Loading...
HomeMy WebLinkAbout020-1380-41-000wisooriski pepartrnentof c~riinerce PRIVATE SEWAGE SYSTEM Safety and Buildings division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Peasortal irttormation you provice may be used for secondary purposes [Privacy Law. s.15.04 (1)(m)). Permit H ei s Name: ^ City ^ Village ^ own o : /Iiller, Sam Hudson Township T BM E ev.: ! Insp. BM E e ~: BM Description: IAIVR IIVtVKMAI IVIV TYPE MANUFACTURER CAPACITY Septic ~~ 2 Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL gLpG, vent to Air Intake ROAD Septic ~ ~}$' ~ ~(~, 2Q ~ NA Dosing NA Aeration NA Holding PUMP /SIPHON INFORMATION Ma durer Demand Mod I Number GPM TDH Friction S tem TD Ft For ain th Dia. Di well SOILABS.QRPTION SY M(i ~ 1,.Q,.__.L _~ /-~,.. ELEVATION DATA ount SYt. Croix Sanitar Permit No.: 34118 State Plan ID No.: ~- Pa~ce Tax No.: STATION BS HI FS ELEV. Be k S.D' Ip4A l~ . ~ . 2. ~ oZ S"0 ~ Bldg. Sewer , ~ ~. .8ltil ~p (. ~' St/Ht Inlet •Z,S 90(. }~ St / Ht Outlet $'~ ~S ~ - 3s r Dt Inlet Dt Bottom Header/Man. IS'Z~ ~9, }l~ Dist. Pipe lb . ! cb'~_ Z(o Bot. System ~}~O $~ • ~ Fi I Grade ~,~ ~2.(Qp i AUK YIEB' RENCH idthr Len thr ~ N Of tenches PIT No.Of Pits Inside Dia. Liquid Depth 3 ¢~~ g3• 2 DIM 1 N SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Manua er: ~ ~~ ~~ SETBACK ` ~ INFORMATION TYPeO 1 ' ~ CHAMBER Mo e N m r: n n r System: W . g -i ~D~ OR UNIT r ~(px DISTRIBUTION SYSTEM ~ ~ Kea er ! ni of ~ ~ Distribution Pipe(s) x Nole Size Nole Spacing Vent To Air tntake ~ ~ ~' Oia. Length leng ia. pan SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xic Mulched Bed /Trench Center I Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc~nspection #1: ~ l / IS/ DI InsUection #2: ~-~`--~-~ Location: 685 Packer Drive, Hudso}~, WI 54016 ( W~1,/4 SW 1/4 11 T29N R19W) - Homestead-1st Addition -Lot 41 1.) Alt BM Description ='~+v~S 1~ 2.) Bldg sewer length = -+• for U -amount of cover = ~ " 3~~y,~Q,A.-tGV c--~.~~~- Plan revision required? ^ Yes ~ No - ~.( Use other side for additional information. 21 ~~- t ` S80-fi710 (8.3/97) Date inspector s Signature Cert. No. (OD S ~~l`~ p Sanitary Permit Application ', Safety & Buildings Division 201 W. Washington Ave. y/' In accord with Comm 83.21, Wis. Adm. Code PO Box 7302 S ~ See reverse side Cor instTUCtions for completing this application Madison, Wl 53707-7302 sCO~s n t)epertment of Commerce Personal information you provide may be used for secondary purposes s. 15.04(I)(m)] [Privacy Law (Submit completed form to county if not , state owned. Attach tom fete tans to the coun co onl for the s stem, on a er not less than 8-I/2 x I 1 inches in size. State Sani Pertyit~JJumber ^ Check if revision to previous application ~- c~eo/x `6 State Plan I. D. Number A lication Information -Please Print all Information I Location: . Property Owner Name Prope~~1ty Location q R~~E o ~LVI/4S~1/4 S I) T~f N S F~ 1 LLB ~ , property Owners Mailing Address Lot Number Block Nun-ber City, State Zip Code Phone Number ~~ ~~~`?7`~ ` Subdivision Name or CSM Number vT~'AD ~s~ AOb -M~ l S 0 ~~ a ~~pgo W ~ 5 . o II. Type of Building: (check one) ^ City ^ village 1 or 2 Family Dwelling - No. of Bedrooms :~ ~ ~I'own of ~ U ]~ S O publicJCotnmercial (describe use):_ ^ State-0wned Barest Ro~a~'d~ ` -^~ (ems., ~.-t X~~~ /S ~Cfl.~Gr~Q~f%~10~~ j{~S~(tS .r f ~' ~ ~~ zCNAmb celTaxNumber{s) III. T e of Permit: Check onl one box on line A. Check box on line B if a licable 5 6. ^ Addition to A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. Existin S stem S stem S stem Tank Onl Permit Number Date Issued B) ^ A Sanita Permit was reviousl issued pe of POWT System: (Check all that apply) ~ja - ~ N t~WVI 13 ~~' S T IV tl d d W y . ^ Sand Filter Non-pressurized [n-ground 1• ~ 14t. ff ^ Mound ~ N 4 {1 ~` 5 r ^ I folding Tank ^ Single Pass (Z ' ressurized In-ground an e ^ Constructe ^ Drip Line Z 1 , C7 At- rade ~ r~s ^ Aerobic Treatment Unit ^ Recirculatin ^ Other: V. Dis ersal/Treatment Arca Information: Design Flow (gpd) 2. Dispersal Ama 3. Dispersal Area 4 . Suit Application 5. Percolation Rate I 6 System Elevation Elevation cad ~ , equired .~ Pr sed Rate (GalsJday/sq. t1J (NlinJinch) ~ VII. Tank Capacity in Total # of Manufacturer Pre! ,b Con- Site Steel Fiber- Plastic Con- glass Gallons Gallons Tanks Iuforn-ation Crete strutted New Existing Tanks Tanks ^ ~ ^ ^ SHPT [ ~ x Iz~o I w ~i~~ ~~.... ^ ^ ^ ^ ^ ~ z~ >~ ~ ~ ~ p ~ ~ i r~ a~ Vi1I. Responsibility Statement the midersigned, assume res onsibili ~ for installation of the POWTS shown on the attached tans. I p~iness Phone Number _ , Plumber's Name (hint) ~ 1'lumtrr's Signature (no stamps): MP/h1PRS No. ~ ~ ~~ / ~ Z~ Plumbers Address (Street, City, State, Z.ip Codc) ~b7D NvN~"..,~ t~ ~ I~~4a~- ~D~~ Ny~Setit W/ D~Se IX. CountylDcpartment Usc Only te Issued D 1 ~ng Agent Si at a (No stamps) a ^ Disapproved Sanitary Pc!mit Fee (Includes Groundwater ~Appmved ^ Owner Given Inisial Adverse S'~~ ~ ~ ~Jr' ' Ci--" Dctennitration ~ X. Conditions of Appro al /R asopc,fpr Disapriwov~l: C n n /~~ ~ ~ ~,,,,,.p~~~„~ ~-t, (~ICj IAMJI.~'~-- be-- S1Qp.KRt~/ '~'"''~ .. ~~t4.1 Wl MKS . ~, ii ~~~ , ~• `•` . -. rA~.~ _~{ ~' hipaC~ C: ? ~~. . ~, 6} t1,1 I'W ~ LC. r i1,.,. ~ e rK ~ ~T.~ la ~ 15 ( ~ C7 ~ l T I c~ 1J r~ ~~~ 'r~G~~.-~'~' `'~ ~ ~ 5~ ~' ~ ~- ..~ ,, 5- ~- t,.cs"C~` y ~ Go `d 5 t~ ~ ~.IC E rt. D 2 ~ V ~ ~:; ~ 5TH wt ~ f ~ ..~. 8'8', ©o ° S c. f-i c.~ r .~.~ ~~~ ~~ '~F~"~ C~~ ,.* y . ~/~ ~! ~ ~9 Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings ~~ ~rr•rvrl~nr•c with (`rmm R5 Wic Aram r:nrla 1307 page 1 of 3 AC.E. Sal 8< Site Evaluations County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference pant (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . 020-1012-40 ID# 11.29.19.54B Please print all information. ~ gy Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). . ~ ~ / Properly Owner Property Location Miller, Sam Govt. Lot NW 1/4 SW 1/4 S 11 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Nave or CSM# P.O. Box 151 41 1 st Addition To Plat Of Homestead City State Zip Code Phone Number ~ City ~ village ~ Town Nearest Road Hudson ~ WI 54016 (715) 386-2769 Hudson Packer Drive ~f New Construction User Residential /Number of bedrooms Replacernent Public or commercial -Describe: Parent material Glacial outwash General comments and recommendations: 4 Code derived design flow rate Flood plain el~ion, if applicable 600 GPD na ~~ # ~ Bonng /J Pit Ground Surface elev. 94.08 ft. Depth to limiting factor > 131 " in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlftz *Eff#1 *Eff#2 1 0-24 10yr3/3 none sl 2msbk ds as 2f 0.5 0.9 2 24-36 10yr2/1 none sl 2msbk dsh cs 1f 0.5 0.9 3 36-50 10yr4/4 none sicl 1 msbk dsh aw 1 f 0.2 0.3 4 50-89 10yr5/6 none s Osg dl gs - 0.7 1.2 5 89-131 10yr6/4 none s Osg dl - - 0.7 1.2 $'~. O ~Z. `!~i%D I`~ ~ ~ H#2 ~ a burried A horizon. - goring # ...J Boring Pit Ground Surface elev. 91.87 ft. Depth to limiting factor 33" in. Sal Application Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots GP Dltt2 *Eff#1 'Eff#2 1 0-8 10yr3/3 none sl 2fsbk dsh as 2f,1m 0.5 0.9 2 8-15 10yr4/4 none sil 2fsbk ds aw 1f 0.5 0.8 3 15-22 10yr4/4 none sil 2msbk ds aw 1f 0.5 0.8 4 22-26 10yr5/4 f1d7.5yr5/8 sil Om dl gs - .~t38 26-74 10yr5/6 none s Osg dl gs - 0.7 1.2 6 74-133 10yr6/4 none s Osg dl - - 0.7 1.2 Comm. 85.30(3)2. applied to discount redoxconcentrations described in H#4. Mottles are due to the greater matric potential of the finer textured sil immediatley aboveSpe-coarger sand are not indicative ofi seasonally saturated sal. * Effluent #1 = BOD 5> 30 <_ 220 mg/L and TSS > < 150 mg/ #2 = BODS < 3p mg/L and TSS < 30 mg/L CST Name (Please Print) Sign re: CST Number James K. Thompson G~jO " --~ 3602 Address AC.E. Sal 8< Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola WI 54020 9/19/00 715-248-7767 . property Owner Miller, Sam Parcel ID # 020-10120 ID# 11.29.19.546 Page 2 of 3 Boring # ;; Boring t~ Pit Ground Surface elev. __ 91.96 ft. Depth to limiting factor > 134" in. Soil Application Rate Horizon Depth Dominant Cokx Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-8 10yr3/2 none sl 2msbk ds as 2f 0.5 0.9 2 8-20 10yr4/4 none sil 2msbk ~ dsh cs 2f 0.5 0.8 3 20-24 10yr4/4 none sicl lmsbk dsh aw 1f 0.2 0.3 4 2~ 10yr5/6 none s Osg dl gs - 0.7 1.2 5 77-134 10yr6/4 none s Osg dl - - 0.7 1.2 i f •0 -~ c~.S2 ~.S Boring # ;; Boring Pit Ground Surface elev. 90.91 ft. Depth to limiting factor > 134" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-8 10yr3/2 none sl 2msbk ds as 2f 0.5 0.9 2 8-20 10yr5/4 none sil 2msbk dsh cs 1f 0.5 0.8 3 20-24 10yr4/4 none sil 2msbk dsh aw 1f 0.5 0.8 4 24-77 10yr5/6 none s Osg dl gs - 0.7 1.2 5 77-134 10yr6/4 none s Osg dl - - 0.7 1.2 Boring # B0"ng Pit Ground Surface elev. 91.35 ft. Depth to limning factor > 129" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots : *Eff#1 *EfF#2 1 0-13 10yr3/2 none sl 2msbk ds as 2f 0.5 0.9 2 13-26 10yr5/4 none sil 2msbk dsh cs 2f 0.5 0.8 3 26-31 10yr4/4 none Is 1msbk dl aw 1f 0.7 1.2 4 31-82 10yr5/6 none s Osg dl gs - 0.7 1.2 5 82-129 10yr6/4 none s Osg dl - - 0.7 1.2 * Effluent #1 = BOD 5> 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/L and TSS <30 mg/L 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. Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings ~..,.,,,,~~,,,.e,.a+h r_,,,.,~, R~ w« arim f:rYia 1307 Page 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 include, but not limited to: vertical and horizontal reference pant (BM), direction and Parcel I D percent slope, scale or dimemsions, north snow, and location and distance to nearest road. . . 020-1012-40 ID# 11.29.19.546 Please print all info By D e ,, Personal information you provide may be used rposes (Privacytaw, s. 15.04 (t) (m)). ~ OS Z~ Property Owner \ / ~,, ~. Property Location >/ ~l 1C Miller, Sam vt. Lot NW 1/4 SW i/4 S 11 T 29 N R 19 W _ Property Owner's Mailing Address 1 ~-= " ` # ~ Block # Subd. Name or CSM# P.O. Box 151 ' -~ 14 1st Addition To Plat Of Homestead City St C e h m ., ` ~ City JJ village i>~ Taum Nearest Road ST CROtK Hudson WI 16 6-2769 '. ~~i~ Hudson Packer Drive i i' ~' ¢`f~' t!'j New Constructice Use: ~ ' I / Number ofrpAtr~ J Replacement ,~ Pub C ' _ ~6s~: ~i.. j. _{~'l Parent material Glac I outwdsh '~' General comments and recommendations: 4 Code derived design flow rate 600 GPD _ Flood plain elevation, if appli na a Boring # -~ Boris M' Pit rid Surface elev. 94.08 ft. Depth to limiting f or > 131 " in. Sal Application Rate H i th D D minant Caor tion Redox Descri Texture Structure onsistence Boundary Roots GP DJtt' or zon ep o p 1 0-24 10yr3/3 none sl 2msb ds as 2f 0.5 0.9 2 24-36 10yr2/1 no a sl 2 sbk dsh cs if 0.5 0.9 3 36-50 10yr4/4 none sicf i lmsbk dsh aw if 0.2 0.3 4 50-89 10yr5/6 none s Osg dl gs - 0.7 1.2 5 89-131 10yr6/4 none \, Osg dl - - 0.7 1.2 ~~,q {o I/ o8'~~fo 2 is a bu 'ed A horizon. Boring # -J Boring /~ Pit Ground Surface el 91.87 ft. h to limiting factor 33" in. Soil Application Rate Horizon Depth Dominant Caor Redox D cription Texture Structu Consistence Boundary Roots GP D/ft' 1 0-8 10yr3/3 one sl 2fsbk dsh as 2f,im 0.5 0.9 2 8-15 10yr4/4 none sil 2fsbk ds aw if 0.5 0.2~ 3 15-22 10yr4/4 none sil 2 sbk ds aw if 0.7 1.2 4 22-26 10yr5/4 f1d7.5yr5/8 sil Osg dl gs - 0.7 1.2 ' S 26-74 10yr5/6 none s __ dl gs - 0.7 /, ~ 6 74-133 10yr6/4 none s Osg dl - - 0.7 1.2 Comm. 85.30(3)2. applied to discou redox.wncentrations described in ti#4. Mottles are due to the greater mairic potential of the finer textured sil imm aUev above s and are not indicative of seasonally saturated soil. * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS > < 150 mgJL * Effluent - D5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sign CST Number James K. Thom son 3602 _ Address A.C.E. Soil 8c Site Evaluations Date E uation Conducted Telephone Number Osceola, Wi 54020 9/19/00 715-248-7767 prop~}ypWner Miller, Sam Parcel ID # 020-1012-40 ID# 11.29.19.548 Page 2 of 3 Boring # ~ Boring Pit Ground Surface elev. 91.96 ft. Depth to limiting factor > 134" in. Sal gp~i~}ion Rate i t C l D fion R d D r Texture Structure Consistence Boundary Roots GPD/f~ Horizon Depth nan o or om e ox esc p _ *Eff#1 *Eff#2 1 0-8 10yr3/2 none sl 2msbk ds as 2f 0.5 0.9 2 8-20 10yr4/4 none sil 2msbk dsh cs 2f 0.5 0.8 3 20-24 10yr4/4 none sicl lmsbk dsh aw if 0.2 0.3 4 24-77 10yr5/6 none s Osg dl gs - 0.7 1.2 5 77-134 10yr6/4 none s Osg dl - - 0.7 1.2 -si 83-s Z _ Boring # ~ Boring l~ Pit Ground Surface elev. __ 90.91 ft. Depth to limiting factor > 134" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-8 10yr3/2 none sl 2msbk ds as 2f 0.5 0.9 2 8-20 10yr5/4 none 5 ~ I 2msbk dsh cs if 0.5 0.8 3 20-24 10yr4/4 none sil 2msbk dsh aw if 0.5 0.8 4 24-77 10yr5/6 none s Osg dl gs - 0.7 1.2 5 77-134 10yr6/4 none s Osg dl - - 0.7 1.2 ~~ # ~ Boring Pit Ground Surface elev. 91.35 ft. Depth to limiting factor > 129" in. Sal Application Rate H ri D th Dominant Color tion Redox Descri Texture Structure Consistence Boundary Roots o zon ep p 'Eff#1 *Eff#2 1 0-13 10yr3/2 none sl 2msbk ds as 2f 0.5 0.9 2 13-26 10yr5/4 none sil 2msbk dsh cs 2f 0.5 0.8 3 26-31 10yr4/4 none Is lmsbk dl aw if 0.7 1.2 4 31-82 10yr5/6 none s Osg dl gs - 0.7 1.2 5 82-129 10yr6/4 none s Osg dl - - 0.7 1.2 * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L 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. \. lot ~!/o~~I~o~osed /~-`.4ard. t~ P~~ of flo~»CS~ead, Tn. of I(~dn, ~f.CrOiXCm.,~~• ~~ ~0.C~¢.r .~ r i Il'e \~ ~.30~'3 1r Eleda~i'on ^ ^ as ~J' Top o~ ~'g'rGba,~. = 98.~~: ^ ^ al ~ a . Teo af' ~ '~,e,,far. it ssc~`-,a~l e le% = itao. tom: $3 ^ ~So '~ /.307 a,,,j ~ - ~ ) S = ~Ac ft T2~N ~ ~ • if 1CC~lo1'1S~ :~ yn ~ S BioD~f fuser p~ ~~ ~®3,~ ~~, ,;\ J.i. S-~: caOv z~cA~Q~F,~.E 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) O Estimated Flow -Average (gpd) OD Septic Tank Capacity (gal) D Soil Absorption Component Size (ftZ) pa - ~a Type of Wastewater omestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) 3l 2- ~tS M Maximum Influent Particle Size (in) 1/8 Maximum BOD5 (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Scnedu~e 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 utlet fit shall be cleaned as necessary to en_ u~ proper operation. The filter cartridge should not be removed unless provisions are made to retain sT olids 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 sfandards for entering a confined space. The afmosphere wifhin 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 1 1 ~ ~\ ~} ~ l ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT ' ~_ '~ Rt~'~,~~~ AND ~,~`f ~ r_ ~ ,~ q n t~ 4 OWNERSHIP CERTIFICATION FORM ~ 7. ~~~"~T OwnerBuyer ~~ i~ ~ I t-L`L._.. zc~ ~' Mailing Address ~ ~' X ~ '~ ~ 2~ Property Address ~' ~S ~c ~~ ~z la ~Z..1 ~~.. (Verification required from Planning Department for new construction) ~" . City/State ~ J ~S~ N W 1 Parcel Identification Number .~~"t LEGAL DESCRIPTION Property Location N ~ '/+, 5 ~ '/+, Sec. t ~ . T Z~ N-R ~ ~ ~,; Town of ~~ SS~• ],division ~~ ~ ~ ~ ~~ F~ ~ ~ 5~ ~ p b ~ ~ 1 ~ ~ ,Lot # ~• Certified Survey Map # ~° ~ 7' 2 S 9 ,Volume " lIi ,Page # 3 ~ Warranty Deed # ~ ~ ~ 1 ~ 3 ,Volume I S d <o .Page # y ~ ~ Spec house ~ yes D no Lot lines identifiable ~ yes ~ no SYSTEM ]12AIN~F;NANCE 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 a licensedpumperverifyingthat (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 requiremtnts 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 returned to~the St. Croix County Zoning Office within 30 days of the three yeaz ex iration date. F APPLICANT DATE . •=:wDWNER CERTIFICATION '.~ i'(we) certify that si! statements on this form are true to the best of my (our) knowledge the ro ~ ;described abov by virtue of a warranty deed recorded in Register of Deeds Office. '~ ~ • . ATURE Oh ' P CANT I (we) am (are) the owner(s) o. ~Z/~liD1 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 warranty deed STATE BAR OF WIS(:ONSlN FORM 2 - 1998 WY R~Pf~Y,.PA E[~, 8~ Mark D. Roaencranz and This Deed, made between -,- -. - -- -- Christina Rosencranz, husband and wife, _ - i- -_ --- _ _ - Grantor. and -Sam E. Miller, a single person, _ _ _ _ _ _ -`_-__-_-_ __--- _-JCrantce. Grantor, for a valuable cortsideraUon, conveys and warrants to Grantee the following described real estate In St. Croix ~ County. State of Wisconsin: 622 1 23 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROI)F CD. [ WI RECEIVED FOR RECORD OS-O1-2000 10:00 RM YARRWITY DEED EXEMPT Y CEITT COPY FEE: COPY FEE: TRANSFER FEE: 900.00 RECORDIH6 FEE: 10.00 PAGES: 1 Name ano Return AAdress First Federal. Savings Bank LaCrosse-htadison 201 South Second Street Hudson, Wisconsin 54016 020-1010-60r 020-1012-40; and 020-1012-10 Parcel kieMiGtatbn Number (PtM This i s _ homestead property. (Is) (IS not) Part of the NE 1/4 of SE 1/4 of Section 10 and Part 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: Cottanenciny at the SE corner of the NW 1/4 of SE 1/4 of said Section lOf thence East 2739 feet; thence North 610.5 feet; thence West 1419 feett thence South 544.5 feet; thence Weat 1320 feett thence South 66 feet to the point of beginning. Exceptions to warranties: Subject to easements, reservations and restrictions of record. Dated this a ~ ~h'day of April 2000 AUTtiENTICATiON (SEAL) --C'!'~" ~ ~'-. (SEAL) R1C D. ROSENCRAe (BEAU 0 (SEAL) CHRSSTINA ROSENCRANZ ACKNOWLEDGMENT Signaturc(s) . f authenticated this day of TITLE: MEMBER STATE BAR OF WISCON ~rr"~••..`- (If not, ~` " authorized by §706.06, Wis. Stals.) ~~N~P' ,S, ,,' THIS INSTRUMENT WAS DRAFTED BYy; .. ~. STEPHEN J. DDNLAP ~•'•5;~~~•;~\`~"a'` .t Hudson, Wisconsin {Slgna[ures may be authenticated or acktwwledged. Both are not necessary.) State of Wisconsin, ss. St. Croix Cou Personally carne before me this ~..~ daY of April 2400 .the above named Mark D. Rosencranz and Christina Rosencranz _, to me kn wn to be the person s ho executed the foregoing Inst nt nd acknowledge the ~ t ~E~- Notary Public, State of Wisconsin My commission Is permanent. (If not, state explralfon date: 10/20/02 . ---•) /O °'" __._ ~, .. '\~ . , a~ ~s ~~~~ r r. . T -r,:.j. ' Name of pero.n vanlna in my up.aay must oa typed « primed Uelaw their siarwuire. wrsconsin lspal eiank Co.. InG. STATE BAR OF WISCONSIN Miwaukw. tn,is. WARRANTY DEED FORM No. 2 - 1998 ,,nMe cTEAD IS'rADDiTInN DOC'~'L372S9 VOL. g I~RGE 31 .~ ~, . `;f i tLG ~ ,..~ 4 ; ' ST CFO~~. . cou~vri w~ , ' ` Z€~NING CFFlCE ~ •, 4 ~ EAST I/1 CORNER -.. ' ~ SEC. 11, f29N, RWW NEST ip CORNER SEC710N I1 1,29N.-R.19W. UNPLATT 0 LANDS ___ ~____ ____ ~ ]' ALUwNUN i COON TT Yd1U4ENT J' ALUMINUM COUNTY MONUMENT EAST-WEST 1/4 LINE OF SECTION 11 589'43'OS~E 1315.40' ' - t2t.28' `p gY'$f N..27• -- 628.12' -- I ` 387.85' 589'43'o5'E ]9]0.10' ~~ I ff S~ I'fJ I 1 - 01 LOT 36 rf LOT JS 16 Ac 2 }• \ \ ~ z 0 . . 3 2.07 Ac. $ 93947 sq. It 1 37\ ~® 90344 sq. Il \ \ S "~ LOT 34 °• ~f u ~'~ IWrI ~ :l \ \ I ~ yS ~ H 2~ ~ \ /_~"•' h 3.21 Ac. n 139935 sq. Il ;o N llJ 7 ; ~ w S. 1" ;6 ' 3 Z \ a ~ n 9a7o \ \ `~ / i l0T 37 5 ORI~. e'E ]!e b° , _` / 1 \ / / / // ~/ ~ 2.31 Ae. / N7eyT D • ' - - ~ 100562 sq• ft / ~ / • z _ ~ j / / ~ / / ~ 1 / w / ~ / 0 / ~ / i / ~ / /_ S~ LOT 33 u / ~ / 1 / , ~P ~ © t ~ \\ ~ ~ ~ i ~ I /© 2.06 Ac. /1 79 ~ / \~\6 / N»•~r'o~•y. ;J sV. 895 21 JJ.'JJ' 1 LOT 30 / _. 4.r S ° ~ o 33 A n/ ~ 2 (P ' ^ c. ~- i A I . ^' ~' 0 101344 sq• fl I ~ //-2~~ h k c/ ~ ~ I ~ ~ O •. l I ~ ~ hh ~ 'Y h ~ S~ BENCN PARK i0P a D1 i 1' ETON PIPE 8Y 9) ~f ; LOT 7 ,l1 ;., Td n LOT JB ~` / $ Y g / / b' L07 31 t LOT }2 . ELEVADON - a T6q~a 1927 U5C5 DANM z N. o ~ 3 e^•IY 41 ~< .°- I 4 2.01 Ac. C ~ ~ a a 0 z , ~0 2.15 Ac. 2.33 Ac. + a \~ 101352 sq. Il ,li~ / ~1 = f~•i 1 /`°~ ,~ 93602 sq. 11 ~ 87460 sq. It _ z. z - . LP ~ ' 589']5'43'E 6 22 ~ ~ / 1 ~ ~~'' I ~ \ ~ ~ ~ 7~ 4 E W 99 005 43 . - I9 - - ° ~~~°. 4].7s' ...J ------- - - ~I ~e].es / I 'tiw.,r4 LOT 29 I\ _ 192.7s' - - - ~ .~-- - N8973'14'E 1!9.55 i1 Nl979'27'E 120.4 OLD HOPKINS PLACE-""~~--~ ' ~ ~ \ ~ '/$~ 'A}S) 121520 sq. Il 11 \ ' ~~~r 59w P 6 psi u to n N8830 89']]'14'E 189.03' ~ \ : y1 (~y 7 ~ '27'E 1]1.00 \ ~ a `~ N99.s'li [ tE9.13' ,U , - ~~~ _ . - .... _~ - - \ \ ~Q'' ~~ LOT 28 96.09- ~ tt T ~ ~y \ i rte. ; 1 SSS1' _ -' \ \ Y y \ \ • u' unulr ~?• ~h4 A INAC9 EA~EMENT •+aa~ R tf- ~ \ \~ \\ ~ [ASENENT D ~ 2.94 Ae. 128127 aq. It _ R E 0 N I \ i \ \ \\ 5 `/~ ~ ~ ~ y o N ^~ 20' 599-.1'))'V 275AT DRAINAGE EASEMENT N ~ \ \ \ ' \ \ \ \ li, \ T ~ - pR AINA(iE BASEMENT KI ~ .OT._6 vi ~ ! ~ ~ ~ ~ & HWE ° 901.00 a RI~E'\ ~ ly~.» Zi AT•M 261.)r °. ~'w IQZ 4 - \ \ ` ~ ` 9 \ S3 $89•]0'os-E sale' ; WW 1 . SJ 9 - \ • \ .L S ~ \ ~''f o 0 o W ° R \ \ ~~ \\ \~ ^ \ \ \ \' 'y ~ o N ' z z n r LOT 39 W 62 Ac 2 LOT R l0T 41 \~ \ \ \ \ \ 27 2 ~ ~ LOT 27 $ . . h ~ 114244 sq. Il . e \ 2.11 Ae. 98956 q, 11 91873 sq. O \ \ }~ 33' \ 9e \ `\ 4.20 Ae. z ~ ° ~ ; ~ ~ ~ \I \ i IQ 1 182,946 sq. It ' ~ ~ ~ °; ~I ~ ; I cash ' „ IX ~ BENCH YARK O7 3/.' IRON PN ELEVATION • .. ~ ~ I ~ 1 I 0 ` t T 1927 Us09 DA M I 1~ I - no.sr u4,9r a oo' 597,.2' I'32'w SOUTH ,J~W 1/4 - 6W 1/4 5 11 N00'3S'43`W 1412,03 1 \ \ I 3 \ Sl CORNER S NO1ED ~ ' f0UN0 MONUMENT ~ SW CORNER NW 1/~ 0/ 1HE \ NR '~ I ~ I I LQT• - L1QN~_~Tf:_,,R.~p4171~ 8, I \ LOT IS -~--~- 129N. R19w Sw 1/R lOT 7 \ u I 0' / 9UN ~ I 20NUMENT o & \ xl~ / LOT 14 -- ~ I \ <4' / ~ I \ ~ al ~