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Home My WebLink About020-1021-30-000 .~,~~,OI~NIERCIAL TESTING LABORATORY, INC. ,-~~ -~-"' '~^ '~ ~ ~ - ~° 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 _ ~ ~°` 715 .962 - 3121 800 - 962 - 5227 Y .......,. ... . ........ ....:.. .. ..,,, ST. CfiOIX ZONING ST. CfiOIX COUNTY CQURTHOUSE HUDSON, WI 54016 ATTN: THOMAS C. NELSON REPORT NO.: 20727/01 REPORT DATE: 4/09/92 DATE fiECEIVED: 4/08/42 OWNER: Robert Sweeney LOCATION: 704 McCulchean, Hudson COLLECTOR: M. Jenkins DATE COLLECTED: 4-07-92 TIME COLLECTED: 4:OOpm SOURCE OF SAMPLE: laundry room faucet DATE ANALYZED:4-08-92 TIME ANALYZED:2:OOpm COLIFORM: 0 t100 ml INTERPRETATION: Bacteriologically SAFE NITRATE-N: 3 ppm ALove 10 ppm ?xceeds the recommended Public Drini<ing Water Standard. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L OE.\NOEVfNpF~' i3~ `4 V ~j AO ~~.~y~ RAGE 1 ,~ ..f .~~ ~ ~i ~ ~. ~ EP 'P ~~, tD gG n ~ ~ ~'` i Erg O' LAB TECHNICIAN: Pam Gave tic ~2yc .% s, o~~ '~ ~~' ~ WI Approved Lab No. 1S ,~, q £ Z t Means "LESS 7HAN" Detectable Level Approved by: PROFESSIONAL LABORATORY SERVICES SINCE 1952 ~~~ ., ., ST. CROIX COUNTY ZONING OFFICE O~,r St. Croix County Courthouse /~~ 911 4th Street l U"~ Hudson, WI 54016 Telephone - (715)386-4680 he St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. , ~~ ~~~~ Completion of this form is essential so that the proper_ t~can be located. Property owner's name ~,. ~ '..t~~- Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and farm are received. T WATER TESTING------------------ ---------FEE: $ 25.OO;j3 (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 ~`~ (For VOC' S ) ~ f ~~ ~ ~_ -~LSEPTIC SYSTEM INSPECTION---------- ~-----FEE: $25.000`x' . (Determines if system is propezly functioning at time of inspection ) ,,.? j~ 1 ', ~~ ; //lf G ' (.[.t.YGyCC'c/Lt /Cd c~ ~~U~~-t_~~GtJ C;+ ,ri/u? 1/4 of Section - /~-, T~_N,-R -- Subdiv~sio~a Yv'•~ yn by house?~If so, list firma ~ 9~i-~ PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so .for some time, the water line must be purged by running the 'water for several hours before the test can be conducted. WINTER TESTING: Many times water-lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make, proper arrangements with this office to ensure time when ent~`y maybe gained. ~~~ ~ Firm or individual requesting sere-ices: UC Telephone Number 3 ~6 - l/v2S- REPORT TO BE SENT TO: /~C...e~~` C' JOY /~Ic'~a~ ~~ Closing date Signature , Property owner's address rp ~' Legal Description X1/4 of t,he, Town of 87yeYs~~e T~ " ' Lot Numkier. /" ~ F , ^. . ~~ ~ ~~~ 3 ~~ .. ,. Apr. 7, 1992 Robert Sweeney 704 McCutcheon Rd. Hudson, WI 54016 Dear Mr. Sweeney: ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 An inspection of the septic system on the property of Robert Sweeney, located at 704 McCutcheon Rd., Hudson, WI was conducted on Apr. 7, 1992. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. iri erely, ary J. Jenkins Assistant Zoning Administrator cj .~ SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636.7173 FAX (612) 636-7178 LABORATORY ANALYSIS REPORT NO: 21U77 t~4/21 /92 St. Croix County Zoning DATE COLLECTED: 911 4th Street DATE RECEIVED: Hudson, WI 54G16 COLLECTED FY DELIVERED BY : SAMPLE TYPE Attn: Mary J. Jenkins SERCO SAMPLE NO: 26292 SAMPLE DESCRIPTION: Sweeney VOC ANALY5IS: Bromodichloromethane,.ug/L ~i~.;~ Bromoform, ug/L <U.5 Bromomethane, ug/L (Methyl bromide} <1.U Carbon tetrachloride, ug/L <C).2 Chlorobenzene, ug/L {l.u Chloroethane, ug/L (Ethyl chloride) <C1.4 2-Chloroethylvinyl ether, ug/L tO.4 Chloroform, ug/L 1,(j Chloromethane, ug/L (Methyl chloride) <C~.6 Di bromochl oromethane, ug/L <(}. 4 (Ghlorodibromomethane) 1,2-Dichlorobenzene, ug/L (o-Dichlorobenzene} 1,~-Dichlorobenzene, ug/L (m-Dichlorobenzene) 1,4-Dichlorobenzene, ug/L (p-Dichlorobenzene3 Dichlorodifluoromethane, i,i-Dichloroethane, ug/L ~C1.4 x:1.4 ~1.U ug/L (Freon 12) iD.S t} . 2 1,2-Dichloroethane, ug/L (Ethylene dichloride} 1,1-Dichloroethene, ug/L trans-l,2-Dichloroethene, uglL 1,2-Dichloropropane, ug/L cis-1,3-Dichloropropene, ug/L trans-I,~-Dichloropropene, ug/L X0.2 <U. 2 <4.1 tU. 1 C1.5 <U. 9 PAGE 1 G4/G7/92 t~4/t?S/92 CLIENT CLIENT DRINKING WATER < means "not detected at this level". 1 mg = 1u0u ug. .~ ., SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178 LABORATORY ANALYSIS REPORT N0: 21077 04/21/92 SERCO SAMPLE NO; 26292 SAMPLE DESCRIPTION: Sweeney VOC ANALYSIS: Methylene chloride, ug/L <5.0 iDichloromethane} 1,1,2,2-Tetrachloroethane, ug/L <0.2 Tetrachlaroethene, ug/L t1.5 1,1,1-Trichloroethane, ug/L <5.0 1,1,'2-Trichloroethane, ug/L iO,i Trichlorofluoromethane, ug/L tFreon il} 1.7 Vinyl chloride, ug/L ~€1.(7 Benzene, ug/L <1.0 Ethylbenzene, ug/L t1.0 RAGE 2 Toluene, uglL X1.0 Trichloroethane, ug/L 2,4 This sample's analytical results ar ,t~ below the U.S. EPA's SDWA Maximum Contaminant level of 1/30/91 for those requested compounds which are also on the SDWA MCL list. C means "not detected at this level". 1 mg = 1000 ug. Member .~ SERCO Laboratories 1931 West County Road C2. SI. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (812) 636-7178 LAEsORATORY ANALYSIS REPORT NO: 21027 PAGE ~ 0/21/92 All analyses were performed using EPA or other accepted methodologies. Samples that may be of an environmentally hazardous nature will be returned to you. Other samples will be stored for 30 days from the date of this report, then disposed of by SERCO Laboratories. Please contact me if other arrangements are needed. This report may not be reproduced, except in its entirety, without prior written approval from SERCO Laboratories. Report submitted by, Z/1-~-~ Diane J. Berson Project Hager < means "not detected at this level". 1 mg = 1000 ug. Member Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)i. 'ermit Holder's Name: City Village X Township Feulin ,Brian Hudson, Town of SST BM Elev: Insp. BM Elev: BM Descripti n: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic /~,,, ~ l T l ~' ~ - -~ 1 D~9 I ~ "' ~ G~Yt Aeration Holding _-----__-_ TANK SETBACK INFORMATION TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Septic ~tS~, ~ / Dosing /~ / Aeration Holding PUMP/SIPHON INFORMATION ~~,~,-~ Manufacturer Demand GPM Model Number TDH Lift Friction System Head TOH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM J'~ //'e 0 .P ELEVATION DATA county: St. Croix Sanitary Permit No: 514950 0 State Plan ID No: Parcel Tax No: 020-1021-30-000 Section/Town/Range/Map No: 14.29.19.96D STATION BS HI FS ELEV. Benchmark ~- ~.1~ X03,1 /o~.e Alt. BM OP d '~ f ~ Bldg. Sewer SUHt Inlet St/Ht oiutlet_ G am, ~~ 97. 'S"5 t Inlet ~j~ • ~ 7 ~/ Dt m6L~Q~- ~ gs ~7 3 Header/Man. •1 ~ 7 ~ c/t /~l: ~ Dist. Pipe p t 2 ! ~ , ~ Bot~. Sys~te~~ r / (Z ' t7• Final L C~/itilYL .~ 7. Z S ~3 Cov r~ ~ e s-~ 3.:~1 ~, .7 ~ S• 3 ( ?~ BED/TRENCH DIMENSIONS Width ~ ~ Length ~ / No. Of Trenches PIT DI SIGNS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P / L BLDG WELL LAKE/STREAM ACHI CHAMBE R Ma c rer: I ` r~~ ~0 ,,.,~ ~, /~/1 Ty Of~ U -l~x-+' / , V / ~ ~ S~ ~ Model Number: 2~~ ~u-!~^- DISTRIBllTJON SYSTEM 1 /M~ ~.!Aa ~~ ~_~,~ !,! ..Pit ~- n . 4(~ J-~ Header anifo Distribution / x Hole Size x Hole Spacing - Vent to Air Intake Pipe(s) ~iJ Z ~ ~ Length Dia Length / Dia Spacing ,/ SOIL COVER x Prassura Systems Only xx Mound Or At-Grade Systems Only Depth Over t. ~'/ / Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center T Bed/Trench Edges Topsoil Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/~~~ Inspection #2: / /_ Location: 704 McCutcheon RoaldnHudson, WI 54016 (NW 1/4 NW 1/4 14 T29N R19W) metes~& bounds Lot ,, /~~ Parcel No: 14.29.19.96D 1.) Alt BM Description = ~~~/ ~"j~(Q/~. ~7~!L'i~'~-v" /~~~iG/~' 2.) Bldg sewer length - (• - amount of cove Plan revision Required? Yes ~ ~ ~ ~ j ~ ~~~ ~~~,, ~ I ~ Use other side for additional information. ~ ~ L ~J ~~ ~~`-(%x-~- SBD-6710 (R.3/97) Date Insepctor's S' nature Cert. No. commerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. B 7162 St. CTO1X ' ~ ~ O ~ ~' ~ Madison, WI 53707-7 Sanitazy Permit Numb (to a filled in by Co.) Department of Commerce S / Sanitary Permit Application StateTransactiogi~u r / In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriat ove ental different than mailing address) Project Address (i unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned O submitted to the Department of Commerce. Personal information you provide may be used for con same h {~ u oses in accordance with the Privac Law, s. 15.04 1 m , Stats. ~ ~f ~ (/- J ' , I. A licatioh Information -Please Print All Information Property Owner's Name Pazcel # Brian Feuling & Sandra Me er-Feuling QQ 020-1021-30-000 ~ ~ (¢ Proper Owner's Mailing Address ty Property Location ~~ CRCIX COUNTY ST ~ `` . '1ViCCutcheon Road ZONING OFFICE Govt. Lot City, State Zip Code one umber NW '/<, _ NW '/,, Section 14 (circle one) Hudson, WI 54016 (715) 381-1574 T 29 N; R 19 w II. Type of Building (check all that apply) LOt # 1 r 2 Family Dwelling -Number of Bedroom 3 S ~ Na Subdivision Name Block ~ Na ^ Public/Commercial -Describe Use y Na ~ ^ city of ^ State Owned -Describe Use CSM Number ^ Village of ^ Town of Hudson Na III. Type of Permit: (Check onl one box on line A. Complete line B if applicable) A. ^ New System eplacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System (explain) L~; ~ iqu~~rmit Number and ~ Issued 3' B• ^ Permit Renewal ^ Permit Revision ^ Change of Plumber ^ Permit Transfer to New Before Expiration Owner /'f ~ ~ _ ~ 1[V. T e of POWTS S stem/Com nent/Device: Check ail that a 1 ~~ ~3 ^ Non-Pressurized In-Ground ^ Pressurized In-Ground ^ A -Grade ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ Holding Tank ^ Other Dispersal Component a Pretreatment Device (explain) V. Dis ersaUTreatment Area Information. 46 Infiltrator "Q-4 W 'chambers 20.0 s .ft EIS chamber + 2pair end caps 5.8 EISA = 931.60 sq. ft. Design Flow (gpd) Design Soil Application Rate gp s Is Dispersal Area Proposed (sfj System Elevation 450 gpd 0.5 in-situ soil 900.00 sq. ft. 931.60 sq. ft. ~ 90.00' & 91.00' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ~ o 'd v New Tanks Existing Tanks ~~~., ~ ` U ~ y y O1 " a U iii ~, rn w C7 C1, Septic or Holding Tank 1,000 1,000 1 Unkno X . Dosing Chamber VII. Responsibility Statement- I, the and rsigned, ass a responsibility f s Ration oft a POWTS shown on the attached plans. Plumber's Name (Print) Plumbe s Signa MP/MPRS Number Business Phone Number James K. Thom son s.-~ 30021 715) 248-7767 Plumber's Address (Street, City, State, Zip Code 340 P ulson Lake Lane, Osceola, WI 54020-5413 VII Coun /De artment Use Onl Approved ^ Disapproved Per m it Fee $ ~ D a te Issued suing Agen ~gnatur ^ Owner Given Reason for Denial ( ~ / ~ • ~ ( Q ~ Q 0 ~ ~ ",~ ~1e,./ IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and G~ S~_ r72~ dispersal cell must all be serviced / maintained ~ L ~~~ i ~~_ ~ as per management plan provided by plumber. " ' "' """"""` ' "M"" G11eptttaZB'ddk~i~FBtL~~fifJ~l'~tfl~blsystem and submit to the County only on paper aot less iLan 81/2 z 11 inches in size as per applicable code/ordinances. SBD-6398 (R. 01107) Valid thru 01/09 ~ ~° ~°~5~ P~~ -~--- h~ ~ - - - _ _ _ _ _ _ _ _; Spruce fi-«s _ _ . -~?' _ ~' 'o ~.. ~ - '7~~- # ~-- Ye~fS''~O ,, 0 /~~11~O~~i - IOCQ 'Eti !/Y~ O~ S/~ ~•~~~ ~Xi,Sc~iv I tV0 9~ ---'1~ ion cne~~ Sew C. s•rout/ct = 97.30' de6atJ~ld ~ ~~~ ~~ ~~ J ~o `--- - 97.0 yam, U ~O ~~~ ~ O _ _ "~y ~' ~~.~ ,)pl o c a~ J •. 3 b~•~~~, Qis~ dwrce. ~,5,s~'~ weq Sias, ~eC~c~ieo~ ~f oad r J<GV~2 t/G{~utt ~17rj ~r ~ E,~~3~%~q y/~dtele~ ~~~~/3~ O 7of//~f~t'c+ieon Kaad,i/cs(.t ,4/~ . 6. .: rP /~c /. ~ ono - ~o~/- .io - sac " a r ~ ~ --+-- ~o" Proposed elrsp.r,~.sa./ee//. Tu~p(~[i-cncfi4'S _ , GN a.f 3'X 9{/ u S,'n 13 ~.,~;•/Lra fo ~-- "C~- y ,• C ti a ,.~ bus ~fienC~ ..Tn!'fz`in6 ~ .Su ~~ ce _ - GIB/at~crs = 90.c~~ 9/.cc?" ~ A.S. /-~I. aa~s~~de. /uln~~0if~~. d b Po% Y v c J _ ~.'lEx~ Can i SL-~./wf I~G ~ y 6a,t~ i ~_ .P,Ps ~3c~u! 0 ;, p ~ 4 II - - .~~ \~ ~~ T O ~ ~~ Y 1+ N 0 d ly N~ C ~^^ Y ~.I A ~ }1 n e ~. _ ~ ~ 3" ~ ~ ~ t Jl1 A ,. S`~ ~~~j, ~T ~ ~ ~An R u n m ~~ P ` .~ F o '~ ~ ~ ale I I J A O ~. ~' '4 ~ O ~ a y. .___~'- ~--1 r ~~ S ~ _~ A ~ ~ ~ ~ _ ~ ~ Q ~ ~ ~ ~- ~~~ SS a '~ .l `p> ~~ ~ -'1a Scale i/? 1 L i C m r' ^~w~~ ~ -~ ^~~"' L ^®~ - ~ ~®~ ~ O Asap '' ~7 ^~~" -~ ~~~ ~'I -- = fTl ^s....., - Z ~~• 0 ~ ^®~ - d Aos n ~ ~~~. ~®® fir` .~-- >~_ <-r ~,~~ ~~ ~`~ ~,~s ~~~ ~~ ~o ~3 • Sa/e /ct/~a ~tz-~ ~,~E~ ~ EX•56 %~q ~~-dr e (e ~ EXi 5 ~~/~ fix e /.:sY/q,cl~i~?; %u ,; -+~- ~r+c c c•..r d.+' cans Eru c-6'c,, S~nle: = 5f0~ ,~~ /'`,Z/38 I~1 6i-i~~?~ anent /-'(~rw-~e~c%'~: 1 ~7 7o f/ /~l ~,c t'c.~ ec~ Kegd, r/~s ~- (32 ~aµ O nwyp~nwy~; .Scc. /S! T. ,z.9n. ~P.,~9:~-. 1~ 51a(~e ~ Tn. of'ffu.dson, St~ ~,~r~a ~.~, -(~~a \ ~,cpy. ,4/~. B. . ~ rP /Jc% eE OHO- /O.z/-.io- ~O o SPruc~ fi-ecs ~ _- _ _ / 4l ~~ o ~ - ,' ~Jf%ny oar ~~JX/'S~' ~ L'~~ 70 5t u~do~ed. -~so '~~-----t-- 97.0' - - - r~. ~ _ _ i ~ co.r6vw .~ f'B•~S/~ E ~: ~Xis~iii / WO 9aG --~i Gonc~c~f Stpb c ~ - l~~ : TF ta.,,~'tvlx/Y-u3td. yB.lD~ o c ah 5.r:vu.tY~t = 91.30' /o~.,~c,-~/wJ~'o. ~p - - - - - , Axsc...n cd ;fit' /~i.d'o i ~q.5to dR~ d e ~ taco! ~.~%5~'d arn~1 Q~r clanCe, ~~ ,~J ~. ~,~,'s~'.J well ~o ~~~s /'y~ ~C~ ~ eon ~f oad roPosed sPL/ Ce ca~o( en~li.c.s _ at3'X~ us.h 23 a'•,f;/trwEa.- "~,.y.' Cl.a,.~(~.c~s~2e~ficnCl.. -~n14'f~`/n~~/C Jc.~~/eC~ _~ ;4.s. i. M. 3o.~S~Pdc . ~fl/(.(Cn~~0i~l. d b Po% ~ B.eln c a~ Pr'oPos~~l ~; e s~ ~crz~s' _~'l~/cny,;sEvw~ rk„y~a,t' ~~-S1YeF~'~uen~ ~jE~i. ~~~ pPs~3~ ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the ,8~;~,,,~4. ~~,,oC,--Q ~~y`,-~-,~~;,s residence located at: 1/a, ~'/4, Section /y~ , Town 29 N, Range /~ W, Town of ,~udsor, , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of service Qu~G~ ~ ~~ Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: /~a _- gallons ~ minutes Capacity: ~ ~~o~ Construction: Prefab Concrete ~ Steel Other Manufacturer (if known): ~~ a ~~ ank (if known}: censed Plumber Signature) ~. ~,~~. (Title) . 7.~ (Dat ~~ heS ~ /~in.,~oso~ (Print Name) 3~-~ (License Number) ~MPRS Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Wisconsin Department of Commerce IL EVALUATION REPORT Division of Safety and buildings in a ance w m 85, Wis. Adm. Code 2138 Page 1 of 3 A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8'/: x 11 i s¢e. Plan must St. Croix include, but not limited to: vertical and horizontal reference point ( )direction and percent slope, scale or dimensions, north arrow and location and ista rest road. Parcel I.D. 020-1021-30-000 Please prin all ia~p{-~ ~ ® R re y Da e Personal information you provide may be sed for secondary purposes (Privacy Law, s. 5.04 (1) (m)). ~ (~ o Property Owner AU G ~ roperty Location Brian P. & Sandra Meyer Feuling ovt. Lot NW 1/4 NW 1/4 S 14 T 29 N R 19 W Property Owner's Mailing Address ST. CROIX COUNTY of # Block # Subd. Name or CSM# 704 McCutcheon Rd. zONiNC OFFICE Na Na City State Zip Code Phone Number J City _f ~Ilage ~ Town Nearest Road Hudson ~ WI 54016 (715) 381-1574 Hudson McCutcheon Road New Construction Use: ~ Residential / Number of bedrooms ti~ Replacement J Public or commercial -Describe: Parent material Glacial OutWash General comments and recommendations: Site suitable for conventional dispersal cell w' trenches at elevations =90.00' & 91.00'. 3 Code derived design flow rate- 450 Flood plain elevation, if applicable Na 0.5 gpd/sq.ft loading rate. ecommended installing GPD Boring # -~ Boring Pit Ground Surface elev. 95.4$ ft. > 107" in. Depth to limiting factor Sal A uxtion Rate ppl' Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots GP DIR~ in. Munsell Qu. Sz. Cont. Caor Gr. Sz. Sh. *Eff#1 "Eff#2 1 0-10 10yr3/2 ' none sil 2fsbk ds cs 2fm,1 c 0.6 0.8 2 10-18 10yr4/4 none sil 2msbk ds cs 2fmc 0.6 0.8 3 18-35 10yr5/4 none sil 2msbk dsh aw 2fm,1c 0.6 0.8 4 35-45 10yr4/6 none Ifs 8~ gr Osg dl aw 1vf,f 0.5 1.0 5 45-67 5yr4/6 none Icos Osg dl cw 1vf 0.5 1.0 6 67-107 10yr5/6 none s 0 sg dl - - 0.7 1.6 H#5 exhibits a high clay content. Loading rate adjusted to reflect reduced permiability of horizon associated with Gay content. Boring # J Boring Pit Ground Surface elev. 95.92 ft. >109" in. Sod A ration Rate Depth to limiting factor ppl' Horizon Depth Dominant Color Redox Description Texture Stnx:ture Coruistence Boundary Roots P Dlit= in. Munsell Qu. Sz. Cont. Caor Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-14 10yr3/2 none sil 2fsbk dsh cs 2fm,1c 0.6 0.8 2 14-21 10yr4/4 ~ none sil 2msbk dsh cs 2fmc 0.6 0.8 3 21-43 10yr5/4 f2d 7.5yr5/8 sil 2msbk -dsh aw 2fm,1c 0.6 1.0 4 43-53 7.5yr4/6 none gr cosl 2msbk mfr aw 1vf,f 0.6 1.0 5 53-72 5yr4/6 none Icos Osg dl aw 1vf 0.5 1.0 6 72-109 10yr5/4 none dl - - 0.7 1.6 12" rule used to discount redox. ident~ed in H# 36" - exhibits a high Gay content. ading rate adjusted to reflect reduced pemtiability of h rizon ass 'Effluent #1 = BOD S> 30 <_ 220 mg/L and SS >30 <_ 15 mg/L " Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatu CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations l?~te Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola. WI 54020 $/al2008 715-248-7767 Property Owner Brian P. & Sandra Meyer 1=euling Parcel ID # 020-1021-30-000 Page 2 of 3 $ _f Boring Boring # ~ Pit Ground Surface elev. 97.18 fl. Depth to limiting factor > 116" in. Soil Application Rate Horizon De th Dominant Color Redox Descri tion Texture Structure Cons'~stence Boundary Roots p in. Munsell p Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-15 10yr3/2 none sil 2fsbk ds cs 2f,1mc 0.6 0.8 2 15-22 10yr4/4 none sil 2msbk ds cs 2fm,1c 0.6 0.8 3 22-48 10yr5/4 none sil 2msbk dsh aw 2fm,1c 0.6 0.8 48-68 5yr4/6 none Icos Osg dl cw 1vf,fm 0.5 1.0 5 68-116 10yr5/6 none stmt. s Osg dl - - 0.5 1.0 H#4 exhibits a high clay content. Loading rate adjusted to reflect reduced permiability of horizon associated withclay content. H#5 contains stmt. fs, ms & cos. Loading rate adjusted to reflect reduced permiability associated with stratified sands ^ Boring # J Boring ,_J Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # J Boring J Pit Ground Surface elev. fl. Depth to limiting factor in. Soil Appl'rcat~n Rate Horizon Depth Dominant Color Redox Description Texture Stnrcture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L 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. SBD-8330 (R.07/00) A.C.E. SOiI & SibC Ev2luations a sa/¢ ~a,/~a ~~ p; ~ • EX~'s~~ 9~tcdle(e~ - jE- EX.5 b~5 rGrice /,'Ne/4,a~i~R /~//. -~-- ~,+cc c...,dsico»sFruc~~., sue/ : = yo ~ ~~ ~°`~/.~a 0 70 f/ ~~ t'G.l~ torl Ksa.d, /~~ ~~ou naJyyrawyy~ scc. /y, r. z9~, ~P/9~, ~ofi ~~ep. .Ql~. B. 7~P /~c% ~ ono- ios/- ~o- Sao S prkcC ~.-tcs _ - - - • 4/ --- 97.0 1-- ~enf,S -'so .~~ a ____9~p' ~ - ~,oo/6X. /oen•!s~ of sc~rr ,'~' _-~_99d, eniSfi~5 oll~~sa/Cal/. ~~ - __ i' co.r6our ''~ To 5c a~do~aol. '~ Cow c~c~c stpF~'c ~ - -' 43...~~ ~ a on : ToF ta.,~'s4vlxitruStd. y6,Jb~ o c o.t S T out/.ct :97.30 ' lo~u-/ivd~+'o. ~ '----• rfssc~.xcd d e 6a cJ«( ~ ~~~ b .~~ ~ `~ ~; ~Xis~'„~ 3 bad~tv.,, QcSr da~rC@, ~,y's~.'ng cJeq ~~~ si f~CCu~ c~ eon ~ Qd ~ ~rs~-~ b Po% ~ B.e/'n ~~ s K P~..~ ~.~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner~er-- ~~/'i~i „~ ~~c.Lin~~, ~.~c~ ~iG L Vy'" ""~~ v - MailingAddress ,ZQ~f?~~~u~c~leor, ~O~/ Property Address ~~ ' / (Verification required from Planning & Zoning Department for new construction.) City/State f~~SN? ~~ S~U/G Parcel Identification Number DAD - /D,Z/-~O -~ LEGAL DESCRIPTION '/ Property Location ~ t/a , ~'/a ,Sec. _..,[~, T Zl N R /9 W, Town of ~u~n Subdivision /'lc' ,Lot # ~_. Certified Survey Map # ~a , Volume p~ ,Page # ~q Warranty Deed # 7 ~,Y~~ ,Volume l ~~ ,Page # ~O Spec house ~~~ Lot lines identifiable yes o 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 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 County 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition andlor (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 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF APP ANT(S) ~/~/~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Departrnent. *** 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) Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.O1/O1). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be <_ 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. 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 filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes 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 individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorution Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BODS, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St Croix County Zoning Department at (715) 386-4680. ii ii ii DOCUMENT NO. }} Y{IRRRAfttTY QiE~.Q ij ..,+5 svn..~ ac:.ea+<eu aoa a;=coax: n:: aaz:. , h u 't ' ~ Q.zs~~n II :,~.___. ~.,^~~ .fir ~... ~~~ ~ (~ I~ ~~ .Ro2?~.~t .~- ..Swoer~ey..and Donna_._~?.~_..~?!Ieeney,,_.._... -- _._Y>!tisband.-_and__wife_,-_.as-.suryivo~ ship-mari_ta-1-._- - -.px-_apertY----------- -- - ------- -- - -- -- ----------- ---- -- ------ --------------•-- conveys and warrants- to -.-___-.-.~r.i.aZZ_.I'.,._.~~5~.1_Z.I3.Q.-.cL1~G3.-_:7.~Fla-tea.. _ _ ....K... - -Miay. erg.. as_ - ~ oint _ tenants the foiiowidg; described real esta*,t in _._....~~_,.._~~q~_Z{____________________County, craee ~,g Wicrnnc;n• i~cviji CR°5 VFFiG~ s!. CROrx CO., wr R~sc'd For Record JvN181992 a! 11:00 A. M aeruaH ro Tas Parcel No - -------------------•-__-_-_--- Pa:r-t of the NWT of NW4 of Section i4, Township 29 North, Range 19 Incest, St _ s„roix County, Wisr_ansin described as follows Coanmencin•3 at the Southwest corner of the NW4 cif 1V'W4 of Section 14--29--19; them=.: East on centerline of Tawri Road for 418.5 feet; thence North for 293.0 feet; thence West for 418.5 feet; thence south fcsr 29.9 feet to the paint of Y~eginning. ~hA1~-T~FEj$_ i. ~ ,pv a _a c~ .:~ ;.-- FEE This _. _. _._~."•-+_______________ ___ homeste:.d property. (is) his not) Except.ian to warranties: easements, restrictions and rights-of'-way of record, if any. thine ----- ----= I8_.~~.. mated this _. ..... .,. `~ ........... ......... day of ----•----- -----. ._- --- - ------ -------------- .. ........ ................ (SEAL.) -. ~---y --- --'s°<~i2~~.. (SEAL) Robert E. Sween Donna t7. Sw one _ ::. f AUTHENTZCA.TZON sidratur~ts) Robert -E `--- Sw?Fney------------- ----------Lonna ~ ~weerlr/y authenticated This _;.~~ y oi________'Turle ~ iy 92 _____y ~_._ _`~V _________________________________ - 1-~- - ---------- * Kristira Ogland TTTLN.: N7 F:MTi FT2 STATE RATZ QF t'VTSCQNSTN (Zf not, - ............. _....-' --------'--- ---._.....__._....--•- authorized by § ?OG.06, Wis. Stats.) AOIiNOW LI£)U(3MENT STATr^^. nF ~'YISCOI~TSIN } -_ - ~ ss. 2'ersonaiiy came before me ibis ________________tiay of - ----- --------------------------------= 19-------- the above named to me known to be the person _..__..__._. who executed the foree^oin~ instrument and acknowleds;e the same. ~-=~r5 1N STP.V M~r.lr wn-c r'fR A,FTF'~} F.y KriSt;irZa OL~iuiiCi (Si>~natures maY be authenticated or acl:no~vledLed_ Both stye not necessary.) ;\T.otarp Fubtic ---- -----._..._-------- ---------------County, Tt'is. Iri~• %ommission is permaneni. ~fi not, state etpiraiion '-. _ . .<. -_-^•Nnmen of Poryons eigninv. in nnr cnPncitY ahnuld 6c tyi+<.•1 or Printed below their ::ir nntm~ev. WARRANTY nF•.F.n STATE $AFi OF WISC:UNSIN Y+/i5GOn$in Loyal Btank Co.. Inr.. FUlil1l NO. .3-- I•'3fi-f. M1};I VI:I'JnI:L. ~~I~l:VitJ::: i SCALE IN FEET 1~~= 20.0 0 100 200 300 400 500 NW COR. SEC. 14 ~ CSM 1 X4689 ~ 201 ~ N 2 ,~ ~ 208 5 N 2 0 84 ~~ °' , . ~ ,~~ ~, ~~~ @;~y ~; v 475.95' 3 ~ ~~~ ~~ ~ d ~ u ~.S I ' u)~j r, ~i;~, i ~ 88 f ~ 2 J { I ~ N //4 NW //4 21 ~ ~ 2b 83 `'`°~ ~~~ , 0 24 ~`' 3'3 2086 3? , Uy ~: ~,,,:; ; ::, -:.394.46 ' ~o co ~~ - ti a F-~ ~ o- ~;'' 23 583.28 07,' /` ~~ 538. 4~ I8 V~ (p r v' 2080 'r ~ .. ~ I7 O~ < ~ l 19 T ~ ~~, 2079. a`~ ;.: \, M '~ ; 2 0 81 e ~_ ~'~`~ 2 b71 u~usl~l~-'~y~; ~ ,~r 25 ~ 'Q , I 2 0 ~ 2087 ~ .,. \ _ ~A>,-~ , ~ LOT 1 \ ~~., 2082 471.36 ' ~y \ 2088A 1~,~41tr n;% ~ ~ M f ~, ~-~-- - 2306 ~o ~_; 45 N 4 I ti. ~ ~' 15 / ! 9VJ.V~ wF I~+~+~~ ~~ 2307 ~u~~1~=,ZV 2 3 ~ G~~~y,,, 7 ~ ~ ~r ~~~ 7 I I