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HomeMy WebLinkAbout020-1126-00-000 I o h ~ o° I o ~ I ~ I ~, I Mi a' ~ I I ~ e I I ° o I N h I I ~ I I ~ I I ~ ~ I I I I I I ~ C E I I a~ a`~i ~ I aNi I Z a ai I ~ Z I {L ~ C O lL C O O O 3 N I 3 I ~ ~ ~ I ~; E a M ~ ~ O v y °' ~ ~° ° :' ° I ~ d' o ~ ~ I o ~ ~ z a m ~ a m I r~ I o I o z ~* c I c ~ I ~ ~ ~ y ~ d Z~ Nt-~ ~ w C ~ U ' w C O ~ E I ~ caa ~ ~ I -a ~ I ~ U ~ M I f~ w N N ~ _ ~ N~ ~ _ U ~I,~ ~ a ~, ~ I ~ = a~ ~ I • N ~ ~ O ~ N I N ~ O N I p ~ N a ~ I a~ ~ ~ I Q z°mz I z cZ ~ I N N I z l d °' I ~ E c I ~ E ° .. I R ~ ~ N '~1 rn ~ R d - d ' ° .. R I y ' I ~ a ~g b '^ °' ` o ~ ~ Q ~ a ~g I cn H d ~ o ~ ~' a0i ~ ° I ~ o a ' . ~ L o a o E E m m~ w ~ , O N N N ° ~ ~ ~ O d cn N N N ~' ~ ~ ~ ~ ~ o °° ,~ I ~ I Z I •~ I~aaa ~aaa ;~ I ~ I O O N 'p N y 1 ~ O .~ N C p O ~ "~ I ~ ~ . -~ w ~ _ w ' °' I ~ ~. ~ m ~ m I ~ ~ ~ I m Q m a d ~ o o O Y H c ''~.. N rn w c M I Q r ~ ~ O C °0 0 3 ~ !, O M U ~. ~ °' -e ~ I ~ ~ U °' ~ 7 c a d ~ O c ~' ° I v ~" O ~D of ~ c m m I ~ € ~ ~ ~ ~ I ~ o N a °' rn ,° ? o o I t~ .yam. j ~ S ~~ n I • • N I~ 3 o 0 2 v rn~ ', ~ ~ N O vs f6 f6 Z ~' 2 2 N pp ° M O O N Z N O N Z Y R U ~ cA Q ~ ~ = I ~ a ~ € a !' I ~ a I ~ ; d a ' ~;a~ I ~;a~ • `i i a ~ ~ c c :: ~ ~ °r ~ w ~~ ° a~ ' ~ i O ° ov _1 A c ~ ; v it ~c ~ ~ . „ ,u x - , I ,. , ,d. . :~ ,. ;~ ..:~• April 30, 1982 ST. CROI X COUNTY WISCONSIN ZONING OFFICE 796-2239 HAMMOND, WI 54015 Teresa Windhause 200 Lakeside Drive Horsham, PA 19044 RE: Roger Dahler Septic System ~ Dear Ms. Windhause: The septic system for Roger Dahler, NWT of SE's ~ Section 7, Lot 47, Eagle Ridge Subdivision, Hudson Township, Hudson, Wisconsin, was install- ed 11-20-80. I made the inspection for the property and the system was code complying at that time. Your truly,/ Harold C. Barber Zoning Administrator sl ' _ _ _ _ ,~ AS BUILT SANITARY SYSTEM REPORT ?. ' ~ ~ ~1~ R ~ ° ~' `' o ~' , TOWNSHIP Lis ~ SSEC.~_ T~, R r 1 W 0. ADORES ~ m r '' ~, t,•• r, ST. CROIX. COUNTY, WISCONSIN. ." 3DIVLSInN~ ~ .; '„ , ~/ y ,~ ~ LOT ~l LOT SIZE '~' 9 ~ ,~ Z.'2 3 • PLAN VIEW •Distances S dimensions to meet requirements of Hb2.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 5 i ~ ~ ~--_ _~ i i _. G v __ . --- , - -~-. --. 7 0. r! v i ~ ~ t 1 ~4' i I di~Ca~e ~To~thl Afro 1 ~, ~ U S C~L r- I' U - . ~PTIC TANK(S) I MFGR. ~r ~' ~' CONCRETE ~ STEEL . N0. of rings on. cover Depth~_ DRY WELL BENCHES N0. of width length area J no. of lines r _ width length-,S~.~area~'~` ~ ~ _ depth to top of pipe aGREGATE _ 9~ RATE , ~'" AREA REQUIRED ~ AREA'AS $UILT ~~ ` ~ . ~S~iaimer: The inspection of this system by St. Croix County does not imply complete o;,pliance with State Administrative Codes. There are other areas that it is not possible c inspect at this point of construction.,St. Croix County assumes no l~.ability for Stem operation. However, if failure is noted the County will make evexy effort to termine cause of failure. BASES AND OILS SHOULD NOT BE DISPOSED TIiROUGH THIS SYST .. ~ `'INSPECTOR < %~L~ DATED PLUMBER ON JOB ~ ~ti • LICENSE NUMBER - ~ .~ ., - ~. a: REPORT OF TNSPECT7ON - INDIVIDUAL SEGIAGE SYSTEM San.i..tany Penm~.~_<~' ~~ S.ta~e Sep~~,c `dAME Tawneh~,p G~~~ ~ ~ S.t. Cna~x, Caun~ty . ~ ~_ a c a~~, a n N~ 5 ~_S e c~~.i, a n__~__ L o ~ # __~~S ub d~. v.i~ ~. a n ;~vTTa ratiK S~.ze ga~.~an4 H.ighwa.ten ' `f ~'UMPTNG CHAMBER Numb en o~ campanZmen~ Bu~..bd~,ng ~0 S~.ze ga.Q.~ane. _ .Pump Manu~acxunen MOLDING TANK S~.ze ga.2.~ane Numb en a~ Carn.pan~men~ Pumpers ~tetanee nom: we~~ A:2anm S ye hem H~.ghwa~ten •f3S0RPTION SITE ~ , Bead /,Z,~,j°',,Z Tneneh i a~ance ~nam: WeQ.Q ~~ ~ ti~.ghwa.ten "- l2o e~2ape '" Modex Numb en Bu~..Fd~.ng 12 a e.~ape._ Bu~i~.d~.ng ~~' ~2o e.2ape ~- •.BSORPTION SITE DIMENSIONS _ __ w~.d~h a ~ .trench ~ ~ ,~~ Length o~ each ~.~.ne `~~ ~~ Numb en a {~ .~~.~.e~ ®~ Ta~ak ~engzh a~ ~~.nee~ ~~ D(exanee be.~ween ~..ineb ~ b~ v~.u, aG<~ J~~p;t~i.un area ~ ~~ 6.t 'IT DTMENSTUNS~' Numb en a ~ p~.~te Requ-i.ned anew ~ ~2 6~ Depth a~ noelz betaw .t~.xe. /~ ~n Depth o{~ Hach oven ~t~i.E'e __d2- _______~,n Depth a{~ ~~..2e be.Faw grade o?_~,____~.n S~.a~e a ~ .tneneh ~ ~.n. pen 100 ~~ y Type a~ Caven: Paper o ~ aw ~'' I Gnave~2 anaund p~.~te Yee Ou~e~,de d~.ame~ten ~.t Depth below ~,n.2ex 7o.ta~ abe anp.t~.an area ~~ Area nequ~.ned ~.t NSPECTED BY 'APPROVED ~~.L 6~ TITLE DATE ~j 19 8_ ~.13759~~ REPORT ON INSPECTION OF SANITARY PERMIT # 9~~'/ ~/ 1 Name and Address of Permit Holder Person/Persons at Site 2 Date of Inspection ~ , ection Time of Ins am ress, icense o. o ns a ing p umber p ~M ~~ 3 INST ATION CONSISTS OF: ^ Septic Tank []Seepage Trench ^ Dosing Chamber ^ Seepage Pit ^ Seepage Bed ^ Holding Tank ^ Fill System B ermanen re erence oin escri e: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: (7)DOSING TANK: Manufacturer: # of gallons: # 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 ^ N0; 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; t he depth.; lineal feet tile; 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 SEEP E R 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 DILHR-SBD-6095 N.05/8 Signature of Inspector: PLB 67 State and County Permit Application for Private Domestic Sewage Systems "DENOTES STATE APPROVAL REQUIRED State Permit # County Per it # County Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LO ATION: '/4 '/4, Section T N, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village C. TYPE O OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family /Duplex No. of Bedrooms ~~_ No. of Persons D• SEPTIC TANK CAPACITY ~~6~ Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber -Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New ~ Replacement Alternate (Specify) Seepage Trench:~-No. of Lineal Ft. Width DgPth Tile depth (topNo. of Trenches Seepage Bed: ~ Length_ ,r•2- Width.~~' Depth~Tile depth (top) ~ G No. of Lines ~- Seepage Pit: Insid diameter Liquid Depth No. of Seepage Pits Percent slope of land.~j ~~` Distance from critical slope WATER SUPPLY: Private Joint ^ Community ^ Municipal ^ Owners name as listed on EH 115 if other than present owner: 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 Certified Soil Te ter, /~ NAME .'[ ( ~ G / • Cif ~~ C.S.T. # 7 - 1 y ~a~d other information obtained from (owner/build Plumber's Signature Mp/MQRSW# ~ r'~~~Z' Phone # Z4~' ~ ~~ J plumber's Address ___/r_4/ (G N1 [f /r o{ ~r S ~ _ PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. Gt/~ (1 i s h a f" ~~ c ~(c~ ~. ~` ~-'.r . a EH~ X15 Rev. 9/78 t . REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES 3 ~ ~~ / P.O. BOX 309, MADISON, WISCONSIN 53701 n~ s LOCATIONavw'/a;~~ %a, Section ,T~N,RI (or)~Township or Municipality U 9 ~ ~- Bl t N k N L ~ /Q s ~~~L Count 6` ~ ~ oc o o. , o. Owner's%Buyers Name: - ~ O y u Ivlsi e e`- Mailing Address: / ~~ ~a ~ r ~ d~G TYPE OF OCCUPANCY:. Residence X No. of Bedrooms ~ COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW x REP LACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS ~ O "' ~ -~y PERCOLATION TESTS LU-30 "~O D Q h~ K r~GO ~c~f' ~l SOIL MAP SHEET __ _ __7 / NAME OF SOIL MAP UNIT 17 PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME L DROP IN WATER LEVEL, INCHE RATE NUM- BER INCHES THICKNESS IN INCHES SINCE HOLE 1ST WETTED HOLE AFTE SWELLING INTERVA IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P-~ o ~ .~ ' z .tlo s' 3' 3 ~ ~- P- S~r~ ~ / ~Dre ~ T r L- /~O ~~ r y~ 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- ! ~ avt 7 tr / r ~l V ~ ar` s'f'G't. b a S'1~'Gh, B- 3 rr t > 'r d .r ,2 t~ v r r ~~ S~. G r. g_ rr ~ ~ ti rr ~ rr ~ f p .r S •Gr, CI ,r.S"r-Gn PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on th p an~F~e location and "square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy 6d'"~ Indicate scale or distances. Give horizontal and vertical refere~'ce points. Indicate slope. ~u..`I~ ~t /Qr ~, E .._ . f ~ ; a i i ` ~]f 5 E a ~ j ~j ~ 1 y. .ts f ' A~~yS ~~ g~.~-. .~. W.m .. ~~ ~ _ ~ ~~ a ~. e,~~` ~. ; .~ ; ~' ~ ~ ~ . n . ~ _~~~.M ,.. ~_ ~ ~, ~ _ e _~ ~ _ _ ~ .~.. _ _-~- - t t ~ ~_ ..~ .~ ~~..~. ~.~_ m_ _ m ~ ~ ~.~~». e~ _. ~. .p f e ~~ ~~ N i ~ ~ ~ e i I ~~ ~ =.~~~ ~ ~ ~ _ ~ ~ - ___ _e .6 _ _ . ~ _ ~ ~_ ~- ~ F 6 ~- =~ f ~ ' ~~ _~..~ ' ~ ~D/,,,~~ F _ .~. ~ _. ~ g t i r [ ~. ~ - ~ a ~~ ~~~~ ~ P ~ ~r ~ ~ ~ ~ ~ 6 ~ ~~_ . ~ .~~_r_ .m.e _ ._ ~ _ _~ ~ _ -- F ~~ ----i~-_ 3 ~'+~•~ ' J . ' • ~ ~ Q ...~.. h V ..,~. c ~ ~1' ~ ~ ~ ~ '~ ~ ° ~' ' ~ A. ~ It • <' ~ ~~~ O o ?~ ~ ~ ~~~ ~ *-. N o' n _ ~. o- 2 ,z 3 ' ~~ w 1 ~ '~ `~ A 3 ~ `Q ~ ~ ~ j` /, ~ ,/ ~~ / ,~. i ti;' ~~ ; 0 0 ~~~ `y° 4 s~ ~~ -- ~_ O. /~ -~ ~ ~ v-~ ~~ l~i~ a ~f/~, y L ~ Go- 4 ~'! ~ Z ...~ ~` d o" • i• N ~ ~ • /* VWsoorasin Department of Commerce Safety and Buildings Division GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) ounty: St. Croix Sanitary Permit No.: 384272 State P an 10 No.: Parce Tax No.: 020-1126-00-000 Personal inlorrnation you provice may be used for secondary purposes (Privacy l.aw, x.15.04 (txm)]. Permit Hotdei•'s Name: ^ City (:] Villac,~ ^ Town or: ] hler, Roger Hudson Township CST 8M Elev.: Insp. BM E ev.: BM Description: ~-I 9S. 1 lretitiS = ~Bµ Z ~~ uv u~r~nu ~r~~~~ ~ rsr~~ ~~~~ v~~~~~r~ ~ w~~ TYPE MANUFACTURER CAPACITY Septic k~ST(n) t.t.In,IGAA9t~f~ ~ ~ Dosing Aeration Holding TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. vent to Air Intake ROAD Septic > g'p r > y-o ` ~ ~ / NA Dosing NA Aeration NA Holding PUMP /SIPHON INFORMATION _ Manufa urer and Model Nu r PM TDH Lift Friction S tem TDH Ft Force n Length oist. To SOIL ABSORPTION SYSTEM/I ~ rDaa<.r.,~. w! ~--r-_ . A .~Q. BED /TRENCH Width ~ Length ~ N O Trencfies PIT No.Of Pits Inside Dia. Liquid Depth IME I N 3• Z OIM I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Man ~ ctu~ ~` ~ , SETBACK INFORMATION Type / $ Z~ CHAMBER OR UNIT Mo a Num er: _ C. 6• ~ - System: ~' ID ~ (~ .s rr DISTRIBUTION SYSTEM Header / M n~ old (( h Oi ~ Distribution Pipe(s) ti th Oi L ~ x Hole Size x Hole Spacing Vent To Air Intake 9a' a. Lengt eng a. 9 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil I ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons presentJt~ectiOn #1`.,Sw~y /d G~ / ~-Inspection #2: / Location: 392 Krattley Lane, Hudson, WI 54016 (NW 1/4 SE 1/4 7 T29N R•~~al'1) - 072919576 Eagle Ridge -Lot 47 1.) Alt BM Description = ~t~`T tea- ~°"`'~/ ,' 2.) Bldg sewer length = \r71 ~ ~~~, u -aIT~Qunt of cover = J`. // E~~~~`~~+-= t2 ~`1°"~~) Plan revision required? ^ Yes ~, No Use other side for additional information. 01 ~ SBD-6710 (R.3/97) Oate Inspector s Signatur Cent No ELEVATION DAl A STATION 8S HI FS ELEV. Benchmar Z. ~pp , 9S. ~-( t. BM Bldg. Sewer ~ St/ Ht Inlet ~"~ St/ Ht Outlet (o . zo ~~+ ` Dt Inlet . ~ .K Ot Bottom Header/Man. •Z'( ~j2-S'3/ Dist. Pipe g.0` 92-bp} , Bot. System 1 ' ~~" ,b0 ~. Icf / Final Grade t Cover I •`fS"~ qq.2~ / tt V a.~~_ (o ~ 3 Z C~ 3 I D l Safety & Buildings Division Sanitary Permit Application 201 W. Washington Ave. PO Box 7302 ` ~SCOnS~n In accord with Comm 83.21, Wis. Adm Code Madison, WI 53707-7302 Department of commerce Personal information you provide may be u secs r purposes (Submit completed form to county if not [Privacy Law, s. I S ~ .~~.~. ; ;/ .~,:, state owned. Attach com late laps to the count co onl for em n a ^r nowt s an 8-1/2 x I 1 inches in size. County' State Sanita Permit Number ^ h f revisi ~ ~ ious app ' i State Plan I. D. Number I. A lication Information -Please Print all Information r, eA i.---' r .non*tn.,. ro arty caner Name `~ / j ~ J``~!~ :~~ -" .Property Location 0 ~1a /~d ~LJ~ ~~° 1^ ~ . U ~s'~ h,N'r!,u ~ a~, • /1/// It /d ~F i id c °1 T _~Cl w~ o ion .__ .. ~ / ' Lot Number Number L ~ City, State Zip Code Phon e,~ Subdivision Name or CSM Number II Type of Building: (check one) ^ city J~ 1 or 2 Family Dwelling - No. of Bedrooms:_,~ ^ village ^ PublidCommercial (describe use): ~ To of ^ State-owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road A) I. ^ New System 2. 'Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tax Nu bar(s) ~ S stem Tank Onl Existin S stem B) Permit Number '~_ Z',l ~- S~ Date Issued ^ A Sanita Permit was reviousl issued IV. Type of POWT System: (Check all that apply) Non-pressurized In-ground ^ Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V llis ersaUl'reatment Area Information: I. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area Required Propose d ~j,~°~ ~.J lJ `~ ~~ ~ ~ ~ / ~~ 7 . Z VI Tank Capacity in Total # of Information Gallons Gallons Tanks New Existing Tanks Tanks 4. Soil Application 5. Percolation Rate Rate (Gals./day/sq.0ft.) (Min./inch) /) Manufacturer Prefab Con- Crete Elevation q~-vim ~ 94.5 Site I Steel I Fiber- I Plastic I Con- glass structed Is~c I- I I li~~~~ f l N~ I ~' I I I I I ^ VII Responsibility Statement [ the undersi ed assume res onsibilit for installation of the POWTS shown on the attached tans. Plumbxr's Na riot) Plumber's Si t4ro;,(no sta ,.~- » ):' MP/NIPRS No. Business Phone Number Plumber's Address (Street, City, State, Zip C VIII County/Depad(tment Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date tssued Issuing Agent Signature (No stamps) Approved ^ Owner Given Initial Adverse Surcharge Fee) /~ ~-~-- Determination fP Z Z.S.-pp ~/Z/ZG~~ ~1,,.. ~irt,A e.,..~i - IX. (C~~onlIdition`s of fApproval /R'/easons for Disapproval;:~ '~ ~I-'i ~ tGl~ ~ bQ ~ h s I$o~,~l~d(,/S~r//11~ <c c rd~ _p p/ r w/~ a Y.l~l-~ac/~c~r<r 5 v e c~tow/~ w~ e.-~Lt.~(-•' o,~ ~ ')C t'o N~ NCr 10.C CG l t" S~r (ti 1G:tLcia.~ 5~~: l i ~ ~ ~l UY f Y t l o ciC(~et~. ~_.. _j...~. _~ ~/ a I _._._ - -...~___~~1.~ ..___.._..~. ~._..__. X4!1. ~/l..L-:...._ ______.J~ m_ __ . o u.~.~ ~ex'....._ . ~~,----- _ ~~ ~~~r_ _ _~ __ _ . _ _ .___._ __ __ _____,__ __ ~~- -~ °'~>> o~~ ~ i~>_ W II I ~' 1~tic~ 3x 9~~5 (3~ ~B~NC~ 1~~X: Bo~~,~ of %~ S-D)Ny pffu~,~d ~'fV ~ SoJ IOU. U \~~' \~a ~ ~ ~~~~~ ~L~~~ '/~;~' l~P BJ ~ /U' NcI. k ~I~v, 4S.`~1 ~o~d~ ~~W ~~ f 9~ ~ ~ ~'„~~1 G~~~.e ~~.5 ~ ,~,H~,S''~ r ~~~5 ~ C (~ ~ ~ C ~ . O ~ ~' . ~ ~ > ~ C Y •~ r 'C C y... ~ E c ` ~ C ~ - Eo ~ C O ,xx ~ N :_. N EE~ ~ N N ~ >. >.~3 v, o o . °~ T /n ` r M ~ X to ~ ~ ~ ~ cd ~ N t X C U ~ ~ -.. M T a~ ~ ~ c .S o f~ r SOIL EVALUATION RE~?OI~~`-' Wisconsin Department of Commerce ~. ~,..._.~ f i\ •. \~_ ~ Division of Safety and Buildings ,,,,,... .............Fti ~,,,,,.„ a~ ~nr~ nr:~.., .r:~"p 1314 ....Page 1 of 3 A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8'/Z x 11 inches in size. Plan mu~t~/ ~'• .,~ l p t ~ ~ St. Croix include, but not limited to: vertical and horizontal reference pant (BM), direction apd- ~,~ 1til- an~lncati4n and distance to ne~rest load. north arrow scale or dimemsions ercent slope par ~ , , , p r _i i t -000, ID# 07.29.19.576 ~':,•. - } ~,'= ~ Please print a~ti~tntatidn gy Date Personal information you provide may be,usfld {brs6cond purposes (ESri~yLayY,~s. 15.0,4 U} )). - ~~,Z '~ ~ L PropertyOwrter _ ~ r.r~»vtY ~ ~~ ~r' ~~; Pr ionON~NCs ~c•~ ;__ Roger & Barb Dahler _ " Property Owner's Mailing Address ' i "L~ ~._ F ovt. L . ~, ,,, NW I/ 4 S 7 T 29 N R 19 W Lpk # k , or CSMat . , " ~~ ~ ,~' ~~ '- i ~ 392 Krattley Lane ,, ~- __ - 47 _ ' ~_ Plat Of Eagle Ridge City State- Code ~ tier C:' ~ ~ rE ' •, ~~ ~ City ~ Vllage Town Nearest Road . C `~ `` Hudson ~ W)'~ 516 -..~#~~6-6 , 41 Hudson Krattley Lane ~ New Construction tJse: ~ ReSti~eriti8l 1,+flui~fier';of:~edrboms _3 Code derived design flav rate 4JU ~ru _ Replacement _; Public or'ror~tterclaF="describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Install bull-run valve to allow future use of existing hydrollically failed sysem. Existing system elev. = 94.00'. a Boing # ~ Boring > 108" i n. Soil Application Rate /~ Pit Ground Surface elev. _ 96.82 ft. Depth to limiting factor Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots GP Dlft2 1 0-13 10yr3/3 none sil 2fsbk ds as 2fm 0.5 ~ 0.8 / rt 2 13-33 10yr4/4 none sil 2msbk ds cw 2f,1m 0.5 0.8 / 3 - 33-108 7.5yr4/6 none gr.ls imsbk ds ~ - if 0.5 0.9 ~x~s>L.~~ h 92. 0` _ p~ _ // S ~ ~ e b ~ 3 .~ Horizon #3 consists of an unsorted mix of s, Is, gr.ls, & Ifs. Loading rate adjusted to reflect reduced permiability of horizon associated with textural chances. Boring # ~ Boring - ~/ Pit Ground Surface elev. 96.41 ft. Depth to limiting factor ' > 106" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlft2 1 - 0-7 10yr3/3 none sil 2fsbk ds as 2fm 0.5 ~ 0.8 / 2 7-20 10yr4/4 none sil 2msbk ds cw 2f,im 0.5 a.9.$ 3 20-106 7.5yr4/6 none gr.ls lmsbk ds - if 0.5 .~ 0.9 / tt~ y2.o' _ • 9 ~ -.~ Horizon #3 consists of an unsorted mix of s, Is, gr.ls, & Ifs. Loading rate adjusted to reflect reduced permiability of horizon associated with textural ~'~ charfaes. * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/ * Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig ure: CST Number _ James K. Thom son __~~~ __ 3602 ~-- - Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number Osceola, WI 54020 9/25/00 715-248-7767 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mglL and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or r ~~. 30.3 Scale,:/'= ~/D' ^ So%/ 06s¢rlla~i p;t • E7edafio~-~ • /oca~ed~orc~• Sfa.~[, 8~~ of Sidt~. /}ssuMcd 2/elf . /Q^J. G27. ' .4 /~ . ~. irf. ~ Tov off' i tort /o t S~da~Ce . 4 E/e!~ = 9S. ~~.~ ~e~ ~~~~~ ~o~ s ~a~b ~a.hle~/~i•Pio• ~~ ~~~af-Eler L.+~. /of y7 ~/a.t oFEa~/e ~.dyc, T . o•~' /fi.o(so~, 5~. Croix C0; u7/, \ ST. CROIX COUNTY 7,ONING Of~'FICE CERTIFICATION S`.CA'_I'EMEN`i' FOR UTILIZATION OF AN EXIS'I'iNG SEP`T'IC TAIJY. This is to certif that I have inspected the septic tan Y, presently serving the ~~p~ ~ ~,~p~^ residence located at: ~'r, ~_;~ Sec. ~ , T~_PI, R~W, Town of ~/,~~'tall~ ---- St. Croix County, Wisconsin. Upon inspection, I certify that I leave found the tank and baffles to be in good condition, and it apl~ea.rs to be functioning properly. Last time serviced Did flow back occur from absorption system? Yes line. _ Approximate volume or length of time: Capacity: __ _ _ --~ Construction: Prefab Concrete ~-_ _ Steel Manufacturer (if known): ___ Age of Tank (if known): ~~ Other (Sig tune) (Name) Please Print ., '~ 'i1 ~ ~ ,~, 1 ,, 1 (Title) a~Ur (Date) No,4__ ( if no, skip next gallons minutes (License Plumber) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank, to the best of my knowledge, will conform to the requirements of ILHR 83, Wis. Aam. Code (except for inspection opening over outlet~~baff.,jl~e) . Name J'J rte. lSpu ~~~~ Q(~, Signature '~-.~_ MP MPRS v ~j-3o? ~UL_ __ _ _ ~~ f ~i /er Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow -Peak (gpd) ~ S Estimated Flow -Average ( pd) 3 v 0 Septic Tank Capacity (gal) I O[a (~ Soil Absorption Component Size (ft2) U U Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Desi n Flow -Peak (gpd) (} 5 ov Maximum Influent Particle Size (in) ~ 8 1/8 Maximum BOD5 (mg/L) d 220 Maximum TSS (mg/L) 3 0 150 Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component .Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the 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 ,., Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or ofher freatmenf or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage #rom the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 ' Management Plan fora Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. When system fails, we will replace with another system at owner's expense. Alternate area must be left undisturbed. St Croix County Zoning Office 386-4680 Boumeester & Sons Excavating 386-9020 Tri-County Sanitation 386-2130 3 ST CROIX GOUIVTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address Properiy Address ~5. ..y ~~ // (Verit'icadon required from Planning Department for new construction) Ci /State /~'IG~S ~~,' tY ~ Parcel Identification Ntrm~er ©~1~ -//~~ ~1S -pp~ Property Location %, %., Sec, ~ T~~N-R~.W, Town of Subdivision Lot # ~. CtarNfied Survey Map # Volume ,Page # Warrsnty Dced # `_ ~~ _`7~~(l ~ Voltwc ~> ~, Page # ,Qc~_, sptx house ^ yes no Lot lines identifiable ^ yes ^ no .ti ~~ use sad a~iatenance of your septic system could result in its premature failure to handle wastes. Proper uraintenaace consisb.of paouping'out the sepdc tank Query three years or sooner, if Headed by a licensed pumper. What you pat iMo the syatern can aBect the timedon of tip sepdc talc as a treatment stags in the wale dispoul system. The property owner'agrxs to submit to St. Croix ?.oaiog popartt~nc a cerdficadon form, signed by the ownor and by a tnaste<plttta~er, journeytt~an plronber, tnstrictedplumbor or a licensed pampa verifying that (1) the on-site a~tervatar~tpopl syalem is in pt~oper oponting coaditioa tutd/or (2) , intpecdon and Pumping (if nocesaary), the sepdc tank is less r „ At ahdse. Uaro, the '~ ~ ~` ~ 3~ tmderdgned Nava read the a .. ~*t~3and agree to .maintain the private sewage dispose!. tatsadards ~ ~ hete~n,,as ~ by ~ ,:, and tl~ Depudnent of Natural Resource:, State of Whoop tbat ~' tic systear ha: been msintair~d~nusc be completed a~ returned to the st. Croix Coanty Zoning 4l7ive w 3t# da ~f the ttmee year expiration date. , ' ' `, ~i,. / n o,: SI OP APPLICANT DATB OW R ~ .r r vas I (we) eerdtjr that aU adttentants oaahu ,,,form. aro truo to the best of my (our) knowledge. I (we) am (ere) the owner(s) ~ ~~' ~il,Y described ttfwvo, by virtue of s~wturaaty deed recorded in Register of Deeds Office. J) ~ ~ ?3 SI TURB OF APPLICANT DATB ~ri ~, •*"*~ Any informadon that ie mis- may~result fn the sanitary permit being revoked by the Zoning •""Ye '• IInclade with this a [cats : a s ~~~, .`,5, PW tamps! :warnuyty deed from the :Register of Deeds otlice a copy of be cerdtkd survey map if reference is made in the warranty deed :~ _ + !>KiCUMiNT WG. ~ lTATti e~R w wtttcot+nN - -oe>. t 'I TN1e f7IAGt •aaaRV[O t"Ow AlOO11YtM{ DATA ~- ~ von 623 ~~~E 0~ .~..~.~~ n~ :, _ __ -_.,_a. __- . Eag~lt Ridge Associates Joint Venture, Cons of: ~' T6~ Deed; o~ ~,~,_ Sh~gley_ M. Martinek~Linda ~. REG~tTERS OFF-CE - ~eurd_gn~,j_~P,~c~,_C:~rlea F. -~osQOQf,~~aPid D.__.. ST. CROIX CO., WIS. „~,,~:~ Villia~n ~I,._S~kQ.~:....... .-...-- Reed. for Record M-is 13th i. `. ......_. __....._._.. ~ Gnntot -- t~ _.B~~T..JiL._~eh].~~._R....~._.F~tTSS~._$... _ ~ IF Nova AD. 1980.. ~.~.~~._..~i.. Q!~~.?~..s.._.3~....l..in~1.~..~~.~..4~a... ._.._._... of 0:00 A ~A. as ~c~nt tenants Gtancee, the aid Gtaatot for a valuable coosidentioa..~ One Tother good and valuable conait9e= ation aonTeri to Gcaetee the foilowins described teal estate in St. Cr01JC. Connt;. State of Wisrnnsio: ~~ ~_ .. _. _ - = _ :_ Lot Fo'.~rty-seven jla7) in-Eagle Ridge a Rural Subdivision _ -_ - - --, Located in the 3& l.~llt ~Y Section 7, T29N, RLgGT, Towr. - - ~~ of Hodson, St. Croix County, Wisconsin. Ta: xh n.~_.. .. This is _. _ homestead pmperq. `j~I11`SI ~+H $~. amp I L~ Togetber with alt and singular the hezeditamcots and appurtenances thereunto befunging or in aa~ vise appertaining: ` Aod ~~antor ._..._.._._. wt~ts that the title is good, indefeasible iv fee simple sad free and dear of eocumbcances c.ccepLM~T`T`eIIt _fi3XS,S.y..r $____ ~>~..~rd' ,aaoea..and...rocordd...~azaon~~...and_.re~tri~tians.._ __.__..~.._..___.._....,._...~.... and .ill wacraue sad defend the sage. Fieatted a• Eludso~,y._;>j~.S~.QItB~II~__.... this.__._.._ 1~ dad of____t:'~r1.3C..._.~._.._.~., 19.19+. // -~ - taotr~ um sue'" tF ` ~ ^ ~~ ~ 4 OF SECTION 7, T29N, RI9 W, TOWN OF MqT~ . ~ y ~~NF, ,. 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