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09/17/04 FRI 15:47 FAX 715 386 4686 ST CRX CO ZONING 0 002 Wisconsin Department of commerce - PRIVATE SEWAGE SYSTEM County. St. Croix Safety dnd Buildlnd Division INSPECTION REPORT Sanitary Permit No: 430656 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (1 Law, x.15.04 0)(m% Permit Holder's Name: City Village X Township Parcel Tax NO. Oevering Homes Richmond Townshi 026- 1147 -14 -000 CST BM Elev: Insp. BM Elev: BM Desc' oon: Section(rownlRangelMap No' 166 / P/%- 1 C <_; T 24.30.18.1072 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / Benchmark O (0 l� , i Dosing Alt. BM Bldg. Sewe 1 - '37 -7 Holding SVHt Inlet f g t I TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Ot Inlet Septic _77- 0 Z , f Z q r _ Dt Bottom Dosing .77-. -! / Z7 Z- Header /Man' Aeration N Dist, Pipe '1 Z c�.y 54 a,�L Holding Bot. System -7- Ok z y 3 , `� Final Grade 5 . S ?S . J PUMP /SIPHON INFORMATION `t Z Manufacturer j_ ` Demand St Cover f� --57 '73 z GPM �j K Model Number o �ovf 7 -L TDH Lift Friction Loss System Head TDH t tQZ .5 17.1% Forcemain Length / D10. j i Dist. to Well N I lA- Z SOIL ABSORPTION SYSTEM 6EDITRENCH Width 9 j / Length No. Of 7rgnche PIT DI IONS No. Ol P Inside IQ a. I L4<Dep th DIMENSIONS / �/ (� \\ SETBACK SYSTEM TO 7 P/L 18LDG jW5LL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: ` { S �/ j I /) J�j 1 UNIT Model Numbc`: 7 F�Jf DISTRIBUTION SYSTEM HeaderlManlfold Distribution 1 (I x Hole Size x Hole Spacing Vent to Air ntake length \ Dia Length l� Dia � Spacin SOIL. COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only � Depth Over Depth Over xx Depth of xx Seeded /Sodd s Cd xx Mulched Bed/T rench Center ( Zf Bed/Trench Edges Topwil ' No , es No I I I .'I COMMENTS: (Include code discrepencies, persons present, etc.) inspection tt1: - �q / ZO i d n Inspection #2: / / Location: 1440 146th Avenue New Richmond, WI 54017 (NE 1/4 NW 1/4 24 T30N R18W) Rlchrho Lot 143 Parcel No: 24.30.18.1072 1.) Alt SM Description = ' `' CpJ+�- L�n;�S '� L ehi Z3✓-- G �: 0 t0 V_ I 2.) Bldg sewer length - amount of cover = ![ y Plan revision Required? I • :, Yes )� No I a► J ( � i I i ` 4 `> Use other side for additional information. �... Date Insepct s Signal Carl, No. SIID -6710 (R.3l07) Satety and Hwidmgs w Page 8 of 8 Soil Test Site Plat Far. Oevering Homes A Lot 14 Richmond Meadows Sub. NEl /4 -NW1 /4 Sec. 24 T30N R18W ;+ Richmond Tnsp. - St. Croix Co. Proposed 9'x 100'At$rade Mound Cell ° 2D 'O w/Svstem Elevia don of 93.40 ' WROUD soak (FW4 i Mob a 40 & ; 94.00' 93.00' 92. 00 Proposed 2 "Sch. 40 Force Main Proposed Wieser Concrete Combination Tank 1000 1600 gaL w17,dW A -1(O Filter Propos 3 Bedroo ome ♦ BM = Top of Steel Fence Post * MP = Same ASSUMED EUV. = 100 Alternate BM = Top of 2 "Pipe Elevation = 95.70f p 146th Avenue Maintain well and waterline setbacks per Comm 83.43(8) (i) x Safety and Buildings Division County _ . 201 W. Washington Ave., P.O. jSconsl Madison, )RV ED Permit Number (tD be filled in by Co.) �- s Department of Commerce 30(0 G Sanit PP Permit A li o II J AN 0 0 4 S Plan I.D. Number In accord w ' wilt Comm 83.21, Wis. Adm. Code, personal on you provide _ may be used for secondary purposes Privacy Law, si5. lxrn j . C;, Usk ; UUNTY (if different than mailing, ) ING OFFICE / ) �4O X14 A ..0 I. Application Information — Please Print All Information ` 7 � ' Property Owner's Na me Parcel Lot / Block f Property Owner's M ailing Address Property 'Car. t) Z/ 4 .trpirl'�Jt ET �� u, � � � %. Section _ City, State Zip Code Phone Number (circle one) H. Type of Bwlding (check all that apply) S U. T 3� N; R o& IR 1 or 2 Family Dwelling - Number of Bedrooms 3 S . Subdivision Name CSM Number ❑ Public/Commercial - Describe ❑ State Owned - Describe Use 4- , )C CO ❑City_❑Village Wownship of w III. Type of Permit: (Check only one box on line A. Complete line B if applicable) WNew System ❑ Replacement System ❑ TreatmenUHolding Tank 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. of POWTS S em: (Check all that a 1) 6l) ' - ❑ Non -Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ErAt -Grade ❑ Single Pass Sand Filter ❑ Constructed Weiland ❑ Pressurized hi-Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel less Pipe ❑ Other (explain) V. D' tment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (A) System Elevation . 5 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel FibEr Plastic Gallons, Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks [✓ /� - r/OV I�Yj Septic or'4lokt 1197M ! t'/ Dosing Chamber / �' ✓ VII. Responsibility Statement- I, the undersigned, asses ' ility for hrstallation of the POWTS shown on the attached plans. Plumber's Na me (Pri tier's Si gnamae MPIMPRS Number Business Phone Number y--� I ,za Plumber's Addre ss (Street, City, Suke, Zip Code). 6 f� e — 3/® Fogerty Plumbing Perk Testing s — — 37 VIII. Co ApprovedS &MO, Sanmmy Permit wd (includes Growater Date Issued A Signature (N ) Surcharge Fee) 350 �. b ❑ Owner Given Reason for Dermal UL Conditions of Approval/Reasons for Disapproval SWA SYSTEM OWNER: 3)' �} 1 Septic tank, effluent filter and"�`� dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Ate complete plans (to the County only) for the system on paper not hiss than 812 x 11 inches in size _ ___ _ s, b t'.. , _ .+ � " . r�: r' .. ,'E- I •. I 1 ` ' . . • • � f I �; � I i .. I • 1 .. X f � � i �r,; .., f ,. y ' _ � � � r. a .. i i'�- ,,. � ..- �. �. I I I I I i �— . sarety ana bwaings t 10541 N RANCH ROAD HAYWARD WI 54843 \Ivisconsin TDD * (608) 264 -8777 www.commerce.state.w'Ws /sb www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary December 30, 2003 No.224 59 ATTIC• PO Inspector CUST ID 0 P ZONING OFFICE KEITH E STONER ST CROIX COUNTY SPIA 23220 WOOD CREEK RD 1101 CARMICHAEL RD SIREN WI 54872 HUDSON WI 54016 CONDITIONAL APPROVAL Identification 95 Numbers PLAN APPROVAL EXPIRES: 12/30/2005 Transaction ID No. 956278 SITE• Site ID No. 669581 Oevering Homes Lot 14 Please refer to both identification numbers, 146TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County NE 114, NW 1/4, S24, T30N, RI 8W Lot: 14, Subdivision: Richmond Meadows FOR: Description: New at grade, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 936592 Maintenance required; 450 GPD Flow rate; 42 in Soil minimum depth to limiting factor from original grade; System(s): At -grade Component Manual, SBD- 10570 -P (R.6/99) Pressure Distribution Component Manual for PrivaR.O.W Onsite Wastewater Treatment Systems, SBD- 10573 -P (R.6/99) and/or the sizing methods of publication "SSWMICon ditia Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". a ove has been reviewed for conformance with applicable Wisconsin Administrative Code s The submittal described b pP RtMENT Of ( and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in OF SAFETY A chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. ' SEE CORRESP No person may engage in or work at plumbing in the state unless licensed to do by the department per s.145.0 =. , 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 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 the At Grade Component Manual are complied Key Item(s) • The designer proposes to install an effluent filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. Reminder • The orientation of the at grade system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. KEITH E STONER Page 2 12/30/03 • Limit activities in the area 15' beyond the down slope edge of the at grade per At grade Component Manual. • Surface water drainage shall be diverted away from the system area. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). 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 shall provide a copy of this letter to the owner and any others who are responsible for the installation, o "ration or maintenance of the POWTS. Sinc Y, '� Fee Required $ 175.00 f Fee Received $ 175.00 Balance Due $ 0.00 Patricia L Shan orf POWTS Plan Reviewer., tegrated Services WiSMART' code: 103 (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 i t r ` r ' RESIDENTIAL AT -GRADE DESIGN Pressurized - Sloping Site INDEX AND TITLE SHEET Project Oevering Homes At -Grade Owner Oevering Homes Address 838 Summer Pines Circle Hudson WI 54016 Legal Description Prt of the NE1 /4 -NW1 14 Sec. 24 T30N -R18W Township Richmond County St. Croix Subdivision Name Richmond Meadows Lot No. 14 Parcel ID Number S. Plan Transaction Number rialry VED Index sheet Page 1 QMmEKE Calculations Page 2 ND BUILDINGS At -grade drawings Page 3 Laterals and dose tank Page 4"' Specifications Page 5 CNDENCE Management & contingency plan Page 6 Pump Specifications Page 7 q l . �- Plot Plan Page 8 mill E.Stoner License Number De signer# 1575 -007 Sa o y ��5 .......... *S!8� Phone Number (715) 653 -2324 S70NER c DirenS 1/16/3 Wis. rrrrr.r.wr `e0 9, ��� ` � 1 Designed pursuant to: armm�uma�a ��\ At -grade Component Manual for POWTS SBD- 10570 -P (R.6/99), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST - SAS (01/81) Version 3.11 (05/01) Pagel of 8 i PRESSURIZED AT -GRADE DESIGN At -grade Design Worksheet - Sloping Site Flows and Site Data Entry. (r or c) r Residential or commercial? 300.0 Estimated wastewater flow (gpd) 450.0 Design wastewater flow (gpd) 8.00 % Site slope 93.40 Contour lateral) 43.00 Depth to limiting factor (in) 0.50 In -situ soil application rate (gpd/ft ^2) Distribution Cell Information (1 or 2) 1 Influent wastewater quality 6.00 Linear loading rate gpd /ft 9.00 Effective absorption width (ft) 10.00 Max, effective width permitted (ft) 100.00 Aggregate length (ft) Pressure Distribution Data Entry (c or e) c Center or end lateral connection 2 Number of laterals 0.125 Orifice diameter (in) e.g. 0.188 Notafinai calculation 1.83 Estimated orifice spacing (ft) 2.00 Forcemain diameter (in) 2.27 Forcemain flow velocity (ft/sec) 200.00 Forcemain length (ft) y or n y Does forcemain drain back? 78.00 Pump tank elevation (ft) y or n y Are laterals at highest point? NA 6.5 System head (ft) x 1.3 32.6 Forcemain drainback (gal) 14.90 Vertical lift (ft) 45.0 5x Lateral void volume (gal) 2.22 Friction loss (ft) 77.6 Minimum dose volume (gal) 23.62 Total dynamic head (ft) 22.2 System demand (gpm) Lateral Diameter Selection Gallonsllnch Calculator (optional) Pipe diameter Design options Design choice Total Tank Capacity (gal) Designer 1 in Total Working Liquid Depth (in) must select 125 in x Gal /in (enter result in cell G46) one 1.5 in x x diameter 2 in x Treatment Tank Information 3 in x 1000 Se tic tank capacity (gal) Wie Concrete Manufacturer Effluent Fil Informa Dose Tank Information Z abel I Filter manufacturer 602.8 Dose tank capacity (gal) A100 lFilter model number 11.8 Dose tank volume (gal /in) Wieser Concrete Manufacturer Project: Oevering Homes At -Grade Transaction Number: Page 2 of 8 AT -GRADE PLAN VIEW 1/6 B Observation pipes (2 typical) A 9.00 ft D B 100.00 ft t-- -t 1/6 B 16.67 It C 11.00 It W D 5.00 ft E 2.00 ft D L 110.00 ft B W 21.00 ft A 7 x B 900.ft ^2 L *` Cap Sloe in Typ i c al the pipe. Slotted = Total aggregate cell A x B tted in the lower l� 6", and anchored = Plowed area L x W Securely. In s° AT -GRADE CROSS SECTION Svnthetic fabric cover 95 19 ft Finished grade Lateral elevation invert elev. 93.90 It - = f— - Observation pipe at aggregate toe E Surface contour 83.40 ft C q 8 % Slope and system elevation D -} = 12 in. topsoil and subsoil Plowed I and to a la over ag pered to toes. below L x W = 6 in. aggregate below pipe(s), and 2 in. above pipe. Project: Oevering Homes At -Grade Transaction Number: Page 3 of 8 • PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram - Center Connection P -1 1 IF X-41 +x12 ( W41 Laterals & force main of PVC Sch 40 Last hole drilled next to end cap (per COMM Table 84.30 -5) Holes drilled on the bottom of the lateral. eguaINspaced i = Turn -up vdd ball valve or clean outplug Lateral Specifications 0.125 Orifice diameter (in) Center Lateral connection point X 1.85 Orifice spacing (ft) 2 Number laterals 27 Orifices /lateral P 49.03 Lateral length (ft) 11.1 Lat. discharge rate (gpm) 1.50 Lateral diameter (in) 2.00 Forcemain diameter (in) 22.21 Sys. discharge rate (gpm) 200.00 Forcemain Length (ft) 23.62 TDH (ft) Typical Pump Chamber Layout Approved manhole cover with Weather -proof warning label and locking device junction box --"—" . Final grade _ 4" disconnect Tank component is y► Alternate. vented �` outlet location 18" min. Electrical as per NEC 300 and 0 Approved outlet joint Comm 16.28 WAC Tank full JA c Inches Gallons Provide 1/4 . A 30.5 360.0 Alarm on weep hole or C B 2.0 23.6 Pump on g antisiphon E C 6.6 77.6 device. D 12.0 141.6 79.00 ft C Totals 51.1 602.81 � Pump off D 3" Bedding under tank 4 78.00 ft Goulds __.. ~� Pump manufacturer JSJ. Electro Alarm manufacturer Model# 3871 -EPOS �, Pump model number 101 -01 H Alarm model number Project: Oevering Homes At -Grade Transaction Number: Page 4 of 8 At -grade System Maintenance and Operation Specifications Service Provider's Name [- Tri- County Sanitation �-] Phone 715 386 -0114 POWTS Regulator's Name (� St. Croix Co. Zoning Office Phone 715 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 900.0 ft Maximum FOG 30 mg/L Type of Wastewaterl Domestic Maximum Fecal Coliforml >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound lns ect for ponding and seepage once every 3 ears Other 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 at -grade 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 at -grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 6. Areas within 15 feet of the downslope toe will be protected from compaction. 7. All other construction details are as per the at -grade component manual SBD- 10570 -P (R. 6/99). Lateral Tum - Detail Finished • . • ..... • •. ...�.�_ ............... Grade \ , 6 -8" Diameter Lawn : Threaded Cleanout Sprinkler Valve Box ; ; ; Plug or Ball Valve Distribution Lateral -ma -- Long Sweep 90 or Two 45 Degree Bends Same Project: Oevering Homes At -Grade Diameter as Lateral Transaction Number: Page 5 of 8 At -grade 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 (SBD- 10570 -P (R. 06/99) and SSWMP Pub. 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 shaft 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 shag 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, Slats. 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 filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shag have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shag 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. Pump Tank The pump (dosing) tank shag be inspected at least once every 3 years. All switches, alarms, and pumps shag be tested to verify proper operation. If an effluent finer is installed within the tank it shall be inspected and serviced as necessary. At -grade and Pressure Distribution System No trees or shrubs should be planted on the at- grade. Plantings may be made around the at- grade's perimeter, and the at -grade shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the at -grade 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 at -grade be heavily mulched as protection from freezing. Influent quality into the at -grade 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 BOD5 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 shag be checked for effluent ponding. Ponding levels shag be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continq_ency Plan If the septic tank or any of its components become defective the tank or component shag 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) shag be immediately repaired or replaced with a component of the same or equal performance. If the at -grade component fags 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 renovating the biologically clogged absorption and dispersal media, installing new piping, and replacing other 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. Project: Oevering Homes At -Grade Transaction Number Page 6 of 8 i Page 7 of 8 J ' NGOULDS PUMPS Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high ■ E Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. Effluent systems ■Casing and Base: Rugged • Homes Available far automatic and thermoplastic design provides AGENCY LISTING • Farms manual operation. Auto- superior strength and corrosion Canadian AswdaWn • Heavy duty sump matic models include resistance. _ • Water transfer Mechanical Float Switch 0 Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "C" or 7".) factory. strength, and durability. SPECIFICATIONS ■ Motor Cover. Thermoplastic toukls ftnPs is ISO 9 W 1 FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. '14" maximum. ■ EPO4 Impeller: Thermoplas- 0 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: 1'12" NPT. seal protection. • Mechanical seal: carbon- rotary /ceramic- stationary, BUNA -N elastomers. • Temperature: 104°F (40%) continuous 14ff (60%) intermittent. METER' FEET • Fasteners: 300 series ° stainless steel. 9 • Capable of running 30 dry without damage to $ 25u components. 25 a 7 Motor: i • EPO4 Single phase: 0.4 HP, v_ 6 Zo 115 or 230 V, 60 Hz, 1550 a RPM, built in overload with o 5 1 s automatic reset. a a • EP05 Single phase: 0.5 HP, o EP05 115 V or 230V, 60 Hz, 1550 3 10 RPM, built in overload with EPO4 automatic reset. z • Power cord: 10 foot s standard length, 16/3 1 SJTOW with three prong grounding plug. Optional 20 ° 0 0 10 20 30 40 50 GPM foot length, 1613 SJTW with three prong grounding plug o 2 a s s 10 12 m3n1 (standard on EP05). CAPACITY Goulds Pumps ® 2001 Goulds Pumps ITT Industries Effective May, 2001 83871 Page 8 of 8 r ! r ! t it r ! ABM Soil Test Site Plan ` ` For: Oevezing Homes A te , & BM Lot 14 Richmond Meadows Sub. NE1 /4 -NW1/4 Sec. 24 T30N -R18W Richmond Tnsp. - St Croix Co. 8 ' t` Proposed 9'x 100'At-grade Mound Cell D zo 40 w /System Elevation of 93.40' r , G-Puft and&0%0* 1 lode = 4o & r i t r it , l f t r 94.00' ' 93.00' 92.00' Proposed 2 "SOL 40 Force Main Proposed Wieser Concrete Combination Tank 1000 1600 gaL WZabel A -100 Filter Propos 3 Bedroo ome BM = Top of Steel Fence Post MP =same ASSUMED ELEV. = 100 Alternate BM = Top of 2 "Pipe Elevation = 95.70' 146th Avenue Maintain well and waterline setbacks per Comm 83.43(8) (i) t ' Soil Test Plot Plan terra ject Name Richard Nelson Shaun Address P.O. Box 10622 White Bear Lake Mn 55110 CSTX #226900 C Lot 14 Subdivisio Richmond Meadows to 7/1/03 /4 N W 1 /4S 24 T 3 Township Richmond F1 Boring Q Well PL Property Line County S BM or VRP Assume Elevation 100 ft.(:iop of Steel Fence Post System Elevation At -grade *HRpSame as Benchmark Alt. BM T op of 2" pipe @ 95.7' 146th Ave Scale is 1" = 40' unless otherwise �� ,,moo �-. ,►�._ a �p l 3 F1 44 Is - 94 B- 5 Ta nos. �--� � , oS I - MD 8% Slope _ Z 60' Alt yr � �� • -� � .M. 45' — Kau c9-. Soy Q S a ,2 . B -3 0' B -2 250' Prop erty Line 30 3 30' f T Wsoonsin Department of Commerce SOIL EVALUATION REPORT Page I of Civision 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�iearest road. Z J ��� — Please print all infprmation. eviewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s 15.14 (1) (m)). (� i Property Owner F Property Location i D7 �. Govt. Lot 1/ � /4 T 0 N R E (. W Property Owner's Mailing Address ` ` - , Lot # Block # Subd. Name or CSM# loe 1 40 city State Zip Code Phone Number ❑ City ❑Village Town Nearest Road ew Cons cLon Us esidential / Number of Code derived design flow rate —� J4 GPD ❑ Replacement Q or comrJr grcral Des Fl lain eleva n livable Parent material General reco nd S / f (?,�' menda !� �,�,.. �CZr��O?JZ- J� 6 /* Ong # Boring r QiL �T Pit Ground surface elev r- �V Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 S . s �� y Zz td 83 7 eo Boring f rtng # Pit Ground surface elev. /I- __. _ Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsett Qu. Sz. Cont- Color Gr. Sz. Sh. •Eff#1 •Eff#2 r �5 C- 1 It • _ 3 ya 3 C D, • Effluent #1 = BOD > 30 1 220 mg& and TSS >30 1150 mg/L ffluent #2 = BOD _< 30 mg/L and TSS _< CST Nam (Please PnnQ Signature CST Nunis Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 t`f--J 715 - 246 -4516 Cgmm 83.44 WISCONSIN ADMINISTRATIVE CODE 162 '5 Fy S 4F CZ Ctbba ),u1 Xep-Fftt.E 2. The purpose of the 6 inches of in situ soil under subd. 1. (c) The design of a treatment or dispersal component consist - shall be to assure that the influent will be assimilated into_ _sulas�- ing in part of situ soil shall reflect restrictive sot rizons that face soils without ponding on the ground surface. affect treatment or dispersal. c The infiltrative surface of unsaturated soil to which influent r (S) �'•ELLIENT D7s71MMO (a) The distribution of effluent is ed shall be located at least Due inch below the finished' to a treatment or dispersal component S 66 consisting of silt be or � Z U f ner soq material with weak platy or massive s CApaBtt t7n?s. a 1. a Exce t as accomplished by means of pressurized distri%uti` � ) () p provided under subd. 2.,1 (b) 1. The distribution of effluent to in situ soil shall be accom- the dispersal cap of a POWTS treatment or dispersal com- lished b means of pressurized distribution, if the value for ponent consisfing to of unsaturated soil shall be limited to that - BOD5, TSS and f%Arpo ortn of the effluent is to or lesss specified in Table 83.44 -1 or Table 83.44 -2 Based upon the influ- . � ; ent quality concentrations being applied, # a. A a. A monthly average of 30mg/L BODS. b. Under subd. 1. a., the influent quality parameter with the � b. A monthly average of 30mg/L TSS. ; ��' highest concentration shall determine the maximum application rate. c. A monthly geometric mean of 10 fecal colif efu per , c. Except as vided in par. (c), the soil conditions at a N om; » „s ue y forming unit trati su ace A unsa a G sou tow c m uent is to e e , 1. c. shall be determined to es lish the xinium measurements taken lication on the basis of ken over 30 consecutiv days, a desi . with at least 6 measurements occurring on 6 separate daX d. The moist soil consistence of the soil horizon in which the c) Each dose of effluent by means of pressurized distribution infiltrative surface of a POWTS treatment or dis t into treatment or dispersal component consisting in part of in situ will y not be stronger tbjui film any cemented soil not be less than 5 times the void volume of the POWTS I assification. lion I S. c� e timum soil' application for r est ) � soil with '� rG e I Table 83.44 -1' S strong s of ! � ' . . n d TS S a y for e uent concentration Maximum Soil Application � Upon Percolation s <_30 mg/L $ODS and TSS and shall be Rates galsJs . fJday for effluent conce ons of > 30 5 and TSS. p jte4 �y Maximum Monthly AvmW a The application rates specified under Tab4 -1 shall BODS > 30Mg/L only be recognized where the percolation res een filed <_ 220 mg/L with the governmental unit before July 2, 1994. ercolation Rate TSS > 30 mg/L BODS <_ 30 mg/L 2. Maximum soil application rates other thaspecified (minutes per 5150 mg/L TSS <_ 30 mg/L Tables 83.44 -1 or 83.44,2 may be ernploy&esign of inch) (g sq ft/day) (1 s9 ft/day) a POWTS treatment or dispersal component conin part of Oro less than 10 0.7 1.2 k in situ soil if documentation is submitted and ap under s. 10 to less than 30 0.6 0.9 Comm 83.22 and is based on soil rmeab' ' - 30 to less than 45 0.5 0.7 spiration es ted to s Oil 45 to less than 60 0.3 0.5 cn 8`ifa "a detailed morphologic soi l evalu60 to 120 0.2 0.3 (b) The treatment capability o a Went consisting of unsaturated soil shall be limited to that specitrt compo- greater than g 0.0 0.0 specified N ote: > means greater in Table 83.44 -3, unless otherwise approved by the department. s means less than or equal to Table 83A4 -2 Maximum Soil Application Rates Based Upon Morphological Soil Evaluations b Monthly Average BOD5 > 30:5 220 mg/L M - BOD 5:5 30 mg/L TSS > 30:5 150 mg/L TSS 5 30 mg/L uali�i�` . S oil T exture Soil Structure (gals/sq Way) (gals/sq ft/day) 1 Coarse sand or coarser N/A 0.7 1.6 Loamy coarse sand N/A 0.7 1.4 SS L'L, -� Sand N/A 0.7 1.2 rl Loamy sand Weak to strong 0.7 1.2 4 (�10 11 Loamy sand Massive 0.5 0.7 / Fine sand Moderate or strong 0.5 0.9 Fine sand Massive or weak 0.4 0.6 Loamy fine sand Moderate or strong 0.5 0.9 0.4 0.6 Mas ' V N/A 0.4 0.6 0.6 Sandy loam Moderate or strong 0.5 0.9 Sandy loam Weak, weak platy 0.4 0.6 Sandy loam Massive 0.3 0.5 Register, April, 2000, No. 532 Property Owner _ Parcel ID # Page of ®Boring # ❑Boring X pit Ground surface elev. J� ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 g q —�2 2 -Z 5 s l - 3 - 7d 0 ❑ Boring # ❑ 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 ❑ Ong # ❑ 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 Effluent #1 = BOD. > 30 < 220 mg1L and TSS >30 < 150 mg/L ` Effluent #2 = BOD, <_ 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.6=) I _ 856 .4 4 ' --.� GAS ' , GAS• 0 OAS - - GAS - .. 1 - - —_ COUNTY TRUNK IGHWAY OA GAS N —D D \. p _ _ —_ — �— — — –� — — — T — — — ` — — EX. 1�8' � EX. 18 "CMPi 230. INV *1001.96 166.88 ° o �� –656.84' 59.72 INV =1001 -49 o \ N o 6 I �� S$9°04'34 "E ?� ao M \ \ RIGHT– OF –wAY LINE 4.� J Q.- - 421 / 1005.00 74541 SgFt .w r 20ft. wide ^' 0 0 1.71 Acres ��^� . / ( drainage '_AC • 0 r B A - 1 . -71 r_ „c SO 0 ./ 9 N� I I / �ry / / 8 I0 *' 6 z W I d`• / G ,00585 "� 98685 SgFt L — 2.27 Acre$ O M N 8378 SgFt 1 1.92 /4cres t4BA =2.7t; e . ON I l w IJBA 2 Acres I oo /' I / o o / = 94.94' ` I Cl s )011" o - 0"'' o A . 7. 0 00 S "E lj 21 .93' 581 h� / / b 27''E B 19� 6 9.22' / � ��� ���� F SLOT CSM o 6 ° 00 00 / o �,� �ti O `L i, PG.2 48 / �3 I B ®�. 09 �I / \� �P� p, "r 1K /,`O - Co _O / 0 0 14 44. 3 1 � _ /V ° 679 $qFt / �p res 38/ S Ft R= 62 R ur� Acre /. M / � 1.56 A 3 , > >, \��1 Ir V Ac a�QQ �BA =1.56 Acres 4 -45 14 . �\ y� � Fa_ Ares N / ,0,0.00 "� � ' � 0° °° � 29.2 � Q 20ft1 10 )0.85 0 \ `, 8`i y .� oN +� w �' draira o0 1881 Acres $ _ N p N b N 9 ,o INN! 1 (�- -_ _ N�A =1,81 Acres, 1 1 p I •S ; L -6 .70'. o / ¢6 , R =2 6.00 o 33 33 I'A ; 1 rig' 3� — �— — r 1 05_00_ '� ` l / M / S79.48 —1 _ 313.32' of o �v� o � B 18/ 1 ® T o� I,N . f $ i R 45 —. 18.32 33' 3y L 5 .02' ~ `I. I 1 0 N 7 • 54 W E� � , �� M N79 °48 s W , sn 4 20.36'�� 87.02'1 R= 21 4.4$) — ' I MS79 °48'S4�� °44'51" / 33c 33 E j /52.98' L =113.30' / ' 1 `� c ,o,,. R =666.00' o H . b A-9 °44'51" / _ � o i drainage & utility w ° o / / / G 1006.00 ` $.� S8436'0 "E ._ 9 90.00 / / cv 3 1 003.00 / Fwo / / W / O l 1 \" / / / 1 • 'f�a .�1 / 72.0 7 M�rE yg` oo N C �rp� O /.� p I 98.00 I / �i ^ It yap " 1 r �� 4 Go / ; B 2 38'_ , ON Xr 9,444 S 1 p0�o . 00 -0 0 V / 2.17 Aces �' 7 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 ` eivision of Safety and Buildings 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: vertical and horizontal rgference point (BM), direction and Parcel D. �f percent slope, scale or dimensions, north arrow, a locatiort and distance to peares3 road. V 2(0 /1V �- nd Please print all information. eviewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s.,15.04 (t) (m)). Property Owner Property Locatio - 07; i Govt. Lot if 1l l4 T (�N R E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number City ❑ Ullage Town Nearest Road 411 A ew CMc;n Us esidential / Number of Code derived design flow rate —� Gi GPD ons_ ❑ Replacement Q or com�raal - Des - - - - -- - -- -- - — Parent material Ft lain efeva n i licable / — � ft• General comments � (i✓ J / , r � �l �ft' =1✓/1 �_ and recommendations: A? r i A Cs Boring # �Bonng Ground surface elev,' Depth to limiting ctor f ' °� Depg _ in. � q Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 r r 172�j ,tN - . C 1 S ---_ V: 7-J IvJlf v w c� g3 l h� �3/ /'— �— nt - U ® Ong # Boring V Pit Ground surface elev. �., , Depth to limiting factor r^ Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDHF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'EfF#2 o -/ r S . 5 P, t4t 3► 3 C 2 �S o. • Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mgt ffluent #2 = BOD < 30 mg/L and TSS < CST Name (PIeaw Print) Sig o CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address , Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 7 `� J 715 -246 -4516 I r - M , r Co(nm 83.44 WISCONSIN ADMINISTRATIVE CODE 162 '.>C'A'Aar-ySv t &-bbD 1N - � 2. The purpose of the 6 inches of in situ soil under subd. 1. (c) The design of a treatment or dispersal component consist- shall be to assure that the influent will be assimilated in - ing in part of situ soil shall reflect restrict soil rizons that face soils without ponding on the ground surface, affect treatment or dispersal. c The infiltrative surface of unsaturated soil to which influent ( F.'E=RNT Dm mune (a) The distribution of effluent is 41isc ged shall be located at t ne inch below the finished' to a treatment or dispersal component consisting of silt loatfor 5 2, tl finer so* material with weak platy or massive s re 1 be e dispe accomplished by means of pressurized distributi (4) C aB apahH (a) 1. a. Except as provided under subd. 2., (b) 1. The distribution of effluent to in situ soil shall be accom- thrsal capat2'li of a POWTS treatment or dispersal coin- plished by means of pressurized distribution, if the value for ponent consisting in pp bf unsaturated soil shall be limited to that ^ BOD5, TSS and fecal FoVorm of the effluent is a ual to or les's specified in Table 83.44 -1 or Table 83.44- 2liased upon the influ- ,. , g;( Q ant quality concentrations being applied. a. A monthly average of 30mg/L BODs. i b. Under subd. 1. a., the influent quality parameter with the b. A monthly average of 30mg/L TSS. c` highest concentration shall determine the maximum application Q rate. c. A monthly geometric mean of 10 fecal colif ati per c. E xcept as provided in par. ( th e s conditions at tt a Note: °CFW means colon forming units. Y 8 tra 'v urface FT rra soil to whicchi influent is to 2 a 1. c. shall be determined to establish the lication ' on the basis of measurements taken over 30 consecuti days, desi with at least 6 measurements occurring on 6 separate da N d. The moist soil consistence of the soil horizon in which the c) Each dose of effluent by means of pressurized distribution k infiltrative surface of a POWTS treatment or dispers al t into treatment or dispersal component consisting in part of in situ will y not be stronger than fun 4ft any cemented soil not be less than 5 times the void vo lume of the POWTS assification. rs don � eimum soil' application for soil with m '� f Q � 2 Yes 2 5 strong :, ... gals✓sq.. y for 1ab183A4-l' l e vent concentrations of 530 mg/L BOD5 and TSS and shy MaxiII1um Soil Application Rates Based Upon Percolation �0 -+0.0 gals ✓s . ft ✓day for effluent conce tra'ons of > 30 Ra 5 and TSS. p0 7y Maximuum Monthly Average , The application rates specified under Table 83.44 -1 shall BODS > 30Mg1L only be recognized where the percolation resu Faiave - been filed 5 220 mg/L T with the governmental unit before July 2, 1994. ercolation Rate TSS > 30 mg/L BOD5 <_ 30 mg/L 2. Maximum soil application rates other than those specified- (minutes per <_ 150 mg/L TSS <_ 30 mg/L in Tables 83.44 -1 or 83.442 may be employer "for the design of inch) (gaWsq ft/day) (gaWsq ft/day) V a POWTS treatment or dispersal component consisting in part of 0 to less than 10 0.7 1.2 t` in situ soil if documentation is submitted and approved under s. 10 to less than 30 0.6 0.9 Comm 83.22 and is based on soil permcab' ' 30 to less than 45 0.5 0.7 spiration es ated to s rc soil characteristic 45 to less than 60 0.3 0.5 'detailed morphological soil evaluation. 60 to 120 0.2 0.3 (b) The treatment capability o a S treatment compo- greater than 120 0.0 0.0 nent consisting of unsaturated soil shall be limited to that specified Note: > means greater than in Table 83.44 -3, unless otherwise approved by the department. s means less than or equal to Table 83.44 -2 Maximum Soil Application Rates Based Upon Morphological Soil Evaluations �ig b-t-A,101mmum Monthly Average BOD5 > 30<_ 220 mg/L kx BOD 5 <_ 30 mg/L 5 150 mg1L TSS :5 30 mg/L Soil Texture TSS > 30 Soil Structure (gals/sq ft/day) (gals/sq ft/d Coarse sand or coarser N/A 0.7 1.6 fl , 4 - Y' coarse sand N/A 0.7 1.4 ss �j e �7 ,4 Sand N/A 0.7 1.2 � y Loamy sand Weak to strong 0.7 1.2 ^ p � ��J Loamy sand Massive 0.5 0.7 Y 2 Fine sand Moderate or strong 0.5 0.9 Fine sand Massive or weak 0.4 0.6 Loamy fine sand Moderate or strong 0.5 0.9 �Ine Mass' 0.4 0.6 Very fine s N/A 0.4 0.6 and � 0.6 Sandy loam Moderate or strong 0.5 0.9 Sandy loam Weak, weak platy 0.4 0.6 Sandy loam Massive 0.3 0.5 Register, April, 2000, No. 532 I Property Owner _ Parcel ID # Page of El Boring # ❑ Boring 0 Pit Ground surface elev. � 3- ft. Depth to limiting factor 2 () in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 , - s - ! 3 fl 1 I� Q 0 a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'Eff#2 ' Boring # ❑ Boring t limiting F Cl Pit Ground surface elev. ft. Depth o g factor in. Soil Applicafion 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 ` Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mgA- ` Effluent #2 = BOD < 30 mg/L and TSS 1 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, SBD4 330(8.6/00) = Soil Test Plot Plan Project Name Richard Nelson Shaun Address P.O. Box 10622 White Bear Lake Mn 55110 CSTX #226900 Lot 1 4 Subdivision Richmond Meadows Date 7/1/03 NE 114 NW 1/4S 24 T 30 N /R W Township Richmond Boring Q Well PL Property Line County S BM or VRP Assume Elevation 100 ft. C Top of Steel Fence Post System Elevation At -grade *HRpSame as Benchmark Alt. BM Top of 2" pipe @ 95.7' 146th Ave Scale is V = 40' unless otherwise noted a 00 N M 92' 93' 94' B- 8% Slope 60' Alt .M. 45' B -3 0 ' 0 ' B -2 250' Property Line 30' 30' t '*sconsin Department of Commerce SOIL EVALUATION REPORT Page(of� Djvision rr Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County 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 t^ nearest road. 0 2& Al - 0 60 Please print all information. R ewed b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). I V/6 O O 'S Pro erty Owner Property Location ff �t C L(r e( o� Govt. Lot Q 114& S 3 T v N R 1 g' E (orc Property Owner's Mailing Address Lot # Block # S bd. Tame or CS Mf# J 6� t C v� ,� c� M e CAJ a WS City State Zip Code Phone Number ❑ City Village Town Nearest Road ,fe 6 o LK iM1UJ 5',91 10 1 (GSI) t c �✓►� 1 y0 S �` ® New Construction Use: ( Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material rA Flood Plain elevation if ap lic ft, General comments S4 2 VV1 e 2 U , `7f, 3 Q / a Sin d {�� / CEIVED and recommendations: c`' (, �`' t 05fi- JAA �z. �.F�t.1 cm,>u� t.o�s n R 2 3 2002 t 2 i.fl t7Y r�f'! Boring ING OFF,CE Y , � Boring # _j pi( Ground surface elev. ft. - Depth to limiting factor to in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color •Eff#1 "Eff#2 I o- (a /2 i 7 k r C� (3- 3 kI Ll F-21 Boring # ❑ Boring 7 Pit Ground surface elev. � 0 ft. Depth to limiting facto C in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. C olor Gr. Sz. Sh. 'Eff#1 'Eff#2 ozo r32 /I - 6K Sid - w►q 6K mrr CS -- , c. 2-X ,s vr N4 tt I - - I Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS 130 mg/L CST Name (Please P 'nt) Siona ture CST Number C- ZS3� Address Data Evaluation Conducted Telephone Nu 211 got�Sf SOwrI? oZs N7 -WO& SRD -8330 fRm r r c m o D y = m ci R a A N c o 7 A N 7 7 A 7 p a a V O O y n D r' CL A O 0 N y A M O Vl s m m CO z mo m - - K ��5.'. m m O L a ? z y S fD p 30 < 7 0 0 CD X (DD M N a A aa�' �. U) E a O y :3 Q fD O (D fD O 3 � 0 � : 3 CL W 3 CD RL y y a O N 0 0 m < o m CD v CL n (p O N O c s �' CD so pr n O CD c D� f/1 O � 7 � W y Z p m o CD CD m o � a CD y 00 = � A ©m ❑ G (Q 7 ci (� PAGE J OF - 3 NAME. N e IS U n LOT# LEGAL DESCRIPTION NW X 11W Y4,S Y4, Z `/ T 3d S SCALE: 1"= zf0 �, BM 1 ELEVATION Z OO. O (� _ BM 1 DESCRIPTION Voo o -C I Cla n BM 2 ELEVATION 7 9,3 0 BM 2 DESCRIPTION SYSTEM ELEVATION '0' 3 0 ALTERNATE ELEVATION N 16 CONTOUR ELEVATION - 71 316 — g0 5 "1 �i a N I Oc� �( Aj z M j v Q J L c° O SIGN TURE _ DA �_ boa d Sd -, _ - __ "� GAS _ G COUNTY TRUNK I CH WA Y GC GAS N _ \ _ — � =•— — — — EX. �8''Gd r EX. } 8 "CMP i 230 \ 6.8 .88' ° o �� - $56.84'59.72 INV�1001.96 INV =10019 o O 6 � ��` S$9'04'34 "E : <2 � Co to P w ` RIGHT - OF - NAY UNE r I - - 4+2} — — / 1005.00 "741 7 C) SgFt ;� w J ` ti r 20ft. wid �t I ���. O"� 1.71 Acres h ti i I drainage N o I I h / 18 10 �' ao z I I 's;' / - - 0 1005.85 I 98685 SgFk N F 2.27 Acre ` 14 M I 837 c F 0 I / i `4BA =2.2 c e`: I / ON w 1BA =1.�2 Acres g / o � / I ' s 00 oo $mss d, 0�6i 60� hp \ ; 3 1'2A•E I / \gam �O S8 � / o 2i .93' 5816 .22' Q .� B 19 (LOT CSM o ° rn B22 /00' '� � '' o w, i, PG.2 48 I ® 09 �' / \ G \P�� 31 Y� �\ ° 679 8gFt / • % Lag ~Aire V `S�� \ � 'P ► ` �� o c ' / 38/SgFt b 1.56 A� es /\ G 2. 3 � F \ ?� ?a, Jr V Acres /. M • �lBA =1 Rw, .56 Acres ; �. S \u�`,. I l 14 Acres / ° oo / 3 45 "10 "\ `�• �. 4 '1 e N 1 010.00 \ t� 5 `1 C • 0 ° / N y I / F ► ' 1 � , es 1 J l � \ ,ern c _ \ %- \ 8$✓ �. /�- 20ftl 8832 SqF V& ot,& 'c+ �rl draira< es 7 / �- _ _ _ ° � 0 0 1.81 Acres g0. N;p •P. N M ° r / _ NqA =1.81 Acres ' p �N�p - It / ass .70' / -10 e go 33 33 6.00' O / t / II 2 }+' . w O I .•�1e'j _ ° 1 I I ^ 7- ol 1 4- I j B 18/ 3� 313 I �°� ° o / o�3 ' �� Z Q Ihl 0 I I 'Cr), p 452.35' 418.32 33' 3y L5k.02' N711• �� -�� ' .c , • ' L / _ 'Q'S4 � �'?' 's� - _ N79e48 54 205_ .87' _ _ 38' 8 7.02 R W 3Q / / 4 20. 3.0 '44'51 " /1��y►`ry���L 214.4 _ — - 33• 33' i S7s'48'54wE / _ I /52.98 E =113.30' c 10, / / _ / / / i ' o �� R = - / 0 4 51 p wo - i drainage & utilitl i / 0 1oos.0 99.00 �' cv 3 .t .� S84{ ° 36'03 'E . / / 1003.00 / ` W0 y�1 X72 - 07 - � 04 P, 1 *— `6 /.10, _ 9 / I / Vf Go 1:317 a �17 $m ad a / C / B24 1 9 S 1 00"p0 0 _ ® / a °,� / 2 Ac es io r %Yisconsin Department of Commerce SOIL EVALUATION REPORT Page O 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 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. a 2 41 7- A/ ODO Please print all information. R ewed b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.14 (1) (m)). ! O 3 Progerty Owner Property Location Ct (V e (s r? Govt. Lot N i 1/4A/(,/1/4 S T 3 C) N R ( g' E (or� Property Owner's Maili Address t # Block # S�bd. lame or CSM State Zip Code Phone Number Village l C o �) city C_; p Road d WS tY P ❑City Village Town Nearest 6 fir � 10 (6§ _ 2ic�� Iy0 S� P P New Construction Use: [Z Residential / Number of bedrooms 3 1 ly Code derived design flow rate t� 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if ap licable {(, General comments �Y -e Vv1 2 12 U , `'� D / • �Sa�n ECEIVED and recommendations: r APR 2 3 2002 -fir Lv�S 17 J �b- :•r ar D Boring # ❑ Boring ZONING OFFICE V_' Pit Ground surface elev. `f7, �O ft. Depth to limiting factor to in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. ('✓' •Eff#1 'Eff#2 l 0- (a /2 I b k Y1A Cr CS t3 3 — c 2m Ff C S F-21 Boring # Boring Pit Ground surface elev. ft. Depth to limiting facto 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 r32 11 7gliC4 6K ILA!' , 2 5 i C ZV10 0 r CS �- Z -� ( ,s r N il CI 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 (Plea U bmc4ec 't) ture CST Number - 2533 0 Address Date Evaluation Conducted Telephone Number ZII 00r�Sf SO W1 0 -g - 02 '71E 2u7- `40 SBD -8330 lRO' i 4 r ... , r Property Owner k) C l !&O Parcel ID # Page of ❑ F -31 Boring # Boring qq 7� ft. Depth to limitin factor in. pit Ground surface elev. g 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 1 d - to i t Mat K ML u S Fr , c c CZ — L c.1 wl (ok tMF� — .� F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (KO7/00) C T o o a A 3 u+ ° c d v m 0. O cg Dl C N O O A ;, 7 CL O a a J = 7 W N Q A. p O S D o 0 (p N N a ao v v m � m Cl) Z m @ f CD co y o �C o CD c CD 0. - A 0. 0.0) w Sa o m Q m0 cb(Dr CD _o 3 0 )Oi V �� am Cb f m Ll 0 0 0 c T . 9 w - n. v 6 N 0 � i > > A `: x m o y -1 O ;o C 0 0 w CA Z O O O Z w �k D) O _ 7 CD a N 2 a� W �. v a'Coo ❑ a CL <c PAGE J OF 3 NAME U TOT# LEGAL DESCRIPTION VW 1/4u"il i4 , Z y T - 7,63 ,N,R, / 9' E(or� SCALE: I"= N., BM I ELEVATION do- O � _ BM I DESCRIPTION 0o ad u,'+ _ BM 2 ELEVATION c 7 8 , 3 0 BM 2 DESCRIPTION 6 ® a - / 0-o n d-o , - P� ' 2 y SYSTEM ELEVATION SIL 3 0 ALTERNATE ELEVATION /u/if CONTOUR ELEVATION V7, 3 d Q�.So 96 sd $_� n� o, N l 0i z � J v i � SIGN TURE DA FROM :OEVEINg HOMES LLC FAX NO. :7155311282 Oct. 30 2003 10:24AM P1 net 20 09 09129A FOC61TY PLUMPIt4C 171 GOOGGftOO P � ST CROIX COUNTY SEPTIC TAM MAINTBNANCE AGREB1trIBMi' AND OWNERSHIP CMTMCATION FORM Owner/Buyer a//4 Mang Addrew ALY ��r� V �,/&3 c�,� ili ..ter property Addles / e (Verification geqWmd from Pholwetg 1 t for now oerohtwtiott City/State Ptqeel Idd><ificaho>i Numbs LAGAL DFSCRIe'J, O Fm mrty Location &ggL %.. &- j ' /., Sec- _,j� T 3 O N -Rz _W, Town of �K.= �D•t1� . Subdivision «� rinr�v Certiw Survey Map # , Volume — . fate # =- Warranty Dtstdl # 7y2 D� 9 — Volume y� �,/ ' _ Page # S' Spec house 0 yes W Lot lines ideal' table Mr 0 no 6aiptwjtaaaewdtas�isasueef )ruarsepoc0 - eaaesaidieaidtiaitn lsrehtlstelebsarhewaMas .Poprnwhmasaa t�saeisst of popisg aM ma aepde talc sreay Anse 7r wr staag M assied y s xiosawd ptipw ww 7w psa in" do MIM ca® affaft Ate txoctioo of din aapie ttMt M a 4eslraeat strip to b wnMn dWpr1 for ON& lu poperty earner agrees b wheat M AL Ook Z04 Daptmrat a at` NW= fesg sip" by as owaw trod by a p�y 11 111 11 ey rrgr - * - 1p1 . herds. I vp tyittgdW(Qdwae%ftwM r dispaad VMS i# is psnpea i oiindfifm aiidAoi(!ji Merii�sed s ad prnr "(R'MCNOWYb 6 asp& set Is hli am US 5i of dodV6 IIMre„ Ate teodeaipad ittw sad � atboss w�arh and et/os>• roitariadte pdwtte aewap � � w�iAa Ass atfa.i`fierein.stt why ieDcpwMm darCmmmw mdpagepwooder MwdLnsaees.SfMsaf Ondfoadon tltwgshirtym * ep& s) Medebs Am&*Ac.C.ais<C- =wZw0be affmwidta30 dk VON SMAWWOF CBR1'I�ICATiON - I (w q testy yid an suleombew Atis hiss apt; %w in *abed of 4 (ora) A It' I (w? as (>w) the by AW afi waotdy deed xODOW is itq*W of DO& OWWP of TZICAt!R DATE- srrrrr My ifmtaatiaa dM is a tb4gw=0aledatary nm* in hs sttaitary pen* being qjwd by the malt DVWWOW •• Include with tbif appii¢slin; t stMed wietatlty. deed rims the RazWa of Deeds office a es of the CUM& ed py 26 ey rasp if =&wnw is "is& is die W*Mvnty deed i_ U 2424P` 574 742029 ' WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/01/2003 10:30AN This Deed, made between, WARRANTY DEED HILLVALE DEVELOPMENT PARTNERSHIP, EXE►PT t A Minnesota Limited Liability Partnership REC FEE: 11.00 TRANS FEE: 752.70 GRANTOR and COPY FEE: CC FEE: OEVERING HOMES, INC PAGES: 1 GRANTEE, THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS WITNESSETH, That the said Grantor(s), for a valuable RVAT consideration conveys to Grantee(s) the following 03A•11000 described real estate in ST CROIX County, State of Wisconsin: PIN 026- 1147 -14- 000;026- 1147 -16- LOTS Q14 6,43,32,33,34,35,36 AND 37, PLAT OF 000 ;026 - 1147 -43 -000 026- 1147 -33- RICHM MEADOWS IN THE TOWN OF RICHMOND, 000;026 1147 - 000;026 - 1147 - 35- ST. CROIX COUNTY, WISCONSIN. 000;026 -1147- 36-000;026 - 1147 -37- 000;026- 1147 -35 -000 This is not homestead property. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the property is good, indefeasible in fee simple and free and clear of encumbrances except easements and restriction so record. Dated this 1 day of October, 2003. RICHARD NELSON (SEAL) ACKNOWLEDGMENT AUTHENTICATION State of WISCONSIN ) )SS. Signatures) authenticated: County, ST. CROIX ) Personally cam before me o October 1', 2003 the above named �i�- -�7a�� , be known to be the persons) who a uted the TITLE: MEMBER STATE BAR OF WISCONSIN fo n instru len acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY: T CY L. URN tary Public, 1200 200 H OSFORD STREET #201 Turne VALLEY ABSTRACT y commission is permanent. (If not, state expiration � HUDSON, WI 54016 Tracy L . te:12/07/03 Notary Public State of Wisconsin l � 856 c o ►s - -- c.s c s� ----- "�' -`"� COUNTY TRUNK L GHWAY G N _ _ — — — — — — �"� 459.M' Ex 8 GM EX. 18 230. \ 166.88 o t - 656 -841- INVO4001.96 i INV -100, c49 $ \ i 0 Ci �\ S49 "E ' I i G ( - P RIGHT- OF -rIAY UNE j I I I 17 i }6-21 1 ' 1005.00 '74541 Sqf t 20ft, wide 1,71 Acres "? \ I I Ia •g ,�, i I drainage t3 A m Z �I 1 I D �J: 3 r� / c ,ocs es - ,�" "~ I 9868 � qFR a R' m � , I 2.27 Acre 8378 SgFt 1 ( 4BA =2.2(; c: e.: I 1 N w ; 1.92 cres I � Q / O W JBA- i. 2 Acres ON � &' � 94.94 V. .00 . 0 Y � t y 1 sea � • 20 . A o .93.E I Seley 27 /�� �O F I / B 1 9 � OT CS o r ii X11 - •I" / � i, G.2 48 / i • gs B22 OD � O /' 3 / 79 qFt F V Acres r c rY Tres 1 • R`82�� Aes (_ In / 40- BA =1.56 Acres "# \ '14 Acres / r ( 3 1 4 4 "�0• \ may, � �• '15'� j '� / o.00 / •. rg �. 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