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HomeMy WebLinkAbout020-1322-80-000' c~tn0 3~n Cy c ~ ~ i o ~ ~ ~ ~ ~ ~ e~ 3 m eo ~ ~ ~ ~ /~ ` ~ ~ ;.. 3 y ~ u~i O °~ p _ a~ p ~ ~ o M ~ o y m y o m i"i ` ~~ ~° °~7~ ~°N ~ n o ~ ~~ I ~ ~ ~ ~ v ~~ 2 ~o ~ ~ o ~ ~ p ~ ° ° p ! ~ ~ ~ o ~ ~ I p I m ca ? N _ ~ rn a I ° ~ ~ 3 ~ o ~ ° ~ o- ' ' O ~C ri V ~I I ~ ~ o { rn rn ~ N N N i ~ ~ vii N N~ C~ y~ C 1 I a c a i 3 ~ 'o lr o ~ ~ ' ~ • o ~ 000 ~ ~ ~ _ ° T ~ ~ ~ ~ " ~ ~ ~ N ~ ~ ~ i toNN Gov°~ o ~ a v ~ ee m I < m d ~ ~ 3 m ~ y N I a ~ ~~ ~~ w Z N o Z 7 Z 0 I ~' O D ~ I ~ m ~ ~ o m ~• I ~ N ~' !N ~ C ~ N I W C ~ n a o. Z 3 ? m ~ ~ ~ II j A Z ~ n 0 n ~ a i A ~ ~ I ~ .. ' ~ ~ ~ ~ ~ o I ~ a ~ z ~ ~ o ~ ~ I c ~ ~ ~ I ~ i m ~ z I ~ ~~ A ' ~ I m m' m m m~ Q ' cc ~ a I v °' .m y a47 0 '~3 y ~ ~ I I o a Z O W N 7 O ' a I I m m y am y ~ m g ~~~~ F I m ,°~,W ~~ Q°~~ ~ I wcnow~' o. m ° vv~.m ~ N fD • Cf o ~' . o ~ m~ ~ ~ b ~ v ~ I o mocv~ m y ao a t I i m ~ c~ I o ~ ~ ~ ti I o I ~ ~ c~, a I o b °p ~ ' i A dQ ~O ~ O ~ ~, a i o ~ ~, a °~ ~ ~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Bylding 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)]. Permit Holder's Name: City Village x Township Delta Construction Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: S ~ ~.<<~ o lw o TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~e~ (cs a /Z~~ D ' Aeration ding TANK SETBACK INFORMATION ELEVA ION DATA TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~~.~ {• s../ ! i ri ~_ Dosi Aeration H g PUMP/SIPHON INFORMATION Number Dia. SAII ~RSARPTICIN SYSTEM Ft county: St. Croix Sanitary Permit No: 399616 0 State Plan ID No: Parcel Tax No: 020-1322-80-000 STATION BS HI FS ELEV. Benchmark Alt. BM .2 Bldg. Sewer 3,3 Z. Ht Inlet ,z J 3 ~-It Outlet s' 3 Dt Inl Dt Bottom Header/Man. 3 A ~ s./ 7 Dist. Pipe 1 R , (~ (s ~'~'• z3 Bot. System L X L °J, ~ ~ ~, b 3 , Final Grade ~ /S_ S f00. ~f' St Cover ~ ,~ Z. C, / 3- Q (o b' '9`~ BEDITRENCH Width Length No. Of nches IT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 ' yy 3 Ts ~ ~ ~- SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM ~EA6tt1~VG Manufacturer. INFORMATION HAM OR , ystem: Type OfppS ± r 7 , ~ ~ Model Num er: `` Wr /s ~~ DISTRIBUTION SYSTEM Header/Manifold I Distribution ~ x Hole Size x Hole Spacing Vent to Air Intake fI Length Dia Pipe(s) ~ ~ ~~ Length~~~Dia Spacing ,~ / y SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over t '~ Depth Over Ed xx Depth of il T xx Seeded/Sodded xx Mulched Bed/Trench Center ! ~ ~ Bed/Trench ges opso ~ Yes [] No [] Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_L/~/.~~ Inspection #2: / /. Location: 658 Todd Lane Hudson, WI 54016 (SW 1/4 SE 1/410 T29N Rl19Wp)~ Scott A es L n8 Parcel No: 10.29.19.1668 1.) Alt BM Description = ~ ~~ ~~.,~,.~~ o~ ~' 1 '° 3 ~~ ~° ~C/ ~k~ ~l (f l~.e , f 2.) Bldg sewer length =.~` ;., ~,A(; 41(~t GtlSTypy ~d / G$7 CrCO~/C Gt o1„ ~ NSW - amount of cover = 7 ~!! / J _ 3.)O~~~rveL'~'o,~ ]~`P/.~ ins~Rllr4 ~ ~Da~ J19/t~P'~ ~/r I'.C ~/ CS'r G~t ~'D 0~,1~ Plan revision Regwred? Yes o ~ ' ~ ~ /„ Use other side for additional information. U/ Date j ' ~~I~~pcto~~Sre 3 G ~~ , ~ r_ lC ~ ~d ~61~ ~ SBD-6710 (R.3/97) ?.ltd" GL¢~ j E~L~i6lz Safety and Buildings Division County ~ 201 W. Washington Ave., P.O. Box 7162 ~ . iseons~n Madison, WI 53707 - 7162 ' Address ~' ~ Q De artment of Commerce sanitary Permit Number Sanitary Permit ApplicatiQa ~ 39 ~ ~ ` ~ ~ In accord with Comm 83.21, Wis. Adm• Code, personal informatrgn you'provide "Q Check if Revision ' ' ma be used for second ses Privac Law, at5. 1 m liption Information -Please print All Information ~ ~~ A I Sate Plan 1.D. Number pp . -• ' arcel Number / ~ Zp :(~ , /~ 7 s Name ~ ~ Property Owner l -. ~ ~ _~~~~ ~~ST ~ -'r Address NT`/ ili ' ' - ' ropetry Location ng s Ma Property Ow>xr . X~ '~ ~ U'.-,,, = ~1N(3 pFF1Gk ! ; ~ ~,,~ ~ 5i ~ 5f : S ~~ T N. -~~ ~ b Lot Number -l;ieele'Nmaber Zip Code er_ , ,tl .. ppptp l~lttm City. State / e ~ Subdivision Name CSM Number / ~~ S o /~~ 1~'/'//~l /zr'S U g~ II. Type of Building (check all that apply) / ..~ ~ sw~~ °`t~' Q °ht`'. ^Ciry 1 or 2 Family Dwelling -Number of Bedrooms ~ ^Village ^ PubliclCommercia - Dexribe Use owruhip l~~I,~S~~ ^ Stau Owned ~ ~~'~~ ' ` Barest Road III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. For County use 1 ~ New 2 ^ Replacement Sysum 3 ^ Replacement of 6 ^ Addition to ~ S stem S sum Tank Ortl Ezis Permit Number Dau Issued B. ^ Check if Sanitary Permit Previously Issued IV. Type of Permit: (Check all that apply)(nttmbering scheme is for intetTtal use) ~ ~ - '-" 44 (~ Non -Pressurized In-Grou>yd • 21^ Mound 47 ^ Sattd Filur - " SU•(] Constructed Wetland 22 ^ Pressur}zed In-Ground 41 ^ Holding Tank 48 ^ Single Pass S1 ^ Drip Line - _ .~ r1 .. n-a_ 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. D' ersal/'I`reatment Area Information: percolation Rau Sysum IIevatio Design Flow (gpd) Dispersal Area Dispersal Area Soil Application 1P Required Proposed Rate(Gals./Days/Sq.FtJ (Min./Inch) ~3• ?i~' ~~ S/Yr Z VI. Tank Info Capacity in Total Number Gallons Gallons of Tanks New F_xistioy Tu~cc Turks sepre oriielQir~ ~ - .Z ~ tbsio~ Chamlxr ~- VII. Responsibility Statement- I, the undersigned, assume rest Plumber's Name (Print) Plumber's Signatur~ g Plumbie & Perk Testin ~ ~' ~- Plu~$~ M~C~~flL~l t•F(t7:. Stau, Zip Cade) anal t;taoe IIevation .~ 7 0 Manufacturer Prefab Siu Suel Fiber Plastic Coocreu Constructed Glass ----- ~ - ~ l i ~ for installation of the POWTS shown on the attached plans. ivtFiMPRS Ntunber Business Phone Number Q. Count /De artment Use Onl Sanitary Perrttit Fee (includes Grottrtdwaur Approved ^ Disapproved Surcharge Fee) Qp ^ Owner Given Initial Adveru ~h ~Zr~ ~- Dau Issued Issuing Agent Signature (No Stamps) IIC~C~oJnditions_of Apprsov~ D~Pprpoval~ ~ ~ n _ _ . l ~C_~~pn0~-I~_- ,,vtp.+`/~~'tfl-w-er cb ~~ ~y°e.~ crtcQ.iv~4.wC~ ____- ~ .e.c,6,,,,,~1,,,~ (ryh.S , Attach rnmplete plaru (to the County ody) for the gstem oa pryer nat less than >>1/2 z 11 Inches to size cRT\~~oR (R t15i~11 ,. ,+. . , ~- ~~i ~c8 ~.~lro~ 3ar- //F6 DoT ~~ ~- .~'/11 = l~~tr , .~P of .r~L .,ter B.h ~' .~ Gb~~vt.E ~~T- /~O ~ ,~oT lsJV~ / #s d ~ .fKX ,1S•r~ n~ pf ,vim S~ ~~io/~ ~,,,sv.~~ ~-~ a-= , ~ x ~ ~0, rl•/y x=~~~ ~u~~ LmT tvciv~.~s = lv/=LG ~ s'a' FitoK.+ /3.fit~f ~i~T /F Sr1fT,c~i /off ~ ~~ s ~~rq+ its ~/~ie ~: RS R'srxr3~ ----~ ~. x - . p-1 ,~ r ~~' ~~ ~/rl~ ~gcT ~ ~( d~~ ' c x a-Y x~ ~ 4 r ~ l ~~ ~i I' I' I~ ~~ ~ - To~D L,~yyE - ~ ~`~' c~,~T ,~mT lrjv~ x ~~~ 5 ~~sw~ rl3 ~/~ie ~ R~ ~-y x B-? ~- l -1 f{cT. 4~~ a-Y o 8~=.. i~ ~I s' io $-s x~_ ~r 7 (~ ii ~ -- To,y~ tyrry~' LoT'~~ ~- ,~Dr-/1~ ~ Qom, ~ ,-~P of .~L .1~r Bps E ~f Gb~c,~GE' /~O ~ ,moo, r~.•y . k - ~h~~v~ Emi~/,~ Z O = ~~ Z~ ~C. S•T. ui/iy~/®o FsY7c/~ = ~„^~c 7 sa' F,~o.H ~~.y ~irl- of syfr,~ St~T,Sm ~ g1.2 7 L F_ ~/,EL /5r~c,~~iZ. i Wisconsin Department of Industry, SOIL AND SITE EVALUATION ~Laitor and Human Relations .rJivision of Saifety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# Page _L of 3 APPLICANT INFORMATION -Please print all information . a wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ Z/~O Property Owner Property Location I ~' ;[~ `)'„ Govt. Lot ~ w 1/4 ~E. 1/4,S ~~ T,z 9 ,N,R ~ E (oq~ Property Owners Mailing Address Lot # Block# Subd. Name vrCSTvt~ ~ ~ ~ City ~~ State Zip Code Phone Number o ~,~S Nearest Road ~~jj /T~/~SO/(~ 19i1~' I S°Y1s)Ol I ~~.P/) //'~C ^ City ^ Vil lage m Town .B New Construction Use: Residential /Number of bedrooms ^ Re lacement ~- Addition to existing building P ^ Public or commercial -Describe: Code derived daily flow d°~ gpd Recommended design loading rate ~_bed, gpd/f12 . ~_trench, gpd/ft2 Absorption area required ~~bed, ft2 7.50 trench, ft2 Maximum design loading rate •~bed, gpd/fi2 ~~trench, gpd/ft2 Recommended infiltration surface elevation(s) /~=f~~y~ ~~;_ % ft (as referred to site plan benchmark) Additional design/site considerations ~ Parent material "'~ Fiood plain elevation, if applicable ft S Suitable for system wnvenuonai U Unsuitable for system ~ S ^ U iviound In-Ground Pressure ^S DU ^S ^U Sr~ll riFCf DIDTIIIAI DCDADT Horizon Depth i Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench _ ~~YI L~ G s 8 ' ~ ~ .z - _ "o_ 6 c s .S" 3 2. - ~--- 5- ~ L _ , ~. ' ~ '~S A~ fo(~ OS '~ .08 , Remarks: ~ ~J // J - sr s - ..~ s 6' s c' Ni' L - ~ . I `t3. 2~ 2 • ~`' ~ ~ ~$ ~3•~te 9q. ~ ~ ~ 3 199 yin. Remarks: Name (Please Print) Signature n _ ~ ~~~ _ ~ ~~d.. - i~2r- ^S ^U I ^S ~U I ^S BU I ST GF~C~IX ., ., .~ Address ~ ~ Date CST ,.~,,,, .PROFERnr,owNER~T~' !LYIlyT" SOIL DESCRIPTION REPORT . Page Z of _ PARCEL I.D.# ~ oT # ~ Boring # 13. J Ground elev Depth to limiting factor ~ in. Boring # 9s. a Ground elev. ft. Depth to limiting factor ~-- in. Boring # s_ q6.9 Ground elev. ~ft. Depth to limiting factor -' in. Boring # F- .~ i E Ground elev. tt. Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench - - G C U ~- dr S o- L Fr S s''' . ~. 2,2~ q3. ~ ' .9~ 9~• 9~ •`~~ 3.g ' Remarks: U fo-~ ~. `- ,s ~. '. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ~ © /c--,3 / ~ ~ L V ~- , a ~ ~ ~ 1 c -- ~ ~ t u ~S ~ Remarks: Depth to limiting ' factor in. Remarks: SBDW-8330 (R. 08/95) ~pT _ Lxx/E ~' x ,,, / ~, ~.s QE / ~~X~- 2 7'~ x "~ r3 / ..~-~ ~~ Perk Tester i Plumber 6s53233 x/3289 lOEEICT~WISNSI 54023 Phone 74~-3656 , ~ _ i ~~ f~'~ ~~~~~` ~~Ct~ ~'ovs'T ~s~ LoT ~~ ~ ,~. 3 G .4C/zE S L scsf c~ ~ "= yo r ' ~ # / d.. 7'0 ~ o f Nj~FL .a-r d~+-s~' o F ~i w~ R Lsw~ f'DL~'~ !~t'SHNE rQO.o ' ''~ mss- d = Togo of N vt/ s u,~ vEY pR c q~we/~ ~zoor X = /loRr~vG ~ _ ,DOwE~~r~E /~DLF„ /~ 2, 3 E~ E V • - 93.7 ~ in' 3/`~ir~'CEV = 93'g~ (~~/r(J ~° II -~ • ~ `. a ~ ~ " ~ N ~ 0 ~ ~ ~,K ~ v C7 If II ~ ~ ~ 'd ,~ ~ w ~ ~ U ~ ~ _ . ~ ~ II _ ~ `~ p ~ ~~~ ~~ ~~`~ ~ • t o ~ a ..: c~ a ~.: , ~ i~ a~ I ':. ai .. 1 ~ ~ f ~ V ~ ~ `MIS . , ~ ~~°,~~ ~ ~ `~ ~- ._ ..U k ~ ~ ~+: .. \ •~ \ :~~ •~ ~ ~ •... ; ~.~. ~ ~ i , ~ .• .". , ~ ~ II ...~ ~ a .~ ~ .' a ~.~ ~ i, ~ a .. .. .:. ~ . ,b ; . i •.~•i O i Y _. ~.'. p., II ~ it II _ _ _ . o a~ ; ~-+ ~ v~ ~ .~ ~ p c7~' ~ W ~, U ~ •~~ ~ ago o ~, O ~ ~ - I~ a j 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 cpunty 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) pU Estimated Flow -Average (gpd) Septic Tank Capacity (gal) ).Qp Soil Absorption Component Size (ftz) ~ Type of Wastewater Domestic ~/ Table 2: Soil Absorption Comppnent -Limits of Reliable Operation Septic Tank Component Soil•Absorption Component Design Flow =Peak (gpd) ZuD ~ Maximum Influent Particle Size (in) 1/ Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease' Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable , Restrooms). The operating condition of the se and outlet filter shall be assessed at least once every 3 years by inspection. The outlet ilt r shall be cleaned as necessarti o ensure - properoperation. The filter cartridge sho 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 tanlr are not removed at •the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with.Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption-component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. P from the system is prohibited and considered a human health hazard. 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 re orfed to the owner for repair. The surface discharge of domestic wastewater or sewage 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 thins 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. 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. i~ Mound System Management Plan Septic k -IC tank and The septic tank shall be maintainedccordancde w thINR titl3tlWiseAdm. Code.tThe operating2 ond8i ntof the seP~ntents o the septic tank shall be disposed of in a outlet filter shall be assess he filtoacartr ~r a ho Id not be removed unless proovisionseare made to rota n solids n the tank that ensure proper operation T .J may slough off the filter when remov Into mittens filter alarms mayf ilndicategsurge dflows or anampendingt continludussalarm tlThe the alarm is activated continuous y septic tank shall have its come link are of ehmoved acothe tme olf a9nennial assessmentnmaintenance personneldshall ad ~se the tank. If the contents of the. the owner of whe,1 the next s orvical or chemi bat add vestlo enhance sept cttank performanceu s generalldy9 of requiredtion in the tank.. The addition of bin g However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump k ears. All switches, alarms, and pumps shall be tested to "' The pump (dosing) tank shall be inspected at least once every 3 y verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs shouldfb d as ntecdessary to prevenPeros onsand to provide some protec on fdrom frost penetral on. Traffic shall be seeded and mu (other than for vegetative mainte ndn~ndono ecompaction~n theowinter weldpromote frost penet-rationayCold weathe on of the infiltrative surface within the mou installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L GODS, 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 provide east once every PJ3 months. eWhen aapressureltest~stperformed+t should't~' ach lateral be flushed of accumulated solids a compared to the initial test whrrn the system was installed to determine if orifice cloggitlg~ has•occurred and if orifice Cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell as alnbmcending hydeaul'c failure requiring aiddiGonal more frequent monitorl~gwner, and any levels above 4 inches considered P General This system shall be operated in accorda 9 e and tocoal or sta8e rules pertaining to systemalmaintetnancetand ma'~dntenanceh its component manual [SBD-10572-P (R. 6l9 )] reporting. No one should ever enter a septic or pum danceswith Comm 83 33 aW s. Adm. Code whenthe~anks are noeongeSuseld asd pump tank abandonment shall be in acco 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 to failure must be replacelda Exposied access open rigs greater than 8-inches pn d ameter shall unsound, defective, or subjec be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or componen . Contingency Plan If the septic Iar;k or any of its components become defective the tank or component shall be repaired or replaced to keep t e system in proper operating condition. If the dosing tank, pump, pump controls, alarm nentof he same oe equal perfortmanche. defective component shall'be immediately repaired or replaced with a compo If the mound component tails to accept wastewater o I area if toe leakage occurs ortby removing biologically clogged adsoript'on or replaced in its' present location by increasing basa and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. + Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. lr ~. Fogerty Pluimbing #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635-9609 J ~l~~A/ Maintenance The interval for servicing septic tanks is set by state and local cod re ulato g ao enc es suggest two tohfive years. wide difference of opinion on what this interval should be, but mos g rY 9 The Zabel'" filter, which does not increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped. However, our filter is virtually self-cleaning. The continued action of the anaerobic organisms on thmartFt efrlt alarm Seoul wilgl be not ied by and alarm when the f Ite~ needs servic ng. the tank. If your filter contains a S Y 0 Remove the tank cover and pump the tank if necessary to prevent ..any solids from escaping to the field '' when the filter is removed. While holding the cartridge over the access opening rinse off the cartridge with fresh water, being careful to nnse all septage material back Into the tank. 'Note: It is not neces "spotless". The bioma aides in the pretreatmi be left on the filter. (If i maybe disas; Firmly pull the filter handle. and slide the cartridge out of the case. 'Note: A tee handle may have to be used it the litter is too far. below-grour-d level to reach. Contacl'Zabel for into on tee. handles `;''.~ k Insert the filter cartridge back in the case making sure the filter,Cartridge Is completely Replace ..,.n/ Er The product(s) shown are covered by one or more of the /ollowing patents: U.S. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683.577, 5,582,716, 5,779,896, 5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482,621 U.S. Des. 386,2a1, 349067, 4605501,5096568, Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand:-264824; . ~ ~ Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1-800-221-5742 • Website httpJ/www.~abeM 60r To service the filter: 'Servicing any zabel filter should only be done by a certified septic tank pumper or installer. Locate the outlet of the septic tank. i . ~~ i~ " -, 6 INSTAL[.,ER'S NOTF,S: RECYCLE GREASE! Do not pour grease down the drain. Your septic tank and filter will not handle it. NO BLEACHES! Do not introduce bleaches into your system. The bacteria in.~your septic tank is what makes your system work. Bleach kills the bacteria. When that happens, your septic tank will no longer function correctly. This will cause premature failure of your system. WATER SOFTENER! Do not run the brine solution into your septic tank. This solution " has a high concentration of lime (that's what makes your water hard). The lime tends not to settle out in the septic tank but goes directly to the drain field. Lime is an excellent sealing agent, and yes, it does the same thing in your drain field. Think of your sewer system as you would your car. Treat the attached information as you wAUld your car manual. Remember, also, that your car requires regular maintenance. '>/are must be exercised as to what you put into it. And like your car, your system eventually will wear out. The question is -how quickly. If you have any questions, please call: Dave Fogerty 715-749-3656 -Roberts 715-635-9609 -Spooner If you have an emergency, and you only get voice mail at these two numbers, call Keith Knutson at 715-796-5436 -Hammond I have read the attached information regarding the construction and maintenance of my sewer system. Owner's Name Date ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~,. ~o ~,~~ ~~ Mailing Address ~-.~ ~ -. ~--~r~-~. S~-~ , ~t-~.~- Property Address _~~~ d~~ L~ -~~ (Verification required from Planning Department for new City/State _ , (,c%% Parcel Identification Number LEGAL DESCRIPTION ~ u~~ r 3 y ~ ~ go - r~ao Property Location fu/ '/.,.f_~ '/,, Sec. /d , TL9' N-R~_V~~, Town of /~Gl.I~~O~/ Subdivision ~c~7'T ~CR~'S ,Lot # ~ Certified Survey Map # '~ Volume ,Page # Warranty Deed # .S~3s r<t~ .Volume !! 77 .Page # 3~'d Spec house (] yes ~J no Lot lines identifiable ¢] yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification slat' g that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da of the eye expiration date. ~ ~ //~/a SIGNA OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pr perty desc bed a ove, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNA APPLICANT DATE s.«*«* Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** .,~ ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 0 7 V~ 1 1 1 1v r 7 ~'1' n i y ~ o a O b= y ~ 3 ~ o~ ~~ ~~ ~ N W N m O V O 0 0 d 3 v n a X v m a ,1 I h n 'a ~i r `), ~ ~ /~ `{ ~ 4 O y ~ ~ O w .two V A m <_ 7 N N C c o m a ~ c ~ 3 obi o~~ ~~o N ~ S N .0 ~ N CC? ~ C O O1 N 0 v O 7 2 O A O W N 0 N N d .~ v v c rn m 0 N co CO T 0 7 7 N 7 f0 N N O) W O D m p C 7 7 ~ o ~ ~ ~ ~ v v v < < < m m m 0 0 0 \ 0 0 0 °0 0 0 \1 °o °o °o o ~ K 'y 1 am y y < ~ ~ C 0 fD G: ~ a ~ ~ ~oc, f H ~ _a ~ ~ LL ~~ ~ ~ O C y O ?. N 0"i ~ ~ , N o ~~ m a c ~o c n ~ 1G ~ H w y N m ~~ G R _. .~ e^~- MCI y y C O A Z ro ro A A A y b A 0 "S b C A "t F~ 0 Q d r-i O R C A d b ~ o ~ ~1. ~~n Q~o b z ~• o Q, IMP ^ y \ J b y N C Q. O ~.. ~. N O o' ov a- N O 0 w A A n N 0 w N ~0 ~~0 R ~ ti O~ ~°, b 3 Document N,~mbrr Return Address Parcel LD. Number: 020-1011-00 WARRANTY DEED ~__ i177P~,~~~ ~ ~ . ~ -... _ r y C; - ~ __ . 1=ti~.~~cr. ., ~~, . .._~~, MAY, 10 ` ;'? 11:00 ~ A.,i l.. J 1 ~ w . I.AI.. _. :~ o ~ /~~r C3 Joseph A. Klewicki, a single person, conveys and warranty to Delta Construction, Inc., a Wisconsin Corporation, the following described real estate in St. Croix County, State of Wisconsin: Part of SWI/4 of SEI/4 of Section 10, Township 29 North, Range !9 West, St. Croix County, Wisconsin, described as follows: Lot l of Certified Survey Map fried April 24, 199G, in Voi. I I, page 3083, Doc. No. 542664. s T r~s~~g This is not homestead property. Exception to warranties: Easements, restrictions and rights-of-wly of record, if any. T~ Dated this ~ day of May, 1996. (SEAL} seph A. Klewicki STATE OF WISCONSIN ) '1 ~ ) ss 1. COUIv fY ) ACKNOWLEDGIVtENT SEAL) Persu.tally came before me this ~~ day of ~ 1996, the above named Joseph A. Klewicki, a single person, to me known to be the pe n who executed the foregoing instrument and acknowledge the same. Notary Publtc County, WI My commission expires - ~ors Atic~ ~~' p~iic THIS INSTRUMENT WAS DRAFTED BY: S~i~ ~ Hlisco-tstn Attorney ICristina Ogland Hudson, WI 54016 ~: a . M N ~_ M M N M 3 N M 0 Q1 W Z tp M N t1D n M ~D N .Q - ~, «. 1- W N tL F; N ~ O U LL ~ ~ N W O ~ ~ r N N tp ~ U Q O Kj tp M1 M ~ 01 ~ nj N ,£I'bZS ~ I I Q I I Fs~~ ~ \ ~~~ ~°~~ ° ~a ~ ti 3„ 6£, SZ o00N 1 1 /~~ ~' ~' i ,9Z'IbS 3„6£,SZ,OON / ~. o ~. LL /.,~ Q N ~ ~ / ~ C~~~hO ~ (D ~ ~~ ~~F~ / M N / ~~ N O 1 / / / I ~ i 1 ~ ,0£'L6£ 3„6£,SZ,OON ~O O .-_.. 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