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020-1073-80-000
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X Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner AHO, ROGER F & DIANE G ROGER F & DIANE G AHO 710 KINNEY RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 710 KINNEY RD SC 2611 SCH D OF HUDSON SP 1700 W ITC Legal Description: Acres: 2.980 Plat: N/A-NOT AVAILABLE SEC 26 T29N R19W PT SE SE COM SE COR SEC Block/Condo Bldg: 26 N 124.16'N 88DEG W 689.79' TO N R/W 1 94-POB N 88DEG W 109.13'N 497.05'S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 89DEG E 414,91'S 31 DEG W 584.02 FT TO 26-29N-19W POB ALSO KNOWN AS LOT 1 CSM 5/1299 Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 795/183 07/23/1997 780/469 2004 SUMMARY Bill Fair Market Value: Assessed with: 48219 177,500 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.980 36,600 100,700 137,300 NO Totals for 2004: General Property 2.980 36,600 100,700 137,3000 Woodland 0.000 0 Totals for 2003: General Property 2.980 36,600 100,700 137,3000 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 204 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges 00 Delinquent Cha 0 00 Total 27.00 ~i rn o cn 0 0 N 0 1, 3 m O 0 d 1 p y C !v f c C v c 7 2,1 -7j B- a ~T (D m m 3 ~ 1 -0 (D It 3 3 7 err r Z ~O O '1y O O O O p N O O O N a N Q ICI c l CD 3 CD (n --A (D 00 0 V\ ]C (D (D CD O' c fp N Z, (ZD O O J C 1 f~` • (D (D y (D J N (D (D DJ 00 N 0 N W r.ti X1 3 3 ~ N N d O 3 'z O CO O =3 CD w o ~O 5 5 CD 00 00 ° 5. 0 CD CD n co cn c (D CD p o CL a o 3 N o l 3 a o y~ 0 0o O c ON I (D p c~ m o p m CL CD rn z D a v cn < D l< 1 It -4> cfl D Cn CL CD O y d ;17 Q N 3 Cl. c, CD a V O C O CD -p j N Q ~l N a lz (n z 10 co (0 Q Q rn O 00 7C N A? ~CC N r c -0 -0 m 0 0 0 1 1 0 O 0 0 0 o cn cn (n U) C/) (n Q O p N v a 0 m O CD vi. 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CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner ROGER F & DIANE G AHO O - AHO, ROGER F & DIANE G 710 KINNEY RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description *710 KINNEY RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.980 Plat: N/A-NOT AVAILABLE SEC 26 T29N R19W PT SE SE COM SE COR SEC Block/Condo Bldg: 26 N 124.16'N 88DEG W 689.79' TO N R/W 1 94-POB N 88DEG W 109.13'N 497.05'S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 89DEG E 414.91'S 31 DEG W 584.02 FT TO POB ALSO KNOWN AS LOT 1 CSM 5/1299 26-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 795/183 07/23/1997 780/469 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.980 61,600 131,800 193,400 NO Totals for 2006: General Property 2.980 61,600 131,800 193,400 Woodland 0.000 0 0 Totals for 2005: General Property 2.980 61,600 131,800 193,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 204 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 nnircg ,y., St Croix County Plnrcrcircg -d 7 Z/Z ST CROIX COUNTY CERTIFIED SURVEY MAP LOCATED IN PART OF THE SE 1/4 OF THE SE 1/4 OF SECTION 26, T 29 N, R 19 W, TOWN OF HUDSON, ST CROIX COUNTY, WISCONSIN. _41kp4AIT4'p_ 4ANPS Qw-NcQ .Br?4,97iT -,5 S. 89° 50' 17" E. 414.91' 60, /SO IZ / Ir in Q z LOT l o o 0 130,680 SO. FT (3.000 ACRES) O~ ~G O q hq) A LID ICU y ~ 5 EAST 1/4 CORNER SECT/ON 26-29-19 COUNTY MONUMENT i D N 88° 41 21" W. / ° f N. 88 41' 21" W. 689.79' ~ Z109.13 N THE NORTH LINE' OF /NTERSTATE HIGHWAY "94Z m 1/yT€RSIATE Hf~HlyAY _ 94 R/GyL V69TH_ = 3ZD'_ 0 N0 y A C! SCALE ONE INCH EQUALS EIGHTY FEET 01q 0 p) 50' 0 100' 200' m . 1. FG671VO O 1"X 24" IRON PIPE SET WEIGHING 1.68 LBS./LIN. FT. SOUTHEAST CORNER p~~Q06'Cty~r®~ SECT/ON 26-29-19 AS~UMEDETOOF C, p q 81101 COUNTY MONUMENL, ~ THE SECTION S 26, 7 09 N THE 9 W,SOUTHEAST BEAR N. O° 00' 00" E. 1(~ ALLEN C.. NYHAGEN tom! OWNER (9 PLATTER 'r S- I A07 j ` ORLOW A. WIDVEY HUDSON, f , 1119 ST ~;ROIX STREET *,yr Wis. U~ HUDSON WISCOM IN 54016 < q «r+''~~A + l~~ W t~0 ~ IV D Su RJ ` ~~trit~~>ra~~~~'~"` 1 S SIGNED~C=~ I(l rw___ UATED Z Z 5~3 ALLEN C. NYHAGEN R. L. S. 1407 VOLUME PAGE 1 2 CERTIFIED SURVEY MAPS this instrument was drafted by ken hodkiewicz. JOB N4 63-02 ST. CROIX COUNTY, WISCONSIN Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT I . /ham' y- :TOWNSHIP ~IJ~O41 SEC. T N-R~7YW )v 71c, K"111, ADDRESS ST. CROIX COUNTY, WISCONSIN f0 SUBDIVISION - LOT / LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM r ~y 3b' 2_, ow W'6~11 10ATE Or I/V S~AIE = / 3 ~ 5 '1~ ~ ~ by f I f'-_~ I I I f f~v To INDICATE NORTH ARROW a~ 701w le-&~ y BENCHMARK: Describe the vertical reference point used 52 -T fOi G T~,rl z~-ie~j• Elevation cf vertical reference point: 100.0 ' Proposed slope at site: /d /0 w~~~S C4,u~ • • SEPTIC TANS : Manufacturer: /Qi Gtn Liquid Capacity: Number of rings used: Tank manhole cover elevation: ~0/. Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front, 0Side 10 Rear, O feet from nearest property line Front,0 Side,O Rear, O feet Number of feet from: well (A) build ing: 70 (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SFE RI?Vl?kSl: S 1 Ill: PUMP CHAMB Manufacturer: Liquid Capacity: Pump Model: Pump/Sip an - turer: Pump Size Elevation of inlet: Bottom of tan evation: Pump off switch elev ion: Gallons per cycle: Alarm Manu • turer: Alarm Switch Type: Nu er of feet from nearest property line: Front, O Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: l~- Length: Number of Lines: 2-- Area Built: Fill depth to top of pipe: ~'1~4X!'`+(JJ`'l YL iN~ M v~ .2 0 Number of feet from nearest property line: Front, O Side, O Rear, opt. Number of feet from well: WE// NOT e~~111,60 Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number o Diameter: Liquid depth: Bottom of seepage pit e - ion: Are` uilt: Has either a drop box O or distribution box O been used of any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: C y; Number of rings used: ~Elleevation of bottom of tank: Elevation of et: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: li~ l Dated: Plumber on job: License Number: NNES, TE SEp HV- HUD ROB WS MASTER PLUMEBER L8~ HTW$ 34016 MINN. INSTALLER & oESIN ~ 0 r33 N0. -P R S 00663, 3/84:mj f OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS JMAN RELATIONS., PRIVATE SEWAGE SYSTEMS DIVISION 969 BUREAU OF PLUMBING J, WI 53707 ~ . (CONVENTIONAL ❑ALTERNATIVE state Planl.D.N-ber M (If assigned) • ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound AME OF PERMIT HOLDER. JADDRE;SOF PERMIT HOLDERINSPECTION DATEPetvr. Abed. RR Box 138, Kinney Rd., Hud6an,WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.. CST REF. PT. ELEV. SF SF, Section 26, T29N-R19W, Lot#1, Town of Hud6on Name of Plumber. MP/MPRSW No. County Sanitary Permit Number_ RobeAt UtbAii:ch 3307 St. Ckoix 54898 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIOUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED. PROVID ED. ❑YES ❑NO ❑YES ❑NO BEDDING: VENT DI A.: VENT MA FL.. HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING VENT TO FRESH ALARM FEET FROM LINE AIR INLET` ❑YES ❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER rjINGPUMP MODEL PUMP/SIPHON MANUFACT UHER WARNING LABEL LOCKING COVER PROVIDEDPROVIDEDYES ❑NO [IOUIDCAPACITY ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBEROF PROPERTY WELL BUILDING .I VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing Nc;n{ DIMATERIALANDMARKiNG or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO OF IDISTR PIPE SPACING COVER NDIA aPITS LIQUID THE NCHESry1ATERIAL: DEPTH. DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PI PF DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PR OPERTV WELL. BUILDING'. VENT TO FRESH BELOW PIPES AHUVE COVER ELEV. INLET ELEV. END PIPES FEET FROM LiNE. AIR INLET'. NEAREST-fir MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑ YES ❑ NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS ❑YES ❑NO ❑YES ❑NO IDEPTH OVER TRENCH BED DEPTH OVER TRENCH BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED. CENTER EDGES ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO.OF LATERAL SPACING: JGRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER. BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: JNO. DISTR. DPI PE DISFRIBUTION PIPE MATEHIAL & MAHKING ELEVATION AND ELEVELEVDIAELEV. PIPES D. DISTRIBUI ION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING. FEET FROM LINE ❑ YES ❑ NO ❑ YES ❑ NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE. DILHR SBD 6710 (R. 01/82) r 'ARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS ABOR & HUMAN RELATIONS .O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 53707 BUREAU OF PLUMBING w MCONVENTIONAL ❑ALTE R NATI VE E77771 ❑ Holding Tank In-Ground Pressure Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE. Perry Abel R. R. 1, Box 138 F, Hudson, WI /IS~p BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: C EF. PT. ELEV.: SE SE, Section 26, T29N-R19W, Lot# 1, Town of Hudson , Name of Plumber_ FMP/MPRSW Nn. Cou my Sani P m er- Robert Ulbricht 3307 St. Croix SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER 1P O DED. PROVIDED'. I 0-0 YES LINO ❑YES NO BEDDING. VENT DIA.: ~ VENT M TL. HIGH WATER [~IJ!/ ALARM NUMBER OF ROAD: PROPERTY WELL BUILDING. (VENT FRESH ❑YES NO F NEET FROM LI" AIR w ❑YES NO EAREST v DOSING CH MBER: MANUFACTURER. BEDDING. LIQUID CAPACITY PUMP ODEL PUMP/SIPHON MANUFACTURER RNIN LABEL LOCKING COVER YES LINO ROVID PROVIDED: ❑Y S LINO ❑YES LINO GALLONS PER CYCLE: PUMP AND CONTROLS OPERAT IONAL. ER OF ELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN EE FROM E IAIR INLET ' PUMP ON AND OFF) ❑YES LINO E REST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing I FN( TH DIAMETER TERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH. LENGTH NO. OF DISTR. PIPE SPACING COVER INSIDE CIA -PITS LIQUID S TRENCHES / NATAL ^ DEPTH. DIMENSIONS PIT GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. PATH . NUMBER OF BE LOW PIPES ABOVE COVER ELE V. INLET ELEV. END. PROPERTY WELL. BUILDING. VENTT FRESH G PIPES FEET FROM uNE AIR INLET . Z / 9 Sy Z 7 i Z NEAREST-s J MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for edium sand. IONS MEASURED. ❑YES LINO SOIL COVER TEXTURE PERMANENT MA KERS OBSERVATION WELLS ❑YES NO ❑YES LINO DEPTH OVER TRENCH BED DEPTH OVER TR ENCHiBED DEPTH OF TOPSOIL ! , SODDED DED CENTER EDGES MULCHED ❑YES O ❑YES LINO ❑YES LINO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO OF LATERAL SPA NG GRAVEL DEP BELOW PIPE FILL DEPTH ABOVE COVER TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFO DISTR. PIPE MANIFO MATERIAL'. NO DISTR DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEVATION AND ELEV ELEV CIA o' ELEV.' PIPES DIA DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILL CORRECTLY COVER MATERIALVERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES LINO ❑YES LINO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM a"E' ❑YES LINO ❑YES LINO NEAREST- J ~ Sketch System on am,ih county file for audit. Reverse Side. SIGNATURE TITLE , DILHR SBD 6710 (R. 01 /82) S Z O F- O r- ~ C/) o ~ c z cooni ao m O z goo m 00 :)D Cl) ° m --JD O C m ~ ~ 04% 0002 x 'S ~IIIri~ 3o U) o C!) m m ao cn C) r m pu C) r-- D C7 Cf) ° N Z C-) Z D o c (f) 0 ail SJ ~ C ~ ~ ~ O r C) U) Z :cow rn o 0 -I C/) n C/) C) 7 Z m rn !o m 0 10 d O n O Q m rn D _ m n o m p m0 -I m p m ro --I S m 7 H S~ S m S rn m< Oro V J ~.m - ~ ~ m 7ro 2 m o v sm 3 J J m m J m ~ J n v ,o o C7 n c m~ a~i o n. m~ 3~ a D m e S F' o a ~ O ~ d< v o o .n o ~ - O 7 n o< J c oQ< ~d mm 1 0 D mimy » ro m D 3 o m 3 rn t 7 o ro ro d o s 3 m m cm 0 3l W m f m m3 ma~3 ~ C ~ A o n r. - J m ro of o N,ro 3. m" m cn rn - c m ate, J o o ? J m f71 J 3 3 3 < m° N :4 CT m m ° o D_ C) N 3 n. Z c - (n D m J o m o <am Jo Z z v < d N~ a v a- (L N J J S I O A m c a o D D 3 m v < 0 3 f o° d m o 3 C N J o N _ m - Q 7 3 3 - o D 3 n m cn °i m m c o < 3 m < a °o o A J m m J- J 0 Jm •-uiscons~n APPLICATION FOR SANITARY PERMIT COUNTY DILHR (PLB 67) TT UNIFORM SANITARY PERMIT # innOUSouSTRY, lF7LR OF' - BOF16 HUTFln RELRTIOnS~ -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PR ERTY OWNER MAILING ADDRESS illle c Rr- / (fox 1 3~ v~~tQ--7 PROPERTY LOCATION CITY Vitt-4'f : L 114S',1- 1/4, S , TX N, R/7 E (or W TOWN OF: LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, L K Y AN I.D. NUMBER S,H - ? ,~/NN~ TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms. ❑ Public (Specify): THIS PERMIT IS FOR A: IX New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. A Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity X Lift Pump Tank/Siphon Chamber ILIA Holding Tank capacity Manufacturer: 60 ~ S ote IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOS D (Square Feet): 2 ~p15~ &2 y 0-~. f 2- Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. fdlr/MPRSW No.: Phone Number:: N e of Plumber (Print) r•C Signature: I 33 0-7 (7/5' Q ~ O f~ 1 ~O (0 Q /Cl ~ of Designer: Plumber's Address: O) I D~ • ~ 0 ^SD ) Name ~I N COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved C Owner Given Initial f ❑ Approved Adverse Determination ~t C ~~44JJ ~~IlvvJ Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 r, To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. Rr EAU T 11AC 4- X 22- 1331 ° PLB : PLOT and CROS5 SEcrjoN FIANS (.Q5 r I i /Ovro i PT' ~ for, Tor s r~ S1- f r - o ~ ~'tJ.~ /00°0 ~ieo~6sEv o ltd //foJ2GT t i C ~ t 5 AlE S N I d cu rvar° Fresh Air Inlets And Observation Pipe SOIL- TESTI" By ROMESITE TlESi"nNG t:o. Approved Vent Cap RT- 3, O° EiL RCS,- ,-HUDSON, WIS. 4016 Minimum 12" Above Final Grade <--d` MAyty4o"'A Above Wipe 4`I Cast Iron Vent Pipe i o Final Grade Marsh Flay Or Synthetic Covering min. 2" Aggregate Over Pipe Distribution Tee 0 0 0 0 0 Pipe (P " Aggregate © Perforated Pipe Below Beneath Pipe ® o Coupling Terminating At ~ - Bottom Of System APPLICATION FOR SANITARY PERMIT S `f C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractQl~,("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - -2- n- - - - - - - - - - - - - - - - - - - - 7 1, Owner of Property Location of Property SE 4 S~ 4, Section 2 ~ T N - R j~ W Township f ' / V J2J 0 & Mailing Address Subdivision Name Lot Number Previous Owner of Property Total Size of Parcel 3' Date Parcel was Created Z 1-S o 3 Are all corners and lot lines identifiable?- Yes No Is this property being developed for resale (spec house) ? Yes 1< No Volume and Page Number as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: I Warranty Deed 0 Land Contract 3. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) eeA-d 6 y that aU sta temen is on this 4onm aAe t Aue to the beet o A my ( ouh ) knowledge; that I (we) am (ane) the owneA(s) o6 the pnopenty de~ScAibed in ,thin ,.n4onmati.on {onm, by vi tue o6 a waA an-ty deed tecokded in the 066.ice ob the County RegisteA o6 Deeds as Document No. 3 P , and that I (we) pnesentty own the proposed site bon the sewage ~ eystem Ion I (we) have obtained an easement, to nun w%th the above descA bed pnopeAty, bon the consVtucti.on of said system, a(id the same has been duty recorded in the 0664.ce of the Cou.aty RegisteA o6 Deeds, as Document No. ) . SIGNATURE OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) 20 - it- DATE SIGNED DATE SIGNED P'v r ..tom emery." r; x n , ~tl I: I y ~y) N U M tl E R I 31 I 7~ x'67 h AB.5")TRACT 00' F I ITLE ~I EIS ~o the following described Teal Estate situated in i ST. CROIX COUNTY, WISCONSIN E!;~ Part of SE4 of SE-1 u of Section 26-29-19 described as follows: Commencing at the SE corner of Section 26; thence N0000100"E along the E line of the SEA of said Section 26 121.16 feet; thence NF38 1dlrn ~1 W, 689.79 feet to the N R/W line of 1-94 and the point of beginning of this description; thence N88014-1-121"W along said 1-94 R/W line, 109.13 feet; thence N0°09+09"W jl 497.05 feet; thence S89°50►1.7"E, 414 91 feet to the Wly Px1W line of Kinney Road; thence S31°25122"W, along the Wly R/W line of Kinney Road, 584.02 feet to the point of beginning. Continued' E, Ir: ( by direction from dune 4, 2909, Q °:QC+ A.M. EXCEPT Entries 1. and 2 which are inttcie a parr here=t?"" ) . a I ~s PREPARED FOR f Orlow A. Widvey „I Hudson, Wisconsin, ~j kll T TT / \QT -T T TYr 'T_ A nr1^ (Ir~ ~ri~1i11 ~,'+,1LJi~, I Y B! tL7~. 1 k ,`J. f Hudson, Wisconsin I i j APPROVED MEMBERI AMERICAN LAND TITLE ASSOCIATION WISCONSIN LAND TITLE ASSOCIATION, INC. III y/ ~I 5.17 CROIX COUNTY CERTIFIED SURVEY M IO LOCATED IN PART OF TH'._ SE I/4 OF THE SE 1/4 OF SECTION 26, T 29 N, R 19 W, TOWN OF HUDSON, ST CROIX COUNTY, WISCONSIN. .V/~ L,_ATTFA L,.ALIIQS (~LvN€Q BY P~ ,~rTFR S. 800 50' 17" E. 414.91' T0, e0, IpO f I~ z LOT I o 4 ° 0 130,680 SO. FT (3.000 ACRES) o`~ oP Q) Q _ ~ no ti (D X40 I~ 0 M\ ~~V \ a I I~ - L N. 88° 41 ' 21 W. N. 88° 41' 21" W. 639.79' I ti 109.13' N THE NORTH LINE OF INTERSTATE HIGHWAY INTERSTATE 1 /GNb_t%4Y _94"_ RIGHT ~4NG(_Li W/pTH = 37O' O A C) SCALE: ONE INCH EQUALS EIGHTY FEET s n 50' C) ;00' L EG'E. ND O 1"X 24" IRON PIPE SET WEIGHING 1.68 LBS./LIN. FT. 50I/TgFA5 T CO^?N.`F THE EAST LINE OF THE SOUTHEAST QUARTER OF c > 4I / il! b b i"'.'T SECTION 26, T 29 N, R 19 W. IS ASSUMED TO BEAR N. O° 00' 00" E. t• ALLEN C. , NYHAGEN OWNER & PL AT TER S-1407 1 ORLOW A. WIDVEY~ NUD~CN, t 1119 ST CROIX STREET 1 u IS, r ~U I HUDSON, WISCONSIN 54016 ..y•'~~ as. 1 W E r3~N0 SUh'J" YJ tb W4~'~JVu S SIGNED - -DATED v ALLEN C. NYHAGEN R. L. S. 1407 U1 H ;L S '1' C - 105 r Y H SEPT LC 'L'ANK MA INTENANCE ACI'HEMENT St. o Croix County ~ d 72 Rz-V Mz7-Z- OWNEk/BAYER - - ROU'TE'/BOX NUMB1 K /3y )rFire Number ff~V~~Sf C111,Y/STA'T'E-~~ ~56~ S , PROPERTY LOCATION: Section ~7 N, k W, UD j o `t'own of St. Croix County, Subdivision Lot number i Improper use and maintenance ol~ your septic system could resuLC in its premature'iailure to handle wastes. Proper maintenance con- sists of pumping out the septic- tank every three years or sooner.., if needed, by a licensed seLtic tank piimf~er. What you put into the system can aflect the fullCtion of the septic tank as treat - ment stake iu the waste disposal system. St.. Croix County residents maw be ellgil>le to receive it ra11L for a maxi-mum of 60% of the cost- of re1)1.acCHIC 11L of a failing, system, which was in operation prior to July L, 1978. St. Croix County accepted this program iu August of 1980, wi- tir t he regUireIII eit L that owners of Lill nc.wsteiris agree to keep their systems properly maintained The property owner agrees to submit to St. Croix County Zoning A certification torn, signed by the owner and by a master piumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping, (if nec- essary), the septic tank is less than 1-/3 fulL of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H 0 1/WE, the undersigned, have read the above requirements and agree UU) to maintain the private sewage disposal system in accordance with H the standards set Lorth, herein, as SUL by the Wisconsin Depart- rv ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. STONEll 2t,~L'V t1-6 - - - L~ JI _ / v D ATE IL r- /t . Croix C ouit ty Z oning 0f t ice P.O. lox 9tA hhammo id, Wl 54015 715-7 )6-2239 or 715-425-8363 Sign, date and return to above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION PO. BOX LABOR AND PERCOLATION TESTS (115) MADISON WI 530707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: I SECTION. TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO. SUBDIVISION NAME: sF '/4 41~ /T-1 A/RiyE (r) `luPfo,/ COU 5-/ "W ~X 0~~~~ q~ MAILING ADDRESS _ JPTI USE DATES OBSERVATIONS MADE ION TES - WF I ~L ~D I OWN NO. BEDRMS.: COMMERCIAL DESCRIPTION: PR FILED C1 TIONS: ER Osidence ii?lNew Replace Residence A, New ❑ Replace 0 Replace p I aLe s 7= RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) osZuas❑u ❑sau-(asau ❑sau ,~ETST~,~ If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL PTH TO GROUNDWATER-IN CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED E T. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) A'V B-A- go yD y0 B0 -6-Y 4r Cr:UF sE pje. #r B- B- B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERT D t PERIOD2 _2 ERT D PER INCH P P- P P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale Describe what are the hori iontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at al, gs and the direction and percent of land slope. SYSTEM ELEVATION Bq li/,4S 7 131 a"'r'g /3 3 TN Soil 7-er 7- I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print) TESTS WERE COMPLETED ON: I'OMTS"'M Tr!5 TT~TC CO. ti. ".Z -ES- CERTIFICATION NUMBER: P ONE NUMIBERIoptional): ADDRESS: i,iERC . ( ~O L !l"~ L ?S MINNESOTA LIL CST SIGNATU E: SCONSIN LICEPr ~E NO. 55-02482 RT.3, "ELL RD., HUDSON, W1 54016 G~~ DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Testes. DILHR-SBD-6395 (R. 02/82) - OVER - e -u~~ ~~e~~• ~ c'~w Or t~ ~~ti ~ _ / uu~ rl ti ~~20 v ` ~v p 1 1 U j I b ~Q ~ r PL UAI13eiQ ' p e E-FE e E D ? o /-1 a 0 F S f r7e Aj IIA°-4-* - feo.i O'ei*G i,v q / TEST ~4 r°E.g- of QF US T OF REPORT ON SOIL BORINGS AND h'"zy~3 SAFETY & BUILDINGS ,INDUSTRY, , C LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 I P.O. BOX 76 HUMAN RELATIONS - (H63.09(1) & Chapter 145.045) LOCATIONS SECTION: TOWNSHIP)'F0dN0etPftt:l Y: LOT NO.:BLK. NO.: SUBDIVISION NAME: sE 1/ 1/4 2-6 /T )f N/R I IE (o f40D S-00 COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: 5 /•Gao /'X 1413-= L !~T 136, / S'p 7C. Xi mow' r USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTION : PERCOLATION TESTS: Residence y~ New ❑Replace Z~- yf Z RATING: S= Site suitable for system U= Site unsuitable for system SC S " &a ( 6 /3 CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING ffTA K: ECOMMENDED SYSTEM:(optional) QS ❑u ©S ❑u oS ❑u ❑S au E S T;d..j/ IP F ercolation Tests are NOT required DESIGN RATE: I If an Z! L y portion of the tested area is in the er s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: /N C1A1'+(_ rT PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-IN CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH q OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) A~/3a bP. 7'11u . B / 0 ~Z r 43' 1_s f ' 41 S 2,6 G{. v , .~rix~~Gct B-3 > 7' -Pl- ,f- ' QU-6y. /s S. a i ek ' o G .c f N CS B Go iPE/IG C~ EST ~,PE-¢ - tE- .~~~.f D,C~%~j/,U GL~ TtSTEV B- 'ef//0 TEv B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD t PERIOD 2 PERIOD 3 PER INCH P_ 3,o -;I_ P- P- P- P- r~ -2. R P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 3 3 . i , _ i this test site App1q for a e°nventionai septic SEtf yste I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: EIOMESTTE TESTING Ca IMli 1, 2 G - ? ADDRESS: z CEFTIFICATION NUMBER: PHONE NUMBER (optional): I.i ';~T ''.7TA L'CENSE NO.00663 f ~OL Z-- WISCOI'<aIN LICENSE NO. .55-02482 CST SIGNATUBE: RT. 3, O'NEIL RD., HUDSON, WI 54016 ' DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER- rS and 'OL A i~. c rilsl; i4 .ue• P S 1 J i'if ,rt =,Y t"C, .,cff r)" E v"s I I! n .E ,.i i[ r~i£it'; i 331, d :r T,=i "a, i 0 . ? } r, p, e . } 4 E:.. r_ . ~ r 3 T 13 k.. ~ ? E D C) N N.,,>_r' ,l-' >C:, .sCC4v 1=[-,i y E.IY _ l:,u~~£ ,tt~S. _ ,•1 Fa b,..1E ;'1 irk ,d ve 1, 1 a C k. ,,a[!C)tl DON"'t «1 clu, a i vn, acid pe rrll w "i +.?p(i14,,31<: `'::'};)X=:'Sis '.C dates, ."a€il..=b, r7 CS i'1 ¢lc3 i.» Plain, ,1 ,7:_ O et a.'.:f?s;i 4.745 C7 #£;S{ k'. ,7 2 Olmo 0"0", . PO, PP` v, 3 aco N.k "tr the c1Nj.k,7¢3~ t<4~E,' d' jwr, ?4'e. [)..1t.,E. AA, s C' r5rs tr1 r?r E~"f ts~d.~t i a ~t ra~'< - EE:zi S M1 Y i . _ 'VI -cv f ,,t. .E , e i=r., t~ •,n c s; ''S'.+ t t' t ?.1. `t' £~.~t3= REPORT. ON s01L BORIN&S ~ PERCOLATio/i TESTS 115- PLO T PRAM PROTEc T r. D. DA T"E- /Vt4a L 6 HOMESITE TESTING Cri. RT-3, O'NEIL ROAD BOB ir'Lifi.. SON® WIS. - 54016 C57~ ~S- G2 y~L PROPOSED HOUSE mosr LIE :z-;'Pr e~ao~tE F~'o~ ~L~ TEST f3rPE~ . PROPOSED wea mvsr of 50 F~r ~io~~ FiPo,~p Ate TE's~- fl~~~Sd 1( _ ~EQG IoCAT/0~91~ AMVP f~v9E~PED o,Q 5,40IIEL r Piz . Btu 71r of V£RIichl- RCorrRCWe°,r POA)7- sb/,o s7'WZ .e610 t vE'R r V F, T Fives ~v 6,PAf~F~ 9 7- P T--- Y LEGEND/E'v~~'%®A1 ~11 /0 -Q ter. ~PN- P3 3 / w 1 a as ~b ,50 b Mot a ~ HOME" e i . . R Pr. ~ I B i r 3 f ~~gru - v vrR r ~~-DILHR M Wisconsin APPLICATION FOR SANITARY PERMIT COUNTY o6PRRTTi tEnT of (PLB 67) UNIFORM SANITARY PERMIT # 1noUSTRY, La6oa 6 Human aELATions 9 7 /1! ~O -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 81/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS f f vt d~.r~, lT v/~SoJ CiJrI P 4X-~ el- / 40X /30 PROPERTY- ROPER Y LOCATION q e MTY: SC 1/4 1/4, S 14 , TL/,qN, R f E (or T CWJ ~F: LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, K T TATE PLAN I.D. NUMBER 'k /:lJ.c7 L~ t /LJI~ /U TYPE OF BUILDING OR USE SERVED X 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: c,,e1W1A1*` 7ESTE!) Wof_+ f0vA)D u S017',t9t_jF Sr 74"-f S/T~ $ i'fTZ7p ❑ New System ❑ Tank Replacement [11 Repair 36i 7~ / ef{ Replacement Soil Absorption System Revision ❑ Privy saiLS ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. XSeepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity 16a-) Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: &.3~ CQ~J Q (J~"T"s IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION REA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPO D (Square Feet): t~~ CC7l /L a'~L ) Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. 12, No.: Phone Number: Name of Plumwr ffi RD., HUDSON, MS. 54016 Signature: ! M ROBERT ULBRI / 336 1(7/y Plumber's Afti-MASTER PLUMBER LIC, NO. 3307 M.P.R.S. (1 _ ('j Name of Designer: MINN. INSTALLER & DESIGNER LIC. NO. 00663 a COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved 42 j/` {J// {ry ❑ Owner Given Initial J 0 i Approved Adverse Determination ,&4,a 16 Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber ~ r INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 6 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin.