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HomeMy WebLinkAbout026-1119-06-000 � t o D$ f j2. ® ® 0 \ % • .� & � @)_ A � � �f ;$k � . \ / § § \) \ ! a a »�> cc ) /$$S\ j @2G22e I k= =2 > 0 : ( 0 >, ƒ$ E -6)� o � V z § \k E � Z ® m Eo ■ 'D f f �° �mmELo \§§5b # M k z / co UJ •& � z / C14 / ) a. § 0 z ) 2 7 { § E � { � � e \ _ % Q 2zz § .. § M { c I E ^ CL 0 CL � > � � ■ 2 � # \ R � ° \ .\ k CL \ ES 0 -� E a a a 7 CL 5 rr U) \ k k \ \ 2 > / 6 2 f k § o / g § V \ \ 4\7 % ■ % j k E ;.£�� E 2 - / 0 G S � ° / / \f f )/ § / \� - (6 / )k ) > fo© w G§ E 2 m c 2/) )\ % — D M " a E a k a § Con k 0 a 2 0 3 0 . � t County: Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM St. Croix safety and Building Division . , y INSPECTION REPORT Sanitary Permit No: 399663 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)]. ke = Permit Holder's Name: City Village x Township Parcel Tax No: Kirkwold, Robert I Richmond Township 026- 1119 - 06-000 CST BM Elev: Insp. BM Elev: BM Description: e0. ! I I &t • o ' PCX • TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ' Septic ( &t_<&rVZ, 101* Benchmark f S ' Dosing Alt. BM K* az• 3a Aeration Bldg. Sewer Holding St/Ht Inlet q+ I „ p TANK SETBACK INFORMATION St/Ht Outlet 9 111 g• 95' TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet g (e. 9 Septic > � I >: � �� � �� Dt Bottom Dosing �. �� Header/Man. (3D 60 / Aeration Dist. Pipe ILo.,fo 4-1 12 Holding Bot. System ,Zs �'• 40 fi PUMP /SIPHON INFORMATION / Final Grad �/ 1 s�d� e. l Z- a7r Manufacturer Demand St Cbve r V GPM Model Number TDH Lift f Frictio L System Head T)H Ft C�� 0 �`Y �.so 13 Forcemain Length a. M Dist. to Well f Z.o > Ito SOIL ABSORPTION SYSTEM s E Tf1lM9ti Width ! Length No. Of �swahes PIT DIMENSIONS No. Of Pits Inside iqw h DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM L G Manufacturer: INFORMATION AMBER Type Of System: ~23 UNIT I Number: DISTRIBUTION SYSTEM N s G1 { Header /Manifold Distribution , x e Siz It x Hole Spacing Vent to Air Intake 1 Pipe(s) , Length �� Dia Z,� Length ' Dia Spacing •b �� 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 1 Yes , No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Ad 3/ b Inspection #2: / ®> _. Lt> � Parcel No: Location: 1278 146th Ave New Richmond, WI 54017 (NE 1/4 SE 1/4 22 T30N R1 8W) Pon Tew � 22.30. Mead ws Lot 6 1.) Alt BM Description= W'4oA &*-w- v 0 A � r E` / T t �t� t By-ad y sa'a (�f,�CIoYuev- 2.) Bldg sewer length = 30 ` `6. Ul r ) eti. 1 I'1 If 051 It s'/S7�rn - amount of cover = ) "r , o ` t+t st 3.) Contour - �� S �p o* q t a� �• 4 o Ca jCu W R 7b h , an revision Required? Y No - - -_ -- -- - -- -- T Use other side for additional information. ` IR __ l - -_ - Q t� Y a+ti o•, r) � e � �..1 Insepct 's Sign atpre r'„ n Cert. N SBD -6710 (R.3/97) Q �� y I ' �� t•.I 4 4 y z s Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 Jr. 6� Dep artment Madison, WI 5370�S Sit� Address 2 t Sanitary Permit App icatiO Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal info u 8 399 6 (0 3 °� ) 9 Check if Revision may be used for second purposes Privacy Law, s I. Application Information - Please Print All Information .' S to Plan I.D. Number RCCEl `� 6 o = Prope Owner's Name + _ la Number / �OIP _DQ JA A' 0 8 2002 - Property Owner's Mailing Address Location / cNG Or- \ti �operty � rk Sk S T - 7 (ON, R! E / / ZONMi(3 t3FFICE /" City, State Zip Code honi: Number Lot Number Block Number �.; t Subd' '. i ^ on N CSM Number T of Building (Check all that Apply.) kA 1 or 2 Family Dwelling - Number of Bedrooms b t.ts ❑ City t 13 Public /Commf rcial - Describe Use It lage O state own ❑ il edC � C19 . D o ast R Nea rest Road (o' k : 75 1 M c QQ D 4 D S a / 1 , zt� C� III. Type of Permit: (Check only one box on line A. Numbering is for internal use.) (Complete line 1B, if applicable.) A. 10 New 3 ❑ Replacement of 6 ❑ Addition to Syste 2 ❑Replacement System Tank Existing System For County use �� d C12 30 B. ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of POWT System: (Check all t at apply. Numbering is for internal use.) A 44 ❑ Non - Pressurized In- Ground 21,Mound 47 ❑ Sand Filter 50 ❑ Constructed Wedand t 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑Other t V. Disperns aUTreatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min. /Inch) C/ C� Elevation q 7JV l y�D VI. Tank Info Capacity in Total Number Marafacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for ' lion of the POWTS shown on the attached plans. Plumber's blame (11rint ` Plum Si re M MPRS N�u Business Phone Number J y Plum is Address (Street, City, S e, Zip C VIII. Coln /De partment Use Onl ❑ Disapproved Sanitary Permit Fee (includes Gro water Date Issued Issuing Ag t Signature o Stamps) Approved Owner Given Initial Adverse Surcharge Fee) Determination 3 IS Conditions of A rov easons for" rov n /� p ' pp 5, 'fie b� t c` 3 J�S� G2 C) ru�a� �. v xS wr. Y }ova �� ` C:2. V &) a M eQd 7�►�.. to — ✓�w.s sAnOa r bQ + .ti �at Sk�KP 1 n . - - ` p °� 'i� °'�-) .^^n'x� - �sy�,t,.i„R, S i �.s:,� ws.8t�.c��.� tA.•,, � - tJ� tech complete plans (to or the s -on paper no 1/2 x 11 inches in size Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188 -2439 TDD #: (608) 264 -8777 vhsta� onS i n www.commerce state.wi.us/sb www.wisconsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary September 05, 2001 CUST ID No.691727 ATTN: POWTS Inspect a t ARTHUR L WEGERER ZONING OFFICE S� ST OPO WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY S PO BOX 74 1101 CARMICHAEL ZppRK; t, RIVER FALLS WI 54022 HUDSON WI 54016 (9 �\C,> CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: Identification Numbers Transaction ID No. 673660 SITE: Site ID No. 635490 TERRI ULRICH Please refer to both identification numbers, 146TH AVE above, in all correspondence with the agency. TOWN OF RICHMOND, 55109 ST CROIX COUNTY FOR: OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 810426 DISCRIPTION: 450 GPD MOUND SYSTEM. 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. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Waste Treatment Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product ap vaIC1 d&Us. Qr • A Sanitary Permit must be obtained from the county where this project is locatd 14A'A � 1 requirements of Sec. 145.135 and 145.19, Wis. Stats. s Ao,` 4 .p� S • Inspection of the private sewage system installation is required. Arrangemen�tf spec 1 be made with the designated county official in accordance with the provisions of Sec. 145.20 ,Wis. ts. 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. All permits ARTHUR L WEGERER Page 2 9/5/01 required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation/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. Sincerely, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 r S (� r BALANCE DUE $ 0.00 THOMAS J PERKINS POWTS PLAN REVIEWER, INTEGRATED SERVICES$' x ��;_I)33 (262)521-5064, 7:30 -4:00 TPERKINS @COMMERCE. STATE. WI.US I j i . TITLE SHEET Page l of FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD 10573 - CCz. b /Qq) C'v. 6 la9, LOCATED IN THE SL. 1/4 OF THE MF-' 1/4 OF SECTION ZZ , T 30 N, R 1$ W, TOWN OF S`Y C� j)( COUNTY, WISCONSIN. --- - �nr :6 - of INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYS T E 1 MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR L tie �4 -- . �� 1 s V raw oy sT. G�w�p _"I\, PREPARED BY Sa�E�Y 8L 61- DD'S�1V. W FEE CCEF:ZEFZ C3 3: 1_ . TEST S NG AND . DES I Get 2 CE ' e � b �eso�N�o P.O. Box 74 421 N.Main St. # ^► a River Falls, WI 54022 N� Ago Phone Phone 715- 425 - 0165;' `; v� Fax 715 - 425 -6864 ' A975 a 3 615 Wc�i?H �i• yO 'Q' C� Oj ti F JOB NO. L Mound System Management Plan Page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Seoti c Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. Theo erating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th ou et filte s hall be cleaned as necessary to e nsure proper opera tion. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced if _ the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, mai ntenance a ntenance personnel shalt advise the owner of when the next service needs to be erformed t P o maintain less than maximum scum and sludge accumul the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. in However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should.be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L 8005, 150 -mg/L TSS, and 30 mg /L FOG. Influent flow ma not- exceed maximum design flow specified in the permit for this installation. y The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance P o dance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] arid local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective or subje ct to failure must be replaced. Exposed access be secured by an effective locking device to prevent accidental or unauthorized e entry into a or component. diameter shall Cont Ingencv Plan . If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by Increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or _maintenance of this system should be directed to: The County Zoning ' -Office at 1 S 3�'b - ► �6�SQ fir'• CZOlx The system instaler at q9 _S A1 _p The tank manufacturer at gQ� � 32,S_ ggS \- ^V Sk2Tt The effluent filter manufacturer at (jQ _ ZZ( - S - 1g7- The pump manufacturer at C- Mk-b PLOT PLAN SO :Page 3 of Scale 1 )(4b e _ BM aa-.,• A c.T BM LoT L�N� zz e sTw 6 s I ' I L0 /o I B.1 i I o �,� pV c I•� L � J q N v ° � Z , v c 1O 3 _y B_Z r • �1. q.`iS' � V) 2 J �T Se, FzoM• MouK t '= PrT V.rfeT 2S 'F110M1 TR►✓kS NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required) . 3. Septic tank to be 1T313 gallon capacity manufactured by V3�Ms 2 C.0►:1e.�'L� W /�} -t�no r-tC'r�- P�~LP�`PPvIL B� - ?SOC, WLo" 4. Bench marks SEA H�BQVE �. Divert surface water around system to prevent ponding at the uphill L Pace y Of 7 Approved Synthetic Covering AStf C33 Distribution Pipe Medium. Sand Topsoil r� _W _ s —�' ,• F Elev . S 3 E p 1Z % Slope Distribution Cell of Force Main Plowed z" to 2k"' Aggregate From Pump Layer Ft. E �•ZZ Ft. CROSS SECTION OF A MOUND SYSTEM F 0.8 Ft. G 0.5 Ft. A IS Ft. F 1. o Ft. Linear Loading Rate= 6 O GPD /LN FT 8 - 15 Ft. Design Loading Rate= p_33GPD /SQ FT I \ I Ft. J H Ft. K 8 Ft. _ Position of L 0 i 1 Ft. Force Main W Z Z Ft. L � I I �} - Observation Pipe W .- - - -_ - - - - -- - - - - -= --------------------- Distribution ` --Cell of 1 " I to 2k Pipe aggregate , Observation Pipe V=Chbr securely) PLAN DIEM OF A MOUND SYSTEM Distribution Pipe Lagout Page 5 of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long tumor 45° fitting to a point within. six inches of the final grade. Terminate the ends of the laterals with a valve,: threaded cap or threaded plug. Provide access from final grade for the valve; threaded cap or threaded plug. T`iP\C'I� L �,ZASS. 5`c. PV C PV PV C Lateral Manifold Lateral X x x x x2 x2 x x x x Lateral Length —V Lateral Length — P Distributian Line �ma�Fa� S • gy=p QC� M'P(iN , P 1 '7 Ft. Hole Diameter 41 8 Inch S Ft. Lateral Inches) X _ Inches Manifold " 7— Inches Force Main " 2 Inches # of holes /pipe 19 �. Invert Elevation of Laterals -0 Ft. l �L -� - 19 X-q — 1 1 .L6 .G PM . ' PUMP CHAMBER CROSS SECTIOW AND SPECIFICATIOMS ' PAGE OF VCIJT CAP 4"C.L VENT PIPC WEATI+EK PROOF APPROVED LOCKING MANHOLE f r - JUAJCTIOlJ BOX ].�' FROM ODOR, COVER WITH WARNING LABEL � IZ'MIU. wiNDOW OR FRESH I AIR I NTAKE I LL CoRADE Couj U1T -- .� ---- - - - - -- 11� UULJ =T PROVIDE - AiRTIGMT SEAL I I I I I Iii APPROVED JOIAIT/ A I I ( APPROVED JOINTS I I i � I I i ALARM Is - I II I 1 ON _ I F T-`I ` OFF 0 q14 , COUCKETE BLOCS( P A PPROVED QPQ RISER EXIT PERMITTED DULY IF TANK MAAJUFACTURCIt HAS SUCH APPROVAL PPR SPECIFICATIOUS DOSE W 1�R CpJ�I C,� 3 . $ TA W K MAAJUFACTURER: DUMBER OF DOSES: PER OAy TAAJK SIZE: ��� GALLOWS DOSE VOLUME I ALARM -- MAyt+FACTURER: �•S•• M S` i 1g IAICLUOIIJ6 d ACKFLOW: � GALLONS A oo6L IIUMBER: �+w - - CAPACITIES: A = -� s INCHES OR 3o14- GALLON3� SWITCH TyPC: - �� --j� -� g = Z INCHES OR L l O ' ( ' C%ALLONS PUMP MAWUFACTURCR: CEO U Lp s G = INCHES OR \Zl' 1 GALS-OW S MODEL )JUMBEI<: 3 �� CPC) 0- - "Ll KN EES O Z$3-9 GALLONS SWITCH TSPE: �� AJOTE: PUMP AND ALARM AAL TO aC MUM DISCHARGE RATE - �' I_b GPM INSTALLED OM SEQARAT)` CIRCUITS VERTICAL DIFFERENCE BETWEEAI PUMP OFF AM0.0ISTRIBUTI6AI PIPE.. �'$ FEET + MIMIMUM . NETWORK SUPPLY PRESSURE ... , , . , , , , , �' S� Ft:ET cS- Okl - + 15 FEET OF FORCE MAIN X Z`D fx FRICTION FACTOR O' 3 l FEET - TOTAL OtIIJAM1C HEAD - FEET - - -` -- - As per - manufacturer ZD•Z$ gal /in. - Liquid depth 3l sl Goulds Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. tic cover with integral handle •Farms Motor: Available for automatic and and float switch attachment • Heavy du • EPO4 Single phase: 0.4 HP, manual operation. Automatic points. ry sump 115 or 230 V, 60 Hz, 1550 models include Mechanical • Water transfer RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty • Dewatering automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design /a' maximum. - • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. P• Canadian Standards Association - .0al heads: up to 24 feet. with three prong grounding Discharge size: l' /z "NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in 7" or "AC ".) rotary/ceramic - stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 I • Capable of running dry without damage to 9 30 components.. Pump: EP05 . s - • Solids handling capability c z 25 13 - maximum: r 1 a �- •Capacities: up to 60 GPM U 6 20 • Total heads: up to 31 feet. • Discharge size:1 W NPT z 5 •Mechanical seal: carbon -, 0 15 rotary/ceramic -stationary, a 4 BUNA -N elastomers � o Temperature .s 3 10 . 1041(40 °C) continuous 140 °F (60 °C) intermittent. 2 5 C 0 < �. 0 10 20 30 40 50 GPM x " t 0 2 4 6 e 10,. 12 M 3 /h CAPACITY ©1995 Goulds Pumps. Inc. cff Mpv 1 005 Ii W,sconsin Department of Commerce SOIL EVALUATION REPORT Page 1 _ of 3 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 St Cr oix include, but not limited to: vertical and horizontal referen n ion and Parcel I.D. 026- 1065 -50 -000 percent slope, scale or dimensions, north arrow, and o a r e%tg rest road. Please print all in ion. Reviewed by Date Personal information you provide may be used for se purpo s. 75'.0411) m)). 2� I Z ry Property Owner Property.L tion Terri Ulrich y �►� 1 Low E 1/4 NE 1/4 S 22 T 30 N R 18 )C= (or) W Property Owner's Mailing Address ST C p,0X Lot It tjock # Subd. Name or CSM# 1715 VanDyk St. -- COUNTY na Pondview Meadows city State Zip Code Ph nb . ity ❑ Village ® Town Nearest Road Maplewood MN 55109 (651 71 ` Richmond 146th. I: New Construction Use: II Residential / Number of bedrooms Code derived design flow rate 450 GPD ❑ Replacement . El Public or commercial - Describe: Parent material _ _ al acid l dri ft: Flood Plain elevation if applicable 1la ft. General comments and recommendations: mound @ el. 99.25', based on contour el. of 98.75' ❑ Boring # Boring 101 .55 39 in. 1 �] pit Ground surface elev. ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 1 0 -10 10 3 3 none mf 2 10 -20 10 4/4 none sicl 2msbk mfr 3 20 -39 7.5yr4/4 none sl 2csbk mfr C1w i 4 39- 8 7.5 4/4 c 7. 5 5 6 sl 2csbk 5 58 -88 5yr4/4 c2d 7.5ry5/6 scl M na na na 0 Boring # Boring g Pit Ground surface elev. 1 00.05 ft Depth to limiting factor 90 2 0 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 1 0 -8 10yr3/3 none L 2msbk mfr 9w 2f .5 .8 2 8 -23 10 4/4 none sicl 2msbk fmr 3 23 -75 75. 4/4 none sl k 4 75- Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ffluent #2 = D < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur CST Number Gar L. Steel 02298 Address B Conducted � 2 Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 8 -9 -2001 715- 246 -6200 i Property Owner Terri 111 rich Parcel ID # 026 -1 065— Sri —firm Page 2 of 3 Boring # 1�❑--11 Boring 3 tL 1 pit Ground surface elev. 96.35 ft Depth to limiting factor 68 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -10 10 3 3 none L 2MSUk Mfr GIN 2f .5 .8 2 10 -31 75 4 4 none -f 4 3 31 -68 75.yr4/6 none S1 2msbk mfr qW na .5 .9 4 68 -88 7.5yr4/4 none scl na na na .0 .2 i Boring # Boring ❑ 34 ® Pit Ground surface elev. 96 35 ft. Depth to limiting factor in. � Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -8 2f .5 .8 2 8 -16 10 4 4 none .4 .6 3 16-341 7.5 4 4 none sl 2csbk mfr W na . ' 4 34 -68 5 4 4 c2d 75 5 6 - F - T - 4 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. P F Pit Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfP 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(86=) STEEL'S SOIL SERVICE Gary L. Steel Terri Ulrich 1554 200th Ave. CSTM2298 SE4NE' S22- T30N -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #6- Pondview Meadows " =40' .= tp of 1" pvc pipe @ el. 100. 0' /alt. BM. = top of 1" pvc pipe el. 96 JLS; % 3 i �R uhf Gary L. Steel 8 -9 -200 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNE,RSI -11P CERTIFICATION FORM Qwner/Buyero Y l Y1 �� Mailing Address _ � S 0 Property Address ` (p (verific7 j from Planning Department for new constrnctjc} if M 4 o o — aCX3 CitylState Parcel Identification Number I✓EGA.� b„� FaSCR,� Property Location � r / SE rl Sec. - dA,, T3 0 N -R-12 W, Town of YY1 D Yt Subdivision C rn d Ak J o W S L40t # ! ; Certified Survey ]Yiap # _ Volume _ Page # Warranty Deed # (Jqqq� ,v olume Pag # 4 -7 Spec house D yes �Kno Lot Trues identifiable lb< yes © no SYS EM — MAXNT EN ANQ Improper use surd maintenance of your septic system could result in its premature failurc too handle wastes. Proper maintownce consists of pumping ottt the septic tank every three years or sooner, if needed by a licensedpumpa. What you put int the system can afieet the f=ction of the septic tack as a treatment stage in the waste dispo system- 110 IroPertY +ter agrees to submit to St. Croix Zoning Deparhucnt a certification form, signed by the owt.or and by a ma'sterplumber, JOUTUDYnranPlumber, restrictedpinmber or a licensecipumper verifying it,at(i) the on -site wastewaterdisl -gal system is in proper operad4 condition and/or (2) After inspection and pumping (if necessary), the septic tank is less than 113 Hill of sludge. Uwe, the uadcrsi ed have � read the above requirements and agree to :maintain the private seRage disposal system with t m standards set forth, herein, as set by th e Department of Commerce and the Department of Natural Resouroas, Stage of Wisconsin. i 3= ification stating that your septic lystem has beet maintained must be completed and returned to the St Croix County Zoning 01€,:e wiftn 30 j days of the three year expiration daft. SIGNATURE OF APPLICANT DATE 02M CER CCATION I (we) certify that all statements oil ibis forra are true to the best of my (our) knowledge. i (wc) am (tie) the owncr(s) of the roperty described above. by virtue of a warranty deed recorded in Register of Deeds office. S 5 F APPLICANT DATE Any informatic,n that is mis representedrnay result in the sanitary permit being revoked by the Zoning Department. " *ssss '* (nctude with this application: a stamped warmity deed f ^om the Register of Dceds office a copy of the certified survey map if reference is made in the warrstity deed Td WdLC:t7O TOM t'c. 'daS 00,'_59tr7StL : '04 a.- JNIlkffiU3X9 - 1 - 10dA WOb� vaL 1668 PACE 472 ,a STATE BAR OF WISCONSIN FORM 2 -1%)99 649429 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Richard L. Derrick, individually and as RECEIVED FOR RECORD attorne -i -fact f or Loren D. Derrick, Rose H. Derrick, Richard L. 06 -26 -2001 9:30 AM Derrick Joan L. Derrick an Rober J. Derrick, unde Power o f —__ _ -. —_ Attorney reco rded in Vol. 1454, Page 425, as Doc. No. 60987 WARRANTY DEED _ ...--- ------- - - - - -- - - - -- PT N Grantor, and Robert W. Kirkwold and Je M. Kirkwold, h usband EXEMPT COPY FEE: - - �- -- and wife, — COPY FEE: -__- - -- - - TRANSFER FEE: 71.70 - -- -- — - - RECORDING FEE: 10.00 -- - PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix _ County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot 6 lat of Pond V ewy Ylzadow in the Town of Richmond, St. Croix ,Name and Ret OGLAND ounty, Wisconsin. ESTREEN & OGLAND 304 Locust Hudson, WI 54016 a2s- i i I9 - o� Parcel Identification Number (PIN) This is not homestead property. pE) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. �Q OP►^ Dated this day of June 2001 Re J. Der individu and as att orney - in - fact for loan D. Derrick, Rose H. Derrick, Richard L. ` _ - -- - - - - -- - -- --_ _ . - __ {i1de�POA. in Vol- 1454.E i 425, tm_ 609M - -- _tUTH$NTICATION ACKNOWLEDGMENT ,/ STATE OF W Sign,�tu�e(S�h2�� l �rrids; i ndividua lly and as a ttorney - W ) Ili- ct•ior Dored -b. Derrick, R ose H. Derrick, Richard L. D= rrl tyS, ) ss. a$r - Derrldc,utder POk rec County ) e 2001 Personally came before me this day of the above named • K ristiq�h) ri d " "" - - - - -- TITLE: MEMBER STATE BAR OF WISCONSIN - - (If not, to the known to be the person(s) who executed the foregoing - - -- — instrument and acknowledged the same. authorized by : 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attor Kristina (!gland J — Notary Public, SC3lr.^ of Wisconsin Hudson, WI 54016 My Commission is permanent. (It'not, state expiration date: (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. Irdom,atlon praafswals eompam. Fond du Lw, W1 STATE BAR OF WISCONSIN 800-MS -2021 WARRANTY DEED FORM No. 2 - 1999 1 n � SE 1/4 _�/ 4, - X 114 Li -- - - - - -- 4 OW NED � � ST. • C140IX � 2 _Y�THERS N �; w NOTE o 0 0 z Z Z - � N83 4 RON PIPE FOUND I I 8 36 W 2.03' FROM 80' 4S' Q CN88 °Oa,W SET CORNER I w N87 491.73 > 128.28' '35 23 V 57 4,06' 36 .62' 4 93.90' A I 80.16' RES i i I • � � gar _z 2 FT. M i i U 3 . C i i � v ' ___ PG. 3 w 2.001 ACRES h : v� i I `- fu 87,177 SQ.FT. 2� ' � i i ; a OWNED_ BY _GTI W I w j = W • ,� .... �� Q 2.001 ACRES f : 8 7,172 SQ.FT. � jOP' Li 'o ' A i c A CD Ld Li A (h Z I ' .i 3 50' : S84 °50'29 "W 346.12' j N 3 C7 3 ' ' ;-� LO I cu z (U I Z i • t ... .` - j V-4 J 50'i _ o CD W� A I 2.002 ACRES i i o Lv 87,188 SQ.FT. : J` j Z I F- s I ► Q , J i QI S i -+ Z ; � J s � � ; I cu D; P i N 4 0' R 2.003 ACRES - I i 80 I 87,266 SQ.FT. I i (U BENCHMARK U.S.G.S. '^ DATUM 1929 ELEVATION = 1016.29 j I i ! 463 .44 BENCHMARK j I � cu P 7 67' 395 .77' U.S.G.S. DATUM 1929 ; ELEVATION =• 999.03 N N _ °4 29 "E 41 � 80.07' I _ I f Wisconsin Department of Industry SOIL AND SITE E V A L U A T I.0N_ T Page 1 of 3 Labor and tiAuman Relations lTaision of Safety ,& Buildings in accord with ILHR 83.05 / is ,Adm. Code ' U -50 -000 NTY rke� Attach complete site plan on paper not less than 8 1/2 x 11 inches in size) Plati must i rldf ', fl St. Croix not limited to vertical and horizontal reference point (BM), direction and ° oTslop dale or EL I.D. # - 26 1065 dimensioned, north arrow, and location and distance to nearest road. �1 �� APPLICANT INFORMATION- PLEASE PRINT ALL INFO RMATI 1[[-.'.` ST r�x'�999 V WED BY DATE . �. roUN ) ESij t u) " %4 PROPERTY OWNER: ROGERt Rich v % ' 1/4,S 22 T 30 N,R 18 (or) W PROPERTY OWNER':S MAILING ADDRESS LOT L(JC k kjSWD. NAME OR CSM # 1310 Hy. #65 6 HT Pondview Meadows CITY, STATE ZIP CODE PHONE NUMBER ❑CITY [ [DOWN NEAREST ROAD New Richmond, WI. 54017 (715 246 -5425 1 Richmond 146th. Ave. [x] New Construction Use ( 14 Residential / Number of bedrooms 4 [ J Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd /ft .5 trench, gpd /ft Absorption area required 500 bed, ft 500 trench, ft Maximum design loading rate .4 bed, gpd /ft .5 trench, gpolft Recommended infiltration surface elevation(s) 102.50 ft (as referred to site plan benchmark) Additional design / site considerations system el based on contour line of el. 101,50 Parent material glacial drift Flood plain elevation, if applicabl ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑S ®U 7S ❑U ❑S ®U ®S ❑U ❑S ®U ❑S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Clu. Sz. Cont. Color G Sz. Sh. Bed Trench ................. 1 0 -12 10yr3 /3 none 1 lcsbk mfr yw 2f .4 (.5 2 12 -26 7.5yr 4/4 none scl 2csbk mfr gw if .4 .5 Ground 3 26 -46 7.5ry4/6 none sl lcsbk mfr gw na .4 .5 1 4 46 -70 10yr5 /4 c2d 7.5yr5/6 scl M na ✓ na na np .2 Depth to limiting factor 46" Remarks: Boring # 1 0 -12 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 <2 2 12 -28 7.5yr4/4 none scl lcsbk mfr gw if .2 .3 3 28 -80 7.5yr4/6 none sl lcsbk mfr na na .4 .5 Ground elev. 1 1 02.4 ft. Depth to limiting factor 80" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave New Richmond WI 54017 Signature: Date: 4 -24 -99 CST Number: m02298 l ` PROPERTY OWNER Richard Derrick SOIL DESCRIPTION REPORT Page 2 = of 3 PARCEL I.D. # 026- 1065 -50 -000 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed JTrench 1 0 -12 10yr3 /3 none 1 2msbk m r gw . 3 2 12-24 10yr4 /4 none scl 2msbk mfr gw if .4 .5 Ground 3 24 -47 7.5yr4/4 none sl lcsbk mfr gw na .4 .5 elev. l ft 4 7 -65 5yr4/4 none cl M na na na np .2 Depth to limiting factor 47" Remarks: Boring # 13 Ground elev. _ ft. — Depth to - limiting factor Remarks: Boring # ................. Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. i ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) r STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. Richard Derrick New Richmond, WI 54017 CSTM2298 SE 4NE 4 S22- T30N - R18W MPRSW -3254 town of Richmond (715) 246 -6200 lot #6- Pondview Meadows This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. N 1 =40' BM-= top of NW lot stake C el. 100' Alt. Bm.= top of SW lot stake @ el. 99.20 4 0 0 S 6 �U �/;L ✓l7G job O .S Gary L. Steel 4 -24 -99