Loading...
HomeMy WebLinkAbout020-1301-20-000,~,~6~ ) wisoonsin Department of Com ce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village x Township Pirius, R an Hudson Townshi CST BM Elev: t Insp. BM Elev: BM Descdpti TANK INFORMATION v TYPE MANUFACTURER CAPACITY Septic zoo Dosing Aeration Holding TANK BACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ^ ~~ / ~ / Dosing Aeration Holding PUMP/SIPHON INFORMATION Head SOIL ABSORPTION SYSTEM ~ o ~ RENCH idth Length o. OfTrenc e; DIME S f l0~-•5~ I ?J SETBACK SYSTEM TO log- P/L B DG INFORMATION Type Of System v ~ , r 1~ ~ ~ Ali ~ DISTRIBUTION SYSTEM ' Ft ELEVATION DATA county: St. Croix Sanitary Permit No: 395228 State Plan ID No: Parcel Tax No: 020-1301-20-000 STATION BS HI FS ELEV. Benchmark • ~ I~`t•9 6~ •v I Alt. BM •$a g9•r2` Bldg. Sewer rJ •3Z R~.`o r SUHt Inlet ~, ~'3 ~b.lq~ St/Ht Outlet ~ • q ~ I , 95.98 Dt Inlet Dt Bottom Header/Man. Dist. Pipe ;~p . fe$ S. 2 Bot. System - b.~2 i ' lo• ~s • ~/ ~, f~' Final Grade `/bv f V~•3z St Cover ~ r "DIMENSIONS No. Of Pits Inside Dia. Liquid Depth KE/STREAM LEACHING ufa u ~ ' CHAMBER OR ` ~. - ~ ~.lJ ~~ UNIT Model Number. `~ Header/Manifold N ~ Length~_ Dia_ Distribution Pipe( Length Dia p x Hole Size x Hole Spacing Vent to Air Intake SOIL COVER v Procm~ro Cvc4amc rlnly x~r Mnund Ar At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bedlrrench Edges Topsoil ~ Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~,~ / Z /~ Inspection #2: ~~P Location: 423 Brookwood Drive Hudson, WI 54016 (NE 1l4 SW 1l4 7 T29N R19W) Park V7~ew~Est~1 Rn r+ r t Parcel No: 17.29.19.1481 1.) Alt BM Description =~j~rl93K~ ~~ U'°""`~`""' 2.) Bldg sewer length = ~~. b' - amount of cover = ,,, • la .~ equired . [] Yes No se o er side for additional information. ~ ~)) ~~ ._~ SBD-6 10 (R.3/97~~ ~+' t _.+-_f1 /~ (^_p__ _ Dat~~_ JL __ _ ^ ~-- S' Insepctor's Signature 'ter, `c°'~ e.n09. tom aa,LY7JwL. PC~Ci.~""^ ~ - ~~ Cert. No. ~,~ -~ i /~ g ;Pty Sanitary Permit Application Safety & Buildings Divisiot [n accord with Comm 83.21, Wis. Adm. Code See reverse side for instructions for completin this a lication 201 W. Washin ton Ave g PO Box 730: iseonsin g pp Madison WI 53707 730: Department of commerce Personal information you provide may be used for secondary purposes P i , - (Submit completed form to county if no [ r vacy Law, s. 15.04(1)(m)] state owned. Attach complete plans (to the county copy only) for the system, on pa er not less than 8 -1/2 x 11 inches in size. County State Sanitary Penn' Number ^ Check if revi ' t ~ i u~ ation State Plan I. D. Number I. Application Information -Please Print all Information ~ `.,; ' ~ ,,~ Location: Properly Owner Name ~j~ roperty Location Property er's M 'ling Address ' 1 ,,. ~ i t Number Bloc Number . i ~ * City, State Zip Code P otie flu ;•~{„ . .+'}- ,f -,, ubdiviston Name or CSM Number II. Type of wilding: (check one) as 1,-v 4u~ ,-' ~' -`- ~ ~ ~ ~ \ ^ City 1 or 2 Family Dwelling - No. of Bedrooms :~ ~nfwL2 ~~o+K~ ~' ~-_.!_ ^ P bli /C 3 GF'LL i l d i ' ' ^ Village f~Town of u c ommerc a ( escr be use):_ S ~j 3 ~ ^ State-Owned ~ ~~' cc4.71/~ C'~Jr¢~Qt,.z,C,s' ~ 2~t/~ /7^~/ f D~/ ~^~J,~, Nearest Roa Gf/Oc"J Par e T Num .r- III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) y , A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Add tion to System System Tank Only Existing System $) Permit Number Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) Non-pressurized In-ground ^ Mound - - ~ ^ Sand Filter ^ Constructed Wetland- Pressurized In-ground ^ Holding Tank ^ Single Pass , ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V. DispersaUTreatment Area Information: ' I. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) ~~ ,CC~Ze;;' Elevation 6 d S©U ~L / ~ ~ ~o VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ~ ^ ^ ^ ^ ^ ^ ^ ^ ^ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the P TS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no slam i MP/MPRS No. Business Phone Number r~s'D Oa'r' T l' z / O - 63s = 60~ lumber's Address (Street, City, State, ip Co e 2~~ C ~iV T-.Z' A~,C' O IX. County/Department Use Only ' ^ Disapproved Sanitary, Permit Fee (Includes Groundwater Date Issued Issu' g Agent Signature (No stamps) ,Approved ^ Owner Given Initial Adverse Surcyarge Fee) ~ • Determination ~ 'ZZ S • 'L~ 2D0 ( • va•.avuJ Va ~~lllll VlNl IlYYAJ V.IJ LV^ L.J(. ~! IV~Q.• ~ a,E,c. s~.~-L~~s lam- be. w•a~.~ ,~,, j,,,,. ~,~,.~~.:~ee ~~t~t~ ~~s ._t~ ~~ SBD-6398 (R. 07/00) Fogerty PlumbMg #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635-9E~09 ~ ~ ~ ~; ,~y,~~ ~,~.~~ Jai-af v~ ~~ o~~ ~~o i .. i ~ ~ ~~~ \ ~ 4 ~~ ~ \ ~ ~ .~ ~ \ '~ \ \ ~ ~ ~ ~~ xa_Z~` ~ 6 ~ ~~' ~ < <\ a%'~ t - 1 ~~~ I \ ~ ~ ~ ~ ~-s ~~~ ` ; ~~ I ~ \/0%~~ /~~D~ I 283' \~ U FL E cn+6VT l~ ~ 1- ~~a9 i \\ /~ ,/ 7v, LvT ~`(fi/ / ~ r_ 5~ i Q ~/ _ /3M eF T ~ y'i pK/La~N~! /bS' f~~,C~•€'p, led. o ~ Tocv~ie~ .r.~~T TTJ T~msT~ 99Y X =Bo~rv~s ~ = F-~rivD GoT GO~NtRs `v/ ,~~~,~,~~r,~ ~~. ~ a~s ~,j, s ~, Gov ~K• ws:,f~ta S,Spr2c f~sa~ ®= ,,~,~, > .so' ~^~ 'gay ~.,~r `~ s yfr~~-• fQgerty PltmtbMs ' #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635- ~ J~ ~ ~~~ ~ ~ ~ \ ~~ ~`~ ~` Day ~ \ ~ ~ :^~ ~ `~ \~ t ~ ~ s-s 1 ~ ~ /o/ ~ i I 2~I l \~ ~~cur \ /o ~ ~ r~ ~d9' ~~ .~ _ - 70' LaT '~lY/ Sc/q,G~ / r= 5~ Q ~/ = I3M, TdP eF T ~T,.vsf/~o~N~R f~ci~6..~'A. lev. o ~ ,CL ~-~-_- ,~cT. d.+~t , poi ~F ~.c r~~ k =Bo~~s • = fa'WdD GoT LONE/,fILS ''v~ tua v,~'Yoz `s RovS . ,~G,EV . ~rs•,,¢~y 9Y. 9 3 s 1, 3, ~ ,y~~,c~~lt 9~.7 B'~ ?,3, 5 = /, Div ~iK• wc,~,ta ss~pT-zc P~3~1~ s ysr~.rr ~. ' wis~nsin Department of Commerce SOIL EVALUATION REPORT Page _ ~ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than B 1/2 x 11 inches in size. Plan must ~ C inctude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel Ifl. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~., ~- ^• ewed by Date Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~f Property Owner Property Location , Govt. lot 1/4Sk/ 1/4 S~ T~~ N R E Prope Owner's ' ailing Address Lot # Block # Subd. Name of~6M# ~ ~~ ~z~y' c L w.~ / ~' City State Zip Code Phone N tuber ^ City ^ Village Town Nearest Road ,~ ~- ( ) r ~we~ov New Construction Use: ~ Residential / Number of bedrooms _____ Code derived design flow rate --~~- GPD ~ ~ --- ^ Replacement ^ Public or commercial -Describe: __-_- . Flood Plain elevation if applicable ft• Parent material -_ ------ , General comments ~~~ ~ d~ f _ D~,~,~y~~Jt~ and recommendations: fCt,S~tiry T Boring ~~pp LL// Boring # Ground surface elev. _tL• S1- ft• Pit sp Depth to limiting factor __y_Z_ in. Soil lication Rate da B Roots GPD Horizon Depth Dominant Color Redox Description Texture Structure Consistence oun ry .E~ Eff#2 i Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. n. --- s .zzL _ '- - . ~_ s~z ~ZP . F . Z- _ .s- S -- ~z ~ ' ~ ~ 3 ss ~=Yd S_ 3 - LS Nr - 7 r 2 ' - ~S ~ L ~ ~ r s-- ~ Q. 2-~ - .~ I .~ '{~•~ 583. ~ ^ Boring Boring # Grou , t' ~ v -r ft• nd surface elev Depth to limiting factor 7 ~ in. Soil ication Rate ~ Pit . _ GPD/ftT Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Z ~-ry ~,~=zs o _ ~®- ~ •7.S-y6 -- Texture Structure Consistence Boundary Roots Gr. Sz. Sh. 'Eff#1 'Eff#2 sL cs~K 'S s~ ,n ~ Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L csT~~t~~~l~~~m~~ng & Perk Testing i ne~- ~ , Address c enzte / ~ Spooner, WI 54801 Effluent #2 = BOD < 30 mg/L and TSS < 30 mglL CST Number ~~~iw. ~ - i Evaluation Conducted Telephone Number /-7r> 63~ - 9609 /- l03 /- yDZ - ~r od ~ w , ,. ~ ParcellD# [!~~ "~~~~'~~'.Y_`~ Page ~-°f Z Property Owner - 3 Boring Boring # pit Ground surface elev. ~~3 ft• Depth to limiting factor ~ /I ~_ in• Soil lication Rate orizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP `Eff#1 `Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. r O^ - ~ 1 - SL 2 ~ ' 3 y // z. ~ - isr ~- . ~ i ~ ~~Q~ ~-8 ab~ r Boring ^1 ~ .1 ~~ . I / / ~ Boring # ~ ~AO ~_ g ~ /D 7_ /_"''' Pit Ground surface elev. ft. Depth to limitin factor ~n• I,,,~••"'''---"' I' '~ Soil lication Rate T ~ ~ ~ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF `Eff#1 'Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. o- z -- L ~ 2 _ ~ .._. L s ~' .9 -p ,z. - y ` `- L . -- . .SO" Boring Boring # Ground surface elev.1Q~- ft• Depth to limiting factor 7 ~L in. Pit Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots .E~GPD/ffE~ in, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 2 _2 Z ._ S Z ~ F. •- ..,. ,- - ---.,/i ...~ sus .9_c ~r L - r-- . 2 • Effluent #1 =GODS > 30 _< 220 mg/L and TSS >30 < 150 mglL 'Effluent #2 = 8OD5 < 30 mg/L and TSS _< 30 mglL The Bepartment 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~+tS6=3151 or TTl' 608-264-8777. SBD-8330 (R.6/00) . , Fogerty PlumbM` #221180 28288 McKenzie Rd. Spooner, WI 54801 f (715) 635-9 ~ '~l ~~ ~ - • ~ D~ ~r21 sd9 ~ ~~\ 'Y \ D'~ o ~ r-~~n Ers~~+R r \ ,~ ,sue . ~~ .. r ~ ai 70, B~ + i LvT '~l fi/ ~' \ ,Q ~./ =13M, Togo e F 7' ~ T, ~fJ sd Cow N~IZ 28.3 Tow~,e, .r,~•arr Tv T'~sT ~Y ' x =do~v~s • = FmridD Gel" CvrWEILS ~•i!/ ,~,~~ . ~~-,.~,~~ y 9Y 9 ~ s ,, 3, ~ .S~Li,c,GY~I.E 9J. 7 B's .z, j, s CNoT~ io ~ urs4-Ty ,~i¢S~~~NTI ~ ~ b ~. ~' ~"' ~ ~ ~ a. ~, -~ co 0 CD II II II ~ ~ o ~~ ~ II A. ,• ~ .::. I ~ ..~. a ~ `~ ~ ° '' \ ~ .... .. :... ~ b• ~ .:,.: ~~ , ~.. a. II o, ..r•y~~ 8 ... ~;. ~ o ~ •~.. Q, ~'~~~. C ~CD •~.. . ~. t .. ~.. c~ ~ ~ ~ ~ --- -- ---- n .;.. ~ .... ~... n :. ~ .. ~~ \. ~,l . .....'.p': ~. ~.. -' ~ ~p n . \ \' / ~ ~ ~ ~r _ ._ a `~ ~ ~ ~ o ... .. __ o' ~C'~ CV v~ y-, C~ (D .`. ~ ~ ~ (~ ~ ~ ~~ b ~ ..._ ~ ':~- ~ ~ e a _-_.y__:.~.~~___~_ C~ ~ ... ,__, o `., ~ ~ o ~ ~, ~. b ~, d ~; ~ a ~ II II ~ ~ ~ ~ ~ II ,.Z f, 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 sfandards 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. 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 thi's 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. t •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, Stats. 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 cartridge 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. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the litjuid 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 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 mglL GODS, 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 moriths. When a pressure test is performed it sFtould'iid' compared to the initial test wt~n the system was installed to determine if orifice cloggittg~ 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 repo.~ced 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 ndonment shalpbe nraccordanceswith Comme83 33 aWts Adm. Code whentheotanks are nolongesuse'd asd pump tank aba 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. Continpency 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 ~ '~ i.~. '' #221180 - 28288 McKenzie Rd. Maintenance Spooner, WI 54841 (715) 635-9609 J The interval for servicing septic tanks is set by state and local code. Throughout the l~nited 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 filfer: 'Servicing any zabel filter should only be done by a certified septic tank pumper or installer. a ~~ 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 nnse off the cartridge with fresh water, being careful to rinse all septage material 'Note: It is not nece 'spotless". The biom aides in the pretreatn be left on the filter. (I1 maybe disa: _ r. Firmly pull the filter handle and slide the cartridge out of the case. 'Note: A tee handle may have to be used if the filter is too far. below ground level to reach. Contact Zabel for into on tee. handles ` :~',•,. Insert the filter cartridge back in the case making sure the filter.cartridge iS completely Replace _~_ ' /_v, A1ADE IN US 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 httpl/www.zabel-con A1pp/300•I-M,6149 Locate the outlet of the septic tank. ~-"'/~ 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 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~~,f~-fi~-~s' Mailing Address -Z 2 Property Address `t" ~..~ l'~ rd o t-~ ~ o o q (Verification required from Planning Department for new City/State ~~ G~ sy~~l Parcel Identificarion Number _~~?.~~/3~2/ ~- ~ LEGAL DESCRIPTION property Location ~ '/.,~ w '/4, Sec. ~ T~_N-R~W, Town of , f~i.~Sdy Subdivision ,,a/~/ l~t L/.~'~ ~ 'S7~-ra~S' ~ ~ Lot # ~ m~/~~ Certified Sarvey Map # '""-~ .Volume '-~ ,.Page # '`- Warranty Deed # ~ S ..3 .5~6 .~ ,Volume /G,9 ~ .Page # . S /L Spec house ^ yes ^ no Lot lines identifiable ^ yes ~ ^ no SYSTEM MA,~ITENANCE Improper use and maintenance of 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, restrictedplumber or a licensed pumper verif}ring that (1) the on site wastewater disposal system is is proper operating condition and/or (2) after inspection and pumping (if necessary), the Septic tank is less than 1/3 full of sludge. 1/we, 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 a three year exp' . ~ date. GNATURB OF APPLICANT DATE OWNER CERTIFICATION g ( ) the owner(s) of I (we) certify that all statements on this form are true to the best of my (our) Imowled e. I we am (are) the rty descn'bcd abo virtue of a warranty deed recorded in Register of Deeds Office. ~~ _. a ir~ioi 1 ATURE OF APPLICANT DATE «««««« «««««« Any Formation 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 ` - '~ Uc7~PAGE 5~2 Document Number W~1RRId1N~ ~EE~ This Deed, made between MARSHA A CULLITON and MICHAEL J CULLITON wife and husband ,Grantor, AND RYAN M PIRIUS and RACHEL R PIRIUS husband and wife, as survivorship marital property ,Grantee, Witnesseth, That the said Grantor, for a valuable consideration of one dollar and other valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: This homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of all encumbrances except easements, covenants, and restrictions of record, and will warrant and defend the same. LOT 141, PARK VIEW ESTATES SIXTH ADDITION TO THE TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN. Dated this day of ~ u..Y{" 2091 . MARS A CULLITON AUTHENTICATION Signatures authenticated this- day of signature Notary Public type or print name rl I TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Robert F. Wall 65356.3 K4THLEEN H. WALSH REGISTEK OF DEEDS ST. CROIX CO., WI RECEIUED FOR RECORD 48-14-2401 3:45 PM WARRANTY DEED EXEIiPT # CERT COPY FEE: COPY FEE: TRANSFER FEE: 157.50 RECORDING FEE: 10.00 PAGES: 1 Address Edina Realty Title 400 S. 2nd St., #115 Hudson, WI 54016 X333691 (Parcel Identification Number) 020-1301-20-000 ' 1. ' MICHAEL J C ITON ACKNOWLEDGMENT STATE OF WISCONSIN COUNTY OF ST. CROIX Personally came before me this 1 ~ day of ~ 20 O t the above named MARSHA A CULLITON nd MICHAEL J CULLITON to me known to be the person(s) who executed the foregoing instrument and cknowledge the sar~te. .~_ _ . _ ~ 1 signature type or print name 1/1 Q ~'l. e ~ . ~Q /y^8~') Notary Public ST. CROIX County, My commission is permanent. (If not, state expiration date: "Names of persons signing in any capacity should be typed or printed below their signatures. r U o~~~.~' \ \ O ~~~ ~- G~'~~O _ ~\ C G~~V _ ~v" M ~, ~~ \ ~ ~ ~ ~ Q _~\''~ ~y ~ F- ~ ~ ~ ~ `~Ja, \ 0 \V ~ ~ ~si 'Gj ~ •~ b O ~wu' \\c~a~0 \~ Zl~ \ o: v ~ OO r. V N Q add ~~ Oti_o is ~ ~ ``.'a \ J _ ~ 0990 ~ 2 \ a ,~ . '~~ '~ 3 c06~~ t~i . $ ` o ~S~ Cr' W O ~ -~cn ° ~ 9 \ 0) ~ 2 s. ~~ -a es . . 00 W W \ ~ y3\ _ ~d c ~' _ \ F- ti 3 ~, 9Oe601V 0 M ~p \ 3 ~ `~ ~ _ •, \ \ ~ o e~. 3r_00,1_Co_LO_N_ M„9£,LOo~ \ \ ~0 i E0~ ~ ,ZL'Z8_ ,IS'GO£ $ '• ,61'IL_ I 3,9£,LO,IOS z W W Q W W C7 Q Z a 0 N MI tN N 08 -~` _ \6~ 9 O~~ 0 ~o a '' Zwo •s o o nom. 9/ N ~ I- v N O a so M J N t0 I..~ ~ r; O M tG / m~ W ti N W 0 O z ti tT co m Z '~ --~- 20~ 0 0 0 ~Z ~ ~' N W 0~,~. $ ~~~ ~at~0 m 1 - - O N d' ~ O J=~ - -,96'60b -- ,00'091 ,Q6'6bZ \ \ ~ ~~ \\ 51 10 ~ \~\\ cL~~ \~\ o , ~\ \ \1 / SOOOM , ~00?~9 33, 3'~ ~~ 1 ~~ OI ~~ Y~ O~ O~ ~~ m~ ss' ~l 10~ ino~i W0r25r2B01 19:51 FROM Fogerty P1b9.rP.T. Inc. TO 17157967023 w pepartrnent of Corrdneroe SOIL EVALUATION REI}ORT l]IvledrtetSalefy snd euifargs ~ ,,,~ „,~ Carron 85. VYfs, adm• Coda t:,o:rlty /1Rarlt aornlAe1e. ~ PWn on papor na less than a 1n x 11 ina+aa in size, Plan muse ildtxle. but not firmed W: wrbeat arrd horizontal teterartce l+oi~ IBM}. and Parcel I.O. ~s ~~ scale a ens. rqr~ arrow, and location end distance b nearest road. ReviaMred b1+ Pleast pr';+tt ~!! (nformatlt~t. pe,.eiw Ido:+slWOn rod aw+do msr tie wsd rar y rddpddds tr-w,cr ~-+w.:. +e.o4 (+) (Mlf..__ t,ovt trot i!4 114 $ S~ . Wants ar Ta>.m . . P. 05 P,9, ~ ~ 3 N R E `~ #~laW Oorlio+~ of tredraorns Code deRVed dasipn Ibw tale ^~~~~ '~ ©, o<o0„r„ordal . l~estrlbe: ~---~ «- ~ood Waf+ ekvalton ff app~catlk _~~ and lroottNt+rftd~-5~ ~,, ~ ' ~ eo ~~ ~ r ~z .r..-_ _ ~~ a ~ Pi80t+nD t3rourN! surface star..~C.~.~ ft ^ ~~ .~ ~.- fiadr:Q ~ f7 Pil Grotxtd su~+e d@Y. O tt. thplh b W"hi"g facer .~..- in. QaPU1 to Nrrding factor .'n. T: 10~25i2061 19:52 FROM Fogerty Pln~3.!P.T. ]nc. TO 171S79b7023 P. 06 y ~~ ~~ ~~ Panel ID !1 „~•?©" =~~ PagY ~ ~ Prop~y D'"r~ 8vnn8 i1 ~~ Gramd surface elev. n. ~Pa+ to l~^0 fads r ~; Sal AppiCatlon F in. Bo:inG ~ ~ ~~ Ground r elev. _ _.-,.•- ft. DePlh tb Umitn919Clnr _ - Sall Pit Roais C FloriZOn ~ t)ontirier~t Color Redox QeSaip'Gon Textlre glNClure Corotstence Boundary 'Ef(M1 t7u. 9x, CoM. Color C,r• Sz. 51t, in. MutSeN • EN4teont 1t2 = 90D, 5 30 ~ ~ TSS~~ 30 mpR. • Ettpxard Kt , 130D, s 30 <_ 220 n1gfL and TSS a30 < 150 ngiL Tha Depan~ncnt of t'umrncree is an cyual 0~`rt ;`~ycoattact~the depattmenrt ato608~6~1l31 ord a~ 6t18c t2b4.8777, scrvrocs,a need material in an altcrnatc fu , p ' s¢>uxwa,dar TOTpL P. 06 9orrg to ~ Botir:0 pePa'~ to tlmittg tailor r- in. ~ Say Rata Pit Ground surrace elev. _~__-.-- K, GPDR! Taxtwe Structure Consistence Rour~darY "Ruda WOriaO~ peptle porrw,snr Cr>~ tleC4x Daierr?~ 'Ellg1 '~~ Du Sz. Cent Color Gr. Sz, SM. in. Atunse~ ~' c. TO 17157987023 P. B4 ~ 1 1 '51 FROM Fo9er..y P1b9..P.T. ]n ~~~ I- ~ GnW`i~~w: `~1 (7T5) &3r96Q, /~ ~~~ ~~~~ ~~ 7-~~-a~ i~ -or ,~,..~ .~ .` `1 \ ~ ~ ~ ~r`. /~,, ~oo~~ .-~ ,~~s,i r , ~\ .~ `` `~' ~ / 1 ~~ \ ~ ~ B-r 9~3' `' ~,~( ' ~ ,~ , ~•0 1 x83' `\ i~/T ~r r • f ~.3~ l~.rrrr~ - ~ . ~ ~~[~ . ~ ~~ ~ • ~~`~ gay ~ ~. ~. ~~ ~~ ~ -~ . ~/ L®~ l y~ .~ r ~sr ~`<y/ 5c~t~L~ ~ r' y~ , d pry a (~tM, rirP et' T p~T~,aK/G.w~~va X = Po~s~v~S * ~ ~r~o'D uT Gecrutl~ "~` fuR /~Ya~ .~ ~v~S . s yf ~M-