °~U~ (XUVO ~ ~ ~ v ~_ w ~ ~J¢p (WQd D ~ ~ z ~~p ~ ~ OO~~ I~~~ `~' ~ 11S ~ Z ••- (V OD l ac r ~ I cn w ~~ ~ ~ ~¢ a ~z z wz ~ o ~~~- ~ Zp~ Q ~ I 33' 33' {U j W a ¢~ O Z I O ?~ ~~ E N ~ 26.37' J ~ ~ ¢^ ~ T 216.79' TVOO°17'59"W 243.15' ~~ 0 ~ ° n ~~ rho a I~~o ° ~~ I ~J¢~ ~oQ~ ~ ~ ~I ~ • o ~ X ~~~~ I~°~'o b ~ ~I ~ ~M 80 `~ ~~ ~CV r I QCVr I Q Z z C3~ ' ~ ~ ai ~~~ - ~ ~ ~ , / ~ \ r ~ I ~ / \ ~ ~ ~ ~~ ~ ~ I w Q I ~ ~ w ~ C7 ~ ~ ~ ~ \ \ w ~ / / ~ P ~ `~ ~!un ~.:u.- ,;:.u ~oldd aae al~P I ' 33' 3 3' WI ~ ~ ~~ ¢ ~ ~ - ¢ wm ~ ~ ~ f1n!1¢Q ~ IIeUS I no~ s~CeP 0~ u!lnlM PeP~ooa~ lau I w l Z? v U V ~ I ~; a, 11 to~z ~ ~ nor, `I Qi d ~~ =I fC~,y~M ~ ~ ~ ~ ~ ~ wfa~uJ ~~1'-0 iY"'D .'.•~.UL Will u oo xloao -ls Q~A02ldd~ ~ f-1 °~ ~ O dl al ~ I / a \ a~ 6.as za.72' NOO°15'46"W 241 .17' ~ - ~Qa~ I N 6~ 1 e 0 ~~ ~ ~I = W~ ~ i of Q °G QQ 0 N~~ ~ Z ~ W g oz I ~~ ~ pOw~ N ~5~~ 4~ c~'J I ~~ a ~ ~a~ 47 ao W ~~o z~~~ vg O ~~ $ W ~ 0~ N g~ ~I ~I ~I ~~a~ i i Q I X11 Olpl X191 Z ~S39tfd 00'ET X333 9FIIQMU332! 00'£ =33j Ad03 Nd OZ~T TOOZ-4Z-TT Q21Q332! X03 Q3AI333k1 IM '00 XIOyO '1S SQ33Q ~0 2l31ST~J3~J HS-II~M "H N331N.Ltii1 Z ~ ~ ~9 9 . St. Croix Cowrty Land Information Online •~ .. ~~ A p Gagprrber Number: NJA ~a~~a o~~ s~arci~ Pager of~I- -- Prbrrary owner: N/A 7'ax i2scoa-si E3acarera~ P~a{a Seatxx~t Results s~rrJr Resuffs -1 Propeety N iZetura Ta 58arei~ M~:thczds P+ '~- ==~ Generale Main Labels Grid 3.2-3,1162-ZtD-i~g TOWN OF ERIN PRAIRIE MICHAEL ] MURINA 175413ATH AYE, -- _ . _ ___ _ . _. t~n'rent Tool: ~-' httpJ/72.21.230.178/website/%I{portal/main,asp __ s~le:i-=~- tt. _.._._ ... , .. i,.. 122/220/2005 Map - Parcel #: 012-1062-20-100 08/17/2006 10:10 AM PAGE10F1 Alt. Parcel #: 28.30.17.4316-10 012 -TOWN OF ERIN PRAIRIE Current ~,Xl 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 MICHAEL J MURTHA O -MURTHA, MICHAEL J 1754 130TH AVE HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 1754 130TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.902 Plat: 4209-CSM 15/4209 012/01 SEC 28 T30N R17W PT SW SE BEING CSM Block/Condo Bldg: LOT 01 15/4209 LOT 1 2.902AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-30N-17W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.902 43,500 99,500 143,000 NO Totals for 2006: General Property 2.902 43,500 99,500 143,000 Woodland 0.000 0 p Totals for 2005: General Property 2.902 43,500 99,500 143,000 Woodland 0.000 0 p Lottery Credit: Claim Count: 1 Certification Date: Batch #: 554 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r - •, commerce.wi.gov iscansin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 2648777 www.commerce.wi.gov/sb/ wvuw.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary October 25, 2006 CUST ID No. 227990 WILLIAM C SCHUMAKER SCHUMAKER PLUMBING 1070 SCOTT RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/25/2008 SITE: Michael J Murtha 1754 130TH Ave Town of Erin Prairie St Croix County SW1/4, SE1/4, 528, T30N, R17W A7TN: POWTS Inspector, ZONING OFFICE ST CRO]X COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1335904 Site ID No. 719710 Please referto both identificationnumbers, .above; in all'corres ondence with the a enc FOR: Description: Four Bedroom Mound System /.Replacement POWTS Object Type: POWTS Component Manual Regulated Object ID No.: 1103601 Maintenance required; 600 GPD Flow rate; 42 in Soil minimum depth to limiting factor from original grade; System(s): Mound. Component Manual -Version 2.0, SBD-10691-P (N,O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) The submittal described above has been reviewed. for conformance with. applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner; as defined in chapter 101.01(10); Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing. in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be located and constructed in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sea 145.135'and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil. compaction in this area is prohibited. • A state approved effluent filter is required.: Maintenance information must. be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the tank filter for maintenance purposes must be provided per Comm 84.25(7), Wis. Adm. Code. Cnmm 83.22(71- A cony of the approved plans. specifications and this_letter shall be on-site during inspectors. ~ . ~~ ,, P; a WILLIAM C SCHUMAKER Page 2 10/25/2006 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual ancUor owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with thin chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to'create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon -Fri, 7:15 am - 4:00 pm j erry. swim@wis cons in. gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ '0.00 WSMART code:. 7633 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Michael J. Murtha 4 bedroom Residential Mound Owner's Name: Michael J. Murtha Owner's Address: 1754 130th Ave. Hammond, WI 54015 Legal Description: Township: County: Subaivision Name: Lot Number: Parcel LD. Number: Plan Transaction No.: SVV1/4SE1/4, Sec. 28, T.30N., R.17W. Erin Prairie St. Croix CSM Vol. 15, Pg. 4209 1 Block Number: na 040-1297-30-000 Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Bill Schumaker Date: 10!11/06 RECEIVED °Cr 17 zoos SAF~y & BUILpINGS License Number: 227790 Phone Number: X715) 386-3121 Signature~~~~~~~'~----~~ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SD&10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Rltit.~tl Jf i-.t Li ]' Al.u u~: i:...1G~~5 ' P 1 f 9 Version 3.0 (03101101) age o ~_ _. .Mound and Pressure Distribu#ion Component Design Design Worksheet S__i_te Information (r or c) _ '_ R~ Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50i Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 10.00 Site Slope (°!°) 50.80 Contour Line Elevation (ft) 42.00111111, Depth to Limiting Factor (rn) _ _ _- 0.60i In-situ Soil Application Rate (gpd/ftz) Distribution Cefl Information _. _ 85.75 Dispersal Cell Length Along Contour (ft) _ 1.00; Dispersal Cell Design Loading Rate (gpd/ftz) _ _ _ 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) ' c' Center or End Manifold 2.33 Lateral Spacing (ft) 6' Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) _ ._ _ 2.331 Estimated Orifice Spacing (ft) _ 2.G0 Forcemain Diameter (in) 40.00 Forcemain Length (ft) X3.50! Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 7.30 Vertical Lift (ft) 1.61 Friction Loss (ft) ~// mot' '~ 5.41 Total Dynamic Head (ft) ~~ 11- Lateral in. dia. 0.75 1.00 1.'~ 5 1.50 2.00 3.G0 ameter Selection options choice x x x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 3g inches. 7.00 Cell Width (ft) Are the laterals the highest ant in the distribution [~p Y __J network? Enter Y or N If N above, enter the elevation ft~_ _ of the highest point. ~__ 5.56 ftz/orifice Does the forcemain drain back? ~ Y __ __ Enter Y or N 6.52 Forcemain Drainback (gal) 51.60 5x Void Volume (gal) 5$.12 Minimum Dose Volume (gal) 44.49 System Demand {gpm) Manifoid Diameter Selection in. dia. o tions choice ` 1.25 __ 1.50 x 2.00 x x _ ------- 3.00 Gallons/lnch Caiculator (optional) _______ Treat;nent Tank lnf~rmation 773.76 Total Tank Capacity (gal) _ ------- 1250/750 Septic Tank Capacity (gal) 48.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 16.12 gaVin (enter result in cell 649) Dose Tank Inforn~ution Effluent Filter Information 773.76 Dose Tank Capacity (gal) PolyLok _ Filter Manufacturer _ ___. X6.12 Dose Tank Volume (gal/in) PL-525 __~iFilter Model Number Wieser Concrete Manufacturer Project: MichGel J. Murtha 4 bedroom Residential Mound Page 2 of 9 Mound Plan View w i_ 1 /~ _ ~ ~ ._B ' . ' Observation Pipe ~ ' ~:...' .. ... ......: . ....f~. . .~. . ~ . 'B' ' ; ~: =.~ ~- Mound Component Dimensions A 7.00 ft E 14.40 in B 85.75 ft F 9.00 in D 6.00 in G 0.50 ft 600.00 (ftZ) Dispersal Cell Area 7.00 (gpd/ft) Linear Loading Rate H 1.00 ft z 10.50 ft J 4.04 ft K 7.80 ft L 101.35 ft W 21.53 ft 1500.27 (ftz) Basal Area Available 8.58 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 93.05 (ft) ~I H ft) Lateral I F „ , . ; : ~ Dispersal Cell - 91.80 91.30 (ft)-~ - Invert Dispersal Cell Q ; ~ :D ~ ~ ' ~ ~ Elevation E . ~ ~ . 10.0 % Site Slope Shading Key 10 Topsoil Cap ~] ~~~~~' Subsoil Cap ASTM C33 Sand ~~~`=, ~~ Tilled Layer Q5 ::•: ~ ~ Aggregate ~ ~ a o .a 1.5 ft C N O y ;~ a 0 0.5 ft L 5 . ~, ~~ ~....••r.. . F Typical lateral . ~ • I .~G' ..'f'_._. .. ' Project: Michael J. Murtha 4 bedroom Residential Mound (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cetPs centerline in the distribution cell (Ax6). Page 3 of 9 -T _} _~ -• Cef~ter Connection Lateral Layout Daigram Project: Force rr~ai n connection via tee or cross to manifold at any point. Laterals are identical •=Turn-upva'ballvalvaor IFx-~IExr2 xf2~l Laterals&forcemainafPVCSch40 cl ea n out pl u g per COMM Table 84.30-13 Holes drilled on the bottom of the lateral. S d• 1' S Number of Laterals 6 Lateral Diameter 1.00 in Lateral Length (P) 42.18 ft Lateral Spacing (S) 2.33 ft Lateral Flow Rate 7.41 gpm System Flow Rate 44.49 gpm Total Dynamic Head 15.41 ft Manufacturer Gallons gal/inch Dose Tank Information Electrical as per NEC 300 and -t1 Cornm 16.28 WAC Tank component is properly vented Wieser Concrete Ca acit 773.76 Volume 16.12 Dimension Inches Gallons A 26.47 426.78 B 2.00 32.24 C D Total 7.53 12.00 48.00 121.30 193.44 773.76 _r A B C D Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Disconnect 3" Bedding uncTer tank. Alarm Manuafacturar LevelArm Alarm Model Number DLV Pump Manufacturer Goulds J Pump Model Number 3871 EP05 Pump Must Deliver 44.49 gpm at 15.41 ft TDH Michael J. Murtha 4 bedroom Residential Mound 125 in 2.41 ft 5.56 ftz/orifice 4.66 ft 2.00 in 4.54 ft/sec Locking cover with warning label and locking device and sealed watertight 4 in. min. f-- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P, ump off elevation (ft) r-~ 84.50 Dose tank elevation (ft) 83.50 Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker Phone (715) 386-3121 POWTS Regulator's Name St. Croix County Zoning Dept. Phone (715) 385-4680 System Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1250\750 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished •...........•. ~~ .............~~ Grade ~~ ~. :.~. 6-8" Diameter Lawn __~ ~ ~ ~ ~ Threaded Cleanout Sprinkler Valve Box ~ . ~ . ~ ~ . ~ ~ . ~ . Plug or Ball Valve Distribution ~~~~~ ~~~ ~~~ ~ ~~~ ~~~~ ~~ Lateral \~ Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Michael J. Murtha 4 bedroom Residential Mound Page 5 of 9 -, ~ ~ ~ , ' ' Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code eneral This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shell be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The faker cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enGosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation In the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dilate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L GODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is rewmmended that each lateral tie flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continstency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Michael J. Murtha 4 bedroom Residential Mound Page 6 of 9 . ~ ~ ~ ~~'~GOULDS PUMPS Submersible Effluent Pump ~I EP04 ~~ ~ ~- ~ ~ ~ ~ EP05 ~' =:~ APPLICATIONS Specifically designed ~ t~~~e following uses: • Effluent systems • Homes • Farms • Heavy duty sumo • Water transfer • Dewatering SPECIFICATIONS • Solids handling cad ,~~ility: maximum. • Capacities: up to G_ ~~P',1. • Total heads: up to t feet. • Discharge size: '~ ~."JP?. • Mechanical seal: c_;~bon rotaryiceramic-stat~:~nary, BONA-N elastom- • Temperature: 104'F 1C40~C) conu~.~.,us 140'F (60°C) Intel) I'.;ent. • Fasteners: 300 s~ r stainless steel. • Capable of runnier dry without dama~ ~ to components. Motor: • EP04 Single phase. ').4 HI 1 15 or 230 V, 60 '~ ~, 155 RPM, built in ov~.~~ _~1 vvi automatic reset. • EPOS Single phase ~i.5 ~I 115 V or 230V, 6C ~, 15 RPM, built in o~~~~ ;d wi automatic reset. • Power cord: 10 standard length, 1 SJTOW with thre~_ ~~~nrl grounding plug. ~!~~nal foot length, 16! ~ ~'.':~ ~~~ three prong gror,~ ~.q ply (standard on EP " 2002 Goulds Pun,.... ~~rectwe September, . 83871 • Fully submerged in hiyl~ grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES EP04 Impeller: Thermoplas ti; Semi-open design with pump out vanes for mechanical seal protection. ~iFTFRC FFGT ^ EP05 Impeller: Thermoplas- ticenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP Canadian Standards Association Goulds Pumps is ISO 9001 Registered CAPACITY yy.~9~P.M.~:n~~»~5`~y /~~CI~I`~'S umps ~'/ ITTindustries 10!11: 06 tiFEll 07:30 FAX 715 386 4686 fool Wlsopnsin Depa Conine REPORT page 1 of 4 Division Of Safety and Buil `, m acwraa wrm mm oa, vvrs. Ham. d ~o ~g~ Criox -- St Dp l~~A Attach corrrplete site plan on paper not less than 8 f x 1'I+IFitflles~n 9~z~~ must . include, but not limited to: vertical and horizontal re ce point (BM), direction and Parcel I.D. 012-1062-20-100 percent slope, sale or dimensions, north arrow, an locat~l ~i~.~arest oad. Please print all In R ~ ~~ Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 2 Property Owner Property Location ~ Michsel J. Murtha Govt, Lot 3W 1!a SE 1/4 S 28 T 30 N R 17 ) W Property Owner's Mailing Address Lot # Block # Sr,tid. Name / ~ 1754 130th Ave. " J~0 City State Zip Code Phone Number flY village •_ own Nearest Road Hammund Wi 54015 ( 1-~15-796-8822 130th Ave. New Constn~ction Use Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD Rep4'>Gament ~ Public or camlercial-Describe: Parent material Glacial Till Fbod Plain elevation if applicable >`v w R and~rerecorn~ en~dations: 6" Mound at Contour of 90.8 D Boring # [] Boring a pit Ground surface elev. 91.7 R Depth to lirrrilirrg factor 43 ~ Soi ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in_ Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `E8#1 'Eti#2 1 0-8 IOYR3/2 -- sil 2mbk tnl cw 3c 0.6 0.8 2 8-20 10YR4/4 -- sil 2mbg ml ~r if 0.6 0.8 3 20-13 10YR4/4 - sl 2mbk m! cvr+ lvf 0.6 1.0 4 43-60 10YR6/8 cIp7.5YR5l8 (streaks) vfs lvf m~'fi' -- --- 0.4c 0.6 Boring # U Boring 89.75 42 Pit Ground surface elev. ft. Depth ho Gnitirrg factor ~. Soil ication Rate Horizon Depth Dominant Cobr Redox Description Texture Stnrcture Consistence Boundary Roots GPDff~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Etf#1 "Etf1r2 1 0-10 10YR3/2 -- sil 2mbk tnl cw 3c 0.6 0.8 2 10-18 10YR4/4 --- sil 2mbk ml cif If 0.6 0.8 3 182 10YR4/4 ---- sl 2mbk ml cw lvf 0.6 0.8 4 42-62 10yr6/4 c1p7.5YR6/8 (streaks} vfs lvfgr mom. -- ---- 0.4e 0.6 Effluent #1 =SOD > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BOD < 30 m9ti and TSS < 30 rrrgli CST Name (Please Print) Signature //, TNtunber Thomas W. Gcdatus kJ. 962178 Address Date Evak-ation Conducted Telf~hone Number Stang Plumbing & Electric P.O. $ox 263 Baldwin, Wisc. 54002 12/23/2005 1-71584-SIb6 n~~ M1n mn~rrv~~ 1fl 10/11/06 4FED 07::11 1'AX 715 386 4686 _. .<' . PropeRy Owner Michael J. Murtha Pane! ID ~ 012-1062-20-100 p~ 2 ~ t~ooz ^ ~,,,~ goring ` ~~ # ~ Pit Ground surface elev. 90.65 tt Depth >o limping factor Solt tan Rabe t H th D Dominant Color Redox Description Texturo Structure Consistence Boundary Roots GP D/fF or zon ep In. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E~ "E~z 1 0-10 IOYlt3/2 --- sil 2mbk ml cw 3c 0.6 0.8 2 i 0-30 10YR4/4 -- sil 2mbk ml cw 1 f 0.6 0.8 3 30-04 10YR4/4 --- sl 2mbk ml cam' lvf 0.6 1.0 4 ~-~ l0Ylt6/8 ---- vfs mvfr mvfr ---- ---_ 0.4c 0.6 Boring # Boring Pit Ground surface elev. ft. Depth bo limiting fac6or in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsel Qu. Sz. Cont. Color Gr. Sz. Sh. "E1iiR1 "EffAr2 ^ Bonng ~ Boring Pit Ground surtaceelev. ft. Depth to Gniting factor in. Sofl cation Rabe Hor1¢on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Mansell Qu_ Sz. Cont. Color Gr. Sz. Sh. "E~ "Efftl:2 ' Effluent #1 =BODE > 30 < ?20 rnglL and T5S >30 < 150 mglL ' EfHueN fM2 ~ BODE _< 30 rtglL and TSS < 30 rtrglL The DeparGnent of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please ooatact die deparimeat at 608-266-3151 oar TTY 608-264-8777. ssn-sswr~ ~o,roo> 10/11/.06 4YED 07:31 FAX 715 386 4686 _. .,~ ~f ,~j h, C ~.~a G r ~~t ~Z' ~' r4 /°t ~?s~ j3vZ~ ~v~' .S'~- S~ S. ~$ t 3 a N 2 t? ~ $. ~ ~ ~ ~. 2f~~'1~''"pGs~ e~-t qt.7 ~~~3 40,5 ~~ ~0 ~ N r /~ f r I ~r F 3-~ i ~~ ~~ ~ ~ n ~ ~~': q~. ~ ~ i o ' ~ /~ 4. r V 'i Ir~_Q-3 ` ,~_._._ ~.. l 1 1 d v N ~l ~ 3o zh ~v~ ~ 003 ~ ~ ~~~,~~ -~-~o.r,.~ • SST ~ 9da~ ~~ ~' ~~ 1~~~, I 4 ~ Q `a. ~b~~ ~,~ 8 l r~• {~ • , ' ST CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGRBEMENT AND OWNERSHII' CERTIFICATION FORM OwnerBuyer ~ i ~e o,~ ~ ~ b i e ~ ~ ~ - Mailing Address 1 ~ ~ ~ 13 ~-~ ~ ~ l=' t^^ ,^.- ~ ~% l ~0 IS property Address 1 ~ S~ 13 ~ ~ ~ ~ yr j 1n~ (Verification required from Planning Department for new construction) City/State ~~^~ ~ ~ Parcel Identification Number d 12 - I Db2 - 2a ' /~ LEGAL DESCRIPTION Property Location ~ '/4, ~ ~ '/., Sec. ~~, T .,.~D N-RAW, Town of ~ rt Subdivision Certified Survey Map # Lot # Volume Page # Warranty Deed # 3a ~ .3~'S~ ,Volume ~~ 1 ,Page # Spec house ^ yes f~' no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastCrphrmber, journeymanplumber, restrictedplumber or a licensedpumper venfyingthat (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if nGCessary), 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 Dcparlmcnt of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) lmowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~!~ ~ J~~~ ~d ~~~vb ~\I`~-~'r °~- ~ruGfCi DATE SIGNATURE OF APPLICANT ***««« ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. «• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty decd C ~~ D('C11A1~N7 N0. ,~ 32£385 eons 52~ ~A.c~ I~ --- ~~ ~....,. _...._ _. .~_~ ~~ 'PlD3 DEED, mrde betWevn Walt .r ~, P7LenP*' ~nrl Arrir~ . DSa w,. ' - - craataf .rtd . chael .~.haa a- 9.~?Q_~~~ _......_ .. ~ _-- _.. _.~,.. ..... ~r.alse, lYitno•~-oth, Thol the ssld Grantef for Y val4ablr conalderalloe-F3xA..,__T. Thousand Three Hundred Seventy Five anti~lpp(~S. ?S,C-C1,,. conveys to Grantee the [oltowing drserlbedrenl rat~tr to __ St_ C+~iz, .County, SlatC a[ Wj~~a~xin: Thab certain parcel cf .land or tract of real. estate described in the Certified Survey ,dap r~eorded iri Volume i of Certified Iand Survey Maps 011 page 101* in Lbe ofFie® of the 5;,. Croix County ~iegister oi' Jeeda Part of SY SE of 28-30-17 ~~n Dip • :',;'~ TMIS StrACF ItE6EavE0 -Oll lt£toiatwr pATA REGI$'1'ERS• QF~1CF~. ~ ~~', sT. c~alx ca. wla ~.~~•~, ~a for lZeooca u,~.~+ . ~ , ~.~I day Qf~~1~.A,Q.19~ ~ ~ ' .- { ttti*t1pM TO Mic5ael J'. Mu~t['ta Bout 305 i 1tr-ta1~sL Wi. R ~1 S I - Tas [ey MT„ II Thla is ~Q'~4etwste~d property. SCR I • ~~ Together with all and s;nFttlsr the hvreditamrnts ^ed appyrtenanca^ tliarevnto helooQlnQ a in any else sppertaiolnC ~t-d ~..._----- ........ _ ~ ~ warrants that q+e tae ie quad, indofeartble w fee eunply sod heownd dbrare(tacumbr4neea exeept._j1~t~ ~I •• ------'~ ~... ~ ~ I~ and will wan^nt ^nd defend the same. Executed ^r ___„~1[Pr 1Tw ,~i~ S1GNF.0 wND SEALED ilY PRe$EliCE UN ~. ,.. thls fdt6 day et -~ . 19~,. ;; • '' I: --... - ----- - - .I ~I •-•- -.........----•- .- ' ~ II ~ ~ rsEAL) II W~lt~ _ _ E (SEAL) ~~ . Ai- 'drg _~ ~I ' I ($EAL) ~' J --------~ If u w siQnatures o[ .~_.~a~••_ u p-~^-er. and ,w p{~-ne•r -- . _ i, r ~ f~ ~ 1, T-~ ~ . authentic^ted this ~ ~,~t~~~,,, day o[ _... App] ~,_ , 14,x_.• •~' ~ ~' ~ ~ i.~ ~ • ~ • ~ ~ sips,. , ' • • ~•. Tam ,, • ~ ~ T`k1e: Member Sesta Bar v( fiseansln oe Othrr Psrty ~ ~ ~~ ' Avthalzed ta.4e- Sec. 906.G6 vts. -t '.. •~ „ I; I, ;'.~::; STATE OF ~/19C0ll5litl M1it'. ~'• ~ ~ ~t ' ___r-_~t..~.SDLX tomty. s s. ~~ , personally catso be[ere m+t, lhirl J~ )..-~---•--- • ~4_i•~ _ .. -day of .,~,p~ ' ;[9~~,. ~r , II , ! w~ the rbove named WaTtsar H~ Dias. ••a ..41Y~tej ~!*i+ri, - ,~.`' ~•.,.~ ~. - ~. o me known lv be thr pvrsanF~~' v?eq'viecuter the'forepoLtS iestraetvnt ari,nvknowledRed Ne saint. '. • ' ,! r. ~ }.'; , l .+, °.1'11• 8a33t7 3Q 9321 Oa x101ia s9 L899 98fi• ~6TL XEl,3 FF :~it `Ili ii onni ~Tt'~r,n