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Wisconsin Department of Corrxnerce PRIVATE SEWAGE SYSTEM C ount y :
SA" vnd Bui�ngs Division
ti INSPECTION REPORT • St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary PermitNO.:
personal kd mla*m you provice may be used for secondary purposes (Privacy Law s.15.04 (1)(m)). 384274
Permit Holder's Name: Q City Q Villag4 Q Town of: State Plan ID No.:
SI DUt, Richard Hudson Township
CST BM Elev.s Insp. BM E ev.: SM Description: Parcel Tax No.:
q g . / q�, yJ ' S,,�- �(1►"+ #Z' 020- 1376 -03 -000 41
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY
STATION BS HI FS ELEV.
Septic oZ�Fsly 9 & 4 O
Benchmark '`' t'
Dosing A It. BM I 77-al
Aeration Bldg. Sewer -7. CIS .o(
Holding St / Ht Inlet S. 4-7 9 /
TANK SETBACK INFORMATION St/ Ht Outlet I 5�• 5 9' f ZI
TANK TO P / L WELL BLDG. Air i to ntake ROAD Dt inlet
Air I
Septic 0 — NA Dt Bottom
Dosing NA Header /Man. c ' 13-
NA Dist. Pipe ) q3. Z4r r
Ae ration 9.1.
z .o
Holdin Sot. System )o gy q 2 . 4>7-
PUMP / SIPHON INFORMATION Final Grade +6
Ma facturer and t Cover '�;2a `18 • (vG /
Mode! PM 1
T Lift Friction System TD Ft
Forcemain
Fi Length la. Dist. To Well
SOIL ABSORPTION SYSTEM
me / EN Width � Len th No f riches PIT No. Of Pits kinside Dia. Liquid Depth
lME N pAr 4� IM I N LEACHING acxurer: SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM INFORMATION Type O - .� r 2 r ' 1 CHAMBER
Num r
System: 90 OR UNIT i _C
DISTRIBUTION SYSTEM 44 C P/1
Header / ni old , , Dist ibution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
�"
length Dia. L Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
�ed th Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched
/Tr ench Center Bed /Trench Edges Topsoil Q Yes Q No Q Yes Q No
COMMENTS: (Include code discrepancies, persons present JoWeetion #1: (° / (L /ol Inspection #2 - 1 '"-+
Location: 962 Labarge Road Hudson WI 54016 SE 1/4 NW 1/414 T29N R19W) - 1429192264 Sweet
g S see
Grass Farm -Lot 3 r ` 't) 5, Id►+ cQaa
1.) Alt BM Description =� Gj ' `
2.) Bldg sewer length= Zo. 0 r
amount of cover - 24 +•
3) a� A-laz 64, 4�- L-k4
Plan revision required? ❑ Yes &r No
Use other side for additional informs ion_ �, "! - A,-%, FFF
SBD -6710 (R.3/97)
VOW Date inspector's Signature Cert No
� � f�
Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162 G ---
Visconsin Madison, WI 53707 - 7162 Site
Dep artment of Commerce S Permit Number
Sanitary Permit Application
In accord with Comm 93.21. Wis. Adm. Code. personal informapon,you P ide Check if Revision
tna f be used for secondary purpmu Privacy LI 115. 1 m S Plan I. umber
I. Application Inform flon - Please Print All Inf ° rmation �
_ P N r /!V Z to
property Owner's Names 5►� t�"e't ^' e3tt9 G
A"
property Owner's Matting Address POP ,s
;S T N E
S` W�u ti Lot Number Block Number
city, Sate
Zip Code Phottr;Nudrbs
tlivisiod Name CSM Number
rod s o <
H. Type of Building (check au that apply) ',,nr Deity
1 or 2 Family Dwelling - Number of Bedrooms �
ownshi
❑ public/Commercial - Describe Use � ! � O / Nearest Road
0 Sate Owned ` J , ~ j + �
one box on line (numbering scheme for internal use). Complete line B V applicable)
III. Type of Permit: (Check only For County use
A. I New 2 0 Replacement System 1 3 0 Replacement of 6 0 Addition to
Tank F.xis • S stem Date Issued
stem ` Permit Number
B. Chock if Sanitary Permit Previously Issued 1p 2 0
if Type of Permit: (Check all that apply)(ntrmbering scheme ii for internal me) -
21❑ Mound 47 0 Sand Filter " ' 50.0 Constructed Wetland
44�Non - Pressurized In. Ground - . 51 0 Drip Line
41 ❑ nk Holding Ta 48 ❑Single Pass , -
22 0 Pnasurjzed In- Ground 3o 0 Other
4S ❑ At -Grade 46 0 Aerobic Tre Unit 49 0 Reeitculadng
V. D nt Area Information: °�O� stem Elevation Final Grade
Dispersal Area Soil Application Percolation Rate �' Elevation
Flow �) Dispersal Area Rate(Gals./Days/Sq.Ft.) (Min.Anch)
Required Proposed
yPd ,f T 77. �r 2' Prefab 9 Site Steel Fiber Plastic
T
C in oal Number Mamtfactunr
VI. Tank Into Concrete Constructed Glass
Gallons Gallons of Tanks
New Ezisttni
Tanks Tanks
Sepde or "011 r W"100k a
Dostag Qnmber
asib ' or installation of the POWTS shown on the attached plans.
VII. Respo nsibility Statement I, the undersigned, assume respo /MPRS Number Business Phone Number
plumber's Name (Print) Plumber's Signature
/S=G 4=
. a Address (street, City. Sate, Code
O
VII I. COMMA /De artment Use Onl Date Issued Age gnamre (No Stamps
Saniary Permit Fee (includes Groundwater
roved 0 Disapproved Surcharge Fee)
Q Owner Given Initial Adverse /o a
Determination
�l Miff c f °�i Disapproval
1 phi o re e a r ange t system location.
2
Atlach gmplde plans (to the County owy) for t� "A 0° p not dm il/2 s 11 Inches to stu
SBD -6398 (R. 05101)
f
4Z ZaZavall �2CR 0 9&
Sanitary Permit Application Safety & Buildings Divisi
In accord kith Comm 83.21. Wis. Adm. Code 201 W. Washington A
ConS See re%erse side for instructions for completing t ' ation PO Box 73
I*&
Personal information you provide may be use r s cc n airy u ses" Madison, WI 53707 -73
Department of Commerce (Privacy Law. s. 15.04 ( , (Submit completed form to county if r
state owne
Attach complete plans Ito the counts copy only) for th 4K,�. on t less NidK /2 x I I inches in size.
County State Sanitary Permit Number ❑ Che i tsi s app tcatio S • to Plan I. D. Number
3�� ~ a
I. Application Inf rmation - Please Print all Information :h cation:
Property Owner Name t r pert) Location
� ! � 114 A, S T N,
Property Owner's Mailing Address
Lot Number Block Numbei
City, State Zip Code Phone Number " . � . M Subdivision Name or CSM Number
orfrl ur a/ t 74 7 )r — 71 s &-0;1E7 f
II Type of Building: (check one) ❑ City
• I or 2 Family Dwelling — No. of Bedrooms: 't' ✓0 rL Pe✓ P (4^ 5 Skbty, eel ❑ T I lan of
• Public /Commercial (describe use):
O State -owned
III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road
A) 1. 0 New System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax / utm er s)
Svstem Tank Onh Existing System
B) Permit Number /y Zq. /9 22( y Date Issued
❑ A Sanitary Permit was revioush issued
IV. Type of POWT System: (Check all that apply)
, .Non-pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland
❑ Pressurized In- ground ❑ Holding "rank ❑ Single Pass ❑ Drip Line
❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
V Disp ersal/Treatment Area Information:
1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percoratrorr Rate• 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals. /day /sq. 11.) (Min. /inch) Elevation
VI Tank Capacity in "Total 4 of Manutact r Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks I Tanks
❑ ❑ ❑ ❑
T�" C
❑ ❑ ❑ ❑ ❑
VII Responsibility Statement
P Y
1, the undersigned, assume responsibility for installation of the PCWTS shown on the attached lans.
Plumbers Name (print) Plumber's Signature (no stamp IOIP/MPRS No Business Phone Number
Plumbers Address (Street, City, State, Zip Code)
c S
C €LG GS'Y —t/nl —1 /od
VIII County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuin Agent Signature (No stamps)
1 Approved ❑ Owner Given Initial Adverse Surcharge Fee)
Determination
IX. C of Approval /Reason for Disapproval:
t�(Tcr 7b �e oild/,C►'uLCCCF {JQr 1-. V.�OA,rrv re- CohnlM ai7.itnS
SBD -6398 (R. 07/00)
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Wisconsin Department of Commerce
SOIL EVALUATION REPOR Page / o
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code minty
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must `
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. —
Please print all information. R wed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Govt. Lot fF 1 /4A tW 1 /4 S N R 7 E
Property Owner's Mailing Address Lot # Block # Strbd. Name
135 - -3 Au A 3 s
City ) State Zip Code Phone Number ❑ City ❑ Village own. Nearest Road
New Construction User Residential / Number of bedrooms C disrived"design Ow mate GPD
❑ Replacement ❑ Public or commercial - Describe: - - - - -- - - -- - —
Parent material O�rTk/�Sff FI Plain ele#g tNe
General comments T,CEiS�,s -1' '" �`/ ,�o�
and reoommendations: �---- ; c ?Z-
ii
.
a / # Boring �+
� Ground surface elev. • Y ft. Depth to I' � 6ad°!`' i^ '
Pit Soil Application Rate
Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/iF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
Z rL c g-
3 _ ""
r
`l Cbcttiu' `'
# �
! �_
Bo ring �
Z pi( Ground surface elev. - -- n• Depth to limiting factor /D/ in., Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/t
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff/f1 ' Eff#2
S —.X 2 2
L /Lr S
c G '
act 92
v2 Pro
1W W )40 F b
Eflluertt #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' E t /02 = B <_ 30 mg& and T
CST Name (Please Print) natym— 2 T Nrxnber.
Fogerty Plumbing b Perk Testing Si ` Z.2 1
Date Evaluation Conducted Teleptwne Number
Address 28288 McKenzie Rd
Spooner, WI 54801 C . ��� ���— `� ?
��
47 —
E r — �T /� Parcel ID # X20 - - / Q : -� Page of
—
# Boring /
Pit Ground surface elev. �•L__ — ft- Depth to limiting factor ? _• ! Z Soi ate
epth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eft#2_
Z _ _ L G
3 — � L r
[] Boring ! p
ring # �_ ft. Depth to limiting factor r_7�— in.
Pit Ground surface elev. _5 Soil Application Rate
on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots .Eff#GPDIfFEff#2
in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh.
L 7 AV
g� Boring # Boring Ground surface elev. _�� — ft. Depth to limiting factor � �n•
pit Soil Applicl3tion Rate
Hizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots .Eff # GPD/f
or *Eff #2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
L r .►-- • 7 ..Z
Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 BOD, < 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 608j;6&3If1 or TTY 608- 264 - 8777. - -
SBD -6730 (R.60))
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*W s'h Department of Commerce SOIL AND SITE EVALUATION
Division of„afety and Buildings � age 1 of
Bur of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and :5'T—
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. #
APPLICANT INFORMATION - Plea prini aU informati�. Rev ed b Date
Personal information you provide may be used fo*condary pyRosel Privacy Law, s, .04 (1) (m)).
Property Owner \Property Location
1 ��C t ovt. Lot C 1/4,/W 1 /4,S/Y T2 N,R /,' E (oryWW-�
Property Owner's Mailing Address o; w: of # Block# Subd. Name or CSM#
13 3 /4w�� e-e c`Tf. � �,tQcJ� C rass
City State Zip C el , u. ; A` El city [I Village ❑ Town Nearest Road
N� oru wz cti 6, on I LaY�) v-r
[} New Construction Use: ® Residential / Number of bedrooms 3� Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived, daily flow ( Q gpd Recommended design loading rate _ _ bed, gpd /ft trench, gpdht
Absorption area required bed, ft trench, ft Maximum design loading rate 7 bed, gpd/ft trench, gpd/ft
Recommended infiltration surface elevation(s) �' 2 Z ft (as referred to site plan benchmark)
Additional design /site considerations
Parent material 3 L( 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 U s ❑ LI L� S❑ U O s ❑ U Ea S [_ U El au ❑ S [R U
SOIL DESCRIPTION REPORT
Boring Horizon Depth Dominant Color Mottles Structure GPD/ft re
g Texture Consistence Boundary Roots
« in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
:.: ;
1 Z 6
0 - -ty , tM� C.-S
Ground 3 056—
elev.
° I 9.8Z ft.
Depth to
limiting a i qU
factor
1 /o in.
Remarks:
Boring # 2 �— Z�.Al3i 1ME -�Z_ C-5 `V F 5 6
t 0_1 t0 t2_ 3 5
i3l
Z it to 1t `
a -1m , C5 C5 $
Ground
elev.
99
Depth to
limiting
factor
Ifs in. Remarks: -
CST Name (Please Print) gnature Telephone No.
IQ C \C m `� 1��.rv�c,.k e L 1 is) -LA - c - Li 00 g
Address Date CST Number
t'RERTY OWNER •
S' U SOIL DESCRIPTION REPORT lop"
Page ZQ of -
PAC
~ h
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 e
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench
Y. 0 -I0
Z o - `fo to vft
Ground 3 `I�I-1�0 �p _ iw5 DS ►..� Cs � -
elev.
- .5 — L ft. ;
Depth to
limiting
factor
m in. % "
Remarks:
Boring #
3 -I ID c) S U
Ground
elev.
Depth to
limiting
factor
1 10 in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /tt2
in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # —
�� Z+(hgg iAf�Z_ u S 6
5
Ground
lev.
�
Depth to � 9 y P
limiting 9 ;
fact r
I1 6 in ' Remarks:
Boring #
j
%'tea.;:% a%�A•.:'x; '
Ground
elev.
ft.
Depth to
limiting
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Remarks:
SBD -8330 (R.9/98)
PAGE OF_�>_
NAME SL U LOT# 3 LEGAL DESCRIPTIONS N '/4 Nw` /4,S W T za ,N,R i K E (or) (0
SCALE: F'= I /
BM 1 ELEVATION 1
BM 1 DESCRIPTION I* - � -
J � x
BM 2 ELEVATION t y' O
BM 2 DESCRIPTION 117 a r ur_ le4pK 1 c. rk.wl� «�
SYSTEM ELEVATION
ALTERNATE ELEVATION
CONTOUR ELEVATION v(/(
I
�Z A
r
P r: A-" �
SIGNATURE - DATE �� C�
Received: 6/14/01 8 > EDINA REALTY HUDSON WISCONSIN; Page 1
3 -30 -1997 9.53PM FROM P.1
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/iaytrr
Mailing Address /3 elk u - Ty0/z
Property Address
(Verification required from Planning Depariment for new c truction)
City/State _6Y,42 L& S"t/DfG Parcel Identification Number ,Qv
LEGAL DESCRIPTION >/
Property Vocation - &C-_ ' /,, "m .) '/4, Sec. T -R Town of
Subdivision Lot # 3
Certified Survey Map # , Volume , Page #
Warranty Deed # P- f 4 y Volume ., .�, Page # P/
Spec house ❑ yes 0" Lot lines identifiable yes ❑ no
SYSTEM MAI
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper mainten4i
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. what you put into the syst :.,
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 b!
master P lumber > journeym ' lumber, restricted lumber or a licensed p amper verifying that (1) the on - site wastewater disposal sy;
Ym P P P
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of x140
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the staada,
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. CertiTidaal"
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office wilh4l
days th thre year expira 'o date.
�
. 1 14r
SIGNATURE OF APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (arc) the owner(f)
the rope des abed above by virtue of a warranty deed recorded in Register of Deeds Office.
0
SIGNATURE OF APPLICANT DATE
" "`• Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •• a
" 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
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 (POWTS) 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-
10567 -P (R.6/99).
Table 1: System Design Specifications
Sanitary Permit Number
Number of Bedrooms 3
Design Flow - Peak (gpd)
Estimated Flow - Average (gpd) 3 d o
Septic Tank Capacity (gal) loc
Soil Absorption Component Size (W) 3
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation r
Septic Tank Component - Soil Absorption Component
Design Flow - Peak (gpd) _
Maximum Influent Particle Size (in) 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component Inspect once every 3 years
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease'
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure -
proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings. greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be 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 n J Component
The soil absorption component serving this structure is designed to accept domestic
component are shown in
wastewater from a residential facility. The limits of operation of this com p
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 thiss
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.
Plantings of deep- rooted trees and shrubs directly over or within ten feet of the
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
Mound System Management Plan
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. The operating condition of the septic tank and
outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to
ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that
may slough off the filter when removed from its enclosure. If the 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 sludge and scum 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 a triennial 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. The addition of biological or chemical additives to enhance septic tank performance is generally not required.
However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and
Buildings Division.
Pump Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to
verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution Syste
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound
shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic
(other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather
installations (October- February) dictate that the mound be heavily mulched for frost protection.
Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may
not exceed maximum design flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each
lateral be flushed of accumulated solids at least once every 18 m6 ths. When a pressure test is performed it should`rd'
compared to the initial test whin the system
was installed to determ ine if orifice clogging has-occurred and if orifice cleaning is
required to maintain equal distribution within the dispersal cell. -
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, r
and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
General
This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its'
component manual [SBD- 10572 -P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance
reporting.
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and
pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as
POWTS components.
Septic or pump 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 a tank or component.
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.
m or related wiring becomes defective the defective component shall 'b
If the dosing tank, pump, pump controls, alar e
immediately repaired or replaced with a component of the same or equal performance.
e mound com onent fails to accept wastewater or begins to discharge wastewater to the ground surface, it will b repaired
th p
or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged
and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper
operating condition.
Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector.
Fogerty Plumbing
#221180
28288 McKenzie Rd. Maintenance
Spooner, WI 54801
(715) 635 -9609 J
The interval for servicing septic tanks is set by state and local code. Throughout the United States there is a
wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years.
The Zabel"' filter, which does not increase the frequency of servicing for the tank, should be cleaned when the
septic tank is normally inspected and pumped. However, our filter is virtually self - cleaning. The continued action
of the anaerobic organisms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of
the tank. If your filter contains a SmartFilter'° alarm, you will be notified by an alarm when the filter needs servicing.
To service the filter:
*Servicing any zabel filter should only be done by a certified septic tank pumper or installer.
Locate the
outlet of the
septic tank.
Firmly pull the filter handle
and slide the cartridge out
Remove the tank cover of the case.
2
and pump the tank if 'Note: A tee handle may have
necessary to prevent to be used if the filter is too far-
, it below - ground level to reach
any solids from
escaping to the field Contact Zabel for into on tee
when the filter is ..
removed: f
m 4
While holding the cartridge over j
the access opening rinse off the Insert the filter cartridge
cartridge with fresh water, being back in the case making
careful to rinse all septage material sure the filter,cartridge is --;
back into the tank.., properlj. aligned.an
'Note: It is not necessaryto dean filter completely i e
"spotless" The biomasS�owlirlgOnI }
aides in the pretreatme
be left on the filter. (it Replace t
may be disass
.uo eu+USA
The product(s) shown are covered by one or more of the following patents:
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Other Patents Pending
Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1- 800 -221 -57 - Website httpj /www.zabeLcorr
A100/300- 14,6149'.
INSTALLER'S NOTES:
RECYCLE GREASE! Do not pour grease down the drain. Your septic tank and filter
will not handle it.
NO BLEACHES! Do not introduce bleaches into your system. The bacteria in your septic
tank is what makes your system work. Bleach kills the bacteria. When that happens, your
septic tank will no longer function correctly. This will cause premature failure of your
system.
WATER SOFTENER! Do not run the brine solution into your septic tank. This solution
has a high concentration of lime (that's what makes your water hard). The lime tends not
to settle out in the septic tank but goes directly to the drain field. Lime is an excellent
sealing agent, and yes, it does the same thing in your drain field.
Think of your sewer system as you would your car. Treat the attached information as
you would your car manual. Remember, also, that your car requires regular maintenance.
tare. must be exercised as to what you put into it. And like your car, your system
eventually will wear out. The question is - how quickly. If you have any questions, please
call:
Dave Fogerty
715- 749 -3656 - Roberts
715- 635 -9609 - Spooner
If you have an emergency, and you only get voice mail at these two numbers, call Keith
Knutson at
715- 796 -5436 - Hammond
I have read the attached information regarding the construction and maintenance of my
sewer system.
Owner's Name Date
4
VOL 1539PAGE 81 t6a 9124
STATE BAR OF WISCONSIN FORM 2. 1999 KATHLEEN H. WALSH
Document Number WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
This Deed, made between Donalda Speer, a /Wa Donalda J. RECEIVED FOR RECORD
Spears, a /Wa Donald J. Speer and Kernon Bast, wife and husband, 08 -31 -2000 1:30 PH
a k a Donalda J. Speer -Bast WARRANTY DEED
EXEMPT 0 3
Grantor, and Richard O. Sto and Janet P. Stout, husband and w ife, CERT COPY FEE:
COPY FEE:
-- _ TRANSFER FEE:
RECORDING FEE: 10.00
PAGES: 1
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in St. Croix County,
State of Wisconsin (if more space is needed, please attach addendum):
Recording Area
All of the Plat of Sweet Grass Farm in the Town of Hudson, EXCEPT Lot I Name and Return Address
of said Plat. �tei(Ml4 0' 5 701 7 - -
This Deed is given to correct the ommission of additional lots in the Plat of 13 A(/lkrdt6i
Sweet Grass Farm between the above Grantor and Grantee hereto in that 0!o'j, to if. I h
certain Deed recorded in Volume ! - 3 3 , Page Sao , as Doc. No.
020-1021-60, 01D- 1021-80, 020- 1021-90, ozo- lozz -oo
&.020 - 1062 -20
Parcel Identification Number (PIN)
This is not homestead property.
OE) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this _-'� ( day of August 2000
- 7*r non Sear, a/ k/a Donalda J. Sp rs, a /Wa Donald J. Speer
Bast
AUTHENTICATION ACKNOWLEDGMENT
)
Signature(s) Donalda Speer, a /Wa Donalda J. Spears, alW STATE OF WISCONSIN
a ) ss.
Do al J. S ear and Kernon Bast, wife and husband, County )
authenticated this4 � of August _, 2000 Personally came before me this day of
the above named
w Kristin Ogland
TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing
(If not, instrument and acknowledged the same.
authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristine Ogland Notary Public, State of Wisconsin
Hudson, WI 54016 My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.)
cki • Names of persons signing in any capacity must be typed or printed below their signature. utlo ma on P de•.ronais coma.nr. Forid
SM - 6 59�20211
STATE BAR OF WISCONSIN
WARRANTY DEED FORM No. 2 - 1999
ELEV.: 018.0
w LOT 10
2.08 ACRES LOT 5
90887 80 Fr
2. ACRES •
i
i I
• I
NW4&GO'E 871.39' — — . 4S6.7r .
LOT 11
,Oa
.LOT 4 I
2.O6 ACRES
90
ACRES
97441 60 Fr 9os908" 1= r
821.1 r
438.78'
OT 12 i
� LOT 3 I I
pp 2.O6 ACRES ]
r 8 ACRES R 90849 80 FT I'
098 so FT
NW48'80'E 1009.48'
3.84' . • 100'
498.84' I
498.14' j
I j
LOT 13 LOT 2 + I
m
ACRES
5.04 2.39 ACRES - — —
104014 80 FT —' I
132322 80 FT
I1
NN 1178.18'
498.20'
980.13' I
� I
932.0 I
I I
EXISTING OUT I
BUILDINGS I
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