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HomeMy WebLinkAbout020-1353-48-000 . 0 ■ 0 '. ■ "0 0 CO k 7 § 2 cm • m 1 � 1 2 A; t4letc % { 7 2£ o 2, 2/ 7 R e E a & ) § k • Q EU \ \ \ j § c $ � \ k 03 a CZ a t- a a■ Z c ' ] c ■ 0 @ V > E % >1 § - a _, R fi c ( I c r: ) 0 . f 0 0) . . o E ® { ® I� kftlftik / 7J a s a ' o r ■ ) ; 1 0 = o c ` I "0 13 \ I E r 0 0 0 a o co co o W W9 / ƒ j j j co , 7 "0 0 0 ; E rn. • -- i . k ? 7 u ) I k § t { V • @ ii ; $ ,. \ ( n CD E k 1 \ CE) / 1 • 2 CD k # _ xi a $ 0 = . - u ' q § m 113 § $ $ , Z k % » D O 0. . _$� 7co \= � � • = C . 8 \a z % N) K ;o o-§ ;0 XE ; i Q I : E . §[ I CD ( a : 2g KA • I oc • ■ I \ . A • 0) • • § • J 1 t \ to o w § i 2 /* c9L O`C.r.&) Wisconsin epartment of Commerce PRIVATE SEWAGE SYSTEM County5t. Croix Safety ana4uildingg Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarl3Qflih$lo.: Personal information you provice may be used for secondary purposes [Privacy Law,X.15.04 (1)(m)]. 1 Be@I8fglF atii e: I ❑ City ❑ vifluidognavownship State Plan ID No.: CST 8M Elev:; Insp. BM Elev.: BM Description: Parcel to x1:353- 4B-000 I OD. 0 1Ct>•D ' Tod %T last = ( -for ( IAA # "t TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Sep uleatis (Z4JD B c rk (0.9 0 (eta. Ic 1.60-e Dosing ( '- t•ae..+cs 0 Cd ( 10.44 ) 1. S( SO . ZS- t Aeration Bldg. Sewer ) 17,irf 42 .02. Holding St /Ht Inlet a' 08.3( 14• Yr f TANK SETBACK INFORMATION St/ Ht Outlet C4 19 -Ss'' V. 2 /' TANK TO P / L WELL BLDG. .i n to Cdr Air Intake ROAD Dt Inlet 1,8...% 1,8...% * i - /, 0 t Septic 5 TS ' 6k) a e / --- NA Dt Bottom 4LjL2 Z 2. 11 (, 4. 24- Dosing ,7-5.' lam, 35" 572 NA Header / Man. (1„„:1441- P (i(k $'' e(2.13 ' cf. A-7— Aeration NA Dist. Pipe 9/. /8 r Holding 11111 Bot. System 4 SL .3 G $". 60 r 11.3S, PUMP / SIPHON INFORMATION / ;t�' itt.t.€0ml - "` CO 1 c k . - f Manufacturer and L )7.`{ ("1„.4.... `� errand (LIZ o c134,sbi 1 1 wt�S-t -h -t Model Number • >• GPM Z� w �TDH Lift Friction.�� S istem -� TD Ft 1 Loss 7', ,H ead a /forcemain Length vz p Dia. 2 t/ Dist. To Well 1 , / 1, 41 SOIL ABSORPTION SYSTEM s) ck . /4, ( hp B / i Width Length t / � ` N Of Trench s PIT No. Of Pits Inside Dia. Liquid Depth �S DIMENSI • `S 3' 9i• ' a.) � DIMENSIONS I SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Ma_ nu�Strer! Sr SETBACK. CHAMBER M odel Mod l ► l INFORMATION Type Of I i Number: r System: Cony. > 1� > (p _____.. OR UNIT w — cola. i h - DISTRIBUTION SYSTEM ��Vll Header / Manifold 1 . 1 Distribution Pipe(s) x • e S • . of • pacing I Vent To Air Intake Length "re! Dia. Length Dia. •acin• N 7 1 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 Ins pection #17 Yes [ "] / NO Inspepttoit itt / L MMiNTS: (IncJi de Lode di H udso cie e55 401 b r � gtt,I /4 cN E 1/4 36 T29N R19 !� / - 36 ' ! ' : _ • �. • • d ocation: 871 A�ex ane, u son, Ridge -Lot 48` 1.) Alt BM Description = let. -( -6 Got roar"— . `f c le t*eie` ( IC. `6 2.) Bldg sewer length = 5-44, - amount of cover = > 416 4, 6pos"� o k 11 ` s S-. i-3( l 3 P 4 CARS . Race.. -lam C g. Plan revision required? ❑ Yes No Use other side for additional inforr>'lati ,Q, 2 + kaZ- 1 -.0_ '_ ' SBD -6710 (R.3/97) Date Inspector's Signature Cert No * 8 -1 4L X LA4JE Sanitary Permit Application Safety & Buildings Division NW ` In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 isconsin Personal inform you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for th- : - `- . . . er not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ et'Pr s p s application State Plan I. D. Number I. Application Information - Please Print all Information ° � '' p �' . 1 Location: Property Owner Name ' r R ECEI� JE D Property Location e /iO Owner s rt I is 4,0 ,% l l 1 1 200 i , .� ., Nu/4� 1/4, Block Num r Propr Property Ownrs Mailing Address be /� . :' ST CROIX 1- /� /Y >) E co �lrn� Ci S to l Zip Code , ;. Phdl4P id FFI 'c`. Subdivisi Name or CSM Number II. Type of Building: (check one ✓.. 1 ,.„. 5,t 1 0 City ® 1 or 2 Family Dwelling - No. of Bedrooms : 7 Inr.& i eavis. ❑ Village ❑ Public/Commercial (describe use):_ Town of ❑ State -Owned } A .tb.Se9 n) Nearest Ro ' ? - _parcel ax Number(s) �� —��,� fa h / .551.3 - 4? - III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) 3(, , d q , l9. 070 4' ? A) 1. Pi New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) Permit Number I Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) * fl --lot). -l4{, Frae.r, 121 Non - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade , t ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: 2 9 3..7c" d. ed.' V. Dispersal/Treatment Area Information: � Jr !0. ,Ps - 2/ , 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil App ication 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Galsiday /sq. ft.) (Min. /inch Elevation 4 1 7Y, , C1/90 5 - i* V, - ?2 7 ((i. A" VII. Tank Capacity in Total # of Manufactu er Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ .Sk ",,`c� 2:vGo — .i m,./f? / iJ,& ' ,2 ❑ ❑ ❑ ❑ J ! _ ,e4D - ( 1 tn) /; /G*!S ' VIII. Responsibility Statement , -7� -/66 ..d. /; i-ee)c I, the und- signed, assume responsibility for installatio of the POWTS shown on the attached plans. Plumb is . �, 'nt Plumber': Signa no tamp : � MP/MPRS No. Business Phone Number ' lumber ' Address Street, ity, State, Zip Code) Z f ` IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) co ZA,C Determination Z "" t UOI ..LJ — '� X. Conditions of Approval /Reasons for /D'isa�pproval: �,Q ,� /� �, n lJ i S ng.o S t 9- ec .rer A `4 \4✓l -_ - tJ 9. Sy1 - +n.k. - - C i3 "..) /11/■Cliiti - Cawd " PA/ SBD -6398 (R. 07/00) 87 /94X A/ .0.5.9.4.) ,,00,,i bv. -s�o / `/ .i �,, M' / 79.J 9 / / OSt N ,1a4C,‹.,�'p /) - ,skv Le- A.��e1�/`. e y � /fi e/ J 5)e.-/ ✓ A /5/ W ///�1F�'�c�/ 2 al 11' ..1.1.4,1"x - ?, 14 1 &,.. -- )'',---- 'sue/ _-- c . ` . - dr ___-- A10 - - , PI c gs J,.- �C 7� ,L ?i& / 'Les .5 i ' . )1 ",- f �7 2 'I' 8� , f 1 IJiL t 1 vt - vt a 1 1 %1 ica v t, . ,,s , . ,,e,„,,,,,,, . — 56, k i- , , fr., 94 tic, 0 / 70 ka..;o.S,Z. \ w /l 7 -‘ i<5.4j / A/ ©t -1/8 , ,Z),50 i'.0 -.1 ›e , z .h) ii/i0 - .5 ,4;* .5 .L:C. ._. • 7:---7A/- ,/9i-.) P 1 r / ioacrIA) hi 4.- .2.-s , 0 , ,-/ 4 A 4A.,-Jc,./ Z /0,..4 3 iiii-ssid,s; i1 ._:;,./ &,,--,', . ......._. -- . ... ••• . _.. • • __...-. .. .---- -- ------"------ i ,1_4'e ,,,/ IlfieS- 1 , • 1 k 2! ,..),-. jke g il id Z girt 1 1 , , aLik ..Y 1;(65i., jz .4 7 3 n .----- *, t. - ... t 16 0 • /4 '') ,doeiki-dix , . - 1 ',■ , 0 Jfe4;a45^4 \ . , ■ . . d r- Wisconsin Department ofCommerce SOIL EVALUATION REPORT Page /1 of -- Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code . County .,---/ Attach complete site plan on paper not less than 81/2 x 11 inches In size. Plan must °—� '� Y include not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). I Properly Owner - Property Loca ' on / , j L Govt. Lot A 1/4-- /, 1/4 § .- 7 e T _2 2' N Rik E (o3 Property Owner's Maili Address Lot # Block # Subd. Name CSM# City Sta a Zip Code Phone Number 0 citY_II Village 12I Town Nearest Road p New Construction Use: (?i Residential / Number of bedrooms i Code derived design flow rate `e GPD ❑ Replacement ❑ Public or commerdal - Describe: Parent material x7vi tiisk%/ Flood Plain elevation if applicable 4/14- ft. General comments , and recommendations: sJs7x#, ,C'-< 8 9 S Boring - Boring El / reN pit Ground surface elev. ,Y7 9 ft. Depth to limiting factor/ 2 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 MIffit MOM IIIMMINIII MIIIMBIN UNE •_y ININIPM1111111111/41111111111MIRMIPINIMIMIIIIMILII ILMIPINIEMINIIIMMINIIPSIIIMNIMIIIIPHIMIIIMIIIIIM Boring # ❑ Borin /J Ground surface elev. 97 S ft. Dep to limiting factor > J' in. I e'7C Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 IIEMIHEIIBWTAIIMIIIIIPMIIIIIIPFAISYIXIMIPIIINIIIPJIIIIINIIIBIIIIIFM • Effl t #1= GOD > 30 < 220 mg/L and TSS >30 < 150 mg/l. • Effluent #2 = BOD _< 30 mg/L and TSS < 30 mg/l. CST Natne Signature � L A� CST Number .ii /J 6W )A) i� Tel Number Date Evaluation Conducted Telephone ( ' / S e° i ( /�/� / ,t- f <e/i ,11 t ,�'r'/') ‘i--_-_.(5_,,,, % .5' -�vr S- //.S Property Owner ,Ad, ,41k /,) Parcel ID # Page _ � of `3 Boring # nn ❑ Boring E I. Pit Ground surface elev. 9 < 3 ft. Depth to limiting factor /4 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff in. Munsef Qu. Sz. • Color Gr. Sz. Sh. •Eff#1 •Eff#2 IMIUMIIIIPMEINEMEMEMINFII 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 GPD/ff in. Munson 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 GPD/ff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 •Eff#2 • • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 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. $BD -330 (R.6ro0) >` 3 /,3 ZiA) gisk A/A) g , s, q/- SEC, 3 7:7794/ 1/ 87 ,9 /Fx 42ii � . 0 14 v _),,E s/a i e A A.x`3,,9 //1,, / 2 � ml l"asfinrei '� _/a .41der ,4 C /GYJ.D r t 1 `' -7 ' -- o sue/ �- ------ 40Pr A V N i b s ( ' l n 1 " N� � ll l � o r6 to vl ,p 1 e,,,,.t A z 94 1 f 91 1 t "Y( - _ _ - _ - - ■ _ - - -- _ - - - -- - - _ - - - - _._ - -! - -- - _ _ -- �- - _ _ - - _ � . _ . 1 }, fi - _ - - - - - j T , - ■ ■ ■ ■ . 71 Wisconsin Department•of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings _ .- Page l of Bureau of Integrated Services in accordance wit' -s "fLI' f9 $3 09; • \(yis. Adm. Code • Attach complete site plan on paper not Tess than 8 1/2 x 11 inches ipfsize. Plan rot -' COunty include, but not limited to: vertical and horizontal reference point ((), fandrt `' ' ' � \ S 4 . C ro 1l X percent slope, scale or dimensions, north arrow, and location and /distance to nearest roati ,' Parcl I.D. # n APPLICANT INFORMATION - Please print all infotlnation, a. ' Asvi wed by Date Personal information you provide may be used for secondary purposes (Privacy' Law, s:. ,9 "j J' ` j,� 1 4 4 ci f ( 1� � q Propert Owner Property"CC 1 l'kCl4 hr�l in c) GOIt. t '+ ° �° ' 1/4s E 1 /4,S 36 i-z ,N,R iq E (or)CI Owner's Mailing Address ' 1- #.- o8f ck# Subd. Name or CSM# 1363 Awa --4-0 k e. e 4-r . y8 Co+i-o IN WO c cQ k 4 -2. City State Zip Code Phone Number ❑ Nearest Road Li City ❑ Village © Town 14 Oci60 I\ I w1 isq'off I (7 ' -623/ 14 I.) cLs o r1 1 ear. woocL -f-r ® New Construction Use: © Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow ( gpd Recommended design loading rate ,p. bed, gpd /ft trench, gpd /ft Absorption area required 3 bed, ft ZOCC) trench, ft 2 Maximum design loading rate ' f bed, gpd /ft • trench, gpd /ft Recommended infiltration surface elevation(s) 77. 70 ft (as referred to site plan benchmark) Additional design /site considerations co n u r e.--(e u • 96. 7C) Parent material G- /aCIc.. ( 0 L-&-3Gt..s (1 Flood plain elevation, if applicable . ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system L S NI u Lid s u ❑ s ® u ❑ s © u ❑ s © u ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon De Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 oya I °Yr3 /Z -- SG-. Inaa6k nyl-cr e- S 1-C , `f :. a 1$ -3s 1 ° N(r '1/3 _ ,S' i I l ma 6 wtfir c S — •Z ' • 3 Grou 3 38 -YZ Eo - 3 /b Czp - ZS" ) , r V/6 C_ ( avi'►ahi< WIci C.5 ` N� . / 4S. 7o ft. Depth to limiting factor 3 $ in. Remarks: Boring # I 6-16 101(3/2- S 1 - 1 wiabk '-fr' LS i ,"l .S 2 /6 10yr 113 S 1' J 1 mubk w c- C- S — • 2 .3 . )0y r3/6 Cep 75yry /6 C. #1In.4 C- I bk tvt-4: S — 3 3 q ; Ad, :- vP Ground elev. rrrD ft. Depth to limiting factor 3y in. Remarks: CST Name (Please Print) Signature Telephone No. il .Z...■ ' , 7/5--;2?-Gocir-- Address Date CST Number 1108 Ce__c .-- ,:57. 7 so rw2. r,5-Q- -f--w(_ s'/OZ5 .V al-S -330 r ti SOIL DESCRIPTION REPORT PROPERTY OWNER 5 Page "Q of PARCEL I.D.# Borin # Horizon De Dominant Color Mottles Structure G D /ft 2 g Texture Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -17 10■1 0/Z S L- I m K 4n�r c - S I c . V :• S a 173'4 1 oy r y/3 i meth 14ter C-5 — . 2 ; • 3 Ground 3 yq`-yo t o r 3/ 6 c 2 p 7S r y/& C l Nrwl< ✓ytc t✓ c� y�J .G elev. 46•x. Depth to limiting facto 3 7 in. Remarks: Boring # .......................... ................ _ ......... .......................... ........................... .......................... Ground elev. ft. Depth to limiting factor • in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # ........................... ........................... Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. • ft. Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) .51 Lie C'o+- )mwood Riv ,s I "= f rv' M..1 ; 10.. aeJ dm el.eu. (AO ■ "Cherwy 6w►Z elev. ioo G Syskw► PAW, g7 76 erakkocciev. q 4• '7O . • amt. 00,1 , r : • I - l • tr Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number ? �sYo Number of Bedrooms Design Flow - Peak (gpd) (a eV Estimated Flow - Average (gpd) Septic Tank Capacity (gal) ( D w Soil Absorption Component Size (ft 1 - - r a Q Cc./ a S ,koQ,¢r Type of Wastewater Dostic thstax5 Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) 12(eO I q z Maximum Influent Particle Size (in) ( 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se • ' k and outlet filter shall be assessed at least once every 3 years by inspection. T- - outlet felt r shall be cleaned as necessary to ensure proper operation. The filter cartridg- • e • • of 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 • Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this h component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep - rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 MAY 10 '01 10 :01 FR ST PAUL CDPFRNIES 651 310 3679 TO 917153867992 P.02/02 May 10 01 08121a Jason Johnson 7153867992 p• 2 c, f26 /2AP8 la: de )1521171e30 *./ISLE EXCAVATING h PACE of ST CRO1X cower yf.Pl IU TANK MAINTENANCE AGREEMENT AND OWNI RSHIP FORM Ownet/Buyer Vit's 1 b Nailing Address 4 1 1 4 J L % ue Soot INN t • tic M • Property Address -4 487j / (uenftcalron tequwred from Manning Department for new construction) Ciiy'State 1/ /v I Parcel Identif►csuon NuMber LEGAI. DESCRIPTION S� t/. $c c. , T N -RILW. Town of ultb Property t.ocation /� S. Subdivision 0.4 t "Nb000P 12.1 �L _ . Lot • 1 7 J/ Cenined Survey Map 0 , Volume - _._._� PaSt p -- Wartranry Deed N 7 �`'. . voldtne 4/S5—._.. Page 0 Spec house t.) yrs 14 no Lot lints identifiable yes u ao SYSTEM MA Proper mornMnan:e Improper use and matmenanecnf your septic cy.+ern eo.Jd rtilllt rn les premature failure to handle w wastes. 1 yr the ayNe t coftbate of pumping our the sepne tank every three years of sooner. II needed by a licensed pumper you pt+ can affect the Noma' of the septic gaol. as 3 treatment nue in the waste disposal sysarm. The property owner agrees IC subnht In at Croix Zoning Department • eteufitatldm rolrrt, mired by the awmer and b• • 'ratio plumy.) OUr neynlan mb cr. teSht( tc d tflumber O ra licensedpumpervCnfying that ( !jibe on - allewaftswaterdtdpoca1 fralt•r. It In preps operating cuod,llon btdin. t 2) after .mcpcelia+ and pvmtaing (if neeessary). the misfit last is less t 11) hill of .lvdpe. Rut. the understgt' d have rest) life above rcqunenlentf and agree to tna.ntato the pm-ate Sewage disposal system with the ttrd+tat tell forth. hookas at by the Dcpanmad of C.r•nmewe and the Depart neat of Pasture Resources. Sure of wisconsgn Cen Iwo.' Mai yew aept'e tetl m.m emo tut been al9•n: t must Ac (tanptelnl .nd resumed m the Sr riots County Zooms Oaks 14yt or tent y ear apttalWn daft, O y 01 aGs AP icANT DATE OWNER CERTIFICATION 1 (we) sentry that ;II a Motto a got Olt) turn, arc ova to the best of my (our) knuwtedsc 1 (wt) am (are) the owner(.) of t ptupeny de ri. a hoy 1 t-trrtrc Iii + wjrt ay deed Recorded m Register or Deeds Offgee • _ ! 1 4Qr01 : A • LICANT DATE • Any information that ti presented may molt In the wavy promo being revoked by the 7.nrnng Depart'nco' •• intrude wpm ch.c urethralnwt a 4.1a.aped warranty decd from the Regime of Deeds office a copy of the terrified survey map if reffrhte is made to the wammy deed MAY ' t R 'PI A9: :"{9 7153867992 PAt3E. 02 ** TOTAL PAGE.02 ** ID` STATE BAR OF WISCONSIN FORM 2 - 1982 ,' 6051 4 31 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS DOCUME NT NO. ,.• • L, I ii ST. CkOIX CO., WI F III A c VOL ��35PAG_ 1t)� RECEIVED FOR RECORD !! RICHARD O. STOUT and JANET P. STOUT, husband 06 -18 -1999 MUM and wite, WARRANTY DEED EXEMPT II CERT COPY FEE: j COPY FEE: ' I a sin 1 P Prsnn FEE: 143.70 V T RFT. TRANSFER conveys an warran to DAVID . `7 IY i Y RECORDING FEE: 10.00 i PAGES: 1 ;, • THIS SPACE RESERVED FOR RECORDING DATA 'NAME AND RETURN ADDRESS I I the following described real estate in St Crni x County, ) i „ Y. . ' State of Wisconsin: I Lot 4: Plat of Cottonwood Ridge, Town of ■ 1, - .•son, St. Croix County, Wisconsin. ;, , 020-1108-80 I P ARCEL IDENTIFICATION NUMBER � ■ lI I I I I h i i i �I l I ji j This 1S not homestead property. (u) (is not) Exception to warranties easements, res rights -of -way and covenants 1 of record. i 16th June day of , A . D ., 1 9 99 . i Dated this Y H Richard O. Stout (SQL) Janet P. Stout (SEAL) ■ • & &.S+Du , -.- W. 4m r (SEAL) (SEAL) II ii !1 1 AUTHENTICATION ACKNOWLEDGMENT State of Wiscons SiSignature(s) I' } ss St. Croix County. authenticated this day of , 19_ Personally came before me this 1 6th day of I :Tillie , 199_, the above named Richard n_ Stnuh and , Janet P gtnnt TITLE. MEMBER STATE BAR OF WISCONSIN i Of not, qda V 1v�aTy OU11D authorized by 5706 06, Wis. Stats.) tp m wn to be the per, nS —__who executed the foregoing �sg d acknowled a the same. THIS INSTRUMENT WAS DRAFTED BY State o f I Janet P. Stout , e'- d'ked • 1353 Awatukee Tr. C(��L( County Wis. Fuetsori, wi 54016 No ublic,_ (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. t. (llf not, sy�je expiration date necessary) 1of Dj • Names of persons signing in any capacity should by typed or printed below their signatures. W,aeans,n Legal nc STATE BAR OF WISCONSIN l Biank Co no. 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I II 1 II APPROVED JOINT I APPROVED JOIE W PIPE II W/ ' PIPE EXTENDING 3' 11 ALARM EXT JJDRJC. ?' O►JTO SOLID SDtL ' II ONTO SOLID SC' B i %oON C I r: I L EV. FT. PUMP -� - - i L,..- OFF lz >r CO►JCRCTE DLOCK---1 l 1111 RISER EXIT PERMITTED OLJLy IF TAIJK MAIJUFACTURCR HAS SUCH APPROVAL 3" APPfioVE& 6EDDING w-dr-r re. ►.1lc. SEPTIC f SPECIFICATIOKJS . DOSE TA►JKS MALJUFACTURER: �� - IJLLMDCR OF DOSES: �.----- PLR DA B TAPJK SIZE • g(rO GALLO►JS DOSE VOLUME I IUCLUOING OACKFLOW: 157 GALLON. U K •-. 5-7 - 1 . ALARM MAUFACTUGR: •-.5 /`' . ./ J/�� .--',4',/,., �/� + Y� .� GALLONS MODEL ►JUMD[R: /� w if/ CAPACITIES: A �7� INCHES O R � G t ., SWITCH TV/E.: / / }/1 /J ( 5= INCHES OR GALLO►JS PUMP MAIJUFACTURER: -If /Vs c. INCHES OR /.5; GALLOUS MODEL JJUMDER: EC ,g /// D - S INCHES OR /A GALLOLJ! SWITCH TYPE: Si. ,c /,ti 9 - AJOTE' PUMP AUG ALARM ARC TO DE MIIJIMUM DISCHARGE RATE 3,5"-- GPM INSTALLED OM SEPAL "•:ATC CIRCUITS VERTICAL DIFFERENCE OETWEEN PUMP OFF AND DISTRIBUTIO►J PIPE., c ---,1 r' FEET + MItJIMUM IJETWORK SUPPLY PRESSURE ' FLT + ,MA FEET OF FORCE MAIM X�2S F R / C I O rr FRI C 11u1.1 i-C R A 7 FEET TOTAL OyUAMIC. HAD _ 7 FEET Sy" AZi,,,k- e 1 IIJTERAIAL DIME1JS10 of TAIJK: LENGTH _ j\4 DT .;L IQUID DEPTH `:IGIJEG� -- ���� LLC£PJSE 1...IU1'lt3[.R:e ` . DATE: 5.--/-7-eV DA ',0 St z - ,, Performance 9e,:iii6Aiii &c...,..-rbiii4lie milluelii. Curves p , ,.,,, ,, ,,„, ' .,,i i :f./1 0.# "/ , ,,, ' `.5 , o4 , t , P i 04 ,, METERS FEET - 90 r , 1 1' MODEL 3885 25- 80 SIZE 3/4" Solids C1 7r, WE 15H 20 - -"411.1111 111111111111 III 111.11111111111 w , ,., X WE101-1 -.Num ,„,,.....gmE 60 will I- 0 WEO7H - IMEM11.1 I- 15 - 50 sal 11 im MAIIIIISL WE 05H - A ilib 4 ill11111111111110 1111111M=1111=111111131111011 10 - 30 WEO3M I il. II. li. A =Oh tomminowill. milli----tme. , istmernmeam 20 IIIIIINMENIIIIIIIMEMEMIIIIMEMII WE 03 L Irews■-__ ..- 411 Emi-ggimimmwmigimigw‘mik 5 - II - 1.1 1 1 1 111111111111:1TaglkiltiMI.1111 -- 10 • IIIIIIIIIIIIIIIIIIIIIllijillIll - 0 _ 0 El 0 I 0 20 30 40 50 60 70 80 90 100 110 120 GPM I___ I 1 _1 0 1 0 20 30 M ... CAPACITY M GOULDS PUMPS, INC. SIM-CA FALLS NEW YORK 1314 8 METERS FEET 120 — 1 MODEL 3885 35- l- SIZE 3 /4" Solids 110 -WE15HH 100 1 . 30 90 t --- ' , 1 25 - \ ' 80 O g 70 t i 20- H , 4 60 . I- 1 0 I- \ WEO5HH ' 50 15 - 10 - 30 20 , 10 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM 1 i 1 0 10 20 30 m CAPACITY 0 1 985 Goulds Pumps, Inc Effective July, 1985 - - C38 8 5