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HomeMy WebLinkAbout018-1066-50-000G; N ~'t ~~ N O C N h~ 'J w ^V ti 'c ti • iy ar ~~ N .~ W • rr~~V r1 ti G aG 'a C 3 LL N N U (9 ~ d V ~ ~ 1/1 Z O O Z ~ ~ ~ O N W I d m ch F- Z c t7 O Z ~' ', ,U ~ ~ m Z d' !fl F r c ~ Z Z rn d ° '' iv ~ () N W a ~ - i a 'm .. ooa` z M >° 0 3 3 3 v `~ O O O ', ~ a a a a ~ o ~ o to ~ U ! ~ 0 0 ~° o_ o_ ', N ~ L_ ~ ~ O ~ ,.~„ 7 '' ~ CO Vl N I O C ' Ul C O 3 cp I O N ~ ~ ~ ~ ~ O I- ~ O ~ ~ ~ 00 N ~ 'N m (9 ~' O °M = ',, '', U M O ~, ~ ~~ C~ • YC_ C d `m ~* m ' a C ~, a ~ ~ a ~, o `m ~ 3 ;° o U a ~ ' O cn U 0 °~ I N C I I I I I Z I (6 O 'C3 CI I I I I .d c a~ E ~ I ~ I ~ ~ ~ ~ o o I ~ .~ N I ~ - o O `~ w o -"" `~ I O Z Z o ~_ I I ~ I Y ~ ~ .n E ~ ' I _~ L ~ ~ I ~ I ~~ I Q ~ } I Z avi °° I N `~ ~ ~ N ~ ~ d ~ CY] N ~ Q ~ ~ 0 ii O ~ ~ ~ O QUj C (6 ~ 2 O O ~ N N C ~ f6 tSS ~ ~ N ~ ~ ~ ~ r ~ C C,T th O ~ U ~ Z Y U1 I I Parcel #: 018-1066-50-001 12/07/2009 02:31 PM PAGE 1 OF 1 Alt. Parcel #: 30.29.17.452A-1 018 -TOWN OF HAMMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 09/10/2008 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -GILLIS, GREGORY J & DEBORAH A GREGORY J & DEBORAH A GILLIS 796 160TH ST HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): ` =Primary Type Dist # Description " 796 160TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 16.620 Plat: 5569-CSM 23-5569 018-2008 SEC 30 T29N R17W PT NE NE BEING LOT 3 Block/Condo Bldg: LOT 02 M 5569 11/3096 NKA LOT 2 CSM 23- CS Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 10/03/2008 882340 23/5569 CSM 09/10/2008 881247 QC 05/03/1996 543180 1176/154 WD 04/18/1990 457706 868/257 WD more... 2009 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Description Class Acres Land Improve RESIDENTIAL G1 2.000 26,400 133,200 AGRICULTURAL G4 14.120 2,200 0 UNDEVELOPED G5 0.500 50 0 Totals for 2009: General Property 16.620 28,650 133,200 Woodland 0.000 0 Last Changed: 06/11/2009 Total State Reason 159,600 NO 05 2,200 NO 05 50 NO 05 161, 850 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 rr -_ _ ___ _ __ _ s__ '~ COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 -962 - 5227 5T. CROIX ZONING REPORT NO.: 12564!01 PAID 1 ST. GROIX COI~lTY RF.P~iT DATE: 10/18/91 COI~Tt DATE RECEIVED: 10/17/91 t~JDSON, WI g401b ATTN: Ti~hiAS C. NELSI~i 01~lER: Gregory Gillis LOCATION: 746 ibOth 5t., Naeuaond COLLECTOR: M. Jenkins SOURCE OF SAi4FLE: Outside faucet COLIfORM: 0 /100 0l INTERPftETATIDi'!: Batter i n iog Ica l ly NITRATE-N: 7 PPS Above 14 pPo exceeds the reco•eended Public Drinking Water Standard. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L ~.woveNCeMr m LAB TECF@dICIAN: Pao Gave WI Approved Lab No. 19 < l~feans "LESS THF~i" Detectable level Approved by: PROFESSIONAL LABORATORY SERVICES SINCE 1952 ~bQ, Lo-lo~l ~ lad-c~~ ~o~-~~~~ ~~ `o,~ ~ ~~ ST. CROIX COUNTY ZONINt3 OFFICE St. Croix County Courthouse 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, .Realty Firms, and private individuals. Completion of this form is essential so that the property-can be located. Please provide -the following information, enclose appropriate fee made uayabie to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING----------------------------FEE: $ 25.00 (For nitrates-and coliform bacteria) Z~". UO WATER TESTING FEE: $127.00 (For VOC' S ) -Z~. ~ ~ SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 {Determines if system is properly functioning at time of inspection) /~ Property owner's name ~ r e~ C.~ ~ . ~ i ~.l 1~ ('7Rb - ~8~~7 Property owner's .address `~ cl ~o ( ~ U ~ ~ S~" ~ l"lQ-'Y-r~ V~ , ~-tJ Legal Description 1/4 of the 1/4 of Section 3D , TAN-R ~~7LU Town of 1-E'C~,vn-~n-w~c~-Lot Number Subdivision Name _ C ~ 3 3 0 ~~ o~ -~. !J ~ ~ o -F-~+- a ~ lV ~lc.~ FIRE NUMBER_ LOCK BOX NUMBER Colopr of house LyI~.~ Realty sign by house? /W If so, list firm: t-C,Crt1~.~i~- • ~ S (,U ~_Cl~--eS~ ~A.~2-~ -~- p-~ E-Q Q'Y~ ~~ ~~3tt. /~, ~t ~ i C~ ~ PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, `~ ~~ WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. I-f the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Telephone Number REPORT TO BE SENT TO: Closing date Signature .. Oct. 17, 1991 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROtX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Gregory Gillis 796 160th St. Hammond, WI 54015 Dear Mr. Gillis: An inspection of the septic system on the property of Gregory Gillis, located at 796 160th St., Hammond, WI, was conducted on Oct. 16, 1991. At the time of the inspection, a water sample was obtained for testing. The results of that test will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Sin erely, A Ma J nki s Assistant Zoning Administrator cj Wi~:onsin Department of Commerce PRIVATE SEWAGE SYSTEM ~ Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. County: ~ SIX Sanitary Permit No: 399544 Permit Holder's Name: City Vi{lage X Township Gillis, Gre Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: t~.a ~ w . ~ ~ iP~C ~ ~ . csr IQu~.~` TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~e.~. 2 0~ Dosing l~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~S~/ ~ ~ ~ ,~,,,,~,~_ Dosing ~ tl t, ~~ ~ ~~ Aeration ~Sf ~MPfa1PHON INFORMATION y ~~~ Manufacturer ~ Demand GPM Model Number ~p , (. TDH Lift Friction Loss System Head TDH Ft •~>e 3-~ 3.ZS l2•st Forcemain Lengt~~t Dia. Z ~~ Dist. to Well- , ~~ S L ABSORPTION SYSTEM BE ft Width Length ENSIGNS ! I / ~,. ( SETBACK SYSTEM TO tv INFORMATION Type Of System: r11STRIRl1TInN SYSTEM -Is ~l 1f.i_~. State Plan ID No: ~~ 19a s.ie.+~ Parcel Tax No: 018-1066-50-000 G } 3y~ ~ -"~ 3 ~• STATION BS HI FS ELEV. Benchmark V ~ b E (J'i). c~ Alt. BM Bldg. Sewer ~ SUHt Inlet (yj V~+f ~ ~ 2 ~~ St/Ht Outlet Dt Inlet Dt Bottom ~l.oz- ~~~ ~~t Header/Man. 3.b5 t ~b6• ~ Dist. Pipe •~ •b'~ r ~•~~ Bot. System 3p •~ r Final Grade St Cover ~' ~~-ba o2•~{Zi ~c/S ( ~ 3. 36 ~•~~,I PIT DIMENSIONS [No. Of ~ , ~ (~ Depth Header/Manifold Distribution ~ -J~ ~ rt t t x Hole Size x Hole Spacing Vent to Air Intake ~ S i ~ 31'S 1 ~6 Dia Length pac ng Dia Length SOIL COVER r Drocenro Rvc4om¢ Anly r~r Mnund Or At-Grade SVStems OnIV Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Ins ection #1:~/~/ O~ L a~r~ +a~~~•-e. ~~~~ 1fQNtn~str et ammon~! WIt540t15 (NE 1/4 NE 1/4 30 T29N R17W) NA Lot 1.) Alt BM cription = ~ / n-~, 2.) Bldg sewer length = ^] ~s - amount of cover = 3 ~ _ r 3.) Conto r = ~~ S ~{O w~' }~"- t~• la ~,~. ~ ~ +~,~~ . (~C ba. ~ k~.*' l2i' ocv ~M,ets.,.Q oA Pfan revisio Requi d? ^ Yes No Use other side for additional informatio' n. ~ ~ ( Date Insepctor's Signature SBD-6710 (R.3/97) Inspection #2: Parcel No: 30.29.17.452A yCl•~a) ~s = 3. ~~ ~_ Cert. No. ~ ~~; . 2a. V4'~~.Rw~ hia3ton Av~~. P.C, gax7lb~ `~ '~Z'G """..._-- i ~1: ~ ~d3~oa+~ ~'tJ37t37.'~1E~ u ddtw- ~ ' ~i~1 ~ i y ~ 4 tt~'y Pars Applfcatioxt~ o~~ d +~~.~~ L ~ ~> ~.~~ R o ~ .~ _. ,; ~~_ ` D V~ V ~ _~ ......~ ~~ ~ ~ ~ ~ ~ yT ~.%~ 3~i 6 °~ ~~ ~ ~h l c~q+. ~~ ~ A •----~-~~~"~i Q ~.,v~~ zJ , ` ~~~lS ~~~ ~ ~~ ~ ~~~ ~ ~ ~t ~ , xa~ ~ ~ ~ { edn- as. ~eyt o~- ~otam~a~ r~r ror t~t+nui wu~ t5am u •~P~ u) ~ ~ 1 ~ l~vt ,3 ~, 3 fl ia~lta~fnrAt ~t t ~ Addition ~ ~ ,,_y.' $iUOd 1 Lii~ 3 31. ~ 4"lllik !t V1~ ' Iwo ~ o-Q, cv+~--- ~ 1 k~mt ~~ ~ 47 ^ ~Itu! Ftl» 3t1© G>AltstitsgRt Watks~d t 4 n ~ ,~ ®~dw «a ~ s~ d ~t#y+siss• ~ ~ foam ~r ^ ~'~ M ©lln~l~ P+w a O ~: IZ~~~ ", ~' ~t 19 Roeira+st~ 9 u~ 1n'°' itub t~rtedt ~1r11i of { gkva~on ~ A,erc rna-~Sa.p~~ ~"'~ i a 1d4~ ° ~ ~Ol ` ~~ j ~ x+m+wt sun c:e~w ~ I~tw Coad~otrd ' f w ~ i ! ........~ _ _ _ lA1F ~ .,....~-- ~ ~ tea? ~ ~o ?mss ,~~~--3~a1 { ~ G , ` ~ °~ , ~ 1G-l~!<6~~1a, ~ 1 t~C jriltiutll , Q t1~1'!!pf} ~l~ a7 e7~mroe 0t~~ l~t,i~oymw • 3ZS ~~ ao ~/ N .~ Z ,mss a ~`~ ~~~ ~' ~ r~ ~~ ~, ~~ ~ O -•~ ~ A A Wis. g''- m ~ {~L 9 8~'1 A ,~ °~ r '~ ~ poi ~ /~ e, ~ ~ ~~ j a s ~e~ 2 !/La1o ~ PLOT PLAN Scale 1"=~-l0' -uw+~ u+.~r T PRA1~~R: Page 3 of ~ E ~~ ~_~ - -- or ~ • ~ 8 D Q ~-~- .~ r~ ~~~ • So~~~Kpuc ~ M~ 2~ ~ a F 4Z Nca~ ~ S~`~`~LC `T'P~'1,.i1~ - ~'0 ~~: ~ Puc F ~ -fi8rrn~0o >J ~ ~ P~2. CoD~ $o`rT~wi of eau. ~~ O ~i $r~i'~=~-_~~ ~QO~.o ~__~-:1~~ of-::~ <<~;~` t~zr~_.-ev_~~~P~._ ------ NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation ipes with approved caps. ( Z required). 3. Septic tank to be ~2.~p ~8op gallon capacity manufactured by ~'~L S~~z CU~e~-~ -~ / R -18op Z~n3 ~z.. Ft c~`~'fZ . 4. $ench marks : S~ PfSoV@ ~. Divert surface water around system to prevent ponding at the uphill side. ' C n` ~~ ~~~ isconsin r.,~s~`F; Department of Commerce ~ '_V October 12, 2001 COST ID No.691727 ~~1, ~ Safety and Buildings ~ 4003 N KINNEY COULEE RD R~~ ~ a/ O 1J LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb ~, ~'~~-.. ~ Q- .. f .~" ~-~_~ ~~ `"~ ~ ~ www.wisconsin.gov Scott McCallum, Governor ~~~~~ ! Philip Edw. Albert, Acting Secretary ~;l ~` , _ % /~ A7TN: POWTS Inspector ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/12/2003 ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Greg Gillis - 796 160`s Street St. Croix County, Town of Hammond NE1/4, NEI/4, S30, T29N, R17W FOR: Description: Four bedroom Mound System Object Type: POWT System Regulated Object ID No.: 815483 Identificat' ~b s Transaction ID N .679190 Site ID No. 63719 Please refer to both i entification numbers, above, in alt cones ondence with the a enc . 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01 /01). • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system 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. • A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/insta t lation/operation. Owner Responsibilities: • The owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of the instructions and information regarding proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • 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. ARTHUR L WEGERER Page 2 l0/12/01 • The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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 101.1212), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services 608-789-7892 Mon -Fri 7:15 AM to 4:30 PM j sw im@commerce. state. wi. us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: Greg Gillis •~ TITLE SHEET FOUND SYSTEi~! FOR A ~ BEDROOri RESIDENCE Page ~ of ~ This plan has been prepared in accordance «ith the Mound Component Manual SBD-10691-P and the Pressure Distribution tlanual SBD-10706-P (N.O1/O1) (N.O1/O1) LOCATED Ii~1 THE ~E 1 /4 OF THE NE 1 /4 OF SECTION 3D , T Z~ N, R 11 6d, TOWiJ OF ~~`'1Wlp-V~ , ~`~_ CCL.c~LX COUNTY, WISCOPdSIId. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM IIAdAGEiiENT PLAiv' PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEi7-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUriPING CHAP~IBER CROSS SECTION PAGE 7 of 7 PUMP PERFORI4ANCE CURVE PREPARED FOR __ G_~~~- __=~-1-L~lS----- -______ -1~Cwl.W1a-.»J ~ ill S401S PREPARED BY WEGERER SCJ I L . TEST S NG AND . . - DES = GII~ SERV = CE ' P.0. ,Box- 74 421 Id.iiain St. ®~~e>c~e~eey River Falls, tlI 54022 ~ ,~a3a Phone 715-425-0165 ~'° ~ ~~ ~~~ ~~~~~~ °~ Fax 715-425-6864 ~ ° • T,S. p W O ~ ~ ~Rl':J~? i 4Y vti E~;ERE.1 j ~ ~ ~6„~ . . . Conditionally E~L~W^vR~~~~•`~ t~P P ROVE D ~~ Iti. ~ j ~~~ ~•~r~ , • DEPARTMENT OF COMMER E +~ ~ ~ ~~~ ~ DIViStON OF AFETY ND BUILDINGS ~~Ai~iiiMa ' Q z 6 -oi SEE CORRESP NDENCE JOB NO . ~~ -z~~S Mound System Management Plan page Z of ~ Pursuant to Comm 83.54, Wis. Adm. Code - 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 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 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, Safety and Buildings Division. Pump 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) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mglL GODS, 150 mg/L TSS, and 36 mg/L FOG. 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 recommended that each lateral be 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual arid local or state rules pertaining to system maintenance and maintenance reporting. S6D -1069,1-P CNOI/pl~ 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 shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continoencv 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 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 adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at ~1S-38~-~6ruO Sr_ ~1~1.X The system installer at -1 i_S - 3$ b- 3 L2.- SC~h~q-kt~ The tank manufacturer at ~p~-3ZS-8~S6 1N1~5~2 The effluent filter manufacturer at ~OC~- Z-Z)-.S~~Z, ZPt~3~t. The pump manufacturer at - f>~O-~3?1J-4~ ~ GOVL~s ~ 1~-'Z $~ ~) 8 O~, Z ~~S o~~ ~ i ~l ~~° r' ~ ~ 1 O ~ ~ ~ C .Q ~1 its , a~ Za~°` ~~ ~~~ ~ ~ ~ 1L e, t ~ ~ I ~ ~, v ~~ 2 lllLa~D v PLOT PLAN Scale 1 "= yQ ' Page 3 of ~ '~ h ow _ ~-,~ I ~_ T P1wP~R.-7`I Llhl ~~ ~~uu~~ _ '-~ i3 D Q t-~ ~~~ Z -3 ( ~--r Sp' oF`~~ QU C m S ~0' Q r-~~N . o- Z`~PU ~ ~,l,t,"cau~z Z S~`V~1C- `T'M./1~- ~0 e~ _ `~. ~~oo h./ ~ ~ Pl2 CoD~ C~~~ ~ ~1~2-U' B~`r't~-n of e~z..c. x w~` 81~'t='~-L--_'~'i-~ t~=o , -~v 1~? OF-_!_I~z~~ 1~:1!~_~_P__V ~?._~1QQ-:=~-._--- - - - -- - ~ -- ~ NOTES; ~~ 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be iZ~o 18 op gallon capacity manufactured by ~ ~ L S ~~`,Z. CU~v ~ - w / I~ 1~3 a O Z~3 ~Z. ~1. c-`~CR_ 4. $ench marks • S~ R'Soy@ 5. Divert surface water around system to prevent ponding at the uphill side. N~ O E7'r Page ~ Of 7 P.pproved Synthetic Coveri_ng~ ASTiK C33 ' Medium Sand Topsail ~_ • _~ I 3 istribution Fipe F, 0 Z 1 I Z% Slope ~. Distribution Cell of ~ ~ Force Main 2" to 2z" Aggregate From Pump CROSS SECTION OF A MOUND SYSTEM Linear Loading Rzte= q • ~GPD/LN FT Desicn Loading Rzte=a.43GPD/SQ FT -o~~ . ~ej°a~-Me-irt- • L A ~ ~ Ft. B 6 ~ Ft. I l Z- Ft. J `7 Ft. ' K q Ft. L `~ S Ft . W Z8 Ft. G ii4,Elev. C00-O Flowed Layer D 1~ ~ Fi. E Z.Z3Ft. F o-$ Ft. G v-S Ft. N 1_ O Ft. ~ -Observation Pipe 8 =-- K __ _ I A o--~----~ ~---- -----=--- -------------- ----- 6 _ ~, Force Main w L--~-- _ ----__ ------__-----! ~ ~~ ~~ :~ . Distribution ~ ~ ~ ~ .~ , ~~ . Pipe Cell of x to 2 s ,~ aggregate Observation Pipe {~aehbr securely) --f _.. . _._ __-~------ . ' ' PLATT VIErd OF A MOUND SYSTEI4 . Distribution Pipe Layout Page 5 of ~ Place the holes at the bottom of the distribution pipes - . at~equal spacing, Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 4~ ° fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,:threaded cap or .threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. " T`-t F_ 1 Cif L . Z,ZOS S . _s':"``I10 N pvc FuC Lateral Manifold Pv C ~ ~-- Lateral =Lateral Leneth _ x l x Length ? P ~L~-Yl~l V \~j • P -~ ~ PrC~~s s~X a - -~ 1~ rs"u t Fc~ ~a S o- _ _ ---0 PVC ~=oSZC~, n,~ i o-- Bann _ ~q P 3l-S Ft. ~ ~ Hole Diameter 31~(, Inch ~ ~~ S 3 Ft. ~ Lateral 1 ~ Inches) X 3~, Inches Manifold Z • Inches • - Force Main " Z Inches ~ of holes/pipe 1 I ~ ~• Invert Elevation of.Laterals~~-S Ft. ttx~.66= ~-z6~6 = ~L3.S6 GPwj ~ , ~~- 1 ......~_.._~.__.... ._ _. ~ - Combination Sept,~.c~Tank and • PLl•MP CHAMBER CRO55 SECTION ANd SPECIFICATIONS ' PAGE ~ OF ._ • -VENT CAP ~ WEATHER PiC00F .IUUCTION eox . 'f C.I. VENT PIPE ~ •lPPROVED LOCKING ~ lO' FROM DOOR, MttIJHOLE COVER Wt~ :ItIJDOW OR FRCSH 1 tti'P+R.tJ11.IG Lp`gEl,-• ~3P~QU PIPE qL INTAKE ~ ccr.~cu~r w ~rYtcL}~ s ttT- zrsp ~, ~ c , .. .. _ ;~ i FlNls~ 6`'^w. ~ ~O~ + j ~ i Y~MIl1. ~~E i la'nIN. ~~ ---------- ~~ . ~ INLET ~'~ PROVIDE I --- .., `,'' ~RtRTILHT SEAL I III • ~ I^~ APProved Z~B~t H~~ .. ~ I III APProved joint w/ ~_lgo0 I III joint w/ PVC pipe ALtiRM PVC pipe s I II I I • i i oN c •I I ~ 2.8.3 - I . CLEY. FY __~ PUKP ~ OFF .~ D - C01.JCRETE . ~.-~ ~ 2. QQ ~L'LOCK ti: ~- RISER EXIT PER1'111fED ONLY IF TA1JK MA3~UFAC7UR)`R HqS SUGH APPROVAL 3"A?PR~bD ~ ~DD t N4 SEPTIC F ~ SPECIFIGATIOI\1S DOSE TAIJKS MJ--IUFACTURCR: W~~~IZ ~~C~-~~ 1~(~gEA OF DOSES: S'3 TA1JK :,IZE : 1Z-~O L 8U(J Ggl.L0A1S OCSf ~ PER QA.. VOLUME r ALARM MANUFACTURER; _S S ~ ~~`ClZ. S~I.~`TLs}~l,S 1~1CLUDIIJG 6AtKtLDW: ~ l ~-3-'~' GALtON,S MODEL NUMBER: 1~1 ~W CAPACITIES: A_ ZO I.Z.C~ ~ UJCHCS OR ~• GALLO~Is SWITCH TyPC: ~~Z.~,~ 1 8 = ~ IIJCHES'OR Lf ~'Z G~LLDA15 PUMP MANUFACTURER: GGV ~QS _ C: ~ ILCHES OR ~.Z-~•~ GALLO-15 MODEL NUMBER: ~a1I ~PC~S D= ~O INCHESOR ~~'O G SWt7CH TYPE: _ ~ ~U~ IJOTE: ALLONS PUMP ANO ALA M,AR TO bt~~ g MINIMUM DISCHARGE RATE ~L3.S~ Cp~„~ INSTALLED ON SEPARATE CIRCUITS VERTICAL OIFFERENCF DETWfEU PUMP OFF Al,IO..D157Ri6UT10N PIPE.. x'61 FEET + M+Id-H~ FttP4 NETWORK SUPPLY PRESSURE . ; , . , .. , , ';" 3-Z.S FEET ~Z.S xl.. "'~~ + 10 FEET OF FORCE MA-N X 3-$~F~oF~FRICTION FAC70it.. Z.'1. ZFEET TOTAL OyNAMIG HEAO = 1~'~~ FEET As per manufacturer Z0. 6 D gal/in. Liquid depth 3 g" .~ ~_ 3871 EP05 APPLICATIONS • Specifically designed for the following uses: • • Effluent systems • Homes ~` • Farms Heavy duty sump • • Water transfer • Devvatering - SPECIFICATIONS • Pump: EP04 .Solids handling capability: -- - 3/4 maximum. • Capacities: up to 55 GPM. ,ptal heads: up to 24 feet. -~ Discharge size: l'/i"NPT. _`"~ • Mechanical seal: carbon- rotary/ceramic-stationary, , BUNA-N elastomers. • -Temperature: 104°F (40°C) .continuous 140°F (60°C) intermittent. Fasteners: 300 series stainless steel. Capable of running tlry without damage to components. Motor: EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length, l 6/3 SJTW with three prong grounding plug (standard on EP05). • Fasteners: 300 senes nn~rr=ac FF~ stainless steel.- •Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: c 3/4 maximum: ~ W • Capacities: up to 60 GPM. ~ ~ • Total heads: up to 31 feet. g • Discharge size: l''/i NPT.." z • Mechanical seal: carbon- c rotary/ceramic-stationary, ~ BUNA-N elastomers.. o Temperature: ~: -- }.~ 104°F (40°C) continuous ";140°F (60°C) intermittent. --- ~ - ~~.~; _~ , ®1995 Goulds Pumps, Inc. • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and ..preset at the factory. , FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^EP05 Impeller: Thermo- plasticenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ~E~or ~ Goulds S~~~e~si~i~ E#f~~en# P~~~ ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplas- tic 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• CanadlanStandardsA~saciation (CSA listed model numbers end in "F" or "AC".) " . 0 2 4 6 8 10 ,., 12 m'/h CAPACITY Effective May, 1995 ~~ ~o -a3`a/ Page ~ of ~ SOIL EVALUATION REPORT - - Wisconsin Department of Commerce Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County S . C k1 r' Attach compete site plan on paper not less than S 1/2 x 71 inches in size. Plan must but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. include , percent slope, sale or dimensions, north arrow, and location and distance to nearest road. Please print a!1 lnformatlon. view by Date v, ~' ~ b/ Personal information you provide may be used for secondary purposes (Privaq Law, s. 15.04 (1) (m)). Property Owner ~.. Y-2 lj... ~ ` ~ ~ i 5 Property Location ,~y Govt. Lot /V L' 1 /4 ,(j ~ 1!4 S ~ T Zq' N R / ~ E (or) ~ClV Property Owner' ailing Address Lot # Biodc # Subd. Name or CSMr« 4U~" s . . City State Zip Code Phone Number ^ City ^ Vllage ®Town Nearest Road [) New Construction Use: I~ Residential t Number of bedrooms 3 ' ~ Code derived igq . O O GPD ` , ~.~ ,~ (~ Replacement ^ Public or commeraal -Describe: '' ~ ft ~ ' , . ifa , ~ p ~` ,_ Parent material i Flood Plain ele ~ , General comments s' s~t~ L/t /~ /00 •O d _~ Y ~~~' ! ` ~ ~ , ~, ~. n and recommendations: ~ G.l ,C v , ~~~ CO r! ~p v O '~~` ~ t ~ ~ a ~ ~~ `~ ;:zip= k , f U Boring " '' / `~ m. Boring # ,SCJ g. Depth to limitin fact-' `~ ® pit Ground surface elev. ~_ 9 ~ ,T Soil Iication Rate i ti D R Texture Structure Consistence Boundary Roots GP D/f~ Horzon Depth in. Dominant Color Munsell p on escr edox Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Eff#2 1 0 -~ 3 ~ i313 -' S ~. Zrr~~6/~ ~-~~-' G ~ it ~ •S 9' .3 S- to /d / y/ .s S ~- Z~ 1/n -~~' - -- ' S" ' Z Boring # rU~ BOA y , ~Q _ / ip Pit Ground surface elev. ~ tt. Depth to i"uniting factor Z `~" in. Soil lica6on Rafie i H De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlitz zon or p in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. *Eff#1 `Eff#2 r 'Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 1 50 mg/L 'Effluent #2 = BODS < 30 mglL and TSS < 30 mg1L CST Name (Please Print) 'nature / - CST Number ~ r ' ~/ ~-s 330 A~~s Date Evakiation Conducted Telephone Number ~// Z sri~ ~1` - ~ .-~-: ~ a.-_LC__~ G ~/. , ~" S'r~ > c- S' - Z ~j' - G/ (7/S~ _-.?~ - G ST CROTX COUN'T'Y SEPTIC TANK MAII.T'rENANCB AGREEMENT •AND " OWNERSHIP CERTIFICATION FORM ~wnerB ~ er ~Y C ~ i ~ ~ ~ S tailing ddress ~ a ~ j~~ ~~ roperty ddress ~ ~1 ~ ~ ~~~ ~ (Verification required from Planning Department for new construction) I '+ aty/Statr~ t~10~ ~'~10 ~ ~ Parcel Identification Number ~j+ilTA1~ L' Ot.aua a.~+. '` 3 D 2~i N-R~.7 w. Town of ~ ,YYI f'I'l0-'1 C~ 'roperty t10n ~ ~ 1~4, ~~ ~~4, SeC. ~ . T LOt # iubdi ~ on Volume -, ,Page # Certifi Survey Map # Volume ~b~ -, Page # ~'~' Warren Deed # ~ `5` ~'~ ~ ~ Lot lines identifiable yes ^ no Spec ho e O yes ~ no S MATN'1'L~'P1A.lvc;~ ,proper use and maintenance of your septic system could result in its premature failure to handledy~ . P t ~ ~t~ m consists o pumping out the acetic tank Query three years or sooner, if needed by a licensed pumpe can aff the function of the septic tank as a treatment stage in the waste dLSpasal system- ent acertification form, signed by the owner and by a e property owner agrees to submit to St. Croix Zoning votifying that (1) the on-sits wastewaterdisposal system mastapl , joumeymanplumbcr, restnctedplumber or a liceascdpumper the tic tank is less than 1/3 full of sludge. ~ in operating condition and/or (2) after inspection and pumping (if necxssary), ~P to maintain the private sewage disposal system with the standards Ifs ~ 'greed have read the above requirements and agree set forth. in, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin- Certification t our tic tern has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 stating Y ~p ~ days of three Year expiration date. lfg~~ DATE SIGNA OF APPLICANT U W ~ K ~' ct a ar "`'" ` a"" • our knowled e I (we) certify that all statements on this form arc true to the best of my ( ) g the ¢ro rtY desen'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. OF APPLICANT I (we) am (are) the owncr{s) of 9 ,ISM ~ DATE sss•ss Airy information that is mis-represented may result is the sanitary pcraut being revoked by the Zoning Depariment. «4s4ss ~ decd from the Register of Deeds office sa Incl~rde with this applicatloa: a staruped warranty map ~ reference is made is the warcaaty deed I a copy of the certified survey r ~. l ` DOCUMENT NO. WARRANTY DHED •~I• s-A :c eucsvco 1011 QC01101N0 DATA STATE BAIL OP WISCONSIN FOItY !-if!>t M. _ 45'x'706 wot ~'~r~cc~j •• _ -- _ ~ - - Violet M. Moller, Viola A. c3omer, ... . REGISTER'S OFFICE Marjorie ~'~ 'Coni•ac!; and Francis~~K:-•Russell, " ' ~. ~, W' a one =fourth"~i'ilterest~ eacfi;'~as'~tienants-iii= ~- .. ......................... . ...... ~ ' Rec'd1~orReterd ........... . . ................ ...................... . common an not' as joint tenants APR 181990 ' tom•rys and tvurranta to ...QX~q.Orj...~.r.. f3.~,~.~,~$t..3[(d ....... ... ... ......Deborah..A.t ...Gillis.,.. husband..and..lrifa .................. ~ 11:Q0~~A.~~ ~~~~~~~~~~~~~~ v ~' " ~ ............................................ ............................. I r ~ li ...... .................... , the following described real estate in ......... St.._..CroiX ..County, i State of Wisconsin: '---_ _=- --:-. Taz Parcel No :.............................. Northeast Quarter of Northeast Quarter (NEB of NEB) of Section Thirty (30), Township Twenty-Nine North (T29N), Range ~ Seventeen West (R17W), EXCEPT Lot One (1) of Certified Survey Map filed September 24, 1986, in Voi. "6", page 1712. 'TR,ANSF s_1~-- l This .i8 . not _ _.. homestead ,~ i property. 7~iYjC (is nut) i Ezception to warranties: I~ Easements and restrictions of record. Ii t / .... ii Datad thi3 ........./•%~ r~.... ......... day of ......... ~~/`! l _.., 16. 90 ~ .. _... . 1 ... (SEAL) Violet M. Moiler Viola A. Gomer ~I / (SEAL] orie C. Conrad Francis K. Russell AIITHBNTICATION ~; Stdnature e.)~~wwR~'.~1..•` ~r~.!-r'.,/.N,.l//~~~~e~..,.tr~~l~lLi ~.,.-- ~ .:!'yte~~..~F~~Q.Ifl.C.cR/..~..~ACI~LI~.H~I1.' •tl.::I~!!t1C~j/ antben • ~is /~ day ot.ed~r:il----- ... 9 ., 19...1,x.. TITLE: ?EfEMBE&JTATE BAi; OF WISCONSIN (It not . ............................... authorized by ¢ ?08.06, Wis. Ststa.) ..................... TNIf INSTRUMENT WAS DRAFTED BY Thomas A. McCormack ..._....Ba.ldxin.,.-.1dI..~4IIQ2-•-------•---• ................. (3i~rlatares may be authenticated or acknowled~,.ed. Both are not necessary.) ACHNOWLEDOMSNT STATE OF WISCONSIN St. Croix 8S• ..................... Y ..---.........County. Personal] came before me this ...............day of •• .., 19_.90. the above named ...Violet.-M.._-Moller., Viola A. Gomer, Marjorie.C. Conrad, and ___Francis•.K,.-•Russell to me known to he the per. ^.n . 3......... who executed the foregoin>; iii-trument and acknowledge the same. Nota*~• Public ..........St.....CLOiX... Counh•, Wis. Jft• Commission is permanent. (If not, state expiration