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HomeMy WebLinkAbout020-1448-30-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 569513 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Lownsbury, Christo her& Emil Hudson, Town of 020-1448-30-000 CST BM Elev: Insp.BM Ele : BM Descri tion: ��� Section/Town/Range/Map No: �6 i d �� e d `11 ,`" 32.29.19.2863 TANK INFORMATION ELEVAtION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z 5d Benchmark Q 29 161's 164-t J erg Alt. B ,Lq Aeration Bldg. Sewer Holding St/Ht Inlet ,,,,)/ St/Ht Outlet T7 TANK SETBACK INFORMATION S6•S� `� 9�� TANK TO P/L WELL BLDG. entr Intake ROAD Dt Inlet 4 w Septic 0 Z 5 Dt Bottom Dosing Header/Man. Ty, ea7 Aeration Dist. Pipe ' ., CJ j Hold g Bot.System /0 //. z gy.os Final Grade / . PUMP/SIPHON INFORMATION L,o io Z Manufacturer Demand St Cover F,, GPM 7 Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist.to Well CoT' SOIL ABSORPTION SYSTEM ; - BED/TRENCH Width Length No.Of Trenches PIT DI ENII� SIONS No.Of Pits Inside DIMENSIONS 3 D Z - �'�� �\ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufac�r: DS INFORMATION CHAMBER OR i(�-P- Type Of System: UNIT Model Number: Z V� tFoL- P�� DISTRIBUTION SYSTEM p( 2S x3 75 ria Header/Manifold Distribution x Hole Size x Hol acing Vent to Air Intake Length Dia Len th Dia Spacin SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only S '� Depth Over Depth Over xx Depth of xx Seeded/Sodded t xx Mulched Bed/Trench Center /� Bed/Trench Edges Topsoil /1 g p �� Z,"�Z � Yes 0 No Ej Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / Z / Ins ection#2: Location: 640 Cobblestonnere Ct. ud-son,WI 54016(NE 1/4 SW 1/4 32 T29N R1 9W) Windsor Heights 3 Parcel No: 32.29.19.2863 1.)Alt BM Description= r,1 / J��� 2.)Bldg sewer length -amount of cover= ,� (\ /`v /V�4•in�f'•t�✓t !Z Oy- GD��'� Plan revision Required? Yes No Use other side for additional information. SBD-6710(R.3/97) Date Insepctor's Sign ure Cert.No. Portage, WI (800) 362-7220 Innovation, Quality Spooner, WI (800) 336-3416 And Service Fond du Lac, WI (800) 641-5937 MIESER Since 1965 Maiden Rock, WI (800) 325-8456 Visit Us the 0 0,,,ETE 4 nprn On, , Web CERTIFIEO Fl ANT wieserconcrete.com Zr l " � i � liz, f . �5 i / t - tv�K�t Lv 3� � Ajd ­0 W44—,111 Project Name: Computations By: Date: Location: Checked By: Date: Title/Item: Sheet: Of: J Countys�- n Safety and Buildings Division c/� 1 a ��'�� . 201 W.Washington Ave., P.O. Box 7162 Sanitary Permit Number(to be filled in by Co.) Madison,WI 53707-7162 V- t ermit Application stater monNumber In accordance with S ms.Adm.Code,submission of this form to the appropriate governmental unit r/t is required prior to o sitary p ermit. Note:Application forms for state-owned POWTS are submitted to Project Address(i mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law,s.15.04 1 (m),Stats. /�7y�v /J e 6-r. I. Application Information—Please Print All Information S Property Owner's Name I,r Property Owner's Mailing Address ' Property Location ry/,3 1 �'Z_ �L�f //j�" c/J� d /7 ci r 1 d�t.`l„ { Gov[.Lot City,State Zip Code Phone Number fly 1/4, CU Section 3.4 circle one) l S. S-i/ — G' T y N; R E or(p IL pe of Building(check all that apply) Lot# 1 or 2 Family Dwelling—Number of Bedrooms 5J Subdivision Name f /YIape� Z o 'AdIR. f LG Block f�z���/� ❑Public/Commercial—Describe Use City of CSM Number El Village of 11 State Owned—Describe Use Ei,Town of III.Type of Permit: (Check only one boa on line A. Complete line B if applicable) A' 1`'New System ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System(explain) B. El Permit Renewal ❑Permit Revision ❑ Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner r i / IV.Type of POWTS S stem/Component/Device: Check all that apply) A Non-Pressurized In-Ground ❑Pressurized In-Ground ❑ At-Grade ❑�Mound>24 umtable soil ❑Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) �`�A9-1)d l Netreatment Device(explain) V.Dispersal/Treatment Area Information: kit - �- uci,� Cu•.f s Design Flow(gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required(sf) Dispersal Area Proposed(sf) S vation VL Tank Info Capacity in Total #of Manufacturer = 1 Gallons Gallons Units I��y� tv r� � a o O / y New Tanks Existing Tanks c a ZG C, t�' a U vs -5. Septic or Holding Tank Dosing Chamber VII.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's Signature MP/MPRS Number Business Phone Number Plumber's Address(Street,City,State,Zip Code) VIII. oun /De artment Use Only Permit Fee Date sued, Issuing�l Ali'" �gnani Approved El Disapproved $ '] G'/✓ ❑ Owner Given Reason for Denial / / �, / 1 L 2! —� DL Conditions of Approval/Reasons for Disapproval 03 SYSTEM OWNER: �f f" �til .h/ 1�'% Z`" J �C �zti' {41 d(1, � 1.Septic tank,effluent;filter and dispersal cell must be serviced/maintained / 'l i w as per management plan provided by plumber. "WikaiM to and submit to the County only on paper not less than 8 2 ill inches in size ? as per applicable code/ordinances. c%t�rn1�C � hf � . -vL, �ti c rl � s ysirn SBD-64 (R I1/1 7YtCvm G�t�11 fC f�� �l 1 C2tl ZO• y1icy CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Cam/1 S ��(f / L 0 WA f R Owner's Name: j A—/vi C Owner's Address: Legal Description: "7- 3o —Is,- o4-D 2) . Township: W(JD Sd�J County: JT= G 1 Subdivision Name: Lot Number: 30 Parcel ID Number: 020 - Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross-Section _ Page 4 Filter Specs-- -4) l C� �J Page 5 Maintenance Information vu 3 Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test& House Plans Designe lumber: o ;J f tiG ski r - License Number: ll 2 S Date: ,261 Phone Number 7cj 7 Signature GULCa Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P(N.01/01). Page 1 Portage, WI (800) 362-7220 Innovation, Quality Spooner, WI (800) 336-3416 And Service Fond du Lac, WI (800) 641-5937 Since 1965 Maiden Rock, WI (800) 325-8456 MIESER 0118RETE] On hww Us CERTCED PLANT wieserconcrete.com �� 4ySf b n 3�� quo r 0 L a �5 Z-'� *- -�v Ac(d Project Name: Computations By: Date: Location: Checked By: Date: Title/Item: Sheet: Of: Portage, WI (800) 362-7220 novation, Quality Spooner, WI (800) 336-3416 And Service Fond du Lac, WI (800) 641-5937 Since 1965 Maiden Rock, WI (800) 325-8456 IMIESER DIn,,,ETE On the Web nPCR www. CERTIFIED PLANT wieserconcrete.com 3�t p��� a w '�l7 Ff &re rc, do 7-0 10 h L� '3C f� 1f o f6ev 0�4 Project Name: Computations By: Date: Location: L Checked By: Date: Title/Item: Sheet: Of: z A 72j" m, f m r. 5" _ / \ 0 \ 2 g / \ U 52 q 4 cws & \0 / y �" I « 0 / J 0 < / / f t rn rn 2 k } > > UP m" / A \ En 4" CAS / § m 3®§ . o o =ee & ! % 50' % c<0 o_z o . m F/ � \ 3 nm G \�> { � ai0 > \§ § z m k z/ > § 3 § \ / 2 ® 3 ƒ > r c m G m D k§ �� n > gz k >ok ° > ot/ //qgG$(/ §> m xx q Z zr� ® nco n 2�z > z oz- ) 2 \-4 m0 7 ED g }� 7 >M> > /\o m>0 \�)/ }\\\ 0.. (/) � 0Z }\ � E p > a nIx - �§E e/= �mzoo MI.;* .. �_ N e z Ie = ¥ >0 / w?r n>m »$m o®w 0m P § > o = -U r— tea® few §Eagt # 0=1 p # > o ƒ °� ° > ¥ m g- R wm>cc /m r-P,Ln0 20 � | / / \ @ p 0 in k d / \ \� /j � ��LA �/\ Ln D A k q 0 c ° w z -m > > m o 0 m e Qo r o-> >o m § / k \ k �X k z \ j o z §#§ _0 k O .. .. .. 2 w > 0 ) C q 0-n 0 q \ o Z -n A � 2 0 p r w m o \ �10 m m k n ° z / q> 0 ? 3 � � ° q $ � mr � e D S z d r / q / ° # 3 2 r � / S \ 012 0 MR DRAWN BI gE e4EL : , w�'E m�me: % S SEPTIC MANUAL co�CRE7E DATE: JANUARY a# A� DATE: mg_ma: � z REVISED dw% 2010 W3716 US/0-325-8456 " �� � FILE W1250-MR «'w consi Department of Commerce SOIL EVALUATION REPORT Page of_ 3 Division of Safety and Buildings in,accordance with Comm 85,Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in sae.Plan must include.but not lknked to.vertical and hortmntat reference point(BM),direction and Parcel I.D. percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Please pdW ab Information. R D Peraoad intormatbn you Pie may be used ror"awdwy purPows(Privacy Law.s.15.04(1)(m)). Property Owner Property Location S Govt Lot fVE 1/4 S W 114 S 3 Z T Z 9 N R /9 E(or& Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# City State Zip Code Phone niter OCfty ❑Village Town sorest Road W� � dl Sb r r I Ci New Construction Use:bI.Basidential/Number of bedroom -..4..._...Code derived design flaw ram D (0 0 GPD ❑Replacement ii ❑ Public or commercial-Describe: - Parent material^ t i (( �_____ Flood Plain elevation it applicable g / ft• General comments I, _ e Va� oYl: T I .7 > 3b and recommendations: kin f / ' f `' VI. or 4 t Loring# ❑ Boring Pit Ground surface elev.93,30 ft. Depth to limiting factor in. Sod A iication Rate Honzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftr in. Munseli Qu.Sz. Cunt Color Gr.Sz.Sh. 'Eft#1 -Eff#2 b- b 312 s I Zm b -fir c S I c, S 8 Z (� i �� Zrnt'b m-'�'r cvV 3 L'S l►-m5 r cs _ -7 1. 2- 1(� — r0. (k rr,e. e — NA !vA , A U—pft Ground surface elev.Q/- W_ft. Depth to limiting factor in. Sol Application Rate Hormon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD!(tz in. Munsell Qu.Sz. Cant Coke Gr.Sz.Sh. 'Eff#1 I -E8#2 i 0-)D 10 Yr,312 4n�b� t' c-s �C -S -8 Z- Ica-25 10 CSI r>r r cv�/ 1 v 3 2-7 7 I LS 70---T ( �' 1(m e5 fo n — JUA A/ Effluent#1-BOO >30<220 mg&and TSS>30<150 mg/L 'Effluent#2.=BOD 130 mg/L:and TSS<30 mgR CST��N��ame(Please Print) - - Signature 2 T Number tC Address Date Evaluation Conducted Telephone Number 21I 3 O . 02-7G Page J, of Parcel ID# Property Owner Boring# 9 ❑ Boring Ground surface slew• � ft. Depth to WAN factor—�(LJ in' Sol Rats -Pit Roots GPDlff` Redox DesQiption Texhrre Structure Consistence Boundary f#1 •EB#2 Horizon Depth Do nkwd Color Gr.Sz.Sh. in. Munsell Qu.Sz. ConL Coles C S O 1 G G 5 i l 2m5bk rt� Cw Ivy -f 2 1� r`I LS Iris vet 0-t) -1 1,2 ❑ Boring ft. Depth to limiting factor in. ❑ Boring# ;Ground.surface elev._---- Sod ication Rate ❑ Pit ce Boundary Roots GPDfff( Horizon Depth Dominant Color Redox Description Texture structure Conssten 'Eff#1 'EM2 in. MunseU Qu.Sz. Cant Color Gr.Sz Sh. Boring ft- Depth to limiting factor in. Boring# Ground surface elev. -- Sol R;atian Rate a ❑ Pit Roots GPOIN Horizon Depth Dominant Color Redox Description Texture Gr. Consistence Boundary 'EMI 'Eff#2 in. Mansell Qu.Sz. Cart Color Gr.Sz Sh. > <150 `Efliuent#2=BODS<30 mgfL and TSS<_30 mglL 'EtBuent#1=BODS>30<_220 m911-and TSS 30_ mg1L is oppottumty service provider and employer. If you need assistance to access services or The Department of Commerce s an equal need material in an alternate format,p lease contact the department at 608-266-3151 or TTY 608264-8777. SBD41330(R.07/00) Owner L,ak Parcel ID# Page of Property �y , ❑ Bmirrg# ❑ Boring 0-pit Ground surface elev. -1 ft. Depth to lirnifing for m• Sou Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'Eff#2 O-I o I Si 1 21,n�( nn-�- e t C 5 2 ID r`� ---- s;c 2m mfr c w I V L4 7 L5 l r7 1.2- (UP A'-' F—I Boring# ❑ Boring ❑ p# :Gmund.surface eiev. R Depth to knifing factor in. Soa Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDA in. Munsell Cu.Sz Cant Color Gr.Sz Sh. 'Eif#1 'Eff#2 ❑ Boring Boring# Ground surface elev. ft Depth to limiting factor in. a ❑ Pit Sou Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Ou.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Eftent#1=BODS>30:S 220 mg/L and TSS>30:S 150 mg/L 'Effluent#2=aoD,:S 30 mg/L and TSS_<30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,please contact the department at 609-2W3151 or TTY 608-264-8777. SBD-8330(R.0I/09) PAGE) OF3 NAME:"r LOI`/k 3 _LEGAL DESCRIPTION: 1/4 1/4,53 T ZLN,R,Ll E(ardv SCALE: i"= qof 6r,\ELEVATION: 160,6 BM I DESCRIPTION: Y��; (9 ` I m P. BM 2 ELEVATION: 16 G° e BM 2 DESCRIPTION: YVa,' SYSTEM ELE VATION: 462 q 1, l d La w,-r q1,0 0 ---SYSTEM TYPE: C°o n u�✓� ✓Lcc f �2 u d SIGNATURE: DATE: ZZ C3� M1 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer C,Inr-%5 Un& r� Y O LuW rS�ovY Mailing Address 16 YV 1 S b l b Property Address 1040 (,obbl es n2 C V „d.S0(1 W I S-*0k\' (Verification required from Planning&Zoning Department for new construction.) City/State ,i. Son w 1 Parcel Identification Number Z 0 — �`-{�'$"3 0 " a 00 LEGAL DESCRIPTION Property Location 1/4,JSW 1/4 , Sec. T Z°� N R_�q W, Town of ('�V dSun Subdivision Plat: \tq \h d Sb Q. 1 qY1� I ST t °f , Lot# 3 0. Certified Survey Map# ,Volume , Page# Warranty Deed # (before 2007)Volume , Page# Spec house 0 yes)(no Lot lines identifiable yes 0 no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in§Comm.83.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying.that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. Uwe,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Commerce and the Department of Natural Resources,State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning& Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. Nu ber of bedrooms r 4 j SIGNAtP<E OF AP DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.0910' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ' of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner (/V N s r /� Septic Tank Capacity Z 5D gal ❑ NA Permit# Septic Tank Manufacturer � '��� ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units A Pump Tank Capacity gal �01NA Estimated flow (average) �jD U gal/day Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer NA Soil Application Rate © gal/day/ft2 Pump Model q Standard Influent/Effluent Quality Monthly average* Pretreatment Unit q Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average D�isperr I Cell(s) ❑ NA Biochemical Oxygen Demand (BODS) 530 mg/L / m.NS-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L (DIVA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size sin dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 y onth(s) (Maximum 3 ears) ❑ NA year(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once ever ❑ rp�nth(s) y' IYyear(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ❑ nth(s) ❑ NA [Dolyear(s) Inspect pump, pum p controls & alarm At least once every: ❑ month(s) ❑ year(s) A Flush laterals and pressure test At least once every: ❑ month(s) NA ❑ year(s) Other: At least once every: ❑ month(s) A ❑ year(s) Other: NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of_<12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page y of y START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or:must be taken, to provide a code compliant replace/n nt system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. 1" T aluat a o ing tank be ' e ai e �D�-llf3 nj-_� CDR- A/ Co"57K(1c--A0 ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS P POWTS INSTALLER POWTS MAINTAINER Name f QD� s'7'�/J G Name Phone ' �� — L70Y Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name 15t. Ckb ( Y— 20AI ` Phone Phone —71S— 3e(0_ (p�� This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) &(3), Wisconsin Administrative Code. - Yi' S T I ' C Biatube Effluent Filter Extendable PVC handle. Stainless steel set screws Top seal plats C Air vents 3 fiy I Biotube•Nher cartridge Solid base Zabel Environmental Technology commerclal Illustration of a typical effluent filters for resi- dential and commercial use. Though Filter housing proprietary devices are shown in these diagrams,the National Small 000 Flows Clearinghouse does not en- dorse any one manufacturer,;the use of this figure is intended for illustra- tion purposes only. Orenco Systems,Inc. Zabel Environmental Technology residential residential Although other research is being performed, turers and regulatory agencies recommend that a there is still some debate on the overall effective- certified inspector or septic tank pumper provide ness of septic tank effluent filters. this maintenance.The filter must periodically be re- The effluent filter,as mentioned earlier,is moved from the tank,and the solids,which have placed in the outlet of the septic tank.These filters been trapped and attached to the filter, must be can be installed in old septic tanks,replacing the washed back into the septic tank.This is why it outlet baffle or tee,or during installation of new would be more appropriate to have this done dur- tanks. It is important that you contact your local ing the time your septic tank is being pumped.This regulatory agency to determine if the use of an ef- perhaps is the one disadvantage of having an efflu- fluent filter is required or recommended for your ent filter.If the filter is not maintained,it will poten- — onsite wastewater treatment system.Some states tally clog and create problems for the onsite waste- o require the use of effluent filters while others sim- water treatment system.Such an example could be a ply recommend their usage,yet other states have plugging the septic tank,causing the sewage to formed no real opinion about effluent filters. back up into the home. As noted,effluent filters are capable of reduc- The National Small Flows Clearinghouse can ing suspended solids and as a result, reduce provide additional information on septic tank efflu- BOD and increase the longevity of onsite waste- ent filters and resources regarding their usage. You water treatment systems.This, however, does not may contact the National Small Flows Clearing- N mean that the onsite system and the effluent fil- house and request a Manufacturers/Consultants ter itself do not require proper maintenance. It Database search for a list of septic tank effluent fil- o will still be necessary to have your septic tank ter manufacturers.This information can also be ob- 3 pumped and regularly inspected. tained on the National Small Flows Clearinghouse p The effluent filter also requires regular mainte- Web Site at:www.nsfc.wvu.edu ® € nance and must be periodically checked.As a con- g Treanor,William O. 1995.Treatment capability of three filters for septic cern for the homeowners safety in dealing with tank effluent.Tennesee Technological University,Tennessee. the components of a septic system, most manufac- f 39 0 ELI uent Filters A NSFO ENGINEERING SCIENTIST Andrew Lake I am having an onsite wastewater treatment system installed, and my installer said that I need an effluent filter. What is an effluent filter.. and what is it supposed to do for my system? Editor's Note:This column is based on calls re- The effluent is generally clear but contains sus- ceived over the National Small Flows Clearing- pended solids,such as food particles,or other house(NSFC) technical assistance hotline. If you small solid particles that won't settle to the bottom have further questions concerning septic tank ef- and are not part of the scum layer.The suspend- fluent filters, call(800)624-8301 or(304)293- ed solids will eventually pass through the outlet 4191 and ask to speak with a technical assistant to the onsite disposal area. In a conventional on- site wastewater treatment system, the disposal The proper management and maintenance of area is referred to as the drainfield or leachfield. onsite systems is vital to system longevity.An im- The wastewater effluent is conveyed to the drain- portant part of septic tank maintenance is pre- field by one of two methods,by gravity or by venting suspended solids from entering the soil pumping. absorption system or drainfield. Of course,there Even though the effluent normally contains are many other factors that may'extend the life of suspended solids,in most cases,these particles an onsite system, but using a septic tank effluent do not have immediate effects on the drainfield. filter is a means of reducing solids from reaching However, over time, these solids can build up the drainfield. and clog the pore spaces in the disposal area. The solids carryover does not necessarily mean A__i P«ft ___�, that an onsite system disposal area will fail,just that over time, accur�wlation of solids will occur From House TToAdM al tm and effectively reduce percolation rates. » �, _ » One method to decrease the amount of sus- pended solids and subsequently reduce the organic I�Iet Tee Effluent • - tnuem Rarer content of the waste stream, measured as the bio- Tee logical oxygen demand(BOD5),and thus increase I Sludge the longevity of the onsite wastewater treatment system,is to install a septic tank effluent filter.An- other advantage is that effluent filters are frost-effect ® Typical single compartment septic tank with ef- five,and in some instances,reusable. fluent filter installed in the outlet tee. Effluent filters come in a variety of shapes and sizes,and are produced by several different man- Source.National Small Flows Clearinghouse poster Item# ufacturrers and have a range of applications from w wPSPE02 Onsite Wastewater Treatment for Small Commu- individual homes to commercial sites.The basic niGes and mural areas. principle of the effluent filter is to provide addi- tional surface area for suspended solids to collect Generally, the first component of a conven- and attach, before they pass to the drainfield. tional onsite wastewater treatment system is the Each filter is unique in its individual design, but septic tank.Septic tanks can be either single-or similar in purpose;that is,to decrease the multi-compartment tanks(see Figure 1)made of amount of solids carryover to the drainfield and steel, plastic,or concrete,each having an inlet and by doing so reduce BODS. outlet,inlet and outlet tees or baffles,and at least Independent research performed at Tennessee one manhole for access to the tank Technological University(Treanor, 1995)suggests The septic tank acts as a collection and treat that effluent filters do indeed reduce suspended ment component for a conventional onsite system, solids as well as BOD5 in onsite systems.The where both liquid and solid wastes from the house- study was performed as research for a master's hold are received. Within the tank,most solids Will thesis,and was conducted at eight unrelated loca- settle to the bottom,creating what is commonly tions,under different loading rates and uses.The called sludge.Other waste,such as fats,oils,and study was performed using three different effluent grease,float to the top creating what is known as filters.The statistical analysis showed that the fil- 1 the scum layer. The liquid between these two lay- ters significantly reduced the BOD and suspend- 6 ers is the wastewater effluent that is passed to the ed solids in septic tank effluents. a disposal area. Parcel #: 020-1448-30-000 02/10/2014 08:45 AM PAGE 1 OF 1 Alt. Parcel M 32.29.19.2863 020-TOWN OF HUDSON Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 08/06/2004 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner CHRISTOPHER M& EMILY E LOWNSBURY O-LOWNSBURY, CHRISTOPHER M& EMILY E 6 HERITAGE BLVD HUDSON WI 54016 Property Address(es): '= Primary " Districts: SC =School SP= Special 640 COBBLESTONE CT Type Dist# Description SC 2611 SCH DIST OF HUDSON SP 1700 WITC Notes: Legal Description: Acres: 1.050 SEC 32 T29N R19W NE SW WINDSOR HEIGHTS 1ST('04) LOT 30(1.050AC) Parcel History: Date Doc# Vol/Page Type 08/20/2013 984459 WD 12/17/2012 969558 WD 11/24/2004 780869 2702/305 WD 08/06/2004 770985 10/18 PLAT Plat: '=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: " 10-018-WINDSOR HEIGHTS 1ST 020-04 LO 32-29N-19W NE SW LOT 30 2013 SUMMARY Bill M Fair Market Value: Assessed with: 247789 36,700 Valuations: Last Changed: 07/18/2012 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.050 35,800 0 35,800 NO Totals for 2013: General Property 1.050 35,800 0 35,800 Woodland 0.000 0 0 Totals for 2012: General Property 1.050 35,800 0 35,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 984459 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD STATE BAR OF WISCONSIN FORM 2 -2000 08/20/2013 08:02 AM Document Number WARRANTY DEED EXEMPT # NA THIS DEED, made between Cary W. Kronebusch and Susan REC FEE: 30.00 E. Kronebusch, husband and wife, Grantor, and Christopher TRANS FEE: 306.00 M. L.oWnsbury and Emily E. Lownsbury, husband and wife, PAGES: 3 as Survivorship Marital Property, Grantee. ** , The above recording information Grantor for a valuable consideration, conveys and warrants to verifies that this document has Grantee the following described real estate in St. Croix County, been electronically recorded Wisconsin_ ' &returned to the submitter SEE EXHIBIT"A"ATTACHED HERETO AND MADE A PART HEREOF Recording Area Name and Return Address: Edina Realty Title, Inc. 400 South Second Street, Suite 115 Hudson, WI 54016 1082315 Exceptions to warranties: 020-1448-30-000 Easements, restrictions and rights-of-way of record, if any. Parcel Identification Number(PIN) �-7 This is homestead property. Dated this Cary W-Aronebusch Susan E. Kronebusch t WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 1 of 3 a P i{ Exhibit A rft Legal Description Lot 30, Plat of Windsor Heights 'Ist Addition in the Town n of Hudson, St. Croix County, Wisconsin. i WARRANTY DEED STATE HAR OF WISCONSIN FORM No.2-2000 3 of 3 A THENTICATION ACKNOWLEDGMENT Signature( S STATE OF 1441 '1 !, COUNTY OF W ./b'1( fiO authenticated this Personally came before me this / * the above Cary W. Kronebusch and Susan E. TITLE: MEMBER STATE BAR OF WISCONSIN Kronebusch, husband and wife to me known to be (If not, the person or persons who executed the foregoing authorized by§706.06,Wis.Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Martin D. Henschel akj�—1 6800 France Avenue South,Suite 410 n � Edina, MN 55435 Notary Public, State of M (Signatures may be authenticated or acknowledged, My commission is permanent. (If not, state the Both are not necessary.) expiration date: *Names of persons signing in any capacity must be f typed or printed below their signature. „w SHEILA ROSE lS ;� Notary PuMa Minnnota Ia MY Conan.Expka 201 e i t WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 a I :r �a 2 of 3 :- _—_ WINDSOR HEIGHTS I ST ADDITION . LOCATED IN PART DF THE SOUTHEAST 1/4 OF THE NORTHWEST 1/4 AND IN PART OF THE NORTHEAST 1/4 OF THE SOUTHWEST 1/4 OF SECTION 32 TORNSHIP 29 NORTH,RAN>;E 19 WEST,TOWN OF HUDSON,ST.CROR LOCATIONS ° COUNTY,WISCONSIN. - Wade SET Im poc-d770445 jLQ M� n.a SHINTWE - - W4NSENIND) Noma= )RIOT 10 ZU) u Wok N Im4c r ALL MARIN(S ARE REFERENCED TD THE .-. Via A Tm WRW u 84 N O=17H' -- ORANAQ EAWAQTS O.CIIDIC1Wl NCW1H-SOUTH I/4 LINE OF$ECWCRI 31 129N.RI9W, j ut M WNTAW M u 4W s NWY6'A Asm AS 500' ill'E 111111111 W• lOESt AaOWC OADWe MW M NTH DRAINAGE EASENOITS SHALL *PROIWYtt XI[• xpl MrtA 0141101 P FLOOR 01 03 WEIR ELEVATION NOT LESS N dJDll SETBACKS. TWO FEET ABOW THE 0 WATER ELEVA , Y��wPe NOT.W(I)WISS Von NOWDI WE•17 REAR•2 � GENERAL NOTICE STAT urr I�n�i 9 "` `WM° :r ff I� 0 ,'WON PR FaAe ` ' EACH PARCEL SHOWN ON TWS WW(PUT)U 9JRfcT To 1 STAG MINTY,ae MOW LAWS RUES NW � FTRm!vm PLAt IOCAIIOI I I p,A>I�1 M RCM OR g`QWND�AIIY m N Tp OR Sm'm ie1 E I 1 I I OFFICE AND THE CAAPROPRIAIE TOWN 4 FOR WEMS. WM m CAP � 1.1 I/A'&tt WOA PN 1.4.172 US,tt � 13 WENDSDR HE!CHTS I�';�'I Io 14 15 X 1 SET 3/4'of If 0PN NH N 9846'25'E 650:30' -- I j I� \ W.LSD MAL 584.30' r ',Nj N AT ALL 01X[1 Lot Cm ——j Z N. 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I.rJ A,. 1 I �' Nutn 10 d Q ,{ '= 32 A EIDIaY t = MOT- �:, � IW POE OR BINGO CA9E5 NE ID EE 64880 S.F. `\4\ 33 1;91 36 i 'N r?j U 0,j I�FN PLAN SUpI THAT THE NSTAtLATION I M + A 31 f I" 1.49 Ac. \ 50526 S.F. 45927 S.F. I a I m I,[; 9u9CN A LM MY Sum Ar mor LINE OR OR STET uE 45708 Sr. 8, iY 1.16 Ac "Y LOS Ac. g u RE pS1URBANCE O A SUt1E1 STATE Br o !! 1.05 Ac. `_- -\_\' A' »j I� ANYONE IS A YQAmN OF SECTION 2XJ2 OF WI$C0T191P STATE STAIUIES. 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