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HomeMy WebLinkAbout026-1064-10-300 0 g ?! 0 tz � , 2 � § « Q E ( $ z C) ^ X � � r � �- �� Z E 5 m # S E� \ \§ / \ / / \ m » � ° m c:, } ) [ § 2 » $ 3 E E / ! \ \ f 7 / i £ % 00 \ � 2�� , CL 7 § / \ 0CD CD o o a g 0 c £� ic 2 ` f f 0 0 0 7� @ / \ § @ @ co i / PI) § cr o q R CD ; C Cil D k [ l g � C, E z s E/ A 2 [ [ $ m ( � � / / / § / § M a a CL R 7 ■ � \ / CL § % § & C4 { { � � � /\k M7omnƒ�k Q § 2 =�0 ®Ca9; < 3 ® z a E\{{ ° § \®G§ C , ) to 4[= § � m ) C W / ( 2 /w m a ! ;$E m C ? /ate CD & =Z¥ _ ( � {c{ CD, � ) 2 § 0 E 2 CD 3 # o ; A i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division r INSPECTION REPORT Sanitary Permit No: 430381 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: Halle Builders Inc. Richmond Township 026- 1064 -10 -300 CST BM Elev: Insp. BM Elev: IBM Description: Q04, ;�� s Section/Town /Range /Map No: 00.0 tc. O dF {�, "AA i-oe b+� 9"k" I 21.30.18.318A20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark e I c.,a� sun q •'fS ol• 1 W - Dosing Alt. BM Aeration Bldg SL* 1 , Holding S Ht Inlet 57- �- (ITA TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic w � r� t Dt Bottom Dosing Header /Man. L 6- . 9.35 Aeration G Cr Holding Bot. ystem 1 1r; f0 2. •9 ��si n s, Final Grade PUMP /SIPHON INFORMATION 3.3g 96. ,, Manufacturer GP and St Cover 3 • 4AG Model Nu er TDH Lift on Loss System Head TDH t Forcemain ength Dia. tn Well SOIL ABSORPTION SYSTEM RENCH idth / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. liquid Depth DIM I $ • y �� Cz) SETBACK SYSTEM TO �� P/L ` BLDG IWELL LAKE /STREAM LEACHING Manufa r r INFORMATION CHAMBER OR Type Of System: 33 5 (1 UNIT Model Number:, 2 tl n n � ` ` VM.A000.�(. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake 4.4 �( 111 �� III, Pipe(s) 7 / Length 1 Dia L SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes ]N, i i NN��AAE� �1T (Include discr en �gg er ons present, etc.) Inspection #1: Inspection #2: I ,location: 1458 112th Street New Richmond, WI 5 555 4017 (SW 1/4 NW 1/4 2.1 T30N R18W) NA Lot 2 Parcel No: 21.30.18.318A20 1.) Alt BM Description = /1/• A. i 2.) Bldg sewer length = 2* • a n- amount of cover = 1 , -A .rQ,v�� (�,�.�, ' AA06 V?.%JUA) AA �E) `�" W ESL w6*` 're � 1 -- _ I n revision Re N Use other side for additions inf matio Insepctor's igna ure �' 1_ g � t Cgrt �I SBD -6710 (R.3/97) �'^Q'�. 4 I A ( IV¢a�ee� : ( ('c.a. �� z) Sp — rGcc +cdl. d* �wg� 06 l . " N O Nw S': 1 T -aAiR *dud T� II Ir� Z f� o d IrI `, , fir, /0 a t 'Raw Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of -Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper 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. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Revi ed by Date OS Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Olt. 3 Property, Owner Property Location ` j frQsi`l Govt. Lot 1/4 1/4 S T 3� N R / ,r E (or) Property Owner's Mailing Address Lot # I Blol Subd. Name or CSM# /86 6 Y ;, CS&7 6 3 ' 110 41i/ z City State Zip Code Phone Number ❑ ity ❑ U'llage P.Town Nearest Road &c. JR6 /7 New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate Cy GPD ❑ Replacement E] Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments and recommendations: F/I B oring # I❑ Boring 0 Pit Ground surface elev. o ft. Depth to limiting factor ��� 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 to Y /y /y -' S.'r l 2m 4 d. mfW 9 .a 0 Boring # ❑ Boring pit Ground surface elev. g • I ft. Depth to limiting factor 1l ' Y 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 z-, - )0 Y Ry /k/ SACC dA 3, X ,e s' IP 21 , 4 ��►�'�/��� cis 99 mloie; a4 —' . 7 / `C • Z- S� 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 CST Name (Please Print) ignature CST Number nrjv v's !!-e z zl y' / Address 1 Date Evaluation Conducted Telephone Number vu s o�, &,-t s d u a- 3/ v 3 7 /Y` :Ao -66 '7 SBD -8330 (R07 /00) Property Owner J""" ` Parcel ID # Page Z. of J Boring # I❑ Boring Q ) 0 Pit Ground surface elev. o ft. Depth to limiting factor ! in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I *Eff#1 *Eff#2 l0 D V 7),Z- L t C4 oc ' , g 7— Lb _a Ryl �( -- s, c�i �fi fie ci-s m" : v , sue( F-1 Boring # E] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. El Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) lea � a7 Jessie Nye Subject: Gille, Halle Bldrs, 430381 Location: Richmond Township Start: Mon 11/3/2003 12:00 PM End: Mon 11/3/2003 1:00 PM Recurrence: (none) 026 - 1064 -10 -300 21.30.18.318A20 r .�. L171 Itltiittt enri Airtu., BOX J az Madl8arr. W.T 55707 -• 708; ;Ad ma 7X pcv xlrtttrat :i of Commerce Sanitary Permit A.pphicatbart �_-- I"OrUt 1'i'rirn'Iuer_ 111 nearau with Currrfa 8321. Alin. Adm. Cudis, pektonul lxAqwuI(IsDn you providt: [} . Chsmk tCTttsvidir+tt _ t W +tna ffsx aucur t E �rtir�eum Priva r a l .qgI }{�t w .w _ - . Ax7plit.tz ljr :Cti�t>'r; UO-Vt » Pleaso 7'rlat All In Foriutution 5'rrtt Iwo T1�» 1�Truist t C�ropwly ©wtiev'e 1V•tiirnc: -- e.r ---�� Pranor�,� Clvrrlt'wr's lldull[u�.�tit2rt�lle •- --- �.�....�.. -. .. »_�._. .prcfl�eity,L.uctti.9.nn. -!. J .ST �,. ��!..... '' I •r �v,A /6 u . Stu.td Zip Cob i�irntte Nmnbar Lint mrt dear Wbukgmuber Z StxtxtiVIA= Natuu - 4 CSIat Nuatla,tr / /ice yiis' �9 s 3 y • �. Zy�,irt� o;; �3uxldln� (C".11ec�k all Taut al�lyl�'.) "` _ �_.____._. _._w...� -_� t7 l or 2 :puaally i'1eve111>xt; IititttlE7m of Padrvwan fl 1'ubliu /C:arrunurelul.- I)elscrlfx; T1' L _ _. ..-.,. 17 Stmre t3wacd , _ __._ .,...._,_.___,.._ _ .._ ..,.._. `.._ C:t'r'u'tw3 NuttradCltotul Y � 3IC. '1)r jzc ar Permits (Chack 0* One box au line A. ]tiTumborlug W for haetaial CJ use.) +(Con4joi Tb%& l3, tr appliculale.) y A. W � .. Ne,v 2ll ttc ri8aotrtdul S stenn �Li Tiepiacemanr rrt' t; Acicllrfun to - - •W ., __ . �_ . Tad- On _ fi,ci6tira 5` arltun Foe Curtuly oft C;Iruck li u�><nllxu y trs�cmlt I''1'bvionsty lrffluu laet7'1'Ltl' nitrul(rt�r �3 0 JO D41''Bra"d --- -. 1 ylae af.' ] ?E7'�JU `y�t'trm: (Llreulc all tliut 'tat}ily. NtunUi�rin ird 1 r uit�tai usre ») - ! 14,111 210 Mound V rl Auld Battor. .99 L'1 CongNuotxcl Mdund 22 Ll I'mmurlmd lrKrrtaund! 44 0 lkftdinb 'l'errtk 48 t t SIIwa 1 AWS 5:1 V 17rIp Une 45 U At rSrftdA 4 6 13 Aorvbla ` h titaierit Uidt +1, RacircoL•cft 30 rJotiter - - - 17aeit,u Dispersal Arm l7is11"Nal At eu - goll AppllcWdoll -- �- 1?t raalfttlrw. Itao Systom Hh- wattiva PI MI tirade tter(Itired ttirrftluned T4ttUd(Caio. %1�t /bq.;CftM) (lvlln.ltric$} 13lflvtttlon /7S0 c 7 _ �z. �57 ~ 'iQlrlc )gltr _ ("uirtllaty lu TOW Nualbar IvLtmntacstux�f � � ixreFub site 5kera2 1?tt7Cir PlabCtt; Giationb GO= of Tank» Canumto Collstmoted rsteuts Nctty l3xifitLlj; rrl• uilnl�llttg'1'11ntc ... - °.._ «.__ ___.� _..._..._... � _._. ._...._..�..- __..._ __. L7rraittl i.hatfitx i — ~ 'V11- R esinms1111WOF Sta tt;tx Ut'- $, thO UU&L 'gigttc d, »i;trrne riNtlturl3clEril4 Y 1'Pr 3t7st_ 7''Y 7,s sl2aw va - dia a attda am . Wiz.'ix:.r's't�ut:ua Si (Pr1nt} Y > >ar'rt ca .,f _» the FC- _ IoW" �,Le, I uita,ar T�luiitrerts Anna l�Tutnlrmr 2alatttftt�t's �SClclres8tf (Straat :, y. 5htte, zip Cutlej ._. -._.. ......_... -.. i J� ldxnol• _ - l� A roved r _ — . _ _..._ ,... pp - I)atd !'Neued I g Agoat 5lt;m th" +t0 SttlrulrH) a ruve�t 17 Sturitury llurruhPee (3ucludes Urtmnd vulgar Approved fJwtis�r C:llvftn ItrirIal Advcrrers xIu Surcttttrga errs)( SD ov. �� Ztb - F.. Couch lYnru lZt sm l for Distappruval t S a RG V b.. 4 cl�t� (h(�12. .,b.� n9.}.•� Ste' � . cx.�Ro� - f yr ` ���s g�M - t - 7 _ _ A t cfs eatul c:to ar u •.uuutY m,ty.:i t6r tjI.l+ z4yAtwu uu llmyu!r u c toss ttutrt $x l'3 't:1. ttrIiuss tu. nlxu .,�. l `n' "- a-•� K.a - -�--� rece..�.tiepQ /t-)vv . l(� ZaD3, S13D - -6398 (R. 0.510-1.) 1 eA.* N 7 «� 1 ✓.� l ,� h/o - ,2 I - -o 97.0 z / -- I I • I I , I , I a I i I I ' I I 1 -� - I 1 I , i I 1 I _ I i I 1 1 � I I , I I jjA' ri i, zcor Cis 9 �, o � � �►��..�Q ��~ �9i ©� i IMP P O' OP i i ,rte y - \ { 1 Y • o0 Ei o I , I I <' I ' I i a i I I I I i I I I I r ; A _ i i _ IF f � i ; ; • Wisconsin De pa rtment of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Lab - Hftan Relations Div' n of Srjety & Buildings in accord with ILHR 83.05, Wis. Adm. Code I COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference poi Qn and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and d' a c� ,�,n._aieyr d, pending APPLICANT INFORMATION -PLEAS iT ALNFORMAtIQN EWED BY D Z O PROPERTY OWNER: ' PROPERTY LOCATION Ron Derrick GOVT. LOT W 1/4 NW 1/4,S21 T 30 N,R 18 )E (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM # 1505 HY . #65 ; r CARD 2 na csm CITY, STATE ZIP C9DE PqQ ❑CITY ❑VILLAGE [SOWN NEAREST ROAD New Richmond, WI. 54017 ( ?T - 2 Richmond 112th, St. [ New Construction Use [ A Residential /Nu,�f t]e 6r' q [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate _ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 97.00 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE 7 ER YSTEM IN FILL HOLDING TANK U = Unsuitable for s stem M S ❑ U Z7 S El f2 S 1:1 U R7 S ❑ U S ❑ U ❑ S CCU SOIL DESCRIPTION REPORT eW ,f�& pp T /I12wp Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell C lu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ' 1 0 -9 10yr2/2 none 1 2msbk mfr gw if .5 1 ' t 1 2 9 -25 10yr4 /4 none sici 2msbk mfr gw if .4 .5 .cf Ground 3 25 -45 5yr4/4 none co s Osg mvfr yw na .7 .8 1 4 45 -88 7.5yr4/6 none ms Osg ml na na .7 :.8 Depth to limiting factor 4 +88" Remarks: Boring # 1 -10 10yr2 /2 none 1 2msbk mfr gw if .5 .6 S- 2 10 -25 10yr4 /4 none sici 2msbk mfr gw if .4 .5 � 3 5 -48 5yr4/4 none cos Osy ml gw na .7 .8 Ground elev. 4 8 -96 7.5yr4/6 none ms Osg ml na na .7 .8 . �- 10 ft. Depth to limiting 2 �- factor Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. A New Richmond WI 54017 Signature: Date: 5 -11 -2000 CST Number: m02298 r 1 PROPERTY OWNER Ron Derrick SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # pending r Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmr& `' ..........::::> 1 0 -8 10yr2 /2 none 1 2msbk mfr if .5 .6 .:: •S 2 8 -22 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 22 -42 5yr4/4 none co s Osg ml gw na .7 .8 • elev. 4 42 -92 7.5yr4/6 none ms Osg ml na na .7 .8 MQ A. • �. Depth to limiting factor -2- .2 Remarks: Boring # 1 0 -13 10yr3 /3 none 1 2msbk mfr gw if .5 .6 ^ .S ' 2 13 -31 10yr5 /4 none sicl 2msbk mfr gw if 3 31 -66 7.5yr4/6 none co s Osg ml gw na .7 .8 Ground elev. 4 66 -88 5yr4/6 none Co s Osg ml na na .7 .8 100. 5t. ' Depth to limiting factor +88" Remarks: Boring # 1 0 -10 10yr3 /3 none 1 2msbk mfr gw if .5 .6 ,S 5 2 10 -24 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 3 24 -43 7.5yr4/6 none co s Osg ml gw na .7 .8 .�- Ground elev. 4 3 -110 5yr4/6 none co s Osg mi na na .7 .8 . �- 9 9.9 ft. Depth to limiting factor ` +110" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Ron Derrick 1554 200th Ave. CSTM2298 New Richmond, WI 54017 MPRSW -3254 414 S21- T30N -R18W 715 town of Richmond ) 246 - 6200 lot #2 -csm This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as ahown as permanent lot lines were not established at the time the test was conducted. �1V �1 11 =40' BM.= top of 1 pvc pipe @ el. 1 00.00 ' ' Alt. BM. = top of 1 pvc pipe C el. 9 9.401 80 � , Op z Gary L. Steel 5 - 11 - 2000 i POWTS OWNER'S MAN UAL & MANAGEMENT PLAN page Of PIS OR 'AT7 Owner .Oft SYSTEM• SPECIFICATIONS O Farm - _ Septic Tank GapacIty OA 13 NA a D Septic Tank M>asrui"acturer © f�iR 09-41 A ERS Elfluerrt sifter M 13 NA Number of Bedaocssrors 3 rl l�A Effl Fi ftor Ns o del 4� Q NA __ Nurrrt�ercP Pttbllm Facility Units ANA �PurnO'rank Capacity q F-STI rated -flow (a v e rage) 30 o �rsl{da• Pump Tank Manufacturer beslgn ticavv (Peak), (Estimated x 1.131 aUda Pu mp Manufacturer A Soll Application data i gall Ifty Pump M odel 14PN 3tand6rd Infl uenWEfffitwnt Cualfty+ Monthly ay srregri "" Pretreat ment (iris PONA Fats, Oil & Grease (FOG) X30 mg/L 13 Santi iravei'Filter 13 Peat Filter Blochernical Oxygen Demand (1301), X20 moll. © NA 13 Madhenfoal Aeration Q 'Wetland Total Suspended Solids (TSS) 1 MOO rrigil, 0 Ulsinfectlan 13 pthen Pi strested Effluent; Quality Monthly average Dispersal Cells) 13 NA Biochemical Oxygen Demand (SDU S30 m alL 'Ulii -&cund (gravity) Im1 In -Ground [pressurized) Total Suspended Solids jTSrSJ X30 rng /L n- NA 0 At - G rade III Mound Roal Coi'rform (ga©metrIc irtlgan) 510 eful100trd Q Drip-Line 0 Other MztxflrtuM Efflue Pa rde le Isize Y In die. O NA, atiaeri 0 NA Others p A MG, � l3 NA N "Values tipploal for domestic wastewater and septic tank effluent. other. Q NA MAI FREXAN IE.N;;D W RY LE Service Event Service Ftegvency �"� • ta'rcrl{t is Inspect condition of tank(&) At least; once every; (Maximum 3 years} Q NA A~) year(&) Pump out oamem s of tank (s) Whan comblr)ed sludge and sours equals ono -third (Yal of tank volume 13 NA irispsLl dispersal cell{$) At least once: every: . -^ ~~ m4sth(s) (Maximum 3 years) C3 NA �rnonthis) L:leran oiflu;snt ,lit ett nnd flit-or At )s everye Q NA _. _ y�oaris? Inspect pump, primp controls & alarm � At least once every- ��- �_ rncmth[s'1 E3 NA Flesh laterals and pressure test � At least or 2 every: m0o �� Q NA © year(s) Csx afia' s �r - .. �.. �..�...�.�..._..�..�....- �....• rj At least once every, rnon thi s) rJ NA „� .,....._...,..��._...�ar {sJ 13 NA MAINTENANCE 1N8TRUCTIONS Inspections of tanks and dispersal calls shall be .made by an individual carrying onus of the following licenses or osrtifioations; Master Plumber; Wist:er Plumber Restricted Sewer; POWTS Inspector; POWT$ MaIntalner; Septage Servicing ORaratcsr_ Tank inspections must Include a visual Inspection of the tanks) to identify any missing or broken hardware, ideofy any cracks or leaks, measure the volume of combined sludge and scum and to chabk for any back up or pcnding of effluent an the ground aurfsou. The dlspaersal aell(s) shell be visually Inspested to check The affluent. levels in the abservatlon pipes and to sneak fat' any panding of effluent can the ground surfooa. The ponding of effluent an the ground surface may indicate a falling condition and requires the Imm Adlets notiflcation of the focal reguletary aurftrlty. Wbea Kiss a*mbined acaumule tlon of sludge and scum In any tank equals ona.t:Illyd (3!,a or more of the tank volume, the entire c ontants of the tank shpil be removed by a Sept age Servicing Operator and disposed of in accordance with chapter 'NFl 113, Wisconsin Administrative Cade. All athar ,srvines, including but not limited to ilia servir ing of effluent filters, mschanioai or pressurized components, pretm1ment units, anid any servicing at intervals of s1 a Growths, shall be performed by a oortified POWTS Mointeifier. A service report shall be provided 'ta the local regulatcry authority within 10 days of aornpletlon of any -- service event. GMW (4,101) Page _.__.. of START UP AND OPERATION For new construction. prior to use -of tha POWTS shook treatment tank(s) for the presence Of paletting preduq ;c or otbor charrijDal n thot may iaripede this treetmeni Brooms aridlar daeariagag thas d1spersrll oaths). if high concentrations are detected have the contents srarvtZIn operator prior to use. of the tank (s) removed by a septaa a3 p ri System start up shall not ccour-whmn sail conditions are frozen at the infiltrative surface. During power outages pump tanks. may fill above normal •h!ghwaaler levels. When power is restored the axoees w, astaWstor vv111 fee discharged to the dispersal cents) In arse large dose, overloading( The cell(a) and may result in the backup or 8UrC ea6•disdbsrgts of removed b a Saa tae Servlbirs Opsmtimr prior to restoring � effluent. To avoid this sttaaa�tion have the Caonfit�r�YS of the gsa3mp taanit Tema Y p g 9 Wm dt5fitrpiaa: to the i m anually o aratln p power to Cite effluent pump or contact a Number or PC?uWT '3 Mratrttainer tta aaaasas3t n m Y P 9 p restore norrraal levels within the punip tank. Day not drive or park vehicles over tanks and dispersal cells,. Do not drive or park over, or otherwise dlaurb or oompeaet, the area within IS •Feet drawn slope of any mound or at-grade sail absorption area. Reduction or elimination of thas following f thes wastewater stream may improve the perfarmagnce and prolong the life of the POWTS: aantiblotios, baby wipes; cigarette butts; condoms; cotton swabs,* degr ®seers; dental floss; .diapers; diginfealmrits; fat; foundation drain (sump pump) water; frwlt and vegetable panelings; gasoline; grease; haarbleldew, meat scraps; medlostions; all; prainting products; pesticides; sanitary napkins; tampons; and water avrtener brine. ABANDONMENT when the vOWT3 fails and/or is permanently - taken cut of service the - following steps shall be taken to Insure that the system is properly and safely abandoned in compliance with chspter C s3.33, Wisronsin AdmE.nistrative Cotta: e All p i p ing to tanks and pits shall be disuonnacted and the abandoned pipe openings sealed. • The oonterits of all tanks and pits shell he removed end properly disposed at by a Septage Serviaing Operator. • After pumping, all tanks and pits shall be excavatud and removed or their covers removed and the void space filled with loll, gravel or another Inert solid material. 00'NTINCIENCY PLAN If the POI( TS falls and cannot be repeirad the following measuries have been, or must be taken, to provide a code compliant replacement system: A sultatble replacement area has been evalua #ad and may ba utilIzed for they location of s replacement soil absorption system. 'The replacement area should be proteated from,disturbasncs and compaction and should.r tif.rtnEa3d by required sgtbarnlrs from existing and proposed stnjcturra, loot lines end wells. ftilurs to protea't tote replacement area will restalt In they reed for a<a• now soil and sits evalui tiora to asta bligh a suitable replacemaarrt area. Replacement systems must comply with the rules in off€ of at that time. 13 A suitable replacement area Is not available dtse to setback andlar soli limitations. Bar -ring advances in 'POWYS technology as holding tank may be installed as a last resort to replaces the failed POWTS. El The situ has not been evaluated to identify a suitable replacement area, Upon failure of the FOWTS a sail and site, evaluation must be performed to locate a suitable teplairament area, if no replacement area is avallabls a holding tank may be installed ai a last resort to replace the failed FOtMM& Q Mound and at-grads soil absorption systems may be reconstructed in place IbIlowing removal Of the bipmat at the infiltrative surface. Reconstructions of such systems must comply with the mfes in effect at that time. < < WARNING> > SEPTIC, PUMP AND OTHER TREAeTMEUT TANKS MAY CONTAIN LETMA'L• GASSiES?i ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TROATMENT TANK UNDER ANY C(RCUMSTANCLS. DEATH MAY RE=SULT. RE88t6)E OF A PERSON PROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. AVDMON AL COMMENTS _ . _ _ �.. —__ _ ._ _ .. __. �. _.._.w �— _ _ . _ •....- . POWTS INSTALLER POWT- S NiAINTAINi;R Na me Name Phone ro � J^ Phone SEPTAGE SERVICINe OEERATOR iPUMPER) LOCAL 18 ULATURY AWT — H R O ' Name Nams -/ , Z 0 oo Phone _ S'horre 7 /,J - 9 rs'- 9 ' Z 7 This siaouanant was alrs•Fted in compliance with aheprer Comm and ,13.648). (2) & (3), Wlsourisin Adrtrslnigtrative Codas. I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address— 5qiQ1'7 �5g Property Address th f ye-CL (Verification required from Planning. Department for new construction) City /State Parcel Identification Number —Q� ID " 1010" 16 " 3DD DA(- ) D[Pq - 10A00 LEGAL DESCRIPTI /. O , I Property r Location , PdN /., Sec. T.N -R ', Town of Subdivision , Lot #. Certified Survey Map # ���__ �� , Volume Page # warranty Deed # �3 Z , Volume Z q , Page # Spec house W yes ❑ no Lot lines identifiable TA yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a that 1 the on-site wastewaterdisposal system lumber 'ourne plumber, restricted plumber or a licensed pumper verifyuig ( ) master, , J y� P is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Iiwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin, Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days P A1 e three year exp' n date j RE OF F r PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of th erty descn e, by i e of a warranty deed recorded in Register of Deeds Office. / / TUBE OF PL CANT DATE Any information that is mis- 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 office a copy of the certified survey map if reference is made in the warranty deed Haile Builders, Inc. U 2 4 14 P 14 7 7 4 0 5 3 92 1 It 13 Hwy 64 New Richmond, WI 54017 WARRA TY DEED KATHLEEN N. W ALSH REGISTER OF DEEDS ST. CROIX CO., NI Ronald L. Derrick and Kathleen T. Derrick, a/k/a RECEIVED FOR RECORD Kathy Derrick, husband-and wife, conveys and 09/19/2003 09:15AN warrants to alle Builders, nc., a Wisconsin WARRANTY DEED corporation, bed real estate in St. E # Croix County, State of Wisconsin REC FEE: 11.00 TRANS FEE: 180.00 COPY FEE: Exce Exception to warranties: all easements and restrictions of record. CC FEE: P PAGES: 1 This is not homestead property. Parcel Identification Num s): 02 &1064- 10-300 and 026 - 106410 -400 Name and Return Address: n .319 24) 200 H sford Street, Suite 106 Hudson, WI 54016 Part of SW' /, of NW %. of Section 21 -30 -18 described as follows: Lotand 3 of Certified Survey Map filed June 27, 2001 in Vol. 15, Page 4112, Document Number 649534. l� 7 Dated this 1'5 day of S 2003. X odald L. Derrick thleen T. Derrick ACKNOWLEDGMENT STATE OF WISCONSIN ) COUNTY OF ST. CROIX ) Personally came before me this 9 " day of 003, the above na ad Ronald L. n T. Derrick to me known to be the persons who executed the foregoing instrument and the sarA 1� ry Public * i My commission expires: P uBLIC i This instrument drafted by Robert F. Wall. DsnickHeRsExchIND03 -1 OF r � 09/13/2003 11:22 7152467227 HALLE BUILDERS INC PAGE 04 �liveyG;'it ^ p y .«. �' /. r APPROV C OUNTY �1 ST. CROIX 1 ptannInq Zonina and FlIft Carptnleee N JUN 2 6 2001 (P4 arV j,�' I K ► ar»rcr4. � . � stiWlarao�e� y �f11g p� c` If notreoorded withln 30 days of ms 's C Y n ^tee,. � ` � k e 0 approval data 9PPr�l shall be �� '''•;� 5 and URVEY MAP -� o d 41H1 Located In Part of the Southwest Quarter of the Northwest Quarter of Section 21 and part of the S 18 West, Town of R chm os Quarter of the Northeast Quarter of Section 20, all in Township 30 North, Range St. Croix County, Wisconsin. /� Prepared for and at the request of: � I T - '--wSr 114 COIL" OWNETt: and Kathy k SCC1XW 20 -X-f8 1505 State • 1505 Trunk Hig hway wny '65' 0 i � � f P.O. Box A > t Ip New Richmond, W1 54017 _ 1 Drafted by. Ty R. Dodge (Z a t7 t7 - d ; O n m� O . a a 0 J � A � I C: N1$7 GNA a a one a a $ I Z aw s ■ c x ` al o ' .e�.:•mN oR tr t ►r Q3QO + n a t at Irk . k N p� o V C � y � • L, � � •�— AP141a>r mtf OF eET1MGS ��. NN are ? e J � ' e 7 � iz tN t N y ir y / f E t EAST 114 CORNER RV ........... N t f SECTION 20-J -Id EAST I AIE 114 SFC>N 20 i S0076 521.30' , '-1496.07''' 4 / NEST 114 t:WNa •' 34 O Steno / -J0- /8 SE'CIICW 21- .A7 - 0 ' ., r� f? RIGHT OF WAY DETAIL r y m> o n r I r. 1 10 -A (7 �r N .r 1 -1 A tai u CJf� �' m pN�pi �fn °e I m 4 �jJ yoN ` g1t se g� $ u m $ R R $ gv � r t � spy, l u I\ •^ �-••^ =•t t y I i m m �1 S 'f j yy, C �i Q n ..► N m I JOINT DI IVEWA ` 56.Q0 12 --f I�� m I E a Ir' a EnoTn° $��° Zb� F4 j 1 Q; ow; m o % WNp o wwAr. o z I�'I m w t t o d r —1 v a • P —i A r s L tit 0 m I V) a cn 0 w n I�p,� X rn IZrr' SDa't3'01 "E 56x.77 I 9SOmp� N0.POrnw u tn°� O an z .or te7.7s' z 193 DI' I o O OI m n CA JOB t4 A00112 a� �, Prepared by. + 9 fit' mm u $ JEO Consulting Group, Inc. 3'076 77="D OU I t67 -1 193,01' ly( or my Phone No. (715) 246 -4319 �' — W 0 01 ~ _ 109 East Third Street, P.O. Box 325 QLE�� New Richmond, VA 54017 - � HEARINGS ARE REFERENCED TO THE EAST -WEST 1/4 u �ASr tplE as » slv 1/� tax LINE OF SECTION 20, TOWNSHIP 31 N., RANGE 19 W tr ORAma Co CP THE NW 114 WHICH IS ASSUMED TO BEAR N89 31'37'W. UNPLA7TEC LANDS COWER The parcels shown on this map are subject to State, County and t• EAST 1 i Township laws, rules and regulations (i.e. wetlands, minimum tot size. access �,},- rchasing or developing any parcel, contact the St. Sheet I 2 Croix County Zoning office and the appropriate Town Board for advice. �4 Safmy and Buildirigs D10daii Ci�urrt , ,. 201 W. W."Iffil8tort Ave,, l':0.13ox 108 � % , naconsin Mut l&w, W1 517117 108 S AcTdrLr�srs� Q Qape cif' c o rFimer aty _ . � (2 7T 5';utituey 1?er O ./ �l l SarAtary Permit Application ltz ut:uui�l wield Curum 253. �1, 'Wis. Aidlus.. Gud4, l.ersoxutl u►[ , way used fax s cc da X P ursnrex 1'rlvac "L w, e S .ORI(. E D 1 Ci Ghec k ' ltvvleitiu 1. A PI1c is, i'rinr AlX Tis1'turr►ution :icat 1?Iuu t L7.1�Tun►r 'r�aperty C]�vYlsr'a Neutc: 1 �.... - i'calit rty Owrlrr 'b Nluilrrlg Adilmws ZONING OFFICE 1 LUiil(lou SW IANW i4,S21 TJ? L'. 'Cit ,Siutu w� _ _ _��. Zip C:ude lal uno Nuwbw Lot der n " e CSIA Number. S_Vo `t )� s y !o o v. r%P a t S3 �f rypudofBltlld1q j�faly.) ai. Per S �1Crty i U 1 or 2 :17amgy Dwellutg - I�fuucfx;r o la rt>s _ __ U ►+'tlit 0 )?ab110 /C L)z=o=1ul Ud»scrlbd CYsn ` w_.___ Lj 5utte 0 wued I � dlsl' ttoatl. 111. Ty of P arxWbs bstck only one box ou RUN. N'uutba-lag is tar luau utda u4e.? (� p lUb clue .8, i t app t1. e,v U llep �munt ai ti CJ Adlrlitiuu or to ' �U Replacement System 1 ^auk t.7nl LT,'ci6tiu � 5ystcln C"uuuty Use +. ' CIC huc k if Sanitary I�crmlt l ' Tssuad Perink N'u or DaW I ed IV Yi►e of PU'4' T bySLem: (Clwak sill thui upply. 1'ti mabe ire Lori id use.) i 140n •- PrusscuizL'r1 14 -around 21 O MUuud 41 U d Flitc;r 500 CU' uU We 2'2 Pre8suriz&r la- iutaund 44 U Holding'l"ank 1 S! U rill t� 45 � At (irstlt9 4U QAorubiu "Lrcy�tuieut l.htit 1'L�;CiraiLdlrttl; '�. Dis� w:st�ITresittn eut At�ea :Cz�orruu' � . 1'Sealgu tztuw (twd) Ubpersal Alva Disperma Ajva F&II Aw'Alcut'i Perc a 5ysima llf.ev 1 Ora& Requieed Napused Ttut'e(Gttls. /Days .Tat.) (Min. BlevtrtiUu �V1.'t'aiilc lril'o Culauoity in T OW Nuutbux Bhunlf admer 1 Bile S lbc+r tic clu ii Of' al" Caacretc CULMWU u ed Nuw L"- xletLdg ... 'l "�� td r RuldingTuak 17US1�rr Vllr. /1)"IrLUIOLIL , Elsie undlusSiya ad, ussjuu ratilja uslbMty f ar "-t of tLL POW wv u uu iha atacuedl Plu Aiumb er's Natl) els Signattu b �1MFl '' lxr 141mirdsew Phow Plumber 1 Adte, Zip CmL-) V41. cou"t Only M _ Disapproved L1ata d'-sued Agent Signs (No MU1113s) c tsry i Ssui Pwmh P Iucluc6s Ground-wulor Appr , t3wwr c>.vau luidal Advcitr is ile S'urctcargda Fee) " . _ M ondi low of Approyal/lleaeoua for DIMp pruval 3 (` a c� (p C - �cl, Q/`� �; SYSTEM OWNER: J UQ 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setb ack_requirement s must be ma s ` �t1 s 4 � - ,,,_•„ a per appHCat)Ie (!6ft4ljl'li' (to t1w L• tuwty sine+) fbr tern s ystl.ut nu lNiped' uul It,ss tiwn $'!t3 n'11 ttul►ue Cu eizts S13D -6398 (R. 0.5101) l x 4 o 9. t� r I I I `v � • �Z Z , v Tv-�� Af FKUVI=U V'•"� �vv� !v Lv.� i e�`�I' 9'sF L 1-* (`� ST. CROIX COUNTY Oa(o /Olo c( /D RONALD F. PI i" . Zoning and Parks co mmittee - j D�o -to-300 �' Y, JUN 2 6 2001 'JUN 2 7,RM vies> �� Co q 93 � �$ If not recorded within 30 days of 42(0 /�6 1/`/0 - �/OV 3 � SL Cmk 1 NO SU R`f�� ,e approval date if shall bed • "tesesolf0so ERTIFIEC� SURVEY MAP Located in Part of the Southwest Quarter of the Northwest Quarter of Section 21 and part of the Southeas Quarter of the Northeast Quarter of Section all In Township 30 North, Range 18 West, Town of Richmond, St. "Croix County, Wisconsin. Prepared for and at the request of: �c ,* , ,WST 114 Ca AAER OWNER: Ronald L and K a thy ECnaV 20-30- rrick i 18 rn � y l 1505 State Trunk Highway 65 o � I a , P.O. Box A > I p P0 • 1 •�°� New Richmond, WI 54017 Fn I Drafted by Ty R. Dodge D 1 , v rb --1 v m.-- cn o cn ?o e o m S ee o - (b +m Z N�Sy m `t O O O a:. O 5 w'" ;a 2. to "I I'll j D I 1 8 . + n ° O v Uf r*1 In :T ; K d C7 l m 6 10 S7 -1 C G j • O • C �1 z .� .�/�s II �o .AG«�° Ir- C;0 • a.• •••...... -••' p �1 r - n v C 1 D �m y /�'� -••••. ti D 7 A O O k Z c •� APRat MW Cf NE1t.AWS �. o � m a o� �� c 3 O 8 O C rt in a CL e 19 0 Co or 0 3 3 c - 3 ° a'. EAST 114 CORAO? dLEvAVS 3 ....... N SECnOW 20- 30-18 �\ r EAST fMW a :' h4 ivE 11 4 SE 20 ago r Z - - 626.BQ; . • •: ' S00'26'02'E 521.30' 4 _ 1496.07*-" ' NEST 114 CLiRNER- • • ' 1 + NQRn1EAST CaRN _ cnav 21- .30 -•f8 � � SECnaV 20- .30-18 � o �O 0 6qI RIGHT OF WAY DETAIL r ti u � Z � t 0 o w off; w ♦ : r �" ( O a � p � r�* l t o Q ! p N O Co jv O r % I z `+:= g� w0°- Co. Zi 'CI # > >in ql �`. �I� .m mo I U %� M M N i m jr JOINT DRIVNwA 66.00' ' - r-g 1- p I g 110 O I I0 bOw �# I C�Z p - a v o o'r�o �0 r v,�.�vo,�p� r" ..��� r �z� 1 b Q O(,I�CntGy O �Ofmwl�l� 0 W(n *�1� 0 5C2 > lr' I W v 1 I g p v> O O, �+ , >CA > >c —,1 >� >� -1 >� n —I o jZ j' S 0093'01'E 560.77' I m a m p � .� � � MC) (A W m a S2 q in m cnm 2 .01' 167.75' 193.01' N• Mme• �• �� N• MN► _ m �I a &914 `EO m 3t8A.3 m 318 A zt� z I I I 0 0 r Co an Q Q V CA cod w :.0 W '. + N T lo o le " do .3 JOB i! A00112 m � _ � Zia .. - Prepared by. -S W 3 .62 71- 1% I $ JEO Consulting Group. Inc. t 200.01' 167.75'1 , a1 193.01' RYr OF WAY Phone No. (715) 246 -4319 7 ♦ 109 East Third Street, P.O. Box 325 -l— — -� 7 Z — - New Richmond. WI 54017 U apy� — — BEARINGS ARE REFERENCED TO THE EAST -WEST 1/4 0o EAST tavE Gif' n3E S 1/4 LINE OF SECTION 20. TOWNSHIP 31 N.. RANGE 18 W. Go to CIF nm� NW 1/ 4 WHICH IS ASSUMED TO BEAR N89 31'37'W. � w t UNPLATTED LANDS �% - EAST 114 coRN£R NOTE: The parcels shown on this map are subject to State, County and �SECn610V 21- .30-18 Township laws, rules and regulations (i.e. wetlands, minimum lot size. access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Sheet 1 of 2 Croix County Zoning Office and the appropriate Town Board for advice. VOL. 15 PAGE 4112 Wis6nein.Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 La'. and ' urnan Relations , Division of Safety & buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less then 81/2 x 11 inches inrsize. Plan must include, but St. Croix not limited to vertical and horizontal reference point it i -attd % of slope, scale or PARCEL I D� n ! ) g dimensioned, north arrow, and location and dist t�rlea►oid.' `�_ QZ e ii y APPLICANT INFORMATION PLEASE IpTAt IN*ORJAAT1014\, "IEY DA E PROPERTY OWNER: :f 0 LOCATI Ron Derrick .. a G VT. LOT 1/4 1/4,S21 T 30 N,R 18 Z- (or) W PROPERTY OWNER':S MAILING ADDRESS BLOCK # SqBDNAMWR CS S' 1505 H #65 na csm CITY, STATE ZIP CODE PHONE =�i C2 (]VILLAGE N E REST ROAD New Richmond, WI. 54017 ,(71$ 2 6 - 2320: .q' R' hmond 112th. st. [ New Construction Use k J Residential / Nunt ' f"of_I d s 4 [ j Ad ition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 g pd Recommended design loading rate - _ bed, gpd/ft2 - 8 trench, gpd/ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate . 7 bed, gpd/ft •8 trench, gpd/ft Recommended infiltration surface elevation(s) 97.20 It (as referred to site plan benchmark) Additional design / site considerations na Ss Parent material outwash Flood plain elevation, if applicable na ft kv S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL ING TANK U= Unsuitable fors stem EIS U RI S ❑ U ®S ❑ U 0 S 11 U I7 TS❑ U El S L U ❑ SOIL DESCRIPTION REPORT '2400 Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. B Trench Y:.:...w.::.' 1 0 -13 10yr3 /3 none 1 2msbk mfr qW if 5 .6 =4:1ty 2 13 -31 10yr5 /4 none 2msbk mfr gw if .4 .5 Ground 3 1 31-66 7.5yr4/6 none co E Osg ml gw na .7 .8 elev. 4 66- r4/6 none co Osg ml na na .7 .8 1 00.2 ft. Depth to limiting �Q factor ' < + Remarks: Boring # 1 1 0-10 10yr3 /3 none 1 2msbk mfr gw if 1 .5 .6 2 _ 2 10 -24 10yr4/4 none sic 2msbk mfr gw if 1.4 .5 3 124-43 7.5yr4/6 none co E Osg ml gw na .7 .8 Ground elev. 4 43 -11 yr4 /6 none co sg ml na na .7 .8 1 01 I. l ft. Depth to kf limiting factor +110" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200 ve. New Ri and WI 54017 Signature: 1_1�0 Date: 5 -11 -2000 CST Number: m02298 PROPEFrry OWNER Ron Derrick SOIL DESCRIPTION REPORT Page 2 of PARCEL I.D. # pmrlinQ Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoundEry Roots GPD/ft2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 0-8 10yr3/3 none 1 2msbk mfr gw if .5 .6 2 8-24 10yr5/4 none sic l 2msbk mfr gw if .4 .5 Ground 3 7.5yr4/6 none co 9 Osg M1 gw na. .7 .8 elev. 101.2ft. 4 '43-11() yr4/6 none co S Osg M1 na na .7 .8 Depth to firnifing factor +110 Remarks: Boring # 1 0-8 10yr3/3 none 1 2msbk mfr gw 1f .5 .6 2 8-24 10yr5/4 none sic i 2msbk mfr gw if .4 .5 3 24-42 7.5yr4/6 none co C, Osg Mi gw na .7 .8 Ground elev. 4 42-90 5yr4/6 none co S Osg M1 na, na .7 .8 Depth to limiting factor +90 11 Remarks: Boring # 1 10-10 10yr3/3 none 1 2msbk mfr gw if .5 .6 2 10-20 10yr4/:. none sic l 2msbk mfr gw if .4 .5 3 20-50 7.5yr4/6 none co E Osg Mi gw na .7 .8 Ground elev. 4 50-90 5yr4/6 none co E Osg Mi na na .7 .8 Depth to limiting factor +90 11 Remarks: Boring # MR. Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) V STEEL'S SOIL SERVICE Gary L. Steel Ron Derrick 1554 200th Ave. CSTM2298 WIWI S21- T30N -R18w New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #3 -csm This soil evaluation Was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 " =40' � � 4tAA �6 BM.= top of 1 pvc pipe @ el. 100.00' Alt. BM. to of 1" vc ' p p pipe � el. 101.20 kv � y5 i 4 10` ! -� q5 ,r 1 r Gary L. Steel 5 -11 -2000 Parcel #: 026- 1064- 10-400 10/01/2004 05:04 PM PAGE 1 OF 1 Alt. Parcel #: 21.30.18.318A -30 026 - TOWN OF RICHMOND Current E ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): = Current Owner * HALLE BUILDERS INC HALLE BUILDERS INC 1113 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1456 112TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.630 PI 1 295 -CSM 15/4112 026/01 SEC 21 T30N RI 8W PT SW NW BEING CSM lock/Condo Bldg: LO 03 _- 15/4112 LOT 3 1.630AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 21- 30N -18W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 10/20/2003 744181 2439/259 EZ -U 09/19/2003 740532 2414/147 WD 07/16/1998 583159 1341/057 WD 07/23/1997 930/54 more... 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 26,700 Valuations: Last Changed: 06/19/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.630 25,400 0 25,400 NO Totals for 2004: General Property 1.630 25,400 0 25,400 Woodland 0.000 0 0 All 1.630 25,400 0 25,400 Totals for 2003: General Property 1.630 25,400 0 25,400 Woodland 0.000 0 0 Total 1.630 25,400 0 25,400 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 4 • Wisconsin . q@4tment of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 L;. r and Human Relations Dlvlsion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point it c'io`?r-and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dist c tar>zres road'` \ - APPLICANT INFORMATION- PLEASE f1�T A L IIrOR,4NATI0N \ R MEY D AT � 1 PROPERTY OWNER: = -P OPERTY LOCATION Ron Derrick G VT. LOTf 1/4 NW 1/4,S 21 T 30 N,R 18 'E (or) W PROPERTY OWNER':S MAILING ADDRESS -L BLOCK # I SUBD. NAME OR CSM # 1505 H #65 ` r' na csm CITY, STATE ZIP CODE, PHO r f �C�, CITY ❑VILLAGE MOWN NEAREST ROAD New Richmond, wI. 54017 (71 6- 2320,;,;. Richmond i 112th. st. (x] New Construction Use k ] Residential! Numtl fvt", dt s 4 [ ] Addition to existing building (] Replacement [ ] Public or commercial describe Code derived daily flow 600 g pd Recommended design loading rate • 7 bed, gpd /ft2 - 8 trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate • 7 bed, gpd /ft •8 trench, gpd /ft Recommended infiltration surface elevation(s) 9 (as referred to site Pan benchmark) Additional design / site considerations na (� /v Parent material outwash Flood plain elevatio , if applicable na ft rU= Suitable for system CONVENTIONAL MOUND tN GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK Unsuitable for stem ® S ❑ U ®S ❑ U 6l S❑ U U S ❑ U [R S ❑ U ❑ S C U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch 1 0 -13 10yr3/3 none 1 2msbk mfr gw if .5 .6 2 13 -31 10yr5/4 none sic ] 2msbk mfr gw if .4 .5 Ground 3 31- .5y 4/6 none co E Osg ml gw na .7 .8 elev. 4 66 -88 yr4 /6 none co E Osg ml na na .7 .8 10 -Z ft. Depth to u CQaJ1/yQ - �� f limiting L factor + Wlll� A W I I Remarks: Boring # 1 0 -10 10yr3 /3 none 1 2msbk mfr gw if .5 .6 2!`<; 2 1 10-24 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 3 1 24-43 7.5yr4/6 none co E Osg ml gw na .7 :.8 Ground elev. 4 1 43-11() 5yr4/6 none co E Osg ml na na .7 .8 1 01 • l ft. Depth to limiting factor +110" Remarks: CST Na me:--P lea se Print Ga L. Steel Phone: 715- 246 -6200 Address: 1554 200 ve. New Riqhmond, WI 54017 Signature: Date: 5 -11 -2000 CST Number: m02298 I � PROPERTyOWNER Ron Derrick SOIL DESCRIPTION REPORT Pa .3� of 3 PARCEL I.D. # i Pnd i ng Depth Dominant Color Mottles Structure GPD /ft P Texture Consistence Roots Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -8 10 r3/3 none 1 2msbk mfr y gw 1f .5 .6 3 2 8 -24 10yr5 /4 none sici 2msbk mfr gw if .4 .5 Ground 3 24 -43 7.5yr4/6 none co S Osg ml gw na .7 .8 elev. 1 4 43 -11 5yr4/6 none co S Osg ml na na .7 :.8 Depth to limiting factor + 110" Remarks: Boring # 1 0 -8 10yr3 /3 none 1 2msbk mfr yw if .5 .6 2 8 -24 10yr5 /4 none sicl 2msbk mfr gw if .4 .5 3 24 -42 7.5yr4/6 none co q Osg ml gw na .7 .8 Ground elev. 4 42 -90 5yr4/6 none co E Osg ml na na .7 .8 1 01.7f t. Depth to limiting factor +90" Remarks: Boring # 1 0 -10 10yr3 /3 none 1 2msbk mfr gw if .5 .6 S 2 10 -20 10yr4 /:4 none sicl 2msbk mfr gw if .4 .5 3 20 -50 7.5yr4/6 none co E Osg ml gw na .7 .8 Ground elev. 4 50 -90 5yr4/6 none co E Osg ml na na .7 .8 1 01. i ft. Depth to limiting factor + Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Ron Derrick 1554 200th Ave. CSTM2298 �A NW4 S21- T30N -R18w New Richmond; WI 54017 MPRSW -3254 - town of Richmond (71 5) 246 -6200 lot #3 -csm This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 11 = . L BM.= top of 1" pvc pipe C el. 100.00' Alt. BM.= top of 1" pvc pipe C el. 101.20' \ Qt-( o 3 i (00` Fib-'3 ,n r LbT 1 4 Gary L. Steel 5 -11 -.2000 CAM ,w . t-a'� ( PI ` `ST. CROIX COUNTY O fo c( /D O p. F. .rihq Zoning and parks Committee ON of [o l D lo �(- to— 3 cs _ Z Y JUN 2 6 2001 'JUN 2 7- te 0 - .0 if not recorded within 30 ays c� 4;?& � / ,9 6 y` /0 - '/OCR 3 � � of SU R`I�� , approval date a ap d prroval shall BOG � U I GObtCp,w. 9 �w�0 ERTIFIE �f� 5 refI84, UR ti _ 0 V Located In part of the Sout uarter of thig Northwest Qllnr+pr - of 5-action-2Land part of the Southeas Quarter of the Northea arter 6 all In Township 30 . an a 18 West, Town of Richmond, St. Croix County, Wisconsin. Prepared for and at the request oh �c ) P --- v�WST 114 GARNER OWNER' I i WC7&W 20 - 30 - 18 Ronald L and Kathy Derrick � 1505 State Trunk Highway "65" c I A i ; c, P.O. Box A a p P0 • 1 ° New Richmond, WA 54017 In I Drafted by Ty R. Dodge 2 I �k r* z v v o m -r o m; ern o rn O A nt cs a to o m k a Z I N1$'�s C/A, rA a tc oo 0 ' o a o 3 : rt -� = r r0 r0 to -w r0 C " o n 7 ID I N• Q 83Q , � �n ° o 3 v N m to p i� x n A Z < `. Q 5 �:� 4 o x rn 0 aN t o Io- m � o g I C Z `.�s II c rt �n x• p a M 0 c. it I r - 4i m �• N ° �1 rr a . o •''' car a > > 1 Z '• 1 �' / -- AFIRVX MGE Of' KRAWS �� O 1 m o e o o� r C N� �~ P P �� Go a �. 3 o 3 / - ° P- •'« L z a t EAST 114 L1aRIVER � � ...... w w `. I SECHaV 20 -30-18 " ' • ' N V: t ' EAST fAVE OF' Mi NE 11 swnOv 20 V N ------ m OL .. z 1 - - 626.8Q.. • :' SOO "E 521.30' L �7 HEST 1/4 CARNE7P- . • • ��,1 O � 2 NORINEASr g9M _ sEC 20-30-18 !a 0 p ad (b �o o RIGHT OF WA Y DETAIL r �� m U N-' -i ml� pw� cw4t , � N ► w ��p -40 Z Q p g� FD a R ' R I ���1 CA - — --t I — , rn IZZ # ngioQn00?S m D �- . i rn m' I U 2:9 m N m rn j JOINT DRIVE z 0 j y 1 N p .� top Q t iM EASEMENT 66.00 0' 1� � � n R O Ir- c w �# l NID �v �(r r- -- a >��-t r- -�- .-- r- c 1 ��tA QID CW0LTIa' O N a,�CdNO O W(J1 ?a l a O � r. � ?� Ir I w I 1 Dt >Sr- _4 D Dv� Orn ID I S 0093'01 "E 560.7r M (A Q M to � � to � � to A ? OM CA m Ism NPprnp N DPND G,>t NQpND N �N. 2 .01 167.75 193.01 P 1. Sts P,; 0 m 3[819-3 C 30 20 2 1 1 � -� I 71 r m . r 5 r m) ? 4 1 am" :—� I —1 U —I I W " N o E) I' + tia w N 'o JOB # A00112 y j .�„ !" Prepared by. 00 01 7r � JEO Consulting Group, Inc. 200.0 16 . 5 ,- -� - - [ 193' may aF ICY Phone No. (715) 246 -4319 109 East Third -T - - - - - New Richmond. Wl 540170. Bo 325 U EAST LWE OF INE SW 1 4 aDVM BEARINGS ARE REFERENCED TO THE EAST -WEST 1/4 a AF 7W Nw 1/4 / ar amIfiZ LINE OF SECTION 20, TOWNSHIP 31 N., RANGE 18 W. w UNPLATTED LANDS WHICH IS ASSUMED TO BEAR N8931'37 "W. EAST 114 CORNER NOTE: The parcels shown on this map are subject to State, County and � _SEC71 W 21 -30-18 Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel. contact the St. Sheet 1 of 2 Croix County Zoning Office and the appropriate Town Board for advice. VOL. 15 PAGE 4112 Wisconsin nepartment of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Lab h,jman Relations Division of Safery & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference poi lresf n and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and d^ a c� �neti ^� ndin APPLICANT INFORMATION — PLEAS I�fiF�IIT ALWNFORMAitION REVIEWED BY DATE PROPERTY OWNER: ° _ PROPERTY LOCATION Ron GOVT. LOT NW 1/4 NW 1/4,S21 T 30 N,R 18 )E (or) W PROPERTY OWNERS MAILING ADDRE "` `' LOT # BLOCK # SUBD. NAME OR CSM # 1505 HY. #65 ;r ��^ r 2 na csm CITY, STATE ZIP CODE Pj9N ❑CITY []VILLAGE SOWN NEAREST ROAD New Richmond, WI. 54017 2 Richm [x] New Construction Use [ id Residential`I'Nu ` ' cif t)eik& 4 [ J Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft .8 trench, gpd/ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate �Z bed, gpd /ft gpd/ft Recommended infiltration surface elevation(s) 97.00 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem C2 S ❑ U jC1 S El [� S ❑ U f�7 S ❑ U C� S ❑ U El S C3d1 SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bax>dary Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 0 -9 10yr2 /2 none 1 2msbk mfr gw if .5 .6 2 9 -25 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 125-45 5yr4/4 none co s Osg mvfr gw na .7 .8 elev. 4 45 -88 7.5yr4/6 none ms Osg ml na na .7 :.8 1 00.2 ft. Depth to limiting factor +88" Remarks: Boring # 1 P -10 10yr2 /2 none 1 2msbk mfr gw if .5 .6 r4 y / >: 2 10 -25 10 4 none sicl 2msbk mfr gw if .4 .5 :> 2 3 5 -48 5yr4/4 none cos Osg ml gw na .7 .8 Ground elev. 4 8 -96 7.5yr4/6 none ms Osg ml na na .7 .8 10 ft. Depth to limiting factor Remarks: CST Name: -- Please Print Gay L. Steel Phone: 715- 246 -6200 Address: 1554 200th. New Richmond WI 54017 Signature: Date: 5 -11 -2000 CST Number: m02298 1 PROPERTY OWNER Ron Derrick SOIL. DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # pending Boring # Horizon Depth Dominant Color homes Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz.. Cont. Color Gr. Sz. Sh. Bed Trends 1 0 -8 10 r2/2 none 1 2msbk mfr qw if .5 .6 >kK <; x . . 2 8 -22 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 22-42 5yr4/4 no:ne co S1 Osg ml gw na .7 .8 elev. 4 42 -92 7.5yr4/6 none ms Osg ml na na .7 .8 to A Depth to limiting factor + 92 1, Remarks: Boring # 1 0 -13 10yr3 /3 none 1 2msbk mfr gw if .5 .6 2 13 -31 10yr5 /4 none sicl 2msbk mfr gw if .4 .5 3 31 -66 7.5yr4/6 none co s Osg ml gw na .7 .8 Ground elev, 4 66 -88 5yr4/6 none co S1 Osg ml na na .7 .8 100. 3t. Depth to limiting factor +88" Remarks: Boring # 4ti 1 -10 10yr3 /3 none 1 2msbk mfr gw if .5 .6 5 2 10 -24 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 3 24 -43 7.5yr4/6 none co s Osg ml gw na .7 .8 Ground elev. 4 3 -110 5yr4/6 none co s Osg ml na na .7 .8 9 9.9 ft. Depth to limiting factor +110 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Ron Derrick 1554 200th Ave. CSTM2298 1 1 4 s21 T 3oN - R18w New Richmond, WI 54017 MPRSW -3254 Nw4Nw (715) 246 - 6200 town of Richmond lot #2 -csm This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as Shawn as permanent lot lines were not established at the time the test Was conducted. N 1 BM.= top of 1 pvc pipe el. 100.00' Alt. BM.= top of 1" pvc pipe C el. 99.40' �.� x,15 0, 21 Z61 Gary L. Steel 5 -11 -2000 1