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HomeMy WebLinkAbout020-1376-27-000~* . ~ .Wisco~lst'n Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GBNER~L INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.~5.04 (1)(m)). Permit Holder's Name: Stout, Richard ^ City ^ Villaged fln c3wOWriS111 HHAA S~6 1 p CST BM Elev.:- Insp. BM Elev.: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic W Dosing Aeration Holding TANK SETBACK INFORMATION. TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic ~ Id~c r -~ NA Dosing NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer Demand Model Number GPM TDH Lift. ~ Lriction . System TDH Ft Forcemain Length ~ ~ Dia. H Dist. To well SOIL ABSORPTION SYSTEM ELEVATION DATA county:St. Croix Sanitarv,P~cgi~ flo.: StateState Plenan ID No+.: Parcel T~~DIoT376-27-000 STATION BS HI FS ELEV. Benchmark Z„ gsL Qp~-~ r ' S.6o _z2' Bldg. Sewer ~-3L }•3( RS`,Sf ~ ~/ Ht Inlet g ,o,~ q~(, ~~ r St / Ht Outlet g.Zo ~ ~ 6L r Dt Inlet Dt Bottom Header /Man. Dist. Pipe ~ Bot. System ~ 4 Final Grade t cover ~ . ~~. ~Z r BED /TRENCH Width Length No. Of Trenches P.~T No. Of Pits Inside Dia. liquid Depth DIMEN I DMAEN I N SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Manufacturer: SETBACK B INFORMATION Type O •.~ ER CHAM Mo el Num er: System: Cp,;~ ~ 1 ~%, OR UNIT ' DISTRIBUTION SYSTEM Header / Mani- old 's Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. ~ Spacing 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 Edges Topsoil ^ Yes ^ No ^ Yes ^ No -,iD COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1• ~/ ~/a (Inspection #2• -T-7' Location: 885 Fraser Lane, Hudson, WI 54016 (NW 1/4 NW 1/4 14 T29N R19W) - 1429192288 Sweet Grass Farm -Lot 27 l.) Alt BM Description = ~l ~ D6ScruQ-f:o,~ ~u~,1t5 Ik :{alt ~ i+~ a«+~ ~w,,` 2..) Bldg sewer length = ~ ev.c(. s ,s -amount of cover = S ){~,Q~~w,.~ t1_ , ",l't~ ~ ~.~/~ Nud prof p I~~U sor'/fls~¢f ~So v `~~~- ~ ~, --- 1 ~ . 2 G Plan revlslon ~qulrec~? ^ Yes ^ No i Use other side for additional information. SBD-6710 (R,3/97) Date Inspector's A;gnature Cert. No. ADDITIONAL COMMENTS AND SKETCH ' , ~'~ . , <,. SANITARY PERMIT NUMBER: ,~ ~.~, _~ 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)]. ermit Holder's Name: City Village X Township \ Stout, Richard Hudson Townshi ST BM Elev: Insp. BM Elev: BM Description: Ct0'~f ~~ ' D r l r'9't~ = C'~ ~~'v`~`~ re.n~5teh-S ~ i Hrv~ IrvrurcmAi wrv TYPE MANUFACTURER CAPACITY Septic W ~t SEtL Z c7Q'~ Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic I 35 •{- t ~ 1 ~ ~ r ~ r-' Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Dema GPM Model Num r TDH Lift ion Loss System Head TDH Ft Forcemain Length Dia. to Well SOIL AB ORPTION SYSTEM ~ ~ - ` ~iB RENCH idth Length No. DIME 2 t ..~ SETBACK SYSTEM TO P/L INFORMATION Type Of System: DISTRIBUTION SYSTEM l~ Of Trenches ~3) BLDG WELL til 8 / ~ /l70 r tLEVATIVN DATA County: $t. CrOiX Sanitary Permit No: 370344 0 State Plan ID No: ~~ 1 Parcel Tax No: 020-1376-27-000 Section/Town/Range/Map No: 14.29.19.2288 STATION BS HI FS ELEV. Benchmark ~ . g'2- 102.82 1 C'0 . p , Alt. BM Bldg. Sewer '~- 32 x•31 9S•Ta' `jS.sl' SUHt Inlet $. os' 9~{.~~' SUHt Outlet g. 20 9r{, t: Z r Dt Inlet Dt Bottom Header/Man. '~ 9o i `TZ.~2 per... -~"i Bot. Syste Final Grade St Cover ~- ~ `l~• l2 PIT DIMENSIONS No. Of Pits Tlnside Dia. Liquid Depth E/STREAM LEACHING Manuf CHAMBER OR ~v UNIT Model Header/Manifold tt Length Dia Distribution x Hole Size Pipe( Length ing x Hole Spacing Vent to Air Intake r / Z~ SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Onlv Oepth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~~ Yes <^~. No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~S / ZZ / ~~ Inspection #2: Location: 885 Fraser L ne Hudson, WI 54016 (NW 1/4 NW 1/4 14 T29N R19W) Sweet Grass Farm Lot 27 Parcel No: 14.29.19.2288 1.) Alt BM Description =~ •T• tn~e.w ~ ~~"~') Sy~ ~.~9u~`~S` 2.) Bldg sewer length = 18 _ r - amount of cover = I ~ `t-}- ~G^~ ~ ~ ~'~ • ~~) I~'~`S _ ~~ ~ /~ Plan revision Required? Yes 0 No Use other side for additional ' orrtp~t+on. SBD-6710 (R.3/97) 0. Date /)~ Insepctor's Signature Cert. No. ~ vat e~p l ~ tf.~ c_o_.., o. n..: ~.i~n nc rlivec~nn ~- ~Us}.~Z Sanity ' Permit A lication 1"y I'13 Code Adm ~1 """'' "` '"~"-'~~'- ~ ~~ 201 Va'. Washington Ave. 7 0 . , ~s. Ir, accord ~~:th Comr.1 63 21. ~ See reverse sloe far instruetio^s for completing this application ,~ P4 Sat 3 Madison. Wl 33!!7-730" ~~~ns~~ j Personal information yea provide may be used for seeandary purposes ~ (Submit completed form ;o cou~uy if r t)opartment of Comme-ca (Privacy 1.au'. s. 15.04{ 1 }lm)J state owner Attach tom lets lens to the county co - only tar the s~'stem. on goer not less than 8 ck if revision to previous application Ch ' .112 x ? 1 inches in size, Sate Plan 1. D. Number e Number Sucre Sanitary Perm L A ilea o Information - Please Print all Information r: .,> Location; openy location £Y~ 'S~G•. ~ fir:'" ',,+,~,, ~ ~ i ;Uu) If4,~u) il~i,S~ T~ ~ l iTL property Owttar's ailin; Address _ _ ~ I .l 6iocl,Nutnber of Number • ! ~3 ~ ~ ~ x. ~i~ y~ ~ ~ : , ~ ~ '' (Subdivision Name or t:SM Number ._ Zip Coda ~~v-;' ._ ity, Stan ~„ ~ t ~ X231 ~P~~csi ~,1~' ~"~alG ` ~ ss S~Jee II Type of BuildiatS: (eboek one) ~ -~ ,..~._ ,-,.; ` `~ ~ D city D Village lIR 1 or 2 Fundy Dwelling - No. of Bedrooms:,,~_ \_~~_~~-'" Mown of © PublidCotnmtrciat (describe use); ~~,~s~,,~ 0 Statc•owned III Type otP~rmit: (Check Daly one box ore line A. Chock box on line B if applicable) Nearest Road .._._ A) 1. Q1LNew System 2. Q Rep;accment 3. ~ Repiaeemeht of 4. 0 Addition to Parcel Tax Number(s) l 31 (O " a' -O17~ 0 S stem Tank On! Sxisiin S stem -- p ~ B) Permit Number ~ ~~ D A Saari Permit was reviausl issued I'V. Type of 11'gWT Systean: (Check alt that aPP(Y) ~le7D - ~foa-preuuriud In-Sround [7 Mound Sand Filter C1 Constructed Wetland p Prasauriznd 1n-grouted D Holding Tank D Single Piss D Drip Line O robi Treatment nit D~ rculating D Cher: , n n 0 At-glade ` ' ~ r ~- t~ 2 ~ Z Z V ena ttneat Area Information: ow 3. ispersal Area 4. Solt Application S. Percolation 6. yssem lavation ~. to ode 1 Elevation , Required Proposed RatetGais.ldaylsq.ft,) (MinJiadt} .z ~ ~~: T.~ 9~ ~ gars ~a ~~ <z 4 v ~ 7 ,d`~ VI Taak Csgsatcity in Tataf ~ of ~ Manufictunr Prefab Site Steel Fiber- Plastic Con• Gaa- g-~ Iataarotadon Gallons Gallons Tanks I ` Crete strutted ~ New Existing I Tanker Tanks SG irr L a~ ~ .-'G~l~.~'S7c y.t/ VII Realponiaib!!!ty Ststteuteat ~ ~ ~ R. the ttndtrai assume its onsibili fcr installation of fete POWTS shown n the attached laces. 9uscnass ~~ Number a (prat) Plumber's lgnauua (no:tamps): P o• l~ ~l ~ LC h~ SC ~1 LC l-'~G~ ~Y Ptttmbat'a ($treet, City cater, lP Code) J c tr ~ ~~ o~/ G/ ~ G~~ VIII CouatylDepartaneAt Usie Dafy Disapprovsd anstary Formic Fay t ncludes Groan water Rata Issued lssuina Ajenc ignature ('~o stamps) ~, Approved O Owner Given initial Adverse S arm Fee) 2oZS- ~ o-f6 -7~6'a0 Determination o iIX. Coadltio>W of Approval /Restaoas for t:sp rovaa: .~ P~l.l y¢~Qpa~t~C..S ~ ~ ~r ~ct ~.~. ~ eo (s-Q-t ~np~~S V~-C.e+~~.r+~.~t0~a~! ,~ vv,~,,~- h '~ I _~r^ SHD-6398 {R. 07/Q0) ,.t ~ ~ Division of Safety and Buildings r ayc ~ v~ ~,,, rn accoraance wiur ~.vrnm a~, vvis. rwm. ~ County 5,~. Plan must er nat less than 8112 x 11 inches in size let sit lan on a Att h • p . ac comp e e p p inGude, but not limited to: vertical and horizontal reference point (BM), direction and Paroel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R by Date Personal information you provide may ire used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~ Q Property Owner n Property Locatio ~ ~ t'1IC ~VU p ' Govt-Lot SW 11 1/4 S/~{ T Zq N R /Q E(or Property Owner's Mailing /dress Lot # Block # Subd. Name or CSM# ~ ~ 2~ , City State Zip Phone Number ^ City ^ Village ~ Town Nearest Road ( ) --r- ~d ®New Construction Use: ~ Residential / Number of bedrooms ~ Code de ' ~d~; / d d GPD ^ Replacement ^ Public or commercial - Destxibe: Parent material U C 3 ~r~ S b Flood Plai elejratron if a ~ f ' ft. General comments 5 y5 {-t' -yti ~ e J• ~ g • ~~ ~~' ` .~ ~ and recommendations: f4~•~• 'ell V• $$ • gv ~ ~~-_. c Q ~~' Q ~ t - ~ ~ I ~~1t~~"' ~~of1'Z~2~n 6 ~ Qo''~h°~S L3 i f r , r C XZ~n~ ~ S~ j r ~ ,, . I 1 [] Boring \' j~•, \"~~ Boring # ~ Pit Ground surface elev. ~S ~d ft. Depth to limiting ~oH ~ r( Soil Gcation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fl? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#t 'Eff#2 1 ._._„ S; l mfr- ~ 1 v~ •S" • S ~ Z !ly t ~. si I L - . g ./ 3 ~i6 ~ C~ m~ - -~ .-t ~,z ~~'. ~ S.2 Z/ Z a ~~g # ^ Boring ® pit Ground surface elev. ~o ft. Depth to limiting factor ~ ~' in. Soil ligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Etf#2 • 10 rS Si ~ 2 ma,~ ir>,~i ~5 --~ . 5 .8 ~ ~G„ az " 'Effluent #1 = 8OD > 30 < 220 ma/L and TSS >30 < 1 50 mNL ` Effluent #2 = 8OD< < 30 mg/L and TSS < 30 rtrg/L CST Name (Please Print) Si ture CST Number q~~ / / Date Evaluation Conducted Telephone Number Property Owner .5~ (1 ~ Parcel ID # Page ~ ~ Boring # ^ Boring Pit Ground surface elev. gs sa ft. Dept to limiting factor ~_ in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/tF in. MunseU Qu. Sz. Coat Color Gr. Sz. Sh. "Eff#1 *EfF#2 ~ ~ ~D r fit/ ~s `' N P ~ ~ ' ~~ 2 ~~ JI" ~ 2 ~ c s ~- . 5 .~ d"~ !! ~a ~ y /, ^ Boring # ^ ~~ ^ pit Ground surface elev. R Depth to limiting factor in. soil fication Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP D/fC~ in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Efl#2 ^ Bonng # ^ Bonng ^ Pit Ground surface elev. ft Depth to limiting facts' in. Soil lication Rabe Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont Cobr Gr. Sz. Sh. `Eff#1 'EfF#2 `Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 a 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer,. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) a PAGE ,.~ OF .3 NAME S-~a cs ~"' LOT# Z ~ LEGAL DESCRIPTION ~ '/a,$q}/a,S /l~ T 2q,N,R /9 E (or~U „_ ~~ ~ SCALE. I BM 1 ELEVATION /QO - O BM i DESCRIPTION~P a ~ ~ ~ ~ QO Yl ~J.' P~ BM 2 ELEVATION ~ 7 z Q BM 2 DESCRIPTION ~a 1~ a ~ Sao nda~ •'~ n SYSTEM ELEVATION S ~ ALTERNATE ELEVATION g 9 • ~ ~ CONTOUR ELEVATION %y oo QS od 3, 9(v•o0' /~ 4y :oo gZ P~p~e~ s ~ ~3 ~ ~ o, s~z p° ^ %~ /.s. ~ yr1 l ,, _-- __.J • ~ ._~--- _~~ ' _~ ~~-aSey ~a ~,s~0. s~u~t ,yt / 2 ~~,2~ ~~ 2 a ~ vc ~ ti~ x ~Da4 ~IaG,2a(o~e-/ W, rh g5 ~~~ m r ~ ~ G .~ ~ ~b V ~ P1 h a ~~~ • Qa dy ml ~~ Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division`of Safety and Buildings Bureau 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 1 include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # ~~ ~~,~, Page ~ of APPLICANT {NFORMATION -Please pri i°°~1>F 1'hform,~tion. - ~ ~~~ Reviewed by Date Personal information you provide may be used for seconds purposes (~nvac~~l,aw„5. t 5.04,(1).(' ))• ~ ~p -(6 ~~ Property Owner Property( Location ~ ~. ~ wr° .~ ~? Govt.to~~tcJ 1/4..GGJ1/4,S 2`~ TZ~ ,N,R ~~' E(or~ Property Owner's Mailing Address r ,, Lot # j Block# Subd. Name or CSM# A~ e `~ ~r: ~ Z~t % S<~ee-f ~~rUss Ci State Zip Code Phone Nuriibe'r ' ~` ~ . Nearest Road T wn 0 tY - ~i Villa e ,^ ^ 9 New Construction Use: Residential /Number of bedrooms ~ Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~Gy gpd Recommended design loading rate bed, gpd/fi2 ~ trench, gpd/ft2 Absorption area required~Z ~S bed, ft2 2.~ trench, ft2 Maximum design loading rated 7 bed, gpd/fl2 ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) y.S• ~ ~ ft (as referred to site plan benchmark) Additional design/site considerations ~ S' Z~ ~~f Parent material U ~-fw 4 .S L I Flood plain elevation, if applicable ~~ ft Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank S = Suitable for system u = unsuitable for system ~ s ^ u [~'s ^ u ~ s ^ u ~s ^ u ^ s [~ u ^ s ~u SOIL DESCRIPTION REPORT Boring # Ground elev. ~~1oj ft. Depth to limiting factor ~ in. Boring # 2 Ground elev. ~. 7~ft. Depth to limiting f I I ~1 in. Horizon Depth Dominant Color Mottles Structure i C d B R t GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ons stence oun ary oo s Bed ,Trench i o-!z ! 3 ~- 5i ~ ~ rr~r GS ~ v~ . Z ~ • 3 3 ~~ ~- ~I - rns ~ rm I - _ -r ~ . S ~- 9 •ZS~ , .52.0 $g•g Remarks: 0-11 10 r l2 S~ I rna~l( ~s 1 v~~ . Z ' ~ 3 2 (1-y2 I r `tl~ Si I 2rru.~b~. ~ , - 5 3 -iii 10 r `~~~ m5 c7x l ~' •~ Remarks: CST Name (Please Print) Sig Telephone No. (-~ vi-1 ~C i~ tl ~ ~ _ ~ ~1 ~ ` Zy Z Address Date CST Number PROPERTY OWNER ~ ~ ~~ PARCEL I.D.# Boring # Ground elev. `~ ~ 7~ ft. Depth to limiting factor [0~_in. Boring # ~' Ground elev. `>~. %ft. Depth to limiting factor Il U in. Boring # 5~ Ground elev. 98. ~ tt. Depth to limiting factor ~_in. Boring # Ground elev. tt. SOIL DESCRIPTION REPORT Page ~ of 3 Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ~ Trench ~ b-12 ~ 2> 5i ~ ~ ~b~ fr~ ~ • 2 ~ ~ 3 2- iz-Z`t i0 SL ~- r CS - ~( 3 zit-/v JD r y ~ rn5 D ''n ~ cS "- . r7 ~ . $ ~- . , S`~ o , Remarks: 1 013 I r312 s;J Im k ~'r cs Jv~' •Z ' ~ 3 Z 13-`~ 1 r `~ ~~ --- 5.1 ~ ~ ~ ~ c ~ ' . ~ Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench d -tb lC~ 3~z "-' Sr1 mob, c~ 1v~ • 2 ~ - 3 ZZ-~ , ~ t~ s ~ ~ ~.s - . ~ ; g sY ' Depth to limiting ' factor in. Remarks: Remarks: SBD-8330 (R.9/98) !"~ PAGE~OF~ NAME s~"O~f' LOT#Z 7 LEGAL DESCRIPTION~w'/,~wt/< 511 TZ~ N,R IYE (or)~~ vSCALE: 1 "_ (OU BM 1 ELEVATION GVV • ~ ~E5CRIPTION to P o~ 2 "~yc ~P{- IAth w~ Flaa BM 2 ELEVATION ~] ~S, Z 7 M2 ESCRIPTIONfopo~2"~p,'~(ath v.~(rla~ SYSTEM ELEVATION `1S • Z S ALTERNATE ELEVATION `~ ~• Z S Z~ , ~ ~ Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity ln-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: Svstem Desian Specifications Sanitary Permit Number Number of Bedrooms Design Flow -Peak (gpd) csp Estimated Flow -Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (ft2) '`- Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absor tion Component Design Flow -Peak (gpd) atrp Z Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 QoM-~s Tab le 3: Maintenance Schedu~e Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter sha11 be assessed at least once every 3 years by inspection. Th o tlet filter hall be cleaned as necessary +~ pn~! ~rA proper operatic. The filter cartridge s no a 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 wafer 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 a osphere within the septic or other treatment of holding tank may c ntain lethal gases, and rescue of a person from the interior of the to k may be difffcult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 FRQM Schumaker Plumbing F=iN h10. 7153863121 Scp. 18 2000 07:2BAM P1 ST CROdk COUNTY SL'PTIC TANK MA11~'I'$NANGE A~kBBMBNT AA11? d~WNI;ASHCP CSRTIFiCATION FO1tM t~i~lElia~g, hddrras ,~ ~ 3 .~~~,.-.~•e,.e.. 1 chi ~ ~ ~i~tv ~~~4 ~. ,_~~.. (V~ mgeedead l~ P D~stmsat fot atwr ~y/g~ Psi Ideat~at3oa Nv~nbac Prapecld- ~,ocs~aa ~,. Y,, ~~... y4, Sma.a3 , T~.~1-8,.~~'~, Tawa of ~....,. S>vL~ia~n~ ~- bot !~ . Cye+~+d 8as~+ l4Lp ~ ...__.~ ___--- Ycla~e iP~+g0 # -- w'~at~ bad #~ .~..,,.~ ~ 2 `~ ~,_.~. ~ vourme X53 9 # ~ ~ Spec bogie d ya ~n~ Tat 1ia~ idmt~bts~~+t ~I na of ~csep~asyeoemeamd~ewlt~s ~~o~~aare•w~oae. ~akd'eae~~ yaaatae eaea~ i~aeNind~- ~t3iamrd ~ty~att ~meo ~ m o~Ar ~ mei~a,a t~oW ffi~ r~d~po~.~m. b fit~aopMra oaod~ioasoilbe~ty i~ptia~amirB ~e~en US'd~t aE :~,~ rrt by ar Ds~e~aECgraaaea~•s~ dra ~edl~aa-ti~raauoeR; lWa ad''1~aaa~ • ~irt~et~brbe~dx~cbeoed~dsetr~+a+ea~ser~+C,~ex-i~q-t,~iaso~c.r3o ~o° ~~ ~~~~~ ~ vF A~'Lt' 't!!-T5 tlm pi~oc~de~sd ~ar~. ~ ~+m~-4Y do~d treouded i~peee I~r t>~w.. j =we) sea Cam) t~ a~~eds} bC ,, ~5~11't~8 ~Al'YL~:A-'N'd' d?A'd'd iii ~ iYGli- ~ ~af ~~ i~aw-~ ~ ~~• ~ ~ ~ t ~Mris • • s ~Mtt~ ~ t~pptteaeMes: s ~gq~ed reee~ae:t3r deed ~m ~ at't~eodt +aalae ~, copy o!'t}ee ceetilied p~rsreY eessis ~' nde~nat b e:sset~ do tdee wrsezytttty dew ~~~~ von 1539PAGE 81 t62g124 STATE BAR OF WISCONSIN FORM 2 - 1999 Y.ATHLEEH H. WALSH WARRAI~ITY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., b1I This Deed, made between Donalda Speer, a/k/a Donalda J. RECEIVED FOR RECORD Speers, a/k/a Donald J. Speer and Kernon Bast, wife and husband, D8-31-i!000 1:30 Pll a k a Donalda J. Speer-Bast - YARRRNTY DEED EXEMPI N 3 Grantor, and Richard O. Stout and Janet P. Stout, husband and wife, - 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, pleast attach addendum): Recording Area All of the Plat of Sweet Grass Farm in the Town of Hudson, EXCEPT Lot 1 of said Plat. This Deed is given to correct the ommission of additional lots in the Plat of Sweet Grass Farm between the above Grantor and Grantee hereto in that certain Deed recorded in Volume ~~, Page ~i a0 , as Doc. No. ~aq o 5 8 Name and Return Address Rr cl~r~rc Q D ~ S'~~ . /3s3 i4cv,~r-~ 7~~-- ~ASokJ, fjUt. gs{ptlo Parcel Identification Number (PIN) This is not _ ^ homestead property. Dt) (is not) ozalozl-~o, olio-~ozl-so, ozo-lozl-vo, ozalozz.oo ~, ozalovz-zo Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~~ day of August .2000 AUTHENTICATION Signature(s) Donalda Speer, a/k1a Donalda 3. Speers, a!{tJa Do al J. S eer and9 ernon Bast, wife and husband, authenticated this? ~y of August _ 2ouo « Kristian Ogtaad TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by 6 706.06, W is. Stars.) TH15 INSTRUMENT WAS DRAFTED SY Attorney Kristina O land Hudsoa,Wl540 (Signatures may be authenticated or ackrwwlcdged. Both are not necessary.) + •S eer, aAc/a Donalda J. Sp rs, a/Wa Donald J. Speer + ernon Bast ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. County ) Personally came before me this ___ day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. + Notary Public, State of Wisconsin My Commission is permanent. (If nol, state expiration date: ) of persons signing in any capacity must be typed or primed below their signature. trenm.tion Froreaona~s eoma.~y, raa~w~~r STATE BAR OF WISCONSIN WARRANTY DEED FORMNo.2-1999 \ ~ ~ ~~ ~ ~~~. N . ~~ ~~ ~ . b ~ ~ \ ~` ~. ' ~ ~ ,~- . - ` •. . \ ~• ~ \ •. ~ '~ ~ ~ ~.\ ~ ~ ~•O, \~ -~ ~ •, ~~ - / ~ ~ '. ~bq.3~~ • ~ 25 ` ` ~ \. ~' "E 614.7! \ N ~~ ~ ,~ ~~~ ~~ ~a \ 08 ~. ~W ~ ~ ~~ ~~ 'S1•E AR1.6a' ~~~ J 5 ~ ~o~~ o~;~ d ~ W ~~p~ 0 ~~~_ ~~ ~ ~, d~ ~; ,~`, ~ o ~ ~` \ O\c~`~ g ~ ~~ o ~ \ ~, 9~,0` ~e•4a'ari o ~ ~ ~ ~~~ ~, a oe, r. ~~ 4~\ ,. u T W LL Z a~i FROM Schumaker Plumbing FAX N0. 7153863121 ~~lh ~ S~~uitAry Permit ~lpplicatipn iry ~ocrd vwtla Casam i3.2; ~ Wis. Adrs-• Cade Departr~l~iw et CeR+movca ~ Paescmai ~on~tia ~~ ~ i.~W,~15 o4(~Ij ~ ~aoo~d+sY P~°L May. 17 2001 12:45PM P2 am~a;y ~., uwma~.iev...~..,~o.. 2a3 W. VI/S~tai A.~~r FO $ca 7~Qs. Mroison, Wf 537t»•7~t32 Es~~;~ r~ a «~~s try i l,3sa ~~a~~y.~ ~ ~ ~ i ~ ar~lYirp: ~ebe~k oet) ~ ~ a 2 FsseilY t)wel'Wtg .. X10. of 8e~koonu: 'torn of ~ lh~i~e/Caeaeaereid (~+be nts):~.,..~.j ~ a~ ~ w.nea ~:wwl tt Tea dt Finneit: ( aca1Y aa+e ~ on lies A Cbecb box oo lea B if aesble) A) ! !. Sy~etQ ~ ~, 4 ltoplsmde~ ~ 3. Q Wplaoems~et di 4. D A td 7aa Nuo~D*U1 i s,~~ Talc Oa1~t ~y~ ~ c~ tC1~aa1: aU t6st ~-) Q $~ R~ C~ Cam 1~fdLad r ~.~ fl ~o(dtag Teak D Sia,~e rs C Chgp tie ~, D ~laabie Unzx D Rocr~ie$ D D~ t __ ~e~ma _ . _.. .. ~ ~~:_.:_ 6. ~yfsnl 96d ;~ ~~ i~~6 Di'1 'f'a~s1t ~ o Trsti{ ~ of hri4r~tioa _. _ _. e__...:~ , ~ ~ Tames !1.! ~ Q~fs~6) ~~~ ~~ ~lrweian ~ ~ Caa- c.:+s- ~S. ;~l~ ~ ~ i ~G~CJ ~ C y „. `'' ~"','~'••- ~Neaisi~r Fart Q ~4ppccfvad L3 Oagar t~ixaa lttici!! Advert v ~...~+~~.f ~ew~a~rad /Weeaoiaa fbr D~ppaunwal: /~'e c~~'.5,~,~ FROM S~chumaker Plumbing FAX N0. 7153863121 May. 17 2001 12:46PM P3 --~"` d ~ ~ ~ ~ ~ ~ ~ h ~ ~ a~ m, ~ ~ ~ a~~~~ ~~ ~~~ ~~ ~~~ G ~A'h ~`~ ~ lid ~~rn ~ v Drcutrert Number ~~I.1556DAGf JJ~ AFFIDAVIT Es33Q1 1 KATHLEEN H. WALSH REGISTER QF DEEDS ST. CROIX Ct)., WI RECEIVED FOR RECORD 11-03-2000 k:30 DM RFFIDAVIT EXEIIDT A CERT COPT FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 12.00 PAGES: 2 AFFIDAVIT Recording A rea State of W iseonsin ~ Name and Rctura Addreu ss. Richard & Janet Stout County of St. Croix ) 1353 Awautkce Trail Hudson, W154016 02c - l3"ib'a1-ooo ~ Parcel tdenelfltaeon Number (PIN) IL a. a fA 0 Sra ar A hal 'Sg K ff P Sl3twr ,being dully sworn, states, under oath that: I . He/she is the owner/part owner of the following parcel of land: A parcel of land located in part of the Southwest Quarter of the Southwest Quarter of Section 14 and in part of the Northwest Quarter of the Northwest Quarter of Section 23, all in Township Z4 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin; being Lot 27 of the plat of Sweet Grass Farm, as recorded in Volume 8 of plats, page 8, in the office of the St. Croix County Register of Deeds. 2. The above parcel has had added to it the following described parcel recorded in Volume )55(o Pagel ,Document No. 33014 St. Croix County Register of Dced's Office, resulting in a single parcel: A parcel of land located in part of the Southwest Quarter of the Southwest Quarter of Section l4 and in part of the Northwest Quarter of the Northwest Quarter of Section 23, all in Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin; being a part of Lot 28 of the plat of Sweet Grass Farm, as recorded in Volume 8 of plats, page 8, in the office of the St. Croix County Register of Deeds; described as follows: Beginning at the northeast comer of said Lot 28; thence along the east line of said Lot 28 S06°4S'31"E 206.29 feet; thence Sti6°15'00"W 150.24 feet; thence N06°45'31"W 209.13 feet to the north line of said Lot 28; thence along said north line of Lot 28 N66° 15'00"E 100.28 feet to the point of curvature of a 300.00 foot radius curve, concave southerly, with a central angle of 04°02'02", a chord that bears N68° 16'01 "E and measures 21.12 feet; thence along the arc of said curve and said north line of Lot 28 21. [2 feet to the point of tangency; thence along said north line of Lot 28 N70°17'02"E 28.09 feet to the point of beginning. Containing 29,993 square feet or 0.69 acres. Subject to all easements, restrictions and covenants of record. This information must be completed by submitter: Qycument [itk. name d< retttm address, and PlN (if required), Other information suck as the granting clauses, legal description, etc. may be placed on this first page of the document or may be placed on additional pages of the document. Note: Use of this cover vane adds one page to your document and $2 m m rM .,~u,rAino f e. Wisr<±asin Stuutes. 59.43 (2m1 WRDA 2195 ~ .. ~ vo~.1556pacc3:33 . 3. The addition is a transfer exempt from Chapter 18 of the St. Croix County Land Use Regulations pursuant to Section 18.05 (A) (3). 4. The purpose of this affidavit is to notify the public of the addition and the resulting parcel. ~,` ~ •^ ~ ~,~ r~ da of U V 000. Subscribed and sworn to before me this_~" Y G`'o f'OA~« '~': ~' o Public, State of Wisconsin JA~~. t =5.._. OI.SOH .~~ ~ My commission expires: ~ ~ ~ l d a' ,. S. .:~~: 'T'his instrument was drafted by: ~ d ~ ~~```~ SuaNQ`"7'^ `i * r f ~~9 D N J N r L~• ZI~ _ ~ M ~ N N gg'Si19 to ~ N~ N N ~ZL'~8 I N O l ~ tU ~ ~ GO N ' ~ N N N N ~ ti _ ~ ~~ ~ ~ N ~ t N N ,~, N ~ N N 3 "_" - eL i -~8 ~ ~ ~ I` ~ ~.. N ~ *L,~. Q _ .~ ~ ~= ~ ~~-- .~ti o M ..~,.-~ ~ ~ o v' ,\ N N _ ~ ~ N N N M N U W N i i 1 1 Z ~ I ".'~ ~ O' -~ ~ W 1 ~ ~~ J~ ~~ i O' ~~ } -~ Q~ ~~ tt ~ x o .~ _. ~-- ~ C - a i ~ I L 1 i } r t c C] 1 W~ ~_~ 1-1 ~I i UI Q N \~ ?: ~. • .... ~ N ~. nt ~ 3 m ~ o ~ °'. < CTI pt Q. .~i N N C ~ _ ~ n N ~ N N ~ ~ O Q - N C COTt A ~ ~ D ~ A CD i v t~ c a c ~ ~ IW ~ o .t O ~ ! ~ ~p 2 ~ o ~ m a a Z O ~ ~ ~ c c ~ o ~ ~ ~ ~ m C N Q Z 0 T j ~ N ~ ~ N fD .r~ 7 ~ C 7 .Z.J C' ~~ N ~ ~ ~ a w ~ ~ c m -o a m o. p c v o ~ ' `° z o a n m ~ c ~ a ~ o' ~ ~' >_ > o_ f?o O ~ 7 '~ Q N O C . ~. V 0 y O ~ a y ~ ~ ~ O W D .. a m' a 3 n o' S 7 N N (// Z N ~ ~ ~ n~ N a O N ~, AS n N N O • O ~ O ~- n cn O ', 3 ~ n d c y f ~ I m c ~ o ~ a ~ ~ ~ r` a ~ ~o A 1 ~ ~ ~ v ~ '~ ~' ~ ~ ~ I. ~ 1 ! A ~ . ~ ~ A rww r V/ 4 m o o l _ a ' ~ ~ ~. ~ I n i ° O ~ J R ~ S N N ~ N N ~ .~. O d '~ j 0 0 p ~ K N N~ ~ ~ O Q ~ ~ ~ _ ~ G N ID N a o, c°~n o °' rl N ~ Z ~" ', O O n O C rr ~ 3 ~'•' ? ~ O O O ~ ~ °M ~ ~ < SS ~ ' y ~ , °" V v o v ' ° ~ ~ ~ ~ ~ = ~ ', m .~ y I 3 °' ~ N . ~o _ i ,~ ~ ~ N o D ~ . d p ~p N N • ~ i l ~ _ N ~ ~' ll i~ ll ~ m C7 °- m ~ ,~ ~ ~ ~ .. d ' A Z 7 ~ W N ~ ~ .p Q ~ ; 3 ~ 2 a .. A J w ~ ~ .. Z ~ I A ~_ T ~ i 7 a I o a ' y A A a fi ti q N O A n ti O 00 R V w ti a s ~.. y y