HomeMy WebLinkAbout026-1147-32-000 Wisconsin Depar(cnpnf of Gommerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety a�d Build division
' INSPECTION REPORT Sanitary Permit No: 453499 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Oevering Homes I Richmond Township 026- 1147 -32 -000
CST BM Elev: Insp. BM Elev: BM Description: 5 �� Section/Town /Range/Map No:
/DU fJb l)e,..) (3 24.30.18.1090
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
d
Dosing Alt. BM
Aocstiel; Bldg. Sewer 1 5 21j ! Y• 7
Holding St/Ht Inlet 7
TANK SETBACK INFORMATION StlHt Outlet �I 7 - S
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet . G`
✓�C 9 5 47
Septic f D � �.►u i : Dt Bottom
lD , 15 / 1. 53 C l Z • 2
Dosing r D /5 .y nO � Header /Man.
.rte 7
Aeration Dist. Pipe
Holding .. Bot. System
PUMP/ IPHON INFORMATION Final Grade
Manufacturer � GP 1 nd St Cove. 3. 'to /6 6. , 37
Model Number ..15 -Cs
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to Well
�N =(4 IT
SOIL ABSORPTION SYSTEM
BED/TRENCH Width ngth No. Of Trenches PIT DIMENSIONS No. Of Pi Inside Dia. Depth
DIMENSIONS to ; : T t Iva
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM ACHING nufacturer.
INFORMATION (AMBER OR
Type O System: 1 y NOT 7 / 4 p UNIT Model Numbe .
PV• G f 3� ctSt G ► �-�
DISTRIBUTION SYSTEM -
Header /Manifold Distribution * x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) O� 1 25 "I
Length f— Dia _ Length S S � Die t' `� Spacing
SOIL COVER x Pressure Systems Only xx M ound Or At - Grade Systems Only
Depth Over t Depth over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center t Bed/Trench Edges + Topsoil : E<
1 Yes No C1 Yes 0 No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: '1 ! �-l% L)4 Inspection #2:f7-.—'! / 4)4r
Location: 1454 142nd Street New Richmond, WI 54017 (NE 1/4 NW 1/4 24 T30N R18W) Richmond Me -0t Parcel No: 24.30.1 n
1.) Alt BM Description = 'fir As r �� 4Z,.QU-.v` G��'S�L� I"'p... t ✓`^1��� C.�n� (�� C
2.) Bldg sewer length = -,lp
- amount of cover =�
Use other for informs of No
Date T Insep tors Signature Cert. No.
SBD -6710 (R.3/97)
i Safety and Buildings Division County
ar 201 W. Washington Ave., P.O. Box 7162 t wr
JSC0 nSjn Madison, WI 53'07 - 7162 Sanitary Permit Number (to be filled in by Co.)
Department of Commerce (608) L I 53 (- R
Sanitary Permit Application Soft Plan I.D. Number
In accord with Comm 83.21, Wis. Adm. Code, personal information you prbviide , I - re LD
may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address Cif diffemnt than mailing address)
I. Application Information - Please Print All Infotmationk
C/SY Yj A " ' �Z
Property Na me /
L
Parcel # Lot A� Block #
y o z o,w1^x:1A 4 1 P 24C -H Y7—.r?- ( 34) ---
Property Owner's M ailing Address Property Location
3lr�lt�tr E Ct,� ! 'A L 46 %,Section 1�
City, State Zip Code ..�
�ctL ® - W5 - 7&- ew -70 (circle one)
II. Type of Building (check all that apply) J T _� N; R _ & or W
111 or 2 Family Dwelling - Number of Bedrooms .3 Su Name CSM Number
❑ Public/Commercial - Describe Use A!
❑ State Owned - Describe Use - O ❑City ❑Village lfownship of
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A ' pNew S bem ❑ Replacement �_ place System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to F,tcisting System
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before F.xpiri don Plumber Owner
IV. of POWTS S em: (Check all that a ) -
❑ Non - Pressurized In- Ground 8 > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil At -Grade ❑ Single Pass Sand Filter
❑ Constructed Weiland ❑Pressurized In Ground ❑Holding Tank ❑Peat Fidler ❑Aerobic Treatment Unit ❑ Recirculating Sand Filter
❑ Recirculating Symhetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel less Pipe ❑ Other (explain)
V. Disgiersalfrreatment Area Information:
Design Flow (gpd) Design Soil I)pplix�ti� Rate(ypdst) Disnersa Area Requ' ispersal A (sf) I System Elevation /
S ' - ::Zn VW ✓�
VI. Tank Info Capacity in/ Total Number facturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New &L'ing
Tanks Tanks
Septic uamc
Dosing Chamber OD PDO t/
VII. Responsibility Statement- I, the undersigned, assum responQib f installation of the POWTS shown on the attached plans.
Plumber's Na me (Print) Plumber' Si MP/MPRS Number Business Pbone Number
Pdnmber's Addre ss (Street, City, Stifie, Zip Code).
Fogerty Plumbing & Perk Testing — Y& — .?
Co
11ppro 1 Sanitary Permit Fee � , I Signature (N )
11 Owner Given Reason for Denial Surchar� Fee) Fee
V - V
IX. Conditions of Approv"easons for Disapproval
YSTEM OWN R. �
3 Sept t anK, uent filter and
dispersal cell must all be serviced / maintained ,c,��er uc�h yGLuo��>E;fiy>2,L'
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code /ordinances. — 3, 3
Attach —ptete plans 09 me Camp onbr) for the system a, pw not than silt a ll inches in sae
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` • Safety and Buildings
commerce.wi. OV 4003 N KINNEY COULEE RD
g LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
i sco n s i n www.commerce. o
Department of Commerce www.wisconsin.gov
Jim Doyle, Governor
- Cory L. Nettles, Secretary
August 25, 2004
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
PLAN APPROVAL EXPIRES: 08/25/2006 Identification Numbers
Transaction ID No. 1054287
SITE: Site ID No. 688485
Oevering Homes Please refer to both identification numbers,
140' Street I above, in all correspondence with the agency,
Town of Richmond
St Croix County
NEI/4, NWI /4, S24, T30N, R18W
Lot: 32, Subdivision: Richmond Meadows
FOR:
Description: Proposed Three Bedroom At -grade System
Object Type: POWTS Component Manual Regulated Object ID No.: 976701
Maintenance required; 450 GPD Flow rate; 36 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,
SBD - 10573 -P (R.6/99); Biofilter
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 so by the Department per s. 145.06,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• This system is to be constructed and located in accordance with the approved plans, and with publication SBD -
10570 -P (R. 6/99) "At -grade Component Manual Using a Pressure Distribution System for Private Onsite
Wastewater Systems ".
• The pressure network is to be constructed in accordance with publications SBD - 10573 -P(R. 6/99) "Pressure
Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and/or the sizing methods
of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ".
• A sanitary permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
• The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil
compaction in this area is prohibited.
• " A state approved effluent filter is required. Maintenance information must be given to the owner of the tank
explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided
per Comm 84 product approval conditions.
P C).4 r c.
Ca1d(ftt'�
- P R U'>
t c., KEITH E STONER Page 2 8/25/04
• Comm 83.22(7) - 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.
Owner Responsibilities:
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval.
• Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
Comm 83.54(1).
• Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as
required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption
system or any of its component parts malfunctions so as to create a health hazard, the property owner must
follow the contingency plan as described in the approved plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized
in the POWTS.
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
Gerard M. Swim Balance Due $ 0.00
POWTS Plan Reviewer - Integrated Services
(608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm
jswim @commerce.state.wi.us WiSMART code: 7633
cc: Leroy Jans Wastewater Specialist, 15 726 -2544
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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
715 -381 -6909
Legal Description Prt of the NE1 14 -NW1 /4 Sec. 24 T30N -R18W
Township Richmond County St. Croix
Subdivision Name Richmond Meadows Lot No. 32
Parcel ID Number 026 - 1147 -32 -000
Plan Transaction Number
Index sheet Page 1
Calculations Page 2
At -grade drawings Page 3
Laterals and dose tank Page 4
Specifications Page 5
Management & contingency plan Page 6
Pump Specifications Page 7
Plot Plan Page 8
��uan� hiai
Designer Keith E.Stoner •''
9 License Number De signer# 1575 -007
Signature ( R s Phone Number 715 653 -2
n
Date 08/09/04 W s
'tt d ••�.....••
o�iu G
Designed pursuant to:
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 (01181)
Version 3.11 (05/01) Page 1 of 8
DIViSiON OF SAFETY AhD LU1LIANUS
SEE C;ORRE S ONDLNCE
l '
a t
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)
3.00 % Site slope
99.00 Contour elev. below lateral (ft)
36.00 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
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
0.125 Orifice diameter (in) e.g. 0.188
Not a final
calculation 1.83 Estimated orifice spacing (ft)
2.00 Forcemain diameter (in)
2.61 Forcemain flow velocity (ft/sec)
25.00 Forcemain length (ft) y or n y Does forcemain drain back?
91.50 Pump tank elevation (ft) y or n y Are laterals at highest point?
NA
6.5 System head (ft) x 1.3 4.1 Forcemain drainback (gal)
7.00 Vertical lift (ft) 51.0 5x Lateral void volume (gal)
Friction loss (ft) 5 1 Minimum dose volume (gal)
13.86 otal dynamic head (ft) 25.6 ystem demand (gpm)
Lateral Diameter Selection Gallonslinch Calculator (optional)
P
Pipe diameter De sign options Design choice Total Tank Capacity (gal)
Designer 1 in Total Working Liquid Depth (in)
must select 1.25 in x Gatlin (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)
Weeks Concrete Manufacturer
Effl Filter Info rmation Dose Tank Information
Zabel Filter manufacturer 805.1 Dose tank capacity (gal)
A100 Filter model number F 21.8 Dose tank volume (galCn)
Weeks Concrete Manufacturer
Project: Oevering Homes At -Grade
Transaction Number. Page 2 of 8
t l
AT -GRADE PLAN VIEW
1/6 B Observation pipes (2 typical) A 8.00 ft
D B 113.00 ft
T . . ............ ..
116 B 18.83 ft
C 10.00 ft
W 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
1 L
T
�- Cap
= Total ate cell A x B Slotted n the
aggregate �
6 ", and anchored
= Plowed area L x W I ,rely
6"
AT -GRADE CROSS SECTION
Svnthetic fabric cover
100.79 ft Finished grade
Lateral elevation
invert elev. 9 9.50 ft
44 Observation pipe
at aggregate toe
E
Surface contour 99.00 ft C A 3 ° 10 Slope
and system
elevation D '+
® = 12 in. topsoil and subsoil Plowed layer
over aggregate and tapered 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
1 P
Ir x - >I+XI2 I FJ2->l Laterals & force main of PVC $ch 40
Last hole drilled next to end cap (per COMM Table 84.30 -5)
Holes drilled on the bottom of the lateral.
equally spaced 9 = Turn -up Ydball valve or cleanoutplug
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) 25.00 Forcemain Length (ft)
13. TDH (ft)
Typical Pump Chamber Layout
Approved manhole cover with
Weather -proof �^ warning label and locking device
��
final grade junction box 4"
disconnect
Tank component is Alternate
properly vented ,._ outlet
location 18" min.
Electrical as per NEC 300 and /c Approved outlet
Comm 16.28 WAC joint
Tank full
Inches Gallons JA Provide 1/4"
C A 20.4 444.8 Alarm on weep hole or
= B 2.0 43.6 antisiphon
Pump on B
E C 2.5 55.1 IF device.
o D 12.0 261.6 92.50 ft C
Totalsi 36.91 805.1 'V
Pump off
D
IL
3' Bedding under tank w � 91.50 ft
Goulds - I Pump manufacturer S.J. Electro Alarm manufacturer
Model# 3871Model# 3871 -EPO44 Pump model number 10 -01H 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 - C ounty Sanitati 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 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 fe Maximum FOG 30 mg /L
Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL
Service Frequency
Septic and Pump Tank Inspect and /or service once every 3 years
Effluent Filter 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 ears
Mound Inspect for ndin 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 downslo a toe will be protected from c om p action.
P P
P
7. All other construction details are as per the at -grade component manual SBD- 10570 -P (R. 6/99).
Lateral Turn- Detail
u D
Finished •����• •904 *40000 *
Grade
6 -8" Diameter Lawn Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
Distribution
Lateral
Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: Oevering Homes At -Grade
Transaction Number: Page 5 of 8
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FROM :OEVERING HOMES LLC
FAX NO. :7155311282 Oct. 30 2003 10:24AM P1
Qnt 20 , 09 092 990 FOGCRTY PLUMBING
171eOOGC�0 r°�
ST CROIX COUNTY
SEPTIC TANK MAM194 NCE AGPMMW ,
AND
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Mailing Address
Pmperty Add
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CitylStatel P`�* `t Fares] Id�fiaatian Number 402
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7
ST. CROIX COUNTY
,� WISCONSIN
.•�•+' ti �•.. ZONING DEPARTMENT
1 _
ST. CROIX COUNTY GOVERNMENT CENTER
III ■ IN N. ■ �— 1101 Carmichael Road
r r Hudson, WI 54016 -7710
Phone: (715) 386 -4680 Fax (715) 386 -4686
Memo to File
From: Pam Quinn
Date: 4/14/2004
Re: Soil On -site Determinations for Lot 32 7 & 43 Richmond Meadows Subd.
I
On April 8, 2004 on -site determinations of soil conditions at the above lots was performed to
evaluate conflicting soil reports submitted by Adam Schumaker and Shaun Bird. At 11:00 a.m.
the weather /lighting conditions were acceptable, with temp. 50 °F, clear and. These
determinations were requested by the property owner, Orenzo Oevering and the plumber /permit
applicant, Dave Fogerty, who were present during the test pit excavations.
Additional test pits were located next to borings on the original soil reports to better compare soil
conditions in the tested areas. On lot 32 (see attached description) the soil profile contained
massive sandy loams at approximately 36 inches below grade, which does not conflict with the
soil tester's recommendation for using an at -grade system. What it did reveal, however, is that
both Adam and Shaun likely misinterpreted the structure of the sandy loams: Adam called the
sandy loam horizon a "2msbk" and Shaun uses "lmgr ". There apparently has been a
misunderstanding between "structure" caused by handling samples of the soil during texturing
versus the soil characteristics in situ. The soil, when chunks were taken out of the profile to hand
texture, parted easily into "crumbs" that appeared at first to be subangular or granular in shape.
However, these were not true peds that broke apart along planes of weakness , but fragments
created by handling. The soil when observed in the horizon did not have distinct units of
structure and should have been reported as "massive ".
Two test pits were evaluated on Lot 37, since the sanitary permit has already been issued. Due to
the current house and well location, additional tested area will be required to meet setbacks to the
POWTS. A pit closest to Shaun's B2 did have a sandy horizon as reported, but only to a depth
of 60 ", then underlain by a massive sandy loam. Unfortunately, the boundary between the sands
and sandy loam horizon was very irregular, with tongues of sandy loam much closer to grade
than 60 ". The recommended loading rate for this site would need to be lowered to adjust for
varying pore space at system elevation.
Lot 43 had conflicting reports, where Shaun's tested area (near the front of the lot) reported
conditions allowing a conventional system and Adam's (closer to the rear of the lot) reported
mottling at 32" with a mound system recommendation. Additional test pit B4 was excavated
next to Shaun's B3 (see attached description) and massive sandy loams were encountered at 17
inches below grade. Weathered cobbles (break into smaller pieces upon disturbance) and
oxidized iron deposits around individual gravel/cobbles were observed in the pit wall, but no
mottling was identified to 68 ". Shaun's B3 description of sandy loam with "2mgr" structure
starting at 18 ", then sandy loam "1 mgr" from 36 -110 ". Again, I think there was a
misinterpretation of texture after a sample had been handled.
Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this
situation and advised the zoning department to require on -site verifications for any lots with this
potential misinterpretation on the reports. Obviously, one of the concerns is to make sure
loading rates for the soils are not in error and allow undersized POWTS to be installed. For
example, in December 2003, Lot 35 had to have its loading rate reduced to 0.3 gpd/sq. ft. when
the installer encountered massive sandy loam at the system elevation. The sandy loam horizon
was described on the soil report as" lmge' with firm consistence. The zoning department will
have a note placed on all soil reports with this type of description as requiring a design using the
current code's soil application rate for massive sandy loam @ 0.2 gpd/sq. ft. unless additional
soil testing proves otherwise.
r � /
Wisconsin Department of Commerce
SOIL EVALUATION REPORT Page l of —3—
MAion of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County
. ('r
Attach complete site plan on paper not less than 8 /2 x 1 in size. Plan must
include, but not limited to: vertical and horizontal re even �Ij� Parcel I.O. 7
-
percent slope, scale or dimensions, north arrow, a d location and Is Mcb1 arest oad. 6 — / , I V
/ 3 Z
Please print all in Tdary rmat�gJn eviewed by Date
-
Personal information you provide may be used for sec purpos i (P""4 1�9631 5.04 ( ) (m)).
Prope Locatio
Property Owner �i> COUN
Z(`nn�,- OFFIO �ovt. t 1/ /4 T O N R E( W
Property Owners Mailing Address ` Block # Subd. Name or CSM# ,' , ,-7
City State Zip Code Phone Number ❑ City E3 Village To Nearest Road
d 1
Cons cbon Us esidential / Number of Code derived design flow rate —r� t; GPD
❑ Replacement or commercial - Descr e: — __ - -- - - --
Parent material t� Flood Plain ele -n-n if applicable
General cornments
recommendations: S l��v ^� ji -� �� �a j'�ft' ^ - , '.1r✓ y / iL
and recommendations:
/ �l �litzfC/' /1r Glop
Q Boring # t _t Boring
` Pit Ground surface elev. v' tc. Depth to limiting factor !.3 AL in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz: Sh. •Eff#1 'Eff#2
Z ---�
-
, V/0' -
Borin
f
Boring is
® pit Ground surface etev. ' � 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
1 v�rs L UKL A a- !� •
Z s- .514
D ^' A •
< T < 30
_ > < 'Effluent #2 BOD _ 30 mglL and SS _ mglL
Efflttent #1 - BOD > 30 < 220 rttglL and TSS 30 _ 1
CST Name Mem Print) lure CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54 17 t`�� V 715- 246 -4516
Property Owner _qn GIyl IV C �_ Parcel ID # Page 2 of 3
L3—j Boring # ❑ Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil AP lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDVff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
a13 -5
�?
3 '
1r 1 F
Boring #
E] Bori
FO-1 3KPit Ground surface ele . ft. pth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Cokx Redox Description Texture Stricture Consistence Boundary Roots GPDu?f?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 - Eff#2
10 Yk 3/-L
0 l yte —; S 1 2 lc�
My
2 L 3 7 f
, _
�, - m 69
�
"an
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Sod Application Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #1 'Eff#2
Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mglt. ' Effluent #2 = BOD < 30 mg& and TSS < 30 mg&
I
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 6 - 7.
seo-e330 (a.6=)
'Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3
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 �f O
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. t% !� ! --32-60(L)
Please print all information. Rev' b Date
Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). li(/f/{ / / Q3
Property Owner Property Location
R 1 c Govt. Lot SQ 1/4 N143 1/4 S T W N R E (or
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# A /
I D 0 . 6 10 Z 2 32 Qi Ch m M
OrNJ f -3
City State Zip Code Phone Number []City ❑ Village aTown Nearest Road
10 4 r- " tit - 1 O 7�1 C 1 / 440 L .
0 New Construction Use: ® Residential / Number of bedrooms 3 - ]t Code derived design flow rate 4 SO Cl d GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material T— 's I' Flood Plain elevation if applicable ft.
General comments 'Sy C f-e r✓A G i e V b Q• '/
and recommendations:/,on t V RECEIVED
rtfvrias� to' iv— SXS- , v f (S` �Il'�2ig 02
a►1 — S
❑ ST. CROIX COUNTY
Boring # [] Boring ZONING OFFICE
Eq pit Ground surface elev. 7U ft. Depth to limiting factor _ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
Z Sr r c-5
S d c
a Boring # ❑ Boring
Pit Ground surface elev. L6""" ft. Depth to limiting factor �`�' in.
Soil Application Rate
Horizon . Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/11
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
lb Z 5 2 r c
Z !
16 k_
• Effluent 01 = 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 Print) Si nature CST Number
Address Date Evaluation Conducted Telephone Number
yaafl
SRD -8330 (R07 /00)
1
PAGE 3 OF 3
NAME �/ KI Scl ✓k LOT# 3 LEGAL DESCRIPTION Sw X A/W ;/4 S 2-f T 3 a .N. R. / ff E(or)P
SCALE: I"= go
BM I ELEVATION ej2 O
BM I DESCRIPTION
T
BM 2 ELEVATION q , 2 d
BM 2 DESCRIPTION -
SYSTEM ELEVATION / yU
ALTERNATE ELEVATION /-//
CONTOUR ELEVATION 99. s�
i
�i
% d Z
gg, S
b
i v
eo 6 -3
N
q 00
SIGNATURE A z � -� DATE
"
i 84225 SgFt
� /
i Q� 1.93 Acres / 6979E
/ ..�-- i
'�' q 1 b NBA =1.75 Acres / / 1.60
��
hr 6 3' / 2 NBA =1,
e V
3�% - 34 ? ss
� � •�,�� -� � � / ��� � 73889 SgFt± /
1.70 Acres± /
NBA =1.52 Acres /
� � ��• • �a / 1k may.
rm} //I/V`" tJ /r ,yO 4 � o 0
- 33 / •�� F /,
�pyE 1 e� /n \ / / 79566 SgFt
1.83 Acres / r
X830 NBA =1.55 fires /
.4 `
� - • - SS ( / ;7s !!• c90 fy� Do / / 1tQ
s�• • 803 dSgF{ F� Fosos / �►
/1.84 Acres ' \ \.T> e� /
h /NBA =1.50 Acres o \ \ 'S
&I
/rd
/ I N ?"o
?4✓ �. I �/ W 131849 SgFt
I w 3.03 Acres
00 V NB4=2.35 Acres / 829+ / �\ 0
• p O
O•b' O
1 i T s A ,o ,�
, m'
ts
OD a
oo r O o l� I
N ho00
- 154WO SgFt ' 8 - - L =10.11' - -1 - -- $ - -
7 -------- - --+- 354 Acres
931.88'
- R =466.00 - -� -- QN 52 I i
I t4BA =1.11 Acrers - — X1'143$ B9
/ - 1976.17 ,- a 66
FENCE UNE -.,/ , / / � /
z P09-17
s — x 11 8.J zo / "W
i_80 FT. TEMPOPARY CL
TO BE AVOMATICX
L / ROAD/ EXTENSION
7
i i
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ( of J—
Qi of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County
,�I
Attach complete site plan on paper not less than 8 112 x 1 in size„ Plan must
include, but not limited to: vertical and horizontal relerencc I Parcel I.D. I L
percent slope, scale or dimensions, north arrow, aped location and dlst�r7c� arest oad. 6 / T / ` 3
Please print all infprmatign�
9b eviewed by Date
Personal information you provide may be used for secoAdary purposes (Fn &Y t�ig��15.04 ( ) (m)). gym, - S
P Owner Prope ItLocatic
i
_ � F � �
OFFi�
Govt. 1/ � 1/4 T N R E (o . W
Property Owner's Mailing Address Block W Subd. Name or CSM#
City State Zip Code Phone Number ❑ city ❑Village Town Nearest Road
ew ConsGuction Us esidential / Number of b Code derived design flow rate --r� GPD
❑ Replacement or commercial - Desai e: _— . - - - -- - -- -- - —
Parent material s Flood Plain elevation if applicable ✓ ft.
and
Genera
r ecommendations:
'�� ��� •w ' ✓
G�tJ " o e l
n Boring # ❑ Boring �9 S ✓_
a pit Ground surface elev. / v ✓ ft. Depth to limiting factor 3 J/ 6? in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
e-22- J
3; - A 1 1W M14
Bori # Boring `�
-✓ in.
Ground surface elev. ft. Depth to limiting factor ��
I V
r�q "� Pit �'� Soil Application Rate
Horizon Depth Dominant Color Redox Desaiption Texture Structure Consistence Boundary Roots GPDKf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #1 I 'Eff#2
1 ors L � •�
Z s - 5 ,r .y .�
1
Effluent #1 = BOO > 30 < 220 mg/L and TSS >30 < 1 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg(L
r Nalrie �p� Print) ture CST Number
d Plumbing, Inc. Shaun Bird 226900
ress Date Evaluation Conducted Telephone Number
08 192nd Ave, New Richmond, WI 54 17 715- 246 -4516
�1
L �.
w
Property Owner — C Parcel ID # Page of
L--d Boring # Boring � 1--
Pit Ground surface elev. � � ft. Depth to limiting favor � 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
0-- L 2 .5 A y
U -d
3 - t� 1
F-1 Boring # El Boring �� l
❑ Pit Ground surface ele . ft. Depth to limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/iF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F] Boring # Boring G
❑
❑ Pit round 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. Dolor Gr. Sz. Sh. 'Eff#1 I '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 (8.6100)
' Soil Test Plot Pla
Project Name Richard Nelson Sha 1rd
Address P.O. Box 10622
White Bear Lake Mn 55110 M #226900
Lot 32 Subdivision Richmond Meadows Date 7/1/03
NE 1 /4 N W 1 /4S 24 T 30 N/13 w Township Richmond
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1/2" Pipe
System Elevation At -grade *HRpSame as Benchmark
Alt. BM Top of 1/2" Pipe @ 99.3'
513' Property Line B Alt
100'
1
5'
0
B -1
50' 3%
Slope
Scale is 1" = 40' B -3
unless otherwise 100'
noted
-2
_... 99'
9 ' >1
2 5, o
y
N
,,---- N
i
Soil Test Plot Pla
Project Name Richard Nelson Sha i rrd
Address P.O. Box 10622
White Bear Lake Mn 55110 M #226900
Lot 32 Subdivision Richmond Meadows Date 7/1/03
NE 1/4 NW 1/4S 24 T 30 N /R W Township Richmond
Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1/2" Pipe
System Elevation At -grade *HRpSame as Benchmark
Alt. BM Top of 1/2" Pipe @ 99.3'
513' Property Line B. Alt
100'
1
;r"v
5'
0'
B -1
50' 3%
Slope
Scale is 1" = 40' B -3�
unless otherwise 100','
noted��
-2
99'
98'
N
N
l.
, Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3
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 S-� Cr /
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. l Z –c30 U
Please print all information Rev' ed b Date
Personal infonnation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner } ( Property Location
I C 1 \ J. (yh Govt. Lot SC) 114 A 1/4 S T N R & E (or
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
6- e)6 10 z 2 32 I Rlck -, (-)f,d MeQ6h o
City State Zip Code Phone Number ❑ City ❑ Village EE�Town Nearest Road
Ci f rL 1c n1 I a ( &SI)7g6 Q�/ �� ch rk-j /YD .
New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate SO CJd GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Sr� Flood Plain elevation if applicable ft.
General comments Sy SfR V✓\ -GI 2 /Do, `f
and recommendations: RECEIVED
C0 rt fU e I e 1j � q� S�
rttvriale �n l0' 0{� 16�- l;h,c— SXsue► vhcv�F- fS' ' l 'I'MAPR ? 02
a Boring # ❑Boring � ST. CROIX COUNTY
ZONING OFFICE
pit Ground surface elev. 7u ft. Depth to limiting factor 122_ 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
m r cS - 5 .8
❑ Boring # ❑ Boring
Z- Pit Ground surface elev. ��. oo ft. Depth to limiting factor
Soil Application Rate
Horizon Depth Dominant Color Redox Description FT Structure Consistence Boundary Roots GPD /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
i 2 r c s
3 9 C2P 7�5 s� LM 4bk _ 5
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 Print) signature CST Number
cr/1,� �w h1 �r `_- - -J �s 3 3
Address Date Evaluation Conducted Telephone Number
mil/ O� � ��.s,S�� f,✓ Syoz G�_ 9 - aZ 7!S - �JDafl
. -8330 (R.07750)
Property Owner
�n Parcel ID # Page of
❑ Boring # ❑ Boring
pit Ground surface elev. r'� 30 ft. Depth to limiti ng 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. I 'Eff#1 'Eff#2
► 5 •8
2 �� c S y
3 - ---- S�- 2,m - r �
4 2 7. _ r L S s
Boring #
F
❑ 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 # Ground surface elev. ft. Depth to limiting factor in.
F
❑ Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftx
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.
S81)18330 (R.07 100)
l
PAGE 3 OF 3
NAME Al -e-1 SG v LOT# 3 AEGAL DESCRIPTION X Nu X ,S L y T 5 N R, E(or)
SCALE: I"= 1/0
BM I ELEVATION
BM I DESCRIPTION , /b p d I AV C-
BM 2 ELEVATION q9 Z d
BM 2 DESCRIPTION �,,o o 4 j -
SYSTEM ELEVATION loo.'-
ALTERNATE ELEVATION N/ /4
CONTOUR ELEVATION 1 7 9, SG
� b
6 Z
9-
�q
mac' • $- I
99 S
6 -3
N
9 p o
SIGNATURE _ 4 DATE
V O r
U 2 4 2'i P 5 7 y 742029
WARRAN'T'Y DEED KATHLEEN R. VA1SH
REGISTER OF DEEDS
ST. CROIX CO., VI
-• RECEIVED FOR RECORD
10!8112803 19:30AN
This Deed, made between, VARRAHTY DEED
HILLVALE DEVELOPMENT PARTNERSHIP, EIGm #
A Minnesota Limited Liability Partnership REC FEE: 11.88
TRANS FEEL 752.70
GRANTOR and, COPY FEE:
cc FEE:
OEVERING HOMES, INC. PAGES: 1
GRANTEE,
THIS SPACE RESERVED FOR RECURDNG DATA
NAME AND RETURN ADDRESS
WITNESSETH, That the said Grantor(s), for a valuable RVAT -
considelMhOn conveys to Grantees) the following MA - 11000
described real estate in ST CROIX Cotmty,
State of Wisconsin:
PIN 026- 1147 -14 -000;026- 1147 -16-
LOTS 14,16,4 , 3,34,35,36 AND 37, PLAT OF 000;026-1147-43-000
RICHMOND MEA WS IN THE TOWN OF RICHMOND, 000;026- 1147 -34- 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.
SignaureW audmdc od: County, ST. CROIX )
Personally October 1 A , 2003
the above named
be Imown to be persons)
TITLE: MEMBER STATE BAR Of WLSCONSIN his cimowledged the same.
CY L
THIS RN
IN TRU WAS DRAFTED BY: P.Wfic,
RIVER VALLEY ABSTRACT
1200 HOSFORD STREET #201 L Tulme�`° is 't (if not state expiration
HUDSON, WI 54016 Tracy :ro7ro3
Notary Pub
State of Wisconsin
I
9 84225 SgFt /6979
1.93 Acres / ..�--
/ 640_ C. J NBA =1.75 Acres / 9A / 1.60
,s - 1'•IBA =1
lool
44 oo,
/ O /
/ 77915 SgFt i / 9 - / 3hi 34 �
i "4p ap �� � i / 1.79 Acr es .l A Sp 1 -
NBA =1.62 Ag "Le r / i/ 73889 SgFt*
/ IWO / I / 1.70 Acres* /
�tR / / NBA =1.52 Acres /
-45
69266 SgFt — / r►`b ci /f �p'�
1.59 Acres / ;1 ol9`
NBA= 1.jo - acres /
.05E - i top, :: / 79566 SgFt
1.63 Acres
B30 NBA = 1.55 /Izres
e / /
803 $SgFt o s
/1.84 Acres
J /NBA =1.50 Acres* / `�� ��1 % �,•�
/ I� `� ? F tea ry e /�rO• \
841.
4
131849 SgFt
1 3.03 Acres
h C14 NBA =2.35 Acres / B29�
Cm
n /
/ I `
S89r2
_ L 8 0'01 1 I W 3 I 1 I
db , 3 1
9� — 39.3 -
- -® J 154320 SgFt ' $ R =466.00 �
—T'd A N /
-= 931.88' -.r NB3o.054 Acres — — \ i 6`1'14' B9 \,z
14cE LNE- -� 1 i
/
2 909. i J
.
N8 2D' D 1 'W J / � -80 FT. TEMPOkARY C
x / / TO BE AWOMATICA
I , ROAD/ EXIENSV
L ! `
x