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HomeMy WebLinkAbout020-1441-74-000 o en o :■ 0 c . , S g § § § m • .2 % ; -• c k { \ ° .. ! � iC4: � ƒ ƒ 2 ° & E m , f 5 g e a ( \ \ / 7 3 1 \ . � ° (-4) k , , e : o : \22 \ /t 2 E E d � + 8 c •cM, P. 0 lc E m co % ' o \ 0 A E a k Z 0 Ki § \ • ® § 3 - \ - / • { 0 0 0 CO w n / § § 2 2 03 ^ & E. o v o . [ $ ($) • 2 ® 1 ) a 1 3 03 : X E 3 3 i f ƒ / § 2 E $ 1 \ / 7 k § \ CD ƒ m @ (E _ I w = ¥ . a . a � / � . o - • § 1 -. $ *. / f 0. / $ = / 03 R § m E ■ z \ § .. z § D 3 / I & / * / ƒ 0a 1 :1/4 $\ E g$ § ' '..1.- o _. c \ �� / \� \ 1 � o 6D I � 2§ � 1 � \ \ a / § � EE ¥ 0 o k g en ~ . 2 I 7 ■ t ƒ c » i 2 t \ 1 @ ? � m • � §E 1 �2 Wisconsin Department of Commerce PRIVATE SWAGE SYSTEM County: St. Croix Safety and Building 9 Division INSPECTION REPORT Sanitary Permit No: 453192 0 GENEItAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personalinformation 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: Bast, Kernon Hudson Township 020- 1441 -74 -000 CST BNI�EIev ! _ Insp. BM Elev: BM Description: Section/Town /Range /Map No: ` to S a l - ( ( # Z 36.29.19.2800 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (Ai -e■Uta I b 6 Benchmark ori,. L 34 63•45 1 ' 6 Dosing , & / / Alt. BM V�" 0 l �! ,511-40+" ,511-40+" 40 p a6 - z *H. v) /pp. &S Aeration � B r 9Sew e SG ly 40 itty Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outle5 IV 7 ,/ lid S ze 9'5 , /1 TANK TO P/L 514_ BLDG. Vent to Air Intake ROAD Dt Inlet ,-.--- ---_- septic '6U NI °II 25 / Dt Bottom Cily Dosing Header /Man. �. J t 9 q 1 i, t Aeration Dist. Pipe 2 6t ---- Holdin g. �� Bot. System A ill 13.53 PUMP /SIPHON INFORMATION Final Gr e 4,� qp 'S" Manufacturer Demand St Cover • o f A. 3- 9 r I GPM 5 / ri✓1 S 2 - Mb T S Model Number W4 /��g /�S TDH I Lift Friction Loss stem Head TDH Ft • Forcemain Length Dia. Dist. to Wigr SOIL ABSORPTION SYSTEM I l ' J eth BED /TRENCH Width ) Length / No. Of Trenches PIT DIMENS NS No. Of Pits, Inside Dia. Liquid Depth DIMENSIONS i"It �,� / SETBACK SYSTEM TO P /L�i BLDG WELL LAKE /STREA EL A HING anuf�cti rer i . f '���` INFORMATION `' / CH AMBER C • • / �0�(/ i T p;fSys14t II 41 I SI3s R Model Number: DISTRIBUTION SYSTEM n C / rOg"- Header /Manifold Distribution / ,_, f x Hole Size x Hole Spacing Ve t t no Ai take is Length � / Ica Lt 11 Pipe(s) (� /} h 7 Length 9 I Dia U y/ Spacing 'S-- --- SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over A,., , a Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center (1 v(/`� Bed/Trench Edges Topsoil (/ ' J / L] �/ n � Yes _I No I Yes j No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 7 / p /V Inspection #2: / / Mary Jo Court Unknown Location: 671 r : 36.29.19.2800 Unwn (SE 1/4 NW 1/4 36 T29N R19W) Cottonwood Ridge 1st Lot 74 Parcel No. W�VId(nAJ 57 - Pe (n6)(44-1a ) / �/; 1.) Alt BM Description = 7 'J' OV �ti -e6wn9 A�� ' 2.) Bldg sewer length = _ / f --/e/k . ai 05 - amount of cover / / -PA/44, Oro ?0B >/ < 36'" en 2, '," Plan revision Required? __j Yes +, No f �� Use other side for additional information. LA __1 o V 14r11,4- ' O' / L. SBD -6710 (R.3/97) Date Insepctor's S nature �i Cert . No. 4 2 Oyt etefi �iL7 r fS Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of 3 Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code /1 County �'� • L r► D 1 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 I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 62 0 14/ / -. Please print all Information. Dat C� c. Property Owner Personal Mformabon you provide may be used for secondary p • - rivacy Law, s. 15.04 (1) (m)). t e41,44,, • 1 `I / C f�c Owner Pr Location GL a 1,%.4....,77 fart. Lot C 1/4/4)/4 S3,4 T 02 N R E( ) W Property Owner's Mailing Addre Lot # Block # SO. Name or CSM# (,S3W 74 ' 72 City State Zip Code Phone Nun 1 2 ldJ( ]} cit ❑ illage own Nearest Road ///� _e 1. / • I �.. > A( ) Aft ' iYrl `r `- \� )(New Construction U • Residential / Number of bed G V ANIM l�1 derived design flow rate 0 , GPD ❑ Replacement ❑ Publi or commercial - Describe: __ --- � Parent material Q Lk Flood Plain elevation if applicable ft. General comments and : Sy 6 L. e,1 ?o • //2. � i - 1./.......L i Z w as Cc,C ,k' 1 / Boring > J < Boring # pit Ground surface elev. /i'+ t- ft. Depth to limiting factor / 3 4 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 •Eff#2 # —7 0 ,-3/L © /FROMINE 'l�!!E1E11 / 0 ir I 3 Boring # a Boring pit Ground surface ele /! t '7 ft. Depth to limiting facto4 in. Soil APPI ication 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 1 -34 10 %. . </ ,ms 6k m £ £- d4.-- - a ; -\ • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 1 % /mg!L . Effluent #2 = BOD, < 30 mg/L and TSS < 30 mglL CST Name (Please Print) /ignature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Co ucted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �� T 715- 246 -4516 Property Owner _ Parcel ID # Page of Boring # Bonng it Ground surface elev. l ft. Depth to limiting factor / 9 in. Soil q ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff# *Eff#2 1 0 -17 - /10,,r5/2— - � - r i C . / /01/, L S OS � / 4 ' - 7 /. I Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I 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 Boring # ID Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal 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. SBD3330 (8.6/00) Safety and Buildings Division County � 201 W. Washington Ave., P.O. Box 7162 .j f C� r0 i k M adison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) �scons�n (608) 266 -3151 ,(� 5 3 / f 2 Department of Commerce / Sanitary Permit Application State Pla I.D. Number • In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address) I. Application Information - Please Print All Informati m '? Fr F Rip r 4 7/ /1)0 C Prope Owner's Na me � f'�aD Parcel # Block # 0 5 - MAY 5 ' 004 - Property wner's M ailing Address ` Property Location E°-" • I . / } �, c i rr i. .,U J ` ai + s_ . L II.L . `�.1 ZONING OFFICE S 'A '6,Section J Ci fate " Zip Code Phone Number Ill �`,(1�r ' i 7 7 . — �) a / V ' (circle W II. Type of Building (check all that apply) .J Nee-( ) • . 0 r • T g N; R / 9 E o �1 or 2 Family Dwelling - Number of Bedrooms � ClAt..yK i9+ti ty.pe/ ubdivision Name CSM Number ❑ Public /Commercial - Describe Use - - t1.0 ; o • . 5 , ..o t .54 l , ( � . F p f? / -,141 ❑ State Owned - Describe Use yt 4% , t , ai t,K ❑City ❑Village T j ownship of j,J50A) ,_. III. Type of Permit: (Check only one box on line A. Com ete r � if app licable, 621)-- #4q— W_ care (, 2FOO) ; A. New System 0 Replacement System ❑ Treatment/Holding Tank Replacement Onl ❑ether Mod' tcation Exist tem . j r ,i J 1 a w e t . B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New L — t Previous Permit Number and Date Issued Before Expiration Plumber Owner "� 1 , W. Type of POWTS System: (Check all that apply) (2) 3' )( V7-5° c l ACn� S �2)C X Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand t ter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System e ati t4 00 r 7 9 q 70 5. VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Pla c _ Gallons Gallons of Units Concrete Constructed New Existing Tanks Tanks Septic or Holding Tank 1 1; n 0 I /4ee , X • Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's S' ature MP /MPRS Number Business Phone Number J1Z Al 4-MO LI ogee ler 0 w c ?off 7/ .38 %b10 Plumber's Addre ss (Street, City, State, Zip e /070 ./J /4 d /t' W I J /b VIII. County/Departnient Use Only Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issui g Agent Signatu e (No Stamps) Surcharge Fee) .� ry� -- 4 ' � 1 ❑ Owner Given Reason for Denial �v L. 11 ZZ1i 4 !° 4 IX. Conditions o pprov l. 1 3 ) Sets s �.Q • , Q . ,,e,4 •1 . f - SYSTEM OWNER: . 1 Septic tank, effluent filter and ilKAA-4-0.11-Aterv■- —� � Ste_ 103 t iS � _ n dispersal cell must all bf serviced / maintained 5 tV i St h^ 1 , i S Su.e_S 'rte - -4O_ Q. i (C as per management plan provided by plumber. 2: All setback requirements must be maintained weAo_ v ,ccu.,,,.Q t A41 ( V VtGv■ as per applicable code /ordinances. da ek S i _ 1 Attach complete plans (to the County only) for the sy m na papeg not less than 81/2 x 11 inch to z : , / _ , SBD -6398 (R. 01/03) 6)6 s , P 8 / 67 A v t Pity afkl _S, ci e. 0i ncle rs ..ad�.l...f .. _ _ ... l_ . 1. e _..... -- - - -- _44//r- -- -- �k p� _.. �l 4ML ... _ gym.. uu./m�e� Jer -. ... • I Le ,o G � U ) , - . N ..Lf15 k A90.14 _..- -• --- -_. - /c, VI `/ _ PL Ai) • w .. 1 c ,4- It .-.(-( ( (3- 1"- 011111 1 \\ ir (A.icoCi ,, r o ' 64 6 Qr?pn It i e , i 4 Q'I' ' a Sleet ate 'P � et _ 14 �- Iev- )boo IQ' � i • Z J 0 w1p iuu �, l 3 d (S' ! ,...4... y p(tOU w U We) 1 1 i • I \ . I 4 g„„,„ %,,, , �' ` j , y u ' C 1 T i t I _ O C g l I � � r n i‘ ~ CI I ti) WO' I t • ( „-_,_,. : , ::i ...._.,_- oc V E f 1 I. ": W Mp Ar °1 II11 -1 W ,z to 1 i .7. 9 o i .. N H ll's' 11 . „ s0 W g .n °1 13 5c W -- . g I • C] 8 Ai t� .� . >< . t j 0441 . ; h a 1 i in() ? ii -- - - .....° - ,,,, 13 '111. t., , 1 ft- / 1, I I 1 . . I? 8 I 67 P10 , -- ..- ` .P Kp - _.. til4ML : .... _ :'n:i uu ... La���iiQ n c � b,., �` ►i J s } � d /2 der ... dl __ � . ,�� n6e ; _ may ._..._.. _... . 4-4 1 . 1111 _ .0T m AID W. K.4 : 1 -T4 ( i -0- t m w060f - IT °'a o. , e, aii 1 43 0 stee .'k v MO. (,"1311,00e A60re yid O z Rvatkp) .fs • 3s ' 2 w7pi0o ' l ;n .. a 3 151 . y ou Q uor w Km") . M y Y .. A I ' �.' P "T10 I koW61.45 i l . ( ---....... : 1,: 1 ..el . 1 1 ' 0 _1.. ii 1 11, a a jo l A In OP" �AAA,A ,.r 5` Y7 LIN r ------ • Ill ,, t.I Ili 1 y n mar as. § I . . 11" r'.lj is tE .. ( - I/ id 'a k 1 C) i tb A ''''' ...: ' - • - - , ir 6 0) i i Y pc , 14 Ell. Ft i I I' 1 I i (1)U " „.1 _ •. i fro yER 3 p 6 p KFRivON /345r 3 -0 spE /34 • ' / 14 BAI ?& RP h oPso,,, to/. s i ee ' . Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code Attach complete site plan paper County S T cR o t pl pl p per not less 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 I.D. Sze, 4e,/6 Gv * percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ) - (� Please print all Information. R ewed by Vr��9.' -., Date M r• ?.00� Personal Infomation you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). — OF Lev I ! Property owner RECEIVED Property location J NE /L cif LCOX.5 Govt. Lot S- 1/4 11 S 369 T .2l N R /9 E (or) W ' Property Owner's Maims Address ' 1.3t # B # Subd. Name or CSM# f) ,,UI)I,V(� Pot 7 r/ et cry. RAT. � JAN 0 9 2003 rt9 '1 o��v-),P 4` / -} (fit. y State Zip Code Phone Number un�r ] City Village 1) Town Nearest . 11149.50A ) tv 50/4 ( 7 or � o� fc � _ . 4'(lPJ A) . ( /t'v5. A/ • 6 . - New Construction Use: (Xl Residential / Number of bedrooms 3 - y Code derived design flow rate y5 - C' OD GPO ❑ Replacement ❑ Public or commerdal - Describe: _ Parent material /0 E55 o U&- S4.0 y Flood Plain elevation if applicable __ N'/ -7, - -~V -- ft. General comments QU)'W4 . and recommendations: /� Vtiv cox) (JG'- C1iT0 -J (-- �T � urT�6 /� f�iP y ,O . Po. Iv , rs . (/3,0 0/ r'f" -.sue ce z i s ) - -'- pg . 3 I / 1 Bcrlrlg # ® Bmi pit Ground surface elev. 1 9. D ft. Depth to limiting factor ' `� in 1 sa Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/If In. Munsef Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef#1 'Eft#2 o 'V ffi g 3/5 — L / fJhre -o? c5 z lc- . y • 6 , . 4( Z / 4 D 5i . /fsh�e At fi a-$ / / . 2 -- . 3 3 18.35 '7 . Sy ?fe • /..s / y s c s — • /. '2.. 1 i f 32•1q /oy/137 -, . s, 0.s3. , , 7 I .2_ . 2_ B o fang 91.X0 7 90 El Pit Ground surface elev. ft Depth to limiting factor in. Rate Soil Application Horizon Depth Dominant Color Redox Descriptlon Texture Structure Consistence Boundary Roots GPD/ff In. Mulsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft #1 'Eff#2 / D - // /oYA 3/3 L if hhK n,1 C5 21 • = - c' • q 2 11.30 /o 0 'y Sic- ZfShe ,ni - ..5 /f S . g . c 3 30.3e 75 y, t4: — /...,5 //»i fr /5 c s _ .. 7 /. 2 . ... /oY . S. o S _ SCE , Z- .q- Efflluent #1 = BOO. > 30 < 220 mg& and TSS >30 < 150 mg/I_ • Effluent #2 = 1:101; 1:101; < 30 mg/L and TSS < 30 mg/l. • CST Nam(Please Ro ,3E? Print) Zf /hs'i'ct1 T— Signature 11 22 C. 3 Z 5 Address Date Evaluation Conducted Telephone Number Uibricht 8. Associates QQ . //– -.po Z._ '7/5. 2 - ties (55 O'Neil Rd. !Judson, Wis. 5401!3 -X-- PI/UJ Ni ersio oa •//oy• SE or No ol / /Dy.ao , . Y K, v•r3�T o Gl�� 02.0.1 / 0 9• go °'"' Property farmer Neil_ Gvi iC o X So o.O - m 9 - � o • 401) 2 3 Parcel ID # Page of I 3 Baring # L--,), Boring ,r7) >� it Ground surface elev. / * ft. Depth to limiting factor >70 in. Haim (Boll Application Rate Depth I Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD II! in. • Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 l o • g / — t_ /f5 7: C5 .2-i • y . 2 $• /E fy& 5/G 2 -f5, ' i f qt: /f • S g •c 3 4.•35 2syeyy I ye d cs. - • / • , z • V 3S•9a Hoye $/ �d . S. O. S i-e_ — • 7 / • Z • cts sd s I �# ❑ Baring • ❑ Pit Ground surface elev. , ft. Depth to limiting factor in. . Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Roots GPM �ure Consistence Boundary in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I Boo # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. ( Application Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots G PD/fF Rate in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Eff#2 t , Baring# ° 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 GPDAF In. Munsell _ Qu. Sz. Conn Color Gr. Sz Sh. 'Eff#1 'Eff#2 • • Effluent #1 = BOO > 30 < 220 mg/L and TSS >30 < 150 mg/_ • Effluent #2 it B00 < 30 mglt. and TSS < 30 mglt 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. sao-8330 (L6e0) r ..... iv GD r % v s c. - a �T �7C7�1 -...% );• 11/4/ c Z r w ° k kA n T 1 T� Q <. S• Q �� Q `° Q o "g •. g 1 1 1 O � �4 �� O I. 1N 1 a 0 d ln 1 -- 344\ji I 1\ r O b O Q� 0 O G b k.;\ \ II 11 b 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 ys s g n p Sanitary Permit Number 2 - 'y r l ` 1 Number of Bedrooms Design Flow - Peak (gpd) ( (% Estimated Flow - Average (gpd) 9 00 Septic Tank Capacity p C p city (gai) l a lv l _ Soil Absorption Component Size (ft') Trio (' ia)^� Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Desi n Flow - Peak ( pd) y , ,� Maximum Influent Particle Size (in) ( 8 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) C U 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 •ti k and outlet filter shall be assessed at least once every 3 years by inspection. The CM shall be cleaned as necessary to n�e proper operation. The filter cartridge shou • 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 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 Tess 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. When system fails, we will replace with another system at owner's expense. Alternate area must be left undisturbed. St Croix County Zoning Office 386 -4680 Boumeester & Sons Excavating 386 -9020 APR. 19. 2004 4: 29PM ED1NA REALTY HUDSON NO. 571 P. 1 111 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P't 14gW‘;/ ,. Mailing Address g � -- -- e- -?' / �i ,.�� _ �i GY _ Property Address ‘/ / " lQ i ts 'r _____S)1 • (Verification required dont Planning Department for new co ustmtiow aty/St to Ord. r 1 }( Parcel Identification Nwnber i�i99 C )4EG.AL DES Property Location SE %, k 4, Sec. N4t,/7 W, Town of /?L APC . Subdivision �!& -- - — - -,,: / f e 4 e( -' - � / i Lot # - 77 . Certified Survey Map # , Volume ,.Page if . Q G� o Warranty Deed # 79 ° , Volume ,0 , Page # 353 . . Spec house ❑ Yes Arno Lot lines identifiable, yes 0 no MZUMMEMOWN.0 Improper use and mamtenanceof your septic system could Tonkin ha premature failure to handle wastes. Props rmainamance coasists of pnmpiag out the septic tank every duce years or sooner, if needed by a licensed pumper. What you pat into the system can affect the fraction of the tank as a uca ta�eie tmeat stage in the waste disposal system. The property owner m submit to St. �s Crone Zoning Department a certificadon fours, 16 y the owner and by • master lum P nPIombeG resuricoed Lumber or a li p tensed that 1 the ott sitesvastewater is in Proper *Aerating condition and/or (2) after inspection and tha is P�P�6 (if necessary), task leas than 1/3 lki11 of stodge. Ifwe, the • • - - , r' read the above requirements agree and a to maintain the private sewage disposal system with the set ': r - • e Depa of Commerce and the Depat ment of Natural Resourees, State of Wisconsin. Certification • • ., , • _, ti ,.,. • • • been maintained must be completed and returned to the St. Croix County Zoning Office within 30 • ._ i1 t•,. date, r f _ _ il_r - . If / • c liF AP DATE • t' ih . kr:_:_st`4iM ,t•,.. M_ s k 7 , r t all statements ea this tea are true to the best of my (our) knowledge. I (we) am (arc) the owner(s) of • • . - .R -, • • - by virtue of a warranty deed recorded in Register of Deeds Office. ��.A 1 / /9 /.10 sit, . APPLICANT DATE • f An i r. -•• tread= that is ears- represented may result in the sanitary permit being revoked by the Zoning Department. ""«" " Include with this application: a stamped warranty deed from the Register of Deeds orrice a copy of the certified survey map if .eeibmaee is made in the y deed • 2135P 355 a a0 • KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI Neil L. Wilcoxson and Mary J. Wilcoxson, a /k/a RECEIVED FOR RECORD Mary Jo. Wilcoxson, husband and wife, conveys 02/07/2003 02:00PM and warrants to Kernon J. Bast the following EXEQT # described real estate in St. Croix County, State of REC FEE: 11. Wisconsin: TRANS FEE: 2880.00 COPY FEE: CERT COPY FEE: PAGES: 1 Exception to warranties: all easements and restrictions of record. This is not homestead property. Parcel Identification Number(s): 20- 1109 -40 -000; 20- 11 -9 -20 -000; 20- 1109 -10 -000; and 20- 11 -90 -55 -000 Name and Rg n�� srs to ' A parcel of land located in part of the Southeast '/4 of the L ealty T itle Northwest 1/4 , part of the Southwest '/. of the Northwest 400 South 2nd Street 1/4 , part of the Northeast 1/4 of the Southwest1/4, and part Suite #115 of the Northwest V4 of the Southwest's all in Section 36, M/ 1j A s on, WI 54016 Township 29 North, Range 19 West, Town of Hudson, St. , I Croix County, Wisconsin described as follows: Commencing at the South 1/4 corner of said Section 36; thence North 00 degrees 10 minutes, 01 seconds West along the north -south 'A line, 1634.77 feet to the Northeast corner of a parcel of land described in Volume 526, page 259 at the St. Croix County Register of Deeds Office, being the point of beginning; thence continuing North 00 degrees, 10 minutes, 01 seconds West along said North - South' /4 line, 1977.22 feet to the South line of the North 350 feet of said Southeast 1/4 of the Northwest 'A; thence South 88 degrees, 49 minutes, 51 seconds West, along said South line and the Westerly extension of said line, 1324.14 feet; thence South 00 degrees, 09 minutes, 43 seconds East 2,096.73 feet to the centerline of County Trunk Highway "N" being a point on 1,999.00 foot radius curve, concave southerly, whose central angle measures 03 degrees, 00 minutes, 19 seconds, whose chord bears South 80 degrees, 02 minutes, 21.5 seconds East and measures 104.84 feet; thence Easterly, along the arc of said curve and centerline, 104.85 feet to the point of tangency; thence South 78 degrees, 32 minutes, 12 seconds East along said centerline, 712.54 feet to the West line of said parcel described in Volume 526, Page 259, thence North 00 degrees, 10 minutes, 01 seconds West along said West line 304.75 feet to the North line of said parcel; thence North 89 degrees, 49 minutes, 59 seconds East along said North line 523.00 feet to the point of beginning, all in Section 36, Township 29 North, Range 19 West, St. Croix County, Wisconsin. Dated this �� day of .JCS -0.7 , 2003. 60, '2'74 ` L"W ilcox on Mary J. W' o on iiii—PC4—.143 Cr-4 ACKNOWLEDGMENT STATE OF WISCONSIN ) ' ` P(/ COUNTY OF ST. CROIX ) tA / . .Q � /� �l Personally came before me this day of JCi�7 2003, the above 1 -med Neil L. Wilcolt3 d Mary . ;, Wilcoxson to me known to be the persons who executed th fotegoing instrume , • acknowledge the me A. * %;, _ 4 PRESTON Nota Public 2 _ My commission expires: b 1 ! ' �� �0� This instrument drafted by Robert F. Wall. WilcoxsontoBastWD03 -1 t�j „ F W ; S ��-e' NE1 /4 tai" THf� SW1 /4 AHD PAST' CMP THE IVW1 /4 + OF H C ra In. CE UGEPUralg L AU , R 1 I LOT 74 LI LOT 75 L ' .Oa 8Q. F7. 107,917 8Q. FT !.IS ACID Ilk 04,870 8Q. FT. li . q G M sd T!1lrPOMtli 7' "VegribetalL. 4L� \ • - e �w486 area' % •- N\ • . 1 i ir . . r r ................,..... „ . :. ...... Pam Quinn Subject: #430650 Ulbricht/Homes Location: T ofTroy/Walnut Hills Lot 3 Start: Thu 7/8/2004 3:00 PM End: Thu 7/8/2004 4:00 PM Recurrence: (none) 1 Pam Quinn Subject: #453006 O'Connell /Hartman Location: T of Somerset - Pinecliff Lot 23 Start: Thu 7/8/2004 1:30 PM End: Thu 7/8/2004 2:30 PM Recurrence: (none) 1