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HomeMy WebLinkAbout020-1345-20-000r ~~.~~~c ~ zowo~c May 21, 2007 Joel & Carrie West 721 Packer Drive Hudson, WI 54016 RE: Remodeling/bedroom addition, Town of Hudson, St. Croix County Code Administration Lot 2 Homstead Subdivision 715-386-4680 Parcel # 020-1345-20-000 -Computer #11.29.19.1852 Land Information ~ Dear Mr. & Mrs. West: Planning 715-386-4674 You have requested the Zoning Office review your remodeling/addition project for Real Property compliance with the state sanitary code (COMM 83). When remodeling or adding 715-386-4677 onto a dwelling, you are required to examine whether or not the planned modifications involve an increase in design wastewater flows to the Private On-site Wastewater Recycling Treatment System (POWYS). 715-386-4675 I have reviewed your remodeling plans for the above residence. The project involves two additional bedrooms with three existing bedrooms within the structure. The existing POWYS was designed and installed based on wastewater flow for four (4) bedrooms with a maximum occupancy of eight (8) persons. This project will result in a total of five (5) finished bedrooms. Technically the POWYS will be undersized for the number of bedrooms within the residence; however, current occupancy does not exceed the design wastewater flow for the POWYS. An Occupancy Affidavit is required to disclose the disparity between number of bedrooms and septic system sizing to any future owner(s) of the residence. An affidavit has been submitted to the St. Croix County Register of Deeds office for recording against the deed prior to issuance of a building permit from the Town of Hudson (Document #851135). The original system was installed in April 2001 by Mike McDonell and was inspected by zoning staff. The system was found to be code compliant at the time of installation. Inspection report and sanitary permit documents are on file with the zoning department. To prolong the POWYS tifespan, the septic tank should be pumped at least once every three years or when the tank becomes 1 /3 full of sludge and scum. The effluent filter on POWYS installed after April 2000 should be backwashed as needed to prevent clogging of the septic tank outlet. In addition, water conservation measures are recommended, such as repair/replacement of leaking plumbing fixtures, reducing shower time, running the dishwasher only when full, avoid using a garbage disposal, using a wash machine with asuds-saver feature, etc. The long-term function of your POWYS is dependent upon proper maintenance of the system. .,-,n.-., .-,,,,,r.-.,.,,,. ~.,, ,,.- ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARM/CHAFE ROAD, HUDSON, W/ 54016 715-386-4686 FAx 4 If this POWTS should fail at any time in the future, the system will be need to be inspected by a licensed plumber or POWTS maintainer to determine if it requires replacement according to state code requirements in effect at that time. The proposed remodeling and room addition project must comply with all applicable building codes. Please contact the Building Inspector for the Town of Hudson to obtain a building permit. Should you have any questions, please contact this office. Since ~~~~~ ela Quinn Zoning Specialist Cc: Brian Wert, Building Inspector ~ ~i°~c~'~ ~7h~o~-~ Mike McDonell MP#225036, POWTS Installer file ST. CRO/X COUNTY GOVERNMENT CENTER 1 1 O 1 CARMICI-IAEL ROAD. HUDSON. Wl 54016 715-386-4686 FAx .,ter,,-., ,-.,,,,r,-,,.,,., ..,, ,,.- ,.,..,,,, ,-,..-~,~„-.~~,.,,, ,.,, , ~,- St. Croix County Qccupancy A>~daviif .J e~ ~ GnrJ~. CC+ t" f l t~ l~.?r;~,} Name - (Owner) Typed or printed being duly sworn ,states, under oath, that: 1. Hdshe is the owner/part owner of fire following parcel of land located in St. Croix County, Wisconsin, recorded in Volttme Page Document NunTbe Si. Croix County Register of Deeds Office: 830 X01 A parcel of lead located in the a ~ `/. of the S~ '/, of Section t I , T a~ N - R (`~ W, Town of N ~G15 an , St Croix County, Wisconsin, bring duly described as follows (include lot no. and subdivision/CSM or detailed legal description}: l-,O~" ~ I-1oMG5~(Y.Ltd.. Subckt~l ; 5too, I Illlll lllll IIIII IIIII IIIII IIIII Illl Illlll IIII IIII * 8 5 1 1 3 5 1 851135 KATHLEEN H. 4VALSH REGISTER OF DEEDS ST. CROIX CD., WI RECEIVED FOR RECORD 05/22/2007 03:30PM AFFIDAVIT EXEMPT f REC FEE: 11.00 PAGES: t Recording Area Name and Retum Address 4 C.arrtc. ~ .~oGt t>~S~ ~ a - Pa ~:.kc-t D n v G. v :~ o - 13 ~S ~ ao • ciao AS ovimer of the above described property, I acknowledge that the septic system serving this residence is sized for a bedroom home, or a design flow of boo pd_ The design flow is calculated by assuming 150 gpd for 2 iindividuals per bedroom. There are currently ~ occupants living in this residence; ~ occupants are pemtitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, I understand that if there are intentions to exceed the numt~er of permitted txcupants, rile system will need to be modified to accomodate any increased wastewater (tows and/or contaminant loads. I also acknowledge that f will make this information available to any future parties interested in purchasing this property. Oatedttus ~ ~ day of Mail ~n0 . i~~ ~~ ~Lc7~ * Jo West * Carrie West AUT'IiENT1CATK)N Signature(s) atrUienitCat s ~ y~f BI.IC * WISCONSIN TITLE: ME ONSIN (If rrol, arrttwrized by § 7l)ti.Oti, Wis. Slats.) ACKNOWLEDGMENT STATE OF WISCONSIN ) ~s. St. Croix County. ) Personally came before me this 2 2nd day of MaY 2007 the above named oel us an an w •e to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. 1T~IS INSTT2l1MENT wAS DRAFTED BY _ ' it * Pamela J Goulet -- ~ . (~.~ Notary Public, State of Wisconsin (Signatures may be authenticated a ackrwwledged. Both are not My Commission is perrrranent Knot, state expiration date: .,AOSSCar...t Oate: 10 / 11 / 2009 "T"HIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" Thfs frrli~rrrrsaort must ba oartpleted qy subrrrlOfer drxiXTrerrt rifle. ~ a .s um e~ryss. and Pll+l fa regt.Ned). ocher rslorrnarton wd, as rrre flrarrdng louses. feagal descr<fofbn, ota maybe F,raoea on arts tsirst Pepe d are doaxr+ent a may be placed «, adrfitionel peyes d ue document ~~;, use of aril currerPeye adds orte pays to your dor~x:tertt and S2.4Q to at~recordlra five. INfsoottSln Statutes. 54.517. 1 of 1 d ~I~•~~ ~ ~ ~ ~ ~ ~ ~ ~ m m / m 3 = ~ ~ l 1 3 ~ .. "~' ~ 3 }y !~ (~ ~ fD O N Cd O v~ ~ C ;~ N eC C R3 W ~ N C ~ ~ ~ = N (n ~ CO A O / O O Q~ Q~ N ~ O pp N ~ \~ ~ O 00 A~ ro C ~. O ~ ~' O N p0 ~ 1 p d ~ F ! a v, o, a `~ p .. p p~ OZ A A a ~ ~ ~ O O N ~ ~ •• 1 C C ~ a ~ <_ ~ 1 .~-. p. 'O 'D ~ ~ : ~ M ! 0 ~ ? 1 A_ O ~ O d7 ., N = ° ~ p ~ d1 fIJ U! 3 ~' u ~ v v, m o a ~ o ~ m m 1 Imo" _ ~ ~ ~'• ~ ..,'. III v ~ m y I °- 1 ~ m '~ 1 N N ~ Q M 3 1 Z ~ Z W Z D O > > v O p ~ 1 3 1 ~ N c N ~ ~ ~ N ! hh1 N ~_ ~ V c A a I W ~~ .: I z ~ ~ `° I ~ _z ~ I o u, D o 'p e a ~ '' ~ .. 3 m ~- ~' cZj o. .. Cn -I -~ W ~ ~ N a -, z ~ a ~ i ~ I A ~ l ~ 3 ~ ~ ~ I ~a A I ~ C X ~ ~ G ~ ~ f0 t!1 ~ ~ I 7 ~~ ~ Dw<_ o a O n~.s cn O >Q ~ ~~3° c C (p N N ~ d ~ o a ~ ~ 6 ~ ~ N W 1 0. ~ ~ O A _ ~ \ \ \\ N r., ~ n N ~-.Z) O kl ~I `~ ~ N ~ W N '~ `!c p 3 ? O `~ N O b V ~~ CD ~~~ ryR4. •v c O ~ Op !' a ~ °o i. ~, 3 /* Wisconsin'DepartmentofCommerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s,15.04 (1)(m)l. Permit Holder's Name: Miller, Sam ^ City ^ ViUagQ ^ T,pwn of: HHUUQSOn 1 ownship CST BM Elev.: Insp. BM Elev.: BM Description: TANK IN FORMATION - TYPE MANUFACTURER CAPACITY Septic Dosing ._..,.. w,..~a_m~ Aeration ~ ~~ ~- Holdin ~`~°""°- TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Air Intake ROAD Septic 2 .~ f ~ ( ~-- NA Dosing NA Aeration ~~ NA Holding ~a PUMP /SIPHON INFORMATION Ma acturer .~ ._ Demand Model ber GPM TDH Lift= riction System Ft =ofcemain Length Dia. I-f D~st.Towell ELEVATION DATA county St. Croix Sanitarx P~grq~4t,No.: StateState Plan ID No.: r---- Parcel T~~~IoI~345-20-000 STATION BS HI FS ELEV. Benchmar 3.35' 03 •3 ~ -c7 r t. , 35 R~-o. Bldg. Sewer St/Ht Inlet •SO q3.~s'~ St/Ht outlet 9 .q~- q3 ~' Dt Inlet '~' P° Dt Bottom '~- Header/Man. q-9~' 93.35' Dist. Pipe 9. 80 93. ~-' Bot. System D,~ g 9 Z, 3} r Final Grade ~, ~ S ~~. Ya ( St cover S 9 a ~• ~o r SOIL ABSORPTION SYSTEM/I ~1rQ __ ~ _~ „~, G oh._ . 0 $ED TRENCH Width t Len h ~ No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN 1 •~ DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Mgan~ ctur Q eye _~fj~ SETBACK C INFORMATION Type O r ' r 3 ) ~ -~~~`~= CHAMBER p~tlel Num er ` System: V, L 3 c OR UNIT -~-i ,.C a~,i DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air IrLtake u ,,.- i Length Dia. en Di . SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: o`~/Z`f/D (Inspection #2• "'~t®' Location: 721 Packer Drive, H~ o$ n, WI 40~ ~S ~W) T29N R19W) - 1129191852 Homestead -Lot 2 1.) Alt BM Description ='~~ ~,~ 2.) Bldg sewer length = 2 I.Or •t -amount of cover = >`~2 s~+- (~"`~ ~-~) ut~ 11~t ~.9.Q ~- ca-~slr ~ ~P mot-- ~~,s p e-~~^ ~- `'ti,4,- Plan revision required? ^ Yes `~ No 'L Use other side for additional information. ZT ~~ SBD-6710 (R.3/97) ~ e t9~CC.~ Inspector's Signature Cert. No. ' I ~, ~Z~ P~4i-K~-~~, Sanitary Permit Application In accord with Comm 83.21, Wis. Adm. Code ~~,iseanSfll See reverse side for instructions for completing this appircation Personal information you provide may be used for secondary purposes Oepertment of Commerce [Privacy Law, s. 15.04(1)(m)) .. Attach tom lete tans to the coun co onl for the stem, on a er not less than ~~ State Sanitary Permit Number ^ Check if revision to pn-vious application ,~ L~-o i~c 3 Z- I. A lication Information -Please Print all Information Property Owner Narne City, State Zip Code Phone Number II. Type of Building: (check one) L ^ 1 or 2 Family Dwelling - No. of Bedrooms :~ ^ Public/Cottvnercial (describe use):_ ^ State-0wned (~) 3'x 9 3,75 ~12g n/C N ~ S t!3o~ y~~~E 12s~~~oPosa~ III. T e of Permit: Check onl one box on line A. Check box on line B if a licalile 5 A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. stem S stem Tank Onl B) Permit Number ^ A Sanita Permit was reviousl issued ~ •T2EN ~ IV. Type oC POWT System: (Check all that apply) 30~ Fj~ D11. 1~ ~~~ s ^ Sand Filter ~Q Non-pressurized In-ground ~ ~}~ ^ Mound ^ Pressurized In-ground G IfoldingTank ^ Si°~:` .".ass ^ At- de ^ Aerobic Treatment Unit O Recirculatin i V. Dispersal/Treatment Area Ynformation: ~ ~___ ,-,;~~ ,,,,p 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Ama 4. Soil Application ltcquired Proposed Ratc (GalsJday/sq. ft.) (,a O C7 .5 C~ ©' ~ ~ ~ l 2cvaQ VII. Tank Capacity in 'focal # of Manufacturer Information Gallons Gallats Tanks New Existing Tanks Tanks s~P7-~- k VIII. Responsibility Statement I, the undersigned, assume respo~ ~~x~ .py~ `uo ~~~- ; Plumbers Address {Street, Cny, Slate, Zrp C< CX. County/Department Use Oniy IZcool ~ ~ w~-s~ fur installation of the POWTS shown on the attached Mr's Signature (no slam ): f~tl'.Rv1PF2S N°' i4d >H~~SaI~ ^ Disapproved Sanitary Pemrit Fce (lncludcs Groundwater DateLlssued r"~ Approved ^ Owner Given Initial Adverse S'~a~S )~ ~ ~I~ /T_ (7p ~{-' Determination ~fP X. Conditions of Approvul /Reasons for Disapproval: ~~ ~\~r t ` ~.` .s ~~ I ~ Safety & L3uildings Division 201 W. Washington Ave. PO Box 7302 Madison, WI 53707-7302 (Submit completed form to county if not state owned. x I 1 inches in size. to Plan 1. D. Number Property [.ov'at`ion g ~ ~ Ir-,~"" t/4, S // T ~ /, Z vision Name or CSM NoM~s7~E-~A ^ city ^ Village Town of N v ~ S o N Nearest Road LJ C/I /~j~' ~~ Parcel Tax Number(s) Q ~ ~ 1 3~ SOU II-?fi,l`1, lgSZ ~ ^ Addition to S 3'k qs . ^ Constructed Wetland ^ Drip Line ^ Other: Prefab Site Con- Con- crete strutted stem Elevation 7. Final Grade Elevation ~ Steel Fiber- Plastic glass ~z -~4 .~ ',.~ lssu ~e~~~t~~_~•,~. I ~L".~_= `~-NGt~ IGE /~ / ~.. A~ ~ n1 N ~ 0 ~ ~ a ~,J 0 0 ~ Q `t ~r ri ~ .~ w~ ~ ~ i N ~ o ~~~ 0 ~w~ ~~ ~-- ~~ ~~ ~~ ~` ~i a I a ~~ ~~ ~J ~ ~ °t ~ ~ ~ ~ x J ~ ~Q 7 ti ~. 2 0 a. o ,~ o ~a ~ ~ ~ . Wisconsin Department of Commerce Divisron of Safely and Buildings SOIL AND SITE EVALUATION in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 Environmental 13v Design Attach complete site plan on paper not less than 834 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. parcel I.D.# ti APPLICANT INFO ATION " on. - Please pr a RM Reviewed By Dat Personal information you provide may be used for ~~' _ y, ~ s. t 5.04 (t> (mp. e ! S `r 9 Property Owner ^ ~ ~, ~'~~ , Property Location 4 11 29 19 W MILLE SAM ~ C .ro , T N,R Qvt. Lot SW 1/4 SW 11 S -._./ - Property Owner's Mailing Address -t # Block # Subd. Name or CSM# TROUTBROOK RD crJ r 2 Homestead City State ip~Code hon uinbd ~ ~ ;City ^ Village ®Town Nearest Road Hudson WI 3 Hudson ~ McCutchen ® sidert 'a u er ado 3 ^Addition fp existing building ® New Construction Use: ~~ . D Replacement ^ Pu bf ~d~~ 8 7 450 h d/f z s ! L . trenc , gp t gpd bed, gpd/ft Code Derived daily flow ecommended design loading rate . Absorption area required 643 bed, ft= 562 trench, it? Maximum design loading rate •7 bed, gpolfl? .8 trench, gpolfl? Recommended infiltration surface elevation(s) 92.50' ft (as referred th site plan benchmar Additional design /site considerations System to be placed below mottled soil horizon as per 83.09(4)(fl Parent material Wind blown loess over glacial till Flood lain elevation, if a licable na ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ~ ®u ®S ^ u ®S ^ U ®S ^ u ^ S ®U ^ S ® U SUIL UttiGKIF' I IUN Ktl'UK 1 Boring# 1 Ground elev 96.74 it Depth to limiting factor ,ems 2 Ground elev 96.79 ft Depth tp limiting factor 36-44 Depth Dominant Color Mottles T t Structure onsisten Boundary Roots GPD/fC? Horizon in. Munself Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. Bed ;Trench 1 0-13 10yr3/1 - sil 2msbk mfr cw 2f .5 .6 2 13-28 10yr4/4 - sil 2msbk mfr cvv if .5 ? .6 3 28-32 7.Syr4/4 - gs Osg ml cw - .7 '; .8 4 32-95 7,Syr6!6 s Osg ml - - .7 .8 So. Remarks: 1 0-13 10yr3/1 ;, - sil 2msbk mfr cw 2f .5 .6 2 13-36 10yr3/3 - sil 2msbk mfr cw if .5 .6 3 36-44 10yr4/4 c3p5yr5/8 sil 2msbk mfi cw if ' ~ ° ' 6 4 ~ 44-48 7.Syr4/4 s ~ Osg ml , ~ cw - .7 .8 5 48-48 7.Syr6/6 - s ---_ Osg ml - - .7 ! .8 \.ao s ~ ~'.:k ,a.o ~~ per c-~l•a. Remarks: CST Name (Please Print) Sgnature: Telephone No. Thomas C. Nelson 715-246-2454 Address Environmental By Design Date CST Number Ref # 1432 120th Street, New Richmond, WI 54017 8/17/98 227387 77 PROPERTY OWNER: MII-I-ER, snM SOIL DESCRIPTION REPORT PARCEL I.D.# 3 Ground elev 96.84 ft Depth to limiting factor 37.42 4` Ground elev 96.00 ft Depth ~ limiting factor 33-4t 5 Ground elev 95.62 ft Depth to limiting factor Remarks: Ground elev 1 Depth to limiting factor Page 2 of 3 F.nvimnmrntal Rv Tlrcien H ri Depth Dominant Color Mottles Structure T t nsistence Boundary Rood GPDlfts zon o in. ~ Munsell Qu. Sz. Cont Color ex ure ~ Gr. Sz. Sh. Bed 'Trench 1 0-14 10yr3/1 - sil 2msbk mfr cw 2f .5 .6 2 14-22 10yr3/3 - sil 2msbk mfr cw if .5 ! .6 3 22-37 10yr4/4 - sil 2msbk mfr cva if ,5 .6 4 37-42 10yr4/4 fld5yr5/8 sil ( 2msbk mfi cw - • S ' • ~° 5 42-47 7. SyrS/6 - cs Osg ml cw - .7 i .8 6 47-59 ~ 7.Syr6/6 - ~ s Osg ml ~ cw - .7 ~ .8 7 59-96 I 7, Syr6/6 I _ I cs I Osg I ml - - .7 , 8 ~_. r~Ci i iai na -_ 1 0-14 10yr3/ 1 - sil 2msbk mfr cw 2f .5 .6 2 14-33 10yr4/4 - sil 2msbk mfr cw if .5 .6 3 33-41 7.Syr4/4 fld5yr5/8 sil 2msbk mfi cw if ' T ' 4 41-96 ( 7.Syr6/6 - ~ s ~ Osg ~ ml - - .7 .8 Remarks: 1 0-16 10yr3/1 - sil 2msbk mfr cw 2f .5 .6 2 16-24 10yr4/4 - sil 2msbk mfr cw if .5 i .6 3 24-43 7.Syr4/4 cs Osg ml cw - .7 ; .8 4 43-96 7.Syr6/6 - s Osg ml - - .7 .8 ~ ~ ~ ~ Remarks: ~ENYI~0IVM~ENTAL BY DESIGN 1432 120'" STREET, NEW RICHMOND, WISCONSIN 715-246-2454 PROJECT NAME ~OHI~ST~AD IAT >2 PAGE 3 DESCRIPTION SW % SW ~/, SECTION 11 T 29 N, R 19 W TOWNSHIP Hudson COUNTY St.nCroixQ T(1 ,,, ~ r 1 C v ... cJ~ }~ V1 W r~ N reS ~~ d I~ ~~ Y 1{/J~ /~.~ Y d ///~ 1 ~~,' l 2y ~~ _~n z _ -----.... - - SCALE 1 ~~ = L.I ~ Tom Nelson BM 1. S W -~ ~~ ~ ~-~ ~, p , p ~- csTNlo 2605 (o Cbizn e n- BM 2. ?-' P bs~' r~ a ~.k ~ r~ w~ ~.~ ~ l ~ P os ~' T~ N t~r~) S67y~ Sal ~ /E~-- H~n+EsT~d ~o r ~Z ~.. _~.:~s......,. c,~,orifir_cYtioriS 3 o c~ ~~~~ /~'"- ~~' /~ ri~°E"RJ~~ 1 D~f f user pe _ ~~ ~,~s' s y5~~ ~l, = 9Z~ s .~ Z~~"o3~ ,i i~-~-~~-t ~~~' Chamber Height S ~~ i i 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: Svstem Design Specifications Sanitary Permit Number Z Number of Bedrooms Design Flow -Peak (gpd) Estimated Flow -Average (gpd) Septic Tank Capacity (gal) 0 Soil Absorption Component Size (ftz) 00 '~- `' Type of Wastewater mestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) ~ 2(np SI ~' Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance 5cneauie 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 nk and outlet filter shall be assessed at least once every 3 years by inspection. The utlet filte shall be cleaned as necessary to ensure proper operation. The filter cartridge shou not be removed unless provisions are made to retai~'n soTds 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 enfer 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 inferior 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 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer S ~ /~ /n ~ L L ~~ Mailing Address ~©X ~ ~-S f Property Address LI (Verification required from Planning Department for new -'~~%Eaz-- J fL l ~~ City/State ~y J0S ©1~ W ~ Parcel Identification Number ~ ~ ~ ' ~ 3 7 ~' Z© -OO O LEGAL DESCRIPTION Property Location J ~ '/.,-•~.~ ~ '/., Sec. ~ T~N-R~ Town of /-~ U ~ ~ O N subdivision l~`f ~ ~ ~ ~~ ~ ~ ,Lot # Z"' Certified Survey Map # S~ ~ 1 `~ 3 ,Volume 7 ,Page # 3 ~ Warranty Deed # S~ ~ z 3 9 .Volume ~~ Page # Z~• Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM 11~fAINTENANCE 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 masterplumber, journeymanplumber, restrictedplumber or alicensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 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 stating that your septic system has been maintained must be completed and retained to~the St. Croix County Zoning Office within 30 da f the three year expiration date. ~r1©I1DL7 NA OF AP ICANT DATE ~. •~:~rOWNER CERTIFICATION i; .;,{we) certify that ali statements on this form are true to the best of my (our) knowledge th ; de d above~by i e of a warranty deed recorded in Register of Deeds Office. .« ATURE I.~CANT I (we) am (are) the owner(s) of ~/ 1p/1 4D DATE ****** 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 wan anty deed ~ ~""" 2'l'.\"[t. b:\tt „fi \r\'I~~~,,~~t'O\51\ FOR11 i- t8b2 ,wA~l[)~~~oE~~ ~ Tllis Deed. I+I~d. c~,tw~el, on.llr L. ~,:i11 ie and ~aoi">i iZ. [, i l ~ is, husband and t; ~. ce , lirur~:,~r, ,, n.1 Ja(It ~. ~1>.11eC, a single p.ecsoa . . t, .. ' -, i ,~'.~R ~~ 10: ail A, ~4'Itnesseth, Thut :hc >rld CrauWr, fur y valuable consldcrat.un Rl tnn TJ :o.lt.; + t•, t;r.,ntci• thr 1'ullowu ~ drs:nbed real estate in ~.t.• Croix l' ,uut~, ~tatc o[ H"ur~n5ln: See attached description. Tart l riCNl ~JIU : ... .............................. . ~ TRAh~F~f~ ~~~ This 1S nOt. hontrst.•...i proprrty. lls) lls not) To,;rther with xll and s1nK~.~lar the h~redrrmrnts rnd appurteu..nce; .: crr,uutu t,c. ~nbing: al,d Ronald L. Willie and ~ao^~i R. [+illie ~.:ursnt. te:.,t the tltlP is gu~d, ui.:cle...,ll;;c In :re ,:wple red free .,;.,: e;eal .,' cn.umbr:,.,,a•; ca.cpt easements, r~titriction~, and ri;hts-of-uay of record, :,nd will ,~xrtant and Jcicnd tlr -:.me. ilat~d tn., ;jj'~ d.,y of `larch , la 90 • (jt.iLJ ,~,i-r~r~.i(. ~.• cti.~ L~ ~tL lJl:~LI • Ronald L.. Willie -~ tJ~.+\L1 ~ j :1C'~ i<G. / • .rv~.L G LGC. 19EAL1 Vaomi R. [~illie AUTH;$NTIC:1'TION SibmaWrc(~1 ..... .. ........ authcl,ticatad this __ duy of _ _ ......, 19.... TITLE: J1F.11BER S'1':\Tt B.tl: ~~F' \~'}3C0`SlN l l f nut, .. .. _ _ authorized by ~ ;ut;.C~}, 1\i;. St:,t.,.) T t/15 `a ,rNU MENT WAj C. 6J hY C. L. Gay l.ord,.Attorney River Falls, [~.I... ~=-U22 _ ACKNOWLEDGMENT STATE OF 1~ 1~CON~Ih as .--- S.t.. Croix ...... ,",~~ncy-. ['ersun:.,.. come before nle thin .~1."~....-day of ................. ....1~.j.~ >i.C rl., 19 9 U .. the :above nrmed ...........Ro.~ald...l.....~i it l.i,e ..and........ - ------ - -...........~a.Qm~..~,...~11~.~.~.e .............................. to me kno~cn t„ i,e the per-.~n .S. .-.- Khu ez~~uted the furu;;oing in;tr.u,ent and.sttk~owl~dge thr some. ''•: . ~ ~~ Xot.:. ~ 1 ul„jr ~•~ /t- ~ _ Cl,unty, Wis. ~.. .11f~~r4 ~~~~) ~ P'arcE 1 of land located in the SF-1/~ of the :t;-1/~ an:~ in hart cf th:E St,'-1; .: of ihE S~-1/4 of Section 11, Towr,shil.~ 25 tiorth, Fr,ntc 19 ~E=t. 1o~,n of Hudson, being further describEd a~ follows: beganr,ing at the S-1/4 corner of said Section 11; thEncE ~b9 29'G3"1;, alon€ the South linE of the 56:-1/4 of said SECtion 11, 237F.39 fECt; thence KU2 2E 06 h, 1322.62 feet, to the ~crth lir,E of the S-1/2 of the S1:-1/: of Section 11 ; tE.Er~E «90_~ J' J`,"1 ~ ~lccg said forth line, 2446.:, feEt to the forth-`cuth 1/4 line of said 5ectior, li; thEnce SUU 34'16"i;, along said forth-South 1/4 linE, 1325.65 fEet to the point of bEginninE. ParcEl contains 73.31 acrES (3,1y3,61a SyuarE Feet) and subjECt to all ease-,Eats of record. Together with and subject to an easEmEnt for ingress and egress located in part of the £~-1/4 of the 51+-1/4 of Section 11 and in part of the SE-; /4 of the SE-1/4 of SECtion lU, all in ToMnship 29 1\urth, RanpE l9 Hest, Town of Hudson, beinE further described as fol~ous: CoR.r.:encin~--, at the S-1/4 corner of said SECtion 11; t~ nce l:c9 29'U3"`, along the 5 uth line of the 54;-1/4 of said SEC:: _.. 237c.3~ fEFt; thencE 1;02826'06"~; 1256.54 fEEt to the point of bcE.innint; thence con,:nuing ivG2~2b'Go"M, 66.Ob feet to the Aorth li~~ of the S-1/2 of the SM-1J4 of said Section 11; thEnce !\b~ 35'SQ"~,~~ aiong the t:orth line of the S-1/2 of the St.'-1/4 of said Section 11, 179.28 feet to ~he ~E corner of the SE-1/4 of the SE-1/4 of Secti.,n 10; thence X59 41'39"M, along the forth line of the SE-1/4 of the SE-1/4 of said Section 10, 1318.24 feet to the 1*'esa line of the SE-1/4 of the SE-1/4 of said Section 10; thence SOU 25'39"h', along said 6'est line, 66.00 feet; thence S89°41'39"E, on b linE being 66 feet distant Southerly ar,d parallel to the t;orth line of the SE-1/4 of the SF-1/4 of said SECtion 10, 116.32 fEEt to the E line of said SE-1/4 of the SE-1/4; thencE 569~35'S0"E; on a linE bEing 66 feet distant Southerly and parallel to the Aorth 11T,E of the S-1/2 of the St,-1/4 of said Section 11, 182.54 feet to tf•c oint of hEginnint. ParcEl contains 2.2i acres (95,96 ~qu~re FEEL and is sutjECt to right-of-wa}• for :o~.~n road c .a s::tject to all ease~ents of record. (-colt h.oad) ar.,, m._, . ~ f~reorir ea~c-.=.. _ ... ..-cxelus:~e. t- r 'tJl3k' p sT"tt, p --_-_ 11~~ SONO'1 ~ w..._ __ ~y ,6£'9L£Z /~,CO.dZ,69N •n~•t io 7rln Nanos ,•e ca ,:• aoc , \wrr•t ~ /lam/ r / ~~~ \ ~ ~ V ~p"[ry '` ! ~ I e~/ At , ~ ~~ IQb06~ ~ ~ ~ L'0• Mprrrr ,. ~' '. cao. asz X ' NI ~ 1 / i 1 ,`~r G ~' Y ~~ L I ' -_ _ _- - _-^~1 o ~ i •.~ 1. r / ~ ~ ~~ r" 1" \ v~ '~I ,y _ -' ~' ~ '~ «'~ ; i ,. of •a'u~ d -- '4•. x ~ ~ `~ ~ I •r. ~. oa ar ~ ae/ W +• ~t t N•as ~ ~ - `~ / .~ ~y / or• ~`a• rce ice \ ~ ~ r i 1 ~ zze ae / /\ ~~ .f10I tl•'i 'et I'•~ 'Lee 9e•'K / ~ tr~ 1 10lOet 1!~ 01'i ~ ~ , it _ ~ ~l ~, ' f ~ ~ 11 \ ..~ ~ •% / • • ~,/`~ ti~ , nil+•'s ...•u ~ ~+~ v\ •i i 'y~y.` ~ ~ ~' ~ Q V ' Lee ~e'ea 'u'oc zc+•m A r ~. ~r'h.rr ~~ ; ~ ~/ ~ saav c-z •zo. aar r ®, / Q ~ 1 u 9• aeO tet 1'it ,y 1 r t2'r 1 t1I'Oe •OL'ip 1 ett ''0 8 ~. a an'za ~ tov et'it "~ '`~ ifar ves { xra ieo'ed ~e• rszQ ~ O O\ ! 1 ~ I •aair ws P l ~ 8 Q ~ _ ~, Q v L ,t.1'•Olt ~ I ~ YOte .H M• ,00'tM1 ,00'OSe ,b4'ftbbZ SONtl i •ftdt/ll rll'Ift t ft•{t dGNplt dl'l1t t It•tt dirttalt rM'IR i tt•it •fsr11p1- rN•m t -... .1-rN.lt .N'tt1 t •••• d1d1•It rN'Itl 1 •••• •fAtt/Stt ~N'itt L'1 It•U •itrtl~ll ~11'ltl l {t•lt ' .Cis/4t1 ~N'(tI i •-•• 1~ 'g ),tx,ti£.gtt$ NNV >w r0 ine ipl IO 7N1 Ilalr7l Q311tl~d A'11 ratrf4lN I.Itrts,m rft•sR arm 4ftrlT•Itf .K.tTen •N•al bitrifpftl bflrtl/ltl rlCflt •tt'tlt Mf'ftditp dt•!~K •11'al 1•fl.tlplq I•Nrft•lN •K'Itt •If'iLt I.S'K•glit! ~ft•It~/t •11'QI r•Nrf[/lM bNrM/1K ItS'fL dl'R .1.fw,eiq,nt .11.1111 dl'fq r•Krit/{H 1•f1,11/1M •N'N! •N'af MI'Krlt/lp .Itdt•M .11'!111 bfh1/•IM MNrNrIN •N'IK ' IN'lR ' bYllrtt•KI d1•NIM •11'l11 ` I.IhIIi1M LRrtt,l0 •R ift dt Nt 4R.ft/it1 .tGtt/K •N ttl t LttrR•IQ bN,M/N1 rN'b rN'D ii.f'RdhM .t1•Nlft •M'KI ~ T {.N~IIrIM I.II~N~NI rR'Nt ' dt'tR • Lf p•tielil • ALNIM .N'tQ • ~ {,{I.M/~M t.N,nln1 rN M rM N a•ttfr1 id .R•IIrt1 .N lL tt I.N.1-~1N bic,ryfq rR'Ni .ft'MI bt'p.lttU dt•It•K •N'lU ~ t.N,Nrlx 1•tt.ry{II .lP'1N ' ,n•IR ' I.n,lsefn .K•lytf .N'lu Lq.tR~NI LR~I/r-R .R Mt tit rR Lf'R.ffefff .ti.ist! .M'l11 bp~Nrlfl i.st,ct.m .K'N rN'N Lf'MrMita df.llilt rN'Ip t I.tt.lt~:M bK.f1~N1 ~N'NI ~lt'N Mf'ftrf-r[a •tirlt•K •N'ttl q i.tt~tlenl MN~N~I{t ,•e'n .{1'N MN.tlrltf .Nr1irR .N't!1 r~ ) Wisconsin Department of Commerce Division of Safety and Buildings SOIL AND SITE EVALUATION in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 Environmental 13v Design Attach complete sRe plan on paper. not less than 8'r4 x 11 inches in size. Plan must County include, t7i7t not limited to: vertical and horizontal reference point (BM), direction and di l i St. CTOix percent s ope, scale or mens ons, north arrow, and location and distance to nearest road. parcel I.D.# APPLICANT INFORMATION - Please r' ~ ation p . Personal information you provide may be used for ~ (~rJva~y, s. 15.04 (1) (m)). Reviewed B Date Y = , - r9 .~ iS Property Owner ~A '~, ~ `'~:~ \ j Property Location ~~ C rry ~ MILLER, SAM ~~y .S3ovt. Lot SW 1/4 SW 1/4 S 11 T N,R 19 W Property Owner's Mailing Address ~.._~ '- `~ ' ` t # Block # Subd. Name or CSM# TROUTBROOK RD _ ~ ,R S Ci '~ e~ ~ Nuf ~ "~~ _ 2 Homestead N t R d ty tate lp Cod hone nb rr ~ eares oa :; City ^ VillaAe ®Town ' 3 T x Hudson WI "" Hudson 4 McCutchen New Construction ~ id~ a er 3 ^Addition tp existing building Use: Replacement ^ Pu br` ~ ~c Code Derived dail flow 450 ~`f ~ i; I .8 trench, gpd/f~ y gpd ecommended design loading rate. .7 bed, gpd/fts Absorption area required 643 bed, f~ 562 trench, fts Maximum design loading rate •7 bed, gpolfP .8 trench, gpd/fis Recommended infiltration surface elevation(s) 92.50 ft (as referred to site plan benchmar Additional design /site considerations System to be placed below mottled soil horizon as per 83.09(4)(fj Parenf material Wind blown loess over Qlacial till Flood lain elevation, if licable na ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ~ ®U ®S D U ®S D U ®S ^ U ^ S ®U ^ S ® U SVIL Ut~GKIF'TIVN KtPVKI Boring# 1 Ground elev 96.74 ft Depth to limiting factor >95 2 Ground elev 96.79 ft Depth to limiting factor 36-44 Horizon Depth Dominant Color Mottles Texture Structure Consisten Bounda Rood GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ;Trench 1 0-13 10yr3/1 - sil 2msbk mfr cw 2f .5 6~ 2 13-28 10yr4/4 - sil 2msbk mfr cvv if .5 .6 3 28-32 7.Syr4/4 - gs Osg ml cw - .7 .8 4 32-95 7,Syr6/6 s Osg ml - - .7 .8 ro. Remarks: 1 0-13 10yr3/1 ;, - sil 2msbk mfr cw 2f .5 .6 2 13-36 10yr3/3 - sil 2msbk mfr cw if .5 .6 3 36-44 10yr4/4 c3p5yr5/8 sil 2msbk mfi cw if ' ~ ' ~ 4 ~ 44-48 ~ 7.Syr4/4 s ~ Osg ~ ml cw ~ - ~ .7 .8 5 48-98 7.Syr6/6 - s ___.__Osg ml - - .7 ~ .8 s~.~o , ~'.~ ~o~c d-rsY~ ~-~1~~~ SST Name (Please Print) Signature: Telephone No. Thomas C. Nelson 715-246-2454 Address Environmental By Design Date CST Number Ref # 1432 120th Street, New Richmond, WI 54017 8/17/98 227387 77 Remarks: i ~ ~~ PROPERTY OWNER: MII.LER, s~i SOIL DESCRIPTION REPORT PARCEL l.D.# 3 Ground elev 96.84 ft Depth to limiting factor 7-42 4 Ground elev 96.00 ft Depth to limiting factor 33-at 5 Ground elev 95.62 ft Depth to limiting factor >96 Ground elev -n ;Page 2 of 3 Fnvimmm~ntnl Rv T~ci~m Horizon Depth Dominant Color Mottles Structure Texture Consistence Boundary Roots GPD/lts in I Munseli I Qu. Sz. Cont Color I I Gr. Sz. Sh, I l I Bed 'Trench 1 0-14 10yr3/1 - sil 2msbk mfr cw 2f .5 .6 2 14-22 10yr3/3 - sil 2msbk mfr cw if .5 .6 3 22-37 IOyr4/4 - sil 2msbk mfr cw if ,5 .6 4 37-42 10yr4/4 t2dSyr5/8 sil 2msbk mfi cw - • S • ~ 5 42-47 7.Syr5/6 - cs Osg ml cw - .7 ~ .8 6 47-59 I 7.Syr6/6 - I s I Osg ml ~ cw - .7 .8 7 1 59-96 ~ 7:Syr6/6 ~ _ I cs Osg ~ ml I - I - I ,7 R ~. nci ~ iai na. _ 1 0-14 10yr3/ 1 - sil 2msbk mfr cw 2f . 5 .6 2 14-33 10yr4/4 - sil 2msbk mfr cw if .5 .6 3 33-41 7.Syr4/4 fld5yr5/8 sil 2msbk mfi cw if ' T ' 4 41-96 I 7.Syr6/6 - I s I Osg ml I - I - I .7 i .8 I I I 1 f Remarks: 1 0-16 10yr3il - sil 2msbk mfr cw 2f .5 i .6 2 16-24 10yr4/4 - sil 2msbk mfr cw 1 f .5 .6 3 24-43 7.Syr4/4 cs Osg ml cw - .7 .8 4 , 43-96 I 7.Syr6/6 I - s Osg ml I - - I .7 .8 I I I I I I I I I Remarks: Depth to limiting factor Remarks: ~-.r ~1~~11 ONM ANT ~~ BY D ~ 51 GN 1432 120`" STREET, NEW RICHMOND, WISCONSIN 715-246-2454 PROJECT NAME ~iOM~ST~AD LET 2 . PAGE 3 DESCRIPTION sw ~ SW ~, SECTION 11 T 29 N, R 19 W TOWNSHIP Hudson COUNTY St. Croix Tn,_ir. ~ ~,® w J ~v ~ N Y r ~ hl Gt ~ ~/ ~~ SCALE 1 ~~ _ ~'I ~ Tom Nelson BM 1. S W ~ o~ C62n @ R.. I~~ (i'6 n ~ , ~ ~ CSTMO2605 BM 2. '~' p 65'~ I'1 a ~k c h W~ ~,~ ~.~ ~ n ~' ~~~D~J ~~5(?~n. ~ oS ""f ~ N