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PLANNING &. ZONING
Friday, January 27, 2006
Jane Barstad Homes
1318 146th Avenue
New Richmond, WI 54017
Code Admmisrrarr Regarding septic inspection for Jane Barstad Homes.
715- 386 -4680
Location of Property in St. Croix County:
Land Information
Planning Municipality: Richmond, Town of
715- 386 - 4674,:::`' Subdivision or Plat: Whitetail Meadows
Real Property
Certified Survey Map:
71 -4677 Lot: 9
Recycling Address: 1318 146th Avenue
5- 386 -4675
Dear Applicant:
A septic inspection of the above reference property was conducted on May 04 2005.
This property is located in the S 1/2 NW 1!4 of Section 23, T30N R1 8W Whitetail Meadows
(Lot 9 ), Richmond, Town of, St. Croix County, Wisconsin. At the time of the inspection, this
septic system was found to be code compliant for a 4 bedroom home.
Additional Notes: 4/29/05 - on -site to check 3 new soil pits; house built on the original tested
area. Massive sl at 42 -48" - using 0.3 soil rate
Property transferred to Barstad Homes on 11/8/04 - Bill proposes to put in system same
location as original permit. The plot plan shows driveway out the east side of lot, but
driveway easement and road are on the west side. Will mail new maintenance agreement
form to Barstad's for signatures
4/29/05 - house built on original tested area, Adam to do new soil report and I did on -site
verification of soils and boring locations. Soil report submitted 5/3/05 with inaccurate plot
plan for lot lines /system location. Soil profiles okay, but colors were not accurate. Based
revision approval v I n site Ian and notes from soil verification
o m y p
If you have any questions regarding this, please contact our office at 715.386.4680.
Sincerely,
Y
Pam Quinn
Zoning Specialist
cc: file
ST. CROIX COUNTY GOVERNMENT CENTER
1 10 1 CARMICHAEL ROAD, HUDSON, Wi 54016 71.5386 -4686 FAX
P O,? CO. SAUVT-CROIX.iM.US % yNV. C :SAIN R OIX. WT. US
Wisconsin Departmentoffommerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Buttding Division
r a INSPECTION REPORT Sanitary Permit No:
463275 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:
Jane Barstad Homes Richmond, Town of Z p --0
CST BM Elev: Insp. BM Elev: BM Description: / Section/Town /Range /Map No:
/ 61 . o / o Gc O 4,f-j 2 — 23.30.18. a
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
i
Septic l7 Be c — r
5�� � c U /O2• 100_ p
Dosing Alt. BM
Aeration BI S wer
w X72 (o -fig
Holdin St/Ht Inlet
3
7. y s 31
St/Ht Outl
TANK SETBACK INFORMATION ( 6
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD I Dt Inlet
Septic I + _ N Bottom
1 �• L
Dosing L -oj H �.� � 7.5
/ p
Aeration Dis ` p S 3 , b s
Holding Bot. System 2.
inal Grade— �
PUMP /SIPHON INFORMATIO F 3 (o•
rYo
Manufacturer and St Cover
GPM l
Model Number / (T��
TDH Lift Friction Los S TDH Ft . �J
Forcemain Len Dia. Dist. to Well �(
SOIL ABSORPTION SYSTEM ( O
BEDITRENCH Width Length / No. Of Trenches PIT DIMENSIONS No. Of Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKEISTREAY LEACH M ture r
INFORMATION CHAMBER Qjt
Type f System: / � � _/ Model Number:
DISTRIBUTION SYSTEM 3 se c e.. I --a l c, Lurt l 2 -
Header /Man fl Distribution O Q c� x Hole Size x Hole S acin Vent to Air Intake
� ��v Dpe(s l. a H J / /� �— , W� c
Length Dia I Length iD 1 Dia l-{ Spacing > (6t,vtQit�
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
xx
/ Yes � No � Yes 0 No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: J5 / `"I I Inspection #2:
Location: 1318 146th Avenue New Richmond, WI 540117_(S 1/2 NW 1/4 23 T30N R18W) Whitetail Meado s Lot Parcel No: 23.30.1 - 8.
1.) Alt BM Description = �I[O� b� o N^�� C'� �-f1�` * 'p , G - /�� / Ova , s qua.
2.) Bldg sewer length = ! } " �/ 4 - - _- -'!r vU°{�_(/ ,� �j(� (� llX�. / (l�7 r
amount of cover Ir)ezv � ` its w�
Plan re vision Required ?Ofrs [] No
Use other side fora d tional information. L_
SBD -6710 (R.3/97) Lgte Insepctor' Signa re Cart. N;.
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Safes a uildings Division s ?' G Ira �` - - - - -�
�V laconsln W ashington Ae. , P.O. Box 7162 Satti Y Permit mu ber (to be flora +� r W. Madison. WI 53707 - 7162 (608) 266 -3151 State Plan I.D. Number
Department of Commerce - I ,, 11 on
Sanitary Permit APP i you pt
Project Address (jf different [fan m ing address)
1, accord with Comm 83.2 1, Wis. dm. �PrP � � � � � � �
may be used for secondary
/
i. Application Information - Please Print All Infonttati _ Stock k
Parcel k Lot k
Property owner's Na me O
t Y ,5 Property Location �� Q l
ner's M ailing Address ZONING OFFICE l
�� k ,Section
y67'L� (circl , Zip Code Phone Number
` _ �/ S�/ ��' /� e
4 .3.d _ —� 'y /? 17 7 / 7 T j9 N P Eor
11. Type of Building (check all that apply) Subdivision Name CSM Number
❑ 1 or 2 Family Dwelling - Number of Bedrooms
❑ PubiiclCornmercial - Describe Use
❑ State Owned - Describe Use
2& 2-6 City DVillageTownship of rG/( yr+ 1
III. Type of ]Permit: (Check only one box on line A. Complete line B if applicable)
A. ZNew System ❑ Replacement System Treatment/Holding Tank Replacement Only n Other Modification, to Existing System
j B. ❑ Permit Renewal Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued
I
Before Expiration i Plumber Owner 41 /a 7s l z
IV. Type of POWF System: (Check all that a l)
k -Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At- Grade ❑ Single Pass Sand Filter
C Constructed Weiland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter
G Recirculating Synthetic Media Filter YLL eaching Chamtx _ vet l�Pipe ❑ Other (explain)
V. Dispersal/Treatment Area I nformation: _ : 1 2' o
Design Flow (gpd) Design Soil Application gpdsf) } rsal Area Pr9posed (sf) Syst6fi Elevation LE uTj F i
VI. Tank Info Capacity in otal Dumber Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks _
Septic or Holding Tank Y
✓� _ - - -- -
Aerobic Treatment Unit
i r
Dosing Chamber � I
VII. Resp onsibility State ment- !, the u ndersigned, assume respon sibility for' Nation of the POWTS shown on the attached plans.
Plumber's Na me (Print) Plumber's Si gnature MP/ PRS Number Business Phone Number
Plumber's Addre ss (Street, City, State, Zip Code)
- - --
VTII County/Department U Only _
Sanitary Permit Fee (includes Groundwater Date Issued suing A nt Si tut Stands)
Approved 0 Disapproved l
I Surcharge Fee)
❑ Owner G iven R eason for Denial I '' / _ l
A .
IX. Conditions of Approval /Reasons for Disapproval QQ D r \ "
PLY- 7L
�w7s -� a� a® 'a �� Z3-
s u, a"CA4,
Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size '
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�I
W oonsin Department of Commerce SOIL EVALU N REPORT
Division of Safety and Buildings SOIL
in accordance with Comm 85, Wis. Ad
Attach
Coun
complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan
include, but not ilmited to. V"cal and horizontal reference i
Percent slope, oint (BM), direction S )W, Parcel I.D.
% oPe scale or dimensions, north arr and location and distance to no
Please print all f fo If�C r/ Oo2lo
Personsl information You ProviAa ` ��f e` L R Date
+n+Y be us ed for purpoaes (Privacy Low, a. 75.01 t) ( `
Property Owner 3
, e- MAY 0 3 20 rope ti O
Y a� . L 4 114 Sa_j T.3d N R, O E (orJ�
AroPa
Owner's me" ST. CROIX COU # I Subd. Name or C"
ZbNING OFFIC q . !1
Ste
P
t hi Phone U yll� fa Town Nearest
GLG7 , G AyVa6 Ivor 7'� �
7� N ew � Use: (� Residential /Number of Bedrooms 3 - L/ Code derived deaden flow rate `� SZ�� j /�Q o (3PD
❑ Re ❑ Public or cornmsrdal - Describe:
Parent material _ ?',' l l F Plain elevation if applicable ��.. ft.
and revomrr lotions: y S�c W. L! < v , , d i S 1 s
Borkv
Boring # G� l
Ground surface Pi t dace elev. �� ft. Depth to limiting factor, - `� � in.
Sop AoMicallon tie.
Horizon Depth Dominant Color Redox Description Texture StAftwe Consistence Boundary Roots G PDAY
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eft#2
z i i z c r r` c. vn` b tM t. c.. S — a 60
j 2 , i � r c
Boring # ❑Boring
Pit Ground surface elev, -�• 4 G� ft. Depth to limiting factor in. lion Rate
Horizon Depth Dominant Color Redox Desatption Texture Structure Consistence Soundary Roots GPM
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. - E01 •Eff#2
Z- G 4,/ •� f\N r
• Effluent #1= BOD > 301 220 mg1L and T$S >30 _< 150 mglL • Effluent #2 = WO : 30 myL and TSS <_ 30 rnWL
CST Name (Please Print) ature _ _ CST Number
+ V'1 ' inn. 1
Address Data Evaluatlon Corlduc led Telepho Y Ntlnrb y er
IS —
(`� l
I t
Property Owner I ID # o c Page of 3
[�D SorkV •
- 1 ❑ Boring # { pit Ground surface elev. l ft. Depth to IkWtkV factor _ _ Solt lotion Rate
H orizon Depth Dominant Color Redox Texture Structure Consistence Boundary Roots GPDIff
In. Munsell Qu. Sz. Or. Sz. Sh. •Eff #1 •EH#2
Z C -L' 4 /
L2 lv 70
F # ❑
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Sol APPkallon Rate
Horlmon Depth Domkwd Color Redox Descr oon Texture Structure Consistence Boundary Roots GPD1ff
in. Munsell OLL Sz. Cont. Color Or. Sz. Sh. •Eff#1 •Eff#2
BorkV # 0
❑ pit Ground surface Nev. ft. Depth to limiting factor in.
SoA Application Rate
HoOm Depth Dominant Color Redox Dew*lon. Texture Sttucture Conslstem Boundary Roots GPM
h Munsell ou. Sz. Cont. Color Or. Sz. Sh. •Eff#1 'Eff#2
• Effluent #1 +' 1300, > 30 220 mpt and TSS >30 _< 150 ffot • Effluent #2 * BOD, _ 30 nV& and TSS' 30 mWL
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.
senauoeruoo►` ..
_ 7
• PAGE � Or
y ,
NAME LOT# LE GAL. DES CRIPTION 1 /4 '/4 $ T N R E OR W
r
'SCALP:
SM 1 E LEVATION
BM t DE SCRIPTION
SM 2 ELEVATION
SM 2 DEtsCRIPTiON --
SYSTEM ELEVATIO
SYSTEM TYrE
1. 1
r v..
1
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s,
?ATE
SIGNATURE ;, _._ r f F 7 Z
d
Co ,
N
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Property Owner ^ Parcel ID # Page of
? Boring # ❑ Boring (j
it Ground surface elev. ft. Depth to limiting factor ( in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Con Color Gr. Sz. Sh. `Eff#1 'Eff#
� 2 - � � l L- L �✓ 3
r
00, 41
a Boring #
❑ pit Ground su ace ele . ft. Depth to limi g factor in.
Soil Appli cation RAe
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
112 - `� s� rh -� y� Iz �uw tilt)
2- 2 7,
412,
kin
t >"
9 he. G� les' t allylp- e 3 ' J'A. a- - Z5 _36 f
' orin _�,h.._ f' °.,"s 'A,"�; $•I'. ;x:e } s„ +ter .r !6` ..
Boring # 9
140 11 p Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
` Effluent #1 = BOD > 30 220 mglL and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mgft. and TSS <_ 30 mglL
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•9330 (RAM)
I
' Wisoonsin 6epartment 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.
R w by Date
Please print all information. l f
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). �J
Property Owner Property Location
h
/ Grp/ , .
Govt. lot 1 � /4 S T N R E( W
Property Owner's Mailing Address Lo Block # Subd. hJame or CSM#
City State Zip Code . Phone Number City ❑ dlage own Nearest Road
New Construction Use Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ P till or commercial - Describe: ,- - - - - -- -- - - -- - --
Parent material s / Flood Plain elevation if applicable 1 1. � ft.
General comments
and recommendations:
�
Boring #
❑ Boring l
typit Ground surface elev. / ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Z 2:Z a
� � .� � � >✓ � —..- S �' / mil,¢ � t � • 3
s �
r Boring # ABonn
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/fg
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2
0 _12
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 nxyL
CST Name (Please Print) re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54 17 r- _ -0 J 715 - 246 -4516
� Soil Test Plot Plan
Project Name William Stock/Steve Dalton Sh ird
Address 1748 112th St.
New Richmond Wi 54017 ATM #226900
Lot 9 Subdivision Whitetail Meadows Date 8/15/03
S 1 /2 N W 1 /4S 23 T 30 N /R W Township Richmond
Boring () Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 80.9/80.8 *HRPSame as Benchmark
Alt. BM Top of 2" Pipe @ 100.2'
AL
Scale is 1" = 40'
Please note: Installer must unless otherwise
verify all lot lines and setbacks
before installation noted
Please Note: Tested area
may not be suitable for
desired building area.
Check system location
before excavating.
B -2
a�
1% Slope 40 a
Not enough slope 226 e
to
establish
45' contours
B -3 S
M
i M
45'
M.E1 1A
B -1
5'
556' Prop rty Line
100'
w ! .
r .
ST. CROIX COUNTY
WISCONSIN
ZONING DEPARTMENT
r ST. CROIX COUNTY GOVERNMENT CENTER
Sol �MM�M■
1101 Carmichael Road
Hudson, WI 54016 -7710
Phone: (715) 386 -4680 Fax (715) 386 -4686
Memo to File
From Pam Quinn
Date. 4/27/2004
Re. Sandy loam structure misinterpretation on subdivision soil reports
Recent soil on -site determinations have brought a problem to our attention. During these on-
sites, borings were excavated to confirm soil conditions where two conflicting soil reports had
been submitted for zoning department review. The soil profiles, evaluated by myself, Dave
Fogerty, and Dave Steel (all certified soil testers) differed from the original soil reports in that
massive (structureless) sandy loams were encountered in horizons that were described as having
either moderate, medium subangular blocky (2msbk) structure by Adam Schumaker or weak,
medium granular structure (I mgr) by Shaun Bird. There apparently has been a
misunderstanding between "structure" caused by handling samples of the soil during texturing
versus the soil characteristics in situ. The soil, when chunks were taken out of the profile to hand
texture, with pressure parted into "crumbs" that appeared at first to be subangular or granular in
shape. However, these were not true peds that broke apart along planes of weakness, but
fragments created by handling. The soil when observed in the horizon did not have distinct units
of structure and should have been reported as "massive ".
Added notation: on 4/23/04 Mark Iverson (Cedar Corp. certified professional soil scientist),
Shaun Bird, and myself did an evaluation of soils on Lots 6 & 9, Richmond Meadows where the
original soil report described the third horizon as sandy loam, "I mgr". On Lot 6 we checked
soil profiles within a POWTS distribution cell and then excavated a test pit on Lot 9. The sandy
loams in question were a weak, coarse to very coarse subangular blocky structure, where planes
of weakness were just discernible when peds were parted from the profile. The peds separated
with very light pressure by soil tester. Sand coatings were observed on the ped faces in the Lot 9
soils, which supported the determination that some structure existed to allow water to move
through the upper portion of the sandy loam horizon. However, below the weak - structured soil
we found massive (structureless) sandy loams and the boundary between these horizons was
irregular, which would mean a distribution cell could encounter alternating weak and massive
sandy loam. Shaun said he would amend his soil reports with a memo recommending that any
�° " " r loading rate of 0.3
assigned a Lowe
am he identified as 1 m or 2 m be assi gP d/ft2
sand loams mgr" mgr" gn g
Y
(see attached memo for Whitetail Meadows) to provide a larger dispersal area.
Page Two — Soil Memo 4/27/04
Massive sandy loams have been assigned a soil application rate of 0.2 gpd/ft with the code
changes in Comm 83.44 -2, effective as of 2/1/04. The application rates listed on the soil reports
were higher due to the structure having been described as either weak or moderate, which affects
the calculations for sizing of POWTS distribution cells. Obviously, one of the concerns is to
make sure loading rates for the soils are not in error and allow undersized POWTS to be
installed. For example, in December 2003, Lot 35 of Richmond Meadows subdivision had to
have its loading rate reduced to 0.3 gpd/sq. ft. when the installer encountered massive sandy
loam at the system elevation. The sandy loam horizon had been described on the soil report as
"I mgr" with firm consistence.
Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this
situation and advised the zoning department to require on -site verifications for any lots with this
potential misinterpretation on the soil reports. All soil reports with sandy loam "1 or 2 mgr" as
its structure will be required to use a design based on the current code's soil application rate for
massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise.
Bird Plumbing Inc.
1008 192nd Ave
New Richmond WI 54017
715- 246 -4516
Subject: Whitetail Meadows Soil Tests
To Whom it may concern:
I Shaun Bird did the soil tests on this subdivision known as Whitetail Meadows in
Richmond township. Aftbr a couple of installations, some of the soils were found to have a
more weak structure than what was found in some of the borings. In order to protect home
owners and contractors, it is my recommendation after discussing the issue with Pam Quinn
from St. Croix County Zoning office that the systems be oversized us g a.3 loading rate
Instead of the original .4 rate. On the lots that were originally sized for a.5, I recommend
using a.4, not the new .6 that the state has suggested. The soils are what the tests indicate
but the large areas tested did not reveal some of the weaker structures that were found
upon installations. If a installer can prove otherwise, that the weaker structures do not exist,
then the Installer should proceed with the soils that he /she believes are present.
Shaun Bird
CST #226900
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Safety and Buildings Division County
+, 201 W. Washington Ave., P.U. Box 7162
C onsin Madison, WI 53� - 7162 Sanitary Perin ber (to be filled in by Co.)
Departme of Com merce (608) 2 "��•+ 7 3 �-7�
Sanitary Permit Application Platt I.D. Number
f In accord with Comm 83.21, Wis. Adm. Code, personal information you r
f l may be used for secondary purposes Privacy Law, 815, Pr ect Address (if di ff nt than mailing address)
I. Application Informa - P 2 e rint Wo anon G O Q /3/
Property Owner's Na me 4y -
N -i Parc k Lot # Block #
} �FFIC
Property Owner's Mailing Address Propet Location `
y/ cd /h
City, State 1 , /a Zip Code --P7hone Number / �'• ',Section ,2�
/�� T 30 N; R�ccle�
II. Type of Building (check all tha pply}
X 1 or 2 Family Dwelling - Number of B ms Subdivision Name CSM Number
D Public /Commercial - Describe Use
❑ State Owned - Describe Use CS GtJ 2 (p & ¢ Z/p ❑Ci sh / i j p of
III. Type of Permit: (Check only one box on line Complete line B if applicabl
A. r
New System ❑ Replacement System ❑ reatment/Hoiding Tank Repla • nent Only ❑ Other Modification to Existing System
B. ❑ Permit Renewal ❑ Permit Revision Chan of Permit ransfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber I Owner 2' / G �� 2� a
43 /l p / (� J '7
IV. TylLe of POWTS System: (Check all that a ly e
Jt Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil Mou < 24 in. of suitable soil ❑ At-Gra Filter
ID Constructed Wetland 11 Pressurized In- Ground El Holding Tank P at Filter ) Aerobic Treatment Unit nd Filter
17J Recirculating Synthetic Media Filter Leaching Chamber_ ❑ Drip Li ❑ Gr -less Pipe Other (explain) _
V• Dis rsaW /Treatment Area Information.
Design Flow (gpd) Design Soil Application te(gpdsf) Dispersal Are Requir (st) Dispersal ea- Proposed yttem Elevation
VI. Tank Info Cap�Fity in Total Number .anufact cr Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed f Glass
New I Existing
Tanks I Tanks
Septic or Holding Tank
Aerobic Treatment Unit (' / '' ',�/
Dosing
osing Chamber ^I �� ` C5 /
VII. Responsibil St atement- I , thk undersigned assume esponsibility for allation of the P S sh own on the attached plans.
3 lumber's Na me (Print) Plumber's Si gnatu P MPRS Number Business Phone Number 4_ 1 �_
umber's Addre ss (Street, tty, State, Zip Code)
Q j S 77
VIII,/County/Depart ent Use Onl
Approved t�l Disapproved anitary Permit Fee t cludes Groundwater Da Is Pled suing A e Sign re mps)
Sure a Fee) X71 � / /
❑ Owner Given Reason for D enial �,� y� —�- v /
Conditlons of Approv Reasons for Di pro �IJ.t/ -(/
Irv
� A j St to �f S�S -�v�—
C S N Attach co plete plans (to the County ly) for the systQm on paper not less than 8112 x 11 es in size
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> 15' FROM DOOR I W -N:)Ow OR AB'Jvz, GZAD£ b 4CATOERPROOF
FRESH ASR INTAKE JUNCTION BOX APPROVED
W: 71 1 . CONDO I `"POLE MOV
�'+t� "xSH£DRAI�£ W/ PADLOCK b
� RISER - S � ` _ WARNING LABEL
.ia Y f 1 ♦� . `i• 4/ y . III 1 'err.r
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WA ~� 71a HT 5 EA'LS i +
GA �� 3 t
1
TIGHT, + pPR4VED
,, A SEAL
:PPROVED F JOINTS WITH
PIPE 3 1 B I { ALM a APP V10 PIPE
WTO SIL 10 I t -- — oN 3 ONTO
;v:L '" "' SOLIC. SOIL
PJMP Orr ELEV. FT. � �'
-r» "".�'' " ." r�'`'OFF , �a RISER EK41T
D PERMITTED CNIV
IF TANK
MANUFACTURER
3 APPR B£DD UNDER TANK HAS APPROVAL
"ONCRETE PAD
SPECIF.CAT.C;I�'S
S -:'TIC r DOSE
,.4.VK MArjFACTJRER: Zee 1:w3ER DOSES PER JAY:
i`.MY S i 2ES: SEPTIC G AL. LOS£ VOLUME I1lC:;JDING
DO$E dr> �". GA:,. FLQWBAC1C-. 1 •.... 9...... GAu.
%LARM MANUFACTURER: CAPACI.IES: A
......".. MODEL bliMBER: - .����.,5�.._ � _ 1:iCHES ° ... '� aAL.
SW:TCh TYPE:
P MANUFACTURER; r -' "� t
MODEL NUMBER: ,- C ,,,,,, INCHES „(„,,,,,
SWITCH TYPE:
:EQ'ULRED DISCHARGI: R.AT � W t ""r"..-
'p °^ PUMP E ALAS m W -TRSNG AS : ER ILHR 26.23 WAC
ER'TIC,AL J +F'FER£s ti'CE B£.
�"TN14- UM NETWORX SUPPLY PRL" GFT y AND �IaTP,TBU4 P11 rrET
— Ikjg�.�.,• FEET FORCEMAIN X i'r� F'TI1�O F':'.. . *= . ' ' ,; ' ' FEi.T
. .._._ f R. T.0N FACTOR F'E£T
T.0 ?.�L DYNAMIC K�AD , � p
:'"'�{,NAL D «:�'a:t�tiS OF PUMP
LTG:%TD ' wID `N .ETER -~--•
r
NGOULDS PUMPS Submersible
Effluent Pump
rr
g EPO4
3871 EP05
APPLICATIONS • Fully submerged in high ■ EPOS Impeller Thermoplas- ■ Bearings: Upper and lower
Specifically designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing
following uses:
lubrication and efficient improved performance. construction.
heat transfer.
• Effluent systems ■ Casing and Base: Rugged
• Homes Available for automatic and thermoplastic design provides AGENCY LISTING
superior strength and corrosion AI!
• Farms manual operation. Auto- rC Canadian S Association • Heavy duty sump matic models include resistance.
• Water transfer Medhanical float Switch ■ Motor Housing: Cast iron (CSA listed model numbers end
• Dewatering assembled and preset at the for efficient heat transfer, in "F" or "C ".)
factory, strength, and durability.
SPECIFICATIONS ■ Motor Cover. Thermoplastic GaAs Pumps is Bo 9Wt Registered.
FEATURES cover with integral handle and
• Solids handling capability: float switch attachment points.
'14" maximum. ■ EPO4 Impeller, Thermoplas- a Power Cable: Severe duty
• Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant.
• Total heads: up to 31 feet. pump out vanes for mechanical
• Discharge size: V /2" NPT, seal protection.
• Mechanical seal: carbon -
rotary /ceramic- stationary,
BUNA -N elastomers.
• Temperature:
104OF (40 continuous METERS FEET
t intermittent
to
• Fasteners: 300 series
stainless steel. . - .
9 30 _ a► �( —SGPM
• Capable of running
dry without damage to a _ __ zs Fr
components. 25
-`.
Motor: x
,._. _. .
• EPO4 Single phase: 0.4 HP, zo
115 or 230 V, 60 Hz, 1550
RPM, built in overload with s
automatic reset.
4
15
Q
• EP05 Single phase: 0.5 HP EPOS , o '�
115 V, 60 Hz, 1550 RPM, 3 10'
built in overload with
EPO4 ._.
automatic reset. z
• Power cord: 10 foot 5 _
standard length, 1613 1
SJTOW with three prong
grounding plug. Optional 20 ° 0 0 1 - 0 za 30 so GPM
foot length, 1613 SJTW with ,
three prong grounding plug 0 2 4 a 10 12 m =(h
(standard on EP05).
CAPACITY
Goulds Pumps
0 2 Goulds Pumps ITT Industr
Effective February, 2000
83871
STANDARD CHAMBER
Qu1ck4 Standard Chamber 48"
(EFFECTIVE LENGTH)
zl
{
r J Ll —i�'
I— - -- -- -- 34" — SIDE VIEW
SECTION VIEW
MuttiPort End Cap
r i
12"
t =om
— — —� -- - 34'- — SIDE VIEW TOP VIEW
FRONT VIEW
� POW rc.
F
��� Quicic4`5tandard :Chambe t�omfaat S�eci #icati � Muittt?ort Intl Cad= Nominal S�eciticattonsm� � l ��,Y�..
Size (W x L x H) °' 34" x 52" x 12 "` 5iz W `L x H)' ' '34"X1 " x t2n
Ef fective Length 48" Inve Height 8" or 1,25"
Invert Height 8"
( FILTRAIS?A INC STANnARD LIMITED WARRAN
(a, Inc struetural lllefirily of each chamber, end slate. wedge am other acn assrxy menrNactu-1 oy -vato, i - Blots " }, when tncaiec elxl operated
ht a leanhkekl of an cngite Soptir, system in aawrdnwn wdth Irdiltrata's ynslrfn:uona, s warranted !n the ong,rval (Uct'aesf l"Fl "0.') agaaist detective
n yula,3 and wolknkYw1lil for "y I- year learn the 'we Islet the aepti 41eR:lit i515SU4t11(u (Na 'V1114 SySteRi ocN,falung }he I,YWS; pt (.JI �, hfkyYNar,
that if a'"ic Stamvt Is NO recj' d by appkGatik, law, the werlflny ).wKM1 wiP slu,7e1 vporf Ina date (hal N!etalknuon at trio septa: sysit". n tnencas.
To a 7 cv its war anty'4't5 Hu'-fol .t,ust notify k,Wtrak r u, vfiin)g at (..rµ
. ,rata Hea k rs U .I in Ok1 Saybrook r:orn�(w l w tent afloorr, {l5}
ha 5 fin dAlj0d dofml. 1 'Rlt ±ux wW -Owl, reGlacCltwl+t U, i(X U t de(ea,fla 1 by .t' ut.x h> t6 j by ft's :knitcrl Pod'ranty
k fUlraf ,r a Aabkly s;A 'flr;4ty ab
% ide* the wili of ,e al „ . r Sldi at'en of the U ,t logo R
1r. ':?rE LfMI ?LO VJARF:ANIy qNC FIEML -QIFS aJ StJL'1PARAraRAPIi 1'i} AL.F >= Xi.'_I /SIV - 11 IL: iF ARE, N:f C7 HER'uVARRAN'fus VwTH RESPECT l,C..T.� M C INC
T ^.i (HE U"TS, "(1W046 Pk. ED ILIT f ^AP.'. WARRANTIES OF MERCHANTABy OR i h0 "6S 1:01; A fART IQU.AR PURPOSE.
70 11 l,x+n{ed Wrol lntg ST n 1)e v0iif it arty Part ,N the chambol systPln la mdixdaGPJad uJ 3irvcme tither u5ert 411NafApr The i 4titled Wanapty dues
r O t CxtaI"d to M dentol, uratw-tAtaniiat, SbeCaal Cr "vilrecl danage5. Inkllraior stm nut ti fold br pnnai(io? or 1qu,c3ated derma Jas, widuc ing kiss a' GlfY�r WWta OnSite
Wa ePd�' Solub } "
t)i0dwiion and proQ Taboo and matenaps. overhead costs, or OhOy IosseS n expensns atourrerl Ov the Holder or any ftvrd pally. Spectticatly
excluded t :''M United Warranty o ,, age are danWge to the ihliis dice to ordirlaly wra: and te.N, 'U eflpn, awid6N. mis+ft atxlse l nottleot 01
the Unps: the t wn being srdgebted io vehic:e traffic M otha^ *Ordihons which are not pehttliletl by the inaWle!ion hsirm ions; fakae, t, nrarhtarn the 6 Business Park Road
• P.0, BO 768
mirurrhim ground c<r r rs set forth in the inst3Gatroll inst,Lvions; the pla� emant o' tmp:roper male1ats iron the System containing tho';rxr Wj,re of
the UNIS or the septk causyslam rile to imcyopar siting or IRiprrrpar eiz +ng, exCtu,Srva v +atCr usana, lTgxoper [1rRdSe disposal, or 1mprc,, l)peraim; or
any U(d Saybrook, CT 06475
other avant no{ sed by h1k,atoc Ttso Umited'Nananty shat) be wtd J INe Holder cols to cJn,,�ly with ail <d the farms set IMih kl tllrs Limarxl
Warranty 8 -577 -7000 • FAX 860- 577 -7001
FU rr a , )y6, I .Snail 1n&j,a1or lHI raaPn Vbj0 k. a,y loss 0, dam% 101he Mtufalyf I , U L'rnls, Or ally (fwd flan roast g frclVn insl3aailnn ,fir Stull �{/O�`/1 - /�
r a 7 om any p ❑duet lability r.lai ,is of Holder or any Itwd party. fur Ink unul0d Wari ,y tc app6/, the l)niis n ust Oe IrreraNed m arx•�o :dance (�,�2 p
th all sae ,;ond .nJnS reGlnred "s,' State and Wal codas; all other appirt bte laws; arltl hifHf,atorS ktstaAation tnsln Ctions
Wi M loprasar.la;ive of intllrMor has IINr autrrnri[y to chaihla of uaiCrkl thifl l.nniiCd Warranty. PJU warrany aPp11CS Ib amt party cNhbv lhan the prk�i
nal Hr_x30r.
The above :epre5at11S IN Slanaard Unuterl Waxaitty nffarrn) i>t' lMilrala • A 1 &nited rtunVxr vl states and Cow1;(as have di %Brat a wananly trrfuire
merxs. Any pulchastx of brats sIltxm contact irtfittrettx's Corporate Heaotyaattots n Oki Saybrook, Cnnneckcu!, prior to such Tz.nc`,aaa, to oetatn a
of the applicable warranty, and Should cafe* read that wanaNy prior to the purchase of units.
U.S, Patents: 4,759,661, 5,017,G41; 5,156.488; 5,336,017; 5,401,1 I6; 5,461,459; 5,511,903; 5,716,163; 5,588. 5,639,844
Canadian Patents: 1,329,9:9; 2,OG4,564 Other patents pending,
Olotrator, Equalizer and SideWinaor are registered trademarks of :rdlihator Systems Inc. HdUalor is a registered Ifedemark i t FrarlC*. Inflltralor Systems Inc.
is a regsterod lradernark�n Mexico. Contour, Contour SWtvel ConnerWn, Microt- eaciiina_ Pvlyruff, SnapLock, Cfta+llberSuecel; Postock, duickCut, puil kPlal, sesrcr.envwFw
POWTS OWNER'S MANUAL. & MANAGEMENT PLAN Pogo /
�ILE INFORMATION SYSTEM SPECIFICATIoNB
Ownsr /�,pST � 6�'>7�$� Septic Tank Capacity , d al 0 NA
Permit u1'
fp 3 a. -'5 Septic Tank Manufacturer r 0 NA
DENMIGN PARAMETERS Effluent Filter Manufacturer O NA
Number of Bedrooms *y' (3 NA Effkwtt Filter Modei 0 NA
Number of Public Facility Units ❑ NA Pump Tank Capacit a l 0 NA
Estimated flow (average) jfO a sildisy pump Tank Manufacturer Zd r e , , 0 NA
Design flow (peak), {Estimated x 1.51 6rc1 d a Ud pump Manufacturer 0 NA
5aa i ate- allda !ft' Pump Model C3 NA
Standard InflU61WEffluent Linty Monthly average* Pretreatment Unit NA
4fease - (F (5G) S30 mg /L 0 Send/Gravel Filter 0 Peat Filter
Biochemical Oxygen Demand 18OD 6220 mg1L 0 NA 0 Mechanical Aeration a Wetland
Total Suspended Solids ITSS) 5150 mg /L C] Disinfaction 0 Other:
Pretreated Effluent Quality Monthly average Dispersal Calls) Yd� � 0 NA
Biochemical Oxygen Demand (SOD,) 530 mglL n- Ground (gravvu G � t n -Gourd (Pressurzzed)
Total Suspended SoEds (TSS) 530 mg /L *NA 0 At -Grade 0 Mound
Fecal Coliform Geometric mean) 51 100mi Q Drip -Line 0 Other-
Maximum Effluent Particle Size Ys in die. 0 NA 0ttiar 0 NA
Other: ❑ NA Other: 0 NA
"valuer typical for domestic wastewater and septic tank effluent. Ott= Q NA
MAINTENANCE SCHEDULE
Service Event Service Frewonoy
inspect condition of tank(s) At least once every: 2"' 3 � s} 71 (Maxtrrlut» 3 years) Q NA
Pump out contente of tankls) When combined sludge and scum equals one-third 1%) of tank volume 0 NA
Inspect dispersal cells) At least once every: el (Mtudmum 3 Years! D NA
S /� f -� t least once every: f fir
fi Glean effluent fEter � DNA
Inspect pump, pump controls & aterm At least once every. �.�- 0 on q NA
yw
Flush laterals and pressure test At leaat once every: 0} arts} a) 0 NA
Other: At least once every: 0 month1 s) 0 NA
.r-
Othan 0 NA _j
MAINTENANCE INSTRUCTIONS
Drispectiona of tanks and dispersal cells shall be made by an Individual carrying one of the following licenses or certifications:
Master ftmber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintudner: Septage Servicing Operator. Tank
inspections must Include a visual inspection of the tankfa) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal oell(s) shelf be vlsualfy inspected to check the effluent levels In the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
Immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum In any tank equals one -third fY,) or more of the tank volume, the entire
contents of the tank shell be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized Components, pretreatment
units, and any servicing at Intervals of !912 months, shalt be performed by a certified POWTS Maintalner.
A service report shall be provided to the local regulatory authwity within 10 days of complsti n of an y service event.
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T. CROM 180W" 'f
•'° r OF WISCONSIN FORM 2 ?1999 W ISCONiN H. W ALSH
TY DEED ZONIN OF DEEDS
Doc +trrnra•iir - r...■ x CiQ., WI
IX COUNTY GOVE NMENT CENTER
s e - ~ a#stock: C 1101 CarmfdWlAufQR RECORD
Grantor Hudson, W115i4����j 11:00At1
and Jane Barstad Ho es (7 5) 386 -4680 • Fax (715) 386 -4686
�n ( Grantee. MARBANTY DEED
EXEMPT #
Grantor, for a valuable consideration, conveys and warrants to Grantee
the following described real estate in St. Croix County, State of Wisconsin FEE: 11.08
TRANS (if more space is needed, please attach addendum): TRA FEE: 144.00
COPY FEE:
Lot 9, White Tail Meadows. St. Croix County, Wisconsin. CC FEE:
PAGES: 1
S �{ 1 7.4 1 Recording Area
T s - — L;s G3 zo q Z 5- Name and Return Address
r 4
AT LAW
HUDS .3 v, VVI 54016
Part of 026 - 1068 - 904100
Parcel Identification Number (PIN)
This is not homestead property
(is) (is not)
Exceptions to warranties: Easements, restrictions and rights - of - way of record, if any.
Dated this ?:!p day of October 2004
Dalst
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Dalstock, LLC By: STATE OF )
ss.
County )
authenticated this of October .
Personally came before me this day of
the above named
* K rishna Ogland
TITLE: MEMBER STATE BAR OF WISCONSIN _ _
(If not, _ _ to me known to be the person(s) who executed the foregoing
authorized by § 706.06, Wis. Stats.) ~— instrument and acknowledged the same.
THIS INSTRUMENT WAS DRAFTED BY _
A ttorney 1"tina O gland *—
Hudson, W 54016 _ Notary Public, State of
My Commission is permanent. (If 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. Information Professionals Co., Fond du lac, WI
STATE BAR OF WISCONSIN 800 -655 -2021
WARRANTY DEED FORM No. 2 -1999
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. Safety and Buildings Division County �` n
201 W. Waslrington A 7f L
i�
cons in
Madison, (608) G ) 26 5 tart' permit Number (to ` filled in by Co.)
De aatment of Commerce
5
Sanitary Permit Applicatio State Plan LD. N
111 accord with Comm 83.21, Wis. Adm. Code, personal information u pry F
may be used for secondary purposes privacy Law, s 15.04(1 ) "' �� jeer rid tf different than mailing address)
L Application Information - Please Print Ali Information O
s 14 CT CO Block
. t ZONING OFF C T ��
Property owners Mailing Address Oil
City, State Code Phone Number A Section . Y� 1A / S - 7 « one)
IL Type of Build check all a N. ci W
yP � ( th t apply) i�
or 2 Family Dwelling - Number of Bedmoms Subdi " ion Z 4= �Q
PablidCommacial- Describe Use /i �'
State OwNd - Describe use City_ Vdlage;XKowaslup of
Ziff. Type o Permit: (Check only one box on line A. Complete line B if livable)
A scan
Y Replacement System - Ttestment/Holding Tarok t only Other Modification to Existing System
E • Pem►it Renewal Permit Revision Mange of permit ex to New List Previous umber and Date
Before Expiration Plumber Owns u
IV. of POWTS S stem: (Check all that a I -j 0
Pressa In- Ground Mound
24 '
na. of suitable it
2 sou
ound <
f
2 0
suitable so"
At -Grade Single Pass Sand Filter
Constructed Wetland 7ftiufi7zod In and Holding Tank Peat Fri Aerobic T Unit Reewmlat ng Sand Fdwr
R " S 'c Medr Clamber Dri -less • Oflroc ) V. D' tment A orniation: (q) J r
Desi W I _d) D�iBn Soil Application Ratckz -s Dispersal (s� Dispersal Area
Pro (sf) S He ' �6 ql%l)p
VI. Tank Info Capacity in Total Number Manufacturer Prefab xsitc Fiber anti
c
Gallons Gallons of Units 1
Concrete troaed fibres
New Mating
Tanks Talcs
Sepceor Ho"og Tank 2
Aerobic Twatrtmt Unit
Dosing Mamber
VII. 'bill Sta t- L the assmae blllty for htstallatlon of the POWTS shown on the attached _ N
Plu )mName) Fiur' MPlMPRS Numbei Business Phone Nu
Plumbees Address (Sueetpty, S
Y��Jvu VIII. Coun artrnent Us =Remasmownr
\
Applov Muffmvea S Pamir Includes Groundwater Date Issued t Signature o stamps) . 1
s Fee) ,25� -- -
Give 24 ?cc
IX. Conditions of Approval/Reasons for Disappro yJ q
SYSTEM OWNER: L
1 Septic tank, effluent filter and Ilks .
dispersal cell must all be serviced I Ma- inteined S� datuS
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code /ordinances.
Attach oompkte Plans (to the County only) tor am soa gaper a ties 1/2 11 tiro ilk � S S 5 � �-
`�
i
�,Z Z
r
PLOT PLAN
S 112
' t k LLC ADDRESS 1748112th St New Richmond Wi 54017
PROJECT
Daistoc
IdW 1 !4S 23 /T !R 18 W
TOWN Richmond COU NTY Y ST. CROIX
10/15/04 BEDROOM 4
MPRS Shaun Bird 226i1N.G 00 DATE
CONVENTIONAL XXX
ND PRESSURE CONVENTIONAL LIFT HOLDING TANK
1250 gallons LIFT TANK SIZE DOSE TANK SIZE
MOUND SEPTIC TANK SIZE
HOLDING TANK SIZE -
LOAD RATE .3 ABSORPTION AREA 2021 # of chambers 65
,, BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION i00' Filter Zabel A -100
❑ BOREHOLE O WELL - H.R.P. Same as Benchmark
SYSTEM ELEVATION 80.9/80.8/80.7/80. 4.5' belOW
s
Alt. BM Top of 2 Pipe @ 100.2 ' Plan Designed Using
Conventional Powts
Well is to meet all Manual Version 2.0
setbacks required by !!
,
WDNR Scale is 1 = 40
unless otherwise
noted
Vent Pro 4
Standard Biodiffuser Bedroom
>6 „
Leaching Chamber House
of C over with 31.1 ft2 of Area
6' Long 11 "
Grade at System Elevation 30'
34"
Please no - system i ing designed ST
lo ' e, if upon
on P
installation, i ' ound that 30'
the soils a.4, n that system will B
be in ed and a re ' ion will be filed
1% Slope
4-3' X 100' cells with >3' spacing 33 Prope iy Lip
Not enough slope
B -3 to establish
contours
Vents
One cell is to have 1 extra chamber Alt. B.M.
B -1 B.A.
5' 556' Property Line
100'
PLOT PLAN '
- PROJECT Dalstock LLC ADDRESS 1748 112th St. New Richmond Wi 54017
S 1/2 NW . 1 /4S 23 rNDPRESSURE /R 18 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 10/15/04 BEDROOM 4
CONVENTIONAL X)()( IN -G CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1250 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .3 ABSORPTION AREA 2021 # of chambers 65
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100'
Filter Zabel A -100
❑ BOREHOLE O WELL * H. R. P. Same as Benchmark
SYSTEM ELEVATION 80.9/80.8/80.7/80.6 4.5 below
Alt. BM Top of 2" Pipe C 100.2' Plans Designed Using
Conventional Powts
Well is to meet all Manual Version 2.0 J
setbacks required by „ ,
WDNR
Scale is 1 = 40
unless otherwise
noted
Pro 4
jL Standard Biodiffuser Bedroom
Leaching Chamber House
with 3 1. 1 ft2 of Area
34 Grade at System Elevation 30'
Please no • system i eing designed ST
with a .3 loa ' e, if upon
installation, i ' ound that 30 ,
the soils a -4, t n that system will B
be ins ed and a re ' ion will be filed
1% Slope
4-3' X 100' cells with >3' spacing
33 Property Lh
Not enough slope
B -3 to establish
._--- contours
Vents
One cell is to have 1 extra chamber Alt. B.M.
B -1 —�--
556' Property Line
loo'
4
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
§,_DisQharge into system is not exceed those required as per Comm. 83
/jbo cy Plan
I L
system fails, determine cause of failure, use :ornate area and install new
sted replacement area.
ption #2. I tall system at a lower elevation, by removing chambers, removing biomat,
ew system.
Option#3. No adequate area is suitable for replacement area, and system elevation
cannont be lowered. Install holding tank as last resort.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715- 246 -4516
St. Croix County Zoning 715 - 386 -4680
Pumper Tom Mondor 715- 246 -5148
Shaun Bird #226900
i
. J ST CROIX COUNT
. T BNANCE AGREEMENT ►
r: -SEPTIC IANK
AND
' OWNE�� ERTIFICATIOI�I FORM
.. -
owner/Buyer
Mailing
Address
1314
Address d
Adr nt for new construction) `
Propert'Y (verification required f Pla�g Deparrme
parcel Identification Number
pity /S..tate
D ig gIPTION
LEGAL T3DN_p W, Town of
Location 144 'j•, Sec.
property
Lo #
Subdivision page
Volume - -�_- -'
Certified Survey 1� # Volume 2q3c? Page #
Warranty need ## es ❑ no
Lot lines identif abl
the standards
Sec house es C1 no
P e wastes- Proper maiatenane
e
t iemature failure to Yn at you put into the system
SYSTEM �,� NAN of your
Septic system could re n its pr needed by a iicensed pumPer.
improper use and every tbTee yew or sooner, disp osal system
of pumping
-out the septic as a treatnsent stage in the waste
consists p ction.of the
e se ptic taa]c b
can affect the fun �tnent a certification form. s i g n ed the owner and by a
m
The pro perty owner agrees to submit p St Croix U �d paper verifiaS tYit {1) the on-stst less 1/3 f ewaterdisposal syste sludge.
lumber rests l i (if necessary)
masterplumber, the septic tank is
journeynsaaP inspectioa and P
condition sad(or (2) aR� system with
is in proper operating a to maintain the Private sewage disposal
eats agte a rtment of Natural Resources, State of WisconsOffi thin 0
Vwe, the =dersigned have read the above of Commer and the Dep ed to the St. Croix County Zoning
set forth, herein, as set by the Departm�t , tsiaed must be completed and return
stating t our se ptic system has been main Z�1�
days of iration data
DATE
APPLICANT
ICATI N ' kaowledgo. I (we) am (are) the owners) of
n'VYN �•Fg_ O to the best of my (our
that au siaum ,oa this forces are true
I NX f of a warranty deed recorded is Register of Deeds Of
t
DATE
ermit being revoked by the Zoning Department. "� « « «•
tioa that is Mil reQnsent� may result in the sanitary P
*sss+s Any informs
f• Include with this pplicAtion: a std
d warranty deed from the Regi er enc Dee s and in the warranty deed
a
a copy of the certified survey map'
. a U 2 53' �!
7443PJ2
STATE BAR OF WISCONSIN FORM 1 - 2000 KATHLEEN H. WALSH
Document Number
WARRANTY DEED
RE . CRI O
XCO... WI
RECEIVED FOR RECORD
This Deed, made between L. Lawrence Williams and Vireina R. 10/21/2003 09:45AN
Williams, husband and wife and each in their own right Grantor, and
Dalstock, LLC, a Wisconsin limited liability company Grantee. WARRANTY DEED
Grantor, for a valuable consideration, conveys to Grantee the following EXEWT #
described real estate in St. Croix County, State of Wisconsin (the "Property") REC FEE: 11.00
(if more space is needed, please attach addendum): TRANS FEE: 3015.00
The South One -half of the Northwest Quarter (S '/2 of NW '/a of Section COPY FEE:
Twenty -three (23), Township Thirty (30) North, Range Eighteen (18) West, CC FEE:
EXCEPT Lot One (1) of Certified Survey Map recorded in Vol. 8 of PAGES: 1
Certified Survey Maps, Page 2305 as document number 465057;
AND
The North One -half of the Southeast Quarter (N 'Iz of SE ' / a) of Section
Twenty -two (22), Township Thirty (30) North, Range Eighteen (18) West.
Virginia R. Williams joins in this deed for the sole purpose of conveying any Recording Area
interest she may have in the subject property under the Marital Property Laws Name and Return Address
of the State of Wisconsin. Robert J. Richardson
Parcel Id numbers: Bakke Norman, SC
026- 1068 -80 -000; 026 - 1068 -90 -000: 026- 1066 -80 -000: 026 - 1066 -90 -000 S233 McKay Ave P.O. Box 399
L Spring Valley, WI 54767
Together with all appurtenant rights, title and interests. See above
Parcel Identification Number (PIN)
This is not homestead property
(-is) (is not)
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except:
easements, restrictions and rights of way of record
Dated this 15th day of October, 2003
* L. Lawrence Williams * Vir is R. Williams
* *
AUTHENTICATION ACKNOWLEDGMENT
Sianature(s) L. Lawrence Williams and STATE OF WISCONSIN )
Vireina R. Williams ) ss.
County 1
authenticated this 15th da f October ' 2003
Personally came before me this day of
2003 the above named
* o rt J. Richardson
TI LE: MEMBER STATE BAR OF WISCONSIN
(if not, to me known to be the nerson(s) who executed the foregoing
authorized by 4706.06, Wis. Slats.) instrument and acknowledged the same.
THIS INSTRUMENT WAS DRAFTED BY
ROBERT J. RICHARDSON, Bakke Norman, SC
SPRING VALLEY, WI 54767 Notary Public, State of
My Commission is nelmanent. (If 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. INFO -PRO ( 800) 655.2021 www.infoproforms.comSTATE BAR OF WISCO
WARRANTY DEED FORM No. 1 - 24100
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