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020-1376-38-000
.. ~" `'~ `r -e r: c ~. a C n j 0 0 N N C y •^+r -8 c 3 LL 3 ~ v ~ ~ Z vi _rn .. G ~ ~ ~ Z ~ `m d ~ F z a m O Z d' c ~ ~ ~ T d 'a ~* ° ~~ v~ ~ .- m a .a U ~ N m h _ V 7 N = N •~ ~ O d O a Z w ~ a Z N ~ LL o ~ .. ~ ~ N ~[) _ N _ ~ i o . ~ w . Y ~ o O D a ~ H H H ~ ~ O ~ ~ O O • ;~ ~ a a a a J i U c n ~ I' i a o 0 Q N N ~ N O O N ~ C ~ ~ ~ Q ~ ~ ~ 7 w O O p O N fi '~ O © CQ ~ ~ O C 3 'O > p~ N 0 ~ ~/ .~.i-~ n O ~ C Q' O ~ O = N N ~ rr O N 'O ~ O t f~ • ~-~ y„ 0 ~ 2 (n M O O ~ w r \ r.. .w ~ ~ X'k ..~+ I ++ ~ ~ ~ y ~ ~ dt n a a • ~ ~LC a. 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C N ~0 3 0~316~ ,~ y o E a c ~ ~a °' mss;, y~ ~ c ~- N C O w ~ N p~O y L ~ m U ~ N C= ~ fO O 7 p Z O C O O. L O y" vd y~ N c y N N c C N O ~. N m ~ N o c m E a> Q r0. N° m _yvc+~ c M U a 9 ~p ~ E > N Q d Q tOA N j p 0p c F- ~ U C d. O W N Q y C N ~ v L O l0 y O y O •~ 1 C . c +r opycov~c N ~ ~ O ~ C y Q - O LL . ~i nO ai ~F- ~ ~ N rn ~ ~ ef; v~i ~ io U O • O O N O y ~ C ~ a ~ j C ~ U ) N am t0 U ~ ~ C ~ t • Hw~Emo = 3a~o~~~ d N ~ U O O Z'ui~v ~v ~ N C L m m ~ ~ E E ~ rn rn ~ ~ m > N v N Z Z p• Z d O O o O ~, ~~ ~ ~ ~ ~ m c c c Z Z 4 in cn n in ~ ii o c ~ 3 ~' O N H N O M N ~ ~ ~ I O ~ o a N ('7 C y a~i O c ~ O N W N Z S Y ~! .?' ~ ~t °. I' a m ~~ ~ •c v a ~ ', A 0 0 0 °; a;~~c O C aL+ L C ~ ~ N c m~ww r ~ rnm da c m w ~ ~ c t0 C ~ U d O ~ E c o oo`~°w ~~y~ L N C ~ >` u~ O E O O'O m5'~ m ,tea°a:3~ O f6 N = L ~ L CC N ~ r~3c~mE ~+ m v rn O Z O c m Z i~ C C C ~ ~ d a a a C O U Z M c O U O z N C 0 U O Z ti a~ E d m E ~ ~ a °o c o N f6 N O ~ N m c a~i .~ '~ (n Vv~sconsin DeWartment of Commerce PRIVATE SEWAGE SYSTEM Sa~ety and Building 9ivision ' 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: Stout, Richard City Village X Township Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic z Dosing '~~ ~ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic '~ ~ ~ ' ~ f ~ / Dosing > ~ ~ Z ~ ~ ion __ -~-- - Holding /~ i QI IMD/CIPHAN IN~ARMATIAN Manufacturer Demand GPM Model Number ~ },~- ~~ d TDH Lifty.y ~~ Friction Loss System Head ~H Ft CiVJ ~iS Forcemain Length a Dia. Dist. to well ~ 0 Z» SAII ~RSC]RPTInN SYSTEM ,~ .. ~ / _ L _~ ELEVATION DATA county: St. Croix Sanitary Permit No: 395229 State Plan ID No: Parcel Tax No: 020-1376-38-000 STATION BS HI FS ELEV. Benchmark 3, o Alt. BM ! Bldg. Sewer zlJ, /Z ~ 3 ' Y t Inlet Z4 jQ 82 ~ Ht Outlet ~/ D 8~f ~~ Dt Inlet Z~ ~ ~2, Dt Bottom r S ~ ' 2 y. ~Q /, ~ O Header/Man. ~~ p p - ~ ~ _I Q Dist. Pip ~r- ~ . YO - ~1,~'. Bot. System ~ L . 8' ~i./5' 4 ,Z, o7~ Yjr. ~/ Final Grade ~ G...= St Cover ,~ ,~ . / BED/TRENCH Width Length o. Of renches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ r ~pL-s ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufact r• ON AT CHy~ER'~R INFORM I Type Of System: ~ r ~~L 1 ~ +- ~yyp~ r Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution r x Hole Size x Hole Spacing Vent to Air Intake -~ t " ~ Pipe(s) ~ ~ S D i -~ S z f ~ ysJ i / Length . Dia pac ng ia Length • S~iL OVER Y Proecnro Svc4amc Only YY Mnund Or 4t-Grade SVStemS OnIV Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: IZ / y / 4j Inspection #2: / / Location: 940 Florence Lane Hudson, 54 116 (NW 1/4 SW 1/4 14 T29N R19W) `Sweet Grass Farm Parcel No: 14.29.19.2299 1.) Alt BM Description = Cevwtr o~' ~x~.,o ~~i~,~j y~Jw I~/~~/ ~ ~/"''v/ r 2.) Bldg sewer length = 3~ ~ ~ )s~G wc~iGS sti ~y ~~T ~~~ ~ ~~ - -amount of cover = `~ S/ ~ 3JO~Str_v/a~~p/r/.. ~~S i~,nSr/x{ie~-' ih- Z ~'!f (P('(S 1. [ r ,~y/~„ ~ Plan revision u Yes o Use other side for additional information. Date `dnsepctor's Sig tune Cert. No. SBD-6710 (R.3/97) ~~r ~~~, ~ O`l~ _ ~~~~~ ~~ ~~ • ~' ~' I. Zip Code ~ `' , , , pocr ~~ -~d.~ Lot Number l;locr Hamner Subdt~ ion Natru CSM Number SGt/ ~~ ^City ^Village . II. Type of Building (check all that aPPIY) ty'1Z 1 or 2 Family Dwelling -Number of ^ PublidCo - De ~ Use ^ State 6/~...L ~ ~~~~ ~~~ .. / III. Type of a neat eriag scheme for intern A' 1 ^ New 2 ^ Replacement Sysum 3 ^ Replaceaunt of 6 ^ Addition to Tank Onl Exis ~ S stem sum Permit Number B. ~ Check if Sanitary Permit Previously Issued ~ IV. Type of Permit: (Check all that apply)(ntunbering scheme is for internal use) 44 ~ Non -Pressurized La-Grottnd ' . 2l^ Mound 47 ^ Sand Filter ~ ^ Ptessurjzcd In-Ground 41 ^ Holding Tank 48 ^ Single Pass 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Rec'trculatir-8 V. D' rsal/Treatment Area Inforatation: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Required Proposed Race(Gals./Days/S Ft.) ~.a~rcd /.,,:7 cam., ~^/ rl ~ / • / 7 . { Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 isconsin Madison, wl 53707 - 7162 Si~A s r~ artment Of Commerce 5ai,;%nry pormit umber Sanitary Permit Application _ In accord with Comm 83.21, Wis. Adm. Code, personal infot>;tation yptilPro~~'~.. ' ' Cluck ' ' tna be used for seco ses Privac Law s) 1 Stagy p~ I.D. Number p4cation Information -Please Print All Information f ~~' ~ ~_ r ~ .~ Parcel Number y Owner's Name --AA _ ~,~ ry Owner's Mailing Address _ C ~ _~,[y,~. Property L.ocadon ~'~ Ur'".~C~ ."_.r~ Ci.J Sii/~r~Sf_ S /~ T~9 VI. Tank Info Capacity in Total ~ Number Gallons Gallons of Tanks New Facistini Septic or NaWitt{ Tank '~~- ooaiaj chamtkr ~ ~- VII, Responsibility Statement- I, the enders Plumber's Name (Print) Plumber' Plumbin & Perk Teatin ~ m,~mt~ t Address (Sttr.Ft..CitY. State, Zip Code) use). Complete line B if applicable) For County tale Dau Issued is /~ ii .__ " SO •~ Constructed Wetlattd Sl ^ Drip Line 30 ^ Ot6cr 30 ~ ~+ ~'-~~ Percolation Rate System Elevation '~ Final Grade Rnch) ~ ~ ~. S Elevation e!°1 ~~ ,~ '~ 9J D d - O D Prefab Siu Steel Fiber Plastic Concrete Coastntcted Glass ~ I ~ ~~'~lrt~~ / ..~ ~~~ assume responsib for Installation of the POVV1'S shown on the attached plat ,q~ M~FMPRS Number Business Phone VIII. Cotmt /De artment use vtu Sanitary Permit Fee (includes Groundwater proved ^ Disapproved Surcharge Fee) ^ Owner Given Initial Adverse ~ ~~/d~ Determination h7t. Conditions of ApprovaUReasons for Disapproval 1. Any filling and grading that will affect the capacity of the HWL retention area is prohibited. 2. This revision was submitted to reflect a change in system location. 3. 'Effluent filter to be installed and maintained per manufacturer's recommendations. 4. Well setbacks to be maintained per NR 811 & 812. 5. 11179fJZiiaAndu~fl171e'O~El~b~t~ ~ Dace Issued I gent Signature (No Stamps) Wan El/2:11 iocltea In size . OSI~~) ~, i, ~~, . ~-~ j~, I .I3 ~ ~ ~ r ~ ~ ~ ~ i ~ ~ G ' ~'' / ~ t' ~ x 9-Y ~~ ~ > / 1 ~X .-.'7D ~ -hoc/ 8' j ~ / ~ y/ , ~ ~ >•~~ ~ ~ - ~a-~ \ '. 9L `- O~• _T r - p l I I ~ ~ 1 ~ p _,r U'Gl~i C~ 'So i f o , ~ 1 4~l'~ , ~ts-~ -~or Ire~iSia` ~«e~u-sr ~ 1 ~.t soy ( •~cs~ SY Qdc~,.~ ~ ti ` \ ~ ~ ~ ~~- /~ ILLS ~~ ~~ \\ ~ \\ ~ 1 ~~' 1 ~' Fogerty PlumbM~ #221184 28288 McKenzie Rd. Sp~cner, WI 54801 (715) 635-9609 ~-~ ~,_ TEL. ~bu~L-R ~ ~/ d ~---TES' P~sl {,~ 1 Q • ~,~ . ~ i .. bvc• .~'- / ~~ / 3-`~ 99~~ ~': ~6..z L,~T ~1 ~ scrr~f /''= yon .a = ~~ X -- ~oicrrvL ~ . Fra.VD LoT roR~Y w~~D L s.j ~_ O = 8ir~ ~C~t[. t , s. ® r cv~LC, > .Sti femur ~ P,¢Rr o~ rYsTE~. ~1Y o \ ° I~iW1S~h __ ., ~~~ y i ~ ~ 1~ i~ ~~ 1 \\ .r ~~` \ ~~ 1 t- ~~ t \ 1~ ~~ ~ ~ ~~ .~ Fogerty PlumbM~ ` #221180 28288 McKenzie Rd. ~ Spooner, WI 54801 ~~, ~~ ~~~_c~ ~-- TEL. 2bcd~~, ~/ d TEE P~ ~' 2 jy. ~` : /: y. 1 _~- / 99. / ' ~ 3 /oo, 7 3 - `/ 99 r3-s~ ~~D ~',' ~6.Z LET ~j P s~~ /° = yo/ a = ~~ X -' ~o~v~ 1 . /r/k/V~ LOT C~~~'/ 4 w~ ,~to p ~•:. L ~~ ~d~ ~~ Lri~YG, > .t+~ ~ ftol~" ~ /fir o~ sysT~~• ~~/~~... ~ to - ~~ r-~ot ,~.~~v s~NT ~~VtiS~ ~_ . ~-~ I i~' 9G .P3 ~ j ~ ~ ~ ii ~ 8-S ~ r p / ~ ~l ~ ~~ ~ x ~-y 11 / ~ ,' ~ ~ ~ ~~ i ~- y~ f \ o' p b' f!1 CT fD (7 CD a a b a ~. 'C C a c~ 0 '~ ~, c~ C II . ~ ~ ~. ~~ ~ . ... ; .... . ~. ~ ~ :~ ,~ t~~. ~ h • ~ ,. . ~~. . . . ~ , • a . .t• ...~. . ; .. e ~ ' ~ ~ . .; ,' b ~ .. .e•, ~: ' ~. .... :~.~ . • . ~ . • ~ .~ • , •~y . •~ • .~.. '. ~. C~ ~ ; q•. :' ~ Y..~, .b , y b 0 ~n C'Z Ks' y O ;; i ~c . °~~ ~' , 1 . c~~~, ~ 1 .. .' ~d. ,~~e :.. ~~~ ~ ~ ~ N • ~... •' A - __ _ .. . ,~`' r ~~ ~, ~i ,.~ ~ C ~ ~ II ~, ~' o G1 :~ u a p~ ..r ~ O' II ~ c~ ~,~0 II . ~\\*/ \\ -- , -\~~~~Y .\ ; .\ ,•.` \ ~ Y~ 0, ~~ Uq .._.._......__ _..,._ ~~ u ~. ~' c~ a a c~ 1 0 x a -~ a c~ ~. ~• 'C C'~ n ~• ry n ~ ~ ~ 1 ~'~ ~~ d 1"t a O CD N N N ~ j 00 v <D W ' f1 ~~~ ~~~ r n. la-~a-d~ ~•~ '~'1 O .d c Fogerty Plumbing _ #221180 282$8 McKenzie Rd. Spooner, WI 54$01 (715) 635-9609 Cross Section of an Inground Component Cell Using Leaching Chambers . Observation/Vent Pipes Finished Grade = ~O/.d ---_._.`Finished Grade = ~~ y I ~ ~,-` Slope % _ /~ __ ~ ~ .~-- ~ ~ ` i \ i -! -~ Original Grade = /D/.~ ~ '~ ~ ) ~ -------.-._~__.__ _._-- ~~` y ; ' -~ Original Grade = /~/.~ Top of Shell = ~~• s ~,~' `~ ,~"'~ - - - m ---~ System Elev. = 9 7 ~- 3 y~ ~~ ~, n e n ~Q ~° Treatment and Dispersal Zone ~ ~ ~-- ~~ ~ I--~--~~ ------------~--=----- Limiting Factor Observation/Vent pipes to be constructed and capped with approved materials for the particular use. ~o-lo-o! , ~~~ . ftbgerty Piuilnbin~ #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635-9609 'i"C.I, vEUT PIPC 25' = a0^~ OOOa. WIAIDOW OR FRESH AIR IAITAKE IB"MIAI. PUrJ~P CHAr~eER CROSS SEC ~ IOIJ A~1G SPECIFIC~~rlO~!5 K IAILET I ,/ ELEV. FT. 12"MIU. I I I I I COIJDUIT ~'-- APPROVED LOCKIAIG MAIJHOIE C:OVEF, VE-JT CAP WEATHERPROOF JUIJCTIOAI BOX GRADE A e C D *APPROVED JOINTS WITH- APPROVED PIPE 3' ONTO SOLID SOIL i I I I PUMa -.~~ GOAICRETE DIOCK l~ .' ~*~ ~I II) I I ~ I ALARM II ' I i oIJ • ~ ~. ~. oFF ~- RISER EXIT PERMITTED OIJLy IF TAtJK MAIJUFACTURCR HAS SUCH APPROVAL SEPTIC E 5PECIFI~CATIOAIS DOSE TAAIKS MAIJUFACTURER: ~Ti~ie1 -- IJUMDER OF DOSES: Z PER DAy TAIJK SIZE : ~~~ GALL01J5 DOSE VOLUME 304 ALARP'1 MAIJUFACTURCR: c ; .- IAICLUDIAJG 6ACKFLOW: GAE~C c,~~ cT~_ rit ~ MODEL -JUMRER: ~ ~ /~W CAPACITIES: A= T IAICHCS OR -~ 7 •3 GALLC SWITCH TYPE' ~.r~.~CGt,~r~ 8 = 2- IIJCNES OR ,___L_ GALLC ~~~~ 3 IAItNES OR 3 GALLC PUMP MAIJUFACTURCR: ~CrG/~1' C =1~._ MODEL -JUMDER: ~D©~ --- - D~ ¢~IAICHES OR ~ GAIL( SWITCH TYPE: RC TE: PUMP A1J~ALARM ARC TO~E~~~ ..~0 GP ~Q~,pA INSTALLED OIJ SEPARATC CIRCUITS MIIJIMUfh DISCHARGE RATE "Q` p p G SN VERTICAL D-FFEREIJCE OETWCCAI PUMP OFF ARID OISTRIDUTIOIJ PIPE.. ~~~` FEET ~r + MIAIIMUM AIETWORK SUPPI.y PRESSU~tE .. .. .. . . "2'~'r FEET + y~ FEET OF FORCE MAIN X ~.z•.1.~F/00--,FRICTIOAI FAC70R.._.L- FEET r( D_O TOTAL Dy1JAMIC HEAD = 11_aC_ FEET ,S~ IAITERI.7AL. DIMEIJSIOtJt OF TAIJ-(: LE1JCsTH ;WIDTH f'r ~~LIQUID DEPTH ~_ `1" MIIJ. L~. ~ IBS MIAI. V ~ \\~; PROVIDE I AIRTIGHT SEAL I J~ Solids '/a",maxlmumj° Motor , ' - Single phase:115U Materials of C ~istruction Brasslthermop~stic Features and Benefits •Top suction eliminates impeller clogging. • Corrosion resistant construction. • Float actuated switch. ME7EflS FEET ?S 7 MODEL DVP03 6 20 = 5 w 15 a° 3 10 2 5 o u 0 5 10 15 20 25 30 35 40 U.S.GPM 0 2 4 6 8 10mamr CAPACITY METEp3 FEET 10 s 8 0 w 5 v 5 >4 0 C 3 2 0 5 o use 0 2 4 6 8 10 12 maAv CAPACrfY Pump Specifications °ha and'/2 HP Up to 60 GPM Maximum head to 32' Discharge size 1'/i' NPT Solids: 3/d' maximum Motor All motors feature ball bearing construction. Single phase:115V Materials of Construction Cast iron Thermoplastic Stainless steel 30 MODEL: 3871 25 zo 15 !` EPOS ,o 5 EP04 00 10 20 4 0 9 Features and Benefits • EP04 impeller- semi-open design with pump out vanes to protect mechanical seal. • EP05 impeller -enclosed design for improved performance. • Rugged glass-filled thermoplastic casing and base design provides superior strength and corrosion resistance. • Cast iron motor housing for efficient heat transfer, strength, and durability. • Corrosion resistant threaded stainless steel shaft. •Available for automatic and manual operation. • CSA listed models available. (o_/d-D1 All Models are designed for continuous operation and feature stainless steel hardware. ~3~1 ~~~ Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code minty Attadt complete site plan on paper not less than 8 1/2 x 11 incnte BM s~deedion andt ParoeF i~~, but not limited to: vertical and horizontal reference po ( ), percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Re Please print all information. personal in(onnalion you provide may be used for secondary purposes (Privacy Law, s. 15.04 (~)1m11: ^^ Page _ ~ of _ -3 ~ /n/ GPD Code derived design flow tale _ New Construction Use: ~ Residential / Number of bedrooms __ __-- ^Replacement ^ Public or commercial -Describe: __ ~-~ g, __ Flood Plain elevation if a~ plicable Parent material -e~~~ "S~ General comments ~~ ,CLE'd. G -~ Q~ • ~ ,(~~, . - ' and rec~nrmendations: 5~~~~ ~'.-2 ~`• ~ ~~-'~ . r c-.3 9~ ~ ~~~t~ S ~{ ^ Bonng ~ # Ground surface elev. _~sL_ n• Depth to limiting fador ~ in• S~ Pit R Texture Structure Consistence Bapndary orizon Depth Dominant Color Redox Description Gr. Sz. Sh. ~ - in. Munsell ~u. Sz. Cont. Color ~,. / ~ = .~ ILL --~ 3 /- ~ / '' ^ Boring 7/O~ in. Boring # ~ Ground surface elev. _~~ fl• Depth to limiting factor - Pit Texture Structure Consistence Boundary Roots Horizon Depth Dominant Color Redox Description Gr. Sz. Sh. in. Munsell Qu. Sz. Cont. Color s '- z - Vim- "r L • Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 ii ~~~~~tlyl~im`~~ng & Perk Testing ,Address c enzle Spooner, WI 54801 'Eif#1 I •Eff#2_j 'Eff#1 -'Etf#2 _ 7 f. 2 ' Effluent #2 = BOD < 30 mglL and TSS _< 3Q mgll. CST Number ~Zll ~ ' " -------- Telephone Number Date Evaluation Conducted /-7r>^~3~ - 960 ~_ G ` - yo2-~r and o e ~~u~_ weer Parcel ID # Q'~ ~ I ~ 7~ •'~'~~+ Page ~ of 2 p ^ Boring 3 ring # [~ pit Ground /~j Depth to limidn factor _~~ in• surface elev. llN1~- ft. 9 Soil ication Rate tence i C Boundary Roots GPD/ff iori Depth Oominant Color Redox Description Texture Structure ons s wE~ Fff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -- ~ ~ s • 2 ,~ _ __.- ~ Z ~ r ~ ~ ~ L _- 7 L tj _ 9 in . e~lL In ~~ # ^ Boring i-~ - 'r9 ~ _ ft. Depth to limiting factor ->Lo~;n• Soil ication Rate Pit Ground surface elev. _.~ Depth Dominant Color Redox Description Texture Gr rSz.uSh. Consistence Boundary Roots •E~GPD/fFEff#2 in. Munsell Du. Sz. Cont. Color ,Z L H' ' ~_; 7, r- ~ ~ - L L -= P - 'r' ~ L•. r l ^ Boring 9 th to limiting factor 0 Z )~, 5 Boring # ~ Pit Ground surface elev. ~~~ - ft• Dep Sal ication Rate PD/ff Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G 'Eff#1 'Eff#2 in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. 'w e 2 Z x-23 - ~ ~ S ~ - ,~ -3 ~ ~ s ~-- _ - ~~ `` y ,z ~ ..._- ~, ... - ' Effluent #2 = GODS < 30 mglL and TSS'_< 30 mglL • Efltuent #1 = BOD, > 30 <_ 220 mglL and TSS >30 < 150 mg/L Tiic Department of ('ummcrcc is an cyual opportunity service providerand employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608zybEi-3131 or'f~Y 6U8-264-8777.• _ - :+ SBO-8330 (R.6l00) ~~~ ~~ • ~~ I z~ ~ , 9L ' i .~a ~ ~, r l t -~ 11 ~ ~ ~ ~ ~ ~ ,~/ X~ / / /o/ i ,. ' ,raw' o ~ ~' r \ ~ ~ >~i~ _ - x' ~ ~, ~" /JN E i -` I - ~ ~ ~ \\ ~~ \~\ ~ r \ 1 y \ \ `` ~ ~' .~ \ '1 Fogerty Plumblu~ #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635-9609 ~~~ ~~s Ylo/ w DlIT 4-- I~ TAG. 7Jr ~ , ~/ d TEE' ~D~sT ,tj' 1 Q .~- i 99 / /S-i ~o%/ /3 3 /aa, 7 Q- `/ 99 ~ i3 - 5~ lav. d urcG~'t~tl ~9. y 'rte ~6. s ~T #j ~.~ S~.LF /°=Yo/ d = ~~ X = ~o~z:r0~ ~ ^ Fik~r1D !-oT Co/cn ~D ~/~~'.•- .-~. ~s~ o-~ o -o~ ~~ a/o~9o ~• q p ~~ ~" ~~ ~}rtJE Sanitary Permit Application 5atety Kr. tiutldtngs Urvtsw Avt 201 W hi t W In accord with Comm 83.21, Wis. Adm. Code on . ng as p0 Box 730 i `~ Soo averse side for instructions for completing this application Madison, WI 53707-730 n seons Department of Commerce Personal intiirmation you provide may be used for secondary purposes s. 15.04(1)(m)] [Privacy Law (Submit com leted form to coon if nc p ty , state owned, ~,,, Attach complete plans (to the county copy only) fof.t~c 4 _ p r t less_than 8 -1/2 x 1 I inches in size. County State Sanit• 1'crniit Number f?7 C-~(tec if revision top yB lication State Plan 1. D. Number C 39 ~22 `,~, '- 1. Application In ormation -Please Print ail Information -.; ' -.,~;jrt/ `.' Location: Property Owner Name °' r ~_..- Property Location , , ~~~ _ ~~/ Property Owner's Mailing Address e~^ ~a ;', ~l l l -~ of Number Block Number ~. ,~ A ~ 3 .,, oNrlvc ar,F ,,,~;;~ ..,,~ ity, State1_ip Code -~ft~bae Number .; ~ Subdivision Name or CSM Number ll. Type of Building: (check one) ag ~"S 1 or 2 Famil Dwellin No. of Bedrooms :__~ ~~- ~- c pity ~a?Q+/376'3~`O~~ ^ Village a9 . ~ q , a a q~f ~ Town ofd ibe use):_ Z/¢~G ~~ "^ Public/Commercial (des , ^ State-Owned Nearest Road ~ • l ~ / ,_ Par el Tax Number(s) ` r a3 .!J w III. Type of Permit: (Check only one box nn line A. Check box on line B if ap icable) A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to System System 'l'ank Only Existing Systen B) Permit Number Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (('heck all that apply) J~JNon-pressurized In-ground ^ Mound ~ ^ Sand Filter ^ Constructed WeNartd ^Pressurized In-ground ^ holding Tank ^ Single Pass , ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V. DispersaUTreatment Area Information: 1. Design Flow (gpd) 2. DispersaArea 3 Dispersal Arca 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade E1 w Z Mi /i h l ft 96 Qs ) G_2 ~. ~ n. nc .) ( sq. Required Proposed Rate (Gals./day 7 77 ~~ j~ , / , 7 C -3 /O VII. Tank ('opacity in rural # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons "ranks Con- Con- glass New I~.xisting Crete structed Tanks Tanks - - ^ O ^ ^ 1~C. -- ~' ^ ^ ^ ^ QlJ - Gu,~ ~' 1 Ill. Re ponsibility Statement 1, the undersigned, assume responsibility fire installation or the P "I~S shown on the attached plans. Plumber's Name (print) Plumber's Signature (nn stun MP/MFRS No. Business Phone Number r'lsD D~'1= f I t _ 2 / ~ - 63s = 60~ Plumber's Address (Street, City, State,lip Code C~LL /~S ~_ y~1 . ~?/~ a~'P ~ F.v u ~~ o IX. County/Department Use Only ^ L~isapprovcd S:utirnry Pcnnit Fee {Includes Groundwater Dale Issued Issuin Agent Stgnature (No stat~~ps) Approved ^ Owner Given Initial Adverse Surc Large Fee) A Z~ 26~ ~ , Determination Z2S• X. Conditions of Approval/Reasons for Disa provaL: n ~ ~ ~ ~~~ ~ _.~ ~- ~~ ~~4 -~ ~ ~ o t 1 ' 1 I ~~~'~b ~ ~ I ,~ ~~ o ~~ / \ /~ `~ \ - ~ ~1 i~ ~ ~ x h e ~ ~ ~~ ~ ~ ~- 4~i ~~ ~~ x x m~ ~ ~ ~~ ~_ ~ ~ ~~ o ~ ~°~ ~ ~~ ~ ~~ `y a k a 3 K ~; N ~ ~ 0. ~ ~ ~ ~ S ~ ~ ~ a ~ .~~ 0. ~ tl A q ~ II '~ , O O ~. 4 0 8 0 e s .~ ~J ~, t4 ~ ~ z~ ~ •. a . ~. ~~ ~, r ~ ~ ~ ~ ~" .I ~~ ~ ~ v ~ ~ ~ h~ ~ 3'iY~ ?~j~K.9~~~ ~~ ~t _ ~~ ~~ ~- ~~ y a J~ a 3 K h ~ ~ ~ ~ ~ ~ J ~~ ~ a ~ `, 4 3 cl ~ ~~ ~ 11 ~ , ~~ o 4 8 O ~ e r Vi ~J a ~ t~ ~ ~ z~` ~,, . . o ~' ,~ ~~ ~~ r ~ v ~ ~ r ~ M ,- ~I ~' ~~~~ v ~~~ Wsa3risi~CiepartmentofCommerce SOIL AND SITE EVALUATION Division of Sraf;~,'y anc~Buildings Page ~ of 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 """'' include, but not limited to: vertical and horizontal reference point (BM), direction and S ~. C j'G I percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. # APPLICANT INFORMATION -Please print afi information: Re awed by Date Personal information you provide maybe used for secondary,purposes (Privacyd aw, s. 15.04 (1) ~(r{~)). ~~- 2 Property Owner ~ ' Prop~rt~ Location 1 S ` U Govt. L0~ ~ ~ 1/4~~l4,S / ~l TZ ,N,R ~c~ E (or)~J Property Owner's Mailing Address ` of fk - Block# Subd. Name or CSM# ~ 353 i~~xalukee ~: 3$ ~ ' SW~~-~ C ~G, City State Zip Code Pfione Number _'.z ~ ~~ ^ Village ® Town Nearest Road ~' SUh I S `-101 (``t.l'~ ).~19 -l~ l 31 ~ aPs~ n ~/ors n c~ ® New Construction Use: ®Residential /Number of~bet'7fi5iims~~ Addition to existing building ^ Replacement / ^ Public or commercial -Describe: Code derived daily fiovu~9 ~ y gpd Recommended design loading rate . ~ bed, gpd/fl2~trench, gpd/ft2 Absorption area required ~ 7 bed, ft2 7S6 trench, ft2 Maximum design loading rate ~~bed, gpd/fl2 • ~ trench, gpd/ft2 Recommended infiltration surtace elevation(s) szP rr ~ 2 • ~ n G a w~~ q ~• O ~ ft (as referred to site plan benchmark) Additional design/site considerations ~f l ~0.~/~ef yC~ ~ U U ~ cwt /~~ ~ ~ ~J ~// Parent material _ ~ r J-~L~.3 Cc S~ Flood plain elevation, if applicable 1/~/ - ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Bolding Tank U = Unsuitable for system ®S ^ U ~ S ^ U ~ S ^ U ®S ^ U ^ S ®U ^ S ~ U Cr1t1 rlt=Cr_RIPTIAN RFPART Boring # I ._. Ground elev. 93.~ft. Depth to limiting factor ~in. Boring # _~~ a z Ground elev. 4~C. ft. Depth to limiting factor ~]ln in Horizon Depth Dominant Color Mottles Structure i B d R t GPD/tt2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Cons stence oun ary oo s Bed ,Trench 1 b-i3 I~ r ~ ._.. S~ ~ rY~Ca.bk m-~r G ~ v ~ - `f , . ~ Z 13-9~i tD ~ ~lc mS b ml c.s ~" -~ , •~ Remarks: CS° I~ ~V /I ~ `fir ~ C ' Z at- Y•7t.o ~ -- 'a 8 , RPmarks~ SST Name (Please Print) Signature Telephone No. cr vr~ SG ~W ~n a (~-.-- ~ ~/~- Z~ yaa~ 4ddress Date CST Number PROPERTY OWNER ~~-`-' ~ SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # Ground elev. ~~ft. Depth to limiting factor °l5 in. Boring # `-~ Ground elev. `)L.c~ft. Depth to limiting factor ~`~ in. Boring # "Ground elev. 93~ zo tt. Depth to Iimlting factor ~in. Boring # Ground elev. ft. Depth to limiting factor ~I . ,...: y 'Page R ~ of Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench 0-12 16 r3 Z -- 5i I I ma.b r ~' S I v y . Z~. 3 Z I Z-Z ~ ~ --- ~i I ,~~ ~ ~, - .5 . (~ K`f•Y .~{ Remarks: a-, tO r I~ --, 5~ wiz ~ cc (~ . 2 ~ .3 2 /d -Z r~ ~ tidy ^' r I 2~ k. m~; c ~ .s-- ; 3 3- I ~l i s D 1 c 5 '-- ~~~ ~ Z,~~ , NS ~ Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Muns ll Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench rS~~~ e ~O ~~ 1 Z~ '_.' lj' i YY1Cl~~ (1 >l'~`1T G S I V ~ • Z 2 rr -3~ l~ ~ 41 y -- S.1 2 k c 5 - . ~ ~ . Eo Remarks: 'n' Remarks: SBD-8330 (R.9/98) . ~' • ' ~ r • ~ + ' PAGE~OF~ NAME S'~U~ -~- LOT#~~' LEGAL DESCRIPTIONY~ '/4Nc~1/4,S (~1 T Z R ,N,R f 9 E (or) SCALE: 1"= ~~} ~ BM 1 ELEVATION ~QU •Q BM 1 DESCRIPTION -E-op o~ ~ pu~~~~ ~~~aiF~av, BM 2 ELEVATION ~OC~ , (~ BM 2 DESCRIPTION.~,To._~ ,K.p;o.~, ~~yh ia~_~ SYSTEM ELEVATION~,p~lerfL.O~ 4aw~r'9/,OCR ALTERNATE ELEVATION 9 U. U U g q, d o CONTOUR ELEVATION AI ~A' i ~, ,r , l 03 • Dy p~~~'Ii • _o • $"' .~ 8m L ~~ DATE G _ _ Q PAC,F (;F _~~ PuPf~P CHAr~1;ER CRO55 SEC ~ IOIJ AIJG SPECIFICAT10~~5 VEA1T CAP 'i~~C.I. `rE!UT PiPC 25~ = RO^1 DOOR, WIIJOOW OR FRESN AIR INTAKE WEATHERPROOF JUAICTIOAI BOX 12•MIU. I I I I I CO-JDUIT ~-- APPROVED LOCKING MAWHOIE COVE F, GRADE IB"MIN. INLET t~ ELEV. FT. A e c D `1" MIIJ. I~ .~. IB" MIW. 11l i'~ .' ~*~ ~I) I ~ I ALARM 11 I oIJ. , I OFF V ~`~ \\~; PROVIDE I AIRTIGHT SEAL ( 6096.9£9 (9TL) T08ti9 IM `~auoodg •pa alzua~~w 88Z8Z oBiTZZ# Sulqu~nid ~a8o,~ * APPROVED JOINTS WITH APPROVED PIPE 3' ONTO SOLID SOIL I I I I PUMP -~ ~,, rl COAICRETE DIOCK RISER EXIT PERMITTED OIJLy IF TA1JK MAIJUFACTURER HAS SUCH APPROVAL. SEPTIC E S PE C I F I~GATI Ot~1S DOSE TAIJKS MAAIUFACTURER: u~~F~ IJUMDER OF DOSES: Z- PER DA`U TAIUK SIZE: ~~ GALLOIJS DOSE VOLUME ~/! ALARM MAAIUFACTURER; ST,~G~i''JP'O IAICLUDIAJG dACKFLOW: ~Oh GAllONS MODEL uuM6ER: -1DC fCw CAPACITIES: A=.121A1CHE5 OR 3y2 CALLOUS SWITCH TYPE: !f~/~E/ZC'G//tH g =_,Z_IWCHES OR ~ GALLOWS PUMP MAAIUFACTURER: c~DUG~S / C, =~IAItHES OR ~ GALtO-JS MODEL 1JUMDER: Ds.~_INCHES OR ~_ CALLOW{ SWITCH TYPE: ~~ ~ WOTE: PUMP AUD ALARM ARE TO DE MIAIIMUM DISCHARGE RATE~GPM INSTALLED OA1 SEPARATE CIRCUITS VERTICAL DIFFEREAICE DETWEEAI PUMP OFF At,10 DISTRIBUTIOAI PIPE.. ~.l~FEET + MIp-U.IMUM AIETWORK SUPPIy P~R~E~SSUR,E/.. ... "'~'5r' FEET • ~ FEET OF i'ORCE MAIIJ X LlSC_F/io0-LFRiCT101J FACTOR..___l~ FEET = TOTAL O~WAM{C. NERD = FEET IAITERAlAL. DIMEUSIOAJC OF TA-JK: LEIJGTH ;WIDTH ~Q .~I.IQUID DEPTH ~_ • /l ~S~ /fir, /.•~ ~J ~ arc ~ICr ~~~~-w nce• > > ~ -7 •-• b~f'v~~"F . ~ Seta P,nV .`~~ y I ~ i METEflS FEET I MODEL: 3887 METFTIS FEET ,4 MODEL: 3886 >o O 2s W S V 20 a ~ Z G u O Q b 5 ~ ~ ~ 0 20 40 60 80 100 120 1W O.S GPM ~- 0 5 10 1G ?a 25 00 m,Nr caPaclTY Pump Specifications Features and Benefits '/ZHP •All models feature silicon carbide Up to135 GPM mechanical seal faces for Maximum head to 26' superior abrasive resistance and Discharge size 2" NPT extra long life. Solids: 1'/2" maximum • Cast iron, semi-open, non-clog Motor impeller design with pump out All motors feature ball vanes for mechanical seal Protection. bearing construction. Available in Single and • Rugged cast iron volute type casing Three Phase 115 200 adaptable for slide rail systems. , , 230, 460, and 575V. • Corrosion resistant stainless steel threaded shaft All single phase models have capacitor start motors . • Optional silicon bronze impeller . available. Materials of Construction •CSA listed models available. Cast iron Stainless steel ~~ Underwriters Laboratories All Models are designed for continuous operG 0 W V Z a v FQ- O H 140 I 0 10 20 20 40 ~ ~, CAPACITY Pump Specifications Features and Benefits '/3 to 2 HP • All models feature silicon carbide Up to 220 GPM mechanical seal faces for superior Maximum head to 82' abrasive resistance and extra Discharge size 2" long life. flanged NPT Solids: 2" maximum • Cast iron, semi-open, non-clog impeller design with pump out Motor vanes for mechanical seal protection. All motors feature ball • Rugged cast iron volute type casing bearing construction. adaptable for slide rail systems. Available in Single and Three Phase 115 200 •Corrosion-resistant stainless , , 230 460 and 575V steel threaded shaft. , . All single phase models .Designed for continuous operation. have capacitor start motors • Optional silicon bronze impeller Materials of Construction available. Cast iron • Optional 3"flanged discharge Stainless steel available. •CSA listed models available. u~ Underwriters Laboratories tion and feature stainless steel hardware. r Q O • ~ ~ ~ CAD ~ ~ . r~ I ~ ~ ^^ i ~l ~ ~~ ~ ~ j C ;.., . . _ ~~ ~ CD ~ N o. 'V ~. .. .~ : N . ,. ~ o ~ . ~ ~ • ' ~ ~ ~~ ~ cy ., ; ~ ~ ~ o ~ `w V e~T • •. - .. b ~ ~ ~ \_ _) ~' ~ i .:o a. ; .~ ~ ~ i ~~ 4 ~ ~ a. ~. ~ - CD •. .. . Cs . \ u, ` ' ~ .... ;; .. . a , ~ .. . , ~..- . `. ~ ,. ,. . ~ ~,~~ '~ ~. O `. \\ ' a ~ ' . q.. . _ '' ~ _ . __ ~ . ~ ~ ~ ' b , • A ~.,. ~. O ~ ~~° ~ . p ", o ~ ~ C D ~W~ '"~ G •: 0 ~ ~ P ' ~ 1-~ • I ~ . .4 i V< t~ ~~ ~ ~`~~ ~ r ~ `. ,l ~ ~' ~ ~. ~ ~, ,~ ; ., .Y, ~ r ~ o ; o ~- ~ ~ b ;~. ~~ ~ ~ ~ ~. ~ o `` ~, ' ~ ~ ~ `' ~. ~ ~. ; :~ ~ a ~~ ~~ ~ ~ c,.~ o,. ~ . ~ W' U ll lcl, ~ Nl ' . ~' a ,,O^ rrV^, VJ n r~+ ~~ ~ ~ ~ ~ /off ~' l 1 dQ~-' n Q ~ Q'' O t, ' ~ 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 (onger used as a POWTS component. Soil Absorp{ion~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 thins 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. r Mound System Management Plan Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under. s. 281.48, Slats. The contents o 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 cartridc;e should not be removed unless provisions are made to retain solids in the tank that may slough off the filter ~,vhen removed from its enclosure. I( 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 imponding continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1!3 the liljuid 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 shalt 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 System 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/t_ GODS, 150 mgl~ TSS, and 30 mglL 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 months. When a pressure test is performed it should~~brs' compared to the initial test whin the system was installed to determine. if orifice cloggit>g 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, 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. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. , If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it wilt be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption 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. .. s. ^ `• Fogerty Plumbing #221180 28288 McKenzie Rd. Spooner, WI 54801 ` (715) 635.9609 ~ ~ ~~ .> ., ~~... +ka_ Maintenance 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 su gest two to five years. The Zabel'" filter, which does not increase the frequency of servicing for the tankcleanind ~ The continued act on septic tarik is normally inspected and pumped. However, our filter is virtually self g 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. Remove the tank cover and pump the tank if necessary to prevent any solids from escaping to the field when the filter is .. While holding the cartridge over the access opening rinse off the cartridge with fresh water, being careful to rinse all septage material 'Note: It is not n. 'spotless" The b, aides in the pretre be left on the filter. maybe d i~ r. -:,-. Firmly pull the filter handle and slide the cartridge out of the case. 'Note: A tee handle may have fo be used it the titter is too far. below ground level to reach. Contact Zabe! for into on ties; handles ` ',•, ~, Insert the fitter cartridge back in the case making sure the filter,cartridge is completely Replace ~~ i MADE MI USA The product(s) shown are covered by one or rrtore of the Iollowing patents: U.S. 5,762,793, 5,580,453, 5,591,331, 5,759.393, 5.683.577, 5.582,716, 5,779,896, 5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482,621 U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007. Australia: 134440: Canada: 2,135,937; Israel: 111574; New Zealand: 264824; t Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1-800-221-5742 • Website httpl/www.~abeM so 9 Locate the outlet of the septic tank. `i'~/ -j, .. 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 SOFTENERf 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. dare 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 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Httycr-_ ,~.?ec~,~.,~~ }')-oGiT- Mailing Address / 3 ~ ~ ~cv~TG/k'~ r-,r, f ,y„y~,alp, ~, ~v„~ ~Yp/.~ Property Address ~ `f'~ ~ ~ ~Y2y1G2 ~n (Verification required from Planning Department for new constructi City/State G!/Xo~r/_ ~fis'~/O/` Parcel Identification Ntunber X720 -/~,~/e=3~=~1t~ LEGAL DESCRIPTION Property Location ~ Y., ~'/,, Sec. /~ T~N~R1~VtiT, Town of ~GrD1DU Subdivision _ ~'Cr~tesl'- ,~ ,e,,9~c^ ,Lot # .3f' Certified Survey Map # Volume '-- ,Page # Warranty Deed # ~z2~1~ y Volume / S3 `~ ,Page # ~ Spec house ^ yes ~ no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out [he 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. The property owner agrees to submit to St, Croix 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 and/or (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 Resource3, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 e tl e y r expiration data ' ~~~'-~ 7. ~~ of .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 (are) the owner(s) of the property, cribed about, by virtue of a warranty deed recorded in Register of Deeds Office. / ~• /~/~! SIGNATURE OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** •* 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 YOL 15~9PAGE 81 629124 STATE BAR OF WISCONSIN FORM 2 • 1999 Y.ATHLEEN H. WALSH WARRANTY DEED REGISTEk OF DEEDS UocumentNumber ST. CfiOIX CD. ~ WI This Deed, made between Donalda Speer, a/k/a Donalda J. RECEIVED FOR RECOkD Speers, a/Wa Donald J. Speer an_d Kernon Bast, wife and husband, OB-31-2000 1:30 PM a k a Donalda J. Speer-Bast ~-- - - - - -- aAkkANTY DEED ---- - ---- - EXEMPT q 3 --- ----- - Grantor, and Richard O. Stout and Janet P. Stout, husband and wife, CERT COPY FEE: -- - COPY FEE: R E --- : TRANSFE FE kECORDING 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 1 of said Plat. This Deed i5 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 Sao , as Doc. No. Name and Return Address ~tci~r4ea D ~ s~T . /3s3 Au~kr~ 7~-~ t-- {~.JpSo~" wi S'..{otf>y Parcel Identification Number (PIN) This is not __ homestead Property. pE) ps not) 020.1021-60,0?9-1021-80,020.1021-90,020-1022-00 & 020-1062.20 Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ ~ day of _August 2000 s-t-- -----~~~I~yK=tea ~~ + •S eer, alWa Donalda J. S rs, a/Wa Donald J. Speer + ernon Bast T AUTHENTICATION ACKNOWLEDGMEN Signature(s) Donalda Speer, a/Wa Donalda J. Speers, a/Wa STATE OF WISCONSIN ) Dopald J. Speer and Kernon Bast, wife and husband, - - ) ss. t ~~-a -tT6n-dl~cT-J. g~'tr~sY~$ag _ County ) authenticated this ~y of August ~ 2000 personally came before me this __ _ day of the above named « Krishna Ogfand TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If nut, instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY + Attorney Krishna Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: ) not necessar th d B d k l y. are ge . o now e (Signatures may be authenticated or ac _. "Names of rsons si nin in an ca acit must be ed or rioted below their si nature. "mama+on v~«eesronais comcany, r«w du uac, mn Pe g g Y P Y typ P & eoosss-zozi STATE BAR OF WISCONSIN WARRANTY DEED FORMNo.2-1999 (C°` + M 1 ltd ~ t`- O °~ ~ J r ag Q a Q ~ ~ ~~ ~ ~ ~~ ~ O ~N N ~ ~ --~ a a~ ~ ~ _~ 8 ° r g Na ~ M O I I Z~ u ~ I I ~ -! I 3 ..~ ............. ..1...~..... ...j........... s~a.~s' ~os.oa ~ aa.asr noo~~ s~~ ow ~oe.ar ~ >n •oo~~ ~~ o~E saos.ar 210.00' '10.80' N 168.81' ... ....~ ........... .. ,~ ~~ ~ ......j . ....... ~ ... ! ~ \~ { ~ j \'~. ~ ~ ~ ~.. O S~ O 8r W \\~~1 \ `\ '~'~ Ni ~ Jam ~' ~~~~~ ~~ ~ ~o ~ ~ ~,~ ^~ ~ ~ W o _ ~~ ~Z~ ~I, ~~~~ ~~ $m~~~ 2411.31' -~ ~ 3 goo .sa 41~ ~~' Op ', I- `V 3N1 ~r ,;. ! M(N,~~_P_L~_G14~_D [~l(n~1D~ OW[~[,pD Sal DO`jj(nj[~Q~ WEST LINE OF THE SW I/4 OF SECTION 14 ------------------- ~- ___ NOO°1 O'27 "V1/ 2598.88' ---- ~~: °: a °' . vw Z