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HomeMy WebLinkAbout020-1123-70-000 ~ n N O~ G y O l O y ~ i 3 N O ~ `r c~ f I c °: ~ I ! c .. 3 ~ ~ ~ 3 ~ 1 H. I ~ co > ,~ ~ I > m ~ ~ ~ ~ I a m ~ ~ ~ ~ A ~ ~ x ~ A~ ^: • ~ ~ art I ~~ t"' ~ I I '~ , O I n ~ N d ~ O A (A w ' 2 2 Z N N. - ~ _ 2 2 a, Z N N O _ ~ "' ~ O N _~ N d e~ • N O ~ O A 7 O W~ O O7 ~1 O O ~ N 0 7 N C O O ~p <D C 9 N IV Q lA (O ~, H .~ ~ O d c ~ N N N ~. O. ~. N w ~ O, d ~ W 'b O ~ '~, ~ .a N M A ~ N O ~ (~D p 7 j y p ? Q7 W 7 N N N j ~ W~ 7 ~ v lA \ 7 [- O. -` `G tD w '~ in O Cf1 v O ~ l l ! v ~ ° c CD m ~ ~ a m ~ c~Di \ ~ ~ A o ~ O o c i ~ ` \ ~ 1 v ~ y c m I a d c v V a m D ~ C~ I G ~ ~ I ,a a m ~ I p, ~ m N N ~ I a ~ v , ~ ~' ~ I ~ a , I ~ ~ ~ W ° ° ~ ~ r o ° ~ I ~ W a ~~ r o o ~ ~ mo' r ~ ', I ~ ° I~ 3 I . o O m co o l I O m w m I d ° ~ o V Cb ~,. Z N O= o °° c I ~ ~ W= ~ c I O~ C ~~ ~ I ~. V o ~~ o 0 o I m cjVO m o I N ~ a aoo a°o o ', N o e w m c w w~ ~ I ~' co m~ ~ I o o~ ~ ` 3 r. c ~ I Z o. 000 al OOO~I 000 ~^', 'Y ~~ ~ ~~° g~~ol =~ ~~gol =v ~~~~' N Nm ~ ry,~ `~ ` 3 ~ ~ ~ N N ° I ~ ~ N N ~ ° ~ 3 I N ° N co 't ~ ~ m ' o ~ C I ~~ b v v_ y ~ ~ o O m O a ~ y A to N A A y -~ ,~ 17 m 3 m I ~ 3 °= I a ~ .. I a 7 r. I a ~ N I I =; y~ o I I D u o D W o a O r O '' ~ O a ~ O ~ ~ I ~ m o m I m m e ~ ~ m ~1• I ' ~ N I ~ ~ (9 3 I m N !r ~ (n ~ 07 N I N = O cD W ~ N C I o C (D (n I C ~ N o I w ° m ~ . ~ m m . ~ I Z ~ ~ n I co ~ ~ ~ I ,., ~ ~ ~ -1 fR p 2 io ~ N O N O_ ~ C ~ .a ~ 'A~. a I 4 A ~ ~ .. I =, I Z '-I v I oov I oo~ I aow fD mZ I a~ I a~ I 3 a '' ~ A ~ I I c 3 c ;~ I °o r: i cn ~ m . H ~ I I H ~ w Z ~ I w -o I w f I w ~ I ~ a ~ N 3 N ~. 3 ~ ~. p N. ~ ~ (D d f3D ~' o- ~ ~ I ~'-°•m~ ~ m a ~ I ~9'c anti a ~ O _ O v~ fD S O p<~ y O Q O c I m m e I v wD~ m~ = I i ~~;o m o m n C I ~ o a I ~ m o a p m~ a a I ~K r~ ~ o 0 009 o I N I O O -~ N O N 0 7 _" O y (O N I to ~ . ~K ?~'7 y I X (D N•~O W N ' O .-. 7 ~p N -p Q O= Q ~ ~ ~ O. d ~ S ~ ~ ~ d' ~ ~ ~ a ~ ~ CD ~ C ~ ? ~ n ~ N ~ p. ~ ~ v n ~• v gy N I o Q-• ~ D O ~ N~ 'rJ cp ( p O O (~D y N ~ C E ` S CD O O C O ° 07 w ~ ~ fD • cmc v N C. fD O. ~ -oa I I n~as V ~m~m I I _ ~ m o o I ~ y c ~~ ~ ~ o a I I ao o I 3 ry . O ~ p O @ I N O A N I to O Ea O EA O ~ oNo O~ I O~ O Si O I °o a- I °o ~ I °o ~ ti - ~ AS BUILT SANITARY SYSTEM REPORT OWNER ~~- ADDRESS , - -" ' ~~` , SUBDIV~SIOt~ TOWNSHIP~~,~zSp,t~ SEC . `~ TZ~N, R~W ST. CROIX COUNTY WISCONSIN. LOT Z,~ LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM E ~ 11, ~ S 3 r ~ 3 ~ , ~ { ~ I S C _ di ate North. Arroia ' ~ i ALF : j/ y~~,~~i-j "--{~~t-!^{ SEPTIC TANK(S) ~ CONCRETE STEEL N0. ri gs on cover Depth PUMPING CHAMBER SIZE dfrb ,(„ PUMP MFGR. ~}~ MODEL NO . GALLONS Per Cycle /,~"~~,g-i TRENCHES NO. of .width length area BED N0. of lines ~~ width ,/8 ~ length~,~,,'- area (~3d, depth to top ~ pipe ~ ~~ NUMBER OF SEEPAGE PITS Outside iameter total pit area AGGREGATE .y_a y,~'' ~ PERK RATE ~~ AREA REQUIRED ~/per'` AREA AS BUILT ~,jd Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cans~^of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH JfHIS ~SYTEM~ i!~ ~ INSPECTOR DATED ~,: d ~~~' PLUMBER ON -JOB ' LICENSE NUMBER ,. ~,. ~. ~_ f ~' REPORT OT= INSPECTION - INDIVIDUAL SEWAGE SYSTEM ~' ' San~.~:any P~2tcm.1~ ~~ SZa~e Sep~~.c NAME Tawn~Sh~,p S~. Cna~.x Caun~y Laca~~.an~ Sec~~.an~Lax # ~ Subd~.v.i~~.on SEPTIC TANK S.i. z e ~ ~ Q ~ ~ ga~..~a nos D.cb~anCe ~nam: PUMPING CHAMBER w e~.~ ~~ LL~~ H~ighwa~en - Numb en a~ campan~men~ Bu-i,~2d~.ng ~~ 1.2 a ~s.~ape S~. z e ~ (~ (~ ~ ga~'.~o n~. _ . ,Pump. Manu ~ac.tunen~ Ma de.~ Numb en~~`~ HOLDING TANK S~.ze ga~..~an~s Number a~ Campanxmen.t~ Pumpers D~.3~ance Snam: We~2~ ABSORPTION SITE A.~anm S yes hem H.Lghwa~en Bed ~_ Trench D~.~~ance ~nam: GJe.~.E ~ ~u H~.ghwa~en~ Bu~,.~d~.ng ABSORPTION SITE DIMENSIONS UI,Ld~h a 5 ~nench f ~ ~~ Length a ~ each .~~.ne ~o ~~ N u mb e n a~ ~..i.-n e~ Ta~a~ ~.eng~h a ~ .~~.ne~ Q ~~ 35 ~(~D.i~s~ance between ~.-i.ne~ ~ ~z ~~ a~a.~ ab~s anp~~.an area ~ ~ ~.t PIT DIMENSIONS Numbers a ~ p~.~5 Ou~~S~.de d~:ame~en Requ~.ned a da~ b~ Bu~.~d~.ng ~ l.t2% ~.~ape D ep~h a b na ch. b e.~ow x~,.~e f 2 -i.n Depth o ~ noclz oven ~-%.~e ~- ~.n Depth a~ ~~..Ee be.Q.aw grade ~ ~ -i.n S.Cape a~ ~nench 7i ~.n. pen 100 ~~ ~° ~~ Type a~ Caven: Papen~ a ~znaw R _~ Gnave~2 anaund p~..t~5 yep no 12$ ~~ape ~~ Depth below ~.n.~e~ Ta~a.2 ab~5anp~~.on area ~~ Area nequ~.ned b~ INSPECTED BY APPROVED ~~J~ J TITLE ~ ~~ DATE ~ D 19 8L E/ , ~~J Rev. 9/78 °~ . ~ o REPORT ON SOIL BORINGS AND PERCOLATION TESTS • WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ' f P,O. BOX 309, MADISON, WISCONSIN 53701 LOCi4TIOs,~N:~~- '/<, ~ r %4, Section 7 ,T~N,R~~ (or- W, Township or Municipality ~ / r/ 4 sd n Lot No..~~Z-, Block Na ~ g ~ ~ ~= ,.~ County S T C r ° l/ Jl ~ _ ~Tdivision~ Owner's/Buyers Name: / 'e. Mailing Address: ~~ 1` ~ ~ ~-+~ -~p- ~ ~!/-~~ TYPE OF OCCUPANCY:. Residence No. of Bedrooms x- COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT `' ALTERNATE SYSTEM OTHER DATES OBSERVAT{ONS MADLE: SOIL BORINGS ~ '- ~~ ~ ~ PERCOLATION TESTS ~ ~ ~ ~'~ ~ d SOIL MAP SHEET 7 ~ NAME OF SOIL MAP UNIT O ~ ~ ei~ 0~ ~' /~ / PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, tNCHE RATE NUM- BER INCHES THICKNESS IN INCHES SINCE HOLE 1ST WETTED HOLE AFTE SWELLING INTERVAL IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- ~ y~' ' S e ~ f 3 .~ P- 2 i< c ~ j ~ 3 3 3 P-3 ~ ~- -~ / ~ 3 P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH dEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, MOTTLING AND DEPTH TO BEDROCK TEXTURE NUMBER INCHES OBSERVED ESTIMATED HIGHEST , IF OBSERVED IN INCHES B- 1 e 7 - L 5 y'= f_ 35' -S B- B- B- PLAN V IEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the lan the loca io nd squa a stable areas. Indicate number of square feet of absorption area needed for building type and occupancy ~~ ~ ~ In icat~~~or distances. Give horizontal and vertical reference points. Indicate slope. _m~ .. riw ~. _ m _~. _ _ ,.. Y ~ /, SJ ~ ~~ - . ~ _,..._- }. } _' 3 * ~ } -__ ~ g - m e a _ ym. ~ _....ir...d.......3.-...~. -~ .._- (( ~~~ ~. P ~-~ s ~ ~ i m ___ ~-_ - ~ ~ a 4 ~ j -p- F ~ 3 ~ ~ M ~ ~ k~ € ~ i f . }} m.~~.. .~ ' _~. a. .......m. -~.~ f ~ ~ ` g ~ j t EE EE ~ # ' ~ } ~_`~AI gs ~.~.. .,,, .. i ~ E I M_.. .._ _. ~ Pt ~ t 7 d s F ~ a~~i,~7j A - g - ~ ~ ~ ~ c _ ~~~~ ! r 1 ~ , [ 3 t• State and County Permit Application for Private Domestic Sewage Systems *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWf~IES-QF PROPERTY Mailing Address: State Permit # ~ ~ ~ County Permi # County ~ B. LOCATION: '/4 .~ '/o, ection '~, To~7r- N, R~~ (or) W Lot# Z,.`~City Subdivision Name, nearest road, lake or landmark Blk# Village Township ~~ (' _ f C. TYPE OF O UPA C mmercial *Industrial *Other (specify) *Variance Single family ~uplex No. of Bedrooms Z No. of Persons Z D. TYPE OF APPLIANCES: Dishwasher t~ fES NO Food Waste Grinder YESC~-PLO" # of Bathrooms Z Automatic Washer L,~fES NO Oth er (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks *Holding tank capaci ,Total gallons No. of tanks New Installation ~di ion _ Replacement _ Prefab Concrete *Poured in Place ' Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ~ 2)_x_3) ,.$'Total Absorb Area sq. ft. New_ Addition Replacement~~*Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. Trenches Seepage Bed: Length Width ~_ Depth `~ Tile Depth `~ No. of Lines '7'~ ry Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land d-2 07~- Distance from critical slope ~- I, the undersigned., do hereby Wisconsin Administrative Code, by the Certifie Soi! Tester, NAME obtained from Plumber's Signature Plumber's Address certify that the information and that I have sized the l `,~, ,,Job ~~ ~ I have reported is in accord effluent disposal system from C.S.T. # ~~~ ~ ~ and _ (owner/builder-. ~P/MPR~SW# ~~~- ~.. _ with Section H62.20, the EH-115 prepared other information Phone #~ ~ ~ ~ y ~-1 ~~ ~~sis ~,~~,°(' ~ L -~ 4~~ag_ ~~ y ~wv Sc~~~ K . ~~S ~, ~~ ~ i~r~~c ~ ~ ~~ ~-° A ~ __ ~-' r w 411 S~~ ~~~6` ~$ \ i f ~,i N ~ ~~=30' Plb,-t-A WISCONSIN DEPARTMENTQF HEALTH & SOCIAL SERVICES . Division of Health ~• Section of Plumbing & Fire Protection Systems ~+ _ i~ ~ .~ ON-SITE WASTE' DISPOSAL INSPECTION REPORT - ,. i , _. , . t, ..Name of Premises: ; , a _ ; . ~ •~ .. :'. ' , r~ ~ ~; ,;. Street City County Maste[:Plumber ` ~ „ .r ~ e ~ r=.;3 ~ ; , ~ ~ t :.. less r~, r~' ; ~ ~ .> - ... r . Aad -. , _., ,. ..Owner. , z i ." ~ _..Address - >-...• ,. i E ^ Counxy Permits ^ Appropriate State. Permits Type of Building:. ^ Public D~Single Family ~ . . CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM • ~ ^ Building Sewer ^ Septic Tank ^ Holding Tank ' ^ Seepage Bed ^ Seepage Trench ^ Seepage Pit BRIEF, FACTUALCOMMENTS AND SKETCH: C~Conventional Soil Absorption. System ^ Conventional System-in-fill ^ Alternate Mound System ^ Holding Tank ^ Experimental System ,,,, .t "' ' `` ` :-. WISCONSIN DEPARTMENT OF HEALTH & SOCIAL SERVICES ~ - f , . r f ,~_ Division of Health ti Section of Plumbing & Fire Protection Systems ' ~, . ~. ON-SITE WASTE DISPOSAL. tNSPE~CT1~1 RE~~ORT ~ . . Name. of premises _ - ~ - ~• , •'`~ - , _ ,, . l ,~.... -. ., ._ - _ Street Clty ComnY '~ Maste%PTumfier ~ ~'' •'~ r `", ` ~ Address Owner - ~ Address, ^ County Permits ^ Appropriate State Permits Type of.Buildi.ng: ^ Public ~Single.Family..oc~{~ctpkx ... CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM ^ Building Sewer ^ Septic Tank ^ Holding Tank Seepage Bed ^ Seepage Trench ^ Seepage Pit ~~Conventional Soil Absorption System ^ Conventional System-in-fill ^ Alternate Mound System ^ Holding Tank ^ Experimental System BRIEF, FACTUAL COMMENTS AND SKETCH: ' _ __ ,._ i4 ~ i / .-` ANb } A ''' ~ WISCONSIN DEPARTMENT Of HEALTH & SOCIAL SERVICES ~' - Division of Health • ,., ~ Section of Plumbing & Fire Prot®ction Systems ''~ ON-SATE WASTE DISPOSAL INSPE~CTf~N REPORT .._ __ . _ _ ~:_. Name of. Premises .. ` ,~;._ :. ~ " . ;~, r`_ ~ - •', - ` '~.` ;` ~-' ~__ Street City _. County MastLT'f'tumber -' ~ ~;{- ~ ~~- '_~-4'' t`- ~=~ `: €~ix U i, ti ~a; :1 %a ~j~'~,.~.h.t JI~.N~~S ~J ! ~: ~t~'~ - '=' • Address ~ "~' ,. , -~ ~- _ ~, _ ~ .._ " ..Owner. ,!` i _. ; • '.:` . ~"` `j ,Y v:.1- Address "' ~ ~'~:r`:~ i L ~ ~ .:<-}- 1 .: ^ r ;• ' i4) ` ~ . , ^ County Permits ^ Appropriate State Permits .. . _ {~ ~. ~'sf ~.:~ It• , [~'t~.~ ~,.~ 4~~? l~~ ~:3 ' r.~iij/ f.SC. :1t Type of Building: .~-Public Single Family -- .. --- CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM O Building Sewer d Conventional Soil Absorption System ^ Septic Tank ^ Conventional System-in-fill ^ Holding Tank ^ Alternate Mound System OSeepage Bed ^ Holding Tank - ^ Seepage Trench ^ Seepage Pit ^ Experimental System BRIEF, FACTUAL COMMENTS ANO SKETCH: -y~ _, -~ ~~ J ,, ~~ ~ - ~ ._ f 3 ~ ~ _. ~ Y • + q ~ / / -- - :~ r _ h .i•,' ~1: -.fir - 1 ~- _ :^ C•.c +7/ k:.. %~ .., ~;(.. ~: .~ =-J ~ . t-.~ .; _ ~ '~ ~ 1 ~ ~ ~' `Jtil t ~f i ~l. ~l.. r1.i r' a' ~~ f'i L _ i ,?C,~ti I~L i - - „„ J~ _ ~i i !~ j! ~ ~ 1 p t _ _ - ~ ~'; S 1 d. _ ~ -, f , ~,~:8 ~.0 (1 Name and A ame, r REPORT ON INSPECTION OF SANITARY PERMIT # ress of Permit Holder Person/Persons at Site Z fe,c> c ~ -Cicense'"Ro: o~Tns a ing plumber ' Septic Tank ^ Seepage Trench Seepage Pit .IS[Seepage Bed U Holding Tank ermanen re erence i~6escri e: ~~uate of inspection ~' -/~ - ~~ Time of Inspection. Dosing Chamber Fill System Elevation of vertical reference ~ << point: ~ ~ ~ Slope at site: „Z~l~ (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: ~ ;s e ,. Liquid Capacity: D D Tank Inlet Elevation: ~ D ® ` Tank Outlet Elev: ~' # ft to lot or property line: ~y # ft to well : ,~"~ t'' (7)DOSING TANK: Manufacturer: ~ # of gallons: <~O D # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower brand name of pump and model number . Is ..the warning device installed? YES ^ NO Wired? YES ^ NO 8 HOLDING TANK: Manufacturer o ga ons ; construction depth to the cover ft; If septic tank is being used are baffles removed? YES ^ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ^ YES ^ NO; Wired? ^ YES ^ N0; Locking device on cover? ^ YES ^ N0; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; file depth.; ~1i.neal feet tile; ~f~ ft to residence; ~_ ft to well; ~_ ft to lot or property line; ~ ft to ordinary high water mark of lake or stream; ~_ ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ~ ~ ft. 11 SEEPAGE ~`R N H: Total length of seepage trench ft; width ft; t he depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? YES ^ NO (13) Has system been installed in floodway? ^ YES ~NO Floodplain? ^ YES ~ NO R-SBD-6095 (N. Signature of Inspector: Department of I ndustry, Labor and Human Relations Pease Reply to: August 15, 1980 Mr. Douglas A. Strohbeen Route 4 Kew Richmond, WI 54017 Dear Mr. Strohbeen: 718 West Clairemont Avenue State Office Bldg. - Rm. 220 Eau Claire, Wisconsin 54701 Phone (715) 836-5364 CERTIFIED MAIL Re: Private sewage system replacement at Lot 25, Eagle Ridge Subdivision, Hudson, WI The August 15, 1980, deadline for the above referenced system installation is hereby extended to September 30, 1980. It is expected that, weather peraaitting, all work shall be completed by the above date. This includes all necessary landscaping. The first step to be accomplished is that the exact location of the property line must be determined.. This is usually the responsibility of the property owner. The second step. is far a Certified Soil Tester to evaluate the site. This includes soil borings and percolation tests. The bottom of the replacement system should correspond to that of the existing system, providing soil conditions are acceptable. The third step should be to obtain the proper peroits from the county. Hopefully, steps oae through three will be accomplished by the end of August. The final step fs to install the new absorption field. This shall be accomplished by September 30. Please coordinate your activities pertaining to this installation with the county so the proper inspections can be made. If you have any questions or comments, please feel free to contact this office. Respectfully, Leroy G. Jansky On-site Waste Specialist LGJ: sc cc: ~t. Croix County Zoning Office Randy Item Richard Hopkins Sam Miller Richard, Wall ~ Harris G ~ ~~ r.a ~ O~ ~ --' ~6'~~~ co ...- ~o , - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ,. ~'JSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) 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 S ah, John Hudson Townshi CST BM Elev: `~1 G . ~ C.i Insp. BM Elev: J C BM Description: ~; ~ ~ ~r ~ ~- 4~_~ I~-t.r!c •..w3 h i ~ ~ •'S •~ . • 3(j / CX c, r . ~Y`G~ TANK INFORMATION I~ ~'~ ) ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~~ i S .~~- ~ ~ G' G Dosin ~ > ;~+-~~ / C-~ ~ ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~~ ` . ,y j Dosing Aeration Holding ~.~ PUMP/SIPHON INFORMATION Manufacturer ,.. .~~_....._ .. Demand GPM Model Number TDH Lift riction Loss• System Head TDH Ft Forcemairi Length Dia. Dist. to wen SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 430322 0 State Plan ID No: Parcel Tax No: 020-1123-70-000 SectionfTownlRangelMap No: 07.29.19.554 STATION BS HI FS ELEV. Benchmark c~ 03: - /c ~ ,~ Alt. BM Bldg. Sewer C~ nn.z,~-~R-~ ~ ~, -~- ~ / BM- SUHt Inlet ~ ~ S / ~/ / SUHt Outlet 8 '°f S ~y S Dt Inlet \ - __~' _~ t Botto Header/Man. ~ 3 ±C~.o~ B,C.~3 ~y ~'~ Dist. Pipe 7 ot. System ~ C«-~~E ~ 5%, 7~/ ~ -c "LG: 3. 3 ~. Final Grade ~,..j /ho,~~ St Cover SS /O/. / r~_> BED/TRENCH Width Length 3 ~, ~~- No. Of Trenches PIT DIMENSIONS Flo. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ - ~ Ga. 3 r.~ cJ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufactur,gg~~_ I .-1-ra T f S stem: y y ~ S .~ > t ti y/ UNIT Model Number: DISTRIBUTION SYSTEM ~~/ C l -f-[: ~-~--~C Header/Manifefd~ Length / /"% Dia `~ ution ( Pipe(s) __.__._ .. ._ ~ Length Dia Spacing ~ x Hole Size x Hole Spacing ~- Vent to Air Intake ,~~ 1 - SOIL COVER x Pressure Systems On1v xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil (~ Yes U No Yes ', No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 4 ~/p ~ Inspection #2: / /_ Location: 442 Krattley Lane Hudson, WI 54!016 (NE 1/4 SE 1/4 7 T29N R19W) Eagle Ridge Lot 25 Parcel No: 07.29.19.554 1.) Alt BM Description = ~i- , Cry ,,~i~.-i 2.) Bldg sewer length = (S ~ - amount of cover = ~- ~ ~ _ ~ f I ~~ Jam' .~1. M~ ~t,~ Plan revision Required? ~ Yes [~ ~ -~- - Use other side for additional information. __ _~ __ __ _ _ ___ _ _ ~1 _ SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. ~ ~ 201 w. washitigtoa Ave., P.o. Box 7162 ~ ~', L' ~ l 1~~i~~S//1 ~ Maalaon, wt sear- nr~ .-' - sip A~a~ - .~ De artment of Commerce Sanitar3r Permit Application ~ s'°~''P`~` ' ra accord wilt Comm 83.21. Wis. Adm. Code, persa®al iat'o ;f Revision `~~~ 3 ZZ be need for Law a15. m L Application Information -Please Print All lucdormatioa State I.D. Number Property owner's Name 2 9 00 Page riumbcr ~>:11'Owae~sMattiog ZON(NG Oi=FICE' ~aon v e~"~ ~o ,~ ~r Si J~!{•S ~ T~ N R~ f2ty. State Zip Code Phone Number Lot r $loclc Number ~---- t /~ ~ ~ D ~ ~~ 3 J• l ~ f I~/~ Y ~ ~ ~ M ~~ ~ ~ Subdivision Name M Number ~ c l ~ < f e /~' II. Type of Building (check ail that apply) ~1 ~ J~ ~i / /~ ~ ~~ " ~ " ~u~` ^City ~1 or 2 Family Dwelling -Number oP Bedrooms . ~-! ~ / ~ ~ ~ " ~ _ ^Vr7lage ^ Public/Commercial - Desen'be Use ~4'ownshi LG . SD ^ State Owned 3 ~~Q~:.C/.Y ~ Nearest Road 3' 3 . S~ ~ III. Type of Permit: (Check only one box line A (numbering scheme for internal use). Complete line B if applicable A' 1 ^ New 2 ~Repiaca~nt stem 3 ^ Replacement of ~ 6 ^ 'Addi6oa to For County use.. _. ' stem aak Onl Exis ' S stem B. [~ Check if Sanitary Permit Previously Issued Permit Number Date Issued - ' IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) _ ___ _..... _ . 44 ~lon -Pressurized In-Ground 21^ Mwmd 47 ^ Sand Filter 50 ^ Consavcted Wetland 22 ~ Pressurized In-Clround 41 ^ Hokling Tank 48 ^ Single Pass 51 ^ Drip Line . 45 ^ At-Grade 46 ^ Aerobic reatme Unit 49 ircufatin 30 ^ Othcr V. D' eatment Area Intormat ion: Design Flow (gPd) Dispersal Area Dispe Area Soil pplication Percolation Rate System Flcvation Final tirade B 3 Reguired~~Z tl Proposed Rate(Gals./Days/Sq.Ft.) (Min.Mch) ~ ~ Blevadon ~~b , D ~ t~ ~ ~~. ~x~3.~.~ ~'ao.~ VI. Tank Ltfo Capacity in .Total Number // Mamrfactun:r ~~ Prefab Site Steel Fiber Plastic ons Gallons of Tanks ~~ v w~~ ~ Concrete Constructed Glass New Exiatina l ~ Tanks Tacks Y Scgic or Holdiag Tank ~ _ ©~ D /- ) t ~ ~/ ~. res~ i~ /~ Dosiaa Clamber VII. itity Statement- I, the ander~lgned, assume for installation of the POWTS shown on the attached pleas. Phmrber's Name (Print) ~ Pl s Signature RS Number Business Phone Number ' ` ~ k ~ ya - 9~S ~ s Address (Street. e~y. ~ ) , 5°~~~ ? ~ ~ D ~ ~~ ~ ~ i 0 v fU ~ S . / De artment Use onl Approved . ^ Disapproved ~~Y Permit Fee (iaclndea Gramdwater Surcharge Fee) ~-~ Date ~ ~J igoaarre (N ) ^ Owner Ciivea Lritial Adverse • DCOCImi0l130II ~~ ~ a . O d d~ ;~ IS. Conditions of Appro7al/Reasons for Dbapprova>I 3 ~GG~~~-~l~S~i~'t ~i ~QG-v ~ ~ ~ 3 3 SYSTEM OWNER ~ : .J ~~° 1 Septic tank, effluent filter and `~ ~' ~/y-tLy~~"''` ~G2,~t y~rr,Gt~~ ~¢-- ~JS~ ~ dispersal cell must all be serviced /maintained !/Yi ~~.~y ~ O, 7 P~/~f•'f ~~ as per management plan provided b lumber y p . -- -- - as der applicable Codell: ~°'dO~~0O4)t°r<l'°`>>~°°papa'"o<lma z loel,estuslae SBD-6398 (R. 05!01), :,` , ~ ~ t,:, ~~ _. ,~ r by ha.,d ~.u~.- • sc;l2dal~,n,-tor, ~~ ~~ / 7 g ~ • El ¢ /a fi an ~Ca/2: / ~~=f~~ ~T~~z C~t~ S y3- 5'~ W~ ? ~»b~r~sl tr'e n c~ ~l y v ~' ,?o ti h S 4 /, ~o~, ,~,~~{/~ lot 25, P/c.f o{Ea~/e to t h ~ ~~ Y ~ r" ~ ~7; ~Q~ ~ . o { /,/kds~7 ' ~-~' ~~' o~~~ ~~e~ 93,~.~ t ` ~~~ `~ler~ ~:ew I, ~aa ~. ~ ~e~t` ~ ~ A1ov ~ ~ r©~~~7~~ 9~6" zab~. ( ~"~ ~ ~ . Q¢,nL : Top o{ br ~ c.~,'/t d E: ~~, G,~ ~ p~/'aa'i,r ~ - ~oea.~-o,, o~F' A55e.~me~ele~` _ !c».~v. ~ccrrlc~,l (anda.~ round GC~i-1, ~i e 5 O~ ~O + ~'i sLng ~ChA ~~-'_-- -_ O~-~2(( _ __ -_ _- - ^~ 5/or'e Cu (. - d t - y, b tdre~Sm r~ 5 id ert c,(L ~G O . EXiSt!' AI!'it/GWa EXi3E+n SeP1'+-G ---- ~.~K ~ ~~ ara ~ r c(E'ria~ QXiS~i/I~I ~ ' /~~ i',,~~++ 7 µ M ~ 1// `~D N O LU ~ A BaKaone c'~aM .~~ e ~-, c ~ C` od e ~. B~t~ ~ __. .~~ ~-- 0-' ~ sCr a ~` Sz _ 5/orb ~' . ~,Q yc, Pit.. 3 0~'3 w Wiscorfsin Department of Commerce D'nnsion of Safety and Buikl'ufgs ' SOIL EVALUATION REPORT in accordar~e with Comm t35, Wis. Adm. Code 1701 Page t of s A.C.E. Soil 8 Site Evaluations County Attach com to site on not less than 8'/ x 11 inches in size. Plan must ple plan p~ St. Croce include, txrt not limited to: vertical and tar¢ontal reference pant (BM), erection and Parcel I D percent slope, scale or ememsiorrs, north arrow, and location and distance to nearest road. 020-1123-70-000 Please pr-nt all information. Date Personal rcrkrntatiorr you txwide may be used for secondary PuP~ (Privacy law, s. 15.04 (1} (mJ}. _ 9 ~ d' 3 Property Owner Property Location John Spah Govt. lot NE 1/4 SE 1/4 S ~ T 29 N R 19 W Properly Owr>ers 14~iling Address Lot # Block # Subd. Name or CSNI# 442 Krattiey Lane 25 Plat Of Eagle Ridge City State;Zap Code Phone Number City _,J Ylhage ~ Town Nearest Road Hudson ~ WI ;54016 715-386-7677 Hudson Kraltley Lane J New Construction Use: Residential !Number of bedrooms 2 Code ~~ design flaw rate 300 GPD .-.~ Replacement Public or commercial -Describe: Parent material Glacial outwash Flood pMain elevaatihon, if applicable nor General comments and recommendatiars: Recommend installing as much system area as site will physically allow due to limited available area. InstaN trenches at elev. = 94. 0'. a~~# ~~~ Pit Ground Surface elev. 99.60 ft. Depth to limfing factor >99° in. Sal Application Rate Horizon Depth in. Dominant Color Murtsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots G *Eff#1 P DlfP *EfffA2 1 0-4 10yr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 4-23 10yr4l3 none sil Zfsbk mfr gs 1fm 0.5 0.8 3 23-66 10yr5/4 none sil 2msbk mfr aw 1fm 0.5 0.8 4 66-99 10yr5/6 none stmt. s Osg dl - - 0.7 1.2 goring # -~ t3orir>9 ~ Pit Ground Surface env. 96.95 ft. Depth to limiting factor 0° in. Sal Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Coni. Cobr Texture Structure Gr. Sz. Sh. Consisterxxr Boundary Roots C~' *Eff#1 D/fF *Eff#2 1 0-66 10yr3l3 m2p 7.1 ~~ sicl fill Om mfi ai 2fm nor nor 2 66-80 10yr5/6 none stmt. Ifs 1 msbk dfi gs - 0.4 0.6 3 80-98 10yr7/6 m1d 10yr4/3 .S. resi Om mfr - - nor nor Profile consi ackfill over okt dreinfield instatled at 72" below grade. * Effluent #1 = BOD ~ 30 <_ 220 mg/L and SS >30 < 150 uent #2 = BOD < 30 mg/L and TSS <~0 mg/L CST Name (Pl~se Print} Signature: ~ CST Number James K. Thompson s ~~ Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lame. Osceo 154020 7252003 715-248-7767 property Owner John Spah p~~ lp # 020-1123-70-000 Page 2 of 3 3 ,,.j Boring ~~ # ~ Pit Ground Surface elev. 100.51 ft. Depth to limiting factor > 118" in. Soil Application Rate Horizon De th Daninant Color Redox Descri tion Texture Structure Consistence Boundary Roots p in. Munsell p Qu. Sz. CoM. Cobr Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-8 10yr32 none sil Zfcr mvfr ~ 2f,1m 0.5 0.8 2 8-25 10yr4/3 none sil 2fsbk mfr gs 1fm 0.5 0.8 3 25-5 OyrS/4 none sil 2msbk mfr aw 1fm 0.5 0.8 4 55-118 10yr516 none stmt. s Osg dl - - 0.7 1.2 ~ ~~ Boring # Pit Ground Surface elev. 100.63 ft. Depth to limiting factor > 121" in. Sal Application Rate Horizon De th Dominant Color Redox Destx~tion Texture Structure Consistence Boundary Roots p in. MunseU Qu. Sz. Cart. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 0-8 10yr32 none sil 2fcr mvfr ~ 2f,1m 0.5 0.8 2 8-21 10yr4/3 none sil 2fsbk mfr gs 1fm 0.5 0.8 3 21-52 10yr5/4 none sil 2msbk mfr aw 1fm 0.5 0.8 4 52-121 10yr5/6 none stmt. s Osg dl - - 0.7 1.2 S ` ~~ # ~ Bonng 100.68 ft. Depth to limting factor > 123" in. Sal Pit Ground Surface eletir. Appliptxm Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots p in. Munsell C!u. Sz. Cont. Cobr Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr32 none sil 2fcr mvfr as 2f,1 m 0.5 0.8 2 6-25 10yr4/3 none sil 2fsbk mfr ~ 1fm 0.5 0.8 3 25-56 10yr5/4 none sil 2msbk mfr aw 1fm 0.5 0.8 4 5ti-123 10yr5/6 none stmt s Osg d{ - 0.7 1.2 !i * Effluent #1 = BOD y> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 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 608-266-3151 or TTY 608-264-8777. f~ P~ ~~I'i rrX~zC f oC4'~i orb o~ K~ a ~ Sa7 e /a luQ-f,~~ b y ho-.,d a.ccyG.- / 50;1 edaluu-~or, p, t • E12,/a ~-i an ~'o li„ s~oa ~+ P/'dY, lot 2S, P/c.~of'Ea~/e ~~ ~~i T , o{ l,~kdSc7 >s~o~~ Sloe ST CROIX COUNTY ~ !~ sel'T!C TANK MAiNT~NANCG AGRL'L'MeNT AND OWNERSIi[P CLRTiIi[CATION FORM Owner uyer Mailing Address Property Address (Vcrificatioa rcquir~d from Depactmeat foe aew coastnedioa) C~itY/State ~~'~SOI~ I~tr ~~lbPar~cet Ideatifeaiion Number Q` l~ '' ~~~ ~~AL A~SG'it~~TON ~-~~ Property Location ~ %, ~ /~ Sew Subdivision ~ ~ (~~~~ T~N~~W~ Town of C3 Lot # mod Satvep Map # - p.~c~ Volume Page # Wturantp Decd # .~~"c~ 0 / ~ Volamc ~ b ~o~~ r~e# Spo~.bovse Q yes no Lot Imes ide~ifiablc ~, t~ yes no ~~ii~ - i4rt'(~ • ~eoPa'+c9esadamumoemmo~af'y,oaraonldaembtiai~lspaoiimb~v+ametobmdLe'aas~.Psnpamai~anx of~e~~~l~aaaooac{ifiroododby~todpa,mpcr: •wb~tynapatmdojliesystem. ~c~sa~iatbotassccd~o~ - . °~+~s~:~it-to St CbaocT.mtiagDe~octm~tit~~ n~o~ by8~eowoacardfiy: isiapsopaopcu ~°~'or~~ocasod tfs~t(Y~Q,co~aauGci~ras~0adGsioutsysbcm a&a,~p-C~~ ~~ Issx$na It3~Cdt ofidadga ~v~C,aeadHre:borc aaa~e~o ~acQ.epci~ri~ese~r~ ~~ffiic s~mdsfids ~'~tof~mesoeaadQreDcpummco~tef~~mu~igfiSr:~eofWisooosia~ boa ~3~=pslembssbxaa~imodmcstbaoompkt~odmdremrnodtoli~SY:t~oot~Y7mngg~Otroewi~in30 ~~~~~~ ~~ h SI TUBI3 OF ~~ ~~//j0~ DATE UaIN~-(~R~TCA.~ON ~ (~) ~Y that all ~temcats oa this foam arc tcue tp liar best of u~r (~ kaowl~odge. I (w~c) am (arc) the owncc(s) of ~ mod by vi~mc of a ~~~y flood rooos+dod is i~istcr of Doody OfSo~ ~ c~ X03 DATE orfsss ~ ~~~ that is misccpc~csoatod may result in tho saaitaty permit bciag rcvolcod ~, ~ yoQUVg Dcpac~L •••••• s' Lidndo hrith this app4cattoa: a s0ampod vvaccaatyr d~ fi+om dvc ' of Doody otII~oc a ~y of the cutiiiod tunro3' m,~, it'to(a+cnae is taadc is five aractaaty decd Mound System Management Plan page Z of Purss~ant ~ Comm 83.54, Wis. Adm. Code . 1 ~ Seotic Tank The p tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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. Pum-- A 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 S tem 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 (Ocfober-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BOD5,150 mg/L TSS, and 30 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. Ge-~era~ . This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' ~mp~rnent manual [588. 9}j arid local or state rules pertaining to system maintenance and maintenance Po g ~9SJ -~10~Q1-P 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 seated 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 fair to accept wastewater or begins to discharge wastewater to the ground surface, ft will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged-adsorption and dispersal media, and related piping, and repladng 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 ~ -1 .~ S -'?~.$'6,_: ~/ 6 S Q S~"_ C(2„p~_X ;The system installer at' The tank manufacturer at ...1LSL,~Z~_ DD = ~~:S l.`.r R-N LJ 1 .;~ . ,:.- The effluent filter manufacturer at _ ~~ . 2-~1 - S7 Z Zt~3 The pump ~manufac.turer at ~ ~~1~_~2.:17, ~5~~ C~t~l~.t~~ ~~,.,~ _~ _ .State of .Wisconsin ,. ~ , Q, ..- REc~ivF~~ JUL 231980 ~ ZONING July 22, 1980 OffiCE zt )Kr. Douglas A. Strohbeen Route 4 New Richmond, i/I 54017 Department of Industry, Labor and Human Relations Please Reply to: 718 West Clairemont Avenue State Office Bldg. - Rm. 220 Eau Claire, Wisconsin 54701 Phone (715) 836-5364 CERTIFIED MAIL On June 26, 1980, a reinspection of soil conditions, using a backhoe, was made at the Randy Item residence in the Eagle Ridge subdivision near Hudson. As you may lanow, Mr. Item has been having considerable trouble with his soil ab- sorption field. Hia problems started when surface runoff began concentrating over the absorption field. .This caused the bed to become saturated to the point that the normal flaw was reversed and sewage backed up into his house. In all cases, the plumber is responsible far adequate landscaping to prevent runoff from cop- centrating over the system. ~~ In addition, it now appears that soil conditions on the lot are not as they were described on the EH 115. As a matter of fact, the backhoe pits I evaluated in- dicate that, at the depth you installed the system (e.g., 36 inches), a loam or silt loam was present and not gravel as the CST indicated. This means the perco- lation rate of 0.5 min/in.cannot be valid and the system should have been sized much larger. It is also the pl~ber's responsibility to make sure that the system is installed in the soil conditions as described by the CST. If there is ever any question as to the soil conditions, construction should be halted until the CST can return to verify his results. Mr. Iten has recently reported to me that there is quite a bit of effluent standing in the vetn~ pipe. This. type of situation may be typical of mature systems, but should not be occurring in a system only 16 months old. It is because .of my doubts as to this tion that I am contacting you again. present operating capacity,. that this If this is the case, I would like to Please contact me as soon as possible 715-836-5364. system's proper location, depth and opera- It is quite likely, depending on the system's system will have to be repaired or replaced. see all work completed by August 15, 1980. regarding this matter. My phone number is Respectfully, Leroy G. Jansky On-site Waste Specialist LGJ:sc cc: Mr. Randy Itest Richard, hall and Harris ~t. Croix County Zoning Office -ss6Q„Bureau of Plumbing State of Wisconsin June 6, 1980 Mr. Richard W. Hopkins Route 4, Box 81 New Richmond, WI 54017 Dear Mr. Hopkins: Re; Notice of soil test verification CERTIFIED MAIL On June 5, 1980, I conducted an on-site soils evaluation on property owned by Mr. Randy Iten. Mr. Harald Barber and Tom Nelson, of the St. Croix County Zoning Office, were also present at the site. Mr. Iten's property is lot 25 in the Eagle Ridge subdivision, located in the NEB, SEA, Sec. 7, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin. The EH115 I have shows that you were the CST responsible for-the soil tests done on Mr. Iten's lot. The tests were conducted on February 27, 1979. My preliminary soils investigation indicates that the soil conditions you described may not exist. Therefore, in accordance with H62.2O(3)(e) of the Wisconsin Administrative Code, I am requesting verification of the test results you indicated on the EH115. Backhoe pits will be required to tho- roughly evaluate the soils at the site. Percolation test results may also need to be verified. Please contact me as soon as possible so that we can conduct the tests on a date that is convenient to all persons concerned. If you have any questions regarding this matter, please feel free to con- tact this office. Respectfully, Leroy G. Jansky On-site Waste Specialist LGJ: sc cc: vSt. Croix County Zoning, Hao~nd Mr. Randy Item, Hudson Bureau of Plumbing, David W. Fredrickson Department of Industry, Labor and Human Relations Please Reply to: 718 West Clairemont Avenue State Office Bldg. - Rm. 220 Eau Claire, Wisconsin 54701 Phone (715) 836-5364 } 1 UiR-ADM-5360 1 ., State of Wisconsin « ` .. June 6, 1980 j1~3 K. Mr. Sam Miller Route 2 Hudson, WI 54016 Dear Mr. Miller: Department of Industry, Labor and Human Relations Please Reply to: ~ .r--- ~ ~ ~~. ~ ~ ~ ~ r_,~ J~A~ ~F~~F ~,.~~ ~~ G ~_ j~~/N I4rr- .. .~~ j i \ 1 ~.`.j,l~lJ ~', ~ ti V ' ,Y/'/ 718 West Clairemont Avenue State Office Bldg, - Rm. 220 Eau Claire, Wisconsin 54701 Phone (715) 836-5364 CERTIFIED MAIL Re: Plumbing without a license After our conversation on the afternoon of June 5, 1980, it was brought to my attention that you are not a licensed plumber. You indicated to me that you installed or helped to install the septic system at the Randy Item residence. Section 145.06(1)(a) of Wisconsin State Statutes states, "No person may engage in or work at plumbing in the state unless licensed to do so by the department. A master plumber may work as a journeyman. No person may act as a plumber's apprentice or pipe layer unless registered with the department." The records I have reviewed indicate that you are not licensed by the department. Therefore, the only work you may do pertaining to the in- stallation of septic systems is the excavation work. The placement of gravel, pipes and other plumbing must be done by a licensed plumber. In addition, the pit you dug for a seepage pit must be filled in imme- diately. This will prevent effluent and rainwater from backing up into Mr. Iten's basement. If you should have any questions concerning thi;s matter, please feel free to contact this office. Respectfully, Leroy G. Jansky On-site Waste Specialist LGJ: sc~ cc: "St. Croix County Zoning Office Bureau of Plumbing Mr. Randy Iten iILHR-ADM-5360 . ~ AS BUILT SANITARY SYSTEM REPORT ,,~ •.. OWNER • ~~ n,~ ! ~ ~''~ , TOWNSHIP ~'I+~~~~ •~ SEC.~_ T~N, R~W P.O. t~DDR~.`SF ° ~ ~ , ST. CROIX COUNTY, WISCONSIN. j. u . ti SU$DIVISION ~ r LOT ~ ~1 LOT SIZE Z ` PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM j ~~ ~ ~w fry s~r~~ ~i ~o~fP . s i o ~a ` /~~ ` . • ,y 5~ '~~~` !Z SE~'TIC TANK(S)~bGc ~1~GR. W P f S fir' CONCRETE .~ STEEL N0. of rings on cover Depth_~_ DRY WELL ;TRENCHES N0. of width length area BED no. of lines~_ width length area depth to top of pipe ~~ `AGGREGATE ~~ PERK RATE i-- ~ AREA REQUIRED ~ S- AREA AS BUILT ~ ~ ~~ Disc3aimer: The inspection of this system by St. Croix County. does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. :GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THI5 SYSTEM. 'INSPECTOR DATED PLUMBER ON JOB ~~ LICENSE NUMBER- - ' - ti • 1 ~ 'Y • , . ~- RF'I'OP.T Or I1]SPECTIO'.l--I:dDIJIDi1AL SEj~IAGE llIaPOSAI, SYSTEi•i • ~ ~ ~ ~ Sanitary Pernik o~¢ • • ~ ~ r ~ State Septic __~~~'~ '.'A:1E 1 e~~'~ ~ ~ ~J TOt•)I~TSHIP ~?~~J • ~ ~ t. Cr i;; County "-, S,r^.PTIC T~'?K ,:w- ~~ ~~ ~ C~~f y` . rxZe gallons. 'umber of Compartments . t ..•~ Distance Front: T•dell ~ . • J~ S ft, 12% or greater slope ft . ___w__ Building ` S`' ft, Wetlands f: • I~3.ghiaater ft. i ~ ~ DISPOSAL SYST :1 ~-Tile Field or ~ Seepage Pit(s) Distance From: i7e11. 'f ft• 12°lo.or greater slope ft Suilcini --~~ft, Wetlands J` f ~I. . FIP•,Ln i;i~;hwater ft Total. length of lines ~~ft, i~Turaber of lines. Length of each Line _~~.ft, Distance between lines ~_ft. Width of file treri ch f ~_ t. Total absorption area oZ. sq, ft. Aepth of~roGk below file in. D~ th of rock over ti P le a~.. 3n. :. ~-- Cover z~--- _ ~nver . xock,~('n~Pr Depth of file below rade ~• . g ~~in. ,,Zone of . trench L f n e 10~) f t __~__..... De th to Bedro . P clc ft. De th to .• P round w -- ~ . p, ater ft. . . . PITS ~ -.. .. .~ }lumber of wits .f~} Out~'e diameter ft. Depth below inlet ~7 . .______ft. Gravel ~nd~x~t : ,yes no. .Total absorption area ~- _-________s q . f t . .~ •Square feet of s page trench bottom area required :%quarp feet of eepa .e n' are required . ~ ~~ Inspected by~ Title':. . Approved __ .. ~ Date \ ., •,. 197. Rejected Date 197 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ' , ~ , ~ _ DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53707 ;. 4 • REPORT ON SOIL BORINGS AND PERCOLATION TESTS/ / LOCATION:~C'/a,'~~'/a, Section ~, ~ N, R/1~!a/(o~r) W, Township o~it~- i~~~~~"' Lot No. 7 ~ ,Block No. ~ • ~ ~- JS i ~~ °j ~' County ~~f ~ ~k'"~-/~ ~. _ Subdivision a e Owner's Name: Mailing Address: ~~ ~ «'G '~ TYPE OF OCCUPANCY: Residence ~~ No. of Bedrooms Z- Other EFFLUENT DISPOSAL SYSTEM: NEW / ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS ~ - ~ 7~ ,r PERCOLATION TESTS ~ -~ ~'" 71 SOIL MAP SHEET ~1 SOIL TYPE ~"J'~-~~~/~ - ~~~ ~c~ ~~rr,-~?lrX PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN HOLE AFTER TEST TIME INTERVAL DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE tN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/ P 1 - C~ ~ ~ 'J ~ ~ ~ S P-z ~ ,, ~~ ~ ~~ 3 ~ ~ S SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) 1 ` Z. ~~ 7 ,~ ~ ~ u PLAN VIEW (Locate percolationtests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable ar s. Indicate number of square feet of absorption area needed for building type and occupancy. ~''~- ~ ~ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. RL$67 State and County Permit Application for Private Domestic Sewage Systems *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # State Permit # p~O2 County Pefrpi County , A. OWNER OF PROPERTY Mailing Address: ~ r ~ ~ ~t~~i ~~u~J ~'~'~ B. LOCATION. N .- Y4 Y4, Section T N, R E (or) W Lot# -LCity Subdivision Name, nearest road, lake or landmark Blk# Village `~ ~ ~ f^ ,!'-(~ ~ 'n Township ~ u ~ u ~ C. TYPE~OF OCCUPANCY: "Commercial "Industrial "Other (specify) "Variance Single family ~ Duplex No. of Bedrooms ~ No. of Persons D. TYPE OF APPLIANCES Dishwasher ~~ YES NO Food Waste Grinder _ YESNO # of Bathro Automatic Washer YES NO Other (specify) ~ E. SEPTIC TANK CAPACITY % ~„i (,f Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks / New Installation / Addition _ Replacement _ Prefab Concrete y *Poured in Place Steel Other (specify) F. EFFLUEN DISPOSAL SYSTEM: Percolation Rate 1) ~ 2113) __~'Potal Absorb Area C`(~ sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile epth No. of Trenches Seepage Bed: Length ~_Width _~_ Depth Tile Depth No. of Lines ~- Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land ~ ~ '~ '?.. Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I Have sized the effluent disposal system from the EH-115 prepared by the Cef}ified Soil T/ester, NAME J1 ~ ~ c, ~~ ~1 ~ ~ ~ ~~~1 ^ 7 C.S.T. # ~ ~ ~ and other information obtained from ~ ~ lr n (owner/ _ 7 Plumber's Signature MP/MPRSW# ~~ ' S g 7 LPhone #~¢7_ 3.2 / 7 Plumber's Address L'('~ PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well-. Plb. t"AY ~ WISCONSIN DEPARTMENT OF HEALTH & SOCIAL 8fR`ViCES ~+ ~ti' ~ ~~ ~ Division of Health '~* ~ :" r ~s~h..- t.- ~~, ` ,t~J , _ _. ~,` ~ , -r . Section of numbing & fire Protection Systems "' _ ON-SITE WASTE DISPOSAL INSPECTION REPORT . 4 . -Name of Premises ` a ~.~` `%:~ a~ '(~ ; {,_ ~ ..~ f~ ,~ .ti~`~ ,,ti ~~ ., To „uJ ~, ; - =-~ ~ . ~.,, ~ ~ :.mot . r p,~, Street S ~,~, ':.Y ~~ City ,~ ~, County 11 1r ~ rYG. . Master Plumber `_.,i ;!t 1~ ~.:= ;~ .~`'~ ~ ~ , , '.; ; F , ~.~ ca f .a` `if y~ r` Address ,Owner i°' °'~Nt.~~ ~ I F.~ ,U .. Ackiress. ~~s _ r `;~,, :;~ uJ ~.',~".~~j ~C,' f ~ County Permits ^ Appropriate State Permits _ .Type of Building.. ~. Public. ~ Single Family orBOp18X" •• CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM _.. ` ^ Building Sewer r ^ Septic Tank ^ Holding Tank E ^ Bed F ^ Seepage Trench ^ Seepage Pit ^ Convenrtional Soil Absorption System ^ Conventional System-in-fill ^ Alternate Mound System ^ Holding Tank ^ Experimental System BRIEF, FACTUAL COMMENTS AND SKETCH' ~ ~ . i t ,r q /~/t L 3 ! ~ ...___.. . ..... _.. I ~ ~ y I ~ ~ ~ I € a „_.. S ~ ..... . 1 ,. .~ , ~ ._. -- _. t ~j ~ , ~ ,c v '~ r .._ ~ 1 ( . , e "r~~ State of Wisconsin June 6, 1980 ~ Mr. Douglas A. Strohbeen Route 4 New Richmond, WI 54017 Dear Mr. Strohbeen; Departn "7 8 J ~c ~~t~ .t? F 0 ~~~yc x`980 ~F~rF gent of Industry, Labor and Human Relations Piease Reply to: 718 Weat Clairemont Avenue State Office Bldg. - Rm. 220 `Eau Claire, Wisconsin 54701 Phone (715) 836-5364 CERTIFIED MAIL Re; Sewage disposal system at the Randy Iten residence On June 5, 1980, an inspection was made of the above sewage disposal system. The following violations of the Wisconsin Administrative Code were noted; 1. H62.20(4)(a)6a. "Concrete. All joints on concrete risers and manhole covers shall be tongue and groove or shiplap type and sealed watertight using neat cement, mortar or bituminous compound." All manhole risers and the manhole cover shall be made watertight. 2. H62.20(4)(a)4b. "The bottom of the outlet opening shall be at least 2 inches lower than the bottom of the inlet." The septic tank appears to be tilted in a manner that could result in the outlet being at a level equal to or higher than the inlet. This shall be investigated and the tank leveled so that the outlet is at least 2 inches lower than the inlet. 3. H62.20(2)(e)1. "Surface waters shall be diverted away from the soil absorption site." At this time, surface runoff is concentrating over the area of the absorption field. Fill material shall be added over the system area to prevent surface waters from concentrating over the system area. Care should be taken so that the fill material added does not exceed 42 inches above the top of the drainfield pipe. The above stated corrections shall be completed within 30 days upon receipt of this letter. Corrections shall be made at your own expense. ?IIJiR-ADM-5360 ,~ j ~ ,. ' lyr. Douglas A. Strohbeen -2- June b, 1980 In addition, I would like to remind you that only plumbers licensed by the department may work on plumbing. Section 145.06(1)(a) of the Wis- consin State Statutes states that "No person may engage in or work at plumbing in the state unless licensed to do so by the department. A master plumber may work as a journeyman. No person may act as a plumber's apprentice or pipe layer unless registered with the department." Further- more, section 145.06(2) states, in part, "It is unlawful for any licensed master plumber to allow the use of his license, directly or indirectly, for the purpose of obtaining local permits for others or to allow the use of his license by others to install plumbing work." Mr. Sam Miller indicated to me that he helped install the above referenced septic system. My records do not show Mr. Miller to be licensed by the department. Therefore, I want you to be fully aware that the only work he may engage in, pertaining to septic systems, is to dig the pits, trenches or beds required for the installation of such systems. Please coordinate your activities pertaining to the corrections that must be made with the county zoning office so inspections can be made. If you should have any questions pertaining to this matter, please don't hesitate to call or write this office. Respectfully, Leroy G. Jansky On-site Waste Specialist LGJ:sc cc: '~St. Croix County Zoning, Hammond Bureau of Plumbing, Madison Randy Iten, Hudson