Loading...
HomeMy WebLinkAbout018-1083-17-000 3 ~ ~ °c ~ ~ en W ~ '. ~ 3 ~ ~1. ~ .~ ~ ~ ~ c G ~ ~ _~ ~:. ~ ~ ~ I .. m O fA g ~ ~ _ 7C 3 Z ~ m o ~ w~ ~~ _ ~ c rn~ . ~_ ~_ p_ M ~ N A d IV ~ 3 ~ ~ FBI C o ~ a V ~ ~ a i 0 0 °' 3 p~ ~ Q ?~ to a a o, ~ ~ ` 1 ~~ 3 W c W ~ OO ~ ~ m m g o y ' ~. I ~ ~ c -~ p ? C b I ~ ~,„y ~ A y ~ ~ ~ aw a cn v °~ °°~ N o = oo~ Ns~ ~ . m ~ ~ M ~ ~• LL a ~ ` ~ O O O IM L o ~ (n 'o C O ~ ~ ~ o, _ J ~ pA1 N ~/1 y W ~ f7D I ~^ O ~ Q' N ~ ~ D <D ~ N vii 7 ~ 5= p 7 ~ ~ M .. ~ ~ _ I N 3 r. y I a ~ . Z ~ o c = Z ~ ~; ~ ~ o I ~ ~p~ m cD = y N ~ Fo m m fD O Z7 7 ~Ol (yN a `Z ~ a ~ -~ 7 C N (D fD f 3 N 7 d I z o ~ '°~ `D ~ m~ .-gym o m ao ~' o a A Z T 7 N d A j y ~ ~_ ~ I fD D ~ boy W ~ m N rn ~ ~~ G ~ A Z .! Z ~ ~ 3 ~ ~ O ~ F A ~_ ? I a o (n D ~ N ~ a 0 ~ 3 c ~ ~ ~ y fn O Z O. COi rn d N (D d ~ y C W Z ~' n ~ 1 I o ~_. a ` ~ ~' '~~~ I ~ ~ b I J .~ y. v 17 .o ~ I g~v ~ I '' m7 q I d ~ No y ~ O, ~ O w a ~ ~ ~ ? A ~ N Oq b ~ ~ ~ ~ W ~ O O L ti `~' WisconsinDepartmentofCommerce PRIVATE SEWAGE SYSTEM Safety and Building Division +~ ,. INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Stalland, K. Peter Hammond Townshi CST BM Elev: r Insp. BM Elev: BM Description: r J'-Sa gS.~r CST qw~,~" 2 = et' Ire,,. TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic r C~u-'t~T ~ 2. [yp Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~51 ~~) ~ ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufactur Demand GPM Model Number TDH Lift cti oss System Head TDH Ft Forcem in Length Dia. 'st. to well SOIL ABSORPTION SYSTEM (,,.Y,~~ _ ) county: St. Croix Sanitary Permit No: 384140 0 State Plan ID No: c------- Parcel Tax No: 018-1083-17-000 ELEVATION DATA STATION BS HI FS ELEV. Benchmark q•~ (OS`: G I I S S~ Alt. BM Bldg. Sewer S•~ r ~•`fZ SUHt Inlet G•~fS r ~'-8Z SUHt Outlet 6 • ~ -l ~ ~ ~ Dt Inlet Dt Bottom Header/Man. g'• Z~ g • 3o Q'; 3 9 ~e; ~ ~~ •~ ~ Dist. Pipe S Q. ~0 ~~ ~r~ g~ 9,4.40 b ~i'(iS ~ Bot. System 9.~fS 9, ~,S-S- 4S• r S Final Grade /~ -~•o~.s... ar~ ~ni~ 4 s ~ .(o $~ St Cover b~60 'f ~Ot 9riiJ NC Width ~ Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ IZ ~ SETBACK SYSTEM TO P/ BLDG WELL LAKE/STREAM LEA ING Manufac INFORMATION CHAMBE R Type Of System : ~,~. ~ Zs t N r-y I /~~ ~.-.~ UNIT odel Number: DISTRIBUTION SYSTEM / Header/Manifold . l) ~ Distribution II Pipe(s) I x Hole Size x Hole Spacing Vent to Air Intake I Length SDia u ..~ Length~•~_ Dia ( Spacing ', ~ Q t SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil [] Yes ~ No ~ Yes ~ No ~9 ~ bd ,~s COM ENT (Include code dis repepcies, persons resent et .) Inspection #1: ds/ 3a / ~~ Inspection #2: ~Yc~ ~r~ . C~nS)t+n.~. o7C' ~~SQ~ ~~ . Location: 1735 97th Avenu''te Hammond, WI 540115 (SE 1/4 NW 1/4 16 T29N R17W) Pheasant Hills L\ot 117. ' f fP~a-rcel No~: 1~6,,~2~9.17.589 1.) Alt BM Description = ba~+~ ~ S~~'q C S~'`~~ C~~ yJ ~`~" ~ ` °~^~~! ~ -- ~ '' re~~ 2.) Bldg sewer length - 2~,p V e„~ '~w~- llt ?.ap ~' S4"'~_~~u-n!~•~K`hn++s~{ -amount of cover = `g°} ~ C>xtt!' , ' ('~'_ _" _, 3) 5~~~- .~.Q4trauk%r 1ewe~aQ. L~,,,,-u Q1,dl~. ~ Ste- ~~ 4 ~'' - , Plan revision Required? Ye ~ No Use other side for additiona in ormation. SBD-6710 (R.3/97) ~ ~~ ~~ e se ctor's na r rt. No.~~~ ' • a~ ~ New ~'°""^^g p~~ ,R$~. ~~ ~ ~.,yC, s~ ~~ C ~a.~.s ~~.~ ~ ~~~ r~.~-r~ ~~ ~ _ _ r r a ~=~~ ~ , wscon,~'n Department of Commerce ION REPORT Page ~ of ?J Division of Safety and Buildings t ..:-..:. Attach complete site plan on paper not less tha 'f ~a 11';inc : n size. Plan must County ~~„ . f 01 ~ X ' inGude, but not limited to: vertical and horizo r e ~ de..ppmt (B direction and ~ Parcel LD. percent slope, scale or dimensions, north ~. d loca~ion anti distarice to nearest road. Please pri all ~lnfO~~ `~ }r~ ' +, t Reviewed by Date X04 Personal inforrnatio you provi @ m ~r be u ed fpr secondary purposes (Privacy Law ~+t15.04 (1) (m)). W ~ Property Owner GT-{~ ~ ~ x p perty Location ~ ~'~,. 8 ~ ;'i CfiOtX ~ vt. Lot 5E 1/4 N~.?1/4 S 16 T a9 N R j ~ E (or~ Property Owner's Mailing Address ~ ~ `~ O~FtCE of # Block # Subd. Name orCSM# ., ZQhi4Nta City State Zip Code '~.P~hone Number ~ ;;% ^ City ^ Village ~ Town Nearest Road New Construction :Use: ® Residential / Number of bedrooms Code derived design flow rate ~ OC7 GPD ^ Replacement ^ Public or commercial -Describe: n~ / a Parent material ~ '~-I ]~ Flood Plain elevation if applicable ,!~ A ft. General comments ` and recommendations: =+rlb~"1a~~ ~+tG2 ~Z~-I~ 3z~ tr¢,rt~~ 5 ~ 6 i ~ (f Z / Boring #^,y Boring IJ' Pit Ground surface elev. 9~ , 95ft. Depth to limiting factor t tab in. - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 C! °- y 3 a /Zoiv S ~ o~ ~+ r /131' ~ ~ . 5 , g -/o ~~s r 3/Z 51 ~ Y17U~r f .s .9 Ia ~y-~o0 ~o r• ~~~ iun:;~ e 15 O5~ _ .. ~ ~ ~ 2 Boring #^yBoring g Pit Ground surface elev.~~D~ 8~ft. Depth to limiting factor 1 ao~,,. in. t , Soil Appiic:ation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 C5 ° 3 l rte, t ~'t,o ~v e J`~ ( a w- f ~ r ~ `~' 14 5- , 4 ~ ~`' 7~5 R ~ o~ S~ r G5 - .g 3"1'Sg ,S `~~ ~ t.>i~, r5~ o~-ti,5~o4 v~r G S - ; S • `j 5~+ :1p lD - 1(y ~! n9v~ut r ~ l o~ , L rr- ~-r• 0 5 - , s . 9 Z ` Effluent #1 = GODS > 30 < 220 mg/L and TS5 >30 _< 150 mg/L ' Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L CST Name {Please Print)/ _ .Signature CST,Number Address ~~ll~~ ~~~~ Date Ev ation Conduc d Telephone Number ~.~.~/ ~~~ ~G ~iCayzv2G ~1.`; ~i'~' S o~7 Of ~'" ~S'~~ ~1'~ ~~11 A 0 Property Owner tJO~ ~e~ a G1~ Parcel ID # Page C1 of 3. 3 ~ Boring # ^ Boring (o Pit Ground surtace elev. _~_ ft. Depth to limiting factor !ot b in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ ~ ~~ , ~ •Eff#1 'Eff#2 d --3 `1.5 3 z rVo.y 5 ~ a +"1 ~ rhu ~-'' C 1 ~ ~ r~ ~ 3 -~ 1 ~S r 3~t sir a ~ ~ V. rn ~r c ~ ~ 5 ~9 ~ X3-31 '7.5 r y y o~ S I a nn ~bV r 1 ~ S .9 ~ 3-! K NaN~ r~5 ;~ ~~ 2 i -~. ro i r - ^ Boring # ^ Boring W ^ 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 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 'Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 =GODS < 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. san-also tx.doo> o ~~~ j _ ~° o ~ ,~ ~ ~ ~_ .. ~ ~ ~ v oa H :., r. 0 F. o> ~ ~ ', w ~ ~ S „~" ~ N /~'~ ^~ ~ _ ~... ~. q. ~. G -~. I '}. -~ ~ ., ~ r ~ -~ . r. a • ~ ~ "v ~ o °' CJ~ J ~. - ~ v 1 Q '~ ~~ ~ w -t _. ~ ~ N / ~ ~ ppo 8_ -A N w ~ w I N a n = ~ c~ L'J 1~ r ~ v ~ ~..j' , • f s ~~ . ~ ~ ~ ~ n ~~ ~ d V O * A ~ ~ ~ 0 ;:.i ~ ~ -lam i f / ^~~ ; : v ,~ aP„ ~- ~ f i 0 t^A ~ ,~' vs /' o }, ~. ' 1 ~ ' -;, ,... .. ~7. ~I ~~~ .,~.. I ~3S `~ ~- ~ Sanitary Permit Application Safety & Buildings Division ~~ In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. ~ ~ ~ See reverse side for instructions for completing this application PO Box 7302 ' ' t5opa-rbue:nt of Commerce Pctsonal info a ' rm tton you provide may be used for secondary purposes Madison WI 53707-7302 • [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not Attach com l ete laps to the coon co onl for the s stem, on a er not less than 8 state owned. -1/2 x 11 inches in size. County S ` C RO ` ~ State Sari Pe it Number Check if revision to previous application State Plan I. D. Number I. A lication Information -Please Print all Information Location: Property Owner Name Property Location _ " 1 ~. ~C! ~ ~ ! I'4'~/~'/~-1 f~ 01 v ~d~1~ ! ~ ~t~ 1/4 /~~114, S l T ~g,N, I~~ o Property Owner's Mailing Address Lot Number Block Number IfDD T~h+~til~it2oa~ I-7 C/ity,. State 1 L S { Zip Code Phone Number " io n Name or CSM ber Sub~diwis Vi N~1.LTl f^JR~ ~~$~ ~ ~( ~ - O (ZS ~ ~ ~ t-tl"~.=/6 /~ f ~~S II. Type of Building: (check one) O Ciry ^ 1 or 2 Family Dwelling - No. of Bedrooms : ^ Village D Public/Commercial (describe use):_ ®.Tow of ^ State-Owned i~ N•L ~e4 b A.f J / 1 Neaz t$p~ . f-(,1 ( S% X ~ ~ Z {~-~.~y?~.~Q.~ Parcel Tax Numbat(s) a ~ III. T e of Permit: Check onl one box on 1 e A. Check box on line B if a licable ~-- Q ,3 ' - O O O A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to S stem S stem Tank Onl Existin S stem B) Pemvt Number Date Issued ^ A Sani Permit was reviousl issued IV. Type of POWT System: (Check all that apply) ~~a. ~ laD f~"Non-pressurized In-ground ^ Mound D Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At- ade ^ Aerobic Treatment Unit ^ Recirculatin ^ OYher: V. Dis ersal/Treatment Area Information: l .Design Flow (gpd) 2. Dispersal Area equired 3. Dispersal Area Prop sed 4. Soil Application Rate (Gals./day/sq. ft~ 5. Percolatio Rate (Mi m ~ 6. System levation GI[;• yi 99 5 7. Final Grade Elevation . . VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass " New Existing Crete structed Tanks Tanks 5~ryi~c, l Zoo /Zoo / / G,=~~tl" ^ ^ ^ ^ ^ ^ ^ o VIII. Responsibility Statement ~" I, the undersi ed, assume res onsibili for i allation of the WTS shown on the attached Tans. Plumbe ne (print) (' l s L Plumber' S gn s ps): MPJMPRS o. ~ ' Business Phone Number = yJi) .pia z l / 3 9~~ 2- ~ - Z~ S< 7/S- Z3S Plumber's Address (Str eet, Ciry, State, Zip Cod g Ci ~lo ~ 7 ~D~ ~~LJ ~/7lrl~~( ~~~ ~.CJ.L ~~7~, IX. County/Department Use Only ^ Disapproved Sanitary Pcrmit Fee (Includes Groundwater Date Issued Issuing Agent Signaprre (No stamps) `,Approve - -9--Omer Given Initial Adverse S ge Fee) , D~ .on o2'oZs. ~ ~o ~ ~ ,C ons of Approvai~lReasons for Disapproval: .~ ~~~~,i~„ ~-¢n , u~,( ~c>c! s ~' ^ a~'^e~~ e ~~~ f-e~~4er ~ s ~' .SBD-639 07/00 a~ ~uN •FF~ Z~N~ O ~' ~ ~~s 6so -~e+~ ~ ~5;~- 12~ I ~ l~h 7 dt.}i t~ ~~-z \ ~ ~.o[~~~ ., '~ .n ~~~ 3 ~ I_.. (~- o ~:, ~.- ~ ~ ~ f~. ~ -~.. r ~ 7 ~ ~ ~ ~, ~ ~~.. 1~ ~.'-~ ~. 1` ~ C1 ~F---- 0 0 0 ~ ~ , Z ~ `? U o ~.. k r r ~' ~ ~ M S ... c 2 ~ `'-` \~,.y ~ .~ ~ J ~ o, c~ a~ .aQ~ ,~ ~~ ~~ _t i `V N i ~., ~ '~ a ,~ ~ `. \ ~ ~_ ~~ -~_ v ~' P a o~ °\ P n ~ ~ ~ ~ ~~, ~~ ,~ ~~ w~ ~~~~ ~ ~ ~~ ~ ~~ 0 ~ ~'b~ ~~ ~°~ ~~ ~ ~~ ~ ~ ~ ~~ ~ ~.n `~ T ~~ ` ~ N k ~ ~ %~ I ^~ ,J a ~ I ~ ~ Q ~„ ~ i ~~ y~ r d ~~ i ~i ~ f 3~ ~' ~ ~ ~ ~ ~~ ~~' ~ .~ ~ ~., "~ ~s- ~ ~ 3 ~- `~ 'o ~~ o J '~ -~ ~ ~ C~ I ~ t N N N r N w ~7~ ~~~ ~~ c ~` N ~~~_ C ~ .,~ o ~ ~` ~, ~ ~. ~. '~~ ~ ~ ~a S', ..~ ~ ~~~ ;„ ~ \ ~ ,. '7 a 6 ~ .,~ r 11~ c 6- O_ r~ ~~ a ~~o ~F ~ ~YT P ~~ p s= ~ d h `r ~~ W k N~ L ~~~ ~n ,~ 1 ~p ~_ i' r ~T~ / ~~ ~~ fF' ~r ~~ y ~ w °~ ° ~ N d`g .-F i~~ ~~ ~, d f ~~e~i~ ~~ ~° ~~ ~ ,~ V ~ ~ ~ 0 j ~~ ~ ~ t~ .~ s .,a ~ D ~ r~ ~ ~ ~ ~ `~ ~ ~~ V ~~ v ~~ _~ 0 ~1 ~~ ~~ ~~ ~ G G ~ ~ 'T r 3~'`~bg~ V~ ~~ ~~~ ~ ~~ r -7 -~ ~ ~~ ~ ~~. ~~ -~~o - ~- ~- b 2~ r `_ ___ ~.'` ~ti _ '' ~r \, / D n „.~f I\CC~~~~~U -.-~ T.L. Sin,z Plumbing' In -{ `~'~ ~.~ax ~~~ ' ~= a S7 t, C;UUN^' ` ~`~/ ZQt~MfJG (J~F-CE . /, E5609 T08th Avenue Menomonie, WI 54T51 FAX TRANSMITTAL Date: °?- ~ g" D/ To: ~~ ~~ ~ !1• ~o~JJ..! Phone: (715) 235-2644 Fax: (715) 235-2592 No. of Pages: 3 (including cover) U Attn: ~~ile/IJ From: / Dl~y ~/n!~ Subject: =~,~ S~ ~.~r Message: ~s~ v ~1~ ~ -~-~ ,Q w l.J~ ~~ [~4-LAS D 1.~~ Li w t SF's-~ ~J. i Signature: Wssconsin Department of Commerce //~,,SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings LR~G~N/1'~ccord with Comm 83.05, Wis. Adm. Code Certified Soil Testing g 2'~Ipa Attach complete site plan on paper not less than 8' x inclie~ in size. Plan must i i d i BM 'f County include, but not limited to: ve rect on an ~Fe ce po nt ( ), d rtical and horizont re St. Croix d n t i d di t s percent slope, scale or dime roa . t<e o neares and locat on an msions, north a sta Parcel LD # ,,~ ~`,,~- ,, ` . APPLICANT INFORMA TION - P e'd~e ~i*mation " ri~~ll t . . n p Personal information you provide may be used~dTS~condary puipbses (Privacy Law, s. t5;oa (1) (m)). viewed By Date y ~ Property Owner `_. i _ , v Property Location Bonte, Ron '1.-- ~. Go t. Lot SE 1/4 NW 1/4 S 16 T 29 N,R 17 W Property Owner's Mailing Address ~ ~ °v L¢t # Block # Subd. Name or CSM# 1011 170th St. ~~ ~ „r'~tia~ ;'' 17 Pheasant Hills City State Zi Cody; PhoneNurn ~ -' p ' 4 ~ ~ City nVillage ®Town Nearest Road d 170Th St I~ Hammond WI 54 01 S•~~..7 St79¢ 4 - unmon . •, New Construction ~ Residential / Number of bedrooms 3 ^Addition to existing building , Use; Replacement ~ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •3 bed, gpolft2 •4 trench, gpolft2 Absorption area required 1500 bed, ft2 1125 trench, ftZ Maximum design loading rate •5 bed, gpd/ft2 •6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 24" below contours ft (as referred to site plan benchmar Additional design I site con siderations'nstatl 2 - 5' x 112.5' shallow trenches on contours for 3 br Parent material rift Flood lain elevation, if a licable NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ~ ^ U ®S ^ U ®S ^ U ®S ^ U ^ S ®U -u. S X U i H Depth Dominant Color Mottles T Structure Consistenc Bounda Roots GPD/ft2 Boring# or zon in, Munsell Qu. Sz. Cont. Color exture Gr. Sz. Sh. ry Bed I Trench 2 1 1 0-3 7.SYR 2.5/1 - sl 2 m gr ds cs if .5 .6 2 3-10 7.SYR 2.511 - sl 2 m sbk mvfr cs if .5 .6 Ground 3 10-30 7.SYR 4/4 - sl 2 m sbk mfr cw if .5 .6 elev gg.7 ft 4 30-42 l OYR 4/4 - s/Imco 0 sg dl cw 1 f .7 .8 depth to 5 42-60 SYR 4/4 - sl 1 m sbk mfr cs - .4 .5 limiting factor 6 60-62 SYR 4/4 f 7.SYR 5/3 sl 1 m sbk mfr cs - .4 .5 60" 7 62-70 7 SYR 4/4 - sl 0 m mfr - - 3 .4 . . 2 Ground elev 102.2 ft Depth to limiting factor F~• Remarks: consiaeraote gr rn nonzon a; norizon i nas i.~ Yx ~i4 is mctusrons 1 0-3 7.SYR 3/2 - sl 2 m gr mvfr cs 1 f .5 .6 2 3-8 7.SYR 3!2 - sl 2 f sbk mvfr cs if .5 .6 3 8-29 7.SYR 4/4 - sl 2 m sbk mfr gs 1 f .5 .6 4 29-52 7.SYR 4/4 - sl 0 m dh cs - .3 .4 5 52-62 SYR 4/4 - sl 0 m mfr - - .3 .4 Remarks: CST Name (Please Print) Signature: Telephone No. Henry F. Grote ~ 715-665-2681 Address ertr re or esting D to CST Number Ref # P.O Box 57, Knapp, WI 54749 416/2000 222774 1060 PROPERTY OWNER: Bonte, Ron SOIL DESCRIPTION REPORT ~ page 2 of t3 PARCEL l.D.# Certified Soil 7 es[mg ~ 3 Ground elev Depth to limiting factor > 63" 4 Ground elev 103.0 ft Depth to limiting factor >61" 5 Ground elev 99.7 ft Depth to limiting factor > 60" Ground elev Horizon Depth in DominanYColor Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence ~ Boundary Roots GPD/ft2 Bed Trench 1 0-3 7.SYR 3/2 - sl 2 m gr mvfr cs if .5 .6 2 3-8 7.SYR 3/2 - sl 2 f sbk mvfr cs if .5 .6 3 8-37 7.SYR 4/4 - sl 2 m sbk mfr gs if .5 .6 4 37-59 7.SYR 4/4 - sl 0 m dh cs - .3 .4 5 59-63 SYR 4/4 - sl 0 m mfr - - .3 .4 KemarKS: ,,.,, «~,~ , «~ ,~,~~u„~,,, ~ . ~. ~,-. „ ~,., ,«, «~~,,, ,..,.,~.,,~ , „~ ~.,...~,~~~, ,~,~o„ ~,~..~u~~~,~~ , ~ ~ n ~,~ ~ ~,,, ~~, u., 1 0-5 7.SYR 3/2 - sl 2 m gr mvfr cs if .5 .6 2 5-27 7.SYR 4/4 - sl 2 m sbk mfr gs if .5 .6 3 27-61 7.SYR 4/4 - sl 1 c sbk mfr - - .4 .5 I rcemancs:...,...,,,.. ~ .............~..,..,,.......,.~..,..~ ~ ... T,T ~. ~.,, ..., ....., 1 0-4 7.SYR 3/2 - sl 2 m gr mvfr cs 1 f .5 I .6 2 4-10 7.SYR 3/2 - sl 2 f sbk mvfr cs if .5 .6 3 10-29 7.SYR 4/4 - sl 2 m sbk mfr gs ]m .5 .6 4 29-60 7.SYR 4/4 - sl 0 m dh - - .3 .4 2'f (~ ~ Z41 ~ o _ ~.. .• ~•. ..6, ...~ ~ ....~ .. , a~ w~ ~ w, ag, u~~ ua~u~wua ucww » Depth to limiting factor .' o ~! ~ ~ ~ ~ v~ 3 a y ~. a .- ~ , ~ ~_ , N ~ ~ ~ .n ~ f , s ~~ ~ ~ ~ ~ o ~ ~ ~ ,. ~ 3 s Z ~ ~ ~. .~ ~ t d _.l^ 0 f ~0 \~. S 0 9 • _~ r~ ~ ~-. :_ d A S \ _! (T' ~, ~ d d J `i'v 0 0 0 0 ct -~ f 0 0 z ~- ~ J 4 .%+ hha 9 ~V b- M ~, ~`, ~ ~ d ~1 } d t ,,,~fin ~l0 Q v n ~ 0 v ~~ n D /1 ~" r In n m ~ ~ ~ ('~• ~ d ~ • O' ~ u 0 _~ ~~ cl a y ~ .r ~~ 0 ~I Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanitary Permit Number I ~ Number of Bedrooms Design Flow -Peak (gpd) Estimated Flow -Average (gpd) 017 Septic Tank Capacity (gal) as Soil Absorption Component Size (ft2) goo 2 Type of Wastewater D estic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) 2,cr0 ( '-- m ~. Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years 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 (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se fc tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filte shall be cleaned as necessary to ensure c,~per operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component 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 scum and sludge 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 an 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. 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 shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 ST CROLX COUN'T' ' ~ ,} ' • TENANCB AGREEMENT i SEF'I'IC TANK MAI ~~ HIP CERTIFICAT N FORM OWNERS ~o~tlT~ wn~xr~ et- h ~ S~f ~ ~ ddr~ )1O~ ~'r r T ~ 5 failing ~ 7 3S q ~7 ~ rty ddress De artmcnt for new construction) ~ ~ (Ycrification required from Flaxunn$ P ~~3 ~ ~ ~^ C~'a parcel Idecitilication Number 4 ~ 8 z l ~. ~~ ~hr/Stat~ ~ b ~ ~; n...».~.... 'ropert5+ ~,,ocation ~, .~ cR. hn v~ b V` Town of ~ ~fi h~.~.sc~.rt ~ ~ I I S iubdivis on Survey Map # l a a 5 ~ `~ ~~~~ Deed. # Spec ha~tse ~1, yes ^ na Lot # _____~ _~ _, Page # Volume Volume _..~------a Page # Lot lines identifiable ^ yes C^ no . 1N_' NG1„~ rematuze failure to bundle wastes. Protxr uxaintenaaco r 'F' ~ p tem could result in its p r what you put into the system. roper use and ~ntersanceof your se tic sys b a licensed pumpe out the septic teak livery three years or sooner, if needed y pwnP~ in the waste disposal system. can atf the function of the septic tank as a treatment stage s ~ by the owner and by a to submit to St. Croix 'I."onutg pepartment a certification form, ign ter sal system ~ property owner agrees that (1) the on-sits wastewa ~~° rnastcr pl .,journeymanpiutnbcr, restrictedplumber or a iiccnscdpumPcr ~'~ the septic tank is less than 1/3 full of sludge. operating condition and/or (2) after htspcetion and pumP~ ~~ necessary). is in p em with the standards Certification we thc~ undersigned have read the above 1equirements and agr De artmeat o Ncatural Res wourccs, Se °f Wisconsp~~ within 30 U . sci forth, herein, as sat by the Department of Commerce and ~ leted and returned to the st. C~raix County zonm$ stating : ~ t Your septic system has been maintained must be consp days of a Yom' cxpiGration date. ~ /'~OZI(' DATE SI ,~,~ OF ,APPLI ~} R CERT1~+' C,A.'TION our knowledge. I (we) am (are) the owneds) of I (rue) certify that all statements au this form are true to the bast of t tr of Deeds Office• described above, by virtue of a warranty deed recorded in Reg l the pr ._ DATE RE OF APPLICANT d *«**** revoked by the Zoning Department. t bcsng .«««« pry information that is utis-represented may result in the sanitary p~ llcatlon: a stamped warranty dead from the Register of Deeds office *• In ude with thls sipp a ~~ of the certified survey map if reference is made in We warranty deed v11~.1589PA(,_ iJ 1 t7 STATE BAR OF WJSCONSIN FORM 1 - 1998 638958 WARRANTY DEED H Y REGISTER OF DEEDS 5T. CROIX CO., WI Document Number RECEIVED fOR RECBRD Ronald C. Bonte and 02-?1-2001 10:30 flM This Deed, made between ne on a YflkRAH1Y DEED EXEIfPT M Grantor. CERT I~PY FEE: COPY FEE: and TRRNSFER FEE: 98.70 RECOkDIN6 FEE: 10.00 DACES: 1 Grantee. Grantor. For a valuable conslderatlon. conveys to Grantee the following described real estate In St CrO~ X County. State of Wisconsin ([he 'Property ~: Receding Area Nerve~e/nd~Return Address Part of the NE '~ of the NW } of Section 1 6, r~z'/v /~ Township 29 North, Range 17 West, in the Township of Hammond, St. Croix County, D/~ /l~~ Wisconsin, described as follows: Lot 17 of Pheasant Hills filed May 5th, in Volume 7, Page 86, Document #622544 018-1083-17-000 Parcel Identification Number (PIN) This T c not homestead property. (is) (is not) ,~ ~,~~ l~ -~~~ /~~ Together with all appurtenant rights, title and Interests. >;asements, licenses, zoning ordinances, and restrictions of recorc Grantor warrants that the title to the Property is good, Indefeasible In fee simple and free and clear of encumbrances except Dated this 20th day of Februrary 2001 t.~~ ,,,.,r,, ~ ~~~~ ~ ( (SEAL) ~ /CJC'/,~ C~(.ICJ (SEAL) , Ronald C. Bonte Dine M. Bonte (SEAL) (SEAL) AUTHENTICATION Slgnalu re (s) authenticated this day of ?~~ e'C' TITLE: MEMBER STATE BAR OF WISCONSIN ~ ~~ 0 ~ (tf not. REVERS authorized by §706.06. W[s. Stats.) ~ ~ ~ 7RIS INSTRUMENT WAS DRAFTED BY 'r~.s'IOf~wI~ Ronald C. Bonte """' ,' lF~,(p~;~ u . I/~,/~/fj,~~ Wr~...~ c.~....,an. Ol, iLe! '~' 1011 170th St, Hammond, WI 54015 NotaryPubllc.StateofWisconsln ommissio is perm n t. (If not, state expir i n d (Signatures may be authenticated or acknowledged. Both are not i ') necessary) ' Names of persons signing In my eepaciry must be typed or prlnccd below rhetr sign+,urc. Wisconsin Legal frank Co.. Inc. STATE BAR OF WISCONSIN Miwaukw Hoe WARRANTY DEED FORM No. 1 - 1998 ACKNOWLEDGMENT State of Wisconsin, ~ ~7 ss. a / Y' County. `Personally came before me this .~-O.th day of FPFsr„rar~ , _2.OlLL_, the above named Ronald C. Bonte to known to be the person ~_ who executed the foregoing rument and acknpwlet~e the same. ~. ~ ~~ .~'.~ ~l ~ ! H1LL~ ^t COCA T ED f N TIDE NE t ~4 QF THE NW 1 i4, THE E r 14 QF THE NW 1 i4 AND PART of THE S f i4 4F THE NW l f4, A1VD PART OF THE N/ 1 ~4 QF THE NW 1 ~'4, ALL I N SECT ! Ol`J I o, T. c?9N. , R, 1 ~W, , TdVVN aF HAMII~QND, S T. CR 4 t X CQUN T Y, W /SCANS 1 N ~~1 ~ ~ r~r~ ~~«,~ Jr _~ L C~ r 2 3 '~, * '~ ~~ ~~ ! ~.J"Q f' ••~. .~'°~ ;.- ~ i ~f~. ~'`'~',~`" LQr 17 _~ ~ X: ' ~ ~ SEA A ee i V HE E T ~ a ttTtLtTY EASEA~E'H~S r y x Y wa ratf ~`R $uR'FD f:A9tfs ARE iQ Bf rtXCfQ Seta THAr *•~f +NSTAtkATtAM AOutO Dt9TUf18 ,cNr st+RVfr Sre,rE. p1 ~7dSTRUCT r~trGw 4:aNS Atrr ttiT t 1NE aR STREET t ENE. t-rE ©t s r~,eaAfrcE os A StrAVE r S TAXE e r ANrcwE f S A Y+ a A r! ~; 9F SEf:i tpM t.M.3F QF ,YrSGJkS+N STATt`FFS. iJTr~ rTY faSfuEwTS Aa ++E4R !Y SET fORTsr ARE ft7R THE USE Oi h;fit:C 80Dtfs A~ ottVAfF .tT+t11+ES .eA1f;N,ri T!+f RiGMT TO SfRVE 10 AR£i, tEG~EIrD f . FOU+++o r• -aan rfrE O SET !`XJO' fROfM rrtE AE+Wr+vtT !. 63 tBS. IER t rwE.U- FOOT r1OTE: S[T r`xN` fRaN O/rf Kr:,ncwG t. i! 183. ..°ER C rhfAp FOOT AT AlL OTMER LOT CrJ+iftERs ~ - uTalrTr EASEt+Eh7 (TrP. 1 ---~-- -_. D '~ -.. ~S OtFICli • sf TBA~xS ~ ,7A t of rAY L OCA r t pvS ~CAfXX (aU. ~1~ d S~f1~A I3 ~1-.SL.a roj, ; Lt' darJ~~ !t RA.a~lira }~,~ $ t SEE •t~~sG~~hdiir '~ ti ~ ~ ~ ,~ ~' ~~ ~~ ~ ...... ~. taAt+C+++ ixtTCN a c r ~o..~. - t~+r.. t. ~ rtis . row s wrresn ergs ro K~attt . _.. - ... I ... ~. 1 ` ` _ 28,1.00' ~ .., ,_, .. - 350 ~` „,.,,, i~ ~ .1,~~,~ c~ ,~ ~,~ .:. f ..:.~ .. i .... ~ . ~. : ~ ~ ~;~ 1! \~ ~ a, ~• M r , o. Q ,u ~+.~ ~ ~ ~ . ~ o. O ~ . ~.w.~ ~ i...v~'u v ^Y v ~ % ~ ~ ~ ~ ~ M V ~~ ~ ~: ~ ~~ N ` I' I~ ~¢` '' ~ ~ ~ `ee r' !+ ` ~ l Q ~ ...' ....... .. .... ~ ........ ~ ~ Y ~ ..o n ~ \ O fh . ~ M £6 ,O~elOS ~ r. G `i,~ .,;~^~,~0 ~ fro ~ J ~rci W I ~ sir `er, ~I: '\ ~~1 s ~ .~ M~\~ l 1 2 i o o UcnQ ^r. N u E ~ i A f Q~ 01 ;~ ='~• r ~ c ~.t W ~ ~ S ~. J ~~. \ ~N ~' -tr ~ ~ \ )~ ~' ~ ~~'' „r 'xb i ~,~ ~ ~, ~_ ~ \ w. ,lb '99F' .... ~ ... !1 ?x, rya,. ~, a ~~ •~ ~ N M ~~£oLOS <,r n~ ~ n .~ '_ '. ~ bnj ~ M~ t` r k . r ~''~, ~ ~~~~e".:. 1-- A F~ l ..._:, Agp,... .'' ~ cd : O ~ C~' , ti ~ ~ m / : i ~'j ' , ,3~ , i q- ~r ~, r g r ~ ~ M' M a ~, s r . M r ' ~ .~~~ ~ .I '~ ~~~~ , ~' ~ ~ '!~~ '6bE` ... .. ~ r ,~ z . ./ A 'r 0 v ~ ~1 ` . ~ ~ r SCI-- _ f- I ,N ~pO~` ~~„ ~ ? air `/ ,~ \~O\''~ ~ ~ I ~ ~ ^ t ~ r ; ~ 1' ~I~` s~ ~d,/ ~ i ~O 2dy ~J N~ v1 ~ 1 ~ ~ ~ U i ~ I f ~ ' i 51 \ ,. . r r ~ _ ~. O q .'~ _~ ~ \ ~ ~~. ~ ~ \ , gl9 22 ~ / ~ m: ~. l ' ~ i ~ ~ 12 ~ (O ~ ~ I , ~ ~ / ~ 'SE'S h' ' ~ ; .. ~ ~ ~~ L / ~~ r ~ ,. , ~~ 1 r , . ~ ~ .. i ~ - ~ ~ `C b ~ , / / r ~ ~ _ -' •' ~ '~ ~.~r ~` ~~~ ~ 1 ~o~o ~ ~ ~ ~ ~~~ ~ ~ 33 \ Q ,_ ~; ~~ ~ tnV ~ - ~~ -~ .e .. ~ ~~ ; , Rip r }~,