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HomeMy WebLinkAbout026-1147-13-000 insin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix .y and Building Division a INSPECTION REPORT Sanitary Permit No: k At 479204 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: Walsh, John & Laurie I Richmond, Town of 026- 1147 -13 -000 CST BM Elev: Insp. BM Elev: IBM Descri lion: L Section/Town /Range /Map No: 24.30.18.1070 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. y S ra5•al 4G,I'I Septic C Benchmark j3M 2 / ,d'Q l ?( �V Dosing Alt. BM Aeration � �� Bldg. Sewer r 3 SC (� 7 Holding St/ Inle r 7.Z St/Ht Outlet TANK SETBACK INFORMATION --- TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic -7 �6 ' ! Dt B om a _/ 4 - S2-• t /� Q t Dosing ! 5D Z5 3 HeaderlMan. (v r Aeration Dist. Pipe Holding Bot. System 9 T 7- 67— r 17. 5 Final Grade PUMP /SIPHON INFORMATION l� w// 5 •31 ?y• 6 O� Manufacturer GPM nd St Cove _/ 8 • �� ( - 7 TJ -3 / / Model Number r TDH Lift m osp System He r� TDH t 27 Forcemain Length � Dia. if Dist. to wen SOIL ABSORPTION SYSTEM J BEDITRENCH Width , Length No. Of nch PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L IBLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type f System: t i f UNIT Model Number. /R7gU, jc57 I c A-- - I DISTRIBUTION SYSTEM /�tl/1 Header /Manifold M Distribution /� fi ) x Hole Size I x Hole Spacing 7 Veto Air Intake Pipe( s) L / / / -fir L ) ! Z Length q� Dia 1 r L Spacing � G • � ( J SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only G Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched I Bed/Trench Center r / Bed/Trench Edges Topsoil, es f No `. No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:7/ I Inspection #2: / / Location: 1436 146th Avenue New Richmond, WI X544017 (NW 1/4 NW 114 24 T30N RI 8W) Richmond eaad�t Lot 13 Parcel No: 24.30.18.1030 1.) Alt BM Description C 1 �1' Ctn 2.) Bldg sewer length =Ls' - amount of cover = Plan revision Required? [_�1 Yes No r 4 I Use other side for additional information. Date Insepctors gnature Cart. No. SBD -6710 (R.3197) 1 Safety and Buildin Div' ' tY m ' 20 ashin n A 53 v� " °' an q CrD X �seons�n U tj k266-3151 Sty Permit Number (to be filled in by Co.) q 7 9 261 De artment of Commerce Sanitary Permit App Stat Plan I.D. Number // In accord with Comm 83.21, Wis. Adm. Code, personal in f GI X COON r Y may be used for secondary purposes Privacy Law, 515. ZONING OFFICE 12y" Address (if different than mailing address) 1. Application Information -Please Print All Information 1 /l/b Property Owner's Name Parcel # Lot # Block # Ll -13 --Oco t_-6t_1_3 Property Owner's Mailing Address A Property Locattion -3 �N IL '/4, t / 'h N , Section 2_ City, State Zip Code Phone Number cle e t (ctr one) wT I 5 .< / , o �f� T N; R or W II. T of Building (check all that apply) �� 4� Subdivision N CSM Number ) or 2 Family Dwelling - Number ofBedrooms ❑public/Commercial - DescribeUse //� ❑ State Owned - Describe Use U d X []City ❑Village ❑Township of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' New System 13 Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal [I Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner W. Type of POWTS System: Check all that appl ❑ Non - Pressurized In- Ground Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ —� Constructed Wetland ❑ Pressurized In -Ground El Holding Tank [I Peat Filter ❑ Aerobic Treatment Unit 11 Recirculating S nd Filter ❑ �/ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) /S S� V. Dis ersaVrreatment Area Information: lJ Design Flow (gpd) Design Soil Application Ra gpdsf) Dispersal Area Req 'red (sf) Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallon of Units //JJ J Concrete Constructed Glass New Existing /T � Tanks Tanks 4 Septic or Holding Tank I C e �J`. ��NC hr Aerobic Treatment Unit Dosing Charmer —006 VII. Responsibility Statement- 1, the undersigned, assume responsibility for install tion of the POWTS shown on the attached plans. Plumber's Name (Print) Plum 's Signature M P umber Business Phone Number ft �` C 44ll _, Usk -2 r �- 7� Plumber's ddres ( tree City, State, Zip Code) 7 t- t Y l ® 5��z VIII Coun /De artment Use Onl pproved El DisaDp Sanitary Permit Fee (includes Groundwater Date Issued Issuing Age gnature S s) Surcharge Fee) D 5 �/ D ❑ O r n Reason for Denial IX. Conditions of Approval /Reasons for Disapproval 9 Y STEM OWNER: �� `�c'✓� t � b ✓•''' ° � JQ� -�� / P C�8 1. Septic tank, effluent filter and Eel /I t C;- dispersal cell must all be services / maintained I as per management plan provided by plumber. 2. All setback requirements must be maintained as per apps cOM / ardlrwicm. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) r�nc h mar 74.1 aF She/ fence I oa5�6 . �Ssil evalaa-Ero� -, • toca�.ed pr9o..3� ♦ ' ey e ✓a�1� 1899 #,I&" t.ja/S4 � A r ro�� ,.� S�. croiX Co ter. ■ �JY ��- �orCairtain. OSed t,ADieW Concrcff bu,,6l,' S eeder �_ Oabe(,4- 160eorvolo 16 r. 00-061-6- �Z (07X/ /S!Gi J /aImt d,'spersa./ eei/ t=cv,-(q) Propesrcd /o- &-raJsa f / %z'x s/92S' -- -___ -1 %y''or; F ces Spo C Cd 3 b adrvpn 4t Z.oi,' s ' o h .� ,V a Q� COP Aae. /' p y r Tg° of U -eel rence .00j �ssk,�d Ci ev` = iaa•a . 05eil e✓a1ua44c-,-, ,�1�• ts. 7'op o f /ov` Sfcc��. � 97.0 Confour pi 6 • .- t.-- Bc.E►�F�d prgo..s� (P 9G so' S e: i D' ' 41r' ' 'r' ''' '''' 1'• /899 b;k` fr o S6. Croix co n a. v �' � %oo5e� �r�5� C'ane,refP Fi /te• - 4� S,T. Out /t P �aioosrt d n. a � n d at 9 , /7 (P7X / /Y. G/ d,s cell. hour(q) ProPasQ d /neerals a.£ / %z'x V? �s" -- - - - - '3 64•droo" '�- %p"'Ori f; cas S c e-d O s �fJ�opo Wc// /o CAE 6n a hw Q� 40,4 tle . Pa.8oF� Safety and Buildings 10541N RANCH ROAD ' CO mmerce.Wl.gov HAYWARD WI 54843 TDD #: (608) 264 -8777 la l O �' www.commerce.wi.gov /sb/ www.wisconsin.gov epartment of Commerce Jim Doyle, Governor Mary P. Burke, Secretary May 18, 2005 CUST ID No.222781 ATTN.- POWTS Inspector ZONING OFFICE HENRY J NECHVILLE ST CROIX COUNTY SPIA 967 HIGHWAY 65 1101 CARMICHAEL RD ROBERTS WI 54023 -8510 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/18/2007 Identification Numbers Transaction ID No. 1135147 SITE• Site ID No. 698242 John & Laurie Walsh Please refer to both identification numbers, 1436 146TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County NW 1/4, NW1 /4, S24, T30N, RI 8W FOR: Description: New mound, 4 bedroom residence P a Object Type: POWTS Component Manual Regulated Object ID No.: 1017525 Maintenance required; 600 GPD Flow rate; 29 in Soil minimum depth to limiting factor from original grade; Conti System(s): Mound Component Manual - Version 2.0, SBD 10691 - P (N.01 101) I The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes DEP RTMED and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in t7F SAS chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No erson may engage in or work at plumbing in the state unless licensed to do sob the Department r s.145.06, E 4 P Y p g Y P S EE COrzR stats. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the design manuals noted above. • 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 the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Key Item(s) • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. HENRY I NECHVILLE Page 2 5/18/2005 • Maintain well and waterline set backs per COMM 83.43(8)(i). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. 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 required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shalbrovide a copy of this letter to the owner and any others who are responsible for the installation, operation o ainte ance of the POWTS. Sincerel Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L ardor POWTS Plan Reviewer, Inte ervices WiSMART code: 7633 (715) 634 -7810, Fax: (715) 634-5150, M -f 7:45 am - 4 :30 pm pshandorf@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: John & Laurie Walsh - 4 bedroom residential mound Owner's Name: John & Laurie Walsh Owner's Address: 2177 43rd Ave. Osceola, WI 54020 Parcel Address: Pending Legal Description: NW1 /4 NW1 /4, Sec. 24, T.30N., R. 18 W. Township: Richmond County: St.Croix .1PV. T.S, Subdivision Name: Richmond Meadows it, Lot Number: 13 Block Number: OV Parcel I.D. Number: 026- 1147 -13 -000 E -:E COMME E No Lot s Plan Transaction No.: ::SPO DEN E Pagel Index and title Page 2 Data entry /� Page 3 Mound drawings - q7 Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Henry Nechville License Number: 222781 Date: 04/28/05 Phone Number: (715) 749 -3322 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.01 (R. 09/04) Page 1 of 9 f Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) RI Residential or Commercial Design Note: Sand fill (D) calculations assume a 400 0 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 i Peaking Factor (e.g. 1.5 = 150 %) coiiform of <= 36 inches. 600.00 Design Flow (gpd) 2.001 Site Slope ( %) 96.86; Contour Line Elevation (ft) 29.001 Depth to Limiting Factor (in) 0.60( In -situ Soil Application Rate (gpd /ft Distribution Cell Information 6.00 Cell Width (ft) 100.001 Dispersal Cell Length Along Contour (ft) _ 1.004 Dispersal Cell Design Loading Rate (gpd /ft 1j Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution 1 Y Pressure Disribution Information network? Enter Y or N (c or e) ci Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4j Number of Laterals of the highest point. 02.001 Orifice Diameter (in) (e.g. 0.25) 2.001 Estimated Orifice Spacing (ft) = 6.00 ft /orifice 2 00 Forcemain Diameter (in) 210 OOi Forcemain Length (ft) Does the forcemain drain back? Y 84.851 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 34.25 Forcemain Drainback (gal) 2� 12.24 Vertical Lift (ft) 90.37 5x Void Volume (gal) �• J 7.32 Friction Loss (ft) 124.62 Minimum Dose Volume (gal) 26.06 Total Dynamic Head (ft) 41.19 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x ; 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 800.64 Total Tank Capacity (gal) 1200 00! Septic Tank Capacity (gal) 36.00i Total Working Liquid Depth (in) Wieser Cone. Combo: Manufacturer 22.24 gal /in (enter result in cell 649) Dose Tank Information Effluent Filter Information 800.64! Dose Tank Capacity (gal) Zabel Filter Manufacturer 22.24; Dose Tank Volume (gal /in) Al 00 Filter Model Number Wieser Conc. Combo.! Manufacturer Project: John & Laurie Walsh - 4 bedroom residential mound Page 2 of 9 Mound Plan View :Q: J 1 10 B : Observation Pipe • 3 . . . K r - " -1► 5 Y to . ... ........ : :: : : z L Mound Component Dimensions A A100.00 ft E 1.50 in H 1.00 ft K 7.31 ft B ft F in I 6.37 ft L 114.61 ft D in G ft 5.31 ft W 17.67 ft 600.00 (ft Dispersal Cell Area 1 1236.70 (ft Basal Area Available 6.00 (gpolft) Linear Loading Rate 1 10.00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.24 (ft) G ♦ H � rriirrrii 2 ririrrii., •i 97.94 ( I F Dispersal cell Invert .r�rrr rir r.. (ft) Lateral 97.44 (ft) --► Dispersal Cell Elevation E D ' A ._ , .A:.... .., , 96.86 (ft) Contour Elevation 2.0 % Site Slope Geotextile Fabric Cover Shading Key � D ispersal Cell See lateral details on T�, $� Topsoil Cap °° Page 4 for number, size, 1[] ® c 1.5 ft �r; ;:•: © rrrrr Subsoil Cap 4 5 and spacing of laterals. '.'` .`.;.. Laterals are equally ASTM C33 Sand :5 r ' F 0.5 ft .' Typical Lateral spaced from the Tilled Layer c H ' ❑5 Aggregate v c.` distribution cell's A' centerline l the distribution cell (Ax6). Project: John & Laurie Walsh - 4 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical I P A,— •= Turn -up vdball valve or I;<-X —> IEm12 I x1241 Laterals & force main of PVC Sch 40 clean out pl u g per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.01 ft Lateral Length (P) 49.25 ft Orifices per Lateral 25 Lateral Spacing (S) 3.00 ft Orifice Density 6.00 ft /orifice Lateral Flow Rate 10.30 gpm Manifold Length 3.00 ft System Flow Rate 41.19 gpm Manifold Diameter 1.50 in Total Dynamic Head 26.06 ft Forcemain Velocity 4.21 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and 10 Comm 16.28 WAC I Disconnect 4 in. min. -- 11 -- Tank component is property vented E Alternate outlet location Forcemain diameter Wieser Conc. Combo Manufacturer 2 in. Cap acityl 800.64 Gallons Volume 1 22.24 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 18.15 403.58 C B 2.00 44.48 Pump off e levation (ft) C 5.60 124.62 85 D 10.25 227.96 D Total 365.001 800.64 iF Dose tank elevation (ft) 3" Bedding un er tank. �— 84.85 Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Zoeller Pump Model Number BN 140 Pump Must Deliver 41.19 gpm at F ft TDH Project: John & Laurie Walsh - 4 bedroom residential mound Page 4 of 9 Mound 'System Maintenance and Operation Specifications Service Provider's Name Henry Nechville Phone (715) 749 -3322 POWTS Regulator's Name St. Croix County Zoning Phone 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft' Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. I Lateral Turn -up Detail Finished ............... Grade \ ' 6 -8" Diameter Lawn �/- Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: John & Laurie Walsh - 4 bedroom residential mound Page 5 of 9 I Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals ISBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and 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 subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic 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. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent finer 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, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pumv 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 muk J 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 as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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(s) 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. 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T I 1 - - - - _ - - _ _.. 100 ]J9 6 1J1 6 23 5�5 5.9 9J 152 61 231 6 23 l SB 220 e0T !C Tr BS ]11 60 211 6 1I 1S - � �'., 58 220 l ]. 502 35 1 45 60 ]:- 58 22C 28 8 +5 'c �_., 7— - Stl 22C 22 6 19 199 59 - .- 10 26' I 5� 11e �. 59 2! - 62 2!5 55 206 53 22v I tl5 ]22 'i Sb 27C� 35 - e5 I 170 6 ]1 �' S � 206 '0 185 '. SB 720 104 39 9 i . 10 1 16 33 i2t 1 1 - t.-i9] 58 22C 9C ] - .. j 5 51 + 39 2 6 nc 1i 2 9 5 �2 r I - + — — } CT 113 1 e5 10 1 26 106 t 1 11 — -- -- - 56r 89 "26.m)I ]:t 32) 1 i:_311m)j9 11 '.2 D CAUTION Model 185)4185 should not be subjected - - to less than 30 feet TDH NOTE: For Head Capacity on Model 112. Industrial column explosion proof pump, see FMO219. SEWAGEAND — 2. DEWATERING — - i i 3: 'oti 41, HEAD CAPACITY CURVE SEWAGE MODELS 2" SOLIDS PASSING CAPACITY D CAUTION Mooe1 2931429: sncwc r_. - - - subjected to less than 15 feet TDH _J:v uE41.1wc!E Copyright 2001 Zoeller Co All rights reservea q 5 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer IV -t Mailing Address '1 y 3 Property Address ` (Verification required from Planning Department for new construction.) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location Al W' /4 , VV, , Sec. T :� o N R W, Town of �t c M gyMoQ Subdivision R' c , Lot #. Certified Survey Map # , Volume , Page # Warranty Deed # 7c? ��/ S 3 , Volume ;�Z 7 7 ��, Page # Spec house 0 no Lot lines identifiable yes no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into j the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department within 30 days of the three year expiration date. S ;?Y16 s SIG A OF APPLI ANT DATE OWNER CERTIFICATION Uwe certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property descri dab ve, v' of ga2f anty deed recorded in Register of Deeds Office S l'2 111 oS SIG T OF APPLICANT DATE * * * * ** Any ' tion that is misrepresented 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 and a copy of the certified survey map if reference is made in the warranty deed. 1899 Wisconsin D ofCanm OIL EVALUATION REPORT page t of 2 Division of Safety a ildings A.C.E. Soil & Site Evaluations in aacor Comm 85, Wis. Adm. Code /a Y �'� county Attach coin a site plan on paper nbt �n VA x 1 e. Plan must St. Croix include, but t limit r�t�to,ti icaI and hor¢bfrta1 refer t direction and percent s , scale i , arrow, and tion tance to nearest road. Parcel I.D. 4 ` 026 1147 - 13 - 000 1nfo anon. Reviewed By Date Personal inibmwtion you Puvkfe may be Pins (Privacy Law, s. 15.04 (1) (m)). Z Q Property Owner Property Location John & Laurie Walsh Govt. Lot NW 1/4 NW 19 S 24 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 2177 43rd Ave. 13 Plat Of Richmond Meadows City State Zip Code Phone Number `J City I Village 1e Town Nearest Road Osceola I WI 1 54020 (715) 294 -4782 Richmond 1 1436 146Th Ave. IM New Construction Use: 01 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement I Public or commercial - Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: I nstall mound sy stem with 5'x 90' dispersal cell. System elevation to be 97.45' at 7" above 96.86' contour. a Boring # Boring " ft Pit Ground Surface elev. 96.43 . Depth to limiting factor 44 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 0 -12 1Oyr3/2 none sil 2fsbk mvfr cs 2f,1m 0.6 0.8 2 12 -24 1Oyr5/4 none sic! 2fsbk mfr cw 1fm 0.4 0.6 3 24-30 7.5yr4ro none Ifs 1msbk mvfr cvv 1f 0.5 1.0 4 30-44 7.5yr4/4 none fsl 2fsbk mfi cw 1f 0.4 0.8 5 44-96 10y18/4 f2d 7 s Osg m1 - - 0.5 1.0 ho rizon with ban Horizon #5 contains 1 /8" 1/2" bands of Om 10yr4/4 Ifs. Loading rate reflects reduced pe rmi "f ab► rty of r�zon associated ❑ Boring # -1 Boring Pit Ground Surface elev. 96.49 ft. 66" in. Sal fication Rate ✓� Depth to limiting factor � App Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 1Oyr3/2 none I 2fsbk mvfr as 2f,1m 0.6 0.8 i 2 12 -23 10yr5/6 none sil 2fsbk mfr cw 1f 0.6 0.8 3 23-50 7.5yr4/6 none sl 1msbk mfi gw 1vf 0.4 0.7 4 50-66 10yr6 /4 none s Osg ml - - 0.7 1.2 * Effluent #1 = BOD ? 30 < 720 mg/L TSS >30 < 150 uent #2 = BOD <30 mg/L and TSS < X mg/L CST Name (Please Print) Si nature: CST Number James K Thompson _ �---- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 4212005 715 - 248 -7767 property dwner John & Laurie Walsh Parcel ID # 026 - 1147 -13 -000 Page 2 of 2 3 ] F Bonng # ^f Boring 01 Pit Ground Surface elev. 96.93 ft. Depth to limiting factor 29" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QFDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 1 Oyr3/2 none I 2fsbk mvfr as Alm 0.6 0.8 2 10 -19 1Oyr5/6 none sil 2fsbk mfr cw 1f 0.6 0.8 3 19 -29 7.5yr4/6 none sl 1msbk mfi gw 1vf 0.4 0.7 4 29 -56 10yr4/4 f2f 7.5yr5/8 sl 1 msbk mfi - - 0.4 0.7 Horizon #4 consists of an unsorted mbdure of I Oyr4/4 sl, 7.5yr4/6 Is, & 1 Oyr6/4 s. Loading rate reflects reduced permiability of horizon associated with stratification. Redox. associated with textural changes. F4] Boring # -� Boring ✓� Pit Ground Surface elev. 92.36 ft. Depth to limiting factor 33" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -20 na na backfili na na na na na na 2 20-33 1Oyr5/6 none strat.s Osg ml as - 0.5 1.0 3 33-42 7.5yr4/6 f2d 7.5yr5/8 gr Icos Om mfi cw - 0.4 0.7 4 42-64 1Oyr6/4 none strat.s Osg dl cw - 0.5 1.0 5 64-84 1 Oyr3 /4 f2d 7.5yr5/8 gr Icos Om mfi aw - 0.4 0.7 6 84-96 10yr8/2 none SSBR Osg ds - - 0.4 0.6 Horizons #3 & 5 contain a high percentage of clay, resulting in moderatley cemented condition. Loading rates of all horizons have been reduced to reflect reduced permiability of horizons associated with stratification. F Boring # I 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 QP 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. r • � C� 8,,c,h v►'CP-rX : T od ,455 k—kV el ov _ �OD.GiO: � Seil a da /(.,.a cy , A it , B. : 7op a /o sia . � 9'7.0'Cpnfour - - ♦ E,tiSfi'�� mad e - - el e ✓Gt - �- s4 � r r - - ¢S, /ot /3 ♦q!, '- dfeao(,- , W 5, 7 n. o- c�imane rovt rr S�. Croix r e 4 ProAas�d - - - - - - .3 b�d� -oo•r► ,v a Ql I Pa. 3or3 U. 27 7 6P 426 - 7 3 KATHLEEN H. WALSH REGISTER OF DEEDS STATE BAR OF WISCONSIN FORM 1 - 1999 ST. CROIX CO.. WI Document Number WARRANTY DEED RECEIVED FOR RECORD This Deed made between Harold Rivard 04105)2005 09:45AH WARRANTY DEEM EXEMP1 # REC FEE: 11.00 Grantor, and John J. Walsh and Laurie M. Walsh, husband and wife as TRANS FEE: 132.00 survivorship marital property COPY FEE: CC FEE: 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): Lot Thirteen (13), Plat of Richmond Meadows in the Town of Richmond, St. Recording Area Croix County, Wisconsin; Name and Return Address The RiverBank Attn: Val Memmer P.O. Box 188 Osceola, Wisconsin 54020 026 -1147- 13-000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. Q (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 ordinances of record and will warrant and defend the samwe Dated this day of 1 ` � L 2005 • arold Rivard AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) U1— ) ss. County ) authenticated this day of ` ����`D - aiv 1 S i f z Pd 11 a before me this ✓ day of (\d , 2005 the above named O fitlrold iv aT0 - vn TITLE: MEMBER STATE BAR OF WISCONSIN % (If not, � t a b� a person(s) who executed the foregoing wled d the same. authorized by § 706.06, Wis. Stats.) i r THIS INSTRUMENT WAS DRAFTED BY i O► 1/t e Priscilla R. Dorn Cutler Notary Public, State of Wisconsin Osceola, Wisconsin 54020 My Commission is permane t (If ot, st to expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 17� 0 , ) • Names of persons signing in any capacity must be typed or printed below their signature. information Professionals Company. Fond du Lac, WI STATE BAR OF WISCONSIN 800 - 655.2021 WARRANTY DEED FORM No. I -1999 Parcel #: 026- 1147 -13 -000 05/27/2005 03:57 PM PAGE 1 OF 1 Alt. Parcel #: 24.30.18.1071 026 - TOWN OF RICHMOND Current X� ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner HAROLD RIVARD ' RIVARD, HAROLD 812 150TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1436 146TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.140 Plat: 2383- RICHMOND MEADOWS 1/47 026/02 SEC 24 T30N R18W PT NW NW RICHMOND Block/Condo Bldg: LOT 13 MEADOWS LOT 13 2.140AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 24- 30N -18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 08/0812002 686396 1943/546 WD 06/07/2002 681206 1906/535 WD 06/07/2002 681205 9/13 PLAT 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04 /23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.140 29,500 0 29,500 NO Totals for 2005: General Property 2.140 29,500 0 29,500 Woodland 0.000 0 0 Totals for 2004: General Property 2.140 29,500 0 29,500 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 .• . .•• • . • . ... ... Ta .�. . . J :�: . . N •. . •.. . . < .... : ,•, ,..... . .. .. . . .....�. . ...• ......... . .. .. r m w .'.�.•. .�. . ...♦. . ' . . •. m . . .r. e < e e . r••. e e e e e e e e e. e • • . • • m w . • . . • • . • . . • • . • • . • . . • • • • • e . . . f . ...... o lXXXXXXXX , m ... m lll� : :: : ,• •<< . .�.... . ....•.•.... .......... .•.. ...... .. D p °F7 b� ° p g J ® N D • . . . .,• a . C z •. . t • 3 + e 2 .•. YyJ' N • ..• ALL COMWAi TOM NUST FAIalNM TNEIOMM W" ALL CUSTOM DESIm FOR. JINN i LAURIE WALSH NOTICEN FEDERM, Saar; AM LOCAL oaoft N me cocas waaN. � OB81Q1 IN 06W MNNER AFn= MOM" OR EOUIPNENT USED ON • '- ITLE fu T U� ALL • S12EY T PAMM. W NOT SPECSICkW STATED ON PLANE OR 136 147TH STREET ELEVATIONS AN D L DCA� M £ NES IN SPEDMANKM THE APPROPRMIE DOGE SMALL GMVtM DEER PARK, WI 34007 — saES. Duuanl • no QLWJ S OF ALL WOML (713)249 -3010 ON V DWG NO p RLV DA W 1_05 N ��p�� =O N17 N 2° 0 9m'� UIO O =m y my m Dno° F� 9ZC n� Nu 0 O V, 2 D 22 �IG mF g emy oAO N r�m F t o F V; z 0 15 RWm O 7 1 /W- m� £p i� R o < yy tim yy 9 N c Om 5 vx m o� zz ZZ 1 �F� 9 ' -7 1' y s r�i o ]} z O 8� z ,s. u N 0D r Dp rc z C=am z m � m� m o "o in o o' IHN m ALL CONTRACTORS wur FAMU THEMSELVES NTDI ALL CUSTOM DESIGN FM JOHN 6 LAME VALSH N13TICEN FEDERAL STATE. NO LOCH- ORDWNCES NO CODES WICH. Dom slm nEg m T[D!N Niles REP vdnrr at I IOa, sEEES IN ANY 6YWNER AFFECT MATERIALS OR EOUN%G T USED ON 156 147TH STREET a [TITLE MID LGCAOIC MIY E:INtQtS THIS PROJECT. IF NOT SPECIFICALLY STATED ON PLANS OR _ CROSS SECTION PIItIDR TO PROCP VI TIONL THE APPROPRIATE CODE SHALL OONERN DEER PARK, VI 54007 pa sy w-m DATE SIZES OU N LIES, FWD QUALITIES OF ALL WORK. (715)248-3010 DATE EVISION DVG NO REV. DATE A 4 Or 4 k. i 29 ,u S - -i +'-s r n' j 8-0 x8-0 0.14. 0-0 x 8-0 OX a P O 4 x O V H ° O o r w R b _ - _ - _ - _ - _ - _ -_ - its ---------------- N H N P X �N P 4 b 5 J 4 ° a r -C J -i Jfi' lcr-r a x § - - - - - - - - - - - ~ A �'.• ,� S K T -P 7 -T v g ------ ---------- � N 1 11-0 -------- - - - - -- I o B -T 3'•8' I n, I b . - - I x ti g O N I O O wt K 1141 A41 I All A21 j s � r -,r r -e• J -� er � ,s-r %MNDOW LIE Ilk Imam MEL �z V � Jr-M jAr X - A21 M % : A11r10 % MP. M 6 Q % 1 x 3%-o My ALL MUST PAMILWA E INOdMES WITH ALL d1ST�l DESDiwI F� JOIN i LAURIE VALSH NGTICE! FEDERAL. STATE. no LWC =110N= AND WOES 1M04 ML m vtttm ALL %orEUSmra, saES w "I, "M AFFECT rrla�wlts are WJIP►Etir � M 186 1477H STREET - ITLE VAIN LEVEL Ai1D LOCRT>015 Alm tKP�T ANY E im PRW=. w SPOO1FlCKl.Y SEATED ON R" OR mm W WM FCAT 0ei5. THE APPRWWE cam SIMLL 00vm VEER PARK, VI 54007 PsmR m PROrEEDUw sacs QUMM S. AM atwnRS OF ALL WORD. c71W248-3010 M" [ DWG No p 31r g qg tV 2'-e ------------ - - - - -- ------ - r --------- - - - - -- -, I m 2 _ I t 1 b z f t c% I 1 � 11 7/8' IPM .101515 ' I i xo' ' I 1 i i i --------- __--------- � I I I i ' r----- -- ---- - - - --- --------------------------------- � I I - - - -- -�7; ' u 11 7/e LR JOISTS ' x 18' 0.G tc lY -B 16'4 r -tr s -ta 1 I AL lr I N t �,'• i i i y I a 1 4 R i ' 3' -8 11' -lY 6' -T � � �b c JS I i `j I I PPP I i I x i CM1 I R N m 11 7/8 lPI JOISTS i 18 O.C. ' ' I 28310 -2 i i 28370 -2 i "•, b --- ------- ----- ----*------ -- - -- -- -- -- --- ---- ------- ' - ---- -- 10 I I 10 a ^8 a .. S 7 3�FT 11 -8 764 Y � 8 39 � H WINDOW SCHEDULE _ _ 55� K C1= R K 35 Gmsmuff I HP 4 3_5 3 'u. AMPOMM im O ALL CONTRACTORS wsr FANILURME 7NDMSELVES MH ALL CUSTOM DESIGN FOb JOHN 6 LAURIE VALSH NOTICEN � LOCA �� �� `� `� 1/4• _ ' —D• ITLE ANY MANNER Dui vN A AR Y 32M IN PROM=. 6 NOT SPEOFICALLY STATED ON PUNS OR 156 147TH STREET FOUNDATION PLAN MID LOCATION AHD R OMEB M IN SP�TIONS, TXE APPROPRIATE CODE SHALL ODO MI DEER PARK, VI 54007 — P10dt TO PROCEEDDIG SIZES. aUAMMIQ AND O1JMJnES OF ALL WO VISION DWG NO Q35)248 —�D p REV. DATE ST. CROIX COUNTY WISCONSIN ZONING OFFICE NO ON INN Mnrrr S T. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road •.- � __._.._� --- --' Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 Page I of COUNTY ON —SITE VERIFICATION FORM s� Inspector: Ev IN �'12 ` Date L- 2_-i, 2cn ,�_ Parcel ID Number o 2(0 - ►I�{�- I3- oa>,G lob I P roportyOwner PropertyLoca'on l(f_pl- -r�' \\/ 'Z(� Govt. Lot AlvJ NAr,J4 8 Zq T 3 0 N R W Prope dwne� Maifang Aft Tess Lot # Block &W. Name or CSW1# l2 - t} v e; 13 _ (Ltc ' A&0" b M&Mo& J S Ay Staile Zip Code Phone Numlor ❑City ❑Ydlage MTorwwn Nea rest Ropd �kw '�t�[�"n:'Np c � QI� } 1� F�w\0 N j �I(v AVE lgNewConstruction Use:❑ Residential I Numbarof bedrooms .._.....__....___ Code derived design flow rate_...__ ❑Replaoament ❑ Public or commercial - Describe : ....... ....... ....... ...... . ...... ..... .... ....... ....._..._..... ...... ..........._............ . ..._......... ... ... .... _._ ... ._.. Parent material v_ _ Rood Plain elevatio7 ap'licable 4 General comments (� �� � r � V e and recommendations: 1 �^^"� ""► } Boring # ❑ Boring 2� ❑ Pit Ground surface elev. y_ ft. Depth to limiting factor _ice in. App lication Rate n Depth Dominant Color Redox Description Teodure Structure Consistence Boundary Rods GPDin in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *r=2#1 Tff#2 Z 0 S 11 8 — ----- s z s 11 -570 :5 f . �eko?c Si v wksc't'e_ Conditions: - Soil Survey description: Notes: (yvt veu7li� ( S T' CgF) FEE: ain ° `„ ' Q . wat ski S pr�S 'W isconsin Department of- Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ' County /� Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. QZ('p — ( /V 7 — 13 -00 v Please print all information. iewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Q?jyf 3 t7 3 Pro erty Property Location �(C t Ot rj eI o r1 Govt. Lot NW 114 S2q T3 N R I& E (or Property Owner's Mailing Address Lot # I Block # I S d. ame or CS q# o Rt CIV 00 J N (? 0W-q City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road sf [� New Construction Use: Residential / Number of bedrooms Code derived design flow rate roov GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material S IJ Flood Plain elevation if applicable {{, lea General comments and recommenda t° I e Q y � � I� ST. CROIX COUNTY F T1 Boring # ❑ Boring O 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I 0- 0 (� C S K r Cs y 6 w -- ►.z - 42 F-z] Boring # ❑Boring Pit Ground surface elev. C l 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 • E{f#2 -( I G r 1` vas Fr CS f S 2(; ovr M C(-J — I o - g F s V S -- — L 2 u � ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS _< 30 mg/L CST Name (Please P 'nt) ignature CST Number c �► v tiv(c( �s - - --- 2S 3 3 0 9 Address Date Evaluation Conducted Telephone Number fr o s� sov*lp sC(oz S -q -o� 71s zy 400K S BD -8330 fir'" "110) w • (� .�_ of Property Owner I V P( Parcel I # Page Boring # ❑Boring / 7 [� pit Ground surface elev. b , (D ft• Depth to limiting factor l� in. F- 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 O & LP 3 �' tMC.��0 C S 1 cs 3 a � MJ 1CW - o 7 S F Boring Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor �n• 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 D Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. 560.6330 (R.07M) PAGE 3 0F OF NAME `� °'� LOT# /3 LEGAL DESCRIPTION &J Xuu X ,S 1 3,0 ,N,R, Etar 'l1 r _ SCALE: I"= y/0 — BM 1 ELEVATION j6G G BM 1 DESCRIPTION IV BM 2 ELEVATION '?;Z, $d l y• BM 2 DESCRIPTION - � oit SYSTEM ELEVATION ALTERNATE ELEVATION �P . ,? �, c-�- q �d CONTOUR ELEVATION f6,5 9'9'-5 Za s,vt e 0 a e �I SIGNATURE � -= _ -- - -�, -- - DATE 186.49' aft" , s8: I 43 \� SOUTH LINE OF SLOT / CS ,M o ' t FILED IQl VOL.8, / PG.2� 8 i �✓ —SOUTH LINE OF .LOT 3. CSM B35 ® / FILED IN VOL.11, P0.3153 p I - -- B36 �p'�0113 / t I / i 93288/SgF QQ 1 N / 2.14' Acres / t4BA�2.14 Acres O O C13 12 117152 SgFt 2.69 Acres I I NBA =2.69 Acre I I / L =6 .70' r R =2 6.00 1 N I / 834 I �s��r'OO �1 _'Of O pp � 49.92' \ \ � � s s s• � / / ��c�'� %� ' / / / /I 84866 .SgFt \ 1.95 Acres n \ NBA =1.95 Acres \ \\ 1-1 1\ 440.81' W \ — ' _ ` X16 33' 1 33' I r W B37 ®�� _ � R 26i09 -1 014- _10 3 I it ( or 0 - - _ ._ 88404 --4_t n r 2.03 Acres oI Acres A C taB -2.Q3 .. \ I `�I x0 / I — 41777 / SgFt i 587 l5`E / -~ - _ a°o 2 1 r Acres N E�A = 2. Bic r e s �o 'O I I r of o 9 -3� / 93888 '— Via, r s4 2.16 Acres NB-2.16 Acres - /� E; s +� 338 S7 ?• 31'E f / �1 / 41 - 1008 -- �j I 81 8 l ' 96094 SgFt NBA =1.69 2.21 Acres d►- IJBA =2.21 Acres St. Croix County Map Output Page Page 1 of 1 St. Croix County Mappi n U C' CD LQT2 M M M to M M 4 00 365A -10 1 C14 CSM VOL 8 PG 2348 1074 186.49 JeB 250.93 66.2 1071 Richmond 24 1072 12 14 1070 N 1069 f ! k r Les3and M L111C p al Bovida les St. Croix County Planning Department l 12 C bdivislorw 1101 Carmichael Road u Cerg*e d IDLrvey Maps Hudson, WI 54016 0 Pa curls Phone: (715) 386 -4674 P oa ° 0 Ra�raed Or a i riage DISCLAIMER : The information contained on this map is advisory. Map Streams accuracy is limited by the quality of the public records from which it was o „ r ,,, prepared. It is not intended as a substitute for an accurate field survey. perre Mal C*ea kMerml Vern �Y+eam AERIAL PHOTOS : Aerial photography is date - sensitive. Features that exist" presently in the County may not be present in the photos. http: //69.5 8.147.26 /servlet/com. esri. esrimap.Esrimap? ServiceName= StCroixOV &ClientV... 4/25/2005 APR -19 -2005 02:48 PM A.C.E. Soil & Size Ekja1 715 249 7764 P.01 A Soil & site Evaluations James S Thompson 340 Pauboa Lake La. Osceola, WI 54020 (715) 248 -7767 To: _Zang_ Alta" K n faX # _ 7 -46i From: Data; 5 # pages including covor sheet: 3 If fax is ineamplete or illegible, please contact Jinn n=pson at telephone numbor listed above. Kevin: Attached is a quick soil description of the Richmond Meadows site that we are scheduled to look at tonorrow at 10:00 A.M. Give the a call if you nwd anything else or if you have questions before we go out to the site, soe you tomorrow, JIM 5, CV 07W z 02:48 PM A.C.E. Soil & Situ Ekjal. 715 248 7764 P.02 ' 1899 r drroewrleroe SOIL EVALUATION REPORT p, !__ of 2 Wbm Dhrlalan d Sddy std 9tridl W In noowdsnas with Lamm es, Wis. Adm. Coos A.C.E. Soli d t3Ms Evrtustlans Attach Mn*b AN plwr an PqW not lose thin 6% s 11 Nldleit in 2W' Plea must CoufAy 8t. Croix e cluds, bul not limped lo: vertical and hommnW Isbrertoa point (IBM), dse W and Paroal 1.0. paomnr slaps, sode ar drnemsiorm, north arloa, and l0cdM and d8%rc8 b Maisel mad. 028.1147- 13-000 Plws a prb* me /nfop"M den. Renewed BY ado Pam�el:vgtn�+on yar Porldc may use b ssm�dry Ptaprrre (men LM+, list 11) (m)). Pnoparty owner Propem Location ,Jo di L aud Welsh GwA. Lai NW 114 NW 19 8 2 T 30 MR 18 W Properly Ownefs MOM Address -- Lot ri Bloak i Subd. Nome or CSMi 21'x7 4 3rd Ave. 13 Not Qf Richmond Meadows city - State LP Cods Phew Number City a VMlaps .Iar Town Moor" Road (718 ) Richmond 1 1436 14eTh Ave- Mw Constnx iotr Use:: a Residential / Number of bedrow* 0 .__ Code derhod I i8lt Now NO _ _OPD Re *mwnwrt A Publle a eensneMals) - Dsorlbe _ __ _ - Parent nsitergl C4ac outwa Flood plain elsuatlon. If applicable Garr" aornmsnta and reoo ww4dlarw: Evaluation complied as vertnca6on of soil condldons as reported by A. Sehumaker. � 0 n Ground sumacs elov, n o It- Depth to Iknlling Tar for 33 —in. Soil Application Role Hmcwn Depth Domkant Color RW= Dewrptioo Texture SlNdwe Corretstence Bo WORM Rctb _ •E1M1 2 in. Murad Qu. Sz. Cont. Color Cdr. Sz. Sh. 1 0-20 na no backAM no no no no no no 2 - 20 -33 10yr5/8 no r strata Clog ml as - 0 -5 - 1.0 3 33-42 7.5yr416 2 il d 7.5yr" 9r Lee Om m cvv - 10.4 0.7 4 42-64 10yr8/4 none struts 089 Y cm - ow - 0.5 1.0 5 6484 10yM4 - f2d 7.5yr5/8 Or loos 0M mfi _ Y sw _ 0.4 0.7 g 84-186 10yr8f1 none SSBR 0sy a1s - - 0.4 L 0.6 Hartiarls rR3 a 5 a high parraenl?ige - ee wmw corr<)IN4fr- unav Iwe to rrNaat parrrriablllly of horlZons awwwWted with Vlfgficdion. ' Ef kaw* #1 w 800,> 30 < 220 mgt ww TSS >30 150 rn811. _ E te2 BOD <'JO MWL and TSS �JO moll CST Name (PMM Print) CST Numbs► - Jarines K. Thompso 7L _ _' Address A.0 -E. Sail 8 Sits Evaluulions Dade Evokrslbn Conducted Telephone Number 340 Pauwm Lake Lents Osceola. WI 54020 411812005 7 -24 &7787 I