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HomeMy WebLinkAbout020-1380-29-000 \ � 2 $ 2 E § & f k § to @ � � e � ) 0 0 k $ 0 ] z k $ @ o z § k } .2 2 0 0 ( a) k )f ) J ` # i k w B z § \ J § \ k ) m ) m � e z I � k 2 2 \ 2 \ ) § J g a § $ U) w = m k / c k .0 k CF 7 ) ƒ I ƒ J c « ' (L \ / \ / \ \ k Q z k z z \ 0 z A � _ .. .. z z c g § « S m w � Q ■ 2 2 E § � ; � $ 'L % 2 c & 13 a ) § a o a § } m k k k k # o k L o E 2 ; E § . a a a 7j a a a t & § � 2 ) 2 � 2 § $ t � ) % \ a / k k C. \ / / gy m % = o Q C Q � o _ = a % R a m , % § < { � � / k { § 7 ) < z m 0 D % \ 4 k e R , . \ « \ § E g a 3 0 = k § & © # > a f f a I c iE $ G S C, 0 E CD 0 a » » M o 0 0 0 0 0 0 0 0 Cj 6 6 N. 5 E 0 _ ; 2 q E § k § _ Q. Q Q a m f . c K M- c - © � 2 _ $ o r $ ¥ [ Q. \ ) 2 § § , s 2 , s a 2 E m . 3 e = 0 k a a � P k q 2 a C a / ; ; 3 2 e a § § 2 ¢ g f I e 2 3 £ 2 2 / � § / o z a z 2 / � 2 k k , D ,. i: a » E k k ( / k § k c Q if o U) 0 , 0 U) u Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 199 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Hua, Hung Van I Hudson, Town of 020-1380-29-000 CST BM : Insp. Elev: IBM Description: Section/Town/Range/Map No: Ele 41"1 B 1-7, 6,6je' . 11.29.19.2355 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I , Benchmark p Dosing Alt.BM Aeration Bldg.Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 3 Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer DePn and St Cover al$ Z�� 97► r Model Number TDH Lift Friction Loss Syste TDH Ft Forcemain Length Dia. Dist.to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold IDistribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of T-SeededISodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil L , Yes ' No j Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 676 Packer Drive Hudson,WI 54016(NW 1/4 SW 1/4 11 T29N R1 9W) Homestead 1st Add Lot 29 Parcel No: 1.29.19.2355 1.)Alt BM Description= 2.)Bldg sewer length= " -amount of cover= Z Plan revision Required? '1 Yes L No - Use other side for additional information. Date Insepctors Sign re Cert.No. SBD-6710(R.3/97) �y County Sanitary Permit Application ST.CROIX COUNTY WISCONSIN " n accord with Chapert 12 St.Croix County Sanitary Ordinance PLANNING&ZONING DEPARTMENT 11 Personal information you provide maybe used for second p s� ST.CROIX COUNTY GOVERNMENT CENTER [Privacy Law.S. 15.04(1)(m)] 1101 Carmichael Road y g Hudson,WI 54016 7710 (715)386-4680 Fax(715)386-4686 b f dfim lete plans for the system on paper not le than 8 1/2 x 11 inches in size. ss ^ nth;,.JA ftary Permit 4#, ❑ Check if revision to previous application 1. Application inf rmetion-Please Print all Information Location: CC Property Owner 1/4d 14111/4,Sec 176,Property Owner's Mailing Ad ss / of Number Block Number tf7 Z Q✓ . ity,State Zip Code Phone Numer ubdivision Name or CSM Nu r i t� 1 Ty of Building: (check one) ity ❑Village Town of 1 or 2 Family Dwelling-No.of Bedrooms: I ❑ Pu lic/Commercial(describe use): tv arest Road ❑ State-owned I.Type of Permit: (Check only one box on line A. Check box on line B if applicable) l Parcel Tax Number(s) A) 1r P!�Reconnection ❑Non-plumbing 4.0Rejuvenation ©�� �� y �\ Sanitation 1J Permit Number Date Iss ed Ci B) 1 3 3a a 1 ❑ State Sanitary Permit was previously issued IV.Type of POWT System: (Check all that apply) n-pressurized In-ground ❑ Mound? 24 in.suitable soil ❑ Mound 5 24 in.suitable soil ❑ Mound A+0 ❑ Sand Filter ❑ Constructed Wetland ❑ Peat Filter ❑ Drip Line ❑ Pressurized In-ground ❑ Holding Tank ❑ Single Pass ❑ Other ❑ At-grade ❑ Aerobic Treatment Unit ❑ Recirculating .Dispersal/Treatment Ar a Information: 1.Design Flow(gpd) 2.Dispersal Area 3. Dispersal Area 4.Soil Application Rate 5.Percolation Rate 6.System Elevation 7.Final Grade Required Proposed (Gals./day/sq.ft.) (Min./inch) Elevation 6,66 1 . - VI. Tank information Capaicty in Gallons Total #of Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete structed glass Tanks Tanks ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 11.Responsibility Statement I,the undersigned,assume responsibility for repair/ onnenction/rejuvenation/instaliation of non-plumbing for the POWTS shown on the attached plans. A license is not required for terral a air or the in tion of non-plumbing sanitation system. Plum 's Name(pnn>) PI Signature( stamps): MP/MPRS No. Business Phon u / r ber's Address jStreet,City,St Zip C .-�r /� ,j, st Count Use Only isappro Sanitary Permit Fee D to is ed 4su ent Signatur o st ps) Approved Owner Gi Initia verse ��� ation ( / X.Conditions of Approval/Reasons for Disapproval: 1 l �' sy 3 oJSQ. ��rye �f-fn "(:` rsptic tank,effluent filter and dispersal cell must all be services!mairitarned as per management plan provided by plumber. 2. All SOOPOK fe`( t iOMelft ba maintained as per appNca�ite 06de'7 ordinances: • PLOT PLAN PROJECT Huana Hua ADDRESS 676 Packer Drive Hudson Wi 54016 NW 1/4 SW 1/4S 11 /T 29 N/R 19 W TOWN Hudson COUNTY ST.CROIX SYSTEM ELEVATION 94.5 9/3/14 4 DATE BEDROOM CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 531 # of chambers 30 BENCHMARK V.R.P. Top o f manhole Filter Zabel A-100 Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Property Line Property Line 60' Scale = 1 /4'1 = 10' 2-3' X 94' cells with>3' spacing 10' 30' ST 129' Pro 4 40' Bedroom House All piping shall be SDR 30/34, within 10' of tank,piping shall be Schedule 40. Packer Drive ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address _ (Verification required from Planning&Zoning Department for new construction.) City/State Parcel Identification Nurabera)a--z LEGAL DESCRIPTION Property Locatio a -S�/1/4 , Sec.L�� T�N R//W, Town of Subdivision � r .� X , Lot# . Certified Survey Map # _ ,Vclume ''') , Page#, _ Warranty Deed# C��1 _, Vo R I%une eO , Page#5z-/�2 Spec hoes yes no Lot lines identifiable ye no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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,ii"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 Owner maintenance responsibilities are specified in§Comm 83.52(1)and in Chapter 12-St.Croix Coimty Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning&Zomug 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 Departrr.ent of Natural Resources,State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning& .Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on thi form are true to the best of my/our knowledge. I/we atrJare the owner(s)of the property described above,by vi le of a wa ty deed recorded in Register of Deeds Office. Number o bedrooms S ATURE OF APPLICANTS) DATE ***Any information that is misrepresented may result in the sanitary permit being xe:voked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.08/05) STATE BAR OF WISCONSIN FORM 2 - 1998 oE;.644t62 WARRANTY DEED X r,l;.a(_EEH H. WALSH _ REGISTER O DEEDS 78� 6 S',.. cRnzx co. , wz Document Number VQ', PAG 59 E t t REC'ciVED FOR RECORD This Deed, made between Sam E. Miller, a sin le _`_U5__001 8:30 AM person, _ — WARRANTY DEED Grantor. EXEMPT # CERT COPY FEE: and Hung Van Hua and Pearl L. Hua, husband and_ COPY FEE: wife, as surivorshi marital property—_ TRANSFER FEE: 615.00 — iORD?NG FEE: 11.00 - PAGES: 1 -- — Grantee. Grantor,for a valuable consideration,conveys and warrants to Grantee the following described real estate fn St• Cro1X County, State of Wisconsin: Name and Return Address First Federal Savings Bank LaCrosse-Madison 201 South Second Street Hudson, Wisconsin 54016 020-1380-29-000 Parcel Identification Number(PIN) This is riot homestead property. (is) (is not) Lot 29 , Homestead 1st Addition in the Town of Hudson, St. Croix County, Wisconsin. Exceptions to warranties: Subject to easements, reservations and restrictions of record. Dated this day of �` 2 0 01 (SEAL) "(` (SEAL) SAM E. MILLER (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signatures) State of Wisconsin, ss. St CI-o X County. - /1 cI Personally ca before me this _. day of authenticated this day ofG 2 0 01-, the above named fSam E. Miller _ to TITLE: MEMBER STATE BAR OF WISCONSIN `,�p11if me kftow o b the person _who executed [he foregoing (If not. �q authorized by§706.06,Wis.Scats.) ���````•(•f•...PVQ irrsirum tan acknowledge the same THIS INSTRUMENT WAS DRAFTED BY t• TAMARA► - STEPHEN J. DUNLAP � T,uac?R�T - � Notary Pubilc, State of Wisconsin HU_dSOn, Wisconsin '9�•••••••«•••' My commission is permanent. (If .not, ate exptr iton dale: (Signatures may be authenticated or acknowledged. 61* 44, necessary.) _ Names of persons signing in any capacity must be typed or printed below their signature. Wisconsin Legal 81ank Co..Inc. STATE BAR OF WISCONSIN Milwaukee.Wis_ WARRANTY DEED FORM No.2- 1998 -0 C) 0 > 0 \ \ � 0 Z z \ � \ } LL z E U) 0 0 col 3: 0- m Z CD (D E 0 z A � 7 � � � % � N .0 (U 2 .2 .2 .2 _0 z S z 0 c,z Z 7 jj 4) CL E h a CL ) i (D m 0 co U) (a CN EL 2 a. a. CL M 0 0 0 CL 2 J -1 q C) 0 (D >- q LO 00 CD cn 'T - ; ° « 0 0 — — — — 0 C5 0 CD o o C) C) m LO m C) a. C, CD — 0 E:3 1-- 00 to :3 a) a. 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ILL 1 52, 22 ------------ - ----- ------- ------------- -- ------------------ -------------- - —7-A------- I I I 1 ; i Y� - . -------------:]7T r- ---------------- Pqq I 1 6' 1 ig 1 6 10 1 Q L-------------------------------- ---------------f ----------- T, III 1.0 198 HIM, -th co HIM; F_ 0;5 -� fle z 9 UJ I Pit se m ® ® O Y 1E I II II _TJN I --- - -1 .-) 2 z HIE 7T F A g� �� .,. € x x'�- Ir .-- ual ------ 4-41 i o WIN j MUM 0 lit h, Z i I i lit hil 21 1 o 0 j i i g h /k vweooraart oeparanent of (:orm~eroe `satel~r and errll~rgs Division ' GENERAL INFORMATION Permit HOlde~ s Name: City Vi lage Town of: II filler Sam ~u q Hudson Township M .; r Insp. 8M E v.: BM Description: .~ ` C». J ~ , d r 3i/a ~` r~~ C~; T- 6 nit, TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ Zi'a0 Dosing Aeration _ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. ventto Airlntake ROAD Septic > $Z~ ` ^, ~ ` 2$ ~ `- NA Dosing A Aeration - . Holding PUMP /SIPHON INFORMATION Manufacturer mand Model Nu ber G TOH Li friction S tem TDH t For ain Len Dia. ~i ell OIL ABSORPTION SYSTEM PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) Perrlond kdortrnatlon you provice maybe used for seowtdary P~P~ [Privacy Lew. s.15.04 (1xm)] ELEVATION DATA ounty: St. Croix Sanitary Permit No.: 384189 State P n LO No r.--- Parc Tax No.: 020-1380-29-000 STATION BS HI fS ELEV. Benchmark ~-~ ~}~qV o`4,46 I On , a Alt. BM BIdg.Sewer ~9'.0} 95,~~ St / Ht Inlet `~. `~Z .q ~ ~ ~ St/Ht outlet 9.$2 S; l~ ~ Dt Inlet Dt Bottom Header/ Man. ~ O •SZ q ~ 5f~ f ' Dist Pipe ) ~~ U • S`f 9`{• Z ~ BotSystem ~) , ~1p ~~•o(~ r Final Grade s.~' g9.9ro` St cover S„tjZ 9q.9~f ~ TRENCH Width Lennggtth No.Of Trenches PIT No.Of Pits Inside Dia. Liquid Depth 3' 93•iiS 2 1 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STR t.EACHING Manu adurer: S~ o OI~F~ INFORMATION ype S ~ ~ SD " ~ 30 ~ ~ ~ ZS ---' CHAMBER OR UNIT M e Num " ~ µ' la ystem: DISTRIBUTION SYSTEM He er / Mani o ~r Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length ~~'D Dia. ~ I ra. pacing ti I ~0 ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over I xx Depth Of xx Seeded /Sodded xx Mulched I Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ~ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) ua(~~~ Inspection #1: I I ld1 / DI Inspection #2: -r--r Location: 676 Packer Drive, (NW 1/4 SW 1/411 T29N R19W) -1129192355 Homestead-1st Addition -Lot 29 1.) Alt BM Description = s ~« ~,,. ~~°r 2.) Bldg sewer length = ZS ~ „ -amount of cover = > Z~ 3~,~.I,xQ -~ ~cw L--f~. ~ t,~er-, an revision required? ^ Yes ($~ No Use other side for additional information. ~ a ~~~ 580.6710 (R•~>) Gate Inspectx'sSgnature CM• No • ,~ ~~ a ~. ~.~ 4 N `N' T! O `~ { i .. ~~ C '~, ~C a ``w Hl`~ I +- i D J P N 1 _-- __ _ _ .. --- w _ __ _ - ~L~ fl ~ -r i rn ~ `r- ~ ~- o ~ ~, ~ N '., ~, ~ ~ a- ~~ a- .r+ d .~ 3 w 3 ~~ Q ~ m o ,~ ~~ T a o ~ i i i ~'~O ~ ~-- }~~ ~ ~ TT ~ 4-' ~' l ~ V r l ~ V !. tJ ~' ~ ' ~ ~ 1 ~ /-i c~ ~ ~~ '~ D ) S ~ S . ` p ~-~M ~'~ ~0 1..~ ~ ~ c3 ~ z. o ~ ~ o ~ ~ ~ _ ~3 ~~/ to ~' to feria ~ ~Ca.~ ~r ~. ~~SCO~Sj~~ Oepertment of Commerce Sanitary Permit Application In accord with Comm 83.21;°Wis. A~ ode See reverse side for instructiQris for',rompletirigRl is lication r Personal information you prot/idC itlay be used for secdnda ,purposes [Privac ~ s. I5.0~(m~ ~•, ~:r e Y.. 1. Safety & Buildings Division 201 W. Washington Ave. PO Box 7302 Madison, WI 53707-7302 (Submit completed form to county if not state owned. Attach tom lete lans to the coun co 4 fort ` ii° " a er nt)t than 8- I /2 x I 1 inches in size. ~~h, State Sani Permit Num r---•,' ^ Check if revision fo ¢~ious~l0~ lion State Plan 1. D. Number P ~ - A lication Information -Please Print all Informa • I Location: . Property Owner Name E tai ' ` !; ~µ '~, Pro~~p~~e~rty Location N Rl~ W ~ TZ ( S 4~^' 1/4 ~'y ~" ~ ~., [rC ' , , 1/ [ property OwnePs Marling Address e, Lot Number Block Number Ciry, State Zip Code Phone uinli"e`r ~ Subdivision Name or CSM Number r 1 ~" Aug E 3~~ ~7~ u~sc)r/ ~.v ~!o c,~-o . s ar~ II. Type of Building: (check one) / t, ^ 1 or 2 Family Dwelling - No. of Bedrooms :~ •3a .. B (U D ~ TT~ ~WS ^ City ^ village Town of ^ pablic/Cottunercial (describe use):_ ~•-~ !.~ (~ S b ^ State-0wned ~ar~Road ! / I '~~ ,7 ~+y C~ 3X X3.75 ~cHa. ~~lo~~~ USERS ~ `. Parcel Tax Number(s)02 ~ • (3 ~ D • ,Z..4 - ~ III. T e o Permit: Check onl one box on line A. Check box on line B if a licable 5 • Z ~ - ~ S"- 6. ^ Addition to A) 1 • ew 2. ^ Replacement 3. ^ Replacement of 4. . Existin S stem stem S stem Tank Onl Permit Number Date Issued B) ^ A Sanita Permit was reviousl issued IV. Type of POW7' System: (Check all that apply) ;3 O - G t-(-v-~64~0 ^ Sand Filter ^ Constructed Wetland ^Non-pressurized ln-ground ~.~ft1C-.~ ^ Mound ^ Bolding Tank ^ Single Pass ^ Drip Line ^ Pressurized In-ground ~ _ ~ O At- rade ^~ ~~N~Ff 3~ 3.75 ^ Aerobic Treatment Unit O Recirculatin ^ Other: V. Dis crsal/Trcatmcnt Arca Information: Design Flow (gpd) 2. Dispersal Arta 3. Dispersal Arca 4. Soil Application 5. Percolation }fate 6. System Elevation Elevafron rade l . Regaired Proposed Z Ratc (GalsJday/sq. ftJ (MinJinch) 00 ~ 5 C~O~`~ 53) ~7 '~ 471 Z ( `1~+,s / ~oc.,o ~ VII. Tank Capacity in Total # of Manufacturer Pref ,b Con- Site Steel Filass Plastic Con- g Gallons Gallons Tanks Irr[orn-ation Crete strutted Ncw Iixisting Tanks Tanks ^ ~ ^ ^ ^ ^ ^ ^ ^ I'Zl~ i3~ L ~17R r I l1 (t~-~ VIII. Responsibility Statement 1, the undersigned, assume res onsibili • for installation of the POWTS shown on the attached tans. p~iness Phone Number _ Plumixc's Namc (Saint) P umber's Signature (tps)• MP/hiPKS No. r p~ Q b~ ~/ '~ J ~Z~~/z3~ ~'yl KE -` oN>EL~ ~ O Plumbers .4dSress (Street, Ciry, State, Z.ip Code) pa7o ~vNt~"~ ~-1 D~~ ~~ ~ N ~ ~~~ N : ~.e~ t s~o~~ LX. County/Department Use Only te Issued D lssuin Agen Signature (No stamps) a ^ Disapproved Sanitary P~mtit Fee ([ncludas Groundwater J Approved ^ Owner Given Initial Adversr. Surcharge Fec) Z Z ~ Q ~ ~ Determination nditions of Approval /Reasons for Disapproval: X. C o R ~ / ~~/? /J/ d a?'4: 5~t~~ 'f•-/ Q r3 // '' •. t~ Mu$>< ~N ~rreG'Frd Ok~S~ 47~ rc~Cn,7'foK QrC~ei QvV iE H Sr O ~ Oo nc u // // elPV4T%o~+ b/ /,clinr~Ow Gve~~ 6!P J2Tiev~ ~ ~ ~ QbiV~ y~~ 5 ~4 ~ ~t I LLB rz f~o,~t~ ~. ~ T~~- -~ c..ca T ~ Z- r~ ~ ~~,~ .~- ,tj,~~- ~ ' a~ X3z j ' ` ~ - ~ s ~ ~ ~ ~ m r'~~e' X3~G' ~~ ~ m ~ S ~ ~ ~ U ~ ~,~~~/~l~r~.-L- ~. ~ ~ ~ .~ S' t!- it Tf~~ v ~ ~ ~- S N ~ I 1~ ~ T3-~ ~ ,~ ~ ~ x o PIN Za - ~ 3y ~ a~ r~ - - d ~~ ~ ~~ ~ i ~ i ,' !~ ~, 6P M !/~~~ 7- ~~ !', ;~ ~ ~~ 3o-~fi~r3E~r ~_ ~ , ~ S- `R:~ ~~ ~' _ ,; 3; "~ " Z ~w• r Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT ~rnnrllnnrc with rrmm fiF Wic Ar1M C:fYIP 1295 p~qe 1 of _ 3 A.C.E. Sal & Site Evaluations --- County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must ' St. Croix Uection and include, but not limited to: vertical and horizontal reference {BM),tl pares LD percent slope, scale or dimemsions, north arrow, and on and distance to nearest road. ~ . 020-1012-40 ID# 11.29.19.546 Please print all inf ,ration. Date l~w, s. 15.114 (1)~(~n)). Personal information 1rou provide may be used for~ecDa~eiy purpQSes -3 r Property Ovwler r,..-; , . . _ ... Property`~ocation Sam ~ '-' ,• Miller ovt. Lot NW 1/4 SW 1/4 S 11 T 29 N R 19 W , Property Owner's Mailing Address "` ~ of # Block # Subd. Name or CSM# P.O. Box 151 t,~ i ST ~r{i~~. 29 Prop. Ist Addition To Homestead City State Zip hone ~OFF,,~ ~' ity ~ Vllage Tawn Nearest Road Z Hudson WI 5401 , ~ 15 386-2769 ; Hudson Packer Drive -. i . a-,- , ., , lI New Constructiat Use: Residential / Nu?hbefea~b~dwerffs _f Replacement ,~ Public or commercial -Describe: Parent material Glacial outwdsh General comments and recommendations: 4 _ Code derived design flow rate _ Flood plain elevation, if applicable 6UU nd c.~ru Boring # --~ Boring /_.~ Pit Ground Surface elev. 101.60 ft. Depth to limiting factor __ > 140" ' in. Sal Application Rate i l D t C scri tion R D d Texture Structure Consistence Boundary Roots GP DIft' Horizon Depth o m nan or o p ox e e 1 0-10 ° 10yr4/2 none sl 2msbk ds as 2f 0.5 ~ 0.9 2 10-17 • 10yr4/4 none Is lmsbk ds cs if 0.7 / 1.2 3 17-48 • 10yr4/4 none s Osg dl cs - 0.7 1.2 4 48-140 • 10yr6/4 none s Osg dl ~ - - 0.7 ~ 1.2 ~ ,. Z /L~ Lr~ Boring # -J Boring N'~ Pit Ground Surface elev. 100.35 ft. Depth to limiting factor > 137" ~ in. Sal Application Rate H ri th D l r D i t C tion Redox Descri Texture Structure Consistence Boundary Roots GP D ft~ zon o ep om nan o o p 1 0-18 • 10yr4/2 none sl 2msbk ds as 2f 0.5 0.9 2 18-36 • 10yr4/4 none sl 2msbk dsh cs if 0.5 0,9 3 36-50 • 10yr4/4 none sil imsbk dsh aw if 0.2 ,/ 0.3 4 50-137' 10yr6/4 none s Osg dl - - 0.7 / 1.2 Q, r~ 101, •2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS 0 < 150 * Effluent #2 = BODS < 30 mg/L and TSS <30 mglL CST Name (Please Print) Si nature: CST Number James K. Thompson =- 3602 Address q.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number Osceola, wI 54020 9/18/00 715-248-7767 Property Owner Miller, Sam Parcel ID # 020-1012-40 ID# 11.29.19.548 Page 2 of _ 3 Boring # Boring ~~ , . t~ Pit Ground Surface elev. 98.95 ft. Depth to limiting factor > 122 in S~ Application Rate ti R D i d T ture Structure Consistence Boundary Roots : Horizon Depth Dominant Color on ox escr p e ex *Eff#1 *Eff#2 1 0-7 , 10yr3/3 none sl 2fsbk ds as 2f 0.5 0.9 2 7-12 ~ 10yr4J4 none sl 2fsbk dsh cs 1f 0.5 / 0.9 3 12-51' 10yr5/4 none sil 2msbk dsh aw if 0.5 / 0.8 4 51-122 10yr6/4 none s Osg dl - - 0.7 ~ 1.2 a ~'q. Y~, Boring # J Boring Pit Ground Surface elev. 97.18 ft. Depth to limiting factor > 122" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 2 0-7. 7-12. 10yr3/3 10yr4/4 none as p. ~ none sl ~-7' --3 5/ 2fsbk ~- ~t----- 2fsbk ds dsh as cs 2f if 0.5 0.5 0.9 0.9 3 12-51 • 10yr5/4 none s Osg dl cs - 0.7 / 1.2 4 51-122• 10yr6/4 none s Osg dl - - 0.7 / 1.2 a Boring # Boring ,~ Pit Ground Surface elev. 96.42 ft. Depth to limiting factor > 135" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots : *Eff#1 *Eff#2 1 0-27 . 10yr4/2 none sl 2msbk ds as 2f 0.5 ~ 0.9 2 27-48• 10yr4/4 none sl 2msbk dsh cs if 0.5 ~ 0.9 3 48-60 • 10yr4/4 none sil lmsbk dsh aw if 0.2 / 0.3 4 60-135 10yr6/4 none s Osg dl - - 0.7 / 1.2 * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mglL * Effluent #2 = BODS < 30 mglL and TSS <30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. '~ ~9. 3af 3 `' I~~ N "1 '~ ~ o ~ 1 A CI. fl. ~ O N ~ fi 6" P ~~ ~ ' A ~'~~ ~' ~~ ~ o- o,~ ~~ J ~ a 3 0 A ~ ~~ 6 s N ~ ~ -~e--_'~ J V~ O~ -.11`, _ O ~Q a O_ 6 e .~ ~~ qs ~` ~y N O t X 8 ~~ ~n A 1 0 r: s' Q~ ~ j ~, ~ n s b ---_ -, ~~ l07 6 f etc ~~ /'~ J~ BioDi~fuser ~lij'fwn~ 1= ~ ~~~ Z z ~~~ 3 ~6~ -~ Specifications i a N,Y r 3o-cHl~@~ ~ T ,~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer 5~~~ ~~1 f ~'~ 2 Mailing Address ,/~ ~k'~_ , ~ ~ Z Property Address G'~ ~' .~ ~LK~2 ~(~ (Verification required from Planning Department for new City/State ~V p S o T/ W l Parcel Identification Ntunber ~F.GAT. T)F.SCRTP'~ION Property Location ~'/•, 51.t~ '/,, Sec. ~ I , T~N-R ~ W own of 1~1~5 ~bdivision n~ YU1 ~- ST~E ~ n ~ 5~ ~ ~~ ~ i~ ~d ~~ , Lot # Z~ Cet~lfied Survey Map # ~3 ~ ~ ~~ _ ,Volume ~ ,Page # ~,~_.• Warranty Deed # 2-Z ~ Z -~ , Voltune ~ ~~~ .Page # '~~~ Spec house~5`I yes ^ no Lot lines identifiable ~ yes ^ no ~jS't'FM 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 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 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standard: set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certificatioi stating that your septic system has been maintained must be completed and returned to~the St. Croix County Zoning Office within 3( da f the three ear expiry ' n date. DATE A O APPLICANT •:;+~~-rj)ER CERTIFICATION i; ;•(we) certify that ali statements on this form are true to the best of my (our) knowledge ~-ptp ~ ' 'bed abo by virtue of a warranty deed recorded in Register of Deeds Office. _s- % . SIGNA O I.YCANT I (we) am (are) the owner(s) c b3 / ~9'/or DATE ••••*• Any information that is mis-represented may result in tl~e 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 DOCUnanl Nurntrer /~' tilAl li BAIt l)P ~5'ISt ti}^:SI~N I t)ItA1p2 - I!I!18 WY RR~JI~UPAGr)~S1 Mark D. ftosencranz and This Decd, made brr Keen ._ __ _____ -- --- --- Christina fiosencrana., husband anei wife, _ _ _ _ _ _---.__._._.._ .. _ __ ._... Grantor. •~Sam E. Miller, a single person, and ~ _ - --- - - ------------- ------------_.. --- -_ - _ Grana•c. Grantor. for a valuable cunsidrraUon, conveys and w•air:uns t'u Granirr the following St. Croix fount State of~Vlscmtsin~ described real estate In _ _.___.___-.._ __-.--__ Y~ 6 2 2 1 23 Y.RTHLEEN H. WRLSH kEGISTEk OF DEED5 ST. CRDIX CO.t WI kECEIVED FQR RECOkD OS-DI-2000 L0:00 AM YARRAlITY DEED EXEMPT t CEriT COPY FEE: COPY FEE: TRANSFER fEE: 900.00 RECOkD1NG FEE: 10.00 RAGES: 1 I, • . Name ena Rowm Address First federal Savings Bank LaCrosse-Madison 201 South Second Street Iludson, WiSCOnein 54016 020-1010-~0; 02U-1012-40; and 0_2_0-1012-LO Parcel IAmml,Catgn Nurribar (PIN) This_ls ______homestead properly. (is) (is nol) Part of the NE 1/4 of SE 1/4 of Section 10 and Yart of the N 1/2 of SW 1/4 of Section 11, ALL in Township 29 North, Range 19 West, St. Croix County, Wisconsin described as follows: CotTtmenciny at the SE corner of the NW 1/4 of SE 1/4 of said Section lOt thence East 2739 feet; thence NortJt 610.5 feet; thence West 1419 feet; thence South 544.5 feet; thence west 1320 feet; thence South 66 feet to fire point of beginning. Eacepllorts uy warnnlles: Subject to easements, reservations qnd restrictions of record. Dated this a ~ ~k"day of April - - • _ 2000_ -- --- (SEAL) _ /~<'~_L;~~1~~•,.~ (SEAL) Signature(s) AUTHENTICATION • ftK D. kOSENCRAf (SEAL) _ (SEAL) CHRISTINA ROSIrNCRANZ authenttcated Ihls day of __ __. - .__ TITLES MEMBER STATE BAR OF WISCI (If nut. -.._._.-- audtonzed by §70G l1fi. Wis. Scats.) THIS INSTRUMENT WAS DRAFTED . . .• ~: STEPHEN J. UUNLAP Hudson, Wisconsin (Signatures may be authenticated or acknowledged Both err not necessary) ACKNOWLL•DCMENT State of Wlscortstn, ss. St. Croix Cour~~7y. Personally carne before me this ~! day of - Aj~ril 2000 ,the above Warned Mark D. Rosertcranz an_d}__ Christina Rosencranz, ___ _ to mr kn wn to br the person _s.___ ~ Iw rxeculeA the (ongoing rnstr nt nd ar'knuwlydgc tla• n~'E~~, '-_L___ L -- :~ -- - - _arleffB_B._Sshmiclt---.- Notary Vublic. Starr of Wiunnsln hly comnusvon Is permanent. (If not, state expiration dale- ------- _10129/02___ • -- - ) Nan ra of yrr.x agriurg ~, • .v .aw.'Ny m„sr oe ryl,.e w (rrinred trlur Ann s.Rn•u~~v SfAIE BAR OF w'ISCONSIN wniarwr Loyal baM l:o inc WARRANTY UEEU FORM Nn t - 1'198 ~ sn.wa+.w. w,. HdME STEAD ~STA~DITIDN noc~~3~ts9 Voc. S Pr~~E 3 ~ I~,Y~v9 BEST 1/t CORNEN SECTWI/ I l 1,79N.-R.19 sE 4NP~~lTT~Q_ LfNQ$ ]' AIWISNtN COUNIr ypN1YENT EAST-WEST 1/1 LINE OF SECTION 11 SB9'a3'OS'E 1315.a0' • ~]~, t1t.]7 I 1 ~ 1 ° v+l ~i ~ r ~ ~ LOT 36 2.16 Ac. LOT 35 ) 3~ \ 2.07 Ac. ° ~ LOT 3a •,I ~ 939a7 aq. It 1 3 \ \® 903aa sq. It ` \ S ~ Z1 AC. 3 ~' F ~ I ~ ~ ~ \ \ ~' ~ u• ~Z ~ \ ~ n . 139935 sq. It ~' ` P ~ \ \ ~ O~ \ \~ l \ ~. 'd ^ : ~~ aI 71 fi \ N))••s• ~~' ~~• ig \ \ \ 1 \ ® •\ ~~ ~ __ __ \ ~ G f9y0Y 9 ` ~ _1 4C ~ ` ` .1 / f:a ] ]9t ~eR ORly . 1 ~ / ~ / ~ ' \ '99'E y ~ ~, LOT ]7 t / / ~ _ ~ `/ / / ~~ ~ 1 / ~' : yt \ Nts -- - -~ ~ 100562 sq. Il ~ / ~ , ~ / / ~ ~ ~ I 1 ~ e ~ S 1 ~ / / / ~ ' - lOT 33 N % , ~ / \ / - / / 2.06 Ac. S/?`~ Q ~`~ ~ yl]• ~ ~ 33 1• ~ LOT 30 ~ \ J - ~~ , i , 2.33 Ac_ ~ - / louaa sq. n ~ ._ ~ ~ safa a o a w~ ~s ^ ~ n . ,1 LOT 7. 0 ~ e , 7 , LOT 3B ~ 1 ~ ~ ,~ I / •° LOT..31 ~ LOT 32 Iv. i aR • 10 352 sq. Il '~~ ~ •~r dl ° < .°- I \~i, ~o^ 2.t5 Ac ~ 93602 sq, (t ~l ~ B~•~ - 1` 9. ti : ~ 2.01 Ac~ e7se0 9aT t'~ l ,./ it ~'~-} ' " ~ N !. +; ~ ~ % ~ ~,1.~ Gj / ~ ! 6.22 _ jj~- - ~e _ t179' ~ J ' ~ : OT 29 i _ _ _ •_ ____ 9 .-'' 'IV ~ ~ - - u ^ ~ , r 4 ~.S,9s Kw'37'1•'E le9.be ^ NNTNI'tY'E 1H. -.J I` ~," ~' ~ ~ ~ ~ M " 1215 1 ~ ~"u ~ ,Ir 3 ~ OLD HOPKINS PLACE 14 N ''1 '69'27'E 1]I. ~. \ SRO Mu.s•It'E ' n \ \ ' - ? )so.u• b ~6' Iw 1tT 119.03 N99']] _ : i ]9.61• T \ 1]• unnr ~ ~' ~~ \ ~\ ~ ~ \ EtSENENT NT ~~ `~ a• ` rJ ~ T \ \\O P',~ , \ 192 ~ \ ~' 1 ~-.~__--.-_.. ._ ._..-r^'"t Y 1, ~ R _ _ . AOE EASEMEM 09A91 ~ HWE a. 90 . Opn~, _.,.... c`` t=y .. Ji . f D r , d. ~ Wp ~ 71]x,-,) ~ ~ ` ~ ~~ o ~s \, ~ ~ ~ X73 ~ ~ ~ ' • \ ^ ~ •'~ \ Z = ~ \ R LOT 39 LOT 10 R LOT 41 ~ I ~ \+ ~ \ \~ ~ 2.62 Ae. ~ 2.27 Ac. +~ 2.11 Ac. \ \ !3 a 11a2a1 sq. Il 98956 sq. Il 3 91e73 sq. Il \ \\ X31\3 1 1 ~ I ~~S \ o ~ 1 ~ ~ I _ I . eENa w11K N- a atra' rl9u w;~~ ee' i~~r7 I I ~ I ~ , I i ~~ i I $ 1 -• 7o.ar - • ~ I eoo' . SOUTH .CIW 1/4 - SW 1 4 p SECTION 11 NSS'3743'W lat2,63 1 7Yw ~ 33'i33' fl {'.gINM f0UN0 YON{RiEMi Af NORO \ \ NliM!<SIEAR.f~R4l?!QN 9w eo9NE11 Nw 1/ a THE I ~ I I u9N. 9uw 9v Ip ~ LOT 7 o ,~ ~ I ~ i ~ /ONUIIENI g l I y I ~ a \ I ~ ~ a ~ ~ ~ ,~~ ~ . • we 1 127 Il O ~ Z" ~f0 L07 27 a.20 Ac. 182,916 sq. II c~s~ 0 . EASE 1/t CONNEN SEC. 11, i79N. N19N ]' ALUWNUM COU111T NpNINENT 509't]'OS'C ]9]0.10' S ~ IV n 3 h u .~ S ~ 1 11 • 3 s,.. 1rh': H ~~ o ._ - Z Z J ' ~ o r wry IJ SB9'35'a3'E '~ 99.00' _ •m •' - tlSk!1~S1E~l2_ARQ!?!oN ~ / \ ~ ~ t_{ Lor e. /LOT Is \ ~ L " ~~. .~~- `~ ~~ ~~ REc ~~ ,~~~ =.r - ---a ~~~ ~ ~ Zooo `~ _ sT coax ~•. cA~xN ZQN~PlGOFF~CE EAST 1/4 CORNER t Y 19N. UNP~ATT~Q J ~7 ANP$ CJ • SEC, il, T29N, R19W 3' ALUMNIIJY YT ~ \ t CWNTY YDNUYENT EAST-WEST 1/4 LINE 589'43'OS•E 1315.40' 421.28 ~ 444,27 ]s]%• I ~~ ~~ I I® I _ _ 828.12' __ SR9'43'06'E 393Q1d' O ~ d LOT 36 1 1 ~ 2.16 Ac. (t 1 33 33 93947 s LOT 3S 07 A 2 4 ,fir ~® q. \ \ \ ~ , c. 90344 sq. ft ~ LOT 34 }', \ ~ \ ~ N \ ~ \ -+t \ s3 a 3.21 Ac. ~ ~ 139935 sq. It a r 'o ~ ~ s0•t7s• \ t \ H t ~- ~- - ~ \ - -- ~ 3 , a\ 111 - , a I N 1 \ ~ 'a~ i MR 2Y ~ lOT 37 ~ i~ ® s 't ~- _ - sd ' ~ \ \ y 2.31 Ae. ~ ~ , _ - - ~ E p7e'tTOe \ ,~ 100562 aq. tt ~ ~ ~ \ _ ;~ ~ II ~' i a O 1 F , ~ 1 / 1 / ~ N7r4rb • O \ \ \ / LOT 33 = / ~ a ~ ~ 4 / / ~ W J72.r3• / ~ ,~ 89579 f t ~ s~ J J' 3J' i lOd 30 ~ ~ - ~ i n 3 /A R i / 2.33 Ac. ^' ~ ~ 't ~ ~ J 1 i k ~ i 10134 aq. ft i ~ a' / ~ ~b R TDP a 1 '~°$ i .r~ ~' / env LOT 36 ~~ i , 7. 9ENCN MA K ~ '~. 1' IRON PIPE ATlp/ . ~3.a3' LOT 32 4 _ RX ~ ~ I ~ ° SOT 31 r4*~ ~ i 2.33 A~ •! S' 101352 fq. ft ~• ~ h'I ~ ,~ i ~, ~ ~ s; 2.15 Ac ~ 2.01 Ac. 87460 a fl _ _ a ~ .j / i ~ ~, I ~ 93602 sq. ft ~ q. ~ ~ W =, ~j l •\~ ~ ~ 7 of i l i / '~ / ~ ~ x ~ - ~ ~ as n ~ W 589'35'43'E , _ / 1 s / i s /'a~ '~ 99.00' 43.77' r.----- - '~ ---_J O / / I Y. ~ J63.65 _ - 192.75' Ji N9fYSS't44 ttl9.55 1M9S9`1 t I k,~ t* ~• I 1 °~~ ~ ~ lOT 29 2.79 Ae. • • ~ M ' " i ' -ir r N ' 'er N \ '}~ 121520 sq. ft s~ _1, ~.,~_1.9.~ N!{y - l.sD 27 E 9 e e ~ ~ \ ~„ ' ' - a ~ ~~ ~ , \ Yr 95.09 , x \ \ r. ~ E 2.ara _ _N ~,~, ~ ~' ~' - - 35.5,• = \ LoT ze ,,. `~ \~ - • • ~h' '' \ ~ ~ ~ ~ DRAINAGE EASEMENT 2.94 Ac. ~it P °o• „ s+ ss nr43 w 2r.a1 • ~'jy" ~a3L \ ~ I~unurr \ \ ~ ~ ~ EASE~T4AENZ HWE 901.00 128127 sq. ft 'jI 4 . sanl'43'w 23zsl~ ~• \ S =_ ~ \ M78'JI ~ ~ \ ~ 'off 20' DRAT E MENT~ .r ~ ~ T'n~ ~ ~ O ~ DRAINAGE LAMENT T ~ \ a+ , ~ '^ '" ~ ~ HWE 901.00\ M~b~; ~ ~ ~ ~. ~ ~~ T~ . ~ \ 1~.7Y 0 "'A 2x1.31 5 ' ' ' 0 X m SP ~~ ~ \ asavs'S2's niTC 66 e ~' Q E 504.1 589 30 05 3f4T ~ 4 3 ~ ~ \ `~ N iS Y r l0T 39 l0T 40 R LOT 41 \ \ ~'~^ ~ 2.62 Ae. 114244 aq. 1t : 2.27 Ac. ~ aS 2.11 Ac. :, 98956 sq ft \ \ ~ \ \ \ LOT 27 . ; a 91873 sq. ft ~ \ 33' 33' I I \ 4 20 Ac I : s~ Q 1 I . . 182,946 sq. ft '~ titiMXXX§N I i I ~ I ~ I I •E M n ~ ~ , I 1~ ~ I 0 -- 749.91' p I I p 1%.3Y ~.%' ~I 66 00' Sa875'14•E 597.42' SWTH f\4W 1/4 - SW 1/4 N89'35'43•W 1412.83' g ~, I \ HOIA€~T~AD_ADDITON ,% ~.i ~~,. . LOT 3 HQ!A~STIrAO _ADDInfN! ._.._. _ / \ I ~ot t5 ~' \ LOT 7 I ~ , ~. _ \ o \ - " /~ j' ° / TEMPORARY ~ `}\ S I \ \ wl I 11 x { i CUL-DE-SAC TO / BE REMOVED LaT u V Q \ ~ ~.a i / \ \ LOT 6 _ . \ ~ J ~/~ ~ ' ~ ~ _Dr1AiTED 9N. .IASDN PAt1KNER/ SNEET 1 ac 2 ~ 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: System Design Specifications Sanitary Permit Number / Number of Bedrooms Design Flow -Peak (gpd) ° Q~ Estimated Flow -Average (gpd) ~ Septic Tank Capacity (gal) Z Soil Absorption Component Size (ft~) Type of Wastewater Domestic Table 2' Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) pt~ Maximum Influent Particle Size (in) ®p 1/8 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 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 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 i" ~, - ~ ~ Management Plan for a 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. T h. ~ ~ ~ ~ l ~ Lcr /yld l~`~"`° ~ ~C~.. ~ i4' G~ / ~ ! ,~~. 1,,~ Sc~e~ s` ~/~~x CPS 3