HomeMy WebLinkAbout038-1061-95-025 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 574324 0
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:
Bulman, Joel R. .g5 Star Prairie, Town of 038-1061-95-025
CST BM Elev: Insp.BM Elev: I IBM Description: T, 7 Section/Town/Range/Map No:
✓A GIST 3,Z 15.31.18.270C10
TANK INFORMATION A ELEVATION DATA
TYPE MANUFACTURER .`r1r CAPACITY STATION BS HI FS ELEV.
cy ,a S.
Septic r. 1.6 / O Benchmark Z
e.� Alt. BM 3.5 95.SS
L Go
Aeration Bldg. Sewer 3 13 .75
Holding St/Ht Inlet 7. 0 gz, as
St/Ht Outlet
TANK SETBACK°INFORMATION -7' 7h
TANK TO j P/L++ WELL BLDG. Vent t it Intake ROAD Dt Inlet
6cl� z;k*#-Septic A13 / /► 51 ._ Dt Bottom \
Dosing ►'ems Header/Man. -7. 1 47i- �
Aeration Dist. Pipe 7-1/ q/.
I . 9
Holding Bot. System IF . 9
Final Grade �/� 7A/�4/
PUMP/SIPHON INFORMATION 7
Manufacturer GPM nd St Covet 3- 51 15
Model Number
TDH Friction Loss System Head Ft
Forcemain ist.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 JBLDG WELL LAKE/STREAM LEACHING Manufacturer
CHAMBER OR
INFORMATION
Type Of System: �� �� `/� UNIT Model Number: & ,. r— 4
Co wv�.�a, � 7
DISTRIBUTION SYSTEM AoNA..- (p 4-110 =- 32 1ag P
Header/Manifold �� Distribution x Hole Size x Hole Spacing Vent tp Air Intake
Pipes) L.�b
Length "7 Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seededl odded xx Mulched
Bed/Trench Center 3. Bed/Trench Edges \� Topsoil Yes No Yes No
COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2:
Location: 1106 210th Ave. New Richmond,WI 54017(SW 1/4 SW 1/4 15 T31 RI 8W) NA Lot 4 Parcel No: 15.31.18.270C10
1.)Alt BM Description= � .�� Gait,.. Gl�.a r•. t°�'� C
2.)Bldg sewer length= '
-amount of cover
d� ItY.JL_ G
Use other revision
foru additiona information. o __ / L-- _— -------- -- - -
Date InsepctorsSig
ture Cert.No.
SBD-6710(R.3/97)
PLOT PLAN
PROJECT Joel Bulman ADDRESS 1111 210th Ave New Richmond Wi 54017
SW 1/4 SW 1/4S 15 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST.CROIX
MPRS Shaun Bird 226900 DATE 7/6/14 BEDROOM 3
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 650 # of chambers 32
IL BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 89.8/88.8 4' below grade
M.* 124' 27' 15' 18' 36' 310' Property Line
All piping shall be SDR 30/34,with n 10' 7' 128'
of tank,piping shall be Schedule 40 8' 489 7'
B-4
Vents
-3
94'
1 0'
-1
t
-5
9 ' Pro 3
r _ Bedroom
10% Slope d House
90'
B-2
Scale is 1" = 40'
unless otherwise
noted
Vent
>6" Quick4 Standard
of Cover Leaching Chamber '
with 20.0 ft2 of Area
214' Property Line 4 Lon 12„ 52/pair of end caps
Long
ade at System Elevation
3499
2 10th Ave
Courny � r
. J Saft3ty and Buildings Division Box 7162 Srmkery permit Nmif�filled in by Co.)
201 W.wttstttngton Ave.,
Madison,wn 53707-7162 '] r:
QME PAID / q 3 Z
0 O\X �0 State Y--1 i N
�utary Permit App is unit
�vi�SPS 38321(2),wt:.Adz.Code,submission�O CO M`OPri TS in Acld<as(¢a /��,�mao maainQ address)
regt>wt prior mOf obtaining ae s mfiu p�Note- 0° provide may be used for secondary �j )/(� A�-
the of Safety and Profasiooal Servres. Pasefad iafamabon you pr
inara IfI vvidt Law a 15. 1 m Sorts
L s vdormatton-Platte Print Ali Isforms�os Parcel a
property Owmes Nam 03- ^ 66 '-
ig—pr-j- ply Location
ply prow's Mailstg Address Z-766-16
GovL Lot I
city,Stm Zip Cods Phone Number y,,5�V, Sec._Z -
C T 3 f/ N; R-jrE W
IL Type of Building(check all that apply Subdivisiao Name
Fss Dwdit-Nuanber of Dedro
o k ck,6 e-A- dock r!/
D PubticJCorm amid-Descc➢ba Use �-, D 'o ll,
CSM 5757 1� ❑�of
D Describe Use owned-Descr Use Mown of <i2 ! / fe
L-J /cam "Jt-a Ili 3 z�
I1L Type of Permit: (Check sly out box on Use A. Complete tine B if applicalfle) D Other Modification m Existing System(czp1min)
A. 1 w s D Replacement System D TratmaagWing Tack RepWamed Only
last Previous Pexmit Nfrmber and Dee lasnad
Trnf
Permit Renewal a Revision D C=V of Fhmbe --P:�B. ❑
Before Expiration r
IV. of PO WTS S Com sest(Domm- Chec4 all that appm
Non-Prasitaiaed d ❑pressurized ln-Ground D At-Grade D Maood>za uL of snitab1e WU D Mound<2a in.Of saitabla soil P`jg dt,- f S
ad
D Device
D Hodn Ts D 061 Dipersa Cmpoet(Wimp) < )
V.Dis IfT net Area Iaforasatios: Area Required(st) > P1Op°sOd SysdII
Design Flow(tom D�sot n `
/J Mmuf>
m Total 8 of
VL Task Info Gan= Units
New Talks >i=ix�Tsrda
sqm or HoWmi Turk
Dosing Cbember
VII, ssbitity Sbrtemest-I, roc infra ion of the POW M dw"as tit attached
Plumbea,s MP/MPRS Number Business Pbome N/m�nbcr
pteroW s Nmoe(Print) 2 Z lJ
C44AL.Ow -B '),11 Plumber's Address(Stfeat City,State.Zip Cock) 1 G ,
Vm mt use O pmt Fee Date lxsuiag Agent Si
❑
Disapproved s .� 7 3 d
D Owner Given Reason for Denial 1
DL Cosdid"w wwwor s for I>tiwppraval
C,
Septic tank,effluient fitter turf
dispersal Celt must all be services l MaintainedU�c
as per management plan provided by plumber. ®Fi GLf Ln� L
`uf*M must be maintained - (,y, !y
2 "a4 ents%ordinances.
ter ty only {Y
a* ]Aft to ee thand aft:11 it ate
S�CIi�-r„a� u-vc.tact! 4( C "
SBD-6398(R.11/11)
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 7/6/14
Owner:Joel Bulman
Location: SW 1/4 SW 1/4 S15 T31 N,R18W Lot 4 210th Ave Star Prairie
In-ground absorbtion system(conventional)
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-6. Maintanance and Contingency Plan
7. Filter Specifications�heet
rs
8-10. Soil test
Signature I
License numbe 226900
PLOT PLAN
PROJECT Joel Bulman ADDRESS 1111 210th Ave New Richmond Wi 54017
SW 1/4 SW 1/4S 15 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST.CROIX
MPRS Shaun Bird 226900 DATE 7/6/14 BEDROOM 3
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 650 # of chambers 32
BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 89.8/88.8 4' below qrade
B.M.* 124' 27' 15' 18' 36' 310' Property Line
All piping shall be SDR 30/34,with.n 10' 7' 128'
of tank,piping shall be Schedule 40 8' 48, 7,
B-4
Vents
-3
94'
10' 10'
B-1 B-5
92' pro 3
Bedroom
10% Slope House
90'
Scale is 1" = 40' B-2
unless otherwise
noted
tLp.Quick4 Standard
eaching Chamber
ith 20.0 ft2 of Area
214' Property Line .,6 2/pair of end caps
ade at System Elevation
34
2 10th Ave
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard Leaching Chamber
with 20.0 ft2 of Area per Chamber
5.Nft^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation 93.8
Vent 01 Grade Vent
3' 4" 3'
X30/34 Septic Tank
5' Long V9 51 5' Long 1
36" Grade at System Elevation Grade at System Elevation
Spacing 5'
2-3' X 66 ' Cells
Same on other end Observation tubeNent
At end of cell
A
16 chambers per cell
B
System elevations:
A-89.8'
B 88.8'
PROPERTY OWNER L�;� SOIL DESCRIPTION REPORT t
"'�`� Page of -�
PARCEL I.D.#
Boring Horizon Depth Dominant Color Mottles Structure 2
g in. Munsell Qu.Sz.Cont.Color Texture Gr.Sz.Sh. Consistence Boundary Roots
Bed ,Trench
Ground
elev._
Depth to
limiting i I
factor"
�in I I t
Remarks:
Boring#
s
Ground
elev.
t. q
Depth to I
limiting �Q— I
factor
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu.Sz.Co t.Color Gr.Sz.Sh. Bed ,Trench
Boring#
- L f
K i
NS `
Ground
Qleev.
Depth to
limiting
factor
yin. Remarks:
Boring#
Ground
elev.
ft.
Depth to
limiting
factor
�n. Remarks:
SBD-8330(R.07/96)
? IL AND SITE EVALUATION ,
Division of Safety and Buildings Page of
Bureau of Integrated Services in accor Ce�wtl s 1CFiE3 83.09,Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 es' siPl mugt. County
include,but not limited to: vertical and horizontal refer n int( cEi and ` `, ✓/
pe st®pe, le or dimensions,north arrow,and n and distance to nearest rdadr``, Parcel I.D.
� o t �' I' 3 _ 0 3 S '/C)(o/—�S 0 Z S ,�?ct k7
PLICA INFORMATION- Please pri infornwOomix Reviewed by Date
Persona n motion you provide may be used for secondary p e (Privy 1)(rp .`,;
Properly Owner Pr oration b of 1/4 1/4,S T ,N,R -64
Property Owne s Mailing Address of# Block Subd.Name or CSM#
— / d-1 3ya-
C' Stag Zip Code Phone Number ❑ City LJ,Village Town Nearest Roams - j`06
New Construction Use: Residential/Number of bedrooms Addition to existing building
❑ Replacement ❑Public or commercial-Describe:
Code derived daily flow /`'c;�/�gpd Recommended design loading rate bed,gpd* J'_trench,gpolfl2
Absorption area required �7" bed,ft2 trench,ft2-/ Maximum design loading rate gy bed,gpd/ft2��trench,gpd/ft2
Recommended infiltration surfaTTTce elevation(s) sq�'� ft(as referred to site plan benchmark)
Additional design/site considerations
Parent material Flood plain elevation,if applicable ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system I OS ❑ U EIS ❑ U ES ❑ U ®s ❑ u ❑S 0 U ❑S EN U
SOIL DESCRIPTION REPORT
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu.Sz.Co t.Color Gr.Sz.Sh. Bed ,Trench
13 S
Ground 3 —
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring#
- -
.
zz
s� —
Ground
elev.
eft.
Depth to
limiting
factor
.�Kin. Re rks:
CST Name le a Priint � Signa re �' Telephone No.
Address Date CST Number
��•� � a
w
78 77
I
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0 0(
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L G
LU
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C,
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A 77
ST.CR01X COUNTY
C E R T I F I E D SURVEY. SURVEYOR'S htC6RD
Located in part of the SouthIst Quarter of the Southwest Quarter of ection 5. Township 31 North, Range
18 West, Town of Star Prairie, St. Croix County, Wisconsin, being part of Lot 2 of Certified Survey Map Volume
5 Page 1327, Document Number 386915 as recorded in the St. Croix County Register of Deeds Office.
Prepared for and at the request of:
OWNER:
Curt and Diane Bullman
1111 210th Avenue
New Richmond, WI 54017 Uj
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LAND SURVEYING & CIVIL ENGINEERING X
u4nauft
Phone No. (715) 246-4319 PkZD <, -
109 East Third Street, P.O. Box 325 A14R 5 19 z W3:
M V)
New Richmond, WI 54017 W 98
Sheet 1 of 2 Registe,Of
&C[04 eeds
VOLUME 12 PAGE 3427 Co.,W1
cS
� r
Parcel #: 038-1061-95-025 03/30/2007 02:30 PM
PAGE 1 OF 1
Alt. Parcel#: 15.31.18.270C-10 038-TOWN OF STAR PRAIRIE
Current X ST. CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner
O-BULMAN, JOEL R
JOEL R BULMAN
1111 210TH AVE
NEW RICHMOND WI 54017
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description *210TH AVE
SC 5432 SOMERSET
SP 1700 WITC / (�
Legal Description: Acres: 1.370 Plat: 3427-CSM 12/3427
SEC 15 T31 N R1 8W SW SW FORMERLY LOT 2 Block/Condo Bldg: LOT 4
CSM 5/1327 NKA LOT 4 CSM 12/3427
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
15-31N-18W
Notes: Parcel History:
Date Doc# Vol/Page Type
11/30/2005 813244 2936/202 WD
2007 SUMMARY Bill#: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/05/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.310 27,200 0 27,200 NO
Totals for 2007:
General Property 1.310 27,200 0 27,200
Woodland 0.000 0 0
Totals for 2006:
General Property 1.310 27,200 0 27,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch#:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE YkGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer �l9-� ►�
Mailing Address_�(( � r d 44 ✓y, N JZA C r►�t�.r GtJ l
Property Address_ �� 0 210 4,- Alce-
(Verification required from Planning&Zoning Department for new lognctiol
City/State 16� Parcel Identification Ntunber
LEGAL DESCRIPTION
Properly Location 5 LO t/4 ,S�J t/4 , Sec.L T J? N R1.ZW,Town of 54,,-Pic 1
"" ot
Subdivision t / , L #
Certified Survey Map# 5-7 5- 7 7 L ,Volume ! � ,Page#
Warranty Deed# 7 / , Volume_9 Page# cP- 0
Spec house yes Lot lines identifiable 6 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,if needed,by a licensed pumper. What you put into
the system can affect the fanction of the septic tank as a treatment stage in the wash disposal system. Owner maintenance
responsibilities are specified in§Comm 83.52(1)and in Chapter 12-St.Crow Comity Sanitary Ordinance.
The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the
owner and by a roaster 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.
1/we,the undersigned have road 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 Departinant 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 form are true to the best of my/our k:aowledge. Uwe atn/are the owner(s)of the
property described above,by virtue of a ty deed recorded in Register of Dm'is Office.
Num er of beftamk
? / 6
61 S GNATURE OF APPLICANTS) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked 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
referonce is made in the warranty deed.
(REV.08/05)
POWTS OWNER'S MANUAL $ MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
owner Tank Manufacturer: I ❑ NA
V el
Perrrilt# tic D Dose D Holding volume:f (9 )
2
DESIGN PARAMETERS Tank Manufacturer: ]KNA
Septic ❑ Dose ❑Holding Volume: (gal)
NA of Bedrooms: O D
3
ber of Public F Units: NA Vertical Distance Tank Bottom(s)to Service Pad: (ft)
Num ubl Facility
Estimated(average)Flow: -3,,o (gavday) Horizontal Distance Tank(s)to Service Pad: ��� (lt)
Spec*servicing mechanics must be provided ff vertical is>15 feet or
Design(peak)Flow-(estimated x 1.5): (gal/day) If horizontal is>i 5o feet. specific Instnxxions to be provided on back:
In Situ Sal Application Rate: ', (gallday/fe) Effluent Filter Manufacturer:,;,F14/2_ p NA
Standard(Domestic)Influent/Effluent Monthly average.. Effluent Filter Model:
Fats,Od&Grease (FOG) s30•mglt- Pump Manufacturer:
Biochemical Oxygen Demand (BODs) s220 mg1L ❑ NA
Total Suspended Solids SS '1150 Pump Model:
High Strength Influent/Effluent Monthly average Pretreatment Unit
(FOG) >30 mgM Manufacturer.
(BODs) >220 mgll RA D Mechanical Aeration C3 Pee Filter
SS >150 m D Disinfection ❑Wetland
Pretreated Effluent Monthly average 0 Sand/Gravel Filter D Other:
(BOD6) M mg/L Soil Absorption System
) - A round(gravity) D In-Ground(pressure) ❑ NA
sometic mean s1 A D Mound Fecal Cdfform(g e
Maximum Effluent Particle Size 16 in dia.. D NA p Drip-line O Other.
Other: NA Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Pump out contents of tank(s) hen combined sludge and scum equals one-third(})of tank volume
❑ an the high water alarm is activated
Inspect condition of tank(s) At least once every: ` ,13 s)s) (Maximmn 3 years) D NA
Inspect dispersal cell(s) At least once every: nionth(s) (Mamcknum 3 years) ❑ NA
YON(s)
Clean effluent filter At least owe every: � s
) ) NA
Inspect pump,pump controls&alarm At least onceevery: mon>th(s) NA
y
D 00r(s)
Flush laterals and pressure test At least once every:, month(s) NA
❑year(s)
Other: At least once every: ❑m(s)s) NA
Other: ❑
MAINTENANCE INSTRUCTIONS
Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper).
Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware,identify any cracks or leaks,
measure the volume of combined sludge and is urn and a check for any back up or ponding of effluent on the ground surface. The soil
absorption system shall be visually Inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent
on the ground surface. The ponding of effluent on•the ground surface may indicate a failing condition and requires the immediate
notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any treatment tank equals one-third(X)or more of the tank volume,the entire
contents of the tank shy be removed by a Septage Servicing Operator(pumper)and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services,including but not limited to the servicing of effluent filters,mechanical or pressurized components,pretreatment units,
and any servicing at intervals of 5512 months,shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 30 days of completion of any service event.
GMW-005(02/05)
Page of
START UP AND OPERATION
For new construction, prior to use of the POWTS chat k treatment tank(s) for the presence of painting products, solvents or other
chemicals or sediment that may impede the treatment process*ar d/or damage-the soil absorption system. if high concentrations are
detected have the contents of the tank(s)removed by a Septage Servicing Operator(pumper)prior to use.
Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these
conditions is not recommended,as the excess wastewater will be-discharged to the soil absorption system in one large dose causing an
overload that may result in the backup or surface discharge of effluent.and damage td the system. To avoid this situation have the
contents of the pump tank removed by a Septage Servicing Operator(pumper)prior to restoring power to-the pump or contact a Plumber
or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank.
System start up shall not occur when soil conditions are frozen at the Infittrative surface.
Do not drive or park vehicles over tanks or the soil'absorption system. Do not.drive or park over, or otherwise disturb or compact, the
area within 15 feet down slope of any mound or at-grade soil absorption.area.
Reduction or elimination of the following from the wastewater stream may Improve the performance and prolong the fife of the treatment
tanks and soil absorption system: adds, antibiotics, baby wipes,-dgaretW butts, condoms, cotton swabs, degreasers, dental floss,
diapers, disinfectants, fats,foundation drain (sump pump)Discharge,fruit and vegetable peelings, gasoline,greases, herbicides, meat
scraps,medications,oils,painting products,pesticides,sanill�y napkins,solvents,tampons,'and water softener brine discharge.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly
and safely abandoned in compliance with s.Comm 83.33,Wisconsin Administrative t:ode:
• All piping to tanks,pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator(pumper).
• After.pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,
gravel or another inert,solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.
The replacement area should be protected from disturbance and compaction and should not be infringed upon by required
setbacks from existing and proposed structure,lot lines and wells. Failure to protect the replacement area will result in the need
for a new soil and site evaluation to establish a suitable replacement area. 'Replacement systems must comply with the rules in
effect at the time of their permit issuance.
p A suitable replacement was is not avallable due to setback and/or soil limitations. If the sod absorption system cannot be
rehabilitated and barring advances in POWTS technology,a holding tank may be installed as a last resat
• The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
must be performed to locate a suitable replacement area. If no replacement area is available a lidding tank may be installed as a
last resort to replace the failed POWTS.
• Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative
surface. Reconstructions of such systems must comply with the rules in effect at that time.
WARNING TREATMENT TANKS. PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER E
ER ANY CIRCUMSTANCE. DEATH MAY
RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE
ADDITIONAL INSTRUCTIONS:
POWTS INSTALLER POWTS MAINTAINER.
Nssrt / • `..__, FP-
SEPTAGE ame v
Phone _ �j hone
SERVICING OPERATOR R LOCAL REGULATORY AUTHORITY
Name ��j1 Y� Name
Phone !1 J 14 Phone
This document was drafted by the staffs of the Green Lake, Marquette and Waushare County POWTS regulatory agandes in compliance with sections
Comm 83.22(2xbxlKd)&(f)and 83.54(1),(2)&(3),Wisconsin Administrative Code.
.;� FILTER CARTRIDGE
zaat
S'T811 I Dry at the Altet came ante the OW of the outlet Pipe to manea it is
cc#*-"under tie accam""ft. it not,then dthsr insert mac Pips into the
tank the the outlet or aohant weld(alas)eddltl"p*a onto*a medal
pi-
STEP 2 While tbs Cass Is aW dry attod on the outlet pips,In,"" lW o
of'ii-b+eh pipe modal to bran the filter to 00 tales end was If nutting the
optional supplarnental aide support,If side support method is not u ftwd,
proceed to step fam
!MP I For Wotan Liens utilizing the optbnd supplainontal side=*port:
solvent vMW the%-inch pipf onto the altw case. If side support unettuod is not
UwAad,proceed to Step four.
Solvent weld the alter case unto the outlet pipe. Insert the filter
cartridge into the cue,presshq down until the filter locks into the bottom of
the cruse. y
If a VRS switch is utaiad:insert into the fkor and lock by turning
dodmise 9W.
Mab* mnce
L The effluent Alter should be cleaned every lima the septic tank is
serviced.
2. Open the outlet access opening to inspect the tank and alteK a
9. Pump the septic tank aommpjataiy,making Sure to remave the sludge -
iayar un the bath"n of the Laic and not just the scum and effluent.
4. Once the*Muw t level has bow lowered 11610=the invert of the
outlet pips,Army Pull up on Me falter handle to didodga ft a
aarbidw from the case.
L We the ortridge up and out of the case for loaning.
6. Eff as V��RS`-switr`u connected to`an Werm its present,the switch `
s1wu Y be rendvad by`w'�7 90-and cleared
with water only.
7- While holding the cwtMas an its side(large flat surface fed"
down)over the Kom apaning,rinse ON tits cerb woe waft%afar
orft g sure as eaptaae MVWW is*NW back into the tank. 4
a. V VRS w
turning cladmise 0-
g e ler an ,/
S. Lusert the alter artidoa balk into the ease,pressing down unto r • e'+
the After bxla.buts the bottom of tin
Ia.Replace and secure the access epenino on the tank
Y.o tr•.:oat'i"+IC^`C:♦MTR:rKn' r1�E-•'1 r..:t lout'(./?:•Yw.`LH.t.Y".
www.be W.w= 877-MUttXM(653-4583)
J _: 2936P 202 8139R-,,-4- t►
STATE BAR OF WISCONSIN FORM I - 1998 KATHLEEN H. WALSH
WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO.. WI
Document Number
RECEIVED FOR RECORD
This Deed,made between C Rrt D . Q (-,a 't, ova M 11/30/2005 12:50PH
WARRANTY DEED
EXEMPT * 8
Grantor, REC FEE: 11.00
and Z_O E L t t 4- M A-/U TRANS FEE:
COPY FEE:
CC FEE:
PAGES: 1
Grantee. ,
Grantor, for a valuable consideration, conveys to Grantee the following
described real estate in ST- Om,-, County,State of Wisconsin
(the 'Property-): Recording Area
Name and Return Address
L_o7- IL z/3
w �-S�• S-4 0 ►-7'
45-in2s
Parcel Identification Number(PIN)
This t5 A oT' homestead property.
(is) (is not)
Together with all appurtenant rights,title and interests.
Grantor warrants that the title to the Property is good,indefeasible in fee simple and free and clear of encumbrances except
s
Dated this C 7 K)of da n l �?L Y i'1
y
t - . (SEAL) i� a•+ • !; (SEAL)
ar
7.
w
(SEAL) ��} �- (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s)
State of Wisconsin,
ss.
ST CROIX County.
authenticated this day of Personally came before me this 30TH day of
NOVEMBER 2005 the above named
CURT D BULMAN
DIANE M BULMAN
TITLE:MEMBER STATE BAR OF WISCONSIN to
(If not, me known to be the person S who executed the foregoing
authorized by§706.06,Wis.Stats.) instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
rVi PC PAULETTE ORF
Notary Public, State of Wisconsin
My commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not DECEMBER 31 2006 ,)
necessary.)
•Names of persons signing in any capacity must be typed or printed below their signature.
STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.,Inc.
WARRANTY DEED FORM No. 1-1998 Milwaukee.Wis.
ULi
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