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HomeMy WebLinkAbout020-1365-04-000 ~ m m o S ~~ G < ~ c ` \ Q. ~~* 7 7 CD ~ N ~ ~ N ~ C_ ~ ~ ~ N ~ N N N AI °~ ~ v a m o i ~ o ~ c~ ~ m c v c m c c~ ~ ~ ~ o O ~ V A ai ~ ~ ~ p W C 3 o r. z O y ~ c I ~. a Z I o ~ -D °' c c a o v m I ~ ~ m < IN ~ Q N z O i w O o~ ~ N C W a ~ Z ~ ~ O N O 7 I 3 ~ ~ o D a ~ ~ 9 : ~ a a ~ m'°'°' a v _ n v w z ~ ~ m 0 m i ~ ~ m ~' c ~ ~ ~ _ n - ~ A -O ~ C I p 'O V ~ O d N Q ~ ~ N_ d (D O y N I N i O 7 O ~ ~ O O. n u~ O '' 3 ~ n o d ~ y f 7 c ~ d o A ~ ~ ~ ~ ~ C ~ ~ ' d ~ A ~, 3 = '` 3 ~: o w ~ = o A C7 '~. ~ d N O ~ ~ p ~ ~ ' ~ ~ ~ ~ O O p ~ N O W ~ ', ~ o ° o y H ~ C a ~ ID N '. Q G ~ .. n O O J p O W p ~ N -{ ° ° O a n r v1 o p ~ ~ N o c ^~ a ~ ~ v ~ 'I m °Y O O O c 'i ~ ~ ~ ~ ~ I, ~ A O O ~ m m ~ ~ ~ m m _ - p ', ~ ~ p N ID d 7 ~ N Z ~ Z D T ~ w ~o O N ~ N = C (D N 7 fp '..I a m ' ~ I .~ ' ? 3 d i ~ .. ~ I N W ~ j1 ( ~ O O 1D fD I~ -~ Z c 3 j ~ ~ o r: 3 cn ! ~ ~ N z _ ~ i A W 'I ~ II ~ a ',I /* . virsoonsin Department of Commerce PRIVATE SEWAGE SYSTEM safety and Btrtldmgs Dnnsan INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provke may be used for secondary purposes IPmacy Law. s.15.04 (1)(m)]. e m Ho der' Name: ^ City q Village Town of: Ge ~o~lova ~ullders, Hudson Township CST f3M tlev.: insp. un _ 1 =l ~' ~S TeNK INFORMATION ,~ TYPE MANUFACTURER CAPACITY Septic r ~p~p Dosing Aeration Hold' TANK SETBACK INFORMATION TANK TO P/L WELL BLDG_ vent to Air Intake ROAD Septic ~S ~f 2,~ ~ -' NA Dosing u (~~ t` ~} d' NA Aeration Np` Holdi SOIL AB ORPTION SYSTEM ~~~ c TREN Widt3 , ~$ 9~,i IME N SETBACK SYSTEM TO P / L INFORMATION Tyler O S em: ~• l Y~ DISTRIBUTION SYSTEM ''~ Header / Mani of u Distribution Pipes ELEVATION DATA STATION BS HI FS ELEV. Benchmark 5-- g r_ r Bldg. Sewer $ .~O Z,Z2 f St/ Ht Inlet ~ • 95 Q(• `~~ r St/ Ht Outlet ---- ~--~ Dt Inlet '-' Dt Bottom 12•`$ $$.2 ~ Header /Man. ~•Qs 1 q2 . } Dist. Pipe ~~ Q3~ ~ Z ~ Bot. System 9. ~S ~ ~ , Final Grade Cover ~ `~o' `j~. `iZ ~ BLDG WELL LAKE / STRE ~--~ I I 1 x ! ~ - ~' No.Of Pits Inside Dia. LEACHING Mz~ `rt' CHAMBER M e Nui OR UNIT ~i -G ;~~P 1 x Hole Soacin9 r41a..s ~..u~,r v 9~ ~ ,, ~ Length ~ Dia - -~~ 'N°""~•--~1 ~ /~~+~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only '~- xx Seeded/Sodded xx Mulched Depth Over Depth Over xx Depth Of Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No ~ q / COMMENTS: (Include code discrepancies, persons present, ~Bnection #1: °~'/ ~/ol InS~ectiOn #2: --F---- ~~ Location: 630 Todd Lane, Hudson, WI 54016 (SE 1/4 SW 1/4 10 T29N R19W) -1029192164 Riverpark Meadows -Lot 4 1.) Alt BM Description =T~+ ~ ~~"`~- ~""`~"~''~ "'~ ~' (~ ' ~''~' 2.) Bldg sewer length = a9 •~' -amount of cover = 3(."-~. ~~ 3) ~~,e.Q.~/~-lam ~6-~ ~~ ~~a~`e4iswn~s u e~ Yes ^ No ~~ tA.~ 'e-~-~ ~-0iC'Q" Use other side for add' ' information. ( ' ~ ~ ~~~ 6~n InspeS.toi s ~gnature ert No SBD-6710 R.3/97 ~ ~~ Dat ._. ~ a~~() n .~/C.t.rri~•~'S2~L8''b Gsa~~C. ~.% 1+~^'l' ~". I~GG: u~d~ 6H- ~~~Z DTI ~~ PUMP /SIPHON INFORMATION - ~.~' 08'30~~ ' Safety t:,3 $1:livir~y~5 Division 'County "~"- ~~ ~/ ~~s~~iwn~nw A.,. U Pt Sl..w '71 to L"T y r _ ' Medtton, WI 33?tl7 - 7i61 i !ia Address i ~e artrnrnt of C mr» roe (03 ~ -~-b o ~ LSE ~ San~ita~ry Pe~rnaft App~fcst3a-a-~~..~ ~ eaeetd iyb Coll f? W ' stAiat~ ~~i; ~i ~ w or "33. it, Alibll. Code, paeodt lttt'dgh-ya~t provida i ,~~. ('1 C>:e~ it' lteviflpd i ~ ~ • ~ htttt htAermr ~~ R ECE~VE D ~ .-~ \` l.b• Nv~tber •~"~" ~ E `r0p°~ ~~s' ~/~ ~ ~~ C t4 ll ' .,1 - . rn~ !UN 1 1 2001 ` ~ ! Pu'at Nsimber 020 - i',~S'r o'f- ~ j ~. o i w . , ._ _ fin. 2R• /4.21b Properq+ 't nrv.~w~ 7~' ~O ~~ ,~' aC.~ ~ ZONMVGOFFICE % t,~-.SGC/ 16• $ ~ N $ I City, Sate code ~, ~ ureber Blnclc Ngtrber f y ,,, - ~S/iccpsv~ ,` ~~''~/O/G 7, ~ ~! ~ 34 9 I ` ~ . Y1~ ~~.~dow s' II. 'i'rpe o1' ~tlittln~ {e]srak all tbtut rA ) /' _„~ •,,,,~ ^~' ~1 or Z > riw113q - Ntmtbtt at ~tdraotot •.~ L~VtEitSe i ^ FubiielCormnttciei - Detel~t Uto t ~ ~~/ ~ sntlt thud ivwrett 3~ k ~~ ~~ c~Qs EQ. Tjpe of l~sit: {Qu oWy ow bout on Itae A tat;mtstar3~ap tchettte for Inteearl w~el. Co mplete ilroe 8 it rppltaebie} -~---~ ! Ntw 2 ^ lttplettnteet 8ytstat 3 ^ ILpttatweat ad 6 u Addidcn m ar °~ tore Se ~ 8. ^ Cttttit i! tlseatouy Perm#t Prsviov~y ttt~l : Numbat Otte Issued ' IMrraaitl ~ tbu rppiy3 scheme {e for iaterual ass} -'+~ -(bU ~ ~ 44~ Noli ~pleilt{Clttd It~QxOt10d Zl^ Aiouod 47 ^ Stad Fi1iu SO ^ Coatttucted Wetlar.~f Y3 ^ Pnetatrittd Ia~t?roand ai ^ iioldi»p Toile N ©SissSie Put 3; ^ Drip L~r» 43 Cl tb ^ Afsobia 7teetaneat volt iQ ^ Reciru ~ ^ t}tber D Detips ~ Rtqulttd ~~) Ptapottt~ „~...~ SR AFpliptiers .Peeevlatdoa Bete a~ ve ar ttw Cmde Rlttttt3ilt./f~tyt/Sq.Pt.) @Qit-•ltteh) ~ ~ ~ievei£on '" ysd ~' ~i~ / ~ ~3 ~ , ~ ~z ~f a ~ ~~' ~~ ~ y3, 3-0 Vj,'1'~ j~{p ,Taut Ntio:bts Doer ikttit6 Site Steel F4bar ; Pitttfs ~~ t1tJloat at"hal~ , Cottrea Caaeuvcud , Qless { ~ ~ ~ ~ ~' oe ~ Od' l lrJ,~iS ~Y ~ .••• Y~. Btetttwot- tlr fer of tl-t TO~V'i'8 ehew~a ee tlu ettse~est + tli N1tmDtr Btstttwt Pbare Ir'wcba: t Z~ "t ~ ` l,~t ~ Sc ~~ a. ~-- .~~ ~--- ~ as 7 94 ~ ~ 7lS'-3 c- 3~a ~ `t ~ ) otsadwtoer Asset Sr ~ (a S~' ~ ~ Q ~ ~ Feel Q o+rear diver Ideiet AQvesee ~ 22~ ~ 2te s ESC. Cmt~daao ai Ap ~o~- m for Dlrpprorai ' , ~ l~ ~-sys~. e~, ~ ~ ~ ~k. e~-. (~st~ r ~~-b~-- ~- ~ 9 .~.~,r,t,~ ~. %S ~ ~ w"aa. ~ ~ Q ~ pr pe me camp Dan sK w erstte ee pti~ as w ass w.: as w®. m +oor `.~~~t:~~~8~•63~8 tR. X101) ,.~ . 1 `- .. I Uo ~ ~ f \ ~ ` ~ `\\V M Y V O i ll • ~ SSW' ~Y. `v ~ /rfi ~~ y~ N 1- ~, /l / r~ ~ ~. 1 o ~ . ,. ~. ~ ~^ ~ A ~ Q ~- ~ ~ 1 ~ n ~ ~ A. b ~ ,i ~, o:~ N ~ ~~ ~ ~ ~ ~ ~. a ~ '/ T ' Ly y S r ~ ~1 •_/ ~.b~~ ~1Jc~ ~~~ r ~~ ~" • ~~ j~ ~ ~~~` ~' g~ Y \' I o ~; ~l ,~ 9 ~®/.~~ Dr,'o~ r...l,~ „_ .Snl'J ~7~fiGl/ /i / e . Goulds . p~~- _G o~ ~ Submersible ~ " ~. ~ ~.> Effluent Pump . ~~ ~ }~ ~~ ` ~ ` ~~ EP04~ ~~ _~~,~~.~~ EP05 .,. ~, ~~ APPtIGATIflttS Specii"ically designed for the following uses: • Effluent systems . • Homes • Farms Heavy duty sump • Water transfer • Dewatering SPECfPIGATiOiiS Pump: EP04 • Solids handling capability: 3/a" maximum. • Capacitles: up to 55 GPM. • Total heads: up to 24 feet. • Discharge size:l'/z" NPT. • Mechanical seal: carbon- rotaryiceramie-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (iS0°C) intermittend. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump; EP05 • Solids handling capability: ~/i maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet • Discharge size:l'fi" NPT. • Mechanica€ seal: carbon- rotarylceramic-stationary, BUNA N elastamers. • Temperature: 104°F (40°C} continuous i40°F (60°Cj intermittent. ID 1996 Gollds Pumps, inc. • fasteners: 300 series StalnleSS Steel. • Capable of running dry without damage to components. Motor: • EP04 S€ngte phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, SO Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length, iii/3 SJTW with three prang grounding plug (standard an EP05). METERSIIFEET 101- 91' 31 2; ~ 7 v s 2+ 5 0 11 ~+ a 3 1; 2 • Fully submerged in h€gh grade turbine oil for lubrication and efficient heat transfer. Available for automatic and maiwat operation. Antomatic models include Mechanical Float Swttch assemlbled and presei at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical sea( protection. ^ EPfi5 impeller: Thermo- plastic enclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion. resistance. ^ Motor Elousing: Cast iron for efficient heat transfer, strength; and durability. ^ Motor Cover. Thermopfas- ticcover w€th integral handle and Noat switch attachment points. ^ Power Cable: Severe duly rated oil and water resistant ^ Bearings: Upper and lower heavy duty bail bearing construction. A6EltCY USTIN6 ~• can~ata~stana~as~o~ton (CSA listed model numbers end in "F' or "AC°.) f ~ ~ '~ ~ ' y.~ I -~ i :~ ;~~ i •w ~ ~. i~•2 ~; ~ E i in ~ n 2 n 3 a 4 t! 5 o GPM . ~ ~ ~ 4 ' ~ --1 - - 0 2 ~1 /~~~6~ 8. 1Q 12 nt'At >, J ~ ~: . EtfeclFe• May, 1995 `i'~C.Z. VEA1T PIPE ~ 25~ FROM DOOR, WINDOW OR FRESN AIR IAITAKE ELEV. SEPTIC E DOSE TA IJ KS ALARM PUMP PUMP CHAMBER CR0~5 SECTION ANG SPECIFICA~r10~15 SPEGIFIGATIOAIS MAIJUFACTURER: ~t~~`~3 ~ 1-~ TAIJK SIZE : f~d~~6 Sd GALLOAIS MMIUFACTURER: ~ ~lJ-el/,t, ~ Yn• MODEL I.IUMBER: p~ SWITCH TyPf: ~1e Y c' MAAIUFACTURCR: ~'°'"~~~5' MODEL NUMBER: - '~/ad ~C/~ :(i F ' 'r~'\ ~... _~ ,\ P~CEIt~~~ ~~ IJUMBER OF DOSES: PER DAy DOSE VOLUME Q INCLUDIfJG 6ACKFLOW:..f~7 GALLON'. CAPACITIES: A= ~-~-AICHES OR _~3G/ GALLOWS g = 3 INCHES OR _~ GALLOIJ: C=~IWLNES OR /I`9 GALLO-J`- D = ~ INCHES OR L~ GALLONS SWITCH TYPE: ~Cfi'~ NOTE: PUMP ANp ALARM ARE TO DE MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEA! PUMP OFF AND OISTRI6UT101J PIPE.. __C2._~ FEET + MIIUIMUM NETWORK SUPPLY PRESSURT,E/. . ~" FEET ~- ~~ FEET OF FORCE MAIN X ~ Z-F/app FxFRICT101,1 FACTOR.1r0 ~ FEET = TOTAL Oy1JAMIC HERO = ~`~ FEET f7.~1 ~~Y j' ~~ IA]TERAJAL, DIMEIJSIOAIL OF TAIJK: LENGTH ;WIDTH ,LIQUID DEPTH SIGNED: ~ ~-~ LICEI~ISE AJUMBER: ~°?~9Q~ DATE: °~ D~ RISER EXIT PERMITTED OIJLy IF TANK MAIJUFACTURER HAS SUCH APPROVAL a T h~ /~„ ' ? ,~(„ / ~~ ` '~/~ .~ ~n 13.~i Z ~LG+ ~15~l fv ~~ ~~ ~' ' a~ ~ ~'1 F~~ ~~ •r ~,ti ~l ~~ ~~ a :~ Dr~'od r,Ja / l .~9 - 0 / . ~/ .cam n ~ ~ ~QAi / /~ /mar 1 a ~~ ~' / ? ern ? "~ ye 1~.9~-ice ~Ucr ~~~~ r 'B~ v ~~ ~~i ~ ~5 P" 'r ~ ~~ ~~ o ~ • ~~ i~ e~ .~ ~h . p~ ~r,•ae r,~1~ ' Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings . Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code 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 S-~ , percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. # Page ~ of 3 APPLICANT INFORMATION -Please print all information. e ' wed b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. t 5.04 (1) (m)). _ ~ `g ~.t3'D I Property Owner Property Location ~~~, ~Qt,~~~ Govt. Lot ~~ 1/4 .S(,U 1/4,S j~j T ~~ ,N,R / Q E (or~N Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# Ciiy State Zip Code Phone Number ty ^ Village ®Town Nearest Road ^ Ci ~11C~~Ut7 1.>~ ~1u~ ("115 ~ ~9- 9~~ ~~ /~ New Construction use: Residential / Number of bedrooms •j -'1 Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow , l_~U gpd Recommended design loading rate , , bed, gpd/ft2 - 8 trench, gpd/ft2 Absorption area required ~.~~ bed, ft2 1'Jb trench, ft2 Maximum design loading rate • ~ bed, gpolft2~_trench, gpd/ft2 Recommended infiltration surface elevation(s) ~~. Z ~ ft (as referred to site plan benchmark) Additional design/site considerationsI ~tt ~~ - 2 Parent material ~~-ci 1.l~CaS~, Flood plain elevation, if applicable N ~ ft S = Suitable for system "~~~rcnuvna, rvvwiu uraaivunu riwawc r.~-araiauc vyaicn~ n~ ~ w i iv~~my Bann u= unsuitable for system Q S ^ u ~ s ^ u Q S ^ u (~' S^ u ^ S ~ t1 ~,~(1^ s m u Cr111 II~C~`QIDT1~1A1 QCDAQT ~ ~ . l _~n • '~ ~.. I, 7~nm ~ E.'tF • 1 ~- Boring # l Ground elev. yZ~ft. Depth to limiting factor !O() in. Boring # ,~ Ground elev. 93,sc ft. Depth to limiting factor //~o _in. Remarks: CST Name (Please Print) Address Horizon Depth Dominant Color Mottles T e t Structure Consisten e Boundar Roots GPD/ft2 in. Mansell Qu. Sz. Cont. Color ex ur Gr. Sz. Sh. c y Bed ,Trench 1 0- z I4 ~ r ~ sr Im 'c mac- ~5 Iv ~ - z ~ - 3 Z 1z- lU _ 5~ J 2rY~bk ~S - . 5 '- ~ 3 3i~-1 ( 4 m~ a ~-S r . ~~ g ~~ w ' 86 .Z 53.26 $q , tJb , d ~~ ~ `" ' ~ r ~ Remarks: _. - ~~~ ~*° ,~~ ~ ~~~ '~T~- 2 I2~y i0~ r-`~ly -- S~ I 2 "' __~ 4 ~ ~ u ~ ° ~L f • i E ~- ; ~ ~-~~ lt) ~ r 5/ (:_ 2{~ ~.5 ~ I to s,' 1 I m 5bk ``~''~ `'~ "~ ~~ . Z ~ . 3 y :. ~~ , q88~ %2. ~S ; __ ~j Signa Telephone No. ~ Date CST Number ~' `f- Snn,r~r:~~ . c,t 11 ,~`-{L~L.~" l~- B -95 Z.~5~3309 PROPERTY OWNER ~~ (~0 V G( SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # ~ ' Ground elev. 95=~%Ift. Depth to limiting factor min. Boring # r ~{ Ground elev. QS ar7ft. Depth to limiting factor /U7 in. Boring # 5 Ground elev. ~s,z~ft. Page ~ of Horizon Depth Dominant Color Mottles Texture Structure Consiste ce Bo nda Root 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. n u ry s Bed .Trench 1 o-~t to ~31~ `- S. ! ~ ~5 v~ .Z ~ .3 2 y-z iU ~l _ ~' ~ 2rr~bk rn-~; CS - ~ - ~ Remarks: I o- 0 3 - S, I ~ ~ ~ Iv ~Z ' -3 Z q-33 y jy ~ S~ 2 ma.bk. ~~; c - . b . ~ ~, ~ ~ S , s ~- Remarks: Horizon Depth Dominant Color Mottles T t Structure Consist B d Ro t GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. ence oun ary o s Bed ,Trench ! b-~o I o r 311 S' I mci,b ~ cs 1 -~' ~ Z ~ - 3 Z /o - I0 ~ --~ S ~ I Z b rr~; cS - ; . cp 3 n~ 10 y _ 1~n5 mt ~S - .1 ~ . $ Depth to limiting factor //L~ in. Boring # Ground elev. ft. Remarks: Depth to I limiting factor 'n' Remarks: SBD-8330 (R.9/98) ~, PAGE OF __ -- --- ' NAME ~ ~- ~ LOT # ~7 LEGAL DESCRIPTION U-/ SW-/U-Zq'- - SCALE 1"= (~U BM1 ELEV . CP~ Z Cn ' DESCRIPTION-1`opo-~z''Puc BM2 ELEV . QS, ~~ DESCRIPTION-T~~~~~~; p; SYSTEM ELEV. 6~. Z ALT. ELEV. ~j'S , Z ~ CONTO;JR EL• EV . VI O n N X // q l~ I` ~ Private One#t® Wastewater Treatment System Management P#an 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 ir~formatlon and procedures far 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. '}'his management plan complies with Comm 83,64, Wis. Adm. Cade, and the In-Ground Soil Absorption Component Manua! for Private 4nslte Wastewater Treatment Systems S8D- Tsble 1: 8v~tem Deaian Scaclflcatlons Sanlta Permit Number aS Number of Bedrooms Deli n Flow -Peak d} SO Bstlmated Flow - Avers e d "3 °~ Se tic Tank Ca ci sl Sall Abao tion Com onent Size ) ~ L -~ T of Wastewater Domesti J Ts6la 2: Sell Absoration Component - 6tmits of Reliable Gperatlon -_ --_- - - _ - _ -- - ~ Se tic Tank Com anent Soli Abso don Com onent Deli n Flow -Peak d tSOO ~'- a ~ Maximum Infl~cent Particle Sine in 1~8 Maximum 84D m 220 Maximum TSS L 150 The septic tank shah be main~lned by an individual certified to service septic tanks and®r s. 281.48, Stets. 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 lnt®rceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating candidon of the septic and outlet filter shall be assessed at least anc$ every 3 years by tnspectlon. Th et filter Kali be cleaned es necesaarv t~ ensure proper operation. The filter cartridge be removed unless provhsions are made to retain solids ~ 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 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. 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 from 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 t t~Aanayemen! Atan for a Septic Fank end Spit Ar,sorpuon Component Plantings of deep-rooted toss grid shrubs dinotly over of within ten hat of the component •ho-rtd be avoided since root intrwion into the component may obstruct wastewater tow. Contingency Pian iri the event of system failure, a new syatsm could be instalNd in an aitemate area. With tttis irutaiiatinn of a diverts. wive, the existing system could oleo ba revlad offs. ~ period of flues to four years. ~ is tt'N property owners nsponsibiiity to msintain the aitar+ute area ifea from any planting of trees, shrubs, etc, in ease Of failure at tna original systertii, the attierriate area will be needed. tf arty tees, shrubs, etc, have been planted an the alternate arse, they veil! haw h be removed at proper#y owrwrs aspense• li alternate area h destroyed, thrre an other alterriatiw systems that an be used, in which, oouid rewlt in added e~cpense to the property owner. Any tank a~baridonmant shat! be done in at~crdanG with Wisc. Ccde 83,33, Any gwation$ reaatding this coda, picas. confect your local Zoning Office of contact ire it»tailinp plumber. FROM P C COL.L.OUA BL.LRS, INC PHONE N0. : 715 549 5911 Feb. 01 2001 07:33AM P1 ST CRQIX CUUN')rY SEPTIC TANK MAINTENANCE AGREEMENT AND O WNIiRSI~III' CERTIrICATION FARM OwncrlBuycr IJ . ~.. (~ I l a va g ~ ~ ~ s ~.,v ` I Mailing Address F'roptxty Address ~0 UN~"IN -----~ City/$t2to ~T , I'ttrcc! Tdentf£tcutiott Number _ b 2 0 -- l 310,E ^ O ~ - tn?p L~AL DLrS CRII'TIQ j o . 24 , 19.2 (!~ ~{ Properly I..o~cation'~_ y,, Si,~ Subdivision %,, Scc. l ~ . T~N.R~i~V~ Tov~m of !`H(.L~,~Y~ 5 Lot ~ I f~ Ct:rfFfied Survey Map # Yo(umc Page # WatTaaty Dced # ~ 'V'olumt; Page # Spec lyotcse D yes ~na Lot lines identiftablc ~y~ ^ na ~1'S'I'~M MAINTP'NANC~ Itaptnper use and tsrainten~wcc of your septic system could result in its pmnatrrto•faihu+e to lutadlc wastes. proper tnaintcuamcc eottsfstt of pumping out the aeptio tank every three years er sooner, if needed by a lieenacd putn~+er. 1Vhat you put into the system can atlfrxt tfu f-mctioa of the optic tatilc as a treatment stage in tlto waste disposal system. ~ p~rt9 owner aprecs to submit to St, Ct+o{sc zoning Deptutnxnt a certi~icatioa form. signed by the owner. and by a m,errP~r.,l~yntanplwuber. restricted plambtr or a licensed pumper verlfyiag Hutt (i) rye on-site wastcwaterdispoaal system ~ ~ Fir °I?em~8 condition aztcVor (2) afar inspection turd pumping (if accessary), the sGptie talc t,: less than l!3 furl of sludge. 1lwe. the wtdcrsi=nad have read Qte above regttiretnents and agrac to maintain Wo private sewage disposal system with the standards tct fo:ih. herein, as Set by the Depat~xaat of Comtrterce and doe Department of Natural ELesources, state of wiseansia Ccrti~cation stating thtrt your aoptic ryitem has bccra nsaiutain,ed must be co feted and returned to the St. Croix Co ~~- ~ only Zoning Office wit(un 30 ar emirs 'on date. '1 _~s~J f ~ ~ ~ ~ ~~ ~ / /I / c~ 1 GNA OF APPLICANT DA,I.h OWNLR CERTIRI A~nN I (we) artifY that aII statcmesda as this Corm are true to the 5csi of my (our) knowledge. I (we) ant (are) the owners} of the ti about, b virtue of a wafr:nty dtcd recorded in Register of Deals OtYiee. ,~~~ t> J ~~/ C> > GNATURE OF APPLICANT DATE «•~~+• Any iafotmation that Is niis-represented aia xeault in the senile Y rY petrnit being rovokcd by Qtr Zonins Department. +•++'• «« Cnctude wltL this applteattan; a stamped warranty docd from Wa Register of Deeds ofllce ^ copy of the cartifted surrey map if reference is made in the warranty clccd 5rATE CtAq OF WISCONSIN FORM 2 - L98] WARftnAK(~TY DE,~ED LTOGUMENT N0. ill. ~'~ JJPIGE Q ~2 1 `~3 t9arjorie llalcrnae, Frances August and Faul it9ener ay tenants n cumm~n a k/a Frsncis ._ Au ust • wnve•,•a Imd warners tt: •~• •o_ ova 8u cers, Inc., a . Nls'ronsin Corporaticn ,. - at _ _ t ... _. 6+O+t52+1S'~" K17'iIILEEN H. u(1lSN REGISTER OF DEEI)5 6T, CkDIX CG.t U[ RECEIVE- FOR RCCORD 07-06-1999 9:]0 AM YARFANTY 6EFD EIfETPi t CEAi CDPY FEE: CODY FFEf TRAI;SfEA FEf3 1310.10 kECGRD1H1fEE: 12.00 PAGE9: 2 TIIIf ~•AC! rtlSlnVrD fOn n[C'JRDII;O DhTA the lollnuing descrilxd ail ctuu .n fit,! L'r°ix Golmty, [~?AV~I ' .J. ~S 1 RE~:\I state ai \vtseencin: 304 L ~1CtJST . • r, 3E 1/4 Si; 1f4 Sce. 10-'t29N-Rl9:l excepting therefrom Lot ( ~~U~SUN, V1/) 540~i'1 of Certified Sur•rty lliF recorded !c+ Vo1.7 of Currlfled ' Survey Napo, page 2009 as Doc. t1o. 447303, also excepting 02U-1010-20 the ratlrcad right of ua>. 020-102a-9d 070-1025-90 TIE i/a NW i/4 Sec. 15-T2?N-RL9W excepting tharefrcm hot lP4pce3uaau+tcilTitivra~teen of Certified Survey Flap recorded in Vol. IU of Certified ' Survey Mapc, page 2701 as Doc. vo. 5C7i18. t(t: L/4 NE 1/4 Sac. 15-T29N-R19W lbia Ss nor humencadproperry. -.1ttY- is noU Ex:cpllon to wan mtiet: /11 t Datcdthl3,_~~dayof June .'. )9 99 • Peul earner i t °-.. audtendeatld thla day of , .y_ .+ fI7L°_.' \fEA18ER;IATF! R4R OF \"%15CJtVSIN (li nm, t _ (SEt\U . ~ ACKNO~VLEDGFIENT' ,I Stale of 1~E~s~b?e3~3~on SF:E ATT1%HED,~ t:EIIID LT "A' u. King Coutxy rcr3or+al:y am! bcfurc tnc tlu3 2Gth day ui t' JunC J L9 99 _, tl~e shore named I -- I Frances ugust F ' authorlttdbyl?06.06,','t'i3.5uttJ ------- Io n.t Ynowr. to he persen~ w1w esctuted the iuregdrg inst c r tar. r n wlydgc at e. T.1131'.5TpU+AF.t11 l•/45 DRAFTER nv • I1evWOOd & Corr, S.C, b Walter tlodynsky _ 204 Locuet St., P.O. Bcx 125 H~ son, RI 5401$ K11t -- - Notary public, ~ .._._. __._ County.-Ulw~ S:p, iSlgen:area awy ba nu:P.tadta:ed ur acknow'.edgsd. aith an not bl)• ru,unlscioa la pemm~enr. ;Ii act, cute lwpirtion dart ' netcuaryy Septeobec la 2001 ____ ~lrp_-) • lhmn o(+xronf f.ynieb u, n,r upoay dmal! 6p gprd er panted brlew mnl ,ipr aura, ~ ~ ~ ~ ~ ~ ~ ' tC,\RM!•11' DEED f1AlC D.lt OT t\ISCONStN vnxmfnle~n llav:Ca. Ire. Porn Net. 7 - 19D1 athe,AO~, vAT. ~ -- RI VERPARK MEADOWS LOCATED I N THE SE I i4 OF THE SW ! i4 OF SECTION 10, AND I N THE NE 1 i4 OF THE NW I i4 AND 1 N THE NW 1 i4 OF THE NE 1 i4 OF SECTION ! 5, ALL 1 N T. 29N. , R. 19W. , TOWN OF HUDSON, ST. CRO 1 X COUNTY, W 1 SCONS ! N / ~.. / / rbfr / / ~~rr / /' / LOT F / f~'• s.n rt~n / f. ree.~t~ aaFr. / / V1 ' ~ ~a K .err ,: r . BF.~tINee REFERENCED To irle wcwrH a of 1HE / / ~•. / ~••• `4. ~~'' '• ~•''•• `" waa•araa•~- ~P:• 4~ %:' LOT 2 ••.~''' ,, - ,; nrRac r ^rr '~ .,aai i ~~ •:., ~, ssa•arar / f'I,..`.~ • LOT 3 %~ ~ •' / • • s. oo ~nEa i~ / ~'~• sT.3068aFr. r~•~j~%~,\ ~ ~ A:' •• LOT 26 / tr /,t r DFel~ ., / r:....... . / ;' ~'' LOT 4 •., '••. ~ i i • ....... w ................. ....... / ~ ~''•: •••. s. n Rates '° ., -• . ............, ~ LOT a ,' ~ ~ ~~ ~®E LOT P3`. ! 01 AdtE>< • q W i !~=NO S~~T.`~` 4!r' dT, 001 ?a PT. i'' ~ 0• - ~ •.:. 1 I '•'~hr . .••• ••'••. ~ ~ ~ ~. -------- ~ I o= s~a ~s ' o ;, ® ° saa•aa' oa•w aae. aa' LAN ~~ ~ •' € ::: ,. •. .. ,.: - .= '"a :... •.. A 1 '~ ~ LOT 8 ~ ,~\,` ~ ~ ~ $ for ~~. LOT 7.... ~ [ q~ar :`'qC ° .\~. ~ _ ec ~ ~~ r.s;r rya $ .ti i Z t 1-: it• '~ .. ~ ~` 589.48' YT' w 868.07 j LOT a ~ rawer•r+•rr tnr.aa / 1 • i ~ I a, a C. S. M. VOL. 10, PQ. YTO 1 ~ I I ~ .............................................................. rrrm 8FlEET P OF 3