Loading...
HomeMy WebLinkAbout020-1439-21-000Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)I. Permit Holder's Name: City Village X Township Dee an, Ro & Naomi Hudson, Town of CST BM Elev: ~ Insp. BM Elev: BM Description: ~, , ~ V ~3 .~~. TANK INFORMATIOI~l TYPE MANUFACTURER CAPACITY Septic ' /~ nn ~~ tl~/~"'(...~' 5 j 7 Dosing ~ v ~~ 4/~il-r~~ ~--e Aeration 7 /JQ / Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to 'Intake ROAD Septic 25'/ 2 / ~ (~j~ YI Dosing 12 , ~ Aeration Holding PUMP/SIPHON INFORMATION ~~i~'~-~~'~_ Manufacturer / ~/ ' Demand GPM Model Number ~ ~, . ,, ~.. TDH Lift Friction Loss Syste ead // .G'i' DH Ft. Forcemain Length Dia. Dist. to Well RAII ~RSORPTI~N SYSTEM /~L /r~t~/l~ir. L~IiS~. //'o UU v BED/TRENCH DIMENSIONS Width / Length _/ - ~5 No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO i'/L BLDG WELL LAKE/STREA LEACHING Manufacturer: ~ d~~ ~ INFORMATION CHAMBER O ., ~ ~ ~ Typ (System: ~ `~ f ,- r ~a'r _ U Model Number. l 1 I'11STRIRlIT1C]N SYSTEM "~.: ~ < '(/I /,I~vn bt~i~v -1'x'07'\,/ ~! Header/Manifold LengthL~Dia Distribution ~ r /1 ! Pipe(s) ~f (! .}. ~j Length !~ Dia Spacing ` x Hole Size ~~- x Hole Spacing Vent to Air Intake 6G J"w Cell C[1VFR „ o.e~~.~re c"~•e..,~ n.,i.~ rr Mn~~nrl nr ~+-trade Systems Ctnly Depth Over ( ~ Depth Over B d/T hEd xx Depth of To soil xx Seeded/Sodded xx Mulched Bed/TrenchCenter ~ ges renc e p ~ ] Yes j ~ No ~:~ Yes [::~ No COMMENTS: (Include code disc a ci , ~e sons pre a Inspection #1: I (/~/ C15 Inspection #2: / /. Location: 794 Highlander Trail Hudson, W~,IQ54016 (NE 1/4 NE 1/4 25 T29N R19W) Indigo Ponds Lot 21 /Parcel No: 25.29.19.2747 1.) Alt BM Description = ~~~ ~~ ~~vC-aC~ ~ ~ ~ ~/`G~~ Sr~i~'t ~~` ~ C,~2-- "~ 2.) Bldg sewer length = (Z r ~/ ~ ~(,~.ed~ ~ -~~--v--' -- -amount of cover = Y S ~1 i.,a de ~ '~`/ ~'~ ~~-G~- - ~- - ~--~ _._J -- ~ i ~~~ I Plan revision Re wired . I '1 Yes No ~ / ~rd~~i -- --J _---'- J- ' Use other side for additional information. _ __ ~ ~ __ _ __-_____ __._ ___ - .- Date Insepctor's Signa re Cert. No. SBD-6710 (R.3/97) ELEVATION DATA County: $t. CroiX Sanitary Permit No: 479387 0 State Plan ID No: Parcel Tax No: 020-1439-21-000 Section/Town/Range/Map No: 25.29.19.2747 STATION BS HI FS ELEV. Benchmark ~' C?~ /~ ~ y ~ a ~ Alt. BM Bldg. Sewer S~~~a b .~,~ ~ . 9 ~ S Ht Inlet _ 2 ° ~ ~" 7 9~ ~~ SUHt Outlet Dt Inlet ~1 Dt Bottom / ~_ Header/Man. t / D r,~ ~. ~Z Cf~' Dist. Pipe 3 _ ~c.c•~ ! S 'v I T ~ 3 ~ G Bot. System ~ ~ 17 Final Grade ~ ~~ Evt~-o ro 3 ~ 5 -~ - S Cover ~~~, ~ , 2 ~ ( (o ~ ~~,se~ l / !;/'fit" ~ / d Sa£tty and Beildtnge Division ~Y 20t W. 9Vaahiagroo Ave, P.O. Box 7162 ST. CROIX ' ~i~~~~ ~ > wI 53707 - Saovecy Pasnit Nra>d~er (to be filled m by Co.) De artmt311iofGommerCe •~~~~~ Sanity Perm' atf on V Ply La. Nomber ~ m accoed whit Cow 83.21, wia. Adm. Code. u ' , ++ t (~~~ / may be recd for aoeoadsaY purposes l~rivac. ' x15.04( ~ Addrern (if dilfaea+t ~ meilia8 address) L ApptieaNosTsiermetioa-PkseeF'r6~AdlIoiereortioa ~T.CROI ~q~ HIGHLANDER TRAIL ZONING OFFICE rropa+y owrta's Naas l"atrel # lot # 21 ~OCk'~VIA ROY ~ NAOMI DEEGAN AMERICAN CLASSIC HOMES ING o20 - 1 - Z!- 060 •2~`(~) Property Owme'a Mailing Address Property ioatiao 45 NEW ENGLARID PLACE SU 00 NE yw NE y4, Section 25 Cary, State Zip Code Phone Nraatber STILLWATER MN 550 651-248-3871 T 29 N; R 19 aw ~ II. Type of B~l~ (eiecit ail tLst aippiy) 5 AS REQ. BY BLDR 4 er house Ian s"~"'B1Oe ~] t art family Dwelling- Numbe of Ltedraonrs p Pahl~r~cial _ Uo.cribe Use ,~,~; ~apu,o,e_ S . INDIGO PON S p ~O~_p,~iyc~ 3 - 75' TREN HES 12 CHAMBERS EA. ~-~r ~~ ~dT~~PafHUDSON tYl, Tyne of Pet~eit: (C~Ic only one bo: oe line A. Ceasplete Ilse B if appNes6de} A. ®New System D Replaeeneax System D 7~eatrnenUlioidiog Tapir Beplacenent only p tithe i`4odi5cs>;on m Existing System E. (~ Pamait liadewa! ^ Permit Ttevisim ^ Chaoge of ©Pcxmir Tranat'er m New L'at Provious Perm) Number and Date Laced Before Expitaeioo Piumbe Owner dP{3WT8 S tae- Cheek a8 tlbtt -pre~-riaed b~imuod • ©Morard? 24 is of auLabls awl ~ Moand 4 24 §r. of suitable sail ^ A6C~ade ^ Singte Pase Scrod FdOea ~ Cemaoucrod wetiaad ^ Prstsaiaed Lrfiroond ©Iioidiog T,adr ^ Peat FtHrx ~ w«nbic Tras~nt unit ^ Sand Fr'?fer ^ A~rtalax SveBrNic M~is Fi4rr Cbrolrer D Drip I,ise p Gravel-lbs Pipe ^ other [era RE . 36 i Flow (bN~l D~gn Soli Apptioatioa tiam(gQdpt) ~~" 750 .7 1 VL Tadt Iefo Capaeity in Total ~ Numbe Galfoos Gaaons a3unita . _ ~, ~ Psefab Site Steel F~bar rpjet Comaero Consnraxed Gisaa WIESER "°~""nm`r X 1000 1 WIESER X VII. Sbteeaent-1, t~ aeia~ed, aeuss of tlK PE)W1B aLoari o the stt+ched pLiaa. P4tmba's Netee (Price) MPlMPItS Nuaabc Basrmas Phooe Number TODD FEATHERSTONE 242514 7i5-381-1704 Pbmtbw's Address (Stmt. City, State, ) ' P.O. BOX 467 HUDSON WI 54016 VIII. Use ~Aa>~ I~ saniary Pemit Pee (' cra®dwekr Dale Laved Ageac s; tNo Stamps) ~~~ ~.,Q., sine Fee) ~ --- G : t 1.200 .iii i ~ rtW.~R~ e,.tt~;At 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. Anaelt eaaleae sinar /bnr Caaat4 ceb) ttr x SBD-6398 (R. 01103) ~~ ao.s ~P ,C~T.2/ ~~ ~' ~'~ - `~ . ~~ ~ ~ ~ ~~ ,r ~ ...~ / o~ ~ ~b ,2fs~ ~ i /~ / ~ ~4 lam' / -~ ,s ,~„~' D s ~. ~ / ~ ,' ; ~~ ~' ~' QJ ~ ` / ~ f J' p0, ,~~j ~ ~~ ~°~ ~~~t ~ -. ~~ ~t~' 0 f~ ~ ~ ~ ~ ~ ~ ~;;~ ~ ~ .v ~ ~ ~. ~~~~~ ~ ~~ ~""~~S ~ ~''~' ~~ ~ ,~ ~'~-.r z~EEC ,~ ~ s~.~.~ l.7 .~~°,,,K~.s lS/ . ~9. 7S ^'- C~pv . i- Tuesday, August 02, 2005 (3).max - --~ ~ ~o.S ~P ~T~i / f ~~ ~' ~~ ® ~/ r ~ e' i / {~ ~ i Jb ~ .i ~o / ; ~' i ~' ,~ -' ~ , , ~ ~~ a ~ ~" ~~ 1 ,: ~ ~ ~ ~ ~' .~ h `' iii - l z ~ ~ ~-~` ~~ ,.• ~ ~~ ~~'.7," s~ ~ ~ ~ /~ ~j • ~L r~~1 ms`s. /~~'. /d _~i~~ ~ ~ ~v~,J%/~F '~.5 ~ ~ - q9 ~.~~--- -- ~~ .~ Tuesday, August 02, 2005 (3). max Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85. Wis. Adm. Code 1292 Page 1 of 3 _ Steel Soil Service County Attach complete site plan on paper not less than 8'/= x 11 inches in s¢e. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . pending Please print all information. Re ~ we Date Personal information you provide may be u for seco~~.p~~p , s. (t) (m)). CC // Property Owner Pr perty Location ROSAMJI, L.L.C G . l.ot na NE 1/4 NE 1/4 S 25 T 29 N R 19 W Property Owner's Mailing Address L # Block # Subd. Name or CSM# 2141 Cty Rd. C - 21 na Indigo Ponds City State Zi Code EfCE _f City _J Village ~ Town Nearest Road New Richmond ~ WI 54017 715-248- Hudson Highlander Trail /~ New Construction Use: ~ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ~ Public or commercial -Describe: Parent material Sream terraces and pitted ouiwash plains Flood plain elevation, if appl icable na General comments and recommendations: system elevation 96.25 ft, trenches spaced and depth to code 3 50 ft below gr Boring # J Boring t5 (0, 120 in. /J Pit Ground Surface elev. 99.75 ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr2/1 none I 2msbk mfr cs 2f .5 .8 2 9-24 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6 3 24-38 7.5yr4/4 none scl 2msbk mfr cs na .4 .6 4 38-120 7.5yr4/6 none cos osg ml na na .7 1.6 N h / (fi~ ~ '/j L Boring # J Boring Q (,(~ ~ Pit Ground Surface elev. 99.75 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 10yr3/2 none sil 2msbk mfr cs 2f .5 .8 2 5-32 10yr3/4 none sicl 2msbk mfr cs 1f .4 .6 3 32-47 10yr4/4 none sl 2msbk mfr gw na .5 .9 4 47-120 7.5yr4/6 none cos osg ml na na .7 1.6 h l O Ld -Y~xXR~d 5~~'~'l * Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: _ . CST Number David J. Steel `~ 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 5/2/2003 715-246-5085 Property Owner ROSAMJI, L.L.C Parcel ID # pending Page 2 of 3 Boring # J Boring 1/ Pit Ground Surface elev. 96.85 ft• Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 10yr2/1 none I 2msbk mfr cs 1 c .5 .8 2 5-20 10yr3/4 none sicl 2msbk mfr cs 2f .4 .6 3 20-32 10yr4/4 none sicl 2msbk mfr gw na .4 .6 4 32-44 7.5yr4/4 none Is osg mvfr gw na .7 1.2 5 44-120 7.5yr4/6 none cos osg ml na na .7 1.6 ZN d _ ~` _ t (~ gs s~ ^ Boring # J Boring v Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # J Boring _j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. ~\ ~ ~~/ N t3 0- - N~ 8 ~ ,, -~ a' _.. _. _. • '~ ~. O ~~-- ~ _ /~ '^ ___ . ___ ____.. \. ,r Y I ~ _ `~ ~ _. - ~• .,\ i ~~ n ^ ~ OvCN •~ ~ \ ~ \ s ~ O~ 3 Vl s ~ ``'' , ` ~,, ~o --• d ~ , ~ \~ ~~. Via, ~ ~` ~ ti ~~~• ~ ~ `~ ~ ~v m~, ~`~~ 1~- ~ _ l ` ~g~a ; r o _ , ` t ~~N ~~~~<N , ~ QON 00 ~ 1 F ~ ~\~ 11 ~2N / d! r / \ ` `\ ~\O\ .' ... Z " ~ t.._. _ ~. ~, ~ ' , . • Page 3 of 3 STEEL'S SOIL SERVICE INC. - David J. Steel 1564 Cty Rd GG CST-POWTSM ROSAMJI, L.L.C. New Richmond,WI 54017 Lic. #248956 NE1/4,NE1/4,S25,T29N,R19W Bus.(715) 246-6200 ---~ ~fHudson, St. Croix Co. Fax.(715) 246-9372 This soil evaluation was conducte~ ;suitable for your use. The location of this test may"~"-°°°------....___,_,~: _ iot established at the time the soil test was conducts L.__~ T ~ ~( ~ --• ---...~~„ _ ~ --U -!/~__'._.(~~'_ 0 ~ ~ lark Ele. 100.00Ft ._ ~ log-- -~ ~ ~._~.___- •----~._._.~_...~~p ....pvc pipe T ~~-,-.__.. chmark Ele. 100.1 OFt ---~...._, ~. -_F~. ~_.~ ~ ~ I /...~ ,~ _,.. ..._~_ pvc pipe -_-•- -"°"°~°-~------ing Elevations Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel CST-POWTSM Lic. #248956 ROSAMJI, L.L.C. NE 1 /4,NE 1 /4,S25,T29N,R19 W Town of Hudson, St. Croix Co. Indigo Ponds Lot 21 1564 Cty Rd GG New Richmond,WI 54017 Bus.(715) 246-6200 Fax.(715) 246-9372 This soil evaluation was conducted to satisfy a caning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' ~ =Benchmark Ele. 100.OOFt N Top of 1/2" pvc pipe • =Alt Benchmark Ele. 100.1 OFt ~i Fie 7~ ~~~ Top of 1/2" pvc pipe ~o~ ^ =Borings Boring Elevations ~af'~ B1 =97.75Ft B2 = 97.75Ft 1 B3 = 96.85Ft mph ~ ~g B4 = OO.OOFt ~~ oN~'`~ ~~/ L ~/ ~~' ~~ _ ~ ~' ~ ~~ ~4 ~` ~' ADO ~ t'~ ~iC~Pf~` ys F~ ~~ ,~ 2-~'~ .~ r ~~~ . ~= _ --..~ .. -+I ism.. IR ~~ ~ - --' / ~ ~ i `\ ' 0.26 FEET WEST '/ - ~ -'~ I_" OF PROP ~" ~'. - OSEO ~ ~~ 5! - % ~ ~-_ ..~ LOT N ' ~ ! ~~/: X224692 S.F. -_ - ,~-~ _ '~ / (5.158 AC.)i ~ _. ~ ._ -- ~ . % t - ' (2.136 AC. N,B.P,A.)- ,...r-SOUTHEAST QUARTER l ~ ,! / ' / r ~ 24, T. 29 N., R. 19 W. N89'S3'05dW, 2646.941; ` ~~ d f T ~ _ ,, i ,~ f . i. ~ i l f T ~, %~ ' °J 1 ~ ~ ,~NOF~ ~ LIN OF fii 1 ~ ,, ~ ..~ ~, ,1~` ~``=-NC,KTHEASfi QUARTER S ~ ;/ 25, T. 29 N. R. 19 W, `J 1 , j ti - • ti,.~ y,~/ i :~ r /,! ~~ ;. -- . ' ~: ~ ~ , ,y .~ ~ ~~ ~ ~ Y ~ c = ~A / v~ - 3 ~ ~ ~~~,y C~~~7~ 44 :.. -- .. 344.56 , `` ~- y,~ ;,•' ~~ __ - .~ i ~ 87125 .'.% v ~ ~ ~~ t I (2.000 ~ "`~ ~ _ ~ ~ (1.649 AC. N. ~ - ,' , ~ ~, 1 ,f' f ~ i ` ' .~ ~ (1.000 AC. N,B.P,A.~ ~ v ~ / :` `, ~~ ',r^ .~ . :. ~ _. , .,. _ ' ... ~_ _ ,, ; .. ; . ~~`- o,~- . ~~ -~y .. l r ~ j ~~! ;'~ ~ (2.019 AC.) ~ ~ '~ ~•~ ~$"0 % ~0~~ ~ /(1.456 AC. N.B.P,A.) '~~ i~ ,.r f +87121 S.F, ~ ` / ~' ~ (2.000 ac.){ '~, ~ % ~ ~ -- / - -- ! ! / {1,152 AC. N.B.P.A.) ~• ~~x. ' ,/ ~ ; i ~ ._ ~ ~ ~ c_ l / ~ R~80 < < ~'~ ~ / ' r ; ~ - ---19" s ~ ~ ~• , ~~ ~ {`~ ~ ~'/1 ~ ®`L7 ,8121 S.F., \ ~',' ice"' %"- o .- ~ _/~, '' (2.000 AC.} ~/-~ - ~ ' '. ,.~. ~ '(1.581 AC. N.B P.A.) ~ 9 __ .-~ Z 3 - ~` - 6 _ - / i .~ / - .. ~,,~ J' j'- 1 ~O. ,5~.i .~. -..-._ 8 -~...~ ~\ X23 ~~ __ 836' /. ®28 ~ ~,., / ~/. r 43 ; ~'. ; r' -` - t i~ ~ i JJ i~~ 1 1 - -~ ~--~_ dp> -__ -- '827`!6 S.F. •,.~ _"_ ~'l5 - `~ - ----- _... -- " '` .-~' / / (2.266 AC. ~1,/ ~ - .). %~ . / /~~ .- t~~~ ~ \ '~ ~- - -~,-.~/~ _-___ r- _ - (1.635 AC, N.&P.A~-~ , r N. i SYSTEM CROSS SECTION MAN BOLE GRADE INSPECTION PIPE 1 I FZABEL FILTER ,~ ,...~..~~ ' 1565iga1 tank ~l SYSTEM ELEV. 96.25 O ~ O ,~..r..r....~.. G ~. ' 1565/GAL ~ 12 Bi0 DEFiJSER CHAMBERS pip ~t 0-1439-21-U0~„ NE ~ NE y,,$ 5?=T ~N,fl 1~Ylfll; l,Ul' 21 ~_..._ ~ IN I C © Y D T~ TD~~ ~/ ~swa~-u I ' - J T ~ Mr .7 V 1 .0'} . Y ke X% ' '` ~ ~_ r : rv w.~ . ~, r .~. '.,{ a~ ,- ~' -' / ~ ~ ~~ ` -0.26 fir. ;;, ,., ~ • _ ~,~_. w i~ ~ -_ '\~ _ ~ LOT ! . ~ . ~ ~•w ;~!/'~/~~7y~•~/~y~~ M ,. Y~ ~f1 t~~ ,~ ~'• YT• t w ~i - /224692 S.F f'' , , ~ ; - ~~;~~~ ~/~ ~(})~, _ , • / (5.158 AC.) i" _..'r_- ,'. N`,~ ~SaUTH •LI 0 ~`. ' `•`C ~o ,. _ ~ _., 2.1 - 36A.N P C .8. A ( ,x l ~ ~ ~ r-- ~SOU7HEAST QUARTER SEC. ~ tO` • ~ ~ `~ ~ ~ ~ f :' ` ~ , i ~ ~ ~ 24, 7. 29 N.. R. 19 W. y ~ .. f`!•,;~ ~~'y ;~~; ~. ~ - - ~N8~9'S3'05`W 2646.94, -` ~l~= '~ - v.„ - ~ ! A 1 ~ } ! ~' ~~ .N ~ ~ ;/ ~~ ~;~ ~ 73.44 i. 344.56 ` i , OR ~ LIN OF f7iEr` ~= y~ ~C~ ~ '-r-- i+• ~ _ ---NtiKTHEAST QUARTER SEG `' •' ~-" :• - ~' _ - .~. ~ ~ ~ , ~%;~-~~( _ r ~ ~ 87125 ~ ~ ` ~ • ~ `~ 'l -` • ~` ' (2.000 .•, ~~, , (1.649 AC. t .' _ _ ~ • ' f ~~ h k i!/ N - ,~. .~ { ` i / . '.~. - , ~ - .r `c ~ r ~ 6~"~~ ~ - 1 ` ` %.S 2.245 AC.) ~ ~' ~: _ ~ ~ ~' ::, (1.000 •/1C. N.B.P.A.) ~ v !~ f , - ` -' / / '%,87943 S.F ~~ ~ ,= ' ' J' 'r~• ' ; (2 019 AG)' ' ~ ~ ~~~ ~ e~/ ~~ _ / f /. / W / p°•~ - _ f ~ •~ /(1.456 AC. N.B.P.A.) r~ j / - .' / cos . ~ ~ ~ v i ,! , 3 :.87121 S.F; ~ ~ ~ ~/% ~ n ` . ~ ~ ~ / . j ` .(1J52 AG N.B.P.A.) < ~~u. ~ ~ ~ ~~ ~ ,-r j; /j~ R=8 .5 ~ , - ~ ~ / ~ `/ ` , p, ~ O,~ ~ (2.000 AC.~ ~ r/ -'~ = ~\ , ~ _ t, l ~" ~. .,•~: ~' ~ (1.581 AC. N.B.P.A.) . -. 9:'80' ._" ~w - 'i ~ / i _ ~' ~ ' f -..,_ _ --~ , ~' 77`76 5F. ~' ! !!~ -~. . ~ ~. ~ ~ ~~~g ~. /.~- - ~ ~--- ._ -- -, /~. ~,~ / (2.256 AC.)'. ~/ r ; ,~. Tuesday, August O2, 2005 (3).max POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 1 of 2 FILE INFORMATION Owner ROY ~ NAOMf DEEGAN Permit ~ 38~ DESIGN PARAMEiI:RS Number of Bedrooms ^ NA Number of PubNc Facility Units NA Estimated flow leverage! al/da Design flow {peak!, IEst'unated x 1.51 750 al/d Soil Application Rata aUd lft~ S"tan~d Inf~entlEffluent Quality Monthly average" Fats, Oil if Grease IFOG- 530 mg/L Biochemical Oxygen Demand IBOD~1 5220 mg/L O NA Total Suspended Solids tTSS) 59 50 mg/L Pretreated Effluent Quality Monthy average Biochemica{ Oxygen Demand tF3OD61 590 mg/L Total Suspended Solids (TSS- 530 mg/L O NA Fecal Cokform !geometric mean) 510° cfu/10pm1 Maximum Effluent Particle Size YB in die. ^ NA Other: ~ ar1yA "Values typiCSl for domestic wastewater and septic tank effwwnt. SYSTEM SPECIFICATIONS Septic Tank Capacttyr O NA Septic Tank Manufacturer O NA Effluent Filter Manufactur DNA Effluent Etter Model q~ pp DNA Pump Tank Capacity ~ DNA Pump Tank Manufacturer ^ NA Pump Manufacturer ^ NA Pump Model O NA Pretreatment Unit D Sand/Gravel Filter d Mechanical Aeration d Desmfection O Peat Fitter O Wetland D Oder. ~,~IA Dispersal Cep(s1 ~ in-Ground t9ravity) ~ At-Grade ~ prip-Line .DNA D In-Ground (pzedl O Mound t7 Other: .~tA ~~ :f~NA ~NA C SCNEDUl.E NtAINTENAN E Ssrrtce Event Service Frequency inspect condition of tanktsi At least once every: 3 t7 monthts) ~ earls! ^ NA PtNnp out contents of tank{g) When combined sludge and scum equals one-tfiird ~Y8) of tank volume ^ NA Inspect dispersal ceUls) At least once every: 3 ©meo ~ (s) Y DNA Clean effluent filter At least once every: ^ monthtsl ~ - 2 earls) p NA Inspect pump, pump controls & alarm At least once every: O earl 'ls1 ^ NA Flush laterals and pressure test At least once every: O monthlsl ^ ysar(sl DNA Other: At least once suety. ^ monthlsl ^ yearisl ~,NA Other: ~ s~.NA MAINTENANCE M[STRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the toHowing ~censes or certifieattons: Master Plumber; Master Plumber Restricted Sewer; POWTS inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the rankle) to identify-any missing or broken hardware, identify any cracks or leaks. measure the volume of combined sludge and scum and to check for any Isack up or ponding of effluent on the ground surface. Tha dispersal cetlEs) shall be visuaNy inspected to check the effluent levels M the observation pipes and to check for any pondtng of eff{usnt on the ground surtace. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the bcal regulatory authority. When the combined accumulation of sktdge and scum in any tank equals one-third (Y31 or more of the tank volume, the entire contents of the tank shall be removed by a 5~tage 3ervic~g Qp~atAr and deposed of in acxordance with t~tapter NR 113. Wisconsin Administrative Code. Aq other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. { A service report shah be provided to the local regulatory authority wititat 10 days of completion of arty service event. GNAW (4101) Page 2 at START UP AND OPi=RAT10N For new opnstruction, prior to use of ifia POWTS check treatment rankle) for the presence of painting products or other chemicsis that may impede the treatm~t process and/or damage the dispersal cellist. tf hig#t concentrations are detected have the contents of the tanktsl removed by a septage servicing operator prior to use. System Start up shall not occur when ao~ conditions are frozen at the infihrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater wiq be discharged to the dispersal ceillsl in one large dose. overloading the cents) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septaga Servicing Operator prior to restvrs~g power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually opersting the pump controls to restore normal levels within the pump tank. t)o riot drive a park vehicles over tanks and dispersal colds. i3o not drive or park over, or otherwise disturb or compact, the area within t 5 feet down slope of any mound or at-grade soiE absorption area. Reduction ar elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condom; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; #oundatan drain #sump pumpl water; fruit and vegetabb peei'r-gs; gasol~e; grease; herbicides; meat scraps; medications: oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taker out of service the following steps shall lie taken to insure that the system is properly and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code; • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sued. • The contents of all tanks and pits shag be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soli, gravel or arrod-er inert solid material. CONTgYGENCY PLAN If the POWTS faNs acrd cannot be repaired the fopowdng measures have been, or must be taken, to provide a code compkant reel Brit system: suiiablo replacement area has been evaluated and may be utilized for the location of a replacement soU absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area wit! result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement eyaterr~ must comply with the rules ~ effect at that time. D A suitable replacement area is not avagabie due to setback and/or soil limitations. Barring advanca3s in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. Nil ~57~3(9t°R~ O Mound and at-grade sog absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surfaee. Reconstnrctions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDlOR INSUFfIC{ENT OXYGEN. DO NOT E{~ITER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE {NTER{OR OF A TANK MAY t3E D{FF{GULT OR {MpOSS{BLE. ADDiT{ONAL COMMtENTS POWTS SiESTALLER Name ~~ hone ~ ~ ~o-y POWTS MAINTAtNfR Name FEAT Phone 715-38 - SEPTAGE SER1/{gNG OPERATOR IPtlMPEF{1 LOCAL REQULATORY AUTHORITY Name FINKY'S Name ST. CROIX CO. Phone 65'i-436-5788 ~O~ 15 - 3 This document was drafted in wmplience with chapter Comm 83.22l2)(b)11Hd>&If) and 83.54tf), i2) & t31, VYieconsirr Admimstratiw Code. Owner/Buyer Matting Acldc _ ST CROIX COUNTY SEPTIC TANK MAINTI'NANCE AGitEEhiENT AID pWNERSHIP CERTIFICATION FORM ~ j'' Property Address q 4 ~ ~~ ~' (•~ r• (Vccificatiou/:r~.gu~ired-from P' Acpytmwt for new raasm+ctioe} City/5tz;~ +~! Gf/~ Pareet Zden6ficaiiott Number ~~~.3'9~0~--"~~ (, z~~+~) ~1ic;AL DESCRIPTION , / Pro Locatiop/~ l~~ll,, Soc. Tt~Qt1-R~W, Towa of ~"'-- d3 O~ ply ~.-, Subdivision Lot ~ ~ 1 _. . R!'#' 7•,6L> ~~ , Vohuue Page # G~ / WterrAnty Dodd ~ Volt~ne - _ ~ Page # . ' Spec hotrsn p y~ ~~ .. Lot lints id~mtifiablc~ ycs ~: na ~q'YS'LEIyi~ 14!LAINi'E~~IAHCE ~ . = imypRVp~a~tesesndu~raavoecfywcsq+acsYst~oovld:esaltini~s~wLandlewastes.Pjopa oonsm of pmm~iag attt thz ~ troti tmy flax ~xss or xoo®ez: if n~e~edod 5Y a tiemscd ~ ;Whst ~ t?~ ~D t~ . tatsa~od the fuaidioa of me eeptie tmsk ss a tca4amt stye m the xaste snycs. . ?tar pcapaty~ vw>~ agees t° s~ 1p St: ~ Z.aan~y Dcpart:~ a, ea~i~ntioa fog. si8eied by the °'w°x stz~ ~7F = • p~yaestridodp3strabertc t liomsed~erveafYu~g~ (I)re once wsstew~aterdisposal ~ ' it ":a ptaper opastiag eooditioa sadlar (Z} suer iatspaction and P~P+~. (sf sseoessstY}. ~ uP~~'+t kss two, ll3 ~ of t~dt{e- . ~*,~, "~ 6avsrsad Ilse above soq sad t~gxoa to mcsia<sia tlsc pavates taxagts dual tyst~ aer~ the s(andatds oct foxtlt. b~. ss srx ivy the Dgssc~o[ and trig a~cpatecnc+oR of rEaoasER~oasor~ Stage of a'~tsooasie.. L~x~y~at~ • . mph tbst your scgtie eystcsnhas l~ocaeaamutsinodt:aat be voflaplr~d sad:adarnodto the 5t.13+omc.C~y ~ tax witL"m 3D Ys~ef eha flax Ycac daLC. ~~oS .. 1 Sj O APPII ~ DATE - per,. ~'s°[FICA 4H I (.re) oi:tify ~ slt on this ~ ate ttve to tbie best of my (oat) laotvlodSe. I (ae) ~ (~) dsa t~~s) ~ ' drscabod sbov~c, by virtae of • ~,ctaaty decd sncordod its ~ of Doeds Que. -- - ~.~3~r.~oo5 yIGNA PPiZCAN' • DATE ttvoirrd ~ ~otsiog DtPa:t~~ """• "•••• My itt£oimaEoe tlsst is tail-tepteseatedmsl' zt~#t is t~ sanitu'7 pmt ~~ h7 . •" Iadudt r~it~ tlsis teppiecatiott: s Rtrtnp~d tivamury dad bons the Register oP Decds ot'lioe oapy a£ du ct:tified sttcvey tarp Sf tt:Sezcace is tattle is the aratct-nty deed • _. ~•d, S4l+Z'i6E'SjL s-ntsusse~ ~atJSed dZp=EQ 50 5~ InC U 2560 P 001 STATE BAR OF WISCONSIN FORM 2 - 1999 uowmem Nwaber• WARRANTY DEED This Deed, made between American Classic Homes. LLC Grantor, and ~ John Terence Deegan and Naomi Ruth Deegan. hu®band and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantce the following described real estate in St_ C~ County, State of Wisconsin i(f more space is rmoded, please attach addendum): Lot 2 Plat ai' Tiidigo Ponds in the Town o[ Hnd~on, St. Croix Cotmty, Witronsim. Rococdiog Area 76988 KAT»LH>~ H. YALSH RfiGISTER OF D6$DS S7. CROIX CA.. MI REGfiIVI® FQ8 RECORD •4/29/ZN4 •9:45A!! vARR~ # ergo REC FEEL lI.M TRAItS FEE: 378.98 COPY FEE: CC FEE: PAGES: 1 Name gad Rolum Addross 020-14'i9-21-000 Parcel ideati~tioa Number (PII~ . This is nK homertead property (iS) ~~ ~) Exceptions w warranties: Fasernents, restrictions mid rights-of-way o[ record, K any. Rated thin:%_~ day of April ,1,004 + ~ Cbtssic Homes, _.. Signature(s) AVI'H~~!'ICATION authenticated this day of Tracv L. Turner Notary Pub4ic TITLE: MEMBER STATE BAR S (If act, authorized by ~ 706.06. Wier. Stars.) THIS INSTRUHfENT WAS DRAFTED BY Attorney iSris<ioa gland _ Ilndson. WI SN16 (Sigaaatrca may be autbeaticaoed or aclrnowledged. Both are rot accessary.) • Names of persons WAAAANiY DFSD my capaetry ttars< be typed or tt CI~iOWLIIDGM]iENT STATE OF l!~- ) ^) ss. _ County } ~j Personally tattle before me itus~?'~/~~Y of Anrt~ .2004 the abmrc Warned Americsa Classic Haaea. LLC to the wn to be die person(s) who excratted the foregoing am acknow ed ~ - Notary lic, Stat of _ My Comm^i~ssio~n is.,p~er~manert. (If not, state expirariat date: - ~ Lz `~-1 1 -- - - - - STA'rB iAa OF w)$('ONSIN ]?'ORM No. 2 -1919 tnfonm0oa Pcofessioosls Cb., trood ~ ~, W- 800.6612021 Tuesday, August 02, 2005 (3). max i ~ ~ ~ ~ ~ L // \ ~``~.. ~ i ,' ~ if ~- ~ -- N ~ / ~ ~ ~ `; _-- ---- - ---- - - --~ ~ i i "~ ~ i -~~ ~ I !~- °O -~ ~ ~ ,~ ~ ~~ , ~ ;- =~ ~8 i ~ __--- es ., ~. oo~~ \ i ~ ~ ~ .~~~ ~ ~~ ~ I 06 ~ ~, t ~ ~- ~ I i ~ ,~ ~, ~ ~ ~ l- , ~ ~ \~ \ h C l \ \ / \ / ,; I /~ ~ \ ~ ~~ ~ ~ ~ ~~ ~ / ___; %/ / / ~ ~ ~ \ "/ ~--- s ~ ~, ,~ , ~ / ~ \~ _ _ ,~ ~ `~_ / ~ ~~ ~ ~ .~W ~___ _ _ ~. O ~ _f~ ~ ~ l _~ `\ ~, _ ~ // ~ ~ ~ .\ ~ ~ I oz6 FEET IIIEST~_t• of Pia r ~ ~ got cow .. 9S' f.a0' ~' i~ faun; ua~ of n~ f--~ouTrE~ST auwtrpt sEt. 2~ Zv K R » w z M ~' ~ _ ~~ ... ~ ~ ` ~ `•--lIOR'1'i1EASz' 0~lJIR1ER SEC. 4~ ~ L Zvi N., R 1o w. .~ .S' ~~^• ~ ~ 11Y.M,~~, M ry, • ~ ~7 ~ ~1 eKx~Y aoG£ t~ " Li v_ ~ ~v v n ~ ~ ,~ 1i g ~ ~ ~ ~saa-~~ or ~ S89°53 05 E ~~~..r~" ~,~MlOPO~~Eo 21 sr~a~ s.F. ~s.~4s ~} ~9 en~1 sr, (zooo ~.) 20 s~3 s.F. ~~o~~ ~) ~ v~ n t a~ ~ ~ ~y~ `r` l~ . .~'''" • ~ ~' ~ ~ ~~. ~~ ~ .~' _.~` ~~' ~ ~ ~w ~~ ~` ..~ -~'~ ~ ~: ~ 1 M~~.w+!•~.•-. t ~~ ~ ~ `~ ~~ ~~ ~ ~ •. ~ ,~ ~ ti: ~~ , ,,' ~~ ,~ ~ ti,~~ ~,, ;~ ,~~ ~ ~ ~ ~, ti, ,,, ~ ar17a s~ ~-. (2.015 AG.~ ~~~,, ~~~ , `. s_ ._ t ~Ti1~ S.f. X2.000 /lam) 1.,....,. ~. _..~ ~ 4 .- c r. r • ~ ~ r• ~ ~ c• r ~ ~-`Laau,a fce sti-. N00 i "W -~, +s x'Y'-Y~ ~y~'p~'„ • ~r ar-S.~l'L1-at ^T q^ ~~1-~. -L.- .~ - nn..rc~ T. t~N. ~. ,~E ~ ~ 7 -l.~u.rl~ N 410 W 2847.2 ~ i,c.rY :.RI1S >Ip I ~ ~ pp NSM' ~yy ~ ~~ rgraYOlpp ~. q I ~ / $ _.. s ~.~ s m 7 ~<.,. mss` „C r' RI g 1 ~/ '~. \ d' •S`1 r M,B. 1 ~ ~~ .p ~ OI ~ ~ „ooR~',ew ro.x'I ~~f"'~J \~ ~ _ `, , % I ! _ 1 ~ ~ I s+ga ~~ se "s . ~ O = ~~ o g ~ / N Y ~~ 8 6 ai . I ~, rn , m g ~ a I ~~ u ~ ~~ ~ ~~~ ~ ' R \ / ~' ~ ~ ~ ~ ~~ ~ ~M ~i~6. e ~ ' ~ ~ _/ CSC 1 +:' 1 i~`~ tai , ~ R ~ ~ u ~ ~~~~ i~N A ~ ~ r+C 1~ S00' g ! , I ~ C .a.. we. 5 ~ ~ ~ ~ ^ •,? ~- ~ ~. - i6 55 ~"fir ~- S01 I 1 I ~ ~ ~ I I ~ ,' , ,,~''s la ~ N~ --_,. _ ~ ~ .e m 1 v~