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HomeMy WebLinkAbout020-1353-53-000 o 7* 3-130 e , ; ( • i7 K • 7 ]% ® 2 / \ / ° ) t c § 8 o. kJ 9 ' 2 j / E CO ) § ® G / CO k § 2 ¥ § 0/ 2 [ k §§ $ 0 O E E 2 a 8« E ° M D . = g I \ \ 2 } ` k g 14 � F 2 0 E' § E c I C � z 300 § 2 g S \ \ \ 1 3 K * \ § E 2 c 1 8 I Ni 3 £ so m D m z z 5Z Q 7 \ 2 \ / \ \ AI . E , I k [ \} 0\ a - \ \ / k k / 73 I 0 E [ / E = E P ' I 53 to -, § § 0 k 2 m § 2 co fl z 1 -. E � $ [ • I G ± St } -n c ® -n 30 e / z $ t � \ ; CO 0 ' § 4 cr. I \ I - o 1 . 2 I K I 5 1 \ § ) . f g \ � 8 \ j 2 � Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page _ t of 3 Bureau of Integrated Services in accordance S. i[E R`63 09, Wis. Adm. Code • Attach complete site plan on paper not less than 8 1/2 x 11 in es iir'size.�'Plata4pust County include, but not limited to: vertical and horizontal reference int (BM), diileailon, ', S+ - ecUt y percent slope, scale or dimensions, north arrow, and locatio and distance t6`fieate8Y- ' road Parcel I.D. # Q! r.-- APPLICANT INFORMATION - Please print alllinformation, .a tf Revie ed y - Date i Personal information you provide may be used for secondary purposes (Privacy Law < 11) (m)) ( 'n / 7 j / Property Owner rr y L ti 1 i/( K k C_Y,V ' U� ; .; Govtstm ,ki 114 ..56\f 1/4,53 6. T Z ' l E ( °r) Property Owner's Mailing Address _ (Lot. Block# Subd. Name or CSM# 1 31: Av.:wa-Nukee Ty--. 53 C4A4 o w ood (- vdy.i City State Zip Code Phone Number + � ❑ City ❑ Village � Town Nearest Road C tUCt ir) I U3 ( 15'-4t, b 1("W3 ) - (n I4t tdSo() 1 c04-40", of -►-( ENew Construction Use: Residential / Number of bedrooms ) Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate . ( J ed, gpd /ft A . trench, gpd /ft Absorption area required /-S oed, ft /7 0 0 t rench, ft 2 // M aximum design loading rate _ � t bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) ?Z. 3 O ft (as referred to site plan benchmark) Additional design /site considerations 414. 9G. aC) Parent material Gletcl Q 1 f ) U I Jt S), a1 , Flood plain elevation, if applicable if ft S = Suitable for system Conventional - Mound In- Ground Pressure ` AT -Grade System in Fill Holding Tank U = Unsuitable for system g s ❑ u lI S❑ u Os ❑ u [ids Liu ❑ s Q u ❑ S® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 0 -19 .11 y r 315. LS t m3 m t 6,5 t C . ; - I 2 1 9 -9P (vfr (-4 1q — rn, L 5 4 g mI LS NC -i' .g Ground elev. 93,oaft. Depth to limiting factor , %in. , Remarks: Boring # 1 O - 2o 1 513 Lc, ) r'yn m1 L S 1C. . . $ z Z w - 1(yr HIS L..s 1 men m1 cs 1v-P- ."1 ; , g . Ground elev. QsMft. ' Depth to , - limiting '17t19 factor 96 in. Remarks: CST Name (Please Print) Signature Telephone No. 4 4 ' a/ SC_ u, _ - �L...■ rte — el IS) Z ( -11' L {CX ) g Address Date CST Number 7S C e d e r 5 - f . 14-4 Somerse -E-, . , , s 1 5 ( - 4 . 4 1 z 9 -ts^99 253socr i SOIL DESCRIPTION REPORT PROPERTY OWNER 5 1 : 3 " (-51— L) Page - . of 3 PARCEL I.D.# Borin g # Horizon Depth Dominant Color Mottles Structure ry Roots G D /ft 2 Texture Consistence Bounda P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 2 . 3 I 0-26 1p r LS 1(Y\Sc) rnl CS IC •1 2 -4‘ 10 Yr 31 4 5 t rr, rn 1 C_5 1 v `l $ Ground 3 yLD C la <-11( r 0 s mt G5 ele 4s.oc. Depth to limiting factor 9(D in. 7 k9 v• Remarks: Boring # I 0 - 2 lOyr l Ls t m 5 9 m 4 . 1 : 2-22 10, LS 1 rn59 rn I LS - i 8 u -74 r 31`4 S� t rnabk m4r LS — . . Ground 4 7'1 % I d y ,- ` t `t-4. ._�_.. L S rf l' MI GS elev. 9y daft. 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 # 1 8-3 I6yr31 LS 1 r-35m( c 1 .1 L S 1r�S mI 5 . 5 _ Z 3 -z3 1kyr X41(0 c — 1 8 3 2S !t jr 31y ` Yr,a I! ra r c-5 -- • 4 5 Ground / 10,(r-4-(14 LS 1 rn59 mt c S - 8' elev. - 9y reft. I ' Depth to O limiting ' (.0 factor 94) in. Remarks: Boring # Ground _ elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) ; Oo-i- +o g LAtoc) a A,v Y10. ( 1 'nz.f " °caC i3wA 1 e l-e v- !c ' c .vg.,' i i et_ " Po eeL2 !o0 0 1 3wt cl�e�• pZ . 3 3 6 et-e Yo, o aq e fa i Pi; c■ • IIMz • op- t .1* Wisconsin Department of Commerce y Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar o.. Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: 1 0 City ❑Village H ❑ T�wn of: State Plan ID No.: Hammer, Jeff H ud s o n T CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: td . 6 loo ' 1l' <c',►( e 020 - 1353 -53 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Week< /2-6 0 Benchmark 4.o? (06.04r Id 6 I!: ' Alt. BM + /b /OS": 9 7 - eration Bldg, Sewer 9 f ( lit. O4 Holding S/Ht Inlet 7, y iI G T / 6 TANK SETBACK INFORMATION ©/ Ht Outlet 9 z q f . 3 S TANK TO P / L WELL BLDG- VAirentto lntake ROAD - - Septic r L�d r / 5 / NA -B - Bettorrr _ g • ' • NA Header /Man. xe.itc S Aera N Dist. Pipe 1€/- � jac. C/4 Holding ��! Bot. System cr 1 bhp 9 3 - eZ,__ r PUMP / SIPHON INFORMATION Final Grade - I . 1 Q G q'. / I acturer Demand St cover2_ X Model Number 1"111111111/' , TDH Friction stem TDH Ft Loss - : • orcemain Length Dia. Dist. • ' : - SOIL ABSORPTION SYSTEM /8 C � rr ea ,,,� _ K.Q.s�t/b S BED / ''.la�`C�:. Width Length f I No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENS�•R, C - 7 ( � l DIMENSIONS SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACH M fa r: INFORMATION Type Of + r SS i ���}}} e iv/4, umbGer: er: Mog System: ca V 1. 0 - � si d ,eirito/l^'' DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Z v Dia. 14 ll I Length 42-S.-- NIL y 04 Dia. Spacing ( I Mi l SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over 1 xx Depth Of xx Seeded /Sodded xx Mulched Bed / Trench Center Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: /, 3 / Inspection #2: / / Location: 641 Hillary Farm Road, Hudson, WI 54016 (NW 1/4 SW 1/4 36 T29N R19W) - 3629192053 Cottonwood Ridge - Lot 53 I/.) ( N , J ( t o / c c ent Gl l ok i' ca rr p kee 1.) Alt BM Description = ceo✓ 5 < < ( „a 9 e) / � 2.) Bldg sewer length = /S S ' _ ! 4I . k' (tont 4er CV r /7 76 Co ti e aaleVie a 7 - amount of cover = '>',..5-1---- 1 5y�{ et r e � 3� o loSerU,, +inr- v -t jt,4tt.rl/ itn C� el laer - 1r m ea ek 1a Plan revi r fired? C7 Yes N Use other side for additional inforn{abon. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Z CO ? ff e F x ®.. w. o-... »�-�� , m a .A< ,, 5 _ m. s`*e.„.x.. „ .... ,.,».».... �...i , �. M n, w. a x6 I g awe ., �,. a-, mY -.,..R o .. ��. w ... � ...� _.,.,,n - � 1 € + —I a m etr+ . r ; » -.=..a dm.,.« . _ �s ....�.. $m >e».« �s�. e.. �. , »..» . a ,.� _.e } �...,» a.»...� �...«? . gy m=.. � .„ .. � ' 3 ... ...� ' A, m �. t a } ; 8 .- � _. I ... I e. . _ - 1 I �<. — 1 . .» », - m» a �. 5. g i �—. .....__.maw. __ _ ...»._ _ .... „ ��._...� _ „ ,» � � . . �, 'I 1 lo—: _ry _ _ , 1 .. , .,: , _ ,_ _ i F I 1 qq i —111 11 III ... 1 , i , . . 4 I : . : : ». H H+ - H f .. .1... ... ..a..,, e 3 i l t i ir . I 1 .____ ...s.sk....,is ._4_,.....1. t... 1 F 4_ 1111 3 i iJ r a ; i _ 1 ! f i gg ,,,_....,..., , _ ,„.,,, , , . „ i r . ,4 , t 1 , - ,i,,,,It - ,--4,--, , , al . -- �w ... �.....p — -- -1-- <.-- .m,N . ---- -- § � -- _ .�. r,�,<. —.. 3 � ; �_. € ». „........ .. . . . � ..........,. __. �._. � .„.........._a._�..._..._...__. .......__.. �. ......_ ...�_ ......_ _ �.,. ........ a. 444 ,1 ,,,ic 4 ., , ii i i , I I Z t . I Z • 1 o Ti. ..,� s �� . 3 � 2 z z4z _ . o i r e - » .� a (j 8 � e..» »<».8a.e.: g m:e.a.m... e.».„... e. .„.....<� .w e u— _ .«®.e. -« .mv..+ »- .. �.,... <„« .<.:. ___i_!---4- 1 �....:«.. _ . - -. 1— - I” i - -- -----4--- . • I 1 , _ , , ! .. ... m . 14-r.0 ,A-- -Y 2d Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. S ee reverse side for instructions for completing this application PO Box 7302 NVisconsin Madison, WI 53707 -7302 Personal information you provide a sed for secondary purposes Department of Commerce (Submit completed form to county if not r p o 04 ry p p [Privy i∎yZS. F5.04 t • state owned.) Attach complete plans (to the county > y) for t� system(ttt ,aper not less than 8-1/2 x 11 inches in size. County State Sanitary Permit u , ` ')} it isi0N t r mats application State Plan I. D. Nur n ber 1. Application Information - Please Print all In atiou t' Location: P roperty Owner Name .. ' '' 1, t 200 __. Property Location 01 E",: . �i (l�`�/saE.s� � ST co R!X .-N. /�ytf 1 /4�tff 1/4, S V, X ,N, RfE (or)/0 Property Owner's Mailing Address tG UFFtC� / Lot Number Block Number • / *4 3 ) 2exp , r _____-,,r—i - v /____ 4 City, S to Zip Code C t 'RI Subdivision Name or CSM Number 44.r)_scb) laVl S� ©/Z . ( ) ��i,Mo,e) .,'L II Type of Building: (check one) ❑ City I 1 or 2 Family Dwelling - No. of Bedrooms: / 0 Village Public /Commercial (describe use): Town of j7 / ❑ State -owned / /./ZScr III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road J / ' �.Jboe,n /x All A) 1. ® New System 12. ❑ Replacement 13. ❑ Replacement of 14. ❑ Addition to [Parcel Tax Number(s) System Tank Only Existing System B) ?errrtirtNf[mtber ( a+'c-..- s ❑ A Sanitary Permit was previously issued O2v /353 6 6sn 3re -2n . (`3. 2o53 IV. Type of POWT System: (Check all that apply) ' Non- pressurized In- ground ❑ Mound 0 Sand Filter ❑ Constructed Wetland 0 Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grad , r 3� „ p Aerobic Treat iP e U➢,it ❑ Recirculating ❑ Other: (3) 3 x SI. -C c�(v,ti,,,� -►t�K V Dispersal/Treatment Area Information: I. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Oafs. /day /sq. ft.) (Min./inch)) Elevation VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks i ❑ ❑ a ❑ .fro 4 o / ' . -ids ❑ ❑ a a ❑ / / VII Responsibility Statement I, the undersigned, assume responsibility for install , tion of the POWTS shown on the attached plans. Plumber's F ame (print) Plumbe s Si : , . to o sta , :,. ): MP/MPRS No. Business Phone Number ' i. I _ 14 . Plumber's Address (Street, City, State, Zip Code) _ . y 2 /42 /4 1 / ) // (5�,e41 1,1),7 s� -1 _2( VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) N,Approved 0 Owner Given Initial Adverse SScharge Fee) Determination cht aas. et. Q i = Z8O ‘Li-t.,,'" 1 ,,,, ,1 ( dk,`______ IX. Conditions of Approval /Reasons for Disapproval: • SBD -6398 (R. 07/00) /^ ' Q "V A \ t z i . - .t ',.- N. D °-, �� k LP i b' k 1 W 0 - W ) Li to , e � p�p U ...., --,__ \ \\, 0 \ .._. 1 , a '41-• I % lj)\ Nk .-\----‘ I ' 1 , ,i6 ' ° o - 1 - kt. s ts 2 4 - c6--: 1 •te-v( (1 Iv 401 _ S Wisconsin Department of Commerce SOIL EVALUATION REPORT I S Page / of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ty �� /�� Coun t / Attach complete site plan on paper not Tess than 8 1/2 x 11 inches in size. Plan must '`� include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel ID. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q- //d8 _ 7,) _4,Pn 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 Property wner , / Property Location ,E j- �ne7 Govt. Lot �n) 1/45) 1/4 S3� T? 9 N R )9 E (or) Property Owner's Ma Address Lot # Block Subd�ame r CSM# l - 9d y fi ....1---__? Ath 2 if F A (90/9 )).01. C Zip Code Phone Number ❑ City illage Town Nearest Road l r/izs S /Z 1 ( ) zyils I .1G t7r.n '! New Construction Use: 18:1 8:I Residential / Number of bedrooms "/ Code derived design flow rate �,4/5 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material ( .p o4-5/ Flood Plain elevation if applicable ,i1/A ft. General comments // and recommendations: Sisi,,e,, .5-L 93 G S - y`3''^' ,gode,1.5 / - - I 0 Boring / Boring # pit Ground surface elev. 9i 1 ft. Depth to limiting factor .... in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff 1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 111 1 11111: . NIMI�I lIIIIIMINI ! EIMMIEMBRIARIMENELPMEM S NM Mil 2 'IA?. Boring # R0l�II Boring Yom` Pit Ground surface elev. %/, 9 ft. Depth to limiting factor >3 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 I PM , N it — MI MI allEMIPARNIMEMPOINVIENIEWAI =Mal ME MIMI Effl -nt #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L Effl ent #2 = BOD 30 mg/L and TSS 30 mg/L CST Nam• P -ase P « V Signature CST Number NI/ _ - Address ' ate Evaluation Conducted Telephone Number ,° s S Property Owner /.c£/'t je. X/ _ Parcel ID # A - / /D$ 74- 490 Page .1=2_ of ...? Boring # ❑ Boring ja Pit Ground surface elev. 98, / 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 fir "a %L'E . . t EIMM P���'�BIll — Mr. i'I -= �/ Boring # ❑ Boring 7 © Pit Ground surface elev. 490. $ ft. Depth to limiting factor > 9 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 o e, /h 3/-? J udi- is „4, ,,, / a s 7 /. a -?7- y/ /D �'S*� mi l � s � �, 1 - Cge /, - El Boring �-- Boring # Ground surface el: -. l'+ , Depth to limiting factor > 9 in. ® Pit Soil Application Rate Horizon Depth Dominant Color Redox ' . • ion Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 / is i ._. i - * 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. SBD -8330 (R.6/00) 1 G. • • ` cr Q. o 1 do /D M \ \ t=. a i f 2 iZ ,., i '.‘ c:: os \- ,)s 4 . . NI I 7 r 4A kr) --A. ,4.- ,%/k1. 40:\ 1... P 1 4 4 i 0 80 1 ‘J, ;:c) .t s Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component p y p P 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 ';44 Number of Bedrooms ` Design Flow - Peak (gpd) 6.60 Estimated Flow - Average (gpd) Septic Tank Capacity (gal) 12,6O Soil Absorption Component Size (ft') Cp Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) l 4 (04.144 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 septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the 4 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 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 1 1 , ♦ ST C�MX C�IM" x�, 1, `� . It s TANK MA� •.. :pan AND owNCn3Htr CaRTtlteAtloN roots Owner/Buy.? a L ✓kt Yh - , .; ��o�b .,,,.1 MrilII% Addrat • &IL • , 1 1 •Propt;AY Address " t •• •'" - "'i hnu nt l eew est atruetien r` r '� t Vertfiesrton teou red (mot y lammn$ Ospa II , ...02142461...."42 ..,„4. City /Blatt percat Identification Number _ Prcperty Location thg,. '!�.AW. !.. Sec ge..,, T2N.R„W, Tow of ilegi. Lot 0 „„53,.. '. ..,,Lilla. 4 .-g ) gd4..-# 11.,,.„„„...,.._,,,,,........., s4b;iivi,i.fl Mop # f e , volame�� • ta4eN RiMd Survey / ...5:31......, YolJrne Aebe M Warranty Deed N r. Sp �+, ec house O yes �,( no Lot lines identifiable es 0 no VEZI • u �ti: cystern _ould +t wit in iur p ntttittwC fail ue to handle wastes Proper nta 1 'attend nl septic o f yet, W u a into ills sritet '. w t , Rrcc ooter, if needed by a licoesed purest hot yo p' . i. co�tists at rumple; out the :ep a trek s cry' ears ct t Y con affect the funelmie of the it', , link at a ucalrrem saps ;n the waste depots system. eM ew�1f en11P malty The property owner tatter to submit to S; Ccoir► &lot S Deparnnsst t test itlet,tj � forte, .t i i e we y the tdip.ssl ty n ma plumber, ititirwtl tise l: amber. restricted plumbs? et 1 Ileitied planner 'n►tidyals s ) le , proper opentinS eondlron amide/ (2) s e nvtpee+ien and p (if euess.ry) tM •epos tank is less tbtr. I) MI if sledge.. t'eu±, the ,indettiii'led l,avC r ;at! tt+e.bete tcµu ,■mgrtf end at,,ee le nta#11e,1ti late prat{ %Nags dticosel i W a ttte m r HI forth, heroin, a1 ill by the Deis/noun! of `iowncrce and ills flcpirtment or Nttu_ti Astaurces, SIC* of stein` test newt septic system hei bete rrr nts,ned Mat ye co INS retuNttd to he tt. CrOte Cowry 2entnyt 011ie w,ot tp. de of the three year srlpiretton date, ; _sz,24e====z____ DAZ ` SiCNATURR OF nrl`c1CAt*T t .all& ranlarsea N t two) eertih that all tulcr u„ wt�s form 0 shed Molded its towel of Neel OfS1 ae, 1 (we) trN fete) the owrwi(s) . the pr pity 4044 4, by vow or d r silty �.�- ---� -- D A '!t At VONA'1'l:#tfi or APPLICANT tr .. r . r••••• Ally information the; is T,4represinttd tray mock in tM seeds/ poen betty revelled by lbe Zey D,eO' eri Myh''t. , red warranty deed freest its Reny et.r K pNN OW i •• litetuds with 411 ;e eppHestlM • romped y of the willed survey mop it restates to *de ie the wtnb*y Mad M 1 ia•4 ***4440i � A 0,2X2 111110211 wde ot:411 441-611-490 „.,---• �' l !� 64)1Z ,, 19 STATE BAR OF WISCO F ORM 1 - WARRANTY DEED I,' �fj t. d 1.4,4/4/ DOCUMENT NO. 4 Ke 'T �6 * /rot V�� o t7[4 This Deed, made between e-eirsj1 e _____ErrRaRn n_ RTOnT anrt o l'itNRT P 1TOUT I husband and wife, - i tti J/� 10 • Grantor, I ' ',, `” and . SRFFEuv B si gaol VP a pi C49 T WRINg A en _ • 1 S . f / j ID HAMMER, husband A wjfP+ � G l7, JO . �t 'u , Grantee, 4 /a., .. /O. Witnesseth, That the said Grantor, fora valuable consideration conveys to Grantee the following described real estate in ____S±,... C rnix . ' THIS SPACE RESERVED FDA P.ECORDINA DATA { i county, State of Wisconsin: I NAME AND RETURN ADDRESS I , 1 II I 020 - 1108 -70 -000 PARCEL IDENTIFICATION NUMBER 1 Lot 53, Plat of Cottonwood Ridge in the Town of 'Hudson, St. Croix County, Wisconsin I j I Thi i8 not homestead property Qs) (is not) i Together with all and singular the hereditaments and appurtenances thereunto belonging; And : • . - • • • - • • • - SLWit_. - - warranu that the title is good, indefeasible In fee simple and fret: and clear of encumbrances except I easements, restrictions, rights -of -way and covenants of record, r and will warrant and defend the same. i . Dated this 13th day of An.3u ,1999__ -. _ .T nevi- P _ Toot _____ (SEAL) ....iti ahar d o stop* (SEAL) /�'j ,'C/Li,Gsw!.'t„`,a•- (SEAL) — (SEAL) I AUTHENTICATION ACKNOWLEDGMENT State of Wisconsin, Signatute(s) 1 FL St Croix County. authenticated this day da o _ f , 19 Personally came before me this i'sth day of At,g,1at ,14.$„Q.,_.t}ge above named RUch� STout end 7anet . • Bernie: -- TITLE; MEMBER STATE EAAROF WISCONSIN -- _ by (If not, _ authorized b 1 106.06, Wis. Stais.) pt) U \ to n>en • to be the n a___ who executed the foregoing ""-- public i tnstru• rat and acknow dciiIhe tame, NOtarY THIS INSTRUMENT WAS DRAFTED BY State pf `N • �.u.,w f i s IW ••••• .Tssnaat P. C,i•nut . i lf da Poulin — 1353 Awatull,@e Tr - N • ary Public,. St. Croix . County. Wis. (Signtht)11ikiflipbe aWtibonricau brI siknowiedgcd. Both are not My commission is perinanent. (If not, state expiration date: --1.111912Q. necessary) — - 11 ' • NAM , of pt'so s slg in .T, capacity .hnal1 Sp type) or t Wow these s WleeoroM Laps mot Ca , a e. ,gale aAR OF w ISCCINSIN L6,.aukea, Wu. • WARRA Nil DEGU forest No. 1 1011 r • . • • • ` //• /err I ! • ' • , • / / % �) • 0 . . • ..... O -1 r ... „.... 1 1 . • •... • • . • . . • ...... • . . ..... .• •. • .• .. .� ti's / I�' • �� �� Z \I • ,• 1644 / 114 �� ��,_\ S ./ •` I . • • • '' (O N \ I • 1 .00' • 1V V • •.•• 4 N Cl� ••• W I N 2 Ig • . • 1 • • S • 1 1 • • .. ... I • .. .. . . •• ...... . • . .. 1 2 1 1 .. . . . • .... . • • . . ...•.• .... • .. f� • I I • r • 1� I I • • . •• 1 4.10 , I1 . • • j L . .. ...•.• . . .•. • .... . • 1 • 01010E ........., ....... - • - F. • .......,.....• ...".. r_••••••••. :::••••••:./ •••••••.1 .L.•••••„t---- ----- •. • . • • . ,.. • .....•...•..••••:••••••••••••••"••• . •.:.. • .. .•••••••,.......••....•...•.•:...,.. .. .•..• • • .