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Home My WebLink About020-1393-14-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)l. Permit Holder's Name: City Village x Township Biermann Homes Inc. Hudson Townshi CST BM Elev: ~ Insp. BM Elev: ~ BM Description: ~ c~D .a w. o 1 a f' = ~STQw~ TANK INFORMATION v ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic .Q~ S2J Dosing Aeration j Holding { TAN SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic S r ,,. ~ `l `~ ~ Dosing e~ pL Aeration Holding PUMP/SIPHON INFORMATION ManufacturerP TDH Lift Fn's' oss System Head Forcem ' Length Dia. Dist. to WE SOI ABSORPTION SYSTEM 3 pr BED/TRENCH Widt3 ~ Length ' No. DIMENSIONS ~•Z~ SETBACK SYSTEM TO P/L INFORMATION Type O System: ~/, ~"uo DISTRI6UTION SYSTEM ~+-('/~ 1 Ft county: St. Croix Sanitary Permit No: 399585 0 State Plan ID No: ~~- Parcel Tax No: 020-1393-14-000 STATION BS HI FS ELEV. Benchmar ' X1.1 a5,( Up, t7 Alt. BM Bldg. Sewer SUHt Inlet SUHt Outlet `-J'. SL ( o .~s, Dt Inlet Dt Bottom Header/Man. (Dist. Pipe tt~ Bot. System S Final Graade l~wJ~I.y ~ ~' o St Cover •~ ~ ion-q 5~(S kS~ o. Of Pits LEACHING CHAMBER OR UNIT iquid Depth . ~~t Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ~, ~° Pipes ~„ ~ r Dia Length Length Dia Spacing SOIL COVER Y Drassura SvsfPms C)nly YY Mnund L]r At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~J~/d 1 Inspection #2: --7~--7--' to ion: ~~01G9 Moonbeam },2Qad Hud W~540~16 (SW 1/4 SE 1/412 T29N R19W) Moonbeam Rid ~ Parcel No: 12.29.19.2387 1.)A~It~B„M,Descriptio~Rn = ~l~.al~~C'"~ (~~P~~ ~(~ ~~` , ~ r4 2.) Bldg sewer length = , `( t ~ ~~~ q~ w (3 ~ / ~, }5 z CO.~ - amount of cover = ~? - ' ,~ 3)~-~~ 14--1vd ~.~'(.~.~, y3, 15 ' ~s \0.90 = B•Z Plan revision Required? ^ Yes ~,No (Z , g C1 1 ~~<~~~. Use other side for additional information. Date Insepctor's Signature SBD-6710 (R.3/97) Cert. No. Safety and Buildings Division County S 201 W. Washington Ave., P.O. Box 7162 . ~ ~ n WI 53707 - 7162 Madison site Address ~~eons~ Department of Commerce , t1 Sanitary Permit Application _ umber Sam 3P q ' g S ( ~~ In accord with Comm 83.21, Wis. Adm. Code, personal information you prov ~ ^ Check if Revision ~ ma be used for ses Privac Law, s15. 1 m I. Application Information -Please Print All Information ~ ~ Plan I.D. Number t, c ~ .~ t ~+rl~En Property Owner's Name r n o ~ o- at~a Number Z I z. Z ~ (Q. L 3 87v t , v A , d ~ .? ?~n Prope Owner's Mailing Address ~ S t! PrgRP I.ocadon ~^' %~ x ~t7 ~~ STLAOIX / SL~.4•SI~T N,R( City, State Zip Cade >re~=idu>t3bPg1~ ~~ '` t' Block Number \~ . ~`; ~~._ ,,.~~ division Name CSM Number // 6 /~ O ~~ ~ =.: i ~t:0 '° II. Type of Buil g (check all that aPP1Y) ~ ^City ~1 or 2 Family Dwelling -Number of Bedrooms ^Village ^ Public/Commeroial -Describe Use Q5 ~r fol.. 5 S ~ ownship v ^ State Owned Nearest Road ~ -~~~ z a III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) `~' 1 ew 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use stem Tank Onl Exis ' S stem B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued N: Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 Non -Pressurized In-Ground 21^ Mound 47 ^ Sand Filar 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At Glade 46 ^ Aerobic Treatmem nit 49 ^ Recitctilating ^ Other ~ V. D' ersaUTreatment Area Informat ion: 3 -' Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) [ T-1 =9~.~ filevadon ~y / ~ / / ~ Ta= s_ao Cd~ t / a/ era~l~~ f 3= 9 3-~y VI. Tank Info Capacity in .Torsi Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing /Z g'a T Tanks Septic or Holding Tank / ~ _ / C~~"L• Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for ' tion of the POWTS shown on the attached plans. Pltunber's Name (Print) Pltmtbe ' Si RS Number Business Phone Number l~D~' ~~~-~ ~ ~ a~ ~~s - ~~ htmber's Address (Street City, ,Zip Code) `"~/ ~ ~ 7 ` VIII. Count /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee ( eludes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ^ Owner Given Initial Adverse ~ ~ Z~ O ~ Determination ~ (( 0 / "'' IX. Conditions of Approval/Reasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. System shall be installed 55-80 inches below uniform contour line to ensure proper location within soil profile. Major portion of chamber louver shall be installed in soils with a soil application rate of .5. 2 TR~int~in .i,all ~n~l ..r~4Arl;,,A eP4t,on4~ nPr !`nT,iT~ 41 d1 1Q\/..\ Attach rnmplete plans (to the County ody) for the system on paper not less than 81/2 x 11 inches in sae SBD-6398 (R. OS/Ol) Safety and Buildings Division County ~ S 201 W. Washington Ave., P.O. Box 7162 ~ ~ j~ Madison, VVI 53707 - 7162 ~~cons Sine Aridness ~ ..~~, De artment of Commerce Sanitary Permit Application ' _ _ ~"` 3Pq s ~+/~ In accord with Comm 83.21, Wis. Adm. Code, personal information you prov ^ Check if Revis on ma be used for ses Priva Law, a15. 1 m I. Application Information -Please Print All Information ~ Plan I.D. Number ~ ~, Property Owner's Name ~ "/ p {^FrY EQ r i YI.U _ ``' Number o z t i , ~ 1, t 4~ L 3 87v t ~~ ( Prope Owner's Mailing Address ,_ ~ ' ` ~` t ~ ~ Z~ Prgp~ Location . /-' .~ x ~t7 ~ ST CAOIX ~ ~.. •'. . SL' Si: S ~ ~X T N. R l~ City, State Zip Code P~oire=Nuad®fW/~ ~~ :Lpr :, Block Numbcr ` ' \ ~ 7 . ~ ~ '~ division Name CSM Number /Yc ~ o . II. Type of Bull (check all that apply) ~ ^Ciry ~i or 2 Family Dwelling -Number of Bedrooms ^Vrllage ^ Public/Commercial -Describe Use Q5 e~ lq.~ S S ~ ownship ~-. ^ State Owner ~ ~ Nearest Road ~`'~ - .~ fF - o o z III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A 1 ew 2 ^ Replacement System 3 ^ Replace~m of 6 ^ Addition to For Cou~y use stem Tank Ont Ezis ' S stem B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV: Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 Non -Pressurized In-Ground 21^ Moues 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment nit 49 ^ Reciicrilating ^ Other ~ V. D' ersal/Treatment Area Information: 3 ` ' Design Flow (gpd) Dispersal Area Dispersal Area Soil Applica'ion Percolation Rate System Elevation Final Grade levadon ~' F ch) Mi /I F Required Proposed . n. n t.) ( Rate(Gals./Days/Sq. r / _ ~~o. ~ ~? D® '/ / / gy / T a . Ys ~ y-- fS = 9 y 7 ~ • 9 ~ r 611 VI. Tank Info Capacity in .Total Number . .Manufacturer Prefab Site Steel Fiber plastic Concrete Constructed Glass Gallons Gallons of Tanks New F.z;ating ~Z $d T Tanks Septic or Holding Tank / ~ _ / C~,~, f_` Dosing Chamber VII. Responsibr7ity Statement- I, the undersigned, assume responsitrility for ' lion of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe ' Si RS Number Business Phone Number l~Dy ~l~~ig- ~~ ~~s - ~- is Address (Street City, ,Zip Code) f ~~~ ~ VIII. Count /De artment Use Oni ~~Y Petmtt Fee ( ludes Grouttdwater Date Issued Issuing Agent Signature (No Stamps) Approved ^ Disapproved Surcharge Fee) ^ Owner Given Initial Adverse ~ ~ Z~ ~U '~ L I t7 "'~ Determination IX. Conditions of Approval/Reasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. System shall be installed 55-80 inches below uniform contour line to ensure proper location within soil profile. Major portion of chamber louver shall be installed in soils with a soil application rate of .5. ~. iviamrain weu anu wa~enme seroa Attach rnmplete plans (to the County only) for the system on paper not less than 81/Z x 11 Inches to size SBD-6398 (R. OS/Ol) ~r{'~'III ~f~ ~~ Q / / 1.~"~ - N~ ' /~ ~ T~' t~l~-~ _ ~ i ~~.~y T,~ ~=a = ~sg~ T-3= y~•~y i ~~ ~~~~ r' ~~ ~~o3s y~ .~ ia~ ~- 1. /~~T~`I ~~ .~ 7=~ ` ~sg~ T, 3. 9y• ~ y ~; i i! ~a r- ~~ ~~03~7 Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page ~ of In accoraance wntn uomm no, vvis. r1am. ~.uoe Plan must 11 inches in size th 8 1/2 t l - -~ County ~. . an x ess Attach complete site plan on paper no include, but not limited to: vertical and horizontal reference point (BM), direction and Part:el I.D. , percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~ h , h Please print all Information. Re ' ed y Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). r Z Property Owner Property Location P, C ~ l.~t~ ~' ~ r ~' ~„ Govt. Lot Sw 1/4$~i/4 S ~ ~ T ~~ N R E (o W Property Owner's Mailing Address Lot # y Block # Subd. Name or CSM# 1 5+ Q;~ ?OS ~ ~ 1 Mo ea ~ City State Zip Code Phone Number ` ^ City ^ village ®Town Nearest Road Pro 1sEn Re..it ofi N W S ya c 71 >r?9 - ~ IS ia d,, New Construction Use: ~' Residential / Number of bedrooms _~ Code derived design flow rate S f~ GPD ^ Replacement ^ Public ~ commercial - Desaibe: Parent material ~_ L i p~,~! ~ `~. ~ Flood Plain elevation if applicable ft• 1~'~ s fi a - S ~ ~ g (~ t 7~EIN-C.L~~ S ~O r" ~ wG~ $ r'~"~ and r~ecomme d lions: ~1a~ ~ 5 ~° ,~ t'1 C95.9`/'~ ~e,~~AL2r-~th-~• T'3 193.1~y,) " `^ ~w.aw ~ ~f y ' T.1 ~ 9 4.7 4' ~ '~ y (9~ .Sit Boring Boring # (~ pit Ground surtace elev. _ ft. Depth to limiting factor'1~_ in. Soil lication Rate H i De th Dominant Color Redox Description Texturt: Structure Consistence Boundary Roots GP D/fiz or zon p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 - 0-1 o`I s1 L of ~ a ~. ~ I y-~~ d y RsJ ~ ~ F5.~ ~. ~ t F ~- d7-Y 7 ,5`I~' y S c a ~`` ~ y y - ~.sy,ey ---~.-m------ ~ ae. -- . 9~ 9v, y y ,v ~s ~„ Boring # ~ Boring p~- Pit Ground surtace elev. _ / ~ ~ ft. Depth to limiting factor ~~_ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f1T in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 a ~ ~ - i ~rs~ ~/ s ~ a F rc ~~ ~ .. - • 5/ ~ ~ . (• A! A(! !! `` C UN?Y '-~~! ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' tmuent ~~ = nw ~ su rngrt. ano ~ ~~ : ov ~~~~ CST Name (Please Print ~ Signature CST Number ~oZ1.17 ~~ ~ a O0~ ~ S'~ Date Evaluation Conducted Telephone Number •~.+.~~ ~~~ ; ,~~.cdr~r`~ yd s ~ / - 15 - a ~ ~/S -.~ Y~~- 358 $ r~ ti /'D~ ~i~ Property Owner ~ C , C 6 (~ D V a. L~ b? ~ (p ~'.Y'$ Parcel ID # ~Zn~ ~i h C~_ - , Page ~ of 3 Boring # ~ Pit Ground surface elev. ! O, b ~ ft. Depth to IimiGng factor - ~a d in. Soil lication Rate Horizon Depth Dominant Color Redox Des(xiption Texture Structure Consistence Boundary Roots GP D/tP in. Munsell t1u. Sz. Cont. Caor Gr. Sz. Sh. `Eff#1 `Eff#2 I - -- ~ ny R31 ~- ~ 612 A o7~ , s , $ ,. ~• ~ 55 7.5`IRy dFSbk. r w -- / ~ ~' '1L.~1 L^/ 1 Ong # ~ Bonng _ ®pit Ground surface elev. ~bl, b ~ ft. Depth to limiting factor l ~ a in. Soil IicaGon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/if in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1- O ~8 I of R3/ L ~ f ~ r~ $ - ~3 7.5 `f y/ 5 L o~ X55 K trv- t~7 ~ ,,~ - ~3- S ~, S KR y ~ 5 f... ,~ m k vtn~r i.J 1 v rr ~~y/ . ~ S~. 3 yu Boring Boring # Ground surface elev. ft. Depth to limiting factor in. (] Pit Sal lication Rate Horizon De ot Dominant Caor Redox Description Texture Structure Consistence Boundary Roots GPD/ff p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =BODE > 30 _< 220 mg/L and TSS >30 _< 150 mgll 'Effluent #2 = BODS < 30 mglL 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. SBD-1330 (R.6I00) r p, C ~ C a 110. ~u; t~e~rsl'~'intc . r ` ~ ~ :StLa ~` S ~ ~y sec. a i~ ~`. ~9 Y`1 ~ R 19 ~ ,t ~ ~o 1~ _` 1 1 '~ M0.hk~ ~ (1~$+~t I To p ~ 5-k~~. Fe.1~e..c p e ~}~ ~ ~ M4r~ ~~ , ~+w a ~ I Fw, c -e. ~ os+- ~4 ~o rt /1~ ~S', S'-Far1C c5+~ aa~~~t, ~- I ....._._.... I a ~' I ~ h .,,:,, 5" O i ~~„` 1. i' ~~ ' -~ ~ ~ QJ _ ~_ ~ ~ , _ 1'Rp~p~,~~~ 4u:11~: KS $;tc ~s..,. .,~ `~ 4~~ /~ e .~,.. _, . ~fe~er crr.ce f~-4~5 ~ '~-- t3nn ~; I ot. ~y Q ~ 9$.$7 $ 3 9~,4-a~ 8~ iu~I to~• ~ lU/29/O1 1SON'11:09 FA$ ?15 388 4888 ST CRg CO ZONING fdJ0U1" ST CROIX COUNTY SEPTIC TANK I~~LAINTENANCg AGREBMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Ih i •P.Y'v~ct n ~, --ISOvti Mailing Address ~ • D . ~a~c ~ I IJ Property Address (Verification requittd from Planing -o~~ ~ new const~rttction) City/State t~ /~~v~ (.C.~ Parcel Identification Number ~~ j~o -' ~ " ~a j F.C.AL DEfiCRIPTION Property Location ~ 'h, ~ '/., Sec. ~, T~N-R~W, Town of Subdivision Lot # ~. Certified Survey Map # ,Volume .Page # Warranty Deed # ~~lp 0 b3 ~ . Volume _ ~ 1~ Page #JSa Spec house ^ yes ~ no Lot lines identifiable ^ yes ^ no 4'Y~TF1V~ 1ViA,1rlV'I'ENANCE . Improper use and maintcoaace of your septic system could result in its prematur+c failure to handle wastes. Proper maintenance ooaisists of pumping out the septic tank every throe years or sooner, if nccded by a licensed pumper. What you put into the system can affCCt the function of the septic tank as a treataioat:rage in the waste disposal system. 17ne property owner agrees to submit to St. CYoix Zoning DCpartcaont a certification form, signed by the owner and by a mastCr pluanber, loattuyman plumber, rcatrictedplumber or a licensed pumper vortfyigg that (1) the onraite wastewaterdisposal system is in proper operating condition and/or (2) after inapoctioa and pumping (if necessary), ~ septic tank ~ less than 1/3 full of sludge. Uwe, the uade=signcd have read the above requircmeats and agree to maintain the private sewage disposal system wilt the standards eet forth, herein, as set by the Departateat of Comm~crce and rho Depattiment of Natural Rssourros. State of Wisconsin. Certification stating that your septic system has been maintained must be completed and retttcaed to the St (~oix Cotmty Zoning Office within 30 days of the throe year expiration date. ~____~ IGNATURE OF APPLICANT DA'I'S OWNER C~RTIEICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the ptnpcriy descnbcd above, by virtue of a warranty decd recorded in Register of Deeds Office. / /a Q OF APPLICANT DATB ••*••• Any information that is mis-rcpr+esentedmay result in the sanitary permit being revoked by ate Zoning Departmcat. "•~`•`« •'' Include w[t6 tWs application: a stamped warranty deed from the Register of Dodds office a copy of the certifted survey map if reference is made in the warranty deed POWTS OWNER'S MANUAL ex ~t,cr.ivr.~ ...~~,suw~r~nu nrv~.-^.-....... Owner Lf~.2/.? Permit # DESIGN PAKwr~t~tiw ~ N'°` Number of Bedrooms • Number of Commerdai Units ^ NA Estimated flow (average) ~® gal/day Design flow (peak), (Estimated X 1.5) gal/day Soil Application Rate . ~ gal/day/ft2 Influent/Effluent Quality Monthly average* Fau, Oil 8t Grease (FOG) <_30 mg/L Biochemical Oxygen Demand (BODs) <_220 mg/L Total Suspended Solids (TSS) s i 50 mg/L Pretreated Effluent Quality ^ NA Monthly average* Biochemical Oxygen Demand (BODs) <_30 mg/L Total Suspended Solids (TSS) _<30 mg/L Fecal Coliform (geometric mean) <_10' cfu/100m1 Maximum Effluent Particle Size % inch diameter MAINTENANCE SCHEDl1LE Service Event Inspect condition of tank(s) Pump out contenu of tank(s) lnsped dispersal cell(s) Clean effluent filter inspect pump, pump controls 8t:alarm Flush laterals and pressure test Other: Other: Service Frequency At least once every ~ ^ months j~ year(s) (Maximum 3 yrs. ) When combined sludge and scum equals one-third (ys) of tank volume At least once every ^ months ^ year(s) (Maximum 3 yrs.) At least once every At least once every At least once every At least once every At least once every ^ months ,year(s) ^ months ^ year(s) ^ NA ^ months ^ year(s) ^ NA ^ months ^ year(s) ^ NA ^ months ^ year(s) ^ NA MAINTENANCE INSTRUCTIONS Inspectioru of tanks and dispersal cells shall be mWladS bryisaector; POaWTS MM'aintalneof Septage Servidng Operator~Tank irupectio Plumber; Master Plumber Restricted Sewer; PO p must include a visual inspection of the tank(s) to kefor an nback up o~ ponding of effluentton the ground surfaceeaThe dispersal volume of combined sludge and scum and to the Y nding of effluent on cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any po 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 tank equals one-third (Ys) or more of the tank volume, the W scon contents of the tank shalt be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement componenu, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START VP AND OPERATION For new construction, prior to use of the POWTS check trea ~ e~a~cell(s)f o If h'ghrconcentratpons are detect d haveththe con e that may impede the treatment process and/or damage the d p ~r rlw ran4(S'4 ramovPd ~Y ~ sent~e servicing opertor prior to use. SYSi"EM sr>tc.IFICATIONS Septic Tank Capadty O al ^ ~ Septic Tank Manufacturer (,~,~,,~~, ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model _ ~~ •~ NA Pump Tank Capadty - °'~ - ^ NA Pump Tank Manufacwrer .--~ ^ NA Pump Manufacturer ^ NA Pump Mode! ^ NA Pretreatment Unit ^ NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer Dispersal Cell(s) ~ln-ground (gravity) ^ In-;round (pressurized) ^ At-grade ^ Mound ^ Drip-line ^ Other: * Values typical for domestic (non-commercial) wastewater and septic tank effluent. * * Values typical for prevented wastewater. Daic _ o(.` System start up shad not occur when Boll conditions are frozen at the Infiltrative surface. During power ouaEcs pump monks may fll! above normal hlghwater levels. When powtr is restored the excess wastewater will be d'acharge4 to the dispersal cell(s) In one large dose, overloadlr~ tht cell(s) arsd may result In the backup or surface discharge of Cower to ttx effluentlpurmp or conWctha Plumbersor PO 5 M~Intatncrto assist Insmanu Ily ope atltl~ the Pump conco~turinti P restore normal levels wlthln the pump tank. Do not drive or park vehicles over links and dispersal cells. Do not drive or park over, or otherwise dlsWrb or compact, the area wlthln 15 feet down slope of any mound or at•grade sod absorption area. Reduction or elimination of the followln~ from the wastewater svearn may Improve the performance and prolong tht lik of the POWTS: antlblotla; baby wipes; cigarette butts; condoms; toaon swabs; degreasers; dental Ross: dopers; dlslnfecYanu; tat; foundation drain (sump pump) water; Trutt and vegetable peclln¢s; gasorine; grease; herbiddes; meat scraps; medications; oil; palntlnQ crodtrcts: aesricldes: sanitary napkins: tampons; and water sofuner brine. A$AriDON6MENT When the POWTS fails and/or is permanently taken out of service fire following steps stall be taken to insure that the system is property and safety abandoned in compliance with ch. Comm 83.33, W(sconsin Administrative Coder • All plpln¢ to links and pia shalt be disconnQCtvd and the abandoned pipe openings sealed. • The contenu of aft monks and pits shall ba removed and properiY. disposed of by a Septage Servicing Operator. ARer pumping, all monks and pits shall be excavated and removed or thtlr 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 (o1lowln~ meaxures have been, or must be liken, to provide a code compliant replacement system: d A suitable replacement area has been evaluated and may be utilized for the tocatlon of a replacement soil absorption system. The replacement area should be protkcted (turn disturbance and compaction and should not be infringed upon by required setbacks from exi:tinY and proposed strucwre, lot pnes~ and wells. Failure to protect the replacement area will result in the need for a new soli and site evaluation to esubllsh a sult~b(e replacement area. Replacement systems rnust comply with the rules In effect at that tlrne. f7 A suitable replacement area is not available due to setback and/or soli limlptions. BarrtnE advances in POWTS technology a holdln~ tank may be Installed u a last resort to replace the failed POWTS. ~ The site has not been evaluated to identify a Suitable replacement area. Upon failure of fix POWTS a soli and site evaluation must be performed to Iocau a suitable replacero~ent area. 1f no replacement area h available a holding tank may be instilled as a last resort to replace thr faired POWTS. O Mound and at•grade soil absorption sysunu may bt reconstructed In place following removal of the biomat at the lnfilvative surface. Reconstrualons o(such rystenu must.comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTKER TREATMENT TANKS MAY CONTAIN fLETHAI GASSES AND/OR 1NSUFFICtENT OXYGEN. DO NOT ENTER A SEPTIG, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT, RESCUE OF A PERSON iROM THE INTERIOR OF A TANK MAY QE DIFFICULT OR Ihtp(1tt1Rl i. ADt)iT10NAL COMM>;NTS POWTS 1NSTAL~ER Name Phone 7/S` - ~ SEPTAGE SERVICING OPERATOR (PUMPER Name Phnn~ POWTS MAINTAINER I -:Name r Phone tACAL REGULATORY AUTHORITY AZ'encY hon - l7CT-25-2001 0835 551 438 8683 ~7 ~] Yn1, .~~j~~PAGE+~~G ' s'rAr~ $AR of w15C4NSM FORM 2 - l999 DaeuneYtt Naatbcr wA>ltYtr-IVTY DEED T}t~ Deed, made between D,niel Beer artd Kjmb~ar3_ huab~nd and wife, ..~.. _ _ Grantor, snd Skemrx:at Noma, I~ac. - ~.~• Grantee. - ~~ ~. ~~~'.~. Grantor, for a valuttble consideration, conveys to Grantee the foiIo+wing described rest es>nte in _ St. Croiz County, State of wiaconsin {ifmtue spree is needod, plsase attach addendum): Lot 14, Maonbeartt Ridgt First Additina, St, Croix County, tiViscaasin Ext~eptions to warrAUtios: Easements, res~ictioas snd. tights-ot~way ofraaord, if atty. Dated ibis _2~c ~ day of • October ~~ 2di11 . Did Beer . , .. ...._ - - ... . _ - • ~- -- ~ k'tmterFy Beet _._ AfITHENTiCAT10N Signatures} Denit] Baer•and KiobArly $eart•huelyaad sni wift. :•.$~+ ~~i~I day of Oebpber E001 'ATE BAIL OF WI6CON3iN 7015:06. Wis. Stats.) ACKNOWLED(xMEN'f $T'ATE OF P/I900NSIN ) ~~ _ . ,• County } Personally came befpre me this day of . - .._.._ the abOvr astttpd to n+~ known to be shs pcy~~pt'l(~tj who eXGCUOed the for~cir~ instrument and acknowledged the Same. } '1'FII$ R3STRUM~.NT WAS {.]FI,A~"d'SB l3Y • rn shnt+0 Is^d Nocsr Public, 5~ate ntWisconsJn .,. Hu son, SOU' ........_ ... .... y •-•-----~--- ~ .~......_~ .. ~) My Cner+misrion is germyutent. (if not, state crcp+ir8tion da tb+gnauuea,:u,y t~ wtbtr+tisatal nr atlutnwled ed. Roth arc oat nears _ ,_..__-~.... _. ....... ~. Manua of ponor~c si6nia6 is enr apaoily m;ut be rypcd pr prudod blow their sigaattuc. wa~naen Pruwaro~ CornD~eM, rena d~ ss, vd 57AT'Q BArt tK+ Wr5CON5IlV sn0b66,zvt1 TOTAL P.02 651 438 8683 P.02/02 ~ ~s O[~34 KATHLe:ENi K. idALSH ~EGISTlR OF AEEA5 ST. CR[iFX CO., 61I RECE18Eif fQi REt~11 ~0-~2~-~a: t~:oo pn ~ l~ ~COFY FEE: GOAY fEEo T~At19FFk F~: 167.70 RECI>RDIli6 FEE: 11.00 AGES: ILeaxJa:g Ares Name snd RtYUm Address _ ~'0 ~x s~ii.~ 4241 O t 6.00-0OD Pmd ldatgCuttiot- Nu+++btr (P1N) ._- .. This It not •-- hAnkskad propany. .06) (front) .. ~'9 ~-~ ` '~ \~ MINIMUM BUILDING ' ~ / ~~ ~~ ~~ \ ELEV =934.3 - - I ~ ~ ~~ H.W.L. = 932.3 \~ .. .. .. ~` . ~~: ~~~ 6 ~ S89°ST28'E 373.33' ~`. - ~ - \\2o13'g5r ~ - - ~ - 5i. S89°57'29'E 258.01' ~ ~ ~ ~ -N89°5T29'W 831.34'- cr) ~ ~ ~ ~ ~ -CHARLIF~ RYAN ROAD- ~ L ~ - -->-- (~ i 1 = S89°57'29"E 617.71' L2 17 i .t \ i ~1 ...................... I..}. j.............. .~ ~ I ~ ~ ' \ ~ ~ ••• `\\OO ( I ~ a`3z l1B_ SOD. 1 ~ ~ MINIMUM BUILDING I ~i~^oi~ ~~` f, , ~ 1 •~ ~~~~ ELEV = 925.5 ~ ~mn .1 ~ I Im DI -~~---! ~~ LOT 76 I i~mi z'~ ~ i '• 2.50 ACRES I `~, ~, (108,927 S0. FT.) I I.••~L-~ `~ 0 I N I-~J~L19 - ~ 'I/ ~ I - - - - S89°57'29'E 447.35' ' ` I • - ~17g5$r 185.78' I ~ °~ /// 00 ~ I~ ~ *' I~ `QO /~ i W H.W.L = 923.5 ~i ~~ ~ I W .~ .~~ j I ~3 g0 I d I I '~ '~ ~ L12 ~ / y L,' ~ is. ~~SEM~ .ter, p W I L14 . I S ~ ,~ ~I ~• ~ / ~~ LOT 1 S ~~~~,`_ _,,-----J~~ w 1~ 1~ 2.50 ACRES ~ I ~ I' - a;- - - - ! 008,881 sQ. Fr.) ~ I ~ LOT 14 ,,, \ ~ 2.50 ACRES o~ ~' \ ~ MINIMUM BUILDING '' I (108,939 SQ. FT.) j ~. .\ ELEV = 925.5 ~ 24 - y \ ~~ ~~~ \ w ~\ '. I ~ i \ ~ \ i MINIMUM BUILDING di ~ \ ', ~--- -I---ELEV=925.5 -- • ~ PaG°~4 OO [~ - ~ ~ Mo ~~--moo ~ 4~J 77 . _ ~- _ _ _ ~~ NIa~IB°38'23'W 235.60' ~, ~ 1 . ~ ~~ MOONBEAM ROAD ~ ~"~"' ~- --~ \ ~ ~ ' ~ C~o~o~ilo ~[~1 ~ .4~ _PC~o ~3~7 a ~ ~~ pLaG35~ OO G~ ~ ~ LOO 4 4 C~o~oGV]o OG~] // ~Io ~g _P~o_ ~ 4~ Il