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HomeMy WebLinkAbout020-1121-40-000 � I a oU o6 0 4 a o o=_�, o ° LL °° N O ry^ O O) N 00 CD O O O a� N ts y •C Co ?t`00 O w'O O p O `) O N M O p'6 € N O V c E w CD _N O• N O O @ Z O L N z ONN 1 a� LL O @ y N U. O N L N a 3 '" v= ` E aci 'a o Q Qam E Q uc�vrm m m CL z Cl- E E € cn .. 00 m z € d y y °O o � 4 a m a m 3 > c c I 01- o I o Z c f6w N rn y U N y Z E m E w E ? o " 1 CL •� L L N N L O N d a !n U cf6i Z co Z Z m Z z N E d c d1 @ (V .. m _ a`0i o m r ` m Q ; O 0. co —, Y c LO o N as IDI 0 1 G C a a E N I A e a a E @ _ to to _> m m N u o wN � 3 ° atn Z O • NaaOa OaOaa n U) J U d 0 r co co N co Oj O N �— } O z T3 *OVA T CIJ O f� V C E _ i � � _ � f`0 O O O co .-- m C d Y ml N CO V NI y (T N Q v 00 O 0 C O I� N C O V E O O c V U N U N d O 0) O LO o E 07 c o c U c o In O' N r \ i C N N C V C y G lxlx,' w N z 1 N a p y c �V N C O ' B O O O N O O O O Z N Z F— (n E E _S. = E v E a 1 a IL m 2 r`N o m 3 '.3 o ; c.3 O r A Vat ', Ov) U Ov) U Parcel #: 020-1121-40-000 05/18/2005 09:29 AM PAGE 1 OF 1 Alt. Parcel#: 07.29.19.531 020-TOWN OF HUDSON Current X;, ST.CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): *=Current Owner * DOUGLAS C&JEAN M WEILER WEILER, DOUGLAS C&JEAN M 347 KRATTLEY LA HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *347 KRATTLEY LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.110 Plat: 1925-EAGLE RIDGE SEC 07 T29N R1 9W EAGLE RIDGE LOT 2 Block/Condo Bldg: LOT 2 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-29N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 848/56 L-`0 6uz� 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.110 40,700 184,500 225,200 NO Totals for 2005: General Property 2.110 40,700 184,500 225,200 Woodland 0.000 0 0 Totals for 2004: General Property 2.110 40,700 184,500 225,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 128 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 538853 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Weiler, Douglas Hudson, Town of 020-1121-40-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: " 07.29.19.531 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark G o O/ (WAhr , O Op 6 d0 ~a•~a Dosing t y Alt. BM A Bldg. Sewer i Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet y / Septic SD i > - / 3 I Dt Bottom Q I~.86° t 0 33 vier ~o ~1) ~p / Dosing r v y~ Header/Man. I Aeration ~•I T--) Dist. Pipe Holding ' Bot. System 3 •P• Final Grade G G f 1-10 t0 q -rb PUMP/SIPHON INFORMATION CG►z 'I eD Manufacturer Befrrartd St Cove c_L-.~/Z GPM d; . r S Model Number * l Sr 3 ~ ~~L ~Y ~3 f TDH Lift Friction Loss System Head TDH Ft Y_ 32- / Forcemain Length / Dia. 2 N Dist. to Well ) q~ 32,' SOIL ABSORPTIONS STEM 4W --f J BED/TRENCH Width Length No. Of Trenches PI IMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 9Z I / SETBACK SYSTEM TO Y~ PPIL LDG WELL LAKE/STREAM LEACHING Manufactm: INFORMATION CHAMBER OR Type Of System: t UNIT Model Number" +c C01V - 1~1 aQ ~•0 ~2 > /00 DISTRIBUTION YSTEM Header/Mani old Distribu on x Hole Size Ix Hole Spacing Vent to Air Intake Pi P7 t Length Dia Length Dia Spacing o f SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes R] No 0 Yes [A No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_°J / / /I Inspection #2: ` 7-t Location: 347 Krattley Lane Hudson, WI 54016 (SE 1/4 W /4 7 T N 9W) Eagl idge Lo 1.) Alt BM Description 61 2. Bldg sewer length= ` 2- - \ amount of cover /40 3 3 ruwt~ S L~ i ti3uYY~~ lu (~a tial r J C_ / Plan revision Required? FQ Yes No /d ll~ t Use other side for additional information. 5) Da /Insepctor's Signature/ , J e \ SBQ-6710 (R.3/97) Z6-~L il~i-~(4~/ q1 3,11' ~q, Commerov.- Safety and Buildings Division County r " . 201 W. Washington Ave., P.O. Box 7162 St. Croix I s O~' Mi1~oni70 7 Sanitary Permit Number (to be filled in by Co.) Depa rn of Commerce . r3l j j/~j3 CS g - -_..~m State Transaction Number Sa>rtaiy P pplication In accordance with s. Co 83.21(2W,,is~ ~Htl1y submission of this form to the appropriate governmental Project Address (if different than mailing address) unit is required prior to taini}tg.~i permit. Note: Application forms for state-owned POWTS are submitted to the Depart a t' erce. Personal information you provide may be used for secondary Same C! 1< rat #7 /4 #11ey purposes in accordance with a Privac Law, s. 15.04 1 m , Stats. 1. Application Informat' n - Please Print All Information Property Owner's Name / Parcel 020-1121-40-000 Doug & Jean Weiler Property Owner's Mailing Address Property Location 347 Krattle Lane Govt. Lot City, State Zip Code Phone Number SE SW section 7 (circle one) Hudson, WI. 54016 (715) 386-1239 T 29 N; R 19 E or W II. Type of Building (check all that apply) Lot # ❑ 1 or 2 Family Dwelling - Number of Bedrooms 4 O Subdivision Name Na Plat of Eagle Ridge ❑ Public/Commercial -Describe Use Block # ❑ City of ❑ State Owned - Describe Use CSM Number El Village of t S w Na ❑ Town of Hudson III. Type of Permit: (Check my one box on line A. Complete line B if applicable) ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) A. ❑ New System aplacement System B. ❑ Permit Renewal El Permit Revision El Change of Plumber El Permit Transfer to New List Previous Permit Number d Date Issued s~ I ~ D/ S~2-o < Cl Before Expiration Owner 0 l V e of POWTS S stem/Com onent/Device: Check all that a n-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component e ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Informat n: 60 Infiltrator ` -4 Plus" Standard c ambers 6 dca s, Pol L PL-525 effluent filter Design Flow (gpd) / Design Soil Application a e gp Dispersal Area Required Dispe Area Proposed (s System Elevation 600gpd 0.50 gpd/sq. ft. 1,200 sq. ft. 1,230.60 sq. ft. 102.00', 103.00' & 104.00' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanks y o a; a Y a c~ a U v~ on fw C7 P Septic or Holding Tank 1,000 2,000 2 Wieser Conc./Weeks Conc. Dosing Chamber 600 Na 600 1 Wieser Concrete VII. Responsibility Statement- I, the un ersigned, assun/e responsibility for ' latio of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' ignature MP/MPRS Number Business Phone Number James K. Thompson c MFRS 30021 (715) 248-7767 Plumber's Address (Street, City, State, Zip Code 340 Paulson Lake Lane, Osceola, WI 54020 VIII. Coun epartment Use Only Approved rsap Permit Fee Date Issued Issuing nt Signature rven Reas nial $ 175. ab / Z O IX. Coudi ' easons for Disapproval 1. 'Siptic tank, effluent filbr and dispersal cell must all be services / maintained as per management plan provided by plumber. - All se0aek requirements must be maintained as per code / ordulanoes. Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 inches in size SBD-6398 (R 02/09) Valid thru 02/11 v 22 Docc J~a ley ~cr~z, ,~/a-~~'Ea/~/r •C~d~e~ a w e oa' i 61-.4w w%/ .5EC. 7 7. 29 7 -ree5 / 101 i`•//GcJ; Ti!• 1Ht~CI/SCIn ~(J~-eSer C~c~vEe i f i ~ ~lO:~ LfOIX CO. C.J/. drsE~,'bu Bch 64x. 2 05 ~c UzG-//Z/- 5~G-cam acres -"t~c~ _ ~'~'{-arc@r~• ~~dt.J,'aSCIConCfe~2 ~ ~ IQ 00 II 6 c,~[ A /~o bo. ~3 ~ ~ } ~ weeds 6~'o~crc.•Ee J Seo~i~ K try bE a. So / , ~ q,Af~ 0 O aeraG/~ nl:w . c3° o f bpi a rl u7, 7-h (3J an c4 S a-t 2-.8 3 ' 22.c' Cp/'ner'o~'/(.oCSC./~53t~r,lE.d2/2/!`=/Gi'J.~' uyz.G 2-",,~/two-~oY- %[~u;c.F!y°5{~d~-.t: ~eroge~Koc..~/~~=9/90.' ele~a-E'ar,5f~be3.c=3.5'be%z~~~x~~. Jam. iF:'U'tc~IveSu acco~LyiSki~q/BXA, ds/~cr~,/ fir/ = 93.sa' CC// j{,/'ale 5u~{aGC af-/aXiJf%~ I.Z'XSZ' I r7 rC /~~a ~,'v1 S U,- a CC o elOra~^s~ d C/aSCCO~iJ a!,'s/Oe,-sa-/CC//t&6C= 3•U'-3,5 r~~_2 of'13 ocoply Dose-Conventional POWTS Index & Tilte Sheet Project Name: Weiler 4 bedroom Replacement Conventional POWTS Owners Name: Doug & Jean Weiler Owner's adress: 347 Krattley Lane, Hudson, WI Site address: Same Project Location: Subdivision: Lot 2, Plat of Eagle Ridge Legal Description: SETA SWI/4, Sec. 7, T.29N., R. 19W., Town of Hudson, St. Croix Co., WI. Parcel ID 020-112140-000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calcualtions Page 4 System Cross Section Page 5 Pump Chamber Calculations/Cross section & Pump Curve Page 6 Septic Tank /Pump Chamber Detail Page 7 Filter Specifications Page 8 Distribution Box Detail Page 9 System Management Plan Page 10 Certification for Utilization of existing septic tank Page 11 Septic Tank Maintenance Agreement Page 12 Parcel Map Page 13 Waranty Deed Attachments: Soil Evaluation Report Mater PI ber Restri ted Service: James K. Thom son, Dept. of Comm. Credential #30021 J s Date: Signature: Page 1 Of 13 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) ~ EXi37~nq y/•ac% c%✓• -),-,r #22 4- s Ha dSo~ syc /G ~t fey Lo ? ,o/a E~ Ea /r E, . 5E-U~3 r,.~%q .Sec • ~T2 9r1., e S / 10 7,i ICm:`' 1 5(• Croix C®., LJ/. diSf.r,•bcc~'E,~Ch U.(•• z ~ ~ ~ 5 ~ ~G~ ~ U,zG-//7/" 5/~J-~j _ ~i~~q ,2. a creS ~OD d J e ' (-3'b/ /mod ~c~a Gombo. ST./pG • cs J po/ Lo%t' q'' SZS fr/ e/ft /Lyi at S7~ D,v~s, Xis ny ttY7~a k ~ ~ lawn ~ ot cc~eeXs ~'o.,cf'L-E~ v F~~ ~\.~'ber~ lair ,bafP xt, "s 6A \ C~ dC `Q~t r7e ~S ~ `r I garpq 0 s, 4 E/c ya Ei'on ~S : 9F S~~ / Sa ! Cc// fa Ccn 5, S t o 77r•^~e (jJ ~~~ncl,~ s a-~ z.83 x ez.oCPMGr' p~/Lccc SL. /f 53G.mQ.d e lZ~!` = /GY>. ~ ~ ~.ZCi Z-.~-/~'ra-~o," 'Qulc.~ c/ ~.~do~r F.sfma~eo'e/ev4.E,•nv.~~c~'`w's~: ,dlens"e<,a.nbu'S/a,~i-F-i~.-io.~, ji~nC.~, eleva-~•cn5 ~ be' 3.C'-3.5'be.%u `x:St~,x/ Ley'C6c-,r,K0 cc-1e'. =9//•90 ~r~dea~/OZ.O; /o30 S/ns~0.' r 5ui{acc /-I'xs~f I -Z"yrC/~~~~i'v<SuiCeof/Jro~ sO~/ ~/o5c crn-~~ ol,s/oe.sa/cc//tabC = 3.~~ 3.S he/aw eya. ~~_2of'13 WEILER DISPERSAL CUL SIZING CALCULATIONS 1. (4 bedrooms)(100 gallons estimated flow)(1.5 design factor) = 600.00 Gpd design flow 2. Infiltrative capacity of native soil = 0.5 gpd/sq. ft. 3. Absorption area required: 1,200.00 sq. ft. 4. Absorption area as proposed: 1,230.60 sq. ft. (60 chambers total) Infiltrator "Quick 4 Plus" = 20.00 sq.ft. EISA per chamber, Infiltrator "Quick 4 Plus" end cap = 5.10 sq.ft, EISA 1,200.00 sq. ft. - (6 endcaps)(5.10) = 1,169.40 sq. ft./20.00sq.ft. EISA = 58.47 chambers required Number of trenches: 3 @ 20 chambers per trench (60 chambers total) Trench width: 2.83' Trench length: 83.00' Trench spacing: 9.00' on center Total system area w/ 6' trench spacing: 21.00'x 83.00' Pg. 3 of 13 Soil Absorption System Cross Section t-- ft -/d7So ft 4" Schedule 40 /U 3• u~~ Final Grade PVC Vent Pipe ; With Vent Cap r Leaching /6:2•-7 Chamber /U 3• /a Y-64) ft ' System Elevation glso ft 60 ft (p GOft Soil Absorption System Plan View ft -Z .53 ft &60 ft Leaching Trench 1 Chambers 4" Dia. Trench 2 Header Vent Or Observation Pipe r I L Trench 3 Leaching Chamber Specifications Manufacturer And Model /11c r~ ~~Q-c~ ~~S C4-01 / X"s EISA Rating ZO. Gl1 sq ft per chamber Soil Application Rate -V) gpd/sq ft cy 9Pd Design Flow OCj Soil Application Rate LO .66 EISA = CPC) Chambers 3 rows of _ chambers each. Page of... /3 Weiler Pump Chamber Calculations 1. Force Main: Diameter: 2" Length: 80' Flow rate: 35.00 gal./min. Friction loss: 2.07'(80')(2.58ft./100ft.) = 2.064 ft. 2. Total dynamic head: 16.07' Min. supply pressure: 0.00' Vertical lift: 14.00' Friction loss: 2.07' 3. Pump selection: Manufacturer: Zoeller Model number: BN 151 Pump will discharge approx. 35.0 gpm @ 16.07' TDH(Flow Velocity 3.57 ft./second) 4. Dose chamber:. Wieser WLP 1000/600 MR Combination ST/PC 36.00" @ 16.76 Fal /inch ( 603.3 6 gal actual) Sizing: A) One day holding capacity: 18.00" = 301.68 gal. B) Alarm setting: 2.00" = 33.52 gal. C) Dose volume: 6.00" = 100.56 gal. (600ga1.)(20) + (.164)(80') = 133.12 gal. Max. Dose D) Reserve storage: 10.00" = 167.60 gal. Locking cover with warning TOTAL 3.6.00" = 603.36 gal. label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented F- Alternate outlet location Forcemain diameter Wieser WLP1000/600 Manufacturer 1.5 in. .Capacityl 603.36 Gallons - T Volume 16.76 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.00 301.69 B 2.00 33.52 C P~ ump off elevation (ft) C 6.00 100.55 T 91.33 D i 4 10.00 167.60 D Total 36.00 603.36 Dose tank elevation (ft) 3" Bedding un er tank. 90.50 PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEADTLOW MODEL 151/152/153 so PER MINUTE 12 EFFLUENT AND DEWATERING 4 I 45- I I 40 1 MODEL 151 152 153 to 35 152 Feel Meters Gal. Liters Gal. Liters Gal. <jws U 30 5 1.5 5o 189 69 261 17 291 10 3.0 45 170 61 231 70 265 o B t51 15 4.6 38 144 53 201 61 231 0 20 6.1 29 110 44 187 52 197 20 25 7.8 16 61 34 129 42 159 (O 30 9.1 23 87 33 125 35 10.7 - - - 22 BS 4 10 40 12.2 - - 11 42 WWII Head: 30 R (9.1m) 38 R (11.Bm) 441L (13.4m) 2 5 0145088 C ~ ~p eq, 90 1 5b 66 GPtlONB t o zZiS 9.A iY?- .5 ro 0,0 /V LRERB 0 4000 R10' 190 2bO 280 3 360360 ROW PER MINUTE 0145)&, Model 151 P5 5 v 13 56" 42" a 84" r M' L CA ri in II II I I I--~ 1-- I 3" I I ems, I 48" I m r C mM70 0 0 l U O < II < l I m m I I o I - I '`J I I I ~ ~ I > I II II D u u ~ 39 a z O c r, m n -1 C L D - K: n D - c Zm T p D r- r Z Z p N Z Z O➢ O D m r m D ti DZ n y 0 ~r W gr-mK OgL zN ° m Z Z F~ C, n a~o ~~o ~ooo~~ZO~a 0 2OrA0 O LA =j m m ny mA OZ CO-i r~1D N C r- w 'D Z 0' 0 VC \ c < z V Zr n l r_ WO<rrl NmmNw M O O \ O m S m D DDM -i r--~ O 'N p _ O - a _ x N p < OZ 00 6) mmW -Im 0 n wa0 Op - m S Z D m m O V cn m ➢ I C N O C n z \ N :E m c CO C7mom I' O p U D O O -10 O i Z ➢D y m D O r D V m i -I K Fri 0 DSrZ r0 o n D 0 Z m C ZZ map WO rW N C? O V :Q D - te r. v O 9 00 ~-/7) ~J ! O --i c m -i m n LV N m V7 Z c mO K: "D m 0 0 O o n v ~ r" S o m V7 ~V r X1 D A m O p m n O O D Z 0 r 5J7 < A m m m ;10 m z m Z n m WLP1000 600-MR SCALE:1/4" = 1' REV NO. DATE: rn DRAWN OY:SWT ° m MIESER coRCAETE SEPTIC MANUAL W3716 US HWY10. MAIDEN ROCK, WI 54750 DATE: JANUARY 2008 REV, JAN. 2008 800-325-8456 FILE:WlP1000 600-MR ~.o o~ 13 • Filters F .m PL-525 EFFLUENT FILTER (~L, Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters. The PL-525 is rated for over 10,000 GPD Alarm (gallons per day) making it one of accessibility Accepts PVC the largest commercial filters in its extension handle class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the new Polylok PL-525 has an automatic shut off ball installed 525 linear feet with every filter. When the filter is of 1/16" removed for cleaning, the ball will filtration slots Rated for over float up and temporarily shut off 10,000 GPD the system so the effluent won't leave the tank. No other filter on the market can make that claim! Accepts 4" & 6" SCHD. 40 Pipe \ PL-525 Maintenance: The PL-525 Effluent Filter should operate efficiently for several years under normal conditions before requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If the installed filter contains an optional y,- alarm, the owner will be notified N'k by an alarm when the filter needs servicing. Servicing should be Gas deflector done by a certified septic tank Automatic shut-off pumper or installer. ball when filter is removed 1. Locate the outlet of the U.S. Patent No# 6,015,486 septic tank. 5,671,640 2. Remove tank cover and pump tank if necessary. PL-525 Installation: 1. Locate the outlet of the 3. Do not use plumbing when septic tank. filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL-525 out of the housing. mercial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the tank. Make sure all solids fall 4" or 6" outlet pipe. If the back into septic tank. filter is not centered under the access opening use a Polylok 6. Insert the filter cartridge back Extend & Lok or piece of pipe into the housing making sure to center filter. the filter is properly aligned and 4. Insert the PL-525 filter into completely inserted. its housing. 7. Replace septic tank cover. 5. Replace the septic tank cover. a ftI.76-/3 ' ~ K ~Nl m NO Rq N N s = cf) O 0 T I J m V N NI- < <CC 0 R C C { A I~ _ J N Z ~ Z A r = N . raZ- o o-_,C,0Z 2 D o 2 T V) O r I m o m m m 771 2 710 z \ I r o\P 00 I CD m C W N O r L~ 0 fT1 o N o ~ ~ i o W ;a m Q) D r- O D r Z N ~O -~I AIJ x o = 6 HOLE DISTRIBUTION BOX SCALE: 3" = 1' _ REV NU. DATE: m MIERERCURCRETE DRAWN BY:SWT SEPTIC MANUAL Z W3716 US HWY10. MAIDEN ROCK, WI 54750 DATE: JANUARY 2008 REV. JAN. 2008 800-325-8456 FILE: SHEET 16 P~ - 13 Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1 /3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. 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 when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes 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 individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. 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 two 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. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two-year schedule by use of a diversion valve. Valve to be switched diverting effluent from dispersal cell currently in use to resting cell on a two-year cycle coinciding with septic tank inspection and maintenance. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St Croix County Zoning Department at (715) 386-4680. P5 . g ~G'/3 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address)2 S/7 ~,z~~/, s, located at n6- '/4, 5cJ1/4, Section _7, Town~-_:N, Range 12 W, Town of St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service ;2-0/0 Did flow back occur from absorption system? Yes No i/ (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: dw Construction: Prefab oncrete ✓Steel Other Manufacturer (if known): 4x2 Cole, A ank (if known): ea -~5 ti-mit n mber (if know 7 - icensed Plumber Signature) (Print Name) ~2 (Title) (License Numb er)'/MP RS 5~. 30, -C)/o (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Re\ . 9/2008 . to oye 13 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/ Mailing Address Propenny Address (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number ZO - - e>JU LEGAL DESCRIPTION Propeny Location SC t/a Sec. _ 7 T ~N R-2y _W, Town of } "'Ccxs d~ Subdivision Lot # 2- . Certified Survey Map # Volume , Page # Warranty Deed # Volume Page # Spec house no Lot lines identifiable yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and retumed to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGN URE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) IY) n = CU. UV 0) \053 S? cpo p Sys'---- s6 9 0 1.75 'ACRES Z /0 42 N 43 - 2.08 ACRES 1.78 ACRES i N to v / J' z 0 L' 333.00 90° 326. 36 165.60 O> 0~ 166.50 160.76 166.50 S 84°48 30 W I 659.36 1 //304~ ~ dvh I 1 11 d, 2 1 I (n N O ° I I CERTIFIED _ SURVEY 1 IL - 1---------- I _MAP VOLUME_ I PAGE 11178 1 ~ I 1 - - -2- 1 _3 ~ - --4-- t ~ I I i -p h I I a) I I _ `cQ S 89'38'40"W ,n i I 76 5a3Q 1 ® I 1L~ / / N ® ° 1 I S 83°35'401'W 330.21 KRATTI-E _ -ro TTLEY- o cD _ ANE ro N 83°35 40 E 330.21 n 3 - - 210.21 moo/ - - - - - -p 120.00 (~o d M t V 1 N N 89° 3840 ~E 0 (D T 9.0 1 - 00 of -0 9.01- ~ N (D 2 ~ 1.85 0 - - o 3 3 rn - Go 0 2.11 ACRES -p O Un _c\j N N 2.13 ACRES -00 z o tD Z ~ z 365 21 -10, 333.59' S 1/4 CORNER SECTION 7, U N PLA T29N R19W POINT 6F BEGINNING P5. lz /3 WARRMAR Y DEED ~i,b gawcL Hea.nvr. vae ncco.tntHC e.rw 45057 Q 56 lREGISTE4'S OFFICE 7-7 -OrtAld A... X014, ..and Dorina .J.- Xerurig.,....... WI husband and wx e, KB.CiC 1~ipt1 0'? M9 10-30 A, IRi11 eoneey> and warrants to ..I~ouGllas. C •We1.~6r, _ang3• . ,~~a 1r.._5c1a ~.r.,.... usbanc1- aaa... r ime.. .as......... en 1W 4r~ M73u?;3P-_ma x.7.Sa I_ p r.cps rty. . 6ctUwti z•9.. . _ the following described real estate in ...................Councy, State of Wisconsin: Tax Parcel No -Lot 2, Eagle Ridge in the Town of Hudson, St. Croi.x County, Wisconsin. 'rn ANSEM FEE This 1S homestead : property. (is) (is not) Exception to :warranties: Subject to easements, reservations and restrictions of record. Dated this .............f~) day of ..August 19. 89 c; .......(SEAL) (tiL•'AL) , . DONAI D. A... YOUNG. .(SEAL) ~C3(1CrLArr~( • DONNA J. YOUNG AUTHZNTICATION ACHNOW LEDGME:NT Signature (a) STATE OF WISCONSIN St. Croix ........County. authenticated this _ day of..... 3...... Porsonnlly e::me heCnre Inc this AUg u s ♦ $ 9 P.C?R~dd--A ..._Xla.umsg.. arld..Aonna.. J........... Young------- TITLE, i<iE3i8Eft STA7.'?: BAR OF WISCnNsrN (If not... - - KV~CK aC Cr"c3'` authorized by 5 7061.08, kris,. ststr,) , 7:ARY PUT- LTC to nx. l:iii>:c•rt ..,~1rrJ ~~~-I:n ,•~ora[ed tl:r. fore~oit tGtrunte Mold ac non• cjld-tl:e lame T41S INSTRUMENT WP.S DRAFYED ®'Y ' STEP.HEN__,7r._.QUIILbIP ! /ltl J Kud.so-u,._._Wis.c:ans.in...................... Not:; riiblir St. Croix C'stInt-'. Wip. (Signatures may be authenticated or ackno:w « rnvutt n*.., li no:. <Iat,• r:: t,it sti ..t are not, IoA;.c•it. isc{n nccea~ary.) XI/ •~Famc C~ .'.pr.. .:.T.-:a3 a cn__-... ..t i.. . . . d 1, 'L . WARRANTY DEED - _..-F nnn pct p:7v u...;; 1 L ' 13 OT 13 R~Ci~rv 2263 SOIL EVALUATION REPORT Wisconsin Dep ment of Commerce Page 1 of 3 Division of Safet and Bui;IdTff `LVin acco ance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach com to site plan YYo (119 1 inches in size. Plan must County St. Croix include, but t limited,0:• @ erence point (BM), direction and parcel I D. percent slope arrow, and location and'Ntaro n~eslti) 020-1121-40-000 Please print all information. Revi ed By Dat Personal information you provide may be used for secondary purposes (Privacy aw, s15.04 (T) Vnj)-. 4PIrl L4:;L I I/ t Property Owner Property Location / 'el I Doug & Jean Weiler Govt. Lot SE 1/4 SW 1 S 7 T 29 NR 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 347 Krattley Lane 2 na Plat Of Eagle Ridge City State Zip Code Phone Number J City J Village yf Town Nearest Road Hudson WI 54016 715-386-1239 Hudson Krattley Lane J New Construction Use: W1 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement J Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable Na General comments and recommendations: Site suitable for conv. POWTS dispersal cell with 0.~55 gppd~d/__ss~ft. loading rate. Trenches to be installed 3.5' below existing grade. Pump needed to reach yslevation. Boring # - I Boring _vl Pit Ground Surface elev. 104.84 ft. Depth to limiting factor >86" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr3/2 none sil 2fgr mvfr as 2fm 0.6 0.8 2 14-38 10yr3/6 none ifs 2fsbk mvfr gw 1fm 0.5 1.0 3 38-66 10yr4/6 none s 1msbk ds cw 1fm 0.7 1.6 4 66-86 10yr5/6 none Ifs Osg dl - - 0.5 1.0 dD ' ~ Boring # J Boring 16 Pit Ground Surface elev. 107.32 ft. Depth to limiting factor >85" in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-8 10yr3/2 none sil 2fgr mvfr as 2fm,1 c 0.6 0.8 2 8-28 10yr4/6 none Ifs 2msbk mvfr cw 2fm,1c 0.5 1.0 3 28-62 10yr4/6 none s Osg dl cw 1fm 0.5 1.0 4 62-85 10yr4/6 none Ifs Osg dl - 1fm 0.5 1.0 Horizon #3 contains 1" - 3" irregular, wa , rscon 'nuous b of .5yr4/4 Ifs with f2f 7.5yr5/8 redox. concentrations within bands. Redox. are a result of the grater matric otential of the finer textured soil and is not indicative of ground water. Effluent #1 = BOD5> 30 < 220 mg/L a d TSS >30 150 mg/L Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sign re: / CST Number James K. Thompson J s--_ 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 9/19/2011 715-248-7767 Property Owner Doug & Jean Weiler Parcel ID # 020-1121-40-000 Page 2 of 3 3]Boring # J Boring Pit Ground Surface elev. 103.01 ft. Depth to limiting factor >84" in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 10yr3/2 none sil 2fgr mvfr cs 2fm,1c 0.6 0.8 2 5-16 7.5yr4/4 none fsl 2fsbk mvfr iw 2fm,1 c 0.4 0.8 3 16-28 10yr4/6 none ifs Osg ml iw 2fm 0.5 0.8 4 28-40 7.5yr4/4 none ifs Osg ml iw 2fm 0.5 1.0 5 40-84 10yr5/6 none s Osg dl - - 0.5 1.0 Horizon #5 contains 1/4" - 3/4" irregular, wavy, discontinuous bands of 10yr4/4 Ifs . Horizon loading rate refects reduced permiability of horizon associated with banding. F-1 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 GPD/ftl in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # Boring 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 = BOD5> 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. SBD-8330 (R.07/00) A.C.E. 5011 & Site Evaluations ♦ Ejc, Sve n9 grade e11/e: / y0' 2-. 43 ,1 ~f 3 1 V 35/t,7 US/Sc.~%y Sec.7 T29~1 v ~e < <y Q. /yu~; Ti. or /gilds a acres c-":8/ r 7rzes NZI, a in EXj SEi' / oCYJ aG { 3~ 44LJ j~ WeC nG L 2 d 6 r; a ei c• p~ l e cam, c li CP1~T\' / ~ ~ ~ (l ~ ELY/~r19 Lc/Cl~ II ~ ` O i C lee c-t- cUAq / so s, 0 O ~e ii /yla,~~: C3a m o f b~ i Vii(' a 1~ r1 u7. FSF,inaY-1 fleUa&,nver-6w I -rnF/~.-~z~'veSu accof -34,s&"y18x3( , ' r7 vl 5 u rat Cc of°~rcPasLC✓ QL,'s/oa•~sal Cc//r5~ bf = G/o5C canl). Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Satety,and BUi ing Division INSPECTION REPORT Sanitary Permit No: 152 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Weiler, Douglas Hudson, Town of 020-1121-40-000 CST BM Elev: Insp BM Elev: escription: Section/Town/Range/Map No: 7A- BM D f3 rn / 6a , ~ ►7~k. ac res- 07.29.19.531 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark s7 % ~olJ IV VJ X03. oo Dosing Alt. BM Aeration Bldg. Sewer Holding SUHt Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom rc r 3 . Dosing eader/M Aeration Dist. Pi ~n/~ S S ~eo R C/3, /--7 Holding Bet-frystem / p V p Q 9. p~ 3, Z 4 ? Final Grade ! 00 PUMP/SIPHON INFORMATION 6fw V Manufacturer Demand S over p GPM ''jl ~v (it/ dj„ Model Number /i TDH Lift Friction Loss Sys ead TDH Ft Forcemain Length J/__jbia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Ty CHAMBER OR pe Of System: T Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bedrrrench Edges Topsoil Yes 0 No ~ Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: t U /-7/1Q Inspection #2: Location: 347 Krattley Lane Hudson, WI 54016 (SE 1/4 SW 1/4 7 T29N R19W) Eagle Ridge Lot 2 ~a Parcel No: 07.29.19.531 1.) Alt BM Description = • 2.) Bldg sewer length = - amount of cover = Plan revision Required? 19 Yes No Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Sig ature Cert. No. County Sanitary Permit Application ST. CROIX COUNTY WISCONSIN In accord with Chapert 12 St. Croix County Sanitary Ordinance PLANNING & ZONING DEPARTMENT Personal information you provide may be used for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER 1101 [Privacy Law. S. 15.04(1)(m)JP A►. I D Carmichael Road Hudson, WI 54016-7710 (715)386-4680 Fax(715)386-4686 Attach complete plans for the system Awppr not lpqq than R--U2 x 11 inches in size. County Sanitary Permit ❑ Check if revision to previous application VNJ Location: 1. Application Information - Please Print all Information Property Owner Name ll R 51---- 1 /4 5 C-) 1/4, Sec 7 Property ner's Mailing Address o Lot Num Block Number 1~~C~~Z/e?-nom s~ °R°+ oN+N° °~F+c~ ~Q City, State Zip Code Phon t¢suRd~ Subdivision Name ar-66M=er 6 11 TTyp"f Building: (check one) amity Village gFro-wn of R 1 or 2 Family Dwelling - No. of Bedrooms: 3 ❑ Public/Commercial (describe use):so~ ❑ State-owned N,/ee rest o d 11. Type of Permit: (Check only one box on line A. Check box on line 8 if applicable) Parcel Tax Numb (s) 1.❑ Repair 2. Reconnection 3.❑Non-plumbing 4. ❑Rejuvenation A) /old Sanitation B) Permit Number a Date Issued State Sanitary Permit was previously issued 303 ~ ll737( , 171,7~17,6 O~ W171,06 IV~ POWT System: (Check all that apply) Non-pressurized In-ground ❑ Mound z 24 in. suitable soil ❑ Mounds 24 in. suitable soil ❑ Mound A+0 ❑ Sand Filter ❑ Constructed Wetland ❑ Peat Filter ❑ Drip Line ❑ Pressurized In-ground ❑ Holding Tank ❑ Single Pass ❑ Other ❑ At-grade ❑ Aerobic Treatment Unit ❑ Recirculating V. Dispersal/Treatment ea Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed, 4i Zia (Gals./day/sq.ft.) (Min.Anch) Elevation &-Pwo C). 70 f l~ct I. Tank Information Capaicty in Gallons Total # of Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete structed glass Tanks Tanks S c / ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VII. Responsibility Statement I, the undersigned, assume responsibi ' ~themst reconnenction/rejuve n/installation of non-plumbing for the POWTS shown on the attached plans. A license is not required for terralift rep it olation of no n plu in s itation system. Plumbers Name ( rint) Plumber' Signat r no st '1iPRS No. Business Phone Number sd►-1 3c -z/ 715 5~B 777 Plumber's A ress (Street, City, Sta eip Code) 35/0 a. ~s Ca r c SceoC~ c,Jl. S~a~ o Vlll. County Use Only Dis roved Sanitary~eit Fee Date Issued Issuin gent Si atu (N s) proved Owner n dverse ZZ ED r ation J IX. Conditions of Approval/Reasons for Disapproval: r- 1.1 vc('~ ~~a+-~'o,~ wad +-f'o~v`. o~ Co vhwtef'c!L C l.~ro to Lse- 9 J ^0... -Trw~ON Rev: 8/05 GLWe, 4-O Le, C kSe i Index & Tilte Sheet - Existing Dispersal Cell Reconnection Project Name: Weiler Existing Dispersal Cell Reconnection Owners Name: Douglas C. & Jean M. Weiler Owner's adress: 347 Krattley Lane, Hudson, WI 54016 Site address: Same Project Location: Subdivision: Lot 2, Eagle Ridge Legal Description: SEvaSWva, Sec. 7, T.29N., R. 19W., Town of Hudson, St. Croix Co., WI. Parcel ID 020-1121-40-000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Daily Flow Calculations & Existing Dispersal Cell Evaluation Page 4 Weeks Treatment Tank Cross Section Page 5 Filter Specifications Page 6 Septic Tank Maintenance Agreement Page 7 Existing Septic Tank Certification Page 8 POWTS Management Plan Page 9 Waranty Deed i Attachments: Soil Verification Mater PI ber Restri ed Service: James om son, Dept. of Comm. Credential #30021 Signature:,-- N Date: I Page 1 Of 9 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) #22 ZB Docc, ~i ~z-~~-ley ` O ~-~-z, ~/a-~of' Ea /r •E;'d~~e,r Lug e SnE%¢SrJ% Sec.rz9j1 K. 19L<J~ ~l orrf~kdSUn ~ ~~iq Z.l/uc~es 3 E I ,CAF l~;u~rs,Yvie/ ~e6v6e.nsE,//~✓En 'c a //o-v 1~t usf ~{,o~GV/ous/j aL ~d d a ti Lr ~ 5io¢ r-SQ (Cep/ z'° cc ee ~so.,erc Ee- I yy t 1 x CD~BX/PVC W/4~ /~f ~ ILI y - eO~r l 1 d ~4 rye `~S ~ `ter o~'~A~~l ~o so 4 Eir yQ ~i'cr~ 5 ~erecl~ /Y(a/'~- 13o~'E~m of br•~C.'(a~ r/ cJ, c,5fi%na~Cd e/err, aE ;nv~r~,c~'~iS~~ F'/ bra-I've Su.~z c c a -F Sri sb'~ /B X 3G ' I. So~I~UWl~0.Clor~~rJi-~ • Eli j~r)q yi'ac~e c /zri bok #1,9-~RrI Z-an2 :5,1, ceorx C®. C. ~ ~iiYl ,Z. ll acres d ,f 3 ~\cc~ l~;vus,~ ~ ve ~ 6 e s Ea //QED 01) ` ~6 ~'C ~//oaJ~'tccSF~{,o~Gdiaus/~ralzn~d _a ds ~ 7Z,- 6A l U I ~ `~4r7e p9~~ s, 0 4 Ele~R~IDi~S 3eraG~i IYf~K L~aCt~m of 6~,~'af rl cJ. Cprn cr' ~ f lCou -sC . 3 3 c..rn ¢.d e l e~'` = /dD. G~ ~ 5e~{yc (y-r~K a w~ le.~ = 9/90. I ~ ~ F z~.-a-~i've Sa•.~a c c o-F' ~-sri.sff'nq /8 X 3G 5ur{acc CFA-Y.,J ~ IZ'xs2' I Dispersal Cell Sizing Calculations 1. (3 bedrooms)(100 gallons estimated flow)(1.5 design factor) = 450.00 Gpd design flow 2. Infiltrative capacity of native soil = 0.5 gpd/sq. ft. 3. Absorption area required: 900.00 W. ft. 4. Absorption area available: 1,272.00 sq. ft. Existing 18' x 36 dispersal cell: 648.00 M. ft. Existing 12' x 52' dispersal cell: 624.00 sq. ft. Existing Septic System Evaluation An inspection of the existing conventional septic system dispersal cells that serve the residence at the above address was completed September 28 @ 29th, 2010. The system consists of a 1,000/gallon Weeks Concrete septic tank and two gravity fed dispersal cells. The system was installed as per codes in force at the time of the installation. Records obtained form the St. Croix County Zoning Office and field verifications, indicate that there are two dispersal cells comprising this system. The first cell consists of an 18' wide x 36' long x 18" deep gravel bed that was installed April l8, 1979 under permit #7303. The second dispersal cell consists of a 12' wide x 52'long x 12" deep gravel bed that was installed November 17, 1988 under permit #119376. Excavations of both cells reveal no signs of effluent ponding within either of the system dispersal cells. Effluent backup into the residence appears to be the result of the combined effects of sludge accumulation and root intrusion into the dispersal pipes and header of the 12' x 52' bed. There were no indications or evidence of effluent discharge to the surface or to the surrounding area. Because the failure of a septic system is a progressive process, I cannot predict how long these dispersal cells will continue to dispose of sewage effluent before failing. Portions of this inspection were based on a surface evaluation, so there may be hidden defects within the system that were not discovered. Pg.3 of'9 vNW - - - O I ~ 3 G i.. C 1 D ~ I rT- - rn a ~ r+ - F° z r r~ w o ril IS ~ z I~ o I 35 6 _ G7 1 ~ 1 j y I~ r O E - a>- ~ i n --o o o 3~ l \ O - All Zabel' A Division of Poiyfok inc. 1z FILTER TYPE FILTRATION GPD LINEAR FT. Pd a`: Zabel 'A1801 4x1$ 800 Zabel A18O1 4 x22 1/16" 800 80 A100.8x18VC 1/1 b" 1,206 t,78x A 100 8x26 VC 1 / 16" 1,800 117 A 100 8x32 V 1/16" 2,404 A 100 12x20 VC 1/16'' 3,000 173 A1OO12X28VC 4/16,,, 4,5Q€?. - Zs A1OO12X36 VC 1/16" 6,000 329 A300$X18 VC 1/32" 1;210 A3OO 8X26 VC 1/32'' 1,800 123 A300 8X32 VC 1/32" ?,400 A3OO 12X20 VC 1/32" 3,000 173 A300 12X28 VC 1/32" 4,500 A300 12X36 VC 1/32" 6,000 338 A600 8X:18 VC 1 f64" 1,200$° t . " A6O0 8X26 VC 1/64" 1,800 123 A600 SX32 VC 1/647- 2;40.0 • A6OO 12X20 VC 1/64" 3,000 173 A600 12X28 V 1 /64" 4,5Ofl . 2 A600 12X36 VC 1/64" 6,000 338 P40LyM0X--Inc. Innovations in Precast Drainage & Wastewater Products P9. s ~9 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/ Mailing Address 3 y7i-a/e y ~4n~ Property Address ~G-rrl~ (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number O ZO - //Z/- 51~ - LEGAL DESCRIPTION Property Location 1/a , S6-131/a , Sec. _7 T -24P N R_Z~W, Town of ~c✓SP~ Subdivision gc~.~ l2 e,-,J c/ e . , Lot # . V C/ Certified Survey Map # lda_ , Volume , Page # Warranty Deed # , Volume , Page # Spec house no Lot lines identifiable yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGN URE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) ( °r"! l _ ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) located at. 56" '/4, 5cJ'/4, Section "7Town N, Range /2 W, Town of c,_c15c*- , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service 5,e~~. ;2-0/0 Did flow back occur from absorption system? Yes No ✓ (if no, skip next line.) Approximate volume or length of time: o, gallons minutes Tank Capacity: dw a-R Construction: Prefab oncrete V-,---Steel Other Manufacturer (if known): &OZaXS (~4-n~r~ - A ank (if known): 3 / er.,-6 ermit n mber (if know 7 icensed Plumber Signature) (Print Name) (Title) (License Number)'/MPRS 5~. 30, 020/0 (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145,06, Wisconsin Statutes) or licensed disposef (NR 113 Wisconsin Administrative Code) Rev. 9/2008 P9.7 ~9 Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.01/01). All local and/or state rules pertaining to septic system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 113 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. 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 when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes 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 individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two-year/1-year schedule by use of diversion valve. Effluent to be diverted from 18' x 36' dispersal cell to 12' x 52' dispersal cell at 4 year anniversary of valve installation. 12' x 52' cell to be utilized for a 1 year period. Afterwards, effluent dispersal shall be alternated between cells on a schedule to allow use of 18' x 36' cell for two years and old cell for 1 year. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cells will be eliminated by installing a new dose-conventional soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St Croix County Zoning Department at (715) 3864680. 2228 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 2 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 020-1121-40-000 Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Doug & Jean Weiler Govt. Lot SE 19 SW 1/4 S 7 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 347 Krattley Lane 2 Plat Of Eagle Ridge City State Zip Code Phone Number J City J Village 0 Town Nearest Road Hudson Wt 54016 715-386-1239 Hudson Krattley Lane J New Construction Use: 0 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD iJ/ Replacement J Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable Na General comments and recommendations: Soil Evaluation completed to verify suitability of soil to allow reconnection of previously abandoned dispersal cell. Boring # J Boring V1 Pit Ground Surface elev. 97.65 ft. Depth to limiting factor >96'~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 "Eff#2 1 0-14 10yr2/1 none I 2fgr mvfr aw 2fmc 0.6 0.8 2 14-19 1Oyr4/4 none sl 2fsbk mvfr aw 2f,1mc 0.6 1.0 3 19-23 10yr3/3 none ifs 1msbk ds cs 1f 0.5 1.0 4 23-43 10yr3/6 none Is Osg dl cw lvf 0.7 1.6 5 43-96 10yr4/6 none Ifs 1msbk ds - 1vf 0.5 1.0 Effluent #1 = BODS> 30 < 220 mg and TSS >30)< 150 mg/L " Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sign ture: CST Number James K. Thompson s.-- 3602 Address A.C.E. Soil & Site Evaluation Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 9/27/2010 715-248-7767 I A EX/ 37~ii7q y/ac~e c%✓ l c/ 2-2,29 ~i~-~ Y w, ~otz, ~/a-~~'Ea~/r ~c";dye, 1. a ~ e .SE Usf.S c.~Yq SE c . 7 T,2 4~1., :5-1. Croix Co., w/. ~c/. , ~ f Qiiq 2. /l a ores 3 u-r- L ~ P a NZ-.Q sa. Y1 CP'~ ~ Seo~i~~ K. t i N 44, C/r 4 ° s, 0 1\5~ o II Cornea oIC/Cou se.'~s6cNr~ed elegy = / . F~;mCt~cd elev,-a.E ;nverf,aF`w's~,"n~ = 95!90.' i 5~06rc- 6p-<a--e /z- ~ .X:~F'/~r~~'ve5u.•~acco•F~-sri:sb"~/Bx~G' di6l'v%Sa/ ce// = 9,2.95 ,i _ t •C :[JA.1 •F~ --.~i'c - - + AIMA : j.S = DEF.!h 2w'sS KPACZ RLT.3QftV~.f. PSB 4Cr6.rACKG C.aTA 4sow 7 ; - _ REGISWq.,S OFFICE Mn Dc? its .-A X.aux~g-.amt .norina. xoui cy.,•........ Q Co. husband anti wife, t Rii td - - - AUG 07 1v:3~A. M contcy and warrants to Douglas.- -C Wel~er• anet• J~~.A .i++.t,--fele~.7.ez,..t~s;.sbancl.-.an~c"f..!wz€er. as ~~,~e xY?vc,rhl?-_Tllsi%7,s31 R.oRrt-y..._ 6ctl:i»i Tty.. the following described real estate in Sfi--...CX_QiX .................County, State of Wisconsin: Tax Parcel No:.............................. Lot 2, Eagle Ridge in the 'down of Hudson, St. Croix County, Wisconsin, -PQ ANSEM This 1s homestead property. (is) (is not) Exception to warranties: Subject to easements, reservations and restrictions of record. Dated this .............5~yf).-........ day of August 19- (SEAL) (SEAL) .,.DONALD. A. YOUNG _ ...__(SEAL) VC~C~i G?(~t~Yl (SEA I.) • v DONNA J. YOUP3 AUTHENTICATION ACKNOWLEDGMENT Signatureis) STATE OF WISCONSIN St. Croix ? .County. authenticated this --------day of Pcrscntally came herore me this dac of if guSt 1i$9_ the ..t,•.,... named - X.u~a..and-.~onra..,7..........- _11 _--YOUng - - . - TITLE- ITE.:ZIBEn STATE BAR OF R7rfiC_0N,rN y..- - ww.. itEVERS not. - authorized :W'is. 8tstz.) TARY ` 1~ to "it• ki-ko ra 3 t` r cF:n esos•:1ted the P3iv3ii FI~[ fure~oin tGlrumC and ac trots crl_c t e sane. ! Z THIS INSTRUMENT WAS GRAFTED 01 L1dS031, ---TZIS.COZ1S.lrl- Not;i-- PuNir St. Croix (Signatures may l.r:. :nanc•nt-I; nrr:- ?tat4• rsni r;tt~oat _ y be authenticated or acknotcled ad- 15ot[t " !'.•s• are "L'.cf["Cl ~J~ _ rn ~^`-~1 WARRANI'r UEEs7 ,---__c sane or ~-t a'n~:'?~ tt.-•-... I.-:;::' R = 80.00' R r: ' ~5 r S~~` ~ ~'ofJ3 ~ ~o o 1.75 ACRES Z rn 42 43 _ 2.08 ACRES 3 1.78 ACRES QiP (D `fly - _ i co - ~W M L N J' z 6;-. 0 0,>,O/ N L' 333.00 \9 326.36 ,65 60 166.50 00 16 0.76 _7, 166.50 4rsc S 84°4830 W 1 659.36 i V. 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CROIX COUNTY WISCONSIN ZONING OFFICE rr; ST.CROIX COUNTY COURTHOUSE gill-1 911 FOURTH STREET • HUDSON,WI 54016 - __ - (715)386-4680 July 25, 1989 Don Young 347 Krattley Lane Hudson, WI 54016 Dear Sir: An on site investigation of the septic system on the Don Young property located at 347 Krattley Lane, Town of Hudson was conducted. At the time of the inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal inspection of said system, and surface ins system was based upon a P Y did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the g Y► P 'n an discoverable b this inspection. This does not i y system not y P Y in way warrant or guarantee the continued proper functioning or y operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of the system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, III Thomas C. Nelson Zoning Administrator TCN:sa I f COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 �4j 715= 962 - 3121 800 - 962 - 8378 (WI) 800 - 962 - 5227 ST. CROIX ZONING REPORT N0.*# 31815/01 PAGE 1 ST, CROIX COUNTY REPORT DATE*# 7/27/89 COURTHOUSE DATE RECEIVED*# 7/26/89 HUDSON, WI 54016 ATTN*# THOMAS C. NELSON If�.,� OWNERS DrattLey LOCATIONS , Hudson, WI COLLECTORS Mary Jenkins - St. Croix County Courthouse SOURCE OF SAMPLES Kitchen Faucet COLIFORMS 0 /100 ml INTERPRETATIONS Bacteriologically SAFE NITRATE-NS f 1 ppm Under 10 ppm is safe for human consumption. COLIFORM +NITRATE LAB TECHNICIANS Pam Gane / r WI Approved Lab No. 19 s NDEPENp A° < Means "LESS THAN" Detectable Level Approved by*# ., �1� may, ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 i 7/5/89 17 - _- ST. CROIX COUNTY ZONING OFFICE ' St. Croix County Courthouse , j 911 4th Street r s Hudson, WI 54016 Telephone - (715) 386-4680 The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. J WATER TESTING----------------------------FEE: $ 25.00 x (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 x (Determines if system is properly functioning at time of inspection) Property owner's name Don Young Property owner's address 347 Krattley Lane - Hudson, WI 54016 Legal Description 1/4 of the 1/4 of Section , T N-R Town of Hudson Lot Number 2 Subdivision Name Eagle Ridge FIRE NUMBER f34J LOCK BOX NUMBER Color of house-Cedar/brick Realty sign by house? yes If so, list firm: Century 21 Bertelsen-Cudd PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. - WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Jenny Olson Telephone Number 386-8207 REPORT TO BE SENT TO: Jenny Olson In Century 21 Bertelsen-Cudd - 706 19th St S Closing date 7/25/89 Hudson WI 54016 Signature l • AS BUILT SANITARY SYSTEM REPORT COST, , TOWNSHIP SEC. T N, R W - C:i. ADDRESS_ & y✓ga 1, , ST. CROIX GOUNTY, WISCONSIN. ?DIVISION LAI-Vt 1[D61 , LOT ;0„2 LOT SIZE PLAN VIEW -Distances dimensions to meet requirements of H62.20 - SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i S y! I j indicate oath A ro ~ISCALL: p fTIC TANK(S) Q0 MFGR. U iL ~ 5 CONCRETE STEEL NO. of rings on cover Depth ~O DRY WELL v'GHES NO. of width length area no. of lines. width= length_ _ area _fe 97 . depth to top of pipe REGATE - '~K RATE AREA REQUIRED (v im AREA AS BUILT ;claimer: The inspection of this system by St. Croix County does not imply complete .,;rOliance with State Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for atetn operation. However, if failure is noted the County will make every effort to '~rmdne cause of failure. `f~aASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. `'INSPEC ' FATED q-Zf- _ PLUMBER ON JOB LICENSE NUMBER 33 2 REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.ixa&y Penm.it-- State Septic C [''NAME 4.Z~Vy~4~f/ ~1 Towneh.ip St. Cno.ix County Locat.ionSCJ% o4 S E-%, Section 7 T,.lyN, R W SEPTIC TANK Size/006_gattone. Numbers 94 Compantmente Di4tance Fnom: Wet ~Q 1 it. 120 on gnea.teh ztope- it Bu.i.2d.ing ZZ it. Wettande ~ . H.ighwaten it. DISPOSAL SYSTEM D.ie.tance From: Wet OC7 S~. 12% on greaten e.2ope it. Bu.itd.ing it. Wet.2ande Ft. Highwaxen it. FIELD DIMENSIONS: Width of trench 1 g it. Depth a6 %ock be.2ow t.ite-ZI-in. Length o4 each tine it. Depth o6 rack oven t.i.2e Z .in. Numbers, a6 tines 3 Depth ob t.ite below gnade4_llZl.in. Totat Zength of Zinee~L7 it. SZope of tAench in pen 100 it. G Die once between 2iviee G bt. Depth to bedrock ~ . Toxat abe o,%b.t.ion anea (~i $ 6t2 Depth to gnoundwaten 6t. Requined anea it2 i PIT DIMENSIONS: Numbers aj pike Gnave2 around pike Yee no Outside diameten Depth b e.2ow .in.2et it. 2 TataZ abeanbt.ion an a it z Area n ui ed it2 rn { INSPECTED BY TITL APPROVED ,SATE ! 197 REJECTED DATE 197, s i State and County State Permit i 'Pt'867 ' I' Permit Application County Per . # for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Ijailing Address: C ~ Pue, B. LOCATION: '/4 '/4, Section T N, R _/,9p (or) Lot# aL City _ Subdivision Name, nearest road, lake or landmark Blk# Village Township c; ae -d' 6 ca- C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family K Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher _X_ YES NO Food Waste Grinder YES-XNO # of Bathrooms Automatic Washer , YES NO Other (specify) E. SEPTIC TANK CAPACITY /De0 Total gallons No. of tanks / *Holding tank capacity Total gallons No. of tanks New Installation 1K Addition Replacement _ Prefab Concrete X *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) Z 3) ''Total Absorb Area q. ,ft. New X Addition Replacement *Fill System 6/rAi' aQU,`+.0,Q Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length 4o' Width 1J91 Depth ~ir'' Tile Depth 2(" No. of Lines 3 Seepage Pit: Inside diam ter Liquid Depth Tile Size Yr' Percent slope of land ' sc~dce_ 1-4 uj Distance from critical slope Q~ I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Ce ified Soil Tes NAME . f C.S.T. # =/Q and other information obtained from jEXo,4V. -01-,- 3~?3 Plumber's Signatur MP/MPRSW#Phone Plumber's Address { PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). ~y f1111~ F/Q 41,410x., solk et Ito aA-k ik Do Not Write in Space Below OR DEPARTMENT USE ONLY 1?~ Date of Application ' 1 Fees Paid: State /1 Co nty~ Date Permit Issued/Rejected (date) ` [1 _ Issuing Agent Name e Inspection Yes~No Valid* Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1/76 EH,115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TEST LOCATION:, _W%'.S;,&/4, Section T N, R ee ownship or Municipality v2 ~a Lot No. Block No. bl -County u division Name Owner's Name: w.u Mailing Address: ei- g_ Ail- TYPE ~ / OF OCCUPANCY: Residence No. of Bedrooms -3 Other EFFLUENT DISPOSAL SYSTEM: NEW I ADDITION REPLACEMENT pDATES OBSERVATIONS MADE: SOIL BORINGS `2-15'7F PERCOLATION TESTS 7'1s -2Q SOIL MAP SHEET SOIL TYPE 6110-2- CA.«,4-',4 ALt-i PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL . HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 ~ / P / Ale, 3 se- 3 '/z, /i/o 3 Y, 3& 312- 5,e e ,Z P , b /TO ~ 0 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B_ 194 4„ 3 f 7 )y S 12 " s 2 B_ 9~ i,7,1i ~ld~`~,,, fS ~5-,,C ~6`• S, l~ `~S.C B- ~ Try KK.iK~ > 6tf ~ ` ts' rr 51 76-SS / 2t! 5.1. PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square eet of suitab a areas. In 'sate u er of square feet of absorption area 61J _I 'a Indicate scale needed for building type and occupancy. or distances. Give horizontal and vertical reference po' d I e pe. ev o o-~ 40 V N 71 L a • s r` o k cu, i 3 ~ 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 location of test holes are correct to the best of my knowledge and belief., Name (print) Certification No. Address Name of installer if known COPY A -LOCAL AUTHORITY CST Signa A Parcel 020-1121-40-000 04/22/2005 02:37 PM PAGE 1 OF 1 Alt. Parcel 07.29.19.531 020 - TOWN OF HUDSON Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): = Current Owner * WEILER, DOUGLAS C & JEAN M DOUGLAS C & JEAN M WEILER 347 KRATTLEY LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 347 KRATTLEY LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.110 Plat: 1925-EAGLE RIDGE SEC 07 T29N R19W EAGLE RIDGE LOT 2 Block/Condo Bldg: LOT 2 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 848/56 2004 SUMMARY Bill M Fair Market Value: Assessed with: 48619 291,100 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.110 40,700 184,500 225,200 NO Totals for 2004: General Property 2.110 40,700 184,500 225,200 Woodland 0.000 0 0 Totals for 2003: General Property 2.110 40,700 184,500 225,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 128 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00