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HomeMy WebLinkAbout026-1147-07-000 I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safetyant*BuildingDivision INSPECTION REPORT Sanitary Permit No: 453354 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)I. ------ Permit Holder's Name: City Village X Township Parcel Tax No: P.C. Collova Builders, Inc. I Richmond Township 026- 1147 -07 -000 CST ­ BM Insp. BM Elev: BM Description: Section/Town /Range /Map No: t50 .O f 60 , p f T- 24.30.18.1065 TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark liJ On I Z o2 dfl•o f Dosing Alt. BM Aeration Bldg. Sewer ' / , q2 Holding St/Ht Inlet � TANK SETBACK INFORMATION St/Ht Outlet S� , 32 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 5 i + 3 L Dt Bottom Dosing Header /Man. 7.10 Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufact r Demand St over M 3.0 r C`SRr (m Model Number TDH Lift Fri s System Head TD Ft Forcemain ength pia. ' t. to wel, SOIL A SORPTION SYSTEM l' RE ' Width ; r No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 & 3� SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacture INFORMATION CHAMBER OR Typ Of System: �_ UNIT Model Number: q n n ncm v . - ?-n 5' 20' I .o Ywea"a'� DISTRIBUTION SYSTEM {q IoaA;t P L Header /Manifold Distribution ole Size x Hole Spacing Vent to Air Intake ll Pipets) —ter Lengt Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [l No g Yes E] No COM )AE TS: , (code_ di�cr�pencies, persons present, etc.) Inspection #1:/ Inspection #2: J .,up �/ptnXKdL CJ !I=nclu t 1408 146th Ave. New Richmond, WI 54017 (NE 1/4 NW 1/4 24 T30N R18W) Richmond Meadows Lot 7 Parcel No: 24.30 .1065 2 1.) Alt BM Description = S' " ' � � J mAwL S 2.) Bldg sewer length = `-}�tlCjC" W au�(1�. , C$ amount of cover = � - 34-w Plan revision Required? j Yes No U her _side for adds onal inf o In ���(�ot/�►' S fS t � S(R.3 //997) ct ignatu Carl. r� Cn Cr( v rt. No. PLOT PLAN PROJECT P.C. Collova Bldrs. Inc. DRESS P.O. Box 489 Somerset Wi 54025 NE 1/4 NW 1/4s 24 /T 30 N 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/26/04 BEDROOM 3 CONVENTIONAL XXX IN -GROUN ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE •4 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top ofSteel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOL , L *H.R.P. SameasBenchmark (;F SYSTEM ELEVATION 95.0/94.9/94.8 3.5' below qrade Alt. S C-1p'op2or S� ey Ir n @ 96.5' xC0 �k �. Pro town Road B.M. Plans Designed Using AI L Conventional Powts B.M. t. Well is to meet all Manual Version 2.a setbacks required by WDNR Vents 60 3% Slope B -3 3 -3' X 83' cells with >3' Spacing -1 Please note: extra chambers will 2Nopt rty Li be brought to site if system needs to be oversized due to the T resences of pockets of massive B -2 20 10' sandy tA Pro 3 Bedroom House Vent Replacement area see original soil test fo subdivision ALo Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area 1 " 3419 Grade at System Elevation . 0 7 , c lu 0 % k � k $ ƒ M 0 E 7 � / J o ° & 7 7 ƒ w 0 = w f w + (n / 0 2 9 ƒ 0 0 § ® ° § m O 03 Cn E E c § \ f g r- M $ © ID / § / ti i _= o k N) OD I 0 k =r � \ �- � � 0 0 0 2; 2 � ; ■. � & § w ■ CA §, 7 . CO E R 0 :� 3 @�gk3; S =1 ; =,g \ .. J CL ƒ = 7 E § 3 a) E Q / ° t �I / ( / CD 2 & E — R m m«2 7 t 6 w■ z m / k 2 ) � § C, 2 C f 2 k k t 2. \ 2 d . 2 , CA) $ CD > E2 )3\ e § \ kk n CL % ( /�w £[§ CD a) ¢ 2 §CD §�~ o a t 7§] E � \�0 ƒ k o � � 7? EE ! �% P T PLAN PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 NE 1/4 NW 1 /4S 24 /T 30 /R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 —DATE 6/26/04 BEDROOM 3 CONVENTIONAL XXX IN-GROUIVR6SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chamber & BENCHMARK V.R.P. Top ofSteel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.0/94.9/94.8 3.5' below g Alt. BM Top of Survey Iron @ 96.5' Pro town Road B.M. Plans Designed Using Al Conventional Powts B.M. t. Well is to meet all al-V setbacks required by please note: extra chambers will 60 Vents ' WDNR IL be brought to site if system needs 3% Slope to be oversized due to the presences of pockets of massive dy loams - 3 -3' X 83' cells with >3' Spacing B -1 Prop rty Li B -2 10' 20' 25' T Pro 3 Bedroom House Vent ALo Standard Biodiffuser Leaching Chamber with 3 1. 1 ft2 of Area 1 34" Grade a t System Elevation Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 <� N v r sco ' nstn Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 ?) S Sanitary Permit Application State Plan D.D. Number In accord with Comm 83.21, Wn. Adm. Code, personal information you provide � may be used for secondary purposes Privacy law, s 1 S.04(lxm) Project Address (f different than mail' I. Application Informs tlon — Please Print All Informatio I e property Ow Name i Parcel # Lot N Block # ley f " - ' - w- , ei ILI-�Ck -004 7 loo-s Pmpaty ' ing Address Property Location � Section City, State Zip Code Phone u (ci one iQ. Type of Building (check all that apply) '(�N: E r W Subdivisio Name A ��2 Family Dwelling — Number of Bed roo 11 rub — Describe Use r-i 3 _ rY State Owned — Describe Use 3 b (ST' C c `'�`' W 3 City_ Y� j� III, Type of Permit: (Check only one box on lime A. Complete line B if applicable) A. S m Replacement System Treaument/Holding Tame Replacement Only Other Modification to Existing System B • Permit Renewal Permit Revision Change of Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV, Dr of POVVTS $ Check all that apply) Pressurized In- Grvund Mound 2t 24 in. of suitable soil Mound < 24 in. of suitable soil At-Grade Single Pass Sand Filter Constructed Weiland Pressurized In and Holding Tank Peat Filter Aerobic Treatment Unit Recirculating Sand Filter Recirculating Synthetic Media Filter Chamber Drip Line Graveldess Pi lain) V. DisperntIrrretnterit Area I ormadow Design flow (gpd) Design Soil Application Ra f) Dis Area Required (sf) Dis Proposed (sf) System Elevation VL Tank Info Capacity in Total Number Manufacture Prefab Site sw@ Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank i Aenbic Tmatment Unit Dosing chamber VII. Res 'bill Statement - - b the a responsibility for installation of the iPOWTS shown on the attached ns. Pjumb a �Tame(Prutt) Plurttber's MP/MPRS Number Business Ph Plumbers Address (Stiect, City, State, Zip ) VhL Coun t Use Onl Approv 70=wner"Given ved Sanitary Permit Fee (includes Groundwater Date Issued Lssumg Signature tamps) Surcharge Fee) A Reason for Denial IX. Conditions of ApprovaMeasQqs for Disapproval L ` SYSTEM OWNER: eptic tank, a uen fitter and Lc-lT dispersal cell must all be serviced / maintained U>2, as per management plan provided by plumber. OaXx- 2. All setback requirements must be maintained�� (in as per applicable code /ordinances. l A Attach complete plaits (to the county only) for the system^ paper not less than 8 x 11 inches iize �� & ' of 41nc., PLAN PROJECT- P.C. Collova Bld DRESS P.O. Box 4 89 Somerset Wi 54025 NE 1/4 NW 1 /4S 24 8 W TOWN Richmond COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE 6/26/04 BEDROOM 3 CONVENTIONAL M IN -GROU D RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chamber 4@ BENCHMARK V.R.P. Top ofSteel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.0/94.9/94.8 3.5' below qrade Alt. BM Top of Survey Iron @ 96.5' �k Pro town Road B.M. Plans Designed Using Al Conventional Powts B.M. t. Well is to meet all Manual Version'y ,0 setbacks required by please note: extra chambers will 60 WDNR Vents IL be brought to site if system needs 3% Slope to be oversized due to the presences of pockets of massive ndy loams - IF 3 -3' X 83' cells with >3' Spacing B -1 Propt rty Li B -2 10' 20' 25' T Pro 3 Bedroom House fiL! rade ndard Biodiffuser ching Chamber h 3 1. 1 ft2 of Area at System Elevation 34 1 ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT I: J N N p r ■ n��r. ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 Memo to File From: Pam Quinn Date: 4/14/2004 Re: Soil On -site Determinations for Lots 32, 37 & 43 Richmond Meadows Subd. On April 8, 2004 on -site determinations of soil conditions at the above lots was performed to evaluate conflicting soil reports submitted by Adam Schumaker and Shaun Bird. At 11:00 a.m. the weather /lighting conditions were acceptable, with temp. 50 °F, clear and. These determinations were requested by the property owner, Orenzo Oevering and the plumber /permit applicant, Dave Fogerty, who were present during the test pit excavations. Additional test pits were located next to borings on the original soil reports to better compare soil conditions in the tested areas. On lot 32 (see attached description) the soil profile contained massive sandy loams at approximately 36 inches below grade, which does not conflict with the soil tester's recommendation for using an at -grade system. What it did reveal, however, is that both Adam and Shaun likely misinterpreted the structure of the sandy loams: Adam called the sandy loam horizon a "2msbk" and Shaun uses "lmgr ". 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, parted easily 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 ". Two test pits were evaluated on Lot 37, since the sanitary permit has already been issued. Due to the current house and well location, additional tested area will be required to meet setbacks to the POWTS. A pit closest to Shaun's B2 did have a sandy horizon as reported, but only to a depth of 60 ", then underlain by a massive sandy loam. Unfortunately, the boundary between the sands and sandy loam horizon was very irregular, with tongues of sandy loam much closer to grade than 60 ". The recommended loading rate for this site would need to be lowered to adjust for varying pore space at system elevation. Lot 43 had conflicting reports, where Shaun's tested area (near the front of the lot) reported conditions allowing a conventional system and Adam's (closer to the rear of the lot) reported mottling at 32" with a mound system recommendation. Additional test pit B4 was excavated next to Shaun's B3 (see attached description) and massive sandy loams were encountered at 17 inches below grade. Weathered cobbles (break into smaller pieces upon disturbance) and oxidized iron deposits around individual gravel /cobbles were observed in the pit wall, but no mottling was identified to 68 ". Shaun's B3 description of sandy loam with "2mgr" structure starting at 18 ", then sandy loam "lmgr" from 36 -110 ". Again, I think there was a misinterpretation of texture after a sample had been handled. 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 reports. 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 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 was described on the soil report as "lmgr" with firm consistence. The zoning department will have a note placed on all soil reports with this type of description as requiring a design using the current code's soil application rate for massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise. r SOIL EVALUATION REPORT p of Wisconsin Department of Commerce 9 Div #.m of Safety and Buildings t in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertica'. and horizontal reference point (BM), direction and Panel I.D. 0 Z�� 1�(�� f 0 � ��� percent slope, scale or dimensions, north arrow, and location and distance to nearest road. / / Please print all information viewed by Date Personal information you provide may be used fors onda , s. 15. (1) (m }). V " l 2 b Property Owner / Prop rty Lo fo ) o / O ( �{ Govt. of 114 J ,/(14 S� T N R E (orX Property Own e s Mailing Address Lot # Block # Subd. Name or M# r 2r�v /r�c°u� City State Zip Code hone NqpOgr\;(; c FFICE. 0 Village qwn Nearest Road /_ /1, 5 New Construction Use Residential / Number of bedrooms Code derived design flow rate �tCJ %� GPD ❑ Replacement Public o mmercial - Describe: - -_ -- - .---- -___ -- --- -- --_— Parent material Flood Plain elevation if applicable i General commerifs and recommendations: 0 /? Boring # Boring Pit Ground surfa ce e elev. ? ✓ fi. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDifF in. Munseli Qu. Sz. Cont. Color s Gr. Sz. Sh. `Eff #1 `cff#2 31 2 (Z -2L ,- G . 6 I /r UJ 0 i I r Boring # Boring J 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/ff in. Munsell Qu. Sz, Cont. Color $ Gr. Sz. Sh. 'Eff #1 'Eff#2 r J I I i ` Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) S' CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, W1 5401 v - ; J 715- 246 -4516 Lo Z 3 Property Owner _ Parcel ID # Page of Boring # ❑ Boring F-3-1 n9 Pit Ground surface elev. ' ft. Depth to limiting factor_ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consiseence i Boundary Roots GPD/ff in. Munsell Qu. Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 AYZ , ..� •,3 F y .7 f p t k # 7 ! F ❑ Boring # E) Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 F {F l 9 4 (� ❑Boring ' I Boring # Ground surface elev. ft. Depth to limiting factor in. L _ _.J El pit Soil Application Rate Horizon Depth Dominant Color Redox Descripton. Tex ure Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 °Eff#2 Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mgA- " 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. ssD -9330 (8.6/00) Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc. Sha i Address P .O. Box 489 Somerset Wi 54025 C #226900 Lot 7 Subdivision Richmond Meadows Date 5/28/03 NE 1/4 N W 1/4S 24 T 30 N /R W Township Richmond F1 Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 95.0/94.9/94.8 *NRpSame as Benchmark Alt. BM Top of Survey Iron @ 96.5' Pro town Road .M.Ei .11A .M. 60' B -3 B -1 a� 3% 40' Slope 98' o B -2 10' 99' I LJ X03 50 E l ^ _ 426.21 1 S8T4 15'E O Go / ,0 � I ' 3� 9� z 72388 �qFt a� o / N I I - 1.66 Acres \ 93888 ~ I t tiL3A - -1 �c <<" / I 2.16 Acres N I \ _ NBA =2.16 Acres I \ B3B I �® N I S89*03'50 "E 3 � � 66213 SgFt °� o LL- to 1.52 Acres 96094 SgFt Z I Acres 2.21 Acres z I I� NBA =2 21 Acres i I N kp S89.03.56 -E ��' �.-- — —10� a o B39 I z o \ I J � \ 5 t z 65389 SgFtt, / 1.50 Acres± I•o a 65888 SgFt± l hJBA =1.50 Acres 3 1.51 Acres I0 t o t48A =1.51 Ac es 3.00' - g 8 oo' / t / 1 0 FY w (J M A - 33.00 0 589 "E / 1 Co Co o� V. I i \ 81306 SgFt � L+ 1.83 Acres 100.00' Acres Q I I V �\ 1.83 Ile 00. B40 ° 2 99 8 -- a- • �� o S p1030 / \ — / o �i \ to �1 4.79;_— Z I w w J 589'58'27 "E M L %��i3 00 W I I 171.71' Ft� 033 0 / o "+p° e9•� �' `�, t xN o �i 1 F i N89'S8'2 "W % _ ° o.. - 99 _ , /45 ,Z3 °It U Q .J� o ° l 102.71' R,.366.00 . If 1 Z co o f I 9'38 �3 69266 SgFt 3 Z� a , I `� 1.59 Acres Z =� I I t�! oo�oo c ,p tl t J BA.1 • Acres I° I 1 1 1002 00 G �� p y` o � j - 200 .' coo I � !a,!i 99400 118075,- W z 71 Acres / I N 99 oc r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County ra 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. 0 - 7&— / / Y"7_ 0 -7—i Please print all information. d by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Pro erty l _Owner -1 Pr (C IAA r� e I s q,4 Govt. Lot 1/41U (� 1/4 S z -1 T 3 Q N R {� E (or& Property Owner's Mailing Address Lot # Block # Sub Na e r C M# © 0 (0C z z 7 1 (C� oo� Wle�d�ws City State Zip Code Phone Number ❑ City E] Village Town Nearest oad ec, r e 0 u&t (& o vkj I qcj New Construction Use: Residential / Number of r ® e bedrooms Code derived design flow rate 4 0 _GPD ❑ Replacement ' � ' ❑ Public or commercial - Describe: Parent material I i I / Flood Plain elevation if applicable ft, General comments Sys -1 .em -el-e V r rUP 96 L aWe Y �j�$ : g�o and recommendations: ` _ t 9s Z L / 6T "L , APR �f �YIu /,'n hr� v�' 2 3 2002, Y f3f Ab oring� ZONING OFFICE Boring # _J Z��_ [� pit Ground surface elev. � ft. Depth to limiting factor b 7 _ 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 0 -I (o ( "t4 rL G r U _ ✓�. K ✓vl C << — _ ,7 z ❑ Boring # ❑ Boring Z Pit Ground surface elev. O 0 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. • Eff#1 • Eff#2 CS of C _ �) r v� r Z ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L C ame (Pleas Print) Signature CST Number S Z SC vpvc(�P � - Z� Address Date Evaluation Conducted Telephone Number 2113 �' Sf am 'Se ; r C / - g - `7 Z4' y00 SBD -8330 (R(17i1111 � ti I . ��r'soyl Parcel ID # Page of Property Owner � - 3 ❑ ❑ Boring # Boring (� Z(� ft Depth to limiting actor . Pit Ground surface elev. �_ f in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. I Munsell Q u. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 iov F-1 Boring # ❑ Boring Pit Ground surface e coil Ap lev. ft. Depth to limiting factor in. plication 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 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F-1 [� Pit 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 I I I 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. SB"330 (R.07/00) + PAGE :S OF NA ME A TOT# 7 L EGAL DESCRIPTION .SW t WX ,S Z H T 30 ,N,R, /8 E(or)� SCALE: I"= BM I ELEVATION 100 G BM I DESCRIPTION P o L / , O v c —+ — BM 2 ELEVATION I . & O BM 2 DESCRIPTION SYSTEM ELEVATION -,6p �l (,, 0 0 Lower 9S � ALTERNATE ELEVATION 95 Z G CONTOUR ELEVATION Oy J j O d d � 0 q � SIGNATURE �r -�` "� _ DATE S Q Z ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P• C. �lnyg E�c?� Pry ?'.,� Mailing Address P4 x ' . orr���g�a C I X40 �­5 Property Address $ q (0q_,i C (Verification required from Planning Department for new construction) City/State Wu X� �y_,1 („1 t Parcel Identification Number 02 6 - // - {7— D 7 — cZb LEGAL DESCRIPTION o /0(p 5 Property Location N l: ' /., �' '/4, Sec. )!4 . T 16 N - W, Town of nn 44 Subdivision Rt (' M(hA M�4Ct0t,sS Lot # - 7 Certified Survey Map # 3 9 1 L � Volume ' Page # (a 0 I Warranty Deed # S� Volume Z 5-( Page # L (Zd Spec hour es ❑ no Lot lines identifiable ❑ no SYSTEM MA tNTTNANCE 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 masterplumber, joumeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system 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. Uwe, the undersigned have read the above requirements and agree to maintain the p rivate sew disp osal system with the standards 9 gn P g drsp Y 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 e e y expiration date. P. C. COLLOVA BUILDERS, INC. (715) 247 -2742 6` / SIGNA OF APPLICANT P.O. Box 489 DATE SOMERSET WISCONSIN 54025 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 rty c above, by virtue of a warranty deed recorded in Register of Deeds Office. �. C. COLLOVA BUILDERS, INC. SIGNATURE OF APPLICANT (7 P.0 Box 489 DATE SOMERSET, WISCONSIN 54025 * * * * ** 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 i Mainten ance and Contingency Plan for a Septic System Maintenance Plan once every 3 years. 1. Septic Tank is to be pumped Please note: a larger filter is being installed in 2. Effluent fitter is to be cleaned °n �rvaf o� filter. order to extend the maintenance +nte ins ected via the inspections pipes at the ends of 3. Once ev(:ry $ years, cells are to be p the Celts. 4.Owner agrees to limit greases garbage, and water conditioner discharge into the system. 5. The owne 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. Comm. 83 8. Discharge into system is not exceed those required as per C C y Plan is, determine cause of failure, use alternate area and install new Pt ion #1. I system fai tested re placement area. O tion #2. Install system at a lower elevation, by removing chambers, removing biomat, P and install new system. O P tion#3. PJo 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 -46 Pumper Tom Mondor 715- 246 -5 Shaun Bird #226900 `1 U 2512P 428 7sc.�9 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED ST. CROIXUCO. , WI This Deed, made between Hillvale Development Limited Liability RECEIVED FOR RECORD _Partnership a Minnesota Limited Liability Partnership 02/19/2004 12:30PM Grantor, WARRANTY DEED and P C Collo_va Builders Inc. a Minnesota Corporation EXEMPT 1 17 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee AEC FEE: 1 l . 00 TRANS FEE: the following described real estate in St. Croix County, State of Wisconsin COPY FEE: (if mor ce is needed nlease attach addendum): CC FEE Lots 6 7, , 9, 10, 44,45 & 46 plat of Richmond Meadows in the Town of PAGES : 1 Richmond, St. Croix County, Wisconsin. This deed is given in (partial)fulfillment of that certain Land Contract between the parties hereto dated January 20, 2003, recorded January 21 Recording Area 2003, in Vol. 2116, Page 009, as Doc. No. 706468. Name and Return Address FFc S Zo ( Zad 57 Sa 4tA &sc q4 Ulo 026- 1147 -010, 026 - 1147- 044,026- 1147 - 045,026 - 1147 -046 026-1147-06,026-1147-07,026-1147-08,026-1147-0 Parcel Identification Number (PIN) This is not homestead property (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this ._ day of February , 2004 - - - --- - - - - -- ----- - - - - -- --- - - - - -- - _ * * Hillvale Development Limited Liability Partnership * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF n //V 4. ss. - - - Sl/ - - -- County ) authenticated this day of Personally came before me this _/� IF day of _ February _ _ _ , 2004 the above named MARLEN O ON ■ Hillvale Development Limited Liability Partnership, a E J. NELS -- — -- - - - - - -- — - *x - M � NOTAAY P g 11 C Minnesota Limited Liability Partnership by .._._ TITLE: MEMBER STATE BA QNSI EkP1 1.20 (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 Attorney Kristina OOland - - -- ---- - - - - -- -- _------ - - - - -- - -- --------------- Hudson, WI 54016 Notary Public, State of M/,VA) _ My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. 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