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HomeMy WebLinkAbout020-1376-07-000 ncnO', 3~n d .. ~ A 3 ~ ~ ' M~ 7 ;. A 'p p A. '0 ~ of <D /mi M l M ~I ' ~~ O ~ ~ ~ ~ Z ~ O N ~ _ ? N ~ • 7' ~• G N .~. ~ 7 'i a NO May ~ V Q r~~r C ~ 7~ N n V fD j .7. I ~ p ~ W ~ ~ "3 ~ N a , o _ ! v 1 m °o ~ ~ Q c ~ ~- ~' O N ~ ono b ~ O n ~ 3 ~ ~ o o N N ~ -w O Q R ~ Cn ZD "' ~ r m 4 ml ~ ~ m - cn 7 D ~' W a ni ' 0 ~ C t N 3 ~ ° rn 70 ' i ~ o ~ ~ a ~ N N tai ql o °o c n r N M ~i N N y ', 7 '' 3 Q 9 .' 000 ~ ~• Z O n ~ ~ ~ ~ ~ V ~ lt`ill m Q U! N N p, F ~ cc ~ v o m ( fD- t~ m ~ .. G7 ~ N Lf N 7 ~ d ~ z N ZZZ c ~ O D D i o ~ _ ~ m ~ !, m tr ~ ~ ~ ~ m w m a Q Z ~ ~ ~ ~ ' ~ N -' ~ ~ _ ~ ~ A Z j v. ~- A (Z 7 0. .. J m~~ oov o,~ ~ -'z A p _ 17 Z -. y ~ Z ' _ ~ F I A D Q Q ~ ~ i i Z G p .. m N ! a ~e A ~C A a I I A ti a N O O i A ^~ 'S o ~ ~ ~ m ~ o c O A ~., A ~ a ~ ~ ~ Wisconsin 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)]. Permit Holder's Name: City Village X Township Lan ert, Mark Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: ~ 99.35' ~ cst" TANK INFO ATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic O / ~ ~ ~ ~, Dosing .~^ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand Model umber TDH Lift Friction Loss System Head TDH Ft Forcert~in Length Dia. Dist. to well SOIL SORPTION SYSTEM RENCH Vidth Length t DI 2 r SETBACK SYSTEM TO INFORMATION Type Of System: r DISTRIBUTION SYSTEM PIL BLDG WELL 20 r ~ SS ~~' county: St. Croix Sanitary Permit No: 405176 0 State Plan ID No: Parcel Tax No: 020-1376-07-000 ~) STATION BS HI FS ELEV. Benchmark rrt~¢. ~ ~`f o`f•lo qq / /•3s~ Alt. BM x 5 T. ~ - Bldg. Sewer ~ SUHt Inlet g• ~ ~S' ~ i SUHt Outlet $.9~ qs• 20, Dt Inlet Dt Bottom Header/Man. ,~s' 93~ 4s ~ Dist. Pipe w•~r ~ 93.45 Bot. System /l~ rS' 92- 9S' Final Grade a~ St Cover ,~'.0 4.O 2s' , S,2 9B. gs, No. Of Pits (Inside Dia. (Liquid Depth STREAM LEACHING Manuf~t'rOe CHAMBER OR bb ,~ UNIT Model NumE 11 Header/Manifold ~ Length Dia Distribution Pipe(s) Lengt Dia pacing x Hole Size x Hole Spacing Vent to Air Intake r 'f' `O SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Ed es g To soil p ~ Yes No ~ Yes ~ No ~`COMIIQENT~~'. (I,~ncl,S~code is repeQci ~Serson~„presept, ete` Inspection ~i~ / ~l J~- Inspection #2: `"'T"-7-' Location: 974 LaBarge Road Hudson, WI 540 (SE 1/4 NW 1/4 14 ,T[29N R,19LW) Sweet Gr s arm Lot 7 Parcel N 14.2_9.19.2268 1.) Alt BM Description = STrw~c, iM~~ ~otr~.! ~ l~ S ~1~^^~ ~~'s~ "~ Se ~ ( ~~ a"~a ~ ~ /~ ~~57 2.) Bldg sewer length = ,.. (s, pr ~ ~t-rt~t,S~ - -amount of cover = ~ Z `t So i (G6trer , Plan revision Required? ^ Yes ~ No ~ ~~ Use other side for additional informati n. ~'~ ~ SBD-6710 (R.3/97) Date Insepctors Signature Cert. No. t! 2 I Safety and Buildings Division County ~~01 ~T ~ ,,, 201 W. Washington Ave., P.O. Box 7162 - - SCD~SII ~ Madison, WI 53?07 - 7162 3ioe Address De artment of Commerce L -2-5~-t~Z- S~3/S7~ ~7 L.9'r~~h~~ ~ Sanitary Permit Application ~~ Permit Nwnbcr In accord wilt Comm 83.21, Wis. Adm. Code, personal information you provide [] Check if Revisioa ~~ ~~ ~' ~o ma be used for aeco Priv Law s15. 1 m I. Application Information -Please Print All Information State Plan I.D. Number Property Owner' ame / RECE~v~~ Parcel Number ~~a~ ~,~~ - !~~-~ Property O 's ' g dd s 1 3 2002. Property Location ~, ,lUN •~!6 ~•S/ T~ NR City, Stau Zip Code 1?~ttoas N~q~ COUt~I ~ ~ ST.I;i< CE = Num Block Number 9/ G~oll~' /~~ ~ ~~ t FI ~ ~ ZCNING Of , Subdivis' CSM Nnmbcr II. Type oY Bulltiing (check all that aPP1Y) ~v ~~ OCity i or 2 Family Dwelling -Number of Bedrooms _ .6~+~'Yd OVillage ^ Public/Cotrtmercial -Describe Use ownship s0 ~ Stau Owned ~ 7-~~F~~~~• ~// ~ ~ 3 ~ S 7 S-~ Neatest Doti ~~ C~ -F f III. Type oP Permit: (Check only one box Line A (numbering eme for internal use). Complete tine B tf app b e) A' l'~New 2 (] Replacea~nt Sysum 3 ^ Replacetrxnt of 6 ~ Addition to For County use sum Tank Ont Exis • m B • ^ Check ;f Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Cheek aII that appty)(numberingscheroe is for internal use) ~~ p .c. , ~~ = 6 ga . ~ 3 ~t 1 G r g ~ ,.~ ~ I] ^ ~ 44~Non -Pressurized In-Ground 21 Mound 4? Sand Fitter 50 Consauc etlaud ~ ,5,~, ~ ~ / / 22 (] Pnesattrized In-Ground 41 (] Holding Tank 48 ^ Single Pass 51 ~ Drip Line rl ~1 bra `lit, d d 45 ~ At-Grade 46 ~ Aerobic Treatment 49 ~ Recimila " 30 ~ Other V. ent Area Informati on: /' S ~ D Jk ~/`s Design Plow (gpd) 1 ~ ~ A~~~ Dispersal A~rea~o ~ ii Application Rau(Gals ) Percolation Rato System Elevation (Min /i~h ) yt j Final Grade ti y D ( ~ . , . ( ~ ~ ~ ~~ ///•~~~ ~ } ! D u ~va on x ~('~ //~) • ' ~ ... I ~(t'''~ ~p(~ ~ ( '.J~^" _ ' ~ / ~~ ~ Il ~ / J ~ ~~ a . V l? i' ` w ~ J L DD VL Tatrlr Info Capacity in Gallons .Total Gallons Number of Taaks ~ ~~ t~~/~~ ~ v7 Pre Co>xmte Constmcted t Fiber Glass Plastic New Tanis Existing Tanks ~u /~Q/ ~ //~~,, /~f' ~V / 1~.f.~ Septic or Iiokling Tank ~ _ t ~ .~ Dosing Chamber VII. b Statement- I, the a~mne reapoto~Eity for WTS shown on the attached plans. Phtmbe 's Name (Print) igoadue MP N Bushtess Plume Nnmber ,,./,/~ v ~ ~~ , f/ ~a PI r' Address~~S(tre~et.4City. tau, Zip ) /J)~~ ~ /~j , ~ ~~~ `~~ F ~ LO ~i ~ ~~4 l~ !~' ~ VIII. CO !De ent Use ~ Approved ~ Disarmroved Sanitary Permit Fee (inclitdea Groundwater Date Issued gent Sigm o Stamps) ^ Owacr. Givca Initial Adverse . ~ ~~~ S- ~ ~~ ~/D ~'~''~ ~ ~,GvLc~ Deutmination ~ IS. Conditions of ApprovaUReasons for pisappro ' /~r~~~~ ~ Sys•~..~ ~ ~..~..- ar(--`'~ s~v gild s~ ~% ~~• ea f u ~ "`7/~"' SBD-6398 (R. OSi01) ~~ s~ey~ ~~~ev ~.~iofi waaca comptae pta>b ta- t1m c;onoh mH1) ibr the system m paper not lean t6sa 81lZ Y it inches io obis '~ ~Cdl ~~ .2~ ~1'~;r~ -~'D G~ef ~v~~.Ul'f Few wa~ Q y~t~3ase~e~~t, to be ~',e~er~~h~d a'~ .Z"nstall~~~o~l ~~x n~vr`A S-D ®~ ~~ ~l~~tr ~ ~l~ ~hel~ ~~cn~~r7` Sweep' ~nas s Su,b. ~u~~o~ r~~S~,P. ,, , . -yo ~C ~ufC~eo a TN ~a~~~9 ~~>a1o~ ,~ ~ 1h 1, ~ IGb,D td~a~' ~ x ~onaut~' ~~ ~P~pased ` ~ be~rh~ des. ~ M~a ~~~ 9 r~ ~ U.C. ~`. ~~ ~y tao ~eP~,~ ga 3x~ ~ l~ ~--- ~ ~ (ter A~^~, ~~ ~~ ~ ~}u~~er~~~e s ~,F~,~a ~ S~,n~~,,r~ ~ aw~b~~ ~ I( ~r~nC~1 ~ a fi~ta ~e~,CC1 ~ ~eJ~.~`1©n ~`e ~~ 1~J~~~+~rnrnt?q~ at~ S~al~a7~~®1~ ~~x ~eR~~6`r ~ / v dam' ~ C~-lA~~~s ~U~~ G~ --`.• SdrL ~'~ ~ P..-/~'~- 6 • ~ ~p ~~-~ X ~Gb = `~5 7 -~ z a-~ Wisco?tsin Department of Commerce ' Division of Safety and Buildings Bureau of Integrated Services ~~~~ Sys-, - , .~~.: ~ 9~:~ ys~-~ SOIL AND SITE EVALUATION 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 ~.~uriry include, but not limited to: vertical and horizontal reference point (BM), direction and `r01 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # p~0 - /3~~- 07 ~ APPLICANT INFORMATION - Please p " ~aP{F~t~fc~r}natipl~,, R ewes y Date E ._'r Personal information you provide may be used for sec d~rypnrposes (P~acy LaVv, s.:'{5'.04 (1) (m)). G q 0 ]~ Property Owner ' ~I. Property Location ~1 Li'ZC:GJ G~ ~-c5~t1~ ~' Govt. Lot 5 /= 1/4~~ 1/4,S /~' T z~(' ,N,R /~/ E (or) Pro a Owner's Mailin Address ~ -° . ~ ~'°- p riy g ,j ~ ~ `i Lot Ak Block# Subd. Name or CSM# City State Zip Code' Phone Niir#~ber ~] City ^ Village [~ Town Nearest Road c1SO t~.~i SZto(~ t11~ `):~zt~:-'':~ ~ rs t_a [-New Construction Cse: [~-Residential / NumBerofl7edrooms 3 y Addition to existiny building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~ gpd ~ Recommended design loading rate bed, gpd/f12 ~ trench, gpd/ft2 Absorption area requiredS S? bed, ft2 7~~ trench, ft2 Maximum design loading rate ` ~ bed, gpd/ft~=trench, gpd/ft2 Recommended infiltration surtace elevation(s) ~l-~~ y~ ft (as referred to site plan benchmark) Additional design/site considerations l~Lf • %S~ y Parent material ~ cJ--~ Lv ~- S ~ Flood plain elevation, if applicable ,,~/ ~'~ ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tz U = Unsuitable for system ®S ^ U [~'S ^ U [~S ^ U ~ S ^ U ^ S [~U ^ S ~` SOIL DESCRIPTION REPORT Boring # Ground elev. ~• 2-5 ft. Depth to limiting factor _~in. Boring # Ground elev. ~/• 7~" ft. Depth to limiting factor .LLin. Remarks: CST Name (Please Print) Address 2113 ~!J~- Horizon Depth Dominant Color Mottles Text re Structure Consistence Bounda Roots GPD/fit in. Munsell Qu. Sz. Cont. Color u Gr. Sz. Sh. ry Bed ,Trench 1 0--11 10 r 3 ~ 2 ____ Sit ~ r~ ~ v -~- . Z. ~ . 2 N-3~{ t~ y 3 `~. 5. ~ ~ ~ ~ ~ -f 10 tv ~' S m1 c . ~ . ~ Remarks: ~~~ ~--- G~~_ ~ o-~y ~ X 3 2 -- Si I ~ -fir L S (v ~' . 2;. 3 2 ~ -~i to ~ ~ J 3 -- 2-~n~< c s - . 5 ' . 3 /-ru rQ ry~~ --- 5 vS c -~ .~ . $ 3 ~ v - g `~ 11 ~ - r bw'!d~ ; Page '` of I ~,.~ o, ~ ~~~ SignatJure~ „ ~'~/ Date S`~OZS ~1-~{ bo Telephone No. ~is)2y7-`fa08 CST Number PROPERTY OWNER S ~' `~ ~ SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # 3 Ground elev. `~5•.3Sft. Depth to limiting factor min. Boring # Ground elev. 9~.3s n. Depth to limiting factor min. Boring # 5 Ground elev. 99.as ft. 7 • Page Z of ~ Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ~ -/~ /d r 3/z 5; ~ ~ ~Y1Gbk C ~ v • Z ' . 3 3 3$-~~9 ~ y ~ - m ~ oS ~ ~ ~s - . S . U ~ ~-~' ~ S~• 2y Remarks: ~! /rf~ - d.~.,.~~~:Zu~iz- ~ 2 ~~-3g 1 D r ~{ /3 -'` Si ~ 2 /--tG.b rY~'i ~ • S ' • ~ 3 t 17 0 ~ ---' m S os ~fi 1 ~ `~ • ~ ~ • $ A~- qs-o = ~, ~- r gg- z Remarks: ~/~ /,h,A~'~fj Horizon Depth Dominant Color Mottles t T Structure Consistence unda B Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. ry o Bed ~ Trench 3 -~ D -~ ~~~ ~ rte s ~ - .~ ; Depth to limiting factor Zfo in. Boring # Ground elev. ft. Depth to limiting factor in Remarks: ~l ,r; ~~/~~ Remarks: SBD-8330 (R.9/98) ~. PAGE ~J OF~ NAME S-~~ LOT# ~ LEGAL DESCRIPTIONSE `/4uW'/4,S F~( T2~,N,R1~ E (or1~y SCALE: I "_ (OU ' BM I ELEVATION l~ ~ O I BM I DESCRIPTION to~p~ ! ~Conc9v,-~- lut~v-fl hl ~1 - -+' ~ J ~ BM 2 ELEVATION q ~ , ?j 6 ~ ~( BM 2 DESCRIPTION -Ivy o ~' ~ ~ ` cv ~ ct,v ~ ~ bf'k v-~(F/aq I SYSTEM ELEVATION ~rj , of 5 ALTERNATE ELEVATION ~ ~ •j~~ 5 ('(1NT(1T TR FT F V A TT(1N A /l lA no S~~AQ 3'^Z $r^~ ~ ~,~ • . ~~ P~'`r 81 c,3 • • ~Lk' ~~ N. ~___- I~ATF. ~~'~`"'~~ POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION Owner ~ ~~ Permit # s-. -7 ~ DESIGN PARAMETERS Number of Bedrooms ^ NA Number of Public Facility Units f C9'I I Estimated flow (average) ~ al/day Design flow (peak), tEstimated x 1.51 ~~ gal/day Soil Application Rate (~ , ~ gal/day/ft2 Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease IFOGI <_30 mg/L Biochemical Oxygen Demand 180D5) 5220 mg/L ^ NA Total Suspended Solids (TSS) <_150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODS) <_30 mg/L Total Suspended Solids ITSS- <_30 mg/L ^ NA Fecal Coliform (geometric mean) <_10° cfu/100m1 Maximum Effluent Particle Size Y8 in dia. ^ NA Other: ^ NA "Values typical for domestic wastewater and septic tank effluent. ~^nuurc~unurc crruGn~n ~ SYSTEM SPECIFICATIONS Page ~ of ~ Septic Tank Capacity ~~~ ~yujy, al ^ NA Septic Tank Manufacturer ^ NA ffluent Filter Manufacturer ^ NA ffluent Filter Model _ p~Q, ~ ~ ^ NA Pump Tank Capacity al ^ NA Pump Tank Manufacturer ~ ^ NA Pump Manufacturer ^ NA Pump Model ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: ^ NA Dispersal Cellls) In-Ground (gravity) ^ At-Grade ^ Drip-Line ^ NA ^ In-Ground (pressurized) ^ Mound ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA Service Event Service Frequency Inspect condition of tankls) At least once every: ~ ^ earl Ilsl (Maximum 3 years) ^ NA Pump out contents of tank(s) When combined sludge and scum equals one-third f tank volume ^ NA Inspect dispersal cell(s) At least once every: ~ ^ m th(s) (Maximum 3 years) earls) ^ NA Clean effluent filter At least once every: ~ ^ nth(s) (g y oar(s) ^ NA Ins ect um um controls & alarm P P P. p P At least once every: ^ month(s- ^ year(s) ^ NA ^ monthls) ^ NA Flush laterals and pressure test At least once every: ^yearls- Other: At least once every: ^monthls) ^yearls) ^ NA Other: ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankls) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(si shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third IY,i or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <_12 months, 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. Page ~ of ~v START UP AND OPERATION For nQw construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal celllsl in one large dose, overloading the celllsl and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWT fails and cannot be repaired the following measures have been, or-must be taken, to provide a code compliant replacem system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. snnlTlnNA! r_nMMFNTS POWTS INSTALLER Name 4' S f~~C, l~ Phone ''~ 15 - [-~ 2 5 - ~( POWTS MAINTAINER Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Phone Name S't'"' ~p ! ~ "~.~~ i~ Phone ~ I s ~~~~ ~(d~~ This document was drafted in compliance with chapter Comm 83.221211b)I1)idl&Ifl and 83.5411), (2) & (31, Wisconsin Administrative Code. WANG E}SGA'J 7154255344 P. 51 $Y' CRO[X COUNTY ~ ~~, X ~ ~~~ ~~ y `~~ fi,, SUt'TIC TANK MAIMTiN1~NCL ~O~M~NT . AND %,,,~-~-''~' ~~ OWN~'t~SlitP CI3FtTIiriCATIO//N NORM Ow~tr/Duycr ~ ~~ ~?~ /1.p17iJ,v~-- t Pro~exty Addtcsx 97 ~ ~.~c2 ,,~~2~~-C ~®~ ,~ (Ver~eatioa eequiccc4 froos Pisaoiae Est fos scut V ~ ~~ ~ ~ / caastiuctroa) CSttylSfaLC _ ~S d ~~ p~ Idattif~caxion tZarnb~- ©~O - 4 _ -/.~ Z.b 7-OrO d 1'rapcity XAC~tiotx S/ '/<, ~ ~ !ti Soc, ~ T.~~~y~ Tov~na of __~~-s Owl . Snbdivxsiou Lot # ~_, / Sit' cad Setvzp M~tp # Voktme Page # W~x~xat'p Daed # /v ~d ~S~ . Yal~tc ~~,~_~_, Pagc ~ ~, Spoil ~aaso ~ ycs ^ no + Foot liars idcati5ab1~~1 ycs O. na --~--i ^ ---^"~"~""^~+rvriW rVRGLC~~~~^'~^D~dD:~1~~ p(O~1r.( ~' F~`~OOOfabxadkrr~. e~ d~aR~sc~e~cl~oa of~~~~~7~ °~j°ooocs:i~fauodad6]r tY'iocatiodpia~, -~y,~~.~ ~e ~eaa ~cp~c~mk+at~~r.~,q~$a~~e~hesfeZfas~" sue, . , ~`'0ir'~~ c~~to St: ~Zoom~k~~ bgr~oo~sard~ x ~a°0~ ~°i~'~°0~'~di~m~xvck~iaea~rod l~iR(1~t6co~asi;t~irutiaRalas~Oc~ P~~ooa~0ioasaQta('l} sii+Cr~~~.~ ~~,4dcis tcss~sa lt3~i af~sdgc. ~'+ ~ !odhv~etead foe ~b~ ~ ~ ~ aoea~iu is piraae oa~e ~~ ~a mmd~ds ~~' ~°'~'~~~Y~~+~mr~of~mooee+~dt6eDq~nooocat"N,~aai~eof~P~soo~axirn. Qa~a~aa ~~ s7'~~~sboe~tas~o~o~~be~ooagiieoedsodr~dioQ~eS~t~vbc~Qoamtyr7.oa~u$Olf~oerri~t34 ?''~ dstc, OPAPP1.iC.A~Tf ~ ~ ~~ DAY,B ~ 1I4N t ~ e~~ ~ ~ +tlt oa tbiz faaa ~c txac to t4c best ofary (os~} lraowlodgc, Y (wc} ~ (uc} Lllc oarnec(s} oL ebOY'C by rictac of a p flood ~ ~~ of Doody O(Rpc. sou oi" r~r~ ~ ~? ~~ °-~.. DA'fL assssa Ay0'~o~E~oat~-ti~utis~c~todtmty~esyltutt6aaaititypeom~tbeb~bytkeZoai~Depect~aa~'••••' •• Indadc t~rttb ttds ~pp4dttton: N vroxruuty tteod brow tEw 1Lcgtstu of Dor.~c otXiac • Dopy e~Ct4c aatifiod surrey snap itndar~nae u osQc in, the v~ramu-ty flood '"~'~ «~: System HaaaRement Plan Pu suant to Gomm 83.54, Nis.Adm. Code -- ' ~ectc-,_ c Task . , • The septic tank shalibe maintainer! by an inQIviduat certified to service septic Conks unCer s. 281.48. Stets. The patents of the septic tank shaft be drsposed of in ar~rdanCB with NR 113. Wis. Adm, Code. The operating condition of the septic tank and • outtet fitter shaft be assessed at least once e•,er! 3 years by inspection. Tne outlet filter si salt Ee craned as necessary to sure proper operation. The fitter midge should not be removed unless provisions a<e made to retain solids in the tank Chet may slough off the fitter when removed from its enr«„.nrre, if the fiiter is equipped vrith an • - „ the later s.`sap be serviced if the alarm is ac5vated pntiniou~(y, Irrte:rnittent filter alarms sepffc tank shat have ffs antents removed when the volume of stuc'~.ge and s~r,~m er~ntc~ez aedsl /3 ~'d vcGun of '- the tank. if the anterns of the lank are not removed at the time of a klerrnia! assessment, maintenance personnel shop advise ' the'owner of when the next service needs b be performed 6o maiNain less than maximum scan and sludge ~ in I'.owever, fl'sun of b~bglat or Gsemic~l addif€ves to enhance septic tdnlc perfoirrm:nca is geoer-.py not required. prodtrc:s are used they shag be approved for septic tank use by the Oepartrnent of Commerce. ~ety and Binding's Ohdsion. unio Tank • . ~ 17~e PAP (d°sing) tank shdt be ~pe~ed at least once every 3 years. Ap swit~-es, alarms, and pumps shag be testhd to . ~-ea'(y proper operation. If an efliient titter is instafled wr'tiurt the tank fi shop be inspected and serviced as necessary. At- tads Component and Pressure Distribution S stem ' a.trees.or shru s s on e p ante or a love to grog on the component, Plantings map be made around the perimeter and the component 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 component is not alloyed. Cold weather install- ations require the component to be heavily mulched for frost protection. Influent quality into the at-grade system may not exceed 220mg/L BODS, ISO mg/L TS5 and 30 mAlL FOG. Influent floe map not exceed the maximum design flan specified in the permit far this installation. _ • - - r taterdbe flished~m of~a~m is proviCed wflh a flushing point at the end of soot Naterat, and d is ceprane~~ that ~ pmpared to the in~l test ~e~ ~ lei ~ every 18 months. When a prssscue test is perfanned d show be r'e9in+ed b rtra~ ~ ~ ~ refl. temune ti orifice dogging has ocarrred oral if orr~a leaning is Observation pipes within the dispersal cell shall be'checked for effluent ponding. ponding levels should be reported to the owner and any levels above 4 inches considered' as an impending hydraulic failure requiring additional, more frequent monitoring in accordance yith• Comm• 83.52 (2). - Geaeral •• Th s.aystem shall be operated i-n accordance yith Camm~82-84 Wis.Adm.Code and shall be . maintained in accordance with it!s component manual SBD 10570-P•(It,6/99)•and.local and state rules pertaining to system maintenance and maintenance reporting.. Wo one show ever enter a septic or pump tank since ero -'- P~P tardc ~ s fqp be in acs ~9 us gases m.-y be present that could caeme deatlr. Septic and p~yy~ ~neltts. _ rdance wflh Comm 83.33, Wis. Adm. Code when the tanks ace no looser used as ' Septic or pump tank manhole ~~, mss rtse~ and Avers should be inspected ~r water t~lrtrtess and sorsrdness. Access oP~gs used for service arx! asses shag be seated watertight upon the gmpletion of service. •Any ope~rrg deemed ~ ~ b failure must be replaced. Exposed access a~penings greater than 8-inches in ~anteter snap h.~.~cv ~_..:• , dew to prevent accidental or unauttrorized entry &rto a knit oc component, . sy~.~ beams defective the tank or pmponent strap be repaired or r' Uo keep the ~ . ~ atom or ndated wrticp 6e dive 1!~ defecsve snap t~ .. prmponerrt of the same or egvet per6ormar~ce. . If •th- a g=art~ component:~fails to accept srastevates"'o= begins-to`iii"schsrge~vastevater~to the gzonnd surface, it map be necessary to install as aerobic pre-treataent Wait or ., .replace the component. Additional nits sad aoil•evalnatioas map need to be dose:sad addixioaal Pleas map'need to be prepared and approved by the Department of Conmerce,• • Safety and Buildiags•Division. . _ - _ rQuestions .about the o •eratfoa'o • • ~-• '"~ •- -' "'-"-"•~- -_ . P r aaiateaance of•this system shonld~be directed t • -• The County~,Zoniag Offfce at ~ ~~.3_ 6~CI'~ '~ '.~ (` ~f`~ ~ l( 3 ~~ " The systes installer at -11S- ~2S-- atRSR t~tPw[., y6~~ The tank manufacturer at _ `~ , 3Z$_ S ~ t - .The effluent :filter' manufacturer at $-~p - ZZ1 ~ S`?~ 2, t~'@ rk~ s~~~ • ~, 6 3 ©-.87A-L18 ~ Gotr~As y • U 190yf' ~f10 STATE BAR OF WISCONSIN FORM 2 - 1998 6 8 ~ 8 S ~ WARRANTY DEED KATHLEEN H. NALSH REGISTER OF DEEDS Document Number ST. CROIX CO. , NI RECEIVED FOR RECORD This Deed, made between RICHARD O. STOUT and JANET P. STOUT, 06-05-2002 8:30 AM husband and wife, ~R~y ~~ ~' Grantor, EXEMPT # ~ and MARK A T.ANGERT and HEATHER ~ _ T.ANGERT } REC FEE: 11.00 husband and wife, TRANS FEE: 166.80 '' COPY FEE: ,Grantee. CERT COPY FEE: PAGES: 1 G tor, for a valuable consideration, conveys and warrants to Grantee the following desc d real state in St _ _roi x County, State of Wisconsin: ~' Recording ArEa ~ Lot 7, Plat of Sweet Grass Farm, Town of I!, Hudson St. Croix County, Wisconsin. Name and Return Address l ~ ~3a rY1 i n nc~~ ~f- . 1J IU` EDII~A REALTY ~5fi.~o.u-~, mrv 55~0~ c/o Metro Legal Services 020-1376-07-000 Parcel Identification Number (PIN) This ;; c~n+- homestead property. (Is) (is not) Exceptions to warranties: easements, restrictions, rights-of-way and covenants of record. flarpri rhtc ?_ 1 s~_ day of Mai 2(LO 2 RA~~ FAR M ~E NW7 ~4 OF THE SW7 /4, PART OF THE NE1 /4 OF THE SW1 /4, IN THE ~D PART OF THE NW7 /4 OF THE NW1 /4 AND PART OF THE NE1 /4 OF TH lX COUNTY, WISCONSIN. , / ~, b ~'°c~c~ °°1fM~G , G~OG°3~`~ aDD04~0[~ ~ M d04 ~ 9 ~ _d04 9 0 R ~- N89°54'S1"E 2641.38' ~ lTH UNE OF THE Si/2 OF THE NWl/4 SECTION 14 c~ ~ i NN'40'd0'E 821.18' 408.1 O DIU8 TYPICAL .w.L. _ 828:7. . TJ Z LOT s 2.23 ACRES a 27088 80 FT ~ MIN BUILDING N88'40'd0'E ~ 871.20' ELEV. _ a~o.o 43a.ea LOT 9 BuaulNO 2.04 ACREB ~. _ sa3o.o seee:a so Fr LOT 7 ~ 2.04 ACRES 88834 8O FT . I 41 a.14~ ~ LOT 6 2.04 ACRES eaes0 so ~r MIN BUILDING ELlN. = 818.0 N88'48'!f0"E ~ 871.20' 43a.a4~ LOT 10 2.08 ACRES ~~~ MIN BUILDING ELEV. = 018.0 LOT 5 2.08 ACRES 80823 SO t''T iA 4~~•~ `.. _ . _ . I 18' ~~ i$ • I 43a.ee H.W.L. _ X17.0 \/. _.~.-