HomeMy WebLinkAbout020-1479-06-000 U� 000
FIELD INSPECTION & SERVICE REPORT
INSTALLATION AUTHORIZED SERVICE PROVIDER
11
Installation Address: ,67-5 OSe— Lti vc Name:ca-ZW.44, �...
Owner Name: l.05 4o, Street: -6%Q Oq 4.V. C-q
\fail Address: s73yasE r;dQ Mail Address:
City' d Sfir State W/Zip S S��� city � /R
State Zip 5Sr{D20
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Phone((P6 170-38�%ax— Phone or/go-aoLnvrFax
e-mail S IX 19 e-mail aCIL.SD' �rI►+rt�'f/' L�,
INSTALLATION INFORMATION
Model No. Blower Brand and Serial No. Date of Installation Date of last pump-out
Size
f 4&M
EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS-
OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED
Electrical Panel s
Visual Alarm Operating
Audio Alarm Operating
(if resent
I Blowers
_ Air Inlet Filter Clean -
Blower Hood Vents Clear
Excessive Noise
Excessive Vibration
Treatment Unit (s):
Unusual Odor
System Vent
Pum out Required:
Primary Settling Zone
Aerobic Treatment Zone
EFFLUENT: LIMIT RESULT
Estimated Daily Flow
H Standard Units 6-9 S.U.
Color Clear
Temperature
Dissolved Oxygen effluent 2 m /L
Odor Slightly j
Musty odor
not se tic
OWNER SIGNATURE TEC NICIAN SIG URE SERVICE DATE
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"re CROIX COUNR
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PLANNING & ZONING
Jon & Julie Hokeness
' c/o Hokeness Construction, Inc.
1 907 Alex Lane
Hudson, WI 54016
CodeAdministradon RE: Compliance deposit refund for Cottonwood South '07 Lot 6
715-386-4680 Section 36, Town of Hudson
Land Information & ! Dear Jon & Julie:
Planning
715-386-4674 00
I inspected site conditions at Lot 6 today to determine its compliance with requirements
RealPropeyfT for erosion and sediment control. Thanks very much for doing such a good job making
715-386-T677 repairs to eroded areas - erosion blankets installed are providing protection of the soil
while grass seed takes hold. This past few weeks of mild weather has allowed the grass
Re cling to achieve the minimum 80% coverage for exposed soil and it should be in good shape
5-386-4675 for next spring.
Your company made the $400 deposit on behalf of the lot owners, Mark and Beth
Lisowski on 10/21/09. 1 can now authorize your $300 refund.
ncerely,
L7Pam Quinn, fning Specialist
s } Cc: Mark & Beth Lisowski, lot 6 property owners
I
c;'4;.'.;:
ST. CRO/X COUNTY GOVERNMENT CENTER
110 1 CARMICHAEL ROAD, HUDSON, W/ 54016 71-5386,4686 FAx
PZ~CO.SA/IVTCRO/X. W/. US WWW.CO.SAINT-CROIX.WI.US
STe CROIX AA4-,k
PLANNING ZONING
Julie Hokeness
C/o Hokeness Construction, Inc.
907 Alex Lane
Hudson, WI 54016
RE: Compliance deposit refund for Cottonwood South '07 Lot 6
Section 36, Town of Hudson
Code Administration Dear Ms. Hokeness:
715-386-4680
Land Information & Per your request, I inspected site conditions at the above-reference lot today to Planning determine its compliance with requirements for erosion and
sediment control. The Board
715-386-4674 of Adjustment Decision that approved the subdivision required compliance deposits for
every lot developed per Condition #5:
Real Props
lPro-4677 "The plan shall be accompanied by a $100 nonrefundable staff review fee and a cash
compliance deposit for the lot. The compliance deposit for the six lots under construction
Re t-386f4675 shall be $1,100 each, and the compliance deposit for the remaining lots in the
7subdivision shall be $300 each. The cash compliance deposit will be held by the Zoning
Administrator until construction is complete, permanent vegetation has been established,
and the project is found to be in compliance with the conditions of this approval, at which
time the deposit will be refunded in full. Upon completing construction on each lot, the
applicant shall submit to the Zoning Administrator photos of the com lete
and certification from the project engineer a the construction has been completed as
approved to serve as proof of compliance."
E Your company made the $400 deposit on behalf of the lot owners, Mark and Beth
Lisowski on 10/21/09. You will be eligible to receive a $300 refund when the entire yard
has permanent vegetation tha prove es a minimum 80% coverage of the expose soi .
Photos taken April 7, 2010 show the yard had been graded, but no cover had been
applied to exposed soil to prevent erosion. Now there is patchy cover (50% or less) of
crabgrass that is not adequate to control erosion. Areas of concentrated runoff have
washed sediment into the road ditch on either side of the driveway and partially filled the
culvert pipe.
The accumulated sediment must be removed from the ditch to prevent blocking flow of
road runoff. You need to discuss with the owners whether they intend to install sod or
grass seed and mulch yet this fall to establish adequate cover for erosion control. When
we have received photos that document compliance with erosion and sediment control
requirements for this lot, your deposit refund will be processed.
incerel ,
i
m Quinn, Zoni g Specialist
Cc: Mark & Beth Lisowski, lot 6 property owners
ST. CRO/X COUNTY GOVERNMENT CENTER
110 1 CARMICHAEL ROAD, HUDSON, Wl 54016 71x386-4686 FAx
PZPCO.SA/NT-CROIX W/ US
WWW.CO.SAINT-CROIX WI US
County of St Croix
Finance Department
Check Number:
Vendor Number:
C®
PY
Vendor: Hokeness Construction
Jon & Julie Hokeness
907 Alex Ln
Hudson, WI 54016
Check Date: Approved:
File Date: ! !o
Total Check Amount: $ 300.00
Invoice Invoice Invoice Account
Date Number Amount Description 11 Number IFAmount
11/11/2010 $300.00 Compliance Dep refund - Cottonwood S. Lot 6 100-26901 $300.00
Lisowski
I
Total Check $300.00
SAFETY AND BUILDINGS DIVISION
Bureau
commerce.wl.gov Integrated Services
13 East Spruce Street
INSPECTION REPORT Chippewa Falls, e. 54729
i sco n s i n www.commerc~715) 726-2544
t6Department of Commerce Aaron Olver, Secretary
Date of Inspection: April 21, 2010 Plumber Name and Address:
Project Name: Lisowski/Bast William Schumaker, MP 227990
Use: Residential 1070 Scott Rd
Legal Description: SW, SE, 36, 29, 19W Hudson, WI 54016
Site Number: 720623
Subdivision: Lot 6 Cotton Ridge South Certified Soil Tester Name and Address:
Municipality: Town of Hudson Dave Steel, CST 248956
County: St. Croix
Plan Transaction Number: 1343361
Sanitary Permit Number: 515180 Owner Name and Address:
Mark Lisowski
Wastewater Flow: 600 gpd 873 Yost Dr
Persons Present: Owner, P. Quinn, Hudson, WI 54016
R. Yarrington
This inspection was completed pursuant to s. 145.20 (3) (b) Wis. Stats., as part of the annual audit of the
St. Croix County Private Onsite Wastewater Treatment System program.
The following code discrepancies were noted at this site and require attention by the installing plumber.
1. The home on Lot 6 is occupied and is not connected to a functional private onsite wastewater
treatment system (POWTS). Suitable provisions have not been make for the treatment and
dispersal of wastewater from the dwelling on Lot 6 which is a violation of section Comm
82.10(2)(d), Wis. Adm. Code.
2. In order for the building on Lot 6 to remain occupied the POWTS described in plan transaction
1343361 shall be make fully operational.
3. Items not in compliance include:
a. Plans shall be submitted and approved by the county for the exterior sanitary sump. The
design and installation shall conform to s. Comm 82.30(10)(d), Wis. Adm. Code.
b. Electrical service at the exterior sanitary sump shall comply with s. Comm 16.300 and
NEC 300. Approved wiring methods shall be used. An LB fitting is not adequate to
contain the wiring methods required to meet minimum code standards.
c. The aerobic treatment unit is not functional. The air pump is not installed.
d. The final dose tank is not operational. There is no power, pumps or control panel
installed.
e. The manhole riser at the final dose tank shall be at least 4 inches above finished grade.
In addition, the electrical opening in the manhole riser ring was not sealed water tight
when installed and this has allowed surface water to enter the tank. All tanks shall be
pumped out by a licensed pumper to remove excess water and any deleterious materials
that may have entered the tanks.
f. Cleanouts along the private interceptor main sewer need to be finished. Their
terminations shall be in accordance s. Comm 82.35(2)(d) and (5)(a), Wis. Adm. Code and
the desires of the owner(s).
4. Until this system is approved for use the owner of Lot 6 will need to maintain the sanitary sump as
a holding tank so as not to allow wastewater to flow to nonfunctional down stream components.
5. It is recommended that there be a method be utilized to remove and service the sewage pump in
the exterior sanitary sump from outside of the tank. The present arrangement, although not a
code violation, will present a major problem from a confined/hazardous space entry perspective
for the owner.
Page 2of2
April 21, 2010
Lot 6, Cotton Ridge South
Please see that the above discrepancies are corrected by May 21, 2010. The plumber will need to
contact either the county inspector or me for an inspection of the corrected installation.
If you have any questions regarding this report, please contact me.
Leroy G. Ja4ky, PS V, Wast ater Specialist
leroy.jansky@wisconsin.gov E-mail
715/726-2544 Voice 715/726-2549 Fax
cc: ®County 0 Plumber ❑ CST ® Owner ® Kernon Bast, Developer
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
515180 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)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Lisowski, Mark & Elizabeth Hudson, Town of 020-1479-06-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
5 `2'~ 36.29.19.3027
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Benchmark
'Cat
Dosing ►uV / `~(J Alt. BM
eratio I~IUT 0 00 Bldg. Z-
Holding SVHt Inlet 9s
oo r s-
SVH Outlet
TANK SETBACK INFORMATION r S (v 9
TANK TO /L WELL B Vent ntake ROAD Dt Inlet
V~~-S~ •5~ violet S 9 /Dl • s~S
c Dt Bottom Z ~
vn~
D In ' 7D, gh Header/Man.(
eration ^ f /7f Dist. Pipe
/ w. v ti
Holding Bot. System
~ Final Grade
PUMP/SIPHON INFORMATION OT %Nr'r~'r q p
Manufacturer (i(_0 (NG4L GPM Demand ~ver ' i'xj~ L~ ~o ! 6• G
Model Number 30 GjrrK
TDH Lift Friction Los System Flea TDH J Ft
17, /u
Forcemain Length Dim 3"I Dist. to Well
0
SOIL ABSORPTION SYSTEM
BED/TRENCH 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 CHAMBER OR
Type Of System: UNIT 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 Bed/Trench Edges Topsoil Ippp❑ Yes 0 No ❑ Yes E] No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ / Inspection #2:
3/027
Location: 873 Yost Rd. Hudson, WI 54016 (SW 1/4 SE 1/4 36 T29N R1 9W) Cottonwood So, t"h '07 LLot 6' A" Parce'l"Noo: 36.29-.1.9..L2~
1.) Alt BM Description = ~~~U%1n ~+ltl'' JZCXV7~t~D>c ok pf!.~.Q bY~-~cU.r~. ~Y
2.) Bldg sewer length = .20
- amount of cover = 144(0;j
Qt.IP,2 vi'WU C~~
Plan revision Required? Pets a FMM-]*No / q
Use other side for additional information. / I Q l G
SBD-6710 (R.3197) Date Insepctor's Signature Cert. No.
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 506145 0
GENERAL INFORMATION 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:
Bast, Kernon J. & Donalda J. S eer- Hudson, Town of Z 020-1479-28-000
CST BM Elev: Insp. BM Elev: BM De n ion: Section/Town/Range/Map No:
G / - CS7- 36.29.19.3049
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Sew yt p i S Benchmark
7 10Y /0 e)
Dosing o~~t DGO Alt. BM
Aeration D Bldg. Sewer
we"rg St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK T P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet n I ^ ^ L _ 9 Z 95
Sez/n (A 17C~Y~
Septic Dt Bottom
Dosing Header/Man.
Aeration Dist. Pipe A,'/ ~w
Holding Bot. System
lp S q. q 57.3
PUMP/SIPHON INFORMATION Final Grade y s /00, -
Manufacturer
;K Co
fina clo GPmNtand
llfi ~J,7S /0 9
Model Number N e- e- /0 14 Z 9V
TDH Lift 3~ Fricti n Loss System ad n)H Ft
q' 3i5- 101, 2 `
Forcemain Length Dia. q Dist ~II .
3 Z CIE% %~t i LTA 7~
SOIL ABSORPTION SYSTEM
6 O /0 f ~p - S awt4IT
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Pits Inside Dia. Liquid Depth
DIMENSIONS 3 I/as /
SETBACK SYSTEM TO P/L BLDG WELL K TREAM LE G Manuf~c r
INFORMATION OR C
Type Of System: ~ 2-71 'V 'PBER /J) h A' A I~/ UNIT Model !Z V
DISTRIBUTION SYSTEM 61S
Head Manifold TDistrib t x HoleSize x Hole Spacing Vent t Air Intake
2 ipe) ~ L /Length Dia engDia 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 Centers f Bed/Trench Edges Topsoil 0 Yes M No 0 Yes ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / /0 /0:2X Inspection #2:
Location: Settlement Dr. -Common Septic System lots 6 - 11 Hudson, WI 54016 (SE 1/4 SW 1/4 36 T29N R19W)/Cotto Parcel No: 36.29.19.3049
1.) Alt BM Description = `7J ~G2~' ~~1T1 ~~li(f
2.) Bldg sewer length = UUU
Z'
- amount of cover 417,
i"y 0) 5-, _&,d/ -~4~ dlt~_ LDT &
Plan revision Required? ❑ Yes No D D l0
Use other side for additional information.
SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No.
184. 41
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~ - LICt:>L1SE DATE'
Sep' 24, 2010 11:40AM No, 2884 P, 1
RGOULDS PUMIIMP Submersible
Sewage Pump
i
WS.__B Series
Prosurance available for rkSiderrtla) applications. APPLICATIONS component damage on • Built-1n overload with without damage when fully
accidental reverse rotation. automatic reset. submerged.
Specifically designed for the • w Fasteners: 300 series SIMW or STOW severe duty ■ Power Cable: Severe duty
following uses: o;) and water resistant
stainless steel. rated, oil and water resistant.
• Homes power cords, E seal on motor end
* Sewage systems w Capable of running dry . 'Is and HP models have pa
+ DewateringiEffluent without damage to NE ndA HP prong provides secondary moisture
three •watertransfer barrier components. grounding plugs. dammn a case of outer jacket
■ Designed for continuous „ a damage and to ptevenfi oil
!Q HP and larger units have wicking, Standard cord is 20'.
SPECIFICATIONS operation when fully bare lead cord ends.
stbmerged. Three hale (ii0 Hz): optional lengths are available.
Pump: p 0 Motor Cover O-ring:
• Solids handling capabilities: + Class 10 overload protection Assures positive sealing
2" maximum. MOTOR must be provided in against contaminants
Size: 2" NPT. separately ordered starter and oil leakage,
Discharge ■ Fully submerged in high unit.
• Capacities: up to 185 GPM. gtade turbine oil for lubrication . STOW power cords all have
• Total heads: up -to 38 feet and effldent heat transfer. All bare lead cord ends. AGENCY LISTINGS
TDH, ratings,are within the working
to
~ Temperature: limits of the motor. Bearings: Upper and lower r~ataul7rsa,d
heavy duty ball bearing 0A22.2109". WWd$
104°F (4011C) continuous insulation, syolimdiansmndr,rds
140°F (609C) intermittent, ■ Class B insu construction. Assa vdan
single phase (60 Hz): ■ Designed far Continuous CM us pla*U08M
• See order numbers on « All single phase models Operation: Pump ratings are eoft PUMPS is 1509001 RegWred,
reverse side for specific HP, feature capacitor stark within the motor manulaCtUrer%
voltage; phase and RPM 's motors for maximum recommended working limits,
available, starting torque. Gn be operated continuously
EEATURt S M61'FR9 ,per . I I,,., M„r....,_
,s 30 . SERIES WS-13
{
M impeller: Cast iron semi- I I i ` ! 21 SOLIDS
1
open, dynamically balanced, j 1 } PM 1750
non-dog with pump out vanes 40 i........,~,,.., ,,,....;.,.,,..,i_. mr,.,._..1...=.~' i _i.... ~.,....j
I
for mechanical seal protection. I !
SEE
optional Silicon bronze
impeller available, g so _
1r Casing; Cast iron volute type
fat maximum efficiency. W9051
Designed for easy installation on A10-20 guide rail,
I wsa9B
■ MoChanical Seal: SILICON
CARBIDE VS. SILICON
CARBIDE sealing faces for
superlor abrasive resistance, ! . , . '
stainless steel meal parts,
BUNA-N elastOrners. 0 20 ,oo +zo 140 160 ago 2004pm
0 Shaft: Corrosion-resistant ° ,d a° 20 zs ao as 40 45 Wjh
stainless steel, Threaded CAPAQTM
design, Locknut on all models Goulds Pumps
to guard against
0n2003 Pumps
tlvo Na1ovwember,ber, 2003 www,peulds,cOm
Effective N21 ITT Industries <4>
03996
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TAILS ON SHEET 3. U Co
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UNLESS OTHERWISE
LLJ
v
IT RUNOFF FROM DISTURBED Seed LiJ Q N
ND O
SEPTIC AND STOCKPILE Mixture
ml Areas of Use Species Pro, tins Seeding Rate
,DNS AS NEEDED. er V' O Z
Kentucky Bluegrass
D SHALL CONFORM 2Q L dry, wdl-dralned, 6 3 ~s/ 1000 sq ft N
OF WISCONSIN DOT Y. or gravelly sods Hard Fescue 24 OR f- p
'ED, UNLESS PRIOR and high cut do fill slopes T~ Fescue 40 130 Ibs/aue Li l z =
IF CONSTRUCTION Perennial Ryegrass 30 Y
'THE RATE
JT SEED ING OF 5
SHALL BE Z O
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Q
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THE °
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0 50 100 Y00 SHEET NO.
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\ LN=1041.0 / r -LBO 1041.0'
20 26
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\ J -POND 7 -yam -f - - I SETBACK l
Irv \ \ J~ HWL=1099.0
LEGEND NOTES:
_ 1. INSTALL EROSION MAT ON 4:1 SIDE SLOPES OR GREATER AS PER D
EXISTING LOFT CONTOURS EROSION MAT TO BE VASDOT CLASS i TYPE B OR APPROVED EQUAL.
NOTED.
W / l EXISTING 2FT CONTOURS 2 AREAS OF THE TO BE SITE. ASDDIT ONAL SILT FENCE MAY BE REQUIRED AR
' AREAS. SEE DETAIL SHEET 3 FOR SILT FENCE INSTALLATION.
V) APPROXIMATE HOUSE LOCATION 3. INSTALL SEDIMENT LOGS AT CULVERT INLETS AND ANY OTHER LOCAT
N (ACTUAL HOUSE LOCATION MAY VARY) SEE DETAIL SHEET 3 FOR SEDIMENT LOG INSTALLATION.
0
CONSTRUCTION VEHICULAR 4. SEEDING AND MULCHING ARE REQUIRED ON ALL DISTURBED AREAS A
o TRACKING PAD TO SECTION 627 MULCHING AND SECTION 630 SEEDING OF THE STATI
STANDARD SPECIFICATIONS. SEED MIXTURE NUMBER 20 SHALL BE U.
4 75FT ORDINARY HIGH APPROVAL BY THE ENGINEER. TEMPORARY SEED SHOULD BE APPUEI
Ln WATER MARK BUFFER EXTENDS PAST SEPTEMBER 1ST OF ANNUAL RYEGRASS AND OATS AT
(V POUNDS PER 1000 S.F. OF AREA AND LEFT OVER WINTER. PERMAN
o . - - - - - - - - - - - - - - - - - - - COMPLETED THE FOLLOWING SPRING. IF TEMPORARY SEEDING CANNO'
i 100 YR HIGH WATER LINE BEFORE WINTER FREEZE UP THEN ALL DISTURBED AREAS WALL BE M
r'! 120 POUNDS PER 1000 S.F. AND PERMANENT SEEDING SHALL BE Ca.
FOLLOWING SPRING.
DRAINAGE EASEMENT
CL 5. INSTALL VEHICULAR TRACKING PADS AT DRIVEWAY LOCATIONS AS SH
N LBO=)000(.X LOWEST BUILDING OPENING ELEVATION SHEET 3 FOR VEHICULAR TRACKING PAD INSTALLATION.
i
eommerce.wl.gov Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162
Madison, WI 5370 6
by Co.)
'se n ' I ~ ~ ~ I ~ Sanitary Permit Number (to be filled in
0epartmertt Of Commerce 5/5 / S
Sanitary Permit Application State Transaction umber
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental
unit is required prior to obtaining a sanitary permit. Note; Application forms for state-owned POWTS are Project Address (if different than mailing address)
submitted to the Department of Commerce. Personal information you provide may be used for secondary
~64- &1lw-
L ur ses in accordance with the Privac Law s. 15.04 1 m Slats. ~ $ 73 A lication Information -'Please Print All Infor on tir-CEIVI ED
Property Owner's Name Parcel #
~Ys22009 aao_ /~7 A- aG-aao
Property Owner's Mailing Address Property Location
NNING & ZONING OFFICE Govt. Lot -
City, State
Zip de Phone Number '50)-,, $ y,, Section
0
ctrcle one)
7-9 14
II. Type of Building (check all that apply) or W Lot # T_ N; R E or W
Subdivision Name
1 or 2 Family Dwelling - Number of Bedroom
1sJ►~ Block # 4 d/tJ d 4 et s:1,4,yYA
❑Public/Commercial-Describe Use
Vl~ ❑City of
❑ State Owned- Describe Use CSM Number ❑ Village of
k ,Town of
G
Ill. Type Permit: (Check only one box on line A. Complete line B if applicable)
A' New System ❑ Replacement System Treatment/1le ing Tank4bopiwswom .Only ❑ Other Modification to Existing System (explain)
00-
B• 11 Permit Renewal El Permit Revision El Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. Type of POWTS System/Component/Device: Check all that a I
❑ Non-Pressurized in-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
El Holding Tank ❑ Other Dispersal Component (explain) Pretreatment Device (explain) L7csd/y,S
V. Dispersal/Treatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area ReqT(sf)Dispersal Area Proposed (sf) System Elevation
VI. Tank Info Capacity in Total Manufacturer
Gallons Gallons v
New Tanks Existing Tanks o
r/Ot - ~p w" U fn v, w c7 a
Septic or Holding Tank
Dosing Chamber
VII. Respongibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS wn on the attached plans.
Plumber's Name (Print) Plumber's Signature YYMPRS Number Business Phone Number
.,,I /I a Aur Lc> moo? /S ~3 - 3l~
Plumber's Address (Street, City, State, Zip Code)
VIII, Coun /De artment Use Only
Approved Permit Fee Date I sued lssuin ent Signs re
9Reason for al $ Y~ 27
IX. Conditi~iHAliAl6Rpasons for Disapproval 3~
1. Septic tank, eftluent filter and J .1 ~ C. , a
dispersal cell must all be seivk:es / maintained r
~5 ~l t n- v
as per management plan provided by plumber. r/1t L4- 1r
2. All setback requirements must be maintained I
as per applicable code I ordinances. `
Attach to complete plans for the system and submit to the County only on paper not less than 8 in x 11 inches in size
7, q , th
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Document No.
IIIII IIIII IIIII 11111 lilll 1!111 1111 llilll 1111 1111
* 9 0 5 9 5 8 1
POWTS AGREEMENT 905958
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
Owner name and address: RECEIVED FOR RECORD
10/26/2009 11:35AM
Mark J. & Elizabeth A. Lisowski AGREEMENT
873 Yost Dr. EXEMPT I
Hudson. WI 54016 REC FEE: 11.00
PAGES: 1
This indenture, made by "owner" and their successors in interest, own a
POWTS (Private Onsite Wastewater Treatment System) requiring regular
monitoring and maintenance in accordance with the manufacturers recommended Return to: J -
procedures. These procedures must be performed by a manufacturer authorized Jim Thompson
service provider licensed by the State of Wisconsin to perform these services.
Results of these procedures shall be reported to the appropriate Governmental 340 Paulson Lake Lane
Unit as required by code. Osceola, WI 54020
Location of PO WTS: Parcel ID#: 020-1479-06-000
Lot: 6 Block: 6a1 Subdivision/CSM: Plat of Cottonwood South
being part of SWIA SE'/,, Section 36, T. 29 N., R. 19 W.,
Tn. Of Hudson. St. Croix County, Wisconsin.
POWTS DESCRIPTION:
Wieser Concrete Bio-tank with Boot systems H-600A pre-treatment unit, pre-treated effluent discharged to
mound dispersal component constructed in compliance with Mound Component Manual, SBD-10691-P
(N.01101).
OWNERSHIP RIGHTS AND RESPONSIBILTY FOR POWTS:
Property "owner" as described holds sole ownership rights. "Owner" is responsible for insuring
inspection, operation and maintenance of POWTS.
ce 12'q to,
( er si store) (Date)
(Owner signature) (Date)
Acknowledgement:
T Mark J. Lisowski, known to me~ be the pens n ex cut' the foregoing instrument.
cribed 'dc worn to beforeme this day of , 2009,
a
Q 4Z.
-20
.
, State of Wisconsin
` RY C
4tt
`M}~Cotmrt ' Expires: October 23, 2011
r
Instrument Drafted By: James K. Thomason
1 of 1
r
POWTS SERVICE CONTRACT
The proper operation and maintenance of the components listed below will significantly influence the
performance and life expectancy of the POWTS (Private Onsite Wastewater Treatment System). This
agreement authorizes A.C.E. Soil & Site Evaluations, L.L.C. personnel (Service Provider) or their
representative access to the POWTS components during regular business hours to perform regular
inspections and routine maintenance of those components.
It is herby agreed by and between Owner and Service Provider that in consideration of the payments
provided for herein, Service Provider will provide a manufacturer trained and State licensed inspector to
perform periodic inspections of the POWTS components as set forth below. Service Provider will prepare
a written inspection report after each inspection containing any recommendations for the operation,
maintenance, and or repair of the POWTS deemed appropriate by the Service Provider. A copy of the
report will be provided to Owner and the appropriate Governmental Unit. Service Provider will supply
additional services, parts, or labor only after authorization by purchaser.
This agreement does not assume any responsibilities or obligations that are normally the responsibilities
and obligations of the Owner and does not cover any costs associated with operation, maintenance and or
repair of the POWTS. In no event shall Service Provider be responsible for any special or consequential
damages, including but not limited to, loss of time, injury to person or property, or incidental economic loss
due to equipment failure for any reason whatsoever.
This agreement will be automatically renewed each year unless amended or cancelled by either party with
30 days written notice. This agreement may be cancelled by Purchaser only if replaced by a service
contract with another service provider authorized to inspect and maintain the specific POWTS components
in question.
Purchaser agrees to pay Service Provider the sum of $ 125.00 per inspection. Four (4) inspections will be
provided over the first two-year period at six-month intervals. Payment for the first four inspections will be
included in the cost of the POWTS design. One (1) inspection per year will be conducted thereafter with
inspection fees billed at the time of inspection. Any additional fees for effluent quality testing (if needed)
will be approved by POWTS owner prior to sample collection and submittal to lab.
POWTS DESCRIPTION:
Wieser Concrete tank with Hoot Systems "H-600A" pre-treatment unit, pre-treated effluent
discharge to Mound dispersal component constructed in compliance with Mound Component
Manual, SBD-10691-P (N.01/01).
POWTS LOCATION:
873 Yost Dr., known as: Lot 6, Plat of Cotton Wood South, SW'/4 SE'/4, Sec. 36, T. 29 N., R. 19
W., Tn. of Hudson, St. Croix Co., WI, Parcel # 020-1479-06-000
Owner name and address:
Mark J. & Elizabeth A. Lisowksi
62 Loughney Bay
Hudson, WI 54016
ID12'~~09
(Own ~ ature) (Date)
Service Provider:
o Site Evaluations, L.L.C.
James K. Th mpson
340 Paulson ake Road
Osceola, W 54
S. ~
(S ice Provider signature (Date)
Instrument Drafted By: James K. Thompson
i
Hoot Aerobic systems - Hoot Aerobic System Page 1 of 2
4uw[ a4Li[r~_ -
OT S YS T E M S
.2885 Highway 14:E, - Lake Charles, LA 70607 1-888-878-HOOT 337-474;
Homeowners Manual Maintenance Items to Avoid Medication Warning Water Softener Info Troublesho,
TO E-MAIL HOOT SYSTEM TREATMENT PROCES:
HOOT
Hoot
Hoot BNR
LA Hoot
~f
Louisiana Hoot r
r
4 .
Commercial
Help Me k - r
Choose Page
The efficient five-stage HOOT treatment system is designed with
1. Pretreatment tank where influent enters.
2. Aeration chamber where oxygen is pumped into the waste water.
3. Clarifier chamber where the clear, odorless effluent rises.
4. Chlorinator where the clear effluent passes through for disinfection.
5. Holding tank for disinfected* effluent ready for discharge.
6. Extremely quiet, efficient aerator and pump.
7. Unique solid-state HOOT Control Center monitors and controls the
8. Discharge Pump
The HOOT Aerobic Treatment System is a complete five-stage, one p
treatment system. This feature-packed aerobic treatment system opel
municipal treatment plant.
o The simple one-piece design of the Hoot System saves installatioi
money.
http://www.hootsystems.com/systems/hoot.html 10/27/2009
Ha •T
Y
www.hootsystems.com
R
Ins W1 A Hoot Don't Pollute
LCe.,*,1.fie,d to Oncite
Ready
H -Series Gravity Treatment 5y r40 stem NSI Monitoring
Green Choice Applications:
:.,It, Single and Multi-Family
_
- Dwellings, light commercial,
{ r - - _
r Churches, and other similar
j Residential strength uses.
_ Performance:
98% Reduction CBODs
1 \ 99% Reduction TSS
99% Conversion of Ammonia (NH3)
i
Fecal <1,000 w/o disinfection
iF-.•,; 1 Range of Sizes:
ri 500, 600, 750 & 1000 GPD
High performance, low cost, energy efficient treatment system
The H-Series Gravity Treatment System provides high performance at a price comparable to most entry level ATU's.
Producing effluent of less than 3 mg/L on CBODs and 2 mg/L on TSS, it far exceeds the secondary standards of 25 mg/L on
CBODs and 30 mg/L on TSS. With these results, many locations allow reductions in disposal areas between 25 and 40%.
Because the H-Series completely transforms ammonia into nitrate, it is best suited for applications with rich organic soil
content, surface plant growth and depth to groundwater to prevent nitrogen pollution of the water table.
Simple installation, reliable performance, low cost of ownership
This level of performance is enhanced by its simple installation, energy efficient performance and low cost long term
maintenance and ownership. The systems components are assembled at controlled manufacturing facilities, rather than in
the field, to ensure reliable performance with local support.
Energy efficient, environmental protection
Made of locally available and manufactured concrete, the H-Series features an energy efficient linear compressor that
uses less power than an average light bulb. Its polyethylene clarifier hopper is made of recycled milk jugs. Choose Hoot,
and you make a sensible, decision to protect the environment as you protect our most precious resource, our water.
Drainfield and Vertical Separation Reductions
With gravity flow discharge, the H-Series allows you to choose your disposal application from conventional lateral lines,
leeching chambers, other alternative drainfield materials. In some areas direct discharge is an option as well. Reductions
of vertical separations to groundwater and impermeable layers such as rock range from 1 to 2 feet.
Make the green choice for wastewater treatment
Your wastewater system is the most expensive and important appliance you will ever purchase. Don't settle for just any
system. Protect your family and the environment with a Hoot H-Series System.
Wieser Concrete Products Inc. 1-800-325-8456 www.wieserconcrete.com
Hoot Aerobic systems - Hoot Aerobic System Page 2 of 2
o A long-life, state of the art computer manages the system. It operE
for efficient, effective low cost operation.
o The Hoot System computer monitors and verifies that every comp
properly, without opening the system. It is much more than an idiot lig
o Committed to the protection of the environment, we have made th
preferred wastewater treatment system when there is no sewer conne
poor soil conditions or there isn't enough space for a traditional syster
o With our Warranty we stand behind the Hoot Aerobic Treatment S
percent longer than the industry standard. We can do this because of
design and manufacture.
o Contact your local Hoot Aerobic Treatment System Area Represe
more information.
i
Site design by CPU Grahics. Inc • Copywrite by Hoot Aerobic Systems, Inc. 2005
I
http://www.hootsystems.com/systems/hoot.html 10/27/2009
1
VjQ111 i4rU * wfaifszam r. WWI
T ST. CROIX COUNITY
SEPTIC Ai'i ~~K NIFA 11N AVie W ffi f's~#€.,'Ernn'~'?tFT`
aN;~
OWNERSHIP CERTIFICATION FORM
Owne?t/H yer
xviiallutg mess (,p 2- Lp
Property Address
----~7 3 Ranning _ _ rr V.-~,a.i..u 4ctiia.cSL uidL tvn8 DMarh"Mt fnr.tM av-rnnois,rere:.+., t
CitylState-2 ~ Parcel Identifil'afion Number
Property Location 1> 01/4, 56114 , Soc. alp , T Z 9 N R M W. Town of -9'VJ60 e-%-
Subdiv sion Go 14-6A.LJ 06C ~ So J
Certified Survey Map # Volume , Page #
Wft- Deed It
$ ~~'711r
Spec house yes no Lot lines identifiable yes no
SYS'T'EM M,41tNU-MANCR A?' ; s1~TNTVV vvu- r-m. .sue.
rise and maintenance of your septic systmn could rwilt in its premature failure to handle wastes. Proper
Waintenance consb% of pur Ving out the septic tank every three yeah rr sooner; if needed, by a lice-Wed port r. What you put into
the ¢ya!ent a aft ct the %Fiction of the septic tank as a tt'eatment stage in
r nsilirl Rn~-e. } A r7r.s _ _ the avaste disposal sy m, .lt€ r ir?ftst€Tt~stune
. ttk"s u.~ as3±~'c-3lr.ri :n n. .
Aft Prey owl agrees to submit to St. Croix County Pie wring & Zoning Department a certification form, owner and by a tteaster plumber, journeyftM Plumber, restricted plumbr r or
a licensed . veri srS Y
w,•as'.ewater disposal system is in ,,roper /yamatr ' fY that (e j the on-site
le=aq Own °a f•$ A41 ..r wF. j- lt'~"Y"' ~p~+n~ con~tion and/ r /71 n-R-- ft%spect:on 'G'tA -aw- r.ir"is (gf±~nsisnn...et f';,-. -s
y war, nnaersrgned have read the abo* r
smndatds 9d ft* as set b equrrerrr~ts and 71r re to marntartl the private sewage disposal with the
in, the s5'a
t, Y Tkpartnrcnt of Cormmerce arx Irene a ~
fteaticrn sr • p t of Natsnal RESOw-ems .;ra-
that your septic system has been maintained of Wisconsin
90D tUtwt N et► le!3-d and re~*.r@~ _ .s$'`sFa~?t:# 232rf`e.'.d t.3 9# Pjrnr+r wnerda. 09~-~
u we cevaty rant all statements on this form am true to the be:;t c f my/our knowledge. Uwe arWare the owner(s) of the
Property deunbed above, by virtue of a warranty deed reenrdeed in Re gic per of Deeda CMA-4.
SIUNATURE OF APPz ICANTrSI
w1 ■.AL
atroaa is InrarEted may resuk in the sanitary E ernut being revoked by the Planning &ging Department, *s
re~ isbr-Ade i !t Application
dw- a rewrded warranty deed from the Regis`er r f I~eeris Office a,rd a fin` ~.f fry: r. : Ea « A
• tl Slf~t<F9lfFSr t!+•. t
I
* 8 7 1 6 1
878716
STATE BAR OF WISCONSIN FORM 2- 2000 KATHLEEN H. WALSH
REGISTER Of DEEDS
Docuxnase Number WARRA IVTY DEED ST. CROIX CO., W1
RECEIVED FOR RECORD
THIS DEED, made between Kernon J. Bast and Donalda 1. Speer- 07121/200B 03:00F"
Bast, husband and wife, Grantor, and Mark J. Lisowsld and Elizabeth A. WAf1RANTY DEED
Lisowski, husband and wife, Grantee. EMT I
Grantor, for a valuable consideration, conveys and warrants to Crantee REC FEE: 11.00
the following described real estate in St. Croix County, Slate of Wisconsin: TRANS FEE: 353.70
Parcel l : PAGES: 1
Lot 6, Cottonwood South, St. Croix County, Wisconsin.
AND
Parcel 2:
Recording Arum
Together with an undivided 1/6+ interest in Ouflot 2, Cottonwood South, St. ' Title and Return Address:3,e Z-- '
Croix County, Wisconsin. Ed. (M
4W S. - Suite 115 \
Exceptions to warranties: Hudson. WI 16 1
Fasements, restrictions and rights-of-way of record, if any. $71705
'Metro Legal Services 020-14794)6-000
EDQ2ET 871705 A Parcel tdendrWation Number (PIN)
908251 1tD 48(1695 This is not homestead property.
1~1t~LIC,
Da 9th day of July, 2008. >
1MMtAP~.1M! ~IQ{,tl11
r
Keeton 1. Bast ' Donalde J. 5 d~st~"
* s
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
}
ST. CROIX COUNTY. ) ss.
authenticated this 9th day ofJuly, 2008
Personally came before me this July 9, 200$ the above
named Kernon J. Bast and Donalds L Speer-Bast, husband and
Wife to isle lmmm to be the person(s) who execxtted die
TITLE: MEMBER STATE BAIL OF WISCONSIN fore inst un met and acknowkdgat ft saute.
(If oat,
authorized by § 706.06, Wis. Stets.)
THIS INSTRualFxr wAS MAFrED av *Pamela A. Willman
Notary Public, State of Wisconsin
SO East Peterson, FiRlu Frain Stre eet t c. Par►aul, , MN 55 N 55 10 01 Hrum My commission is p~ennanent. (If not, state expiration date:
, SttP 1!212011 )
(Signatures rray be aubaeticstod or wknowtedged. !loth m not necessary.) Pamela A. Willman
Names of penam signing in any capscitymust be typed or primed bebw lttei<signdat Notary Public
State of Wisconsin
WARRANTY bBED S'L'ATE 9" o>: WWONStN FORM N0 -M
tuft
I~
29.1 q. -M z~
CONTRACTORS/CONTACTS LIST
(Lot (D - Cottonwood South) N
JSID
OCR 212~~g
L.pt OwnerlFiM licant oN`NGpFF~~E
G~00
S ~
Ceneral Contractor
hgkeli Pff C rt G
Excavating Contractor
~~PS
Erosion Control Contractor
`7
Sgt is System Contractor
e- A"
Well Contractor
7
Y
SAMPLE
PROJECT NARRATIVE
(Lot -6- - Cottonwood South)
Written Description and Request:
The project site is located on Lot J(p within the Cottonwood South Subdivision located in Section 36,
T29N, R19W, Town of Hudson, St. Croix County, Wisconsin. The project will include the
construction of a single residential driveway and activities associated with the construction of a private
single family residence. A private well and private septic (system or service line) will also be installed
for this residence. The project will include the disturbance of more than 10,000 s.f. within the 1000 ft
of the Ordinary High Water Mark (OHWM) of a navigable waterway/pond. This submittal is a
requirement of a consolidated special exception permit that was granted in March of 2008 for all lots
within the Cottonwood South Subdivision. A site plan has been developed for this lot and is included
for review (see attached plan). The stormwater management plan for this lot was previously
submitted, approved and implemented with the overall development of the Cottonwood South
Subdivision. A copy of the Stormwater Management Plan and associated calculations should be on
file with the St. Croix County Zoning Department and the Land & Water Conservation Department.
No additional stormwater management is required for this lot to meet the county stormwater
requirements or the performance standards described in NR 151. Stormwater ponds were constructed
as part of the original development to treat runoff from individual homesites prior to discharging to
existing waterways/ponds. Drainage easements have been established for all drainage ways and
ponding areas necessary for stormwater management and their locations can be found on the plat of
Cottonwood South.
Approximate Construction Schedule:
From: To:
Month/Yr Month/Yr
~Cl ' C?!? -Initial Erosion Control Installation' +
-Silt Fence & Tracking Pad e~ t ►oi cY~2vr~s
-Initial Site Rough Grading/Building Exc vation sew w`I~ s
5odi ~v~~- l ~s .
-Rough Grade Driveway
_ ?Q -Construct House
-Gravel Driveway
-Continuous Maintenance of Erosion Control Devices
P-02 d/d -Final Lot Grading
-Final Erosion Control Installation
-Erosion Mat (or Sod) & Seed/Mulch, as required
j pz0lb -Remove temporary erosion control devices once a minimum of
70% vegetation has been established on the entire site
r
CHECKLIST
(Lot _ci - Cottonwood South)
Submit!Al Documents
12r Copy of Warranty Deed.
Pf Copy of Sanitary and Building Permit (if issued).
13'-Project Narrative.
Er'Contractor's List.
G-'Site Plan_
0" reconstruction Notice.
100 application fee. _
& $300 cash compliance deposit. - t Y e ; ~ Crrn~ LIT,t bt ®fas ,t
2"'Photographs of the site following the completion of construction.
Site Plan - General Reouirements
GY"Lot/Parcel dimensions, easements, and setbacks.
0~" Location of all existing and proposed structures.
M' Location of all existing and proposed POWTS, wells, driveways, trees and other features.
IT Location of navigable waters, OHWM, and highwater elevations associated with storm ponds.
Site Plan - Erosion Control
►A It -e u
O'Siit fence installed on the downslope side to intercept runoff from disturbed areas of the site J
including the septic system and stockpiles of materials. Existing vegetative buffers may be
-}used in lieu of silt fence depending upon site conditions.
Nevices installed to protect existing trees.
C~ Ditch checks/silt fence installed to protect road ditch and culvert as needed.
e Vehicle tracking pad - driveway entrance.
lid Proposed direction of surface flow upon final site grading.
IT Winter Cessation plan/temporary seeding (if applicable).
Site Parameters/Limitations
*A separate permit(s) may be required by St. Croix County Planning and Zoning Department and/or
the W1 DNR if construction on an individual lot includes any of the following:
❑ >1 Acre of total disturbed area on the site.
❑ >10,000 sq. ft. of disturbed area within 75' of the OHWM.
❑ >12% of the lot area consists of impervious surface (Additional stormwater analysis may be
required to demonstrate that existing stormwater facilities are sufficient).
❑ Any activities that would require a deviation from the original stormwater management plan
recorded for the overall development of Cottonwood South.
L=3 i
TA! 7te,
0;
+►a►+•.•..a.ea♦►l.as..f.•i....y.r..Y ~IC~'C..Y/jnT 243.777 ~2.00 Acm C-4
87J25 SO. FT. Nod' 1 f4
200.74' /
200,74'
fbft
v7.rYJ re
s
4 ,
200.75' 212.56 N8
1H UNE OF THE SEil4
s
Document No.
1 lull Il111 Iilll 11111 !1111 lull Ill! 111111 Ill! 1111
9 0 5 9 5 8 1
POWTS AGREEMENT 905958
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
Owner name and address: RECEIVED FOR RECORD
10/26/2009 11:35AM
Mark J. & Elizabeth A. Lisowski AGREEMENT
873 Yost Dr. EXEMPT i
Hudson, W154016 REC FEE: 11.00
PAGES: 1
This indenture, made by "owner" and their successors in interest, own a
POWTS (Private Onsite Wastewater Treatment System) requiring regular
monitoring and maintenance in accordance with the manufacturers recommended Return to: J j -
procedures. These procedures must be performed by a manufacturer authorized
service provider licensed by the State of Wisconsin to perform these services. Jim Thompson
Results of these procedures shall be reported to the appropriate Governmental 340 Paulson Lake Lane
Unit as required by code. Osceola, Wl 54020
Location of POWTS: Parcel IM: 020-1479-06-000
Lot: 6 Block: Na . Subdivision/CSM: Plat of Cottonwood South
being part of: SW'/, SETA, Section 36, T. 29 N., R. 19 W.,
Tn. Of Hudson, St. Croix County Wisconsin.
POWTS DESCRIPTION:
Wieser Concrete Bio-tank with Hoot systems H-600A pre-treatment unit, pre-treated effluent discharged to
mound dispersal component constructed in compliance with Mound Component Manual, SBD-10691-P
(N.01/01).
OWNERSHIP RIGHTS AND RESPONSIBILTY FOR POWTS:
Property "owner" as described holds sole ownership rights. "Owner" is responsible for insuring
inspection, operation and maintenance of POWTS.
_ - ~7_ I&/Igto
( er si afore) (Date)
(Owner signature) (Date)
Acknowled eg ment:
Mark J. Lisowski, known to me be the pers n ex cut' the foregoing instrument.
cribed do worn to before me this day of , 2009.
a
Q. o
4
RY BL• , State of Wisconsin
t~ Y
MyfiCornm~i~tt.Expires: October 23, 2011
Instrument Drafted By: James K. Thomason
1 of 1
-T
iv
commerce.wo.g ~r~TM~ Saw and Buildings Davisior Coum~
I 201 W. Washington Ave., P,() [lox 71trl. t' F"O
Madison. W1 33707_7162 r !i . ~1r! i
co
rt:rrent o! sin Sanitary Permit Number (to be Mod ire by Co)
LS
pQl• Permit Application ~ _ StateTrar~ssctionNumbcr
Ire aacotdancc with s. Comm. 83.2 t(2), Wis. Adm. Cwe, subt•rtssion of this tbrm to the a
E unit is required yriur to obtainin d sanitar ppruprrate govcrnit)emtal ~ flaw 34 c7c3 7 ZA 'o
8' Y permit. Note: Application forms lot state-owned POwIS are ~Pro'ec!Address(ifdifferentthanrtiuytgQdrtss) 1
? sub:nirtecl to the Uepanment of t:omlrnsCC PClsallal inrornzattOn you piovide may he used for sece,mtlar}
~~u~r xtsrs rn~a~, u~,d~icr wirh tlrt Privac [ uw, s 1 S.U4 I) rn Stals
' A ►licatiort tntortnstiod _ Please Print
~ - +
! roi+crt;' UV.'llet "Y iVa!cu• !
1'ropeny Ownt~ titaiiin~ Atklre
l AP Property Location
UNT 7~~ 9 C r ~LI~
C iiy, State J Govt- Lot
`P
?.ip ode hone Nnnber
Section
(circleone
11. Type of building (check all that apply'} Lot p a~J
AM) ttr2 Family Owelimg
i r ut Btdronlt Subdrvieron Name 1
- Bttxk u
L~ 1'u6t1G('nmmer,yrfl! • pnscritv. Ust
r i ~ Crt•.• C4
State t)a•,rrS - Describe Use ❑ Village (it'
r /O y i own of
Type of Permit (Check only one bOx on line A. Comp ete fine 9 U applicable}
tie„ System 0 Replacernent Spoem 'Treatment:iiuidur Tank
Replacement Only R other MociiPicaur:n to i:r+surtyi Systw1! (explaui) ~~JJ
It. ! OP ermit li-toial Q Permit Revision 0 Chan List Pros u,r',tb Permit Nt:m4er and Date issued I
Change of Plumber D Permit Transfer to ?vew i
Before Expiration Owner
~I.V Zy~le of P01VT'S SvsterurCons otte'11151vire: (Chick all tftnt
Noti-Pieaaur' in-Ground `Prertswized le-Ground G At-CaWe Mound > 24 in, of suitallie soil _ c s,u;,ie 'sa+l
Maand 24m.
o: s
1.1 Holding Tank 0 Otlwr Dispersal Component (explain ~w ~ ~ ~ 3 14~~ ~
_ ) _ Preircatntent Device
i_N~UiP
se rsatrCreatment Area tatfor tnatian:
Desttln Flaw lg;X0 Design Soil Appiieatiarn Rate(.anrisf) Dis rsaf A~e icr~utreJ ts t Dispel ail Are► Pro
- posed ts`7 Sytkrn F."levarnon
1`t. TYnk lnt`o Capacity in _ Total k of Manufacturer -i1
ae, 71>
Gallons (i3lioas ' t.!.ttts l✓~S; ,,.t (Ac~r~ v u T^ cam' i
hlcw 7enks Cxistutg Tank $ P,i,• f w H
es., 7-7Q6 sets or Holding Tank ~j
~1 1l. ktesnonstbility Slat: 1, tlt~underOlitied, assume res(ronsibllity too- installation of the POINT'S s ion •n the attACIlled plans. P
rFnuniber's Name (Print) Piumber's Signature .9 mpn Number tDusiness Phone Nuniber T
~7
Feumt~ee's Address ( t;eet.City,State.ItpCutle)
~ - -
e 1_11. Court /Re ttrratent Use ()n{Y -
- --mot--~' _ ~
Approtitxi Disapproved ~'m+mrc Fee ' Date 1 ued Issuing nt SiYttatlr
fs
(toner Given Reason for Denial 2a b 7 l
lX. Condf s A trov
j(nS$IM~W R,.eaaons for Disapproval 3\ ~ ! A fb A(~J: cQ~o, Leo wac.~,ti-a-~ ~
l J ce.e...
T ~ t. S ptic tank, efflu--)t filter and 4b V -C, dispersal cell must a.: I t
as per management plan provided by plumber, p TU ~a2. Cee
i
2. All setback requirements must be maw 4 ~ T UI,J (~j t:.s~!
~
_ . _.__ae flee 1 J
itYt tl t > he syytrnn and Wbn,ir t0 tNe Count; sat ea r` of feat it a g in ti I 1 inCMr 614t L') ex
SBD-6398 (R. 01/07) Valid thtu 01/09
i
V
SOIL EVALUATION REPORT #2020
Department of Commerce in accordance with Comm 85, Wis. Adm. cod Page 1 of 4
Division of Safety and Buildings Steel's Soil Service
Attach complete site plan on paper not less than 8'/a 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.
Pending
Please print all information. n Reviewed By Date
Personal information you provide may be used or seco ~ ~(~uk~Ey Law, 15.04 (1) (m)). 111Z61-6 7
Property Owner Pro erty Location
Bast, Kernon 6 2006 Go . Lot na SE1/4, SW1/ , S36, T29N, R19W
Property Owner's Mailing Address IN- Lot Block # Subd. Name or CSM#
948 Labarge Rd. O1X COUNT 6-7 8-9 na Cottonwood Ridge South
City State Zip C de Phone Number City Village
j 0 Town Nearest Road
Hudson WI 540 715-386-7775 Hudson Cty Rd N
New Construction Use: [x] Residential / Number of bedrooms 16 Code derived design flow rate 2400 GPD
Replacement I I Public or commercial - Describe: na
Parent material outwash plains and stream terraces Flood plain elevation, if applicable na ft.
General comments Conventional system. System elevation to be determined by designer.
and recommendations:
F 1-1 Boring # Z Ground surface elev. 100.20 ft. Depth to limiting factor 110 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundary Roots GPD/ft-
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-13 10yr3/1 none sil 2msbk mfr cs lvf .6 .8
2 13-29 10yr4/4 none sicl 2msbk mfr cs na .4 .6
3 29-63 7.5yr4/4 none grcos osg mvfr cs na .7 1.6
4 63-110 7.5yr4/6 none ms osg ml na na .7 1.6
Boring # Ground surface elev. 100.00 ft.. Depth to limiting factor 110 in.
Q Soil 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 0-11 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8
2 11-27 10yr4/4 none sicl 2msbk mfr gw na .4 .6
3 27-53 7.5yr4/4 none grcos osg mvfr cs na .7 1.6
4 53-110 7.5yr4/6 none ms osg ml na na .7 1.6
* Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 <30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature: CST Number
David J. Steel 248956
Address Steel's Soil Service Date Evaluation Conducted Telephone Number
994 200th St. Baldwin, WI 54002 10/13/2006 715-760-0347
SBD-8330 (R.07/00)
Property Owner Bast, Kernon Parcel ID # Pending Page 2 of 4
Boring # U Ground surface elev. 99.80 ft. Depth to limiting factor 110 in.
Soil 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 0-13 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8
2 13-34 10yr4/4 none Sid 2msbk mfr cs na .4 .6
3 34-58 7.5yr4/4 none grcos osg mvfr gw na .7 1.6
4 58-110 7.5yr4/6 none ms osg ml na na .7 1.6
4 ] F Boring #
C Ground surface elev. 99.30 ft. Depth to limiting factor 110 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
1 0-11 10yr3/1 none sil 2msbk mfr cs ivf .6 .8
2 11-24 10yr4/4 none Sid 2msbk mfr cs na .4 .6
3 24-56 7.5yr4/4 none grcos osg mvfr gw na .7 1.6
4 56-110 7.5yr4/6 none ms osg ml na na .7 1.6
Fs~ Boring # ❑ Ground surface elev. 99.35 ft. Depth to limiting factor 110 in.
~ Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *Eff#2
1 0-11 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8
2 11-26 10yr4/4 none sicl 2msbk mfr cs na .4 .6
3 26-64 7.5yr4/4 none grcos osg mvfr gw na .7 1.6
4 64-110 7.5yr4/6 none ms osg ml na na .7 1.6
~ rl
52 Z
* Effluent #1 = BODS> 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) Steel's Soil Service
II
Property Owner Bast, Kernon Parcel ID # Pending Page 3 of 4
F6 ]Boring #
H Ground surface elev. 99.30 ft. Depth to limiting factor 110 in. Soil 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 0-13 10yr3/1 none sil 2msbk mfr cs lvf .6 .8
2 13-28 10yr4/4 none sicl 2msbk mfr cs na .4 .6
3 28-65 7.5yr4/4 none grcos osg mvfr gw na .7 1.6
4 65-110 7.5yr4/6 none ms osg ml na na .7 1.6
/ rl
F7jBoring # El
Ground surface elev. 100.00 ft. Depth to limiting factor 144 in.
~ Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#l *Eff#2
1 0-11 10yr3/1 none sil 2msbk mfr cs ivf .6 .8
2 11-28 10yr4/4 none sicl 2msbk mfr cs na .4 .6
3 28-71 7.5yr4/4 none grcos osg mvfr gw na .7 1.6
4 71-144 7.5yr4/6 none ms osg ml na na .7 1.6
- rr
W
Boring #
1XI Ground surface elev. 100.10 ft. Depth to limiting factor 144 in. Soil 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 0-13 10yr3/1 none sil 2msbk mfr cs ivf .6 .8
2 13-30 10yr4/4 none sicl 2msbk mfr cs na .4 .6
3 30-66 7.5yr4/4 none grcos osg mvfr gw na .7 1.6
4 66-144 7.5yr4/6 none ms osg ml na na .7 1.6
* Effluent #1 = BODS> 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 (8.07700) Steel's Soll Service
STEEL'S SOIL SERVICE 3 of 3
David J. Steel Kennon Bast 994 200t" St.
CST-POWTSM SE1/4,SW1/4,S36,T29N,R19W Baldwin, WI 54002
Lic. #248956 Town of Hudson, St Croix Co. Direct 715-760-0347
Cottonwood Ridge South, Lots 6-7-8-9 Fax 715-684-3449
This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use.
The location of this test may or may not be as shown, as permanent lot lines were not established at the
time the soil test was conducted. /4 t2 -
Legend N
1"=40'
= Benchmark Ele. 100.00 ft
V
Top of 3/4 pvc pipe
o = Alt Benchmark Ele. 100.05 ft -
E9, 77~~ Top of 3/4" pvc pipe
11 =Borings
/ 7 ~ Boring Elevations A,~
BI = 100.20 ft TAA
2,' B2 = 100.00 ft
B3 = 99.80 ft
1 3/ B4 = 99.30 ft
B5= 99.35 ft
T-gAA If B6= 99.30 ft
B7= 100.00 ft
B8= 100.10 ft
Z'I3 ? n~
.Sor~ Cdr rw-zcl l/- l Z l3
3b~
~3
C.B.A. 2:7 AC.
2.84 106
0
123840 Sq. ft
C• . . = Z.8 AC. 2.64 cres
LBO=1 0 14792 ft 23
C.B. . = 2.6 C. .20 Ac
X 9 Sq. ft
1039.0 C
B.A. 2.2 AC.
9
x 'OS
11.39' - X
211. 1040. 4.64
- -
330.00
1 53 \
t
I
I I 104, 2.49 res
2
2.69 r ft
117 C.B. . = 2. C•
sq• ft LBO 1043. 11
t" `ul.B. . = 2.6 AC. 50
j L =1044.50
t IO p ~
~ m I Ut
o pp
~co , 46547' `
1 ~ t D
I
I I:_ 1042.6
X 146
x 13
41.1 t 2.15 Acres
93760 sq ft
8 X , '
C.B.A. = 1.5 AC. )144.4
LBO=1044.50
~ 043.3
-r---- ----X-----------------------------
1043.7
467.83' X /
u 200.00 :
W
E 131ALsa
1044.8 X S1/4 CORNER
1044.4 SECTION36
I
X \ J
r
1045.3
x
Document No.
POWTS AGREEMENT
Owner name and address:
Kernon Bast
948 LaBar a Road
Hudson, WI 54016
This indenture, made by "owner" and their successors in interest, own a
POWTS (Private Onsite Wastewater Treatment System) requiring regular
monitoring and maintenance in accordance with the manufacturers recommended Return to:
procedures. These procedures must be performed by a manufacturer authorized Kennon Bast
service provider licensed by the State of Wisconsin to perform these services.
Results of these procedures shall be reported to the appropriate Governmental 948 LaBarge Road
Unit as required by code. Hudson, WI 54016
Location of POWTS: Parcel ID#:
Lots: 6, 7,8
, &9 Block: Na , Subdivision/CSM: Plat of Cottonwood South
being part of. SE 1/4 SW 1/4 of Section 36, T. 29 N., R. 19 W.,
Tn. Of Hudson, St. Croix County, Wisconsin.
POWTS DESCRIPTION:
Wieser Concrete W2000 Bio tank with Bio-Microbics "Micro-fast 3.0" pre-treatment unit, pre-treated
effluent discharged to conventional dispersal component constructed in compliance with In-Ground
Component Manual, SBD-10705-P (N.01/01).
OWNERSHIP RIGHTS AND RESPONSIBILTY FOR POWTS:
perry "owner" as described holds sole ownership rights. "Owner" is responsible for insuring
s ction, operation and maint ce of POWTS.
(er signature) (Date)
twner signature) (Date)
Acknowled eg ment:
These name , Kennon Bast, know to me to be he ergo executing the foregoing instrument. Subscribed
and sworn t before me this da of 2007.
OTARY PUBL C, State of isconsin
My Commission Expires: 4c'
Instrument Drafted By: James K. Thomason
POWTS SERVICE CONTRACT
The proper operation and maintenance of the components listed below will significantly influence the
performance and life expectancy of the POWTS (Private Onsite Wastewater Treatment System). This
agreement authorizes A.C.E. Soil & Site Evaluations, L.L.C. personnel (Service Provider) or their
representative access to the POWTS components during regular business hours to perform regular
inspections and routine maintenance of those components.
It is herby agreed by and between Purchaser and Service Provider that in consideration of the payments
provided for herein, Service Provider will provide a manufacturer trained and State licensed inspector to
perform periodic inspections of the POWTS components as set forth below. Service Provider will prepare
a written inspection report after each inspection containing any recommendations for the operation,
maintenance, and or repair of the POWTS deemed appropriate by the Service Provider. A copy of the
report will be provided to Purchaser and the appropriate Governmental Unit. Service Provider will supply
additional services, parts, or labor only after authorization by purchaser.
This agreement does not assume any responsibilities or obligations that are normally the responsibilities
and obligations of the purchaser and does not cover any costs associated with operation, maintenance and
or repair of the POWTS. In no event shall Service Provider be responsible for any special or consequential
damages, including but not limited to, loss of time, injury to person or property, or incidental economic loss
due to equipment failure for any reason whatsoever.
This agreement shall remain in effect for a period of two (2) years from the date of POWTS installation,
and will be automatically renewed each year thereafter unless amended or cancelled by either party with 30
days written notice. This agreement may be cancelled by Purchaser only if replaced by a service contract
with another service provider authorized to inspect and maintain the specific POWTS components in
question.
Purchaser agrees to pay Service Provider the sum Of $ 85.00 per inspection. Four (4) inspections will be
provided over the first two-year period at six-month intervals. Payment for the first four inspections will be
included in the cost of the POWTS design. One (1) inspection per year will be conducted thereafter with
inspection fees billed at the time of inspection.
POWTS DESCRIPTION:
Wieser Concrete W2000 Bio tank with Bio-Microbics "Micro-fast 3.0" pre-treatment unit, pre-
treated effluent discharge to In-ground dispersal component constructed in compliance with In-
Ground Component Manual, SBD-10705-P (N.01 /01).
POWTS Location:
Lots: 6 7 8 & 9 Plat of Cottonwood South, located in: SE '/4 SW '/4 of Sec. 36, T. 29 N., R. 19
W., Tn. of Hudson, St. Croix Co., WI, Parcel #
Owner name and a ess:
Kempwif%yli
ge Road
Hu , WI 54016
( Cr signature) (Date)
Service P viler:
.C.E. SoiY& Site Evaluations, L.L.C.
0 Paulso ! Lake Road
Osceola, W~I 0 j
ice Provider signature) (Date)
Instrument Drafted By: James K. Thompson
11/08/2006 10:59 FAX 715 233 0398 Certified Soll Testing
a4(D E633
KATHLEEN H. NALSH
Affidavit REGISTER OF DEEDS
ST. CROIK CO., MI
Per Comm 83.22 (2)(b)5.b
RECEIVED FOR RECORD
12/14/2006 10:15AN
Transaction # AFFIDAVIT
EXERT #
REC FEE: 11.00
TRANS FEE:
COPY FEE:
CC FEE:
PAGES: 1
R,^EL Dav-11th _ 30. c~
Return, to: Henry Grote
E. 4366 353rd Ave.
Menomonie, WI 54751
Kernon Bast . hereby certify that 1 am responsible for maintenance to the septic
(POWTS) system serving the four lots described as Lots 6, 7, 8, and 9, Cottonwood South
Subdivision.
Description of property: Lots 6, 7, 8, 9; Cottonwood South
County: St. Croix Township: Hudson
Property address: CTHW N
Property Description: SE SW '/4, Sec. 36, T 29 N, R 19 W
The proposed POWTS system operation and rnaintenance will be my responsibility. This
includes the septic tank - pump tank systems on each lot, the common collection system, the
aerobic treatment system, the cyst dose tank and pumps, and the dispersal system located by
easement on lots 11 and 12.
Signature:
Title: owner
Date: /tom/ 7 p~Ct~
Pamela A. Willman
Subscribed and sworn before me this Notary Public
7 day of 6 La o o State of Wisconsin
rtivw (/J , Notary Public
5.4- _ CA County, Wisconsin
My commission expires
This instrument drafted by Henry Grote
1of1
B 3 3 4 1 6
KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIX Co., W1
RECEIVED FOR RECORD
STATE BAR OF WISCONSIN FORM 2- 2000
WARRANTY DEED 08/30/2006 01:00PN
Document Number
WARRANTY DEED
THIS DEED, made between Michael E. Larson and Joann L. Larson, EXEWT #
husband and wife, Grantor, and Kennon J. Bast and Donalda J. Speer-Bast, REC FEE: 13.00
husband and wife, Grantee. TRANS FEE: 2580.00
Grantor, for a valuable consideration, conveys and warrants to Grantee COPY FEE:
CC FEE:
the following described real estate in St. Croix County, State of Wisconsin: PAGES : 2
SEE ATTACHED EXHIBIT A
Recording Area
Name and Return Address:
Edina Realty Title, Inc.
400 S. 2nd St. , -Suite 115
l;~
Exceptions to warranties: Hudson, WI 54016 U
Easements, restrictions and rights-of-way of record, if any. 511203
040-1000-90-000
020-1109-60-000.. 020-1109-90-100
Parcel Identification Number (PIN)
This is homestead property.
Dated this 18th day of August, 2006.
* Michael E. Larson * J L. Larson
* *
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) rhgrj B~Q~Vn STATE OF WISCONSIN )
. ~PUb1I%T. CROIX COUNTY. ) ss.
authenticated this 18th day of August, 2006 State Of V V sCOns` personally came before me this August 18, 2006 the above
named Michael E. Larson and Joann L. Larson, husband and
*
wife to me known to be the person(s) who executed the
TITLE: MEMBER STATE BAR OF WISCONSIN foregoing . trtnnent and acknowledged the same.
(If not,
authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY *Cheri B wn
Notary Public, State of Wisconsin
Peterson, Frarn re Bergman -Steven Bruns My commission is permanent. (If not, state expiration date:
50 East Fifth h Street, St. Paul, MN 5510 01 3/11/2007 )
(Signatures may be authenticated or acknowledged. Both are not necessary.)
*Names of'persons signing in any capacity must be typed or printed below their signature
WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000
I of 2
EXHIBIT A
A PARCEL OF LAND LOCATED IN PART OF THE NE OF THE SW % AND PART OF THE SE OF THE SW OF
SECTION 36, T29N, R19W, TOWN OF HUDSON, AND IN PART OF THE NE 14 OF THE NW OF SECTION 1, T28N, R19W,
TOWN OF TROY, ALL IN ST. CROIX COUNTY, WISCONSIN; INCLUDING LOT 1 OF CERTIFIED SURVEY MAP
RECORDED IN VOLUME 6, PAGE 1642 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE; MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE S CORNER OF SAID SECTION 36 BEING THE N CORNER OF SAID SECTION 1; THENCE
S00026'27"E, ALONG THE NORTH-SOUTH LINE OF SAID SECTION 1, 24.00 FEET; THENCE N45°1 8'02"W 34.02 FEET
TO THE SOUTH LINE OF THE SW OF SAID SECTION 36; THENCE S89°50'23"W, ALONG SAID SOUTH LINE, 1268.60
FEET; THENCE N44°48'35"W 33.73 FEET TO THE WEST LINE OF THE E % OF THE SW %4 OF SAID SECTION 36; THENCE
N00°32'26"E, ALONG SAID WEST LINE, 1480.62 FEET TO THE CENTERLINE OF COUNTY TRUNK HIGHWAY "N" AND
A PONIT ON A 1999.00 FOOT RADIUS CURVE, CONCAVE SOUTHERLY, WHOSE CENTRAL ANGLE MEASURES
2°43'02", WHOSE CHORD BEARS S79°16'37"E AND MEASURES 94.79 FEET; THENCE EASTERLY, ALONG THE ARC OF
SAID CENTERLINE AND SAID CURVE, 94.80 FEET TO THE POINT OF TANGENCY; THENCE S77°55'06"E, ALONG SAID
CENTERLINE, 967.65 FEET; THENCE S76°47'47"E, ALONG SAID CENTERLINE, 280.04 FEET TO THE NORTH-SOUTH
LINE OF SAID SECTION 36; THENCE SO0°27'05"W, ALONG LAST SAID LINE, 1216.78 FEET TO THE POINT OF
BEGINNING.
NOTE: Lot 1 of Certified Survey Map filed April 8, 1986 in Volume "6", page 1642, as Document No. 410755 is included in the
above described lands.
2 of 2
t -
_ . County
commerce.W1. OV Saf'cty and Buildings Division ------~T~~_ V_-
2fil W. Washirigton AN e„ P,0. Box 7162 Yf~ ! t
con sin Madison, Wl 53707-7162
San t}' Pe emit Number (to e fled to by Co.)
Oeparttnent of Ce,mttseeoroer ~ .~JJ•-
V -5ta.te Transaction Number `
Sanitary Permit Application j
In accordance u tit s. Comm. 83.2i(2), Wis jnj lode subnvssiuri of this form to the appropriate; governmental 13o & 1._)
unit is requited prior to obtai.nir g a sanitary permit Ncte: Application forn•is to state-owned PfJWTS are i Project Address (it'differenr thanmailing addreas) i
submrticd to the Dcpar.mew o Commertu Pers n,ai inlorm4lion you piovitic m y be used for seconda;+y I
dur>osrs ur a c i d311ce with the PPTVat law s. ! 5 0 t (n'i , S ~t<. _
1. Ap licahon Information -Please Print Ate Information ~~7►e~'~~-~~^--
Pioper;y0),r.rr';Name - - Parcel#
i
Property!hvnea's Mailing Address _ APR 4 - - --1
Praperty LocaCiorr
~ G
Y_ A Yc _ Govt. Lot
fO
~ City, State Zip de
'.S, L~ S e
circle o on ne)
iV; R E or
ill. Type of Building (check all that apply} - Lot- _
II e
2 Family D.se;hng - Nu her of Redronms ubt?ivision Name
' - Block k i
C it " v rJ ~av~
❑ Publ;trCcmrne:cia' - D.^;cnlti Use y
j ~ 12 City of
j J Siatc• UArt d - Dcsc~ibe Us: CS~t\ a rb~ page of •-_~--_--._._---^--.--T---.
1 111. Type of Permit: (Check on)); one box ou line A. Comp to e fa plicable)
i A.
XNe.w System ❑ Replacement Sy, t m -1 ❑ Trealm t;r}loiciirg Tank Replacement 0,1Y Other Moditication to Existing System {explain)
I B• + ❑ Permit Renewal - unit Revision C11 Change of' ?lum ber List Previous Permit Number and Date Issued
~ Permit "fransfer to New
Betbie Expiration Own=r - 07-
1V, Z_ ype of POWD Svstem )onent( ce_(Check all that apply)
Non-Pressurized In-tiround Pressurized In-Coound f] A.--i,tade ❑ Mound 24 in or ble I ~MoNn' < r^, ofsyual"e soyt/~/~ J~~ -
❑ }iotdim,' ai k ❑ ONrer Dispersal Component (a;<plainj-_.__._._._ ~Pr'e%reatmer,! Device (e. ain) ~c7G)r
V. ills ersaVi'rcatmentArea Information.
ites10 Floc i
gpu) f3esign Soil Application R.ate(gpdst) 1. asperse; Area Required ('st) Dispersal Area Proposed (st) System Elrvat, c
2 41 C3
V1. Tank Info Capacity in -
I 'I?xai ~ # of-' Manufacturer
F -
Gallons Gallors Units 2 c u
"u
New arks
ExistvrgTanks 41 is I
- - IT /~yj vn .
iepr c or t-otdurg'fank
4~
Uu,rny r irambrr
V11 Responsihility Statement- 1, the undersigned, assume responsibility for installation ofrbe POW rS s n on the attached plans.
!,lumber's Nanoe (Pr:rU Plumber's iSignature 1P. PRS Number E~ Business Phone Number
Pl,rnoer's Address (Street, City, State, Zip Code) ~4--
N'I1I. 6rtment Use-Only
Permit tee
pp Di 1 ued-- suing Agent Signal re
e
I rovei Disapproved
u Owner Given Reason for Denial
IN. Cjonaltions of .kpproval/Reasons,f`w D m t >,roval
GC e-~c w d z O-
tin ,!/ao~a D I
Q!j?~Z__ . _ _ G•G~~ ~ ~i21-~~XXe_~1 c._~id_~_ ~~uo
~r+• to plete plants 11 1, svstern and submit to the County only on paper neat less than 8 3a x 1-in ties i sP
a (N <
S D-0,39S (R. 01!,107) Valid thru 01/0 ` / ,,(07ZE / a
74
LD73 6 -7
Safety and Buildings
commerce.wi. 4003 N KINNEY COULEE RD
gOV LA CROSSE WI 54601-1831
in TDD (608) 264-8777
www.commerce.wi.gov/sb/
i sc o n s i n www.wisconsin.gov
Department of Commerce
Jim Doyle, Governor
Mary P. Burke, Secretary
April 17, 2007
CUST ID No. 222774 ATTN.• POWTS Inspector
HENRY F GROTE ZONING OFFICE
CERTIFIED SOIL TESTING ST CROIX COUNTY SPIA
E4366 353RD AVE 1101 CARMICHAEL RD
MENOMONIE WI 54751 HUDSON WI 54016
CONDITIONAL APPROVAL Identification Numbers
PLAN APPROVAL EXPIRES: 04/17/2009
Transaction ID No. 1386134
SITE: Site ID No. 720623
Cottonwood Ridge South Please refer to both identification numbers,
County Road N above, in all correspondence with the agency.
Town of Hudson, 54016
St Croix County
SE1/4, SWIA, S36, T29N, R19W
Lot: 6-7-8-9, Subdivision: Cottonwood Ridge South
FOR:
Description: Pressurized In-Ground / Commercial (4 houses) / ATU
Object Type: POWTS Component Manual Regulated Object ID No.: 1108003
Revision; Maintenance required; 2,400 GPD Flow rate; 110 in Soil minimum depth to limiting factor from original
grade;
System: In-ground POWTS Component Manual, SBD-10705-P (N.01101),
Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01101);
Aerobic Treatment Unit, Biofilter
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, r.
stats. CQ;1dt~
The following conditions shall be met during construction or installation and prior to occupancy or use: ~
Reminders p~taEt~t
µ OF
• This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE GpRE
component manuals listed above.
• The Biomicrobics, FAST 0.75 units (one installed at each house) must be installed in accordance with the
manufacture's printed instruction and system sizing criteria found in Comm 83, Wis. Adm. Code. If there is a
conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements
will take precedence.
• A maintenance and monitoring contract for the Biomicrobics, FAST 0.75 unit is required for as long as the
units are in service.
• The observation pipes must be located at a junction point between two EZ-Flow products so as not to create
separation of the bundles within a product.
i
HENRY F GROTE Page 2 4/17/2007
• The wells must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption
area. chs. NR 811 & 812c
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated,
county official in accordance with the provisions of Sec. 145.20(2)(4), Wis. Stat
• Comm 83.22U 7 A copy of the approved plans specifications and this letter shall be on-site during construction
and open to inspection by authorized representatives of the Department which may include local inspectors
Owner Responsibilities:
• Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
Comm 83.54(1).
• Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. Comm 83.54(4) shall be considered a human health hazard.
• Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county
for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
All permits required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible
for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 75.00
Fee Received $ 75.00
Balance Due $ 0.00
Charles L Bratz
POWTS Reviewer II, Integrated Services WiSMART°code: 7633
(608)789-7893, 7:45 am - 4:30 pm Monday - Friday
charles.bratz@wisconsin.gov
cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M.
r
Cottonwood Ridge South Common In-ground System
Revision to Transaction # 1343361, Site ID # 720623
Construction Materials and Techniques
All materials must comply with Comm 84 and be installed in accordance with manufacturer's
specifications. Construction methods must comply with the following Component Manuals:
In-Ground, SBD-10705-P (01/01)
Pressure Distribution, SBD-10706-P (01/01)
Location: Lots 6, 7, 8, 9; Cottonwood Ridge South
SE 1/4, SW'/4, Sec. 36, T 29 N, R 19W
Town: Hudson
County: St. Croix ,
Date: April 20, 2007
I
Owner: Kernon Bast
Address: 948 Labarge Road NS
Hudson, WI 54016 /y~i
HENRY F r, ,
Designer: Henry Gr - GROTE
-1699
ENOMONIE;
5Z ,
Signature:
WIS
~0~i IFS I GN~~
License: WI D- I9-O07
Attachments: SBD-10577 - Plan Approval Application
SBD-8330
Affidavit of maintenance (copy) ° nn'~'rr,y
Prior approval letter (copy) a V ED
OF COMMERCE
Page 1: cover 4ESP0 %"WS
2. overview 9: general system management
3: design criteria & calculations 10: system specific management DENCE
4: absorption area plot plan 11: general lot plot plan
5: system cross section 12: duplex dose pump check valve `detail
6: plan view, lateral detail
7: dose tank exit detail
8: dose pump curve
page 1 of 12
Cottonwood Ridge South - Overview
The revised plans differ from the original, approved plans in that the aerobic treatment units are
decentralized onto each lot and incorporated into combination septic-ATU tanks. The in-ground
trench system is shifted to the southern portion of the tested area due to changes in the
subdivision final grading plan which will improve overall site surface drainage. Approximately
three feet of landscape fill is proposed over the existing grade in the trench system area bringing
final, filled grade to about 103 with about seven feet of backfill above the system synthetic
aggregate. Final settled slope should be a nominal 2 percent to the southwest.
In general the Cottonwood Ridge South Subdivision lots will have individual, on-lot septic
systems. Four lots, lots 6, 7, 8, and 9, have soils which are poorly suited for on-lot systems. Each
of these four lots will have on-lot, combination, septic-ATU tanks to produce highly treated
effluent. Four bedroom homes are anticipated and designs will be limited to four bedrooms
which will require the installation of Wieser 975/1425 SEPTIC/1310 tanks. Septic compartment
outlets will be equipped with filters and filter alarms to ensure timely filter servicing. ATU units
are Biomicrobics, FAST 0.75. Highly treated effluent will either flow by gravity or be
transferred by small pumps to the system effluent collection line located in a thirty foot wide
sanitary easement. Solids free effluent will flow downhill in the common effluent collection line
to a pump tank located on lots 12 and 13.
The common effluent collection line must be constructed with schedule 40 PVC and installed in
accord with Comm 82.30(11)(e). In particular the trench bottom must be over-excavated a
minimum of three inches and the elevation of the pipe established at the pipe invert with at least
three inches of clean sand. Pipe backfill shall be in accord with Comm 82.30(l 1)(e)2.a for the
initial twelve inches. Cleanouts with frost sleeves will be constructed at each lot line.
The 1000 gallon dose tank is equipped with duplex pumps controlled by duplex controls. The
duplex control alternates pumps to periodically send effluent to the in-ground trench system. At
full designed flow of 2400 gallons the in-ground system will be dosed three hundred gallons
eight times a day, approximately every three hours.
The "conventional" in-ground trench system consists of six 3' x 105' trenches constructed with
E-Z Flow synthetic aggregate. Equal distribution is assured by pressurized laterals with 1/8 inch
diameter holes in the centers of each trench.'
In-situ soils loading is a maximum of 1.6 gallons per day per square foot requiring at least 1600
square feet of adsorption area. System design is conservative at 1890 square feet giving an in-
situ loading rate at full design flow of 1.27 gallons per day per square foot. System elevation is
set to ensure system elevation about 2.0 feet below the sand horizon interface with heavier soil
textures in the upper 24-34 inches of reported soil profiles.
Page 2 of 12
Note that friction loss calculations include the first two segments of the center fed manifold due to significant
friction losses in the 1.5 inch manifold; terminal segment manifold losses are covered by the 30% system loss
calculation.
Design Criteria
YES Residential Wastewater Contaminant Load: 30 mg/L < BOD5 < 220 mg/L
Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L
Fecal Coliform > 10,000 cfu/100 mL
Ye& Treated Residential Wastewater Contaminant Load: 30 mg/L < BOD5
Septic tank + "highly-treated" effluent 30 mg/L < TSS
Fecal Coliform < 10,000 cfu/ 100 mL
Bedrooms x 100 gal/bedroom/day x 1.5 2.40-0 gallons/day hydraulic load
Design Calculations
In situ designed loading rate 1,2-- gallons/sq. ft. per day
Depth to estimated high ground water X44 in.
Depth to bedrock 1e+4 in.
Cross slope at system 2(a> %
System surge/dose tank ~eaS-, wt 0,.,o $(Z taws gallons
ose tank filter S tiZ" ~r sir ~LL~~ A-7 77M of /S7 0?)se
Force main length t 5 ft. of 2 in. 4 S~ ~"~17 0,J
Manifold/header length ~-d ft. of 1 V-L in. 3.~e
Drain-back X13 gallons
Lateral length @ G'~ ft. of in.
Lateral elevation qs.~ ft. @ bottom of lateral
Lateral hole size q in. @ 16.0 in. ( 3• ft.) Spacing
S/ holes/lateral holes--total
Lateral volume s q , n~4- gallons
Total lateral discharge rate 1 gallons/minute @ S ft. head
Network pressure compensation losses k i 1 ft
.
Elevation difference o ft.
Force main friction loss 2 ms' - ft. @ 8 6. gallons/minute 3. be < < er,
Manifold, first segment friction loss 1 Z3 ft. @ 43.0 gallons/minute
Manifold, second segment friction loss V ft. @ 2e gallons/minute (x2) e-'1'/` °v'')
F11tP, ft.
Total dynamic head ft.
Dose pumps q0 gpm @ ft. of head, duplex pumps and controls
Manufacturer C.9- o w o z gam- Model # w S k o N
Dose volume o 613 gallons
Measurement pump on and off l1~ n in. o
Hei ht alarm from tank bottom in.
Septic/ATU tanks 4-% ci' 142,E 5fP*nr- %ko gallons, on each lot
Septic tank effluent filters (4~)-+ 0- a.`c ~ r o t m t4- a (N 1 with 1fil(ter alarms
ATU ~~o►~~cr2ur~~cs t"1~ST n~~s' aac~h lo`~S 4- -,.UQ
specs.calcs S
l,r Page 3 of t Z
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Page + of 1 L
PUMP CHAMBER CROSS SECTION
Min. 2' Vent Pipe with cap 7
a 10' from door, window c~C2 ` w
or fresh air intake vent Cap
Weattur Proof
T Jurwtton am Approved Iocking manhole
coverw/warnin9labe I
12' MIN
I
Final 1 a / a
Elev. w o3 I Grade I u a IJ T44* MIN
411
j
I 1 18' MIN
COndutt
• .ll„\1\ ill \\~~a ~ ~u
.4ea
inlet
Approved / S F1~` Provide
vide
Joint I I I I l \ /
A Airtight Seal I I I Approved
I Jo• s
~ ~ I I I
Alarm ~Qro o.a l
I c ~y~ ~ ~ I I
{ p I On i
ELEV, ft Off
ELEV, ft
Concrete Block
Elev. ~
3' approved bedding material under tank
1ci liquid level 2~•g3 gallons/in.
SPECIFICATIONS
Note: Pump and alarm are on separate Number of Doses: 5? o Pe-r Day
circuits as per Ws. Adm. Code Gallons Per Day of Doses: 3~.o Gallons
Volume of Backflow: Gallons
Tank Manufacturer: Total Dose Volume: 10~-Al Gallons
Tank Size: L Gallons
Alarm Manufacturer: S s `AQ_C_ Capacities: A \ -:ir,o inches or 4-~~.1 Gallons
Model Number: B inches or Gallons
C inches or 306.13 Gallons
Pump Manufacturer: D q inches or zsro Gallons
Model Number: Total........ = sq inches or\Gallons
Minimum Discharge Rate: GPM
Vertical Difference Between Pump Off and Distribution Pipe: :4,0 Ft.
Minimum Required Supply Pressure. + s=o Ft
i < Ft. of Force Main x 13,6% Friction Factor/100 Ft. +2'ns~ Ft.+ z.~q'Lw•-
Total Dynamic Head = t s.`~- Ft.
Internal Pump Tank Dimensions: Length ~g ' Width Depth to inlet ~-Z
Bulletin CL2.1A _
July 8, 1983
,i
to For Homes - GOUL.DS
• Farms
• Trailer courts s Model 3885
• Motels (Supersedes Model 3870)
• Schools • ~
• Hospitals Submersible
EHluentPumP Effluent Pumps
• Industry
• Effluent Systems Pump Specifications
anywhere effluent Solids Handliny Capabilily to
or drainage must be Discharge Size
2
disposed of quickly, Sem.. i-T
i-Open Impeller
quietly and efficiently. 3 van,: Jet qii.
UMIS USC
back-off Philip Out ~8ni5 On DaCn5~1]e
tol protectluf~ u!
Casing
volUfP
Stainless Solids Handling ainless Steal Fasteners
'7 `.7 ~ Series 306 5:8in1c» S~rci IJu :Or
Dependable Capability to 3/4" re anic
Mecchhanical Seal
Ceraww
spnny tlnu ""It.r
Maximum Temperature
1/3, 1/2 H.P. 60 Hz Il 160,F
Capable of Running Dry
Single Phase 115, 230 Volt. w MOL11 dan),igo to cuwponenls
Motor Specifications
1/2, 3/4, 1, 1 1/2H.P. 60 Hz Motor Fully Submerged
in nign gr-,l l,,rD, n, o, or p)er
Single Phase 230 Volt. Three on of D .
Phase 208-230, 460 Volt.
envirOflrnCil; Dy r,,gyua CdSI iron e:
- & Bearings J
Stainless Steel Shan
Sou vs
reSistiIf 1 i~,~,~,.~xr sl-.,ll
Single Phase Units
90 All yin,ji„ ,,i.., D_i!
80 Three Phase units
WE15H MODEL 3885
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System Management
Management of this system is critical. As a condition of approval of these plans this system management section must be
reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If
problems develop with the adsorption system or any other system components, the installing plumber or the St. Croix County Zoning
Office, 715-386-4680, should be contacted for assistance.
General
Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which
flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of
contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to
settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as
water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type
of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health.
1. If the septic tanks are installed prior to sheet-rock and/or painting, pump the septic tanks before normal use begins to
ensure adherence to contaminant load design criteria.
2. Install water-saving appliances whenever and wherever possible.
3. Repair even small water leaks as soon as possible.
4. Never pour grease or oil down any drain or stool.
5. Garbage disposals are not recommended; if you must have one, use it sparingly
6. No paper products other than tissue should go into the system.
7. No chemicals should go into the system.
8. Avoid surge flows of water; try to spread laundry throughout the week.
9. Aerobic tank effluent must be less than or equal to the design criteria specified in page 3 of these plans.
10. If septic, treatment or dose tanks are no longer used, they must be properly abandoned.
11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and
heavy mulching may be required to maintain a functional system at start-up.
Maintenance
1. The septic tanks must be inspected every three years by a properly licensed person.
2. If necessary, the septic tanks must be pumped to remove solids and scum; pumping is required if the combined scum and solids
volume equals one third of the tank volume.
3. When the septic tanks are pumped, any solids in the bottom of the dose tanks and aerobic treatment tank must be pumped, and the
filters must be back-washed into the septic tanks to remove accumulated material. System use may require more frequent filter
cleaning; initial inspections of the septic compartment filters should be made every 6 months until a minimum time sequence is
determined.
4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell.
Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption
cell.
5. This system has an aerobic treatment tank which must be inspected every six months according to specifications and contract.
6. The aerobic treatment system has a blower which runs continuously; if blower operation has stopped a licensed plumber should be
notified for service as soon as possible.
7. The pumping components for this system include alarms which must be installed and remain on separate circuits from the pumps.
If alarms are activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve
capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or
two days should pass before any necessary repairs can be made.
8. Avoid compaction such as vehicle traffic above or within 15' of the adsorption system.
9. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system.
10. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth.
11. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system
area.
12. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or
insufficient oxygen.
Contingency Plan
Wastewater monitoring of volume and quality is not a normal requirement; such monitoring may become necessary if
problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and
hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation
of additional treatment components may be necessary.
Page 9 of 12
System Specific Maintenance
The developer is responsible for all required maintenance. A properly licensed, experienced plumber should be
under a maintenance contract.
Treatment Systems
1 The aerobic treatment unit blowers should be periodically checked and the inlet screens cleaned
approximately every six months or after any periods when debris such as leaves or mowed grass
might have been air-borne in quantities.
2. The aerobic treatment units should never smell septic; if unusual odor occurs, notify the installing
plumber or contractual maintainer.
3. Annual inspection is recommended of sludge depths in the septic (trash) compartments and in the
treatment compartments.
4. Unusual noise from the blower units should be referred to the installing plumber.
5. Manufacturer's specifications for initial inspections every six months for two years must be followed;
follow-up inspections required at yearly intervals.
6. The installing plumber must include the required initial six month inspections in the installation price
according to NSF specifications.
7. Individual septic (trash) tank compartments with effluent filters are located on each of the four lots
served by this system. The effluent filters have alarms to notify the homeowners if filter service is
needed. If alarms are activated the homeowners need to notify the developer or contractual maintainer.
8. House locations and topography may require combination septic-pump tank installations (STEP
systems) where the fl
effluent is pumped up to the system effluent collection piping. The pump
compartments in these cases will be equipped with alarms to indicate any problems with the pumping
systems. If the alarms sound the homeowners need to notify the developer or contractual maintainer.
9. All alarm systems should be checked annually to ensure proper operating condition.
Dispersal System
1. If any alarm sounds or indicates a problem, notify the installing plumber or contractual maintainer.
2. The dose alarm system should be checked at least annually to verify proper operating order.
3. The area above the dispersal cells should not be mowed after August 31 to allow. vegetative growth
prior to cold weather.
4. Traffic of any kind is not permitted across the dispersal area; the perimeter of the area must be
delineated with a decorative fence/barrier which must be maintained in a manner to prevent incursions
by vehicles, "four-wheelers," snowmobiles or other equipment which might compact or damage the
area.
5. Annual inspections of the dispersal system must be conducted; the surface above the dispersal cells
should be of relatively uniform appearance with no unusually wet locations. Observation wells must be
inspected to look for evidence of significant or prolonged ponding in the trench system..
6. Manufacturer's supplied operation and maintenance manuals will be followed.
Page 10 of 12
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