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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division j INSPECTION REPORT Sanitary Permit No 430657 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: Oeverin , Oranzo I Richmond Township 026 - 1147 -16 -000 CST BM Elev: Insp. BM Elev: BM Description: 41-- Section/Town /Range/Map No: 160, d 6-P^ Z o Cd-1 - 24.30.18.1074 TANK INFORMATION E VATION DATA TYPE MANUFACTURER CAPACITY STATION S HI FS ELEV. ` ry Septic � ^ n ` ,^ ) Benchmark ^ 7 106 o Dosing Alt. BM w C D l0 (5a >-r, Aeration l Bldg. Sewer Holding SVHt Inlet 1 St/Ht Outlet TANK SETBACK INFORMATION TANK TO I a/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet r / Septic+ , YL S� ` Dt Bott 2 q L 6b d l-4 1 - -1 Dosing 2 Header /Man. O 2 c, 1 92 , IP- 8, �I Aeration Dist. Pipe Holding Bot. System Final Grade S PUMP /SIPHON INFORMATION s Manufacturer Demand St Cover s GPM / VS S 3 Model Number S �•✓� ( �� U TDH Lif.. j Friction Loss Systerp H? J T g Ft (� S G l I ` N o ain eng / Dia. Dist. to Well ( ( 2 '/ P61 I FJ OIL ABS RPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSI No. Of Pits Inside Dia. Liquid Depth DIMENSIONS [ 13 7 SETBACK SYSTEM TO I P/L LDG WE LAKE /STREAM LEACHING Manufacturer: IN CHAMBER OR Ty Of System: / UNIT TI � J f Model Number: p DISTRIBUTION S 4TE M S o� Header/Manifold I Distr pe i ( bution x Hole Size x Hole Spacing V t to Air Intake I 1 Length77j77__Dia 2 Length I Dia ' '� Spacing o `� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only D Depth Over epth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed /Trench Edges Topsoil / Yes 'I No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: (0 / 2y J QY Inspection #2: / / Location: 1498 142nd Street //New Richmond, WI 54017 (NE 1/4 NW 1/4 24 T30N R18W) Richmond M a s Lot 16 Parcel No: 24.30.18.1074 1.) Alt BM Description 2.) Bldg sewer length = 31 1 - amount of cover =' I Plan Use other formation. de for additional in Yes o Re Da t e /t Insepctor's S nature Cert. No. SBD -6710 (R.3/97) I Safety and Buildings Di fty N Viscoissin wl W. Washington a Madism WI 53IP7 Sanitary rmit Number (to be filled in by Co.) Department of Commerce ce (�-3 51 �Oa tf3o6 �r�- S anitary y t Application State Plan .D. Numb In accord with Comm 9321, vilis. Adm. Code, personal won you GF� N�� U F 1 - = I r dm I Q may be used for secondary purposes Privacy Law, s15.04(ixm) 70 1 1 Address Gf differ= ing address) L Application lnformahn - Please Prmt An Infmisi has I�Z Property Na me 4tffcel if Block S Property Owner's M aiding Address Property Location , j 0� 3A"*,WQC E Ct,� City, State Zip Cade Phone Number ZOO-_ u , & p( ,/ i'' Souion --�� N ectL (circle II O . Type of Building (ebeck all that apply) ;, , (� T -30 N; R��E el �L. AV W1 or 2 Family Dwelling - Number of Bedrooms 3 tt�� O PubliclConm►ercial - Describe Use O State Owned - Describe Use O X 113 ocity ovillage an ship of — GLflI,� M. Type of Phermit: (Check only one box on line A. Complete line B if aplilicable) A. R System O Replacement System O TreatmendHddiug Tank Rat Only O Other Modification to Existing System B. O Permit Renewal O Permit Revision O Change of O Permit Transfer to New List Previous Permit Number and Date Lutied Before Expiration Plumber Owner IV. Type of POWIS em: (Check au that ) - O Non pressurized hi- Ground O Mound > 24 is of suitable soil O Mamd < 24 in. of sici iW soul l�At -G O O Single Pass Sand Filter O Constructed Wetland O Pressurized In -Groin O Holding Tank O Peat Filter O Aerobic Treatmew Unit Recirculating Sand Filter O Recirculating Syntlieuc Media Filter O Leacbmg ChqmW O Drip Line O Gravel4ess Pgie ❑ Other (explain) V. r+eatinad Area Information: Design Flow (gpd) Design Soil Application Rate(gli&O Dispersal Area Required (sf) Dispersal Area Proposed (sf) Sy stem Elevati IVS'a and ? S VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Cattxete Constructed Glass New FxiWn Tanks Tatra sPhc -0"VTZ* / lv zae Dosing Chamber VII. Responsibility Statement- I, the migipsigaed, assume rnpog&jdty for im9a11atim of the POWTS shown on the ate plans Plumber's Na me (Print) s 7 - 2 - 2 11j`4' Si MPi'MPRS Number Business Phone Number Phmtber's Addre ss (Stan City. Zip Cale). Fogerty Plumbing & Perk T 6 1 - 1 — V — 37 VIII. Co ! Saoi iry Permit Fee (lucludes Grounwatx Date Issued Agem: o Stamps) j Surcharge Fee �0± ea son for Denial - -- IR. Conditions of Approval/Reastins for Disapproval SYSTEM OWNER: i 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 f as per applicable code /ordinances Attach —pkte ph = (ta am Conaty ody) nor th ou papa ■ot less them sw :11;ncges in sine Page 8 of 8 Soff Test Site Plan For. Oevering Homes Lot 16 Richmond Meadows Sub. NEl /4 -NWl /4 Sec. 24 T30N -R18W 0 20 ,o --I Richmond Tnsp. - St. Croix Co. 111kO•c11114 1 t0h a 40 !t P 0 Proposed Wieser Concrete ination Tank 10OW600 gaL w/7.abe1 A -100 Proposed 8'x 113'At-grade Mound Cell w/ System Eleviadon of 92. 00' Proposed 2" Sck 40 Force Main j pp pS , 3 Bedroom Home , , , , t 4 Jo '''� j► BM = Top of Steel Fenee Post b { ° MP = Same , ASSUMED KXV. = 100 Alternate BM = Top of M 92.00' 91.00' Survey Iron = 96.40' A BM 317.15' Alternate P1 TO cul-de -sac and 142nd Street Safety and Builamgs 10541N RANCH ROAD • HAYWARD WI 54843 TDD #: (608) 264 -8777 �sconsin www.wisconsin.gov .wis c ons .wisonsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary December 30, 2003 CUST ID No.224059 ATTN.• POWTS Inspector 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 Numbers PLAN APPROVAL EXPIRES: 12/30/2005 Transaction ID No. 956275 SITE: Site ID No. 669579 Oevering Homes Lot 16 Please refer to both identification numbers, 142ND St above, in all correspondence with the agency. Town of Richmond St Croix County NE1 /4, NW1 /4, S24, T30N, R18W P��dltLi Lot: 16, Subdivision: Richmond Meadows Cn FOR: ��?? Description: New at grade system, 3 bedroom residence EN Object Type: POWTS Component Manual Regulated Object ID No.: 936590 RSP 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 Pri . e- Onsite Publication 9.6 Wastew esign of Trea ressure Distribu for ST -SAS O1 /81) "g methods of publication "SSWM� � ' ", •S�� GOB The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do by the department per s.145.06, 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 t , • 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, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 ---� Balance Due $ 0.00 Patricia L Shandorf POWTS Plan Reviewer tegrated Services WiSMART� code: 763 (715) 634 -7810, Fax: (715) 634-5150, M -f 7:45 am - 4:30 pm pshandorf@comnierce.state.wi.us r cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 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 /4 Sec. 24 T30N -R18W Township Richmond County St. Croix Subdivision Name Richmond Meadows Lot No. 16 Parcel ID Number 5 ' Plan Transaction Number PO Index sheet Page 1 ORES Calculations Page 2� At -grade drawings Page 3 C, Laterals and dose tank Page 4 Specifications Page 5 Management & contingency plan Page 6 Pump Specifications Page 7 Plot Plan Page 8 Designer Keith E.Stone License Number De signer# 1575 -007 N i L• Phone Number (715) 653 -2324 �,?atc•• '/15/03 a o f a Si p 1 �y 0 'Ie o 5 Designed pursuant to: ?� .......� �.� At -grade Component Manual for POWTS SBD- 10570 -P (R_6/99), and DF, MP Publication 9.6 Design of Pressure Distribution Networks for ST - SAS (01/81) Version 3.11 (05/01) Page 1 of 8 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) 4.00 % Site slope 92.00 Contour elev. below lateral (ft) 37.00 Depth to timiting factor (iii) 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 8.00 Effective absorption width (ft) 10.00 Max. effective width permitted (ft) 113.00 Aggregate length (ft) Pressure Distribution Data Entry (c or e) c Center or end lateral connection 2 Number of laterals Not a final 0.125 Orifice diameter (in) e.g. 0.188 calculation 1.83 Estimated orifice spacing (ft) 2.00 Forcemain diameter (in) 2.61 Forcemain flow velocity (ft/sec) 200.00 Forcemain length (ft) y or n y Does forcemain drain back? 79.50 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) 12.00 Vertical lift (ft) 51.0 5x Lateral void volume (gal) 2.89 Friction loss (ft) 83.6 Minimum dose volume (gal) 21.39 Total dynamic head (ft) 25.6 System demand (gpm) Lateral D iameter S election Gallons /Inch Calculator (optional) Pipe diameter Design options Design choice Total Tank Capacity (gal) Designer 1 in Total Working Liquid Depth (in) must select 1.25 in x Gal /in (enter result in cell G46) one lateral 1.5 in x x diameter 2 in x Treatment Tank Information 3 in X 1000 Septic tank capacity (gal) Wie Concrete Manufacturer Effluent Filter Information Dose Tank Information Zabel _ Filter manufacturer 602.8 Dose tank capacity (gal) A10 Filter 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 8.00 ft B 113.00 ft I ri 1/6 B 18.83 ft W G 10.00 ft C D 5.00 ft E 2.00 ft D L 123.00 ft B W 20.00 ft A. x B 900.00 ft ^2 T L Cap Typical in obs. th pipe. = Total aggregate cell Ax B slotted in the lower 6", and anchored = Plowed area L x W securely. 6 ° AT -GRADE CROSS SECTION Synthetic fabric cover 93 79 ft Finished grade Lateral elevation invert elev. 92.50 ft - - ---: - : f - Observation pipe at aggregate toe E 4 % Slope Surface contour 92,00 ft C A and system elevation D -# = 12 in. topsoil and subsoil over aggregate and tapered to toes. Plowed layer 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 L-azerai uiagram - cerner [.onnecoon P IE- }G -`Exr2 I xr2�) 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, equaliyspaced i = Turn-up wtball valve or¢leanoutplug Lateral Specifications 0.125 Orifice diameter (in) Center Lateral connection point X 1.82 Orifice spacing (ft) 2 Number laterals 31 Orifices /lateral P 55.51 Lateral length (ft) 12.8 Lat. discharge rate (gpm) 1.50 Lateral diameter (in) 2.00 Forcemain diameter (in) 25.6 Sys. discharge rate (gpm) 200.00 Forcemain Length (ft) I rA 0 21.39 TDH (ft) Typical Pump Chamber Layout Approved manhole cover with Weather -proof warning label and locking device �� _ Final grade junction box " disconnect 4 Tank component is Alternate properly vented �� outlet location 18' min. S Electrical as per NEC 300 and �� Approved outlet joint Comm 16.28 WAC Tank full ff = Inches Gallons A Provide 1/4" 0 N A 30.0 354.01 Alarm on weep hole or B 2.0 23.6 B antisiphon _E C 7.1 83.6 Pump on device. T D 12.0 141.6 80.50 ft C Totals 51.1 602.8 -� Pump off D 3" Bedding under tank �- 79. 50 ft Goulds _.._ Pump manufacturer 1S.J. Electro Alarm manufacturer Mo del# 3871 - €P05 Pump model number 101 -01H Alarm model number Project: Oevering Homes At -Grade Transaction Number: Page 4 of 8 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 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 Domestic Type of Wastewater 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 ytars Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundl Inspect for Pondina and seepage once every 3 years 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 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 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 shag maintained in accordance with its' component manuals [SBD- 10570 -P (R. 06199) 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 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 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 shag be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component_ Septic Tank The septic tank shag be maintained by an individual certified to service septic tanks under s. 281 .48, Slats. The contents of the septic tank shag 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 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 shag be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. AN 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. At-grade and Pressure Distribution Svstem 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 -Wade 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 th specified in e 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 dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shalt be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continoencv 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 fads 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 dogged 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 Page 7 of 8 RGOULDS PUMPS Submersible Effluent Pump EPO4 3-871 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine al for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance. Cagan Standards Asuoaation • Heavy duty sump matic models include • Water transfer Mechanical Float Switch ■Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "C" or "F") factory strength, and durability. SPECIFICATIONS ■ Motor Cover Thermoplastic Goulds Pt"ps is ISO MW 11145mmd. FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. '/," maximum. ■ EPO4 Impeller: Thermoplas- m pow 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 1 12" NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N eiastomers. • Temperature: 104°F (40%) continuous 14ff (6090) intermittent. METERS FEET 10 • Fasteners: 300 series stainless steel. 9 30 • Capable of running s GPM dry without damage to s 2.s FT components. 25 Motor: _ • EPO4 Single phase: 0.4 HP, v 6 20 115 or 230 V, 60 Hz, 1550 s RPM, built in overload with o 15 automatic reset. a q EP05 • EP05 Single phase: 0.5 HP, o 115 V or 230V, 60 Hz, 1550 3 10 RPM, built in overload with EPO4 automatic reset. 2 • Power cord: 10 foot 5 standard length, 1613 1 SJTOW with three prong grounding plug. Optional 20 0 0 0 10 20 30 40 50 GPM foot length, 16/3 SJTW with three prong grounding plug o 2 4 6 8 10 12 ms/h (standard on EP05). CAPACITY Goulds Pumps ® 2001 Goulds Pumps ITT Industries Effective May, 2001 B3871 I Page 8 of 8 Soil Test Site Plan For. Oevering Homes Lot 16 Richmond Meadows Sub. NEl /4 -NWl /4 Sec. 24 T30N -R18W L '� Richmond Tnsp. - St Croix Co. Grarbla scale (rest) 1 moll = 40 ft P 0 . `'o Proposed Wieser Concrete Co ination Tank Proposed 8'x 113'.4t-grade Mound Cell 1000/600 gal, w /Zabel A -1 00 w/ System Elevation of 92. 00' Proposed 2" Sch. 40 Force Main Nopos. i 1 t 3 Bedroom Home 1 1 1 1 1 / { f t � 1 t 1 4% �� �► BM = Top of Steel Fence Post 1 1 / 1 MP =Same I i 0 1 I 1 1 1 ASSUMED ELEV. = 100 Alternate BM = Top of BM 92.00' 91.00' Survey Iron = 96.40' A BM 317.15' Alternate To cul -de -sac and 142nd Street i ' Soil Test Plot Plan Project Name Richard Nelson Sha rd Address P.O. Box 10622 White Bear Lake Mn 5 CS #226900 Lot 6 Subdivisio Richmond Meadows Date 7/1/03 NE W 1/4S 24 T 30 Township Richmond R Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation At -Grade *HRpSame as Benchmark Alt. BM 96.4' top of survey iron 142n > 00010 Scale is 1" = 40' unless otherwise no j (A ; V'% LL G 1 " { o ,� pe -1 30' a s i 1 91' ��� 4 2' �' 0 ' CAN d J` B -3 90 , .M.S 298' Property Line .M. i w?$vonsh._dpartmentofCommerce SOIL EVALUATION REPORT Page�of-I 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 County 11 inches in size. Plan must C r C' 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'( nearest road. d Please print all information sewed by Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m))• Pro�rty Owner Property Locatio 15 kck('(� i o,n I Govt. Lot Q 1/4IQ01/4 S Z T 3 C) N R )8 E (or r ro rty Owner's Mailing Address Lot Block # Subd Name or 3 Z I ICKVI/1 ,)d C' O LA; S City State Zip Code Phone Number [j City Village Town Nearest Road cr L (o (6C )> ��� ( - () r ,�t t� S�. (A New Construction Use: [A Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ P c com vial - De be: Parent material AaT Flood Plain elevation if applicablrAFP ft. General comments �/ 5 e v✓� E e �1 , 9 �LI� -� / and recommendations: � yl-6o f 6� F g, 0 d 2 3 2002 ROIX COUNTY 7 ZAP 110 Boring # E] Boring q F _J pit Ground surface elev. I� ft. Depth to limiting factor () 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 i l v>- .7 9 ( C < < C 2 12 � S f V ys� D Boring # ❑Boring _ p _ ft ? Pit Ground surface elev. r ! . Depth to limiting factor 3 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. r *Effl" •Eff#2 Z -- r _ Z 6K r C s ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS _< 30 nVIL. CST Name (Please P Signature CST Number ��rN► S L►uv�►G P r 3 30 Address Date Evaluation Conducted Telephone Number Z 11 � Sc e`s y02 - 9 -0? `TIS ZN) 1 1008 SRD 8130 (1107 /nn' • PAGE 3 OF NAM F /i e- ISO r LOT# /6 LEGAL DESCRIPTION y L X X ) , J 1 4 ,S Z 4 ( T d N.R. I K E(ord SCALE: I "= 1 '0 �} I BM I ELEVATION /00 d BM I DESCRIPTION A0 C-- BM 2 ELEVATION BM 2 DESCRIPTION see -Zy SYSTEM ELEVATION ALTERNATE ELEVATION CONTOUR ELEVATION C) g Z �2 th a X d � �d ZZ a SIG TUR � DATE d0b -_ 0 GAS GAS GAS -"A5- SAS • ' - _ COUNTY TRUNK I GH WA Y G N -D : p r - - -- - -- - - - - r r " r T X. 1�8 C 459.72 E X. 18 CMPi 230. \ 166.88' °o ► - 656.84'- INV=1001.96 INV =1001 -49 0 \ \w N \ °o ,° l ��\ S§9°04'34 "E +2:. t� RIGHT -OF -Y AY LINE I f7 � I N _ �' - - - ,�43 p °r - - x$ - - % 1005.00 74541 SgFt •w - 1 ft J\ 4", i I I �� o °rO 1.71 Acres �� / i drainage CSz ° _ O �� I r BA 18 O 6 1 I ��y:'�+ / / c 100585 _ "� I 98685 SgFk N J z re F 2.27 Ac $ 3 8. c est I i 1 4BA =2.i;; $e:, ON �� w �JBA. - 1.�2 Acres Nip =94.94' ° I 00' ° 9 o ° � $,mss S I k • , � I I / . 20wE • 000 J i , / 0 2 .93' 5 81 11 1 Y7 / '�� �o • l B 19 ex i t i o 69.22 I �OT 248 CS o ° a0B22l 0 /p0' �L / \� �°pwo�.��66'L i PG I I ®�.� 9 / 6 ' � ' �� k °k l 14� l ��� , �4 3 / 67920 $qFt /.�• / _ �'{ ��S \ 'P�� 38/SgFt O c 1.56 Ares /\ `• La62.�� �iP. �• �� + V Aeros /. M �18A =1.56 Acres '�\ .14 Ares / �' M / 1010.00 1° _ 1 F j .°r. y ea c' 1.5 1 1 1 ' / /_ -- __ �0�0.85 c �11 8832 Sq�F\ tom: O c�,� 'rn � drat ac 7 4- i X .0 Acres r / f Ff- _ NqA_1.81 Acres' 1 1 S I 1M' )g R- 4+9'08 % / o / I l W 3' 33' bl 'O 1 a l ��/ / - - / �• 'TD 452.35' 8.32 / 33 .3;' L N7 i l L - w M79 9ea0�� i 1 205.87 - - / 42036' 87 02'1 W 33.OQ' '�• / __ • � �L i / / ?14.4 - I S79 °48'54 - °44'51 " 33 1"52.98- L =113.30' '� R =66,6.00' c 1011. _ - _ / / / ° I A- 9 O ry O -- dfalna / N - O� O ge & Utllit). 994. / / / c 'oos oo ` N 3 ,° 4, S8 4r36'0 3 "E . ;' ! X003.00 ` / / / /$ W ^ � •� 1 72.07 - Co a • 38 o ao � / B24 / 9,44 1 s oo� o + 2.17 Ac es • W r 6sonnsin Department of Commerce SOIL EVALUATION REPORT Page 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 r t ( BM), direction and Parcel I.D. 026-1^17- /, - Z01 percent slope, scale or dimensions, north arrow and IoRkLYalQis� st road. �- v � t Reviewed Dat, Please print all 1 formation. Personal information you provide may be used for se ndary p es Pri a Law, s. 15. (1) (m)). Property Owner rope Locati H e COUNT .Govt. 0' 1) 4 T (J N R E ( W Property Owner's Mailing Address OFFICE Lot Block # Subd. Name or CSM# j City State Zip Code Phone Number ❑ city ❑ Village Town Nearest Road Q!&9= ons Us esidential / Number of Code derived design flow rate -.�- t�4, GPD ❑ Replacement Q or commercial - Descxi e: - - -- - -- -- --- Parent material Flood Plain elev on if applicable ��� ft• General comments nl� and recommendations: Borin # 0, Boring v>•'f�l- I 1 1 Pit Ground surface elev. ft. Depth to limiti r in. Sit i Horizort -' Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 -Eff#2 1 0 1 5 3 0- AW N r6 Y C Z d� S IZ lh ® Boring # Bo ring //� 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/f- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 Eff #2 C ' S 7 • c IoY • Effluent #1 = BOO > 30 < 220 mg/L and TSS >30 1150 mg/L ' Effluent #2 = BOD < 30 mg/- and TSS 130 mglL CST Name (Please PWQ Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 r`f—J v 715- 246 -4516 Comm 83.44. WISCONSIN ADMINISTRATIVE CODE 162 :! 'eA1 c Fy S v ZPOtt l ltbbD )tu {�4G6 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 intosuhcur- ing in part of situ soil shall reflect restrictiySelsog that face soils without ponding on the ground surface. affect treatment or dispersal. c The infiltrative surface of unsaturated soil to which influent a (5) P.pl� IYENT DE RiBUTIA (a) The distribution of effluent is ED ed shall be located cone inch below the finished to a treatment or dispersal component consisting of silt lou$or S ���, � 1 1 ! finer soi� material with weak platy or massive s be accomplished by means of pressurized (4) CAPABIt.rtiE3S. (a) 1. a. Except as provided under subd. 2., �, dishx"�iuiti" the dispersal (b) 1. The distribution of effluent to in situ soil shall be accom- persal ce iii F pair of a POWTS treatment or dispersal coin- fished b means of pressurized distribution, if the value for ponent coas�sting in of unsaturated son shall be limited to that ^ BOD TS S and f ;ohform of the effluent is a al to or less specified in Table 83.44 -1 or Table 83.44- 2lfased upon the influ- it z p ent quality concentrations being applied. a. A monthly average of 30mg/L BOI)S. b. Under subd. 1. a., the influent quality parameter with the b. A monthly average of 30mg/L TSS. 4 tL 1N" high est concentration shall determine the maximum application c. A monthly geometric mean of 10 fecal colift�efu per , c. Except as Provided in par. (c), the soil conditions' at a N • gyp• taming, ti. ve sur - uns at&Wd soij to wtuch influent is to e 1. c. shall be determined W et to establish the um application on the basis of measurements taken over 30 consecutiVg� days, a r�+Fnr a 1�ATC d;cnxal deli ng. with at least 6 measurements occurring on 6 separate day%- & h d. The moist soil consistence of the soil horizon in which the (c) Each dose of effluent by means of pressurized distribution 4 Am infiltrative surface of a POWTS treatment or dispersal component into a treatment or dispersal component consisting in part of in situ will be located m not be stronger than _firm or any ce m en ted soil may not be less than 5 times the void volume of the POWTS T �, classification. rstribution intern s. - e. Th u rum soil'applicadoq for soil with moderate to, ' ` G Ye e �e, I Z 5 strong stnrcdrrr;sa�l not exceed 0.2: galsJsq • Y for '1hb1 1 �P' �✓ P e uent concentrations of 1530 1k all 30 mg/L BOD5 and TSS and s Maximum Soil Application Rates Based Upon Percolation ��D -+0.0 galsJs . ftJday for effluent conce 'ors of > 30 Rates and TSS. b Maximum Monthly Average The application rates specified under Table 83.44 -1 shall BOD3 > 30Mg1L only be recognized where the percolation res�.s ave filed <_ 220 mg/L with the governmental unit before July 2, 1994. ercolation Rate TSS > 30 mg/L BODS 5 30 mg/L 2. Maximum soil application rates other than those specified (minutes per 5150 mg/L TSS :5 30 mg/L A 0 in Tables 83.44 -1 or 83.44-2 may be employed'` for, he design of inch) (gaWsq day) (gals/sq ft/day) a POWTS treatment or dispersal component consisting in part of Oro less than 10 0.7 1.2 t in situ soil if documentation is submitted and approved under s. 16 to les than 30 0.6 0.9 ai Comm 83.22 and is based on soil permeab' " - 30 to less than 45 0.5 0.7 D spiration es " red to s c soil characteristic 45 to less than 60 0.3 0.5 h scn ll'ii1''a'tletailed in ologi soil evaluation: 60 to 120 0.2 0.3 (b) The treatment capability o a treatment compo- greater than 120 0.0 0.0 nent consisting of unsaturated soil shall be limited to that specified: a>cans seater in Table 83.44 -3, unless otherwise approved by the department. 5 means less than or equal to Table 83A4 -2 Maximum Soil Application Rates Based Upon Morphological Soil Evaluations Yu t PAaximurn Monthly Average B DS > 305 220 mg/L A) ' BOD S5 30 mg/L k TSS > 30:5 150 mg/L TSS 15 30 mg/L (A'n So Texture Soil Structure (g alsJsq W ( gaWsq ft/day) Coarse sand or coarser N/A 0.7 1.6 l Loamy coarse sand N/A 0.7 1.4 s j �� 1 �- Sand N/A 0.7 1.2 5 b l 1 Loamy sand Weak to strong 0.7 _ 1.2 01 0 1. 4 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 Massive or 0.6 Very fine s N/A 0.4 0.6 y very fine sand N/A 0.6 Sandy loam Moderate or strong 0.5 0.9 Sandy loam Weak, weak platy 0.4 0.6 Sandy l oam Massive 0.3 0.5 R*Sta, April, 2000, No. 532 L �t f Property Owner _ Parcel ID # Page Z of Bori # ❑ Boring pit Ground surface elev. ft. Depth to limiting facto in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 041 L 3 5L 5 . 11 -Z7- z�1 ! F! 7- i�.el. 5 ti fl 5 cZ a Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soii ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a 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 GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mglL and TSS >30 < 150 mgA. ' Effluent #2 = BOD < 30 mglL and TSS <_ 30 mgk 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. SOD4330 (8.6100) wi�consic Dapartment of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County C ro I 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. d Z� 7— �Qb Please print all information. R sewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). W/� Z O Pro erty Owner Property Property Locatio `� i kol I Q/) Govt. Lot IQ 1/4 IQ W1 14 S Z 9 T 3 0 N R J 8 E (or Property Own's Mailing Address Lot Block # Subd Name or 3M# M# iCK e 0W City State Zip Code Phone Number ❑ city Village Village Town Nearest Road an 10 (6C )7 e -0W 2tC� ( New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ P c - De 'be: Parent material com vial Flood Plain elevation if applicable ft, General comments e I e v , � F, 8 - 0 --�5 Bj and recommendations: a- f U r 6� v �/ z Q 't6 APR 2 3 2002 ST. CROIX COUNTY F 71 Boring # Boring Pit Ground surface elev. 91- ft. Depth to limiting factor 0 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 1 - C 1v� s Z - Z 9 G C V � _ C F21- Boring # ❑Boring _1.__ Pit Ground surface elev. R 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 G -(O 5I ( r C S. I ur . S ,� 2 ( -- r Z 0 6K r C 5 v ' 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 i t) Signature CST Number J., Z 30 Address Date Evaluation Conducted Telephone Number Z[I �0��' S� Sc en's `� p2 - qt 0 Z►S zi-n �-l0o8' SRD R130 (R0710r)) Property Owner �� P (S O /7 Parcel ID # Page of F-31 Boring # ❑ Boring ® pi Ground surface elev. 7 �Sd ft. Depth to limiting factor 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 a — C .� 2 t �— C �K Cr i _ ?ms CS , c i . 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 /ftz 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 /ftz 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 (W07/00) ~ PAGE 3 OF NAM F 5 c r LOT# LEGAL DESCRIPTION w L Y4,0 X ,S Z T `5 d ,N,R, j E(or SCALE: 1"= y0 �} BM 1 ELEVATION /00 U BM 1 DESCRIPTION -kP Cf 1 Co acto i'+ — BM 2 ELEVATION ,_d BM 2 DESCRIPTION Z24 SYSTEM ELEVATION 9fS �d ALTERNATE ELEVATION CONTOUR ELEVATION I �2 X d � oZ �•, - - - -_� SIG TUR DATE 856 1 s: " 6 C ►5 GAS GAS GAS GAS — � GAS — GAS -- -- COUNTY TRUNK 41GH WA Y G N °mow - D D \ — — — - — - _ _ r �- -- -' — � ---- - T' - -- � — '- - - - EX. 1�8CMP t EX. 18 "CMPi 230. \ ! 166.88 0 �� -656.84' '59.72 INVa1001.96 INV =1001 -49 o \ \w V) \ ° - 0 6 ' I ���` S$9 "E :?2:: t� - P \ RIGHT -01`-r AY LINE I L �o��. �.' N I 17 4,� O so __ o -- X821 -- — - 1 1005.00 74541 SgFt .w r 20ft. wide " G� J � ' I �D 71 Acres 1 I� o � . C r u 4 I ° drainage BA =1.71 ����-'- ko O N ro ry• / 18 I Q !t � z 1 I 'S / G 1005.85 �� I 98685 SgFt O M N J 21 F 2.27 Acre 8 SgFt cres ��BA =/.Ue� ON I I Uj A._•,.�2 Ades I o o =94.94 0. I P �3 I 00'•° ° °r 004 9' Ash o j lk oo h S83°51 '20 I 0 25 .93' S81 .22 Rg J o 7 F /OT i CSM o I o ; o• �• t'p% E OD B22 0 /p0 •�1 / \� owo�.y`1'66'�'L O� / . 1�1 rv)3 OD 3 / / I ° 67920 $qFt / I . / _ _ ��. < 38/SgFt o 1.56 Ares /\ ` '.' 1. �R3° `sue' \�'����i / I / R :8 \ F ? , res / /� / �BA=1.56 3 ' V Ac > > a' Acres d' - �s. I < - '.14 Acres / x' N / 0,0 �� S.�•� �. I�, �J °4 1t / l = I I <M � `�r.� 00 29 6.2 / � F I o 6S C 15 \ � ,p Q � l- - - - 1 010.85 G I I ea8$�Nw\a 20ftl w 78832 SqF a;$ oc,+ 6, ter•' drairag so 11.81 Acres ` \ N:o �. I NN N1 l _ NSA =1.81 Acres z � 1 I / Ls6 .70'. o / 33' 33' w o 1 ¢6, I R =2 6.00" o hwWo Lai 1 0 313.3 o o - ' 0 B 18 r = : — _� _ — Z o I�'/ p� I I 4 18.32 �° 8° 45 �' � / 33' 10 i r N7 '►� ,l o 54 w EST 8 5 N . 2 87' — — _ X4 20.36' 8 / 0 02 . 1 , _ ,-� W 0 5.33.OQ' / ♦,�L�Cpti'. / / 214.4�J — — I ► S7904 °44'51" i X52.98' L =113.30' '� R =66,6.00 G loll. - � �9 ° 44'51" / N oo — draina ge / Q; ge &utility / c 1006.00 * I N 1 3 v 990 00 8_ S841 ° 3 6'0 3 "E •- �t1E , / _ 100 3.00 / Fwo / / W e RIVE �� •�� / 1 7207' ��00 % I � N 1� �' �fp� k . I / Neh 6• W ea.o0 �1 ri 4 W /0 F31 r . I 00 38, 0 0 824 s�4� s 100 0 00 ° o / 2 / ° . /2.17 Ac es W ^ 7 ;J,isconsin Department of Commerce SOIL EVALUATION REPORT Page 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;fefore j+int B M), direction and parcel I.D. - 6 - 1 j C f 7 _ A, percent slope, scale or dimensions, north arrowl and to�t�YarMfdi'6 st road. Please print all i formation. C 66 Reviewed Dat Personal information you provide maybe used for se ndary p ses Tri acy Law, s. 15. (1) (m)). lilt -� Property Owner - rope Locati 01 ,Govt. of 1/ 14 T > 19 N R E (o . W Property Owner's Mailing Address �` OFFICE Lot Block # Subd. Name or CSM# f Oily State Zip Code Phone Number / ❑ City ❑ Village Town Nearest Road ew CAS - 4 C Us esidential / Number of b Code derived design flow rate —� GPD ❑ Replacement Q or commercial - Describe: ___ - -__ - / - - - -- Parent material Flood Plain elev _ o if applicable � ` � � ft• and recommendations: 1� �ir c^ i y�f '� 'l '` :w 4 001 Boring # Q Boring l f! lC pit Ground surface elev. L ft. Depth to limiti r in. it li at Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munseh Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf #1 'Eff#2 0 -13 o r Gs 5 V off- 2 3_ s .3 ©- L ! w N Yr6 C2dl� a_ / h ®� # Boring Pit Ground surface elev.�/1__ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 3 J 7 t toy 30— V4 ' Effluent #1 = BOD > 30 < 220 nxA and TSS >30 5 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 130 mg/L CST Name (ply Print) Sign �� CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, W 1 54017 s` '-) 715- 246 -4516 Comm 83.44 WISCONSIN ADMINISTRATIVE CODE 162 ->OA -P r-l/ S u n � CfiDD )tii � 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 intosuhsur ing in part of situ soil shall reflect restrictive so' 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 ( EFFLUENT DISTR>BMO (a) The distribution of effluent is disc4arged shall be located at least one inch below the finished,* to a treatment or dispersal component consisting of silt loarjor finer so* material with weak platy or massive s be accomplished by means of pressurized distii` (4) CAPii. (a) 1. a. Except as provided under subd. 2., ti, (b) 1. The distribution of effluent to in situ soil shall be accom- the dispersal capai of a POWTS treatment or dispersal com- lished b means of pressurized distribution, if the value for ponent consisting in pWbfunsaturated soil shall be limited to that ^ BQk��� Sof the effluent is a ual to or les's specified in Table 83.44 -1 or Table 83.44 -2 Yased upon the influ- ent quality concentrations being applied. a. A monthly average of 30mg/L BO. DS. 4 b. Under subd. 1. a., the influent quality parameter with the b. A monthly average of 30mg/L TSS. , P highest concentration shall determine the maximum application ( Q rate. c. A monthly geometric mean of 10 fecal colif cfu C. E xert as provided in par. (c), the soil conditions at the Note; •tiFU" means colony raining units, infiltrative s ace or nsatuiradssoil to whit influent is to e geome= 1"Mul ulift S06d. 1. c. shall be determined cjWQp snall ME used to establish the maximum application " on the basis of measurements taken over 30 consecutty days, ] rr�fnr a Pt1WTS �II rsai design with at least 6 measurements occurring on 6 separate days. � (t , d. The moist soil consistence of the soil horizon in which the (c) Each dose of effluent by means of pressurized distribution 4 infiltrative surface of a POWTS treatment or dispersal component into a treatment or dispersal component consisting in part of in situ will be located m not be stronger than fum or any cemented soil may not be less than 5 times the void volume of the POWTS classification. istribution later S. + e. Ile wtitniim soil application for soil with moderate to, ',Q rG y 5 � f / s strong l struchrre s all not exceed 0.2- gals /sq. - _ y' for . 83A4- 11 �' e uent concentrations of !00 mg/L BOD5 and TSS and shall bgi Maximum Soil Application Rates Based Upon Percolation Z & - B0 -+0.0 gals. /s . ftJday for effluent conce t<a'ons of > 30 mi&jL Rates 5 and TSS. p0 Maltimum Monthly Average 49 The application rates specified under 'fable 83.44 -1 shall BODS > 30Mg/L only be recognized where the percolation rests ave been filed 5 220 mg/L T with the governmental unit before July 2, 1994, ercolation Rate TSS > 30 mg/L BODS <_ 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 83.44,-2 may be employed f6i the design of inch) (gaWsq day) (gals/sq ft/day) �1 a POWTS treatment or dispersal component consisting in part of 0 to less than 10 0.7 1.2 6 in situ soil if documentation is submitted and approved under s. 10 io less than 30 0.6 0.9 k Comm 83.22 and is based on soil permeab' d exapollan- 30 to less than 45 0.5 0.7 spiration es ' 1 ted to s c soil characteristic 45 to less than 60 0.3 0.5 'detailed morphological soil evaluation. 60 to 120 0.2 0.3 �, }k (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 grew than in Table 83.44 - 3, unless otherwise approved by the department. 5 means less than or equal to Table 83A4 -2 Maximum Soil Application Rates Based Upon Morphological Soil Evaluations jh-L aximum Monthly Average BOD5 > 30:5 220 mg/L Nx ' BOD s5 30 mg/L �. TSS > 30!5 150 mg/L TSS 5 30 mg/L So Texture Soil Structure (galslsq ft/day) ( f 1 Coarse sand or coarser N/A 0.7 1.6 Loamy coarse sand N/A 0.7 1.4 Sand N/A 0.7 1.2 � 4 � ►►llb� ` . Loamy sand Weak to strong 0.7 1.2 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 ine Massive or 0.6 Very fine s N/A 0.4 0.6 y very fine sand N/A 4 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 2- of Boring # El .Boring � rt 0 Pit Ground surface elev. L L J / Q ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Con Color Gr. Sz. Sh. 'Eff#1 'Eff#2 z 3 5L �s 5 Iz -Z� �Y _ 2- R `� t FI �- v t0 i 5 ti MFI 5 cZ ' a 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a Boring # ❑ Boring [] Pit Ground surface elev. ft. Depth to limiting factor in. Soil tication 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 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 (8.6/00) Soil Test Plot Plan Project Name Richard Nelson Sha rd Address P.O. Box 10622 White Bear Lake Mn 55110 CS #226900 Lot 1 6 Subdivision Richmond Meadows Date 7/1/03 NE N W 24 30 18 1 /4 1 /4S T N/R W Township Richmond Boring () Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation At -Grade *HRpSame as Benchmark Alt. BM 96.4' top of survey iron 142nd st. Scale is 1" = 40' unless otherwise noted a U AL M B -2 Slope B -1 30' 91' 0 ' 92' 60' B -3 90' .W 298' Property Line p y .M. FROM :pEVERING HOMES LLC FAX NO. :7155311282 Oct. 30 2003 10:24AM P1 • i7iGO0GG� p' Oot 30 09 09,99& F06CRTY PLUMDING ST CROIX COUNTY SEPTIC TANK MAINMANCE AGREEMENT AND OWNERSHIP (UTIFICATION FORM Ownefffluytr a5z4gG w� - Mait'mg Addn�s �3� lur ��..i�as� Pty► Minor (Vedfiuooa wgWmd ftW Plea o ft DRM%r, at for new oeroau� ion C'i /State Parcel Identification Number ! q -2 C — — tag& gp P= Property Lacalion Yr t &&V T N R.z_W, Town of n/I'O''� /� . Sabdiviaiolt /� Ceram Survey Map # Volume �— PaLe # Wa nasty Deed # 7 Volume . Page # Spec house D yes Ig Lot lines idelitifiablc MlYes O no Iqa+ apereoewdesiaAn ■aeeedliaor�s�atoawrii�eaiah� tlspeatNirdetia ' laesle Laaiewa�Ma.Piepeasdd�edem coasisfs 'alp, +pbgs err roar septk fade erery Aeoa> er eseeq !t aee%d by a 1'iowae� p..i� vftw s� pot in" Air Fa l! e ere § die faerdorl a[ Ilia aaptie anal[ M a hewMamt awi i lie wrens Seri s7�sn• jU p4 n1j *weer Wew a aeb0& M St- Oak 7AWjjA Depaoat a aadAadm fear, sipW by Ate owew trod by a Artt t 16eeedatlewatedielostaa► mastapleoiba jeatagaa�rtMbsl� lL!�dafi�er�adptettpec C I aarlcia tat>taat 1/rJ faN otaiad�. is a paopiet` eaa�liaa ea(Yj Mts�iigee�ss paetpias C daseaa�9� vwe, dndeatipai tam teed On above ne+aaa�a sad r ■iaariaArt p>oiaate d.atee mod a7 wril6 Ate apaa�tdt sdFai��e+ e�. aeeettijieDepteare�afdreDe�ewnRe [] sbne6liit ywt � a�a1t ba bad awiaNiaeAr»t bx eaa*laci ad>�rAOdao is 9t. C.via CAraN4 T�aYg OA�w'�° 30' DATE - OW1�iBR CBR � CATION • i (" cedi[Y rt ai I&MMOU00 Sk taint ate bale to Ass beat of aA few) >b1l N 4 e- I lwe) silt ( a!C�l die by vista st i wm" &W �ei6d in )Rr SWK of Deeds 09kr- A 8 OF lL C-ANr DATE- * Any isfaaMNOW did is Mb4WW0FftdwY reaak is $0 W& MY pealadt bdD8 n:s40-A br die Z tiaR ph " Include with Wrr applkmdes: a gimped warranty deed fiM $9 RgSb§ r of Dee& office a cam of d►e -- —!:- t moray MW it w* s is wi,& is dw w, ..tr seed U w 2424P 574 - 7 029 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/01/28®3 10:30AN This Deed, made between, WARRANTY DEED HILLVALE DEVELOPMENT PARTNERSf", EMM # A Minnesota Limited Liability Partnership REC FEE: 11.88 TRANS FEE% 752.70 GRANTOR and COPY FEE: CC FEE: OEVERING HOMES, IN PAGES: 1 GRANTEE, THIS SPACE RESERVED FOR RECORDNG DATA NAME AND RETURN ADDRESS WITNESSETH, That the said Cwmtor(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 14, 66 4 3,32,33,34,35,36 AND 37, PLAT OF 000;026- 1147 - 43-000 026 1147 - RiCHMO D�IAFJIDOW IN THE TOWN OF RICHMOND, 000.026-1147 -34- 000 6 - 000;026 -1147- 36-000;026 - 1147 -37- C ROIX COUNTY, WISCONSIN. 000 ;026 - 1147 - 35 This is not homestead property. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the property is good, indefensible in fee simple and free and clear of encumbrances except easements and restriction so record. Dated this 1 sr day of October, 2003. RICHARD NELSON (SEAL) ACKNOWLEDGMENT AUTHENTICATION State of WISCONSIN ) )SS. Sivuum(s) x0mai ased; County, ST. CROIX ) Personally onOctober 1 2003 the above VPu blic, wnn to� s) who TULE: MEMBER STATE BAR Of WISCUNSa1 nstru m cmowege the same. L URN TTi1S INSTRUMENT WAS DRAFTED BY: RIVER VALLEY ABSTRACT 1200 HOSFORD STREET #201 L TUM My commission is perm""em. (If not, state expiration HUDSON, W154016 Tracy :12/07/03 Notary Publ State of Wisconsin — -- - _ 166.80' ,~ �� 459.88' o ' RIGHT OF WAY LINE PARALLEL WITH AND o 50 FT. SOUTHERLY OF THE TRAVELED ;< CENTERLINE OF COUNTY TRUNK HIGHWAY G - ----- -.�.�_ -- - -- -- ------- • �;� a_ __- - --- -- -- - - - - -- -- ---- - - - - -- - - - - - -- - -- 20 ft. wide 0 74589 SgFt drainage eosem 1.71 Acres ai W > 18 y N � ? SqFt 98702ASgF + N o 1.92 Acres 227 W t 1 t 1 280. 5 81 4 19 . 2 4 1 - 66.22• 19 22 ,,,GSM 675 Ac t es 2348 ;\ \\ / �, \ dr �, � LIS s N 67920 SgFt 1 15.4�`1b+E .56 Acres ``�� \� \ em o�`� ,\ 20 ft. wide 78832 SgFt \� \ drainage ea: -_� -- 1.81 Acres s \\ , \ 20 \, \ 10 66109 v \ �v I 1.52 P o n i C46 31 3L32• °� it ' O b % droI 418 32 33' 33• easy , . / 214.4'• 9 _' _ —i; 33• 3X SZ 54 I ^ o ° J _�� Cl t i`– Drainage do Utility Eas w 3 v . f- S84 3603 "E 72.07 .. 38 Sif 21 W 7 1 A cre s � m Z 88 Sc 39 v 793 I I c ' � 1.82 Acr 40 91607 SgFt 2.10 Acres /�gh� .�6 • 91777 SgFt z 4� 58722 40 ,� � 2.11 Acres tyro. �0� �����