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HomeMy WebLinkAbout020-1376-69-000 Wisconsil Department of Commerce PRIVATE SEWAGE SYSTEM `Safoty and Buildin3 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 Stout, Richard Hudson Townshi CST BM Elev: Insp. BM Elev: BM escription: / flJ vv -~ ~i (, TANK INFCIRMATI(lN FI_FVr4TION DATA TYPE MANUFACTURER CAPACITY Septic c S Zt/U os Ion Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ' ~d / ~~ / L~ r Dosing Aeratio Holding r/slrrlurv Irvrurcm~-I lurv Number IForcemain ength IDia. (Dist. to well II ARSARPTI[)N SYSTEM / ~~ . / i _ _ County: $t. Cf OiX Sanitary Permit No: 395133 0 State Plan ID No: Parcel Tax No: 020-1376-69-000 STATION BS HI FS ELEV. Benchmark I/. loo Alt. BM Z• ~ ro I Bldg. Sewer / b t Inlet // // lv- (O t/ t Outlet ~~~ /G Dt Inlet Dt Bo Header/Man. ~L • 2 ~ ~ ~ Z Dist. Pipe ~ < 2 •/z/y' •f Q ~ sGQ' y Bot. System ` ~ k 1 it ~ i ~ b 3 a Final Grade ~ ~ r/d 2 St Cover ~ Z,G ~~ , 3Z BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~~ Z•S ' 3 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM L~FA§~I(NG Manuf ctur r: INFORMATION AM OR - Type Of System: Model Number. ~ DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ~. / ~/ Length Dia I Pipe(s) / / .~ / Length b L . f Dia Spacing 3 ~ / _/ ~ SOIL COVER v Prnce~~ro Cvc4omc Only YY Mni~nd 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 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~_/~/_~ Inspection #2: / / Location: 938 Fraser Lane Hudson/, WI 54016 (NW 1/4 SW 1/414 T29N R19W) Sweet Grass Ft;rm L Parcel No: 14.29.19.2330 1.) Alt BM Description =~p~ O+ ~4'~~~ 2.) Bldg sewer length = Z P I - amount of cover = y (~ ~ ~ Pla~revision equl e ~ ~~ Yes No 1 ~ ~ i ~ ~ pp Use other side for additional informati -, Date Insepctor's Si ature Cert. No. SBD-6710 (R.3/97) r E ~~ ,~ l a 8'~ft~ r Safety and Buildings Division ~-"""'r ~~ 201 W. Washington Ave., P.O. Box 7162 iseonsin Madison, WI 53707 - 7162 ' Address ~~ De artment of Commerce s,n;m,y Permit Number Sanitary Permit Application 3`iS~ 33 In accord with Comm 83.21, Wis. Adm. Code, personal tnfotmanon you provide _ 'Q Check if Revision ' ' ~. ~ ~ ma be used for seco ses Privac Law, s15. 1 State p~ I.D. Number '~ ". ~. f, I. App4cation Information -Please Print All Information ~ , ; ^_,_ .,r ~ C n `; ~ arcel Nnmber (T , aQ . ~ ~ 33 0 property Owner's Name `~' f ~~j~, ~1~!~. A ~~Y~ i, ~.~ 04 /` ~ _ `•~ c .petty Location property Owner's Mailing Address [~-, `~ ~ f t ~ A< ~~~~ ~ E.J C~'~' 7'~ . sT ~~''" ~ : s ~ T2 N, ~ Zip Code hone Nuttilfe'l~ . Number Block Number City. State ZQP!((~~ ~~ , , • , ~ ,: ~~'\„r'~ ~ CSM Number ,, Subdivision Name C - ~o~ II. Type of B 'ding (check all that apply) / ~'~' 1 or 2 Family Dwelling -Number of Bedrooms L/ ^Vinage ^ Public/Commercial -Describe Use ownship ~ltI~SOJ~ Nearest Road ^ State Owned l ~ . 3 ~ k ~ Z-s III. Type of Permit: (Check only one box on -ine A (numbering scheme for internal use). Complete line B if applicable) For County ttse A' 1 ~ New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to ~ • S stem Tank Onl Eris ' S stem Date Issued Permit Number B. ^ Chxk if Switary Permit Previously Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for inteeual ose) ~ • ~ ' '"" 44 Non -Pressurized In-Ground ~ . 21^ Mound 47 ^ Sartd Filter ~ " SU•^ Constructed Wetlard c r ~~~~ In~tound 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Liae _ 46 ^ Aerobic Treatment Uni[ 49 ^ Recirculating 30 ^ Other 45 ^ At-Grade V. D' rsal/Treatment Area Information: ~ Area Disposal Area Soil Application Percolation Rate System Elevation Pinal Grade Design Flow (gpd) Dispe flevadon Required Proposed Rate(Gals./Days/Sq.FtJ (Min.Mch) ~ s~ 5' •Z- ~ 7 .G ~a..o Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic VI. Tank Info Concrete Constructed Glass Gallons Gallons of Tanks New Exitting Tanks Tanks sepae oriield+e~ -'- / ~~S ' k/ Dmiot ctmnber _ /rL T VII. Responsibility Statement- I, the undersigned, assume respoasibilit or installation of the POWTS shown on thB[aStWch P6poa umber Plumber's Name (Pried Plumber's Signature ~_ t~fg/MPRS Number og Piumbtn & Perk Testln 2 2 ~~~0 7 ~ ~~~~~{~@I1~t'~t7: 'State, Zip Code) f~L L ~ 6S'- ~ ^ y©2 -2/~ VIII. Count /De artment Use Oat Sanitary Permit Fee (includes Groundwater Date Issued Issui Agent Signature (No Stamps) ,Approved ^ Disapproved Surcharge Fee) ~ . ^ Owner Given Initial Adverse ~~ r- ~ ~ ~ Determination IIC. Conditions of Approvauxeasons ror .,uapy. v.a• ~ ~~ ~- - - ~~-te~,w~.~u~+~t.S complete plane (to the County ody) for the ayatem on taper nor ~ ~~~~ ~- am:11 Inchn In,tu OS/O1 ,~ ~ ~ G 1I ~~ ~^ I I ~I / \ I -~, ~~ ~roPtr~ I~hc WR,S 10~~~ G~6 t2r ~o `fit tY 5 ~~ i ~ Ori9:v~-a l/~ ~vvuthre~ tic C~A~y.,~e r k e co(5 ~a de vG~U c d v X~ ~~ w a =Y \,_--- ~/ ~-~`_, ~~3 ~-` ` y _, A~ ~~fji ~~o- ~l V ~ 3\ ~ `0 ~ V ~ R~ `~ ,'I M W v 0 ~~\ . r, W h y ~ M H ~ V ~_ a '~ - `'~ ~, o lye` J N ~~ ;~ o o ~ ~ h ~p e p ~ v ~ ~ ~. ~ M 2 ~ ~ y ~~~- q h ~ ~ ~(t a' ~ m ~ ~ ~ ~. ~~ o ~ ~ ~ ~` ~ O ~ H b~~ ~,~u K a ~3 1 ~Y ~~d C O l ~ ~ o ~p d m ~ ~~ N ~ ~"~~~ ~\ ~ ~ ~ ~ ~ N a ~ ~, ~ ~ N ~ 1~ 0 k v j t 4 c lye `4"1 ~1 p ~ o ~ ~ h M V , ~ '~ ~, ` ~ ~ C\ ~ v ~ v It U ,. tl O V ~ cn ~ b N x ~ .~ '~C 'O m d ~ ~ C _~ o~ m ~ 3 r c ~ ` E ~ o ~ N fl. N N O 00 li V o a ~ t~ v ~ ~ ~~ M W ,v M h a h N N • til ~ ~ G- ~ ~~ ~ `~ yq` o II d tl ~ O ~~ ~\ ~ o N ~ ti N \ ~ ~ y I-_ h t Cross Section of an Inground Component Cell Using Leaching Chambers Observation/Vent Pipes Finished Grade = /o/o Finished Grade = /D/, D ~ Slope % = 3 Original Grade = /©/, Q i Top of She11= ~D,/ m System Elev. = 1'~'~6 <~ a a .~ ~a . ~,'~ ~~ j~ '.~ ~ y ; ~-=- ~;; ,~, ~ ~, ,~ ~. y!,• . ~,.: Original Grade = /_ o% y Treatment and Dispersal Zone c ~- 4 ~ Limiting Factor ? ~ Observation/Vent pipes to be constructed and capped with approved materials for the particular use. /ALL .3 ~~GGS jhS~' s-/~ir-rte ~s ~~~ 'in~consi„ ~, ..,ment of commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Bureau of Integrated Services in accordance with ,,nn 8 .0~; Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in •Plan rust-~' . County include, but not limited to: vertical and horizontal reference point (B„ )), du~ection ~ '. . C percent slope, scale or dimensions, north arrow, and location and dis3ant;e to nearest road. parcel. LD. # Fr' .p „t. c .. ~., u APPLICANT INFORMATION -Please print all inforr4>fatlon. Re'vif ed by Personal information you provide may be used for secondary purposes (Privac'~Law,,s. 15.04 (13~mfy:+' i dC t ~ T't ..~ Property Owner Property C ~ -~- Govt.. t..o, Property Owner's Mailing Address tom.#_..~.. I ,e 1r. Cs~i City State Zip Code Phone Number ^ City ~ ~~ ((s )5{t4-(D~3i Page I of Date ltlQn f " W-;,i1/4~~'I/4,S l ~l T Z R' ,N,R /~ E (or~' Subd. Name or CSM# ~t.~~- C-traSS ^ Village ~ Town Nearest Road ll [~ New Construction Use: ®Residential /Number of bedrooms 3 - ~ Addition to existing building ^ Replacement ~ ~~,-~ ^ Public or commercial -Describe: Code derived daily flow (.~~ gpd Recommended design loading rate bed, gpd/ft2 ~ ~ trench, gpd/ft2 Absorption area required ~$ -7 bed, ft2 ? ~G trench, ft2 Maximum design loading rate ' ~ bed, gpd/ft2 ~ ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) ~G ~ ~ ~ ~ ft (as referred to site plan benchmark) Additional design/site considerations IL-~ / Parent material ~7 U-{-C~J~--p V1 Flood plain elevation, if applicable /// ~ ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ['~] S ^ U ~ S ^ U ~ S ^ U [~S ^ U ^ S ~ U ^ S ® U Boring # ~~ .r Ground elev. fp1_~l ft. Depth to limiting factor ilk in. Boring # _~. Z Ground elev. tUZ.ZI ft. Depth to limiting fact r ~_in. Remarks: CST Name (Please Print) Signature Telephone No. ~ar~ ~ ~ic~vr}~z. r~-~ v y ~~s-ay~•ya~ fr Address Date CST Number CAII nFSCRIPTIAN REPORT Horizon Depth Dominant Color Mottles Structure i B d R t GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. stence Cons oun ary oo s Bed ,Trench U-~b I~ (L --- 5i1 1 m b~ ~ ~s !v-~ - Z ~ . 3 2- Ib-2a I l~ L-S I ~ ~ ~ -~ ~ zo-~fa D ---- m.5 I ~~ - , -~ ; . g ~ , ~dr.ba~ ,,=r ~' ~2-~ 'T'~ , , Remarks: ~-~ l0 ~ ~ 5~ t ~ ~s IY .z ' SOIL DESCRIPTION REPORT PROPERTY OWNER ~~ "I'~ PARCEL I.D.# Boring # -.! Ground elev. la~„d 1 n. Depth to limiting factor 1~_in. Boring # l Ground elev. lbi. f) n. Depth to limiting factor min. Boring # 5 Ground elev. iW. Il ft. Depth to limiting factor ~~. Boring # Ground elev. ft. Page. ~ of ~ . Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ~ a ~2 I ~ I2.~ -- s; ~ 1 rn-~ cs v.~ . 2 ' ~3 2 ,2-,Zi to y I - rn5 I ~~ ~-- . ~ ; . ~ .9z .9 , Remarks: 0.12- ~4•t Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/fl2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench I a-IZ ICS r3lz - ~~~ ! bk ~s )v~ ,2 ~. 3 2 IZ-1 ~d -- d m I c - • ~ ; . 8 Depth to Q limiting factor in. Remarks: SBD-8330 (R.9/98) Remarks: "~. ~ ,s • .y PAGE~OF 3 NAME ~ ~ y ~ LOT# (~ ~ LEGAL DESCRIPTION Nw '/4 sw'/4,S /mil T2`~ ,N,R l9 E (or bV~ SCALE: I "_ / (~ U ~ BM I ELEVATION ~O O • ~ BM I DESCRIPTION ~c,p,~,___ z ~„~_ /~,•nP ~at'I~w~Fl4~ BM 2 ELEVATION ~ '~- BM 2 DESCRIPTION fooT.~.(? Yp~n;de lar ~i.'laJ SYSTEM ELEVATION ~ B • Cc / ALTERNATE ELEVATION ~ ~. ~ CONTOUR ELEVATION /t/ .-~-- I 1 Zc!' n•e- / DATE `7 ~ ~ U ' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Ownen'$trq~et-- /~Crf~.tl~ sTO~,T Mailing Address Property Address (Verification required from Planning Department for new City/State Parcel Identification Number oLo _ f37G~6 p~ loo LEGAL DESCRIPTION ~~ ~~ Property Location ~l '/,, ,~ '/,, Sec.2 .~ , TAN-R~~~~, Town of Gf S8 Subdivision ~u-P~,< ~ 2~,di ,Lot # ~~. Certified Survey Map # ~- Volume ~- ,Page # Warranty Deed # ~~ ~.2 ~7 ,Volume ,Page # ~/ Spec house ^ yes ~ no Lot lines identifiable,~7 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 the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. 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) afrer inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days the thre year expiration date. ...~ SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that al! statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prop~rty described above, 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 i. ,~' ~ , r Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (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: System Design Specifications Sanitary Permit Number S 133 Number of Bedrooms Design Flow -Peak (gpd) (p-~ Estimated Flow -Average (gpd) . 0'0 Septic Tank Capacity (gal) Z ClZbo Soil Absorption Component Size (ftz) S'zsU 'L- Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation - - Septic Tank Component -Soil Absorption Component Design Flow -Peak (gpd) st ~" Maximum Influent Particle Size (in) 1/8 ` Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable . Restrooms). The operating condition of the se ~ and outlet filter shall be assessed at least once every 3 years by inspection. Th out et filter hall be cleaned as necessary to ensure - proper operation. The filter cartridge shou not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the S 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 scurp 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 maybe difficult or impossible. Tank abandonment shall be in accordance with.Comm 83.33; Wis. Adm. Code when the tank is no longer used as a POWTS component. Soit 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 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 ofdeep-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. Y Mound System Management Plan Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under.s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartrid~~e should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds t/3 the li>auid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around tfie 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 mglL BOD5, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every j8 months. When a pressure test is performed it should-{id' compared to the initial test whin the system was installed to determine. if orifice cloggitlg~ 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. 6199)] 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 will 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. ~. ~. ~ .. c Fogerty Plumbing '~ ~,. '' #221180 28288 McKenzie Rd. Maintenance Spooner, WI 54801 ` (715) 635-9609 ~ The interval for servicing septic tanks is set by state and local code. Throughout the lfnited States there is a wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel'" filter, which does not increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped. However, our filter is virtually self-cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFilter"" alarm, you will be notified by an alarm when the filter needs servicing. To service the filter: `Servicing any zabel filter should only be done by a certified septic tank pumper or installer. Locate the outlet of the septic tank. 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 nece "spotless". The biom, aides in the pretreatrr be left on the Etter. (If maybe disa: Firmly pull the filter handle and slide the cartridge out of the case. 'Note: A tee handle may have to be used i/ the filter is too far. below ground level to reach. Contact Zabel for info on tees handles -`.;-;x w Insert the filter cartridge back in the case making sure the filter.cartridge is properly~alignec~. and completely ir~se[t .i1[l' e Replace '~w ' /_vI 1MDE IN USA The product(s) shown are covered by one or more of the following 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; ' Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1-800-221-5742 • Website httpJ/www.~abeM so ss .: `""/ -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 SOFTENER! Do not run the brine solution into your septic tank. This solution has a high concentration of lime (that's what makes your water hard). The lime tends not to settle out in the septic tank but goes directly to the drain field. Lime is an excellent. sealing agent, and yes, it does the same thing in your drain field. Think of your sewer system as you would your car. Treat the attached information as you would your car manual. Remember, also, that your car requires regular maintenance. 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 I Document Number yon 1539 PAGE 81 STATE 8AR OF WISCONSIN FORM 2 - 1999 WARRANTY DEED This Deed, made between Donalda Speer, a/Wa Donalda J. S eers, a/k/a Donald J. Speer and Kernon Bast, wife and husband, a k a Donalda J Speer-Bast Grantor, and Richard O. Stout and Janet P. Stout, husband and wife, 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): III of l,e Plar 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 !~ 3 ~, Page Sao , as Doc. No. ~°-D5 & . Rewrding Area 629124 Y,ATHLEEH H. WRLSH kEGISTEk OF DEEDS 5T. CkOIX CO., WI RECEIVED FOR RECORD 08-31-2000 1:30 PM WARRANTY DEED EXEMDT Y 3 CERT COPY FEE: GOPY FEE: TRANSFER FEE: kECORDING FEE: 10.00 PAGES: 1 Name and Return Address ~rt'.i~r4tn o~s~T. /3s3 Au~t~rrt~ 7r~+~~-- {~,~py,J, (fh ~.~OiI~ 02x1021-60, 0>,Q-1021.80, 02x1021-90, 02x1022-00 at ozalo6z-zo Parcel Identification Number (PIN) This is not _ _ homestead property. OE) ps not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. paced this ~ (day of August 2000 AUTHENTICATION Signature(s) Donalda Speer, a/k/a Donalda J. Speers, a/k/a Donald J. Speer and Kernon Bast, wife_and husband, authenticated this?? ~y of August 2000 . Kristin~Ogland ___ _-_ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, __ -.~-.--. authorized by § 706.06, Wis. Scats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland ,__ Hudson. W 54016 (Signatures may be authenticated or acknowledged. Both are no[ necessary.) + Seer, a/k/a~J. Sp rs, a/k/a Donald J. Speer + croon Bast ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. County ) Personally came before me [his __ day of the above named to me known to be the person(s) who executed the foregoing instrutnen[ and acknowledged the same. w Notary Public, Slate of Wisconsin My Commission is permanent. (If not, state expiration date: I~[` rsons si in in an ca acit must be d or rioted below their si nature. udamxion arweslonais c«r,wny, ra+a a, lac. `^a ~ ~ g y p y type P STATE BAR OF W ISCONSIN aoo.ess-za2~ WARRANTY DEED FORM Na.2-1999 ` ~. ~ OF THE SW 7 /4 AND PAr~ ~ Vt I HC ~e7 /4 yr ~ rye ~w ~ ~4 yr NW1 /4 OF SECTION 23, ALL IN T29N, R19W, TOWN OF HU MATCH LINE SEE SHEET 1 OF 5 -t ~N88"48'80'E 887 ~y~~, ~;~ ~~ ,e,~. MIN BUILDING t NiW~. ~r'11~;,0 ELEV. =807.8 ~ LOT 69 ~ 2.02 ACRES esoao so Rr ~- N88'4A'80"E 874.82' J dip a LOT 68 2.22 ACRES 88849 SG FT ~- N89'4d'80'E 1089.72' a~ s.e3' MIN BUILDING ELEV. =888.0 ~~ c~ .. \ 25 1 •. +~j Z~.~. • \ 1 ` •. - - ~'b ~N\ ~~ ~~ ~~ ~ ~, 1 . ~ ~ ~ ~ . •~ `• ~ ~ • . •. . ~ Z ~. - \ ~~ ~ ~~ ~ ~~ _ _ ~ is /, LOT 67 ~ Cis ~~~ 2.4s ACRES ~os77o so Fr .~--N80'4d'80'E 1088.14' O ~~ 830.43' LOT 66 2.42 ACRES ,08430 SG Fr H.W.L. =482.0 N89'4a'80•E 824.18' . LOT 65 I ~ ~ I ~ i ~ • I ~ ~~ A ~_ MIN BUILDING ~ I ~ I ELEV. - ess.n I I$ ~i 223,+ I " I --~---~ - - ~~~ - g o ~~~ J s