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HomeMy WebLinkAbout026-1072-70-100 Wisconsin Department otommerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety an °t Building Division • , r INSPECTION REPORT Sanitary Permit No: 420621 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: Miller, Sam I Richmond Township 026- 1072 -70 -100 CST BM Elev: I Insp. BM Elev: IBM Description: 2 �,G Jt 1 5 (ei• `f'S �..(�w = CSl a Z /J 7 J - 6 C) l7 \U TANK INFORMATION ELEVATION DATA (�] TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark W�tS 1L5� 3. 1o1,% Dosing Alt. BM Z .9 ( (v 2. 11i I Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet `)(v.`($f TANK TO P/L WELTWVent take ROAD Dt Inlet Septic 'Sol , S Dt Bottom Dosing Header/Man. q. 2A Ift / Aeration Dist. Pipe `( 9S- 9.Z:f. q , � Holding Bot. System 1 •Z y 11 _ 3 Final Grade 1 r PUMP /SIPHON INFORMATION S. 0 LD .05 f Manufacturer Demand St Cover GPM 1 3.B l (. Z Modl,Number TDH Lift Friction Loss System Head TDH Ft F emain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM 3�(� ENC Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMEN ONS ? SETBACK SYSTEM TO P/L BL G WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION Type Of System: CHAMBER OR CPA v 2 . 4' � �S , UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hale Size x Hole Spacing Vent to Air Intake Pi 1 Length Dia Length Dia Spacing ti -s� 7 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil C] Yes [M No I Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /L/ Inspection #2: Location: 1429 140th Ave New Richmond, WI 54017 (NE 114 NW 1/4 25 T30N R18W) NA Lot 2 Parcel No: 25.30.18.380a10 1.) Alt BM Description = �AB+-ti S� - 2. Bldg ewer length = 9 .o - amount of cover = 1 4 r Icc U PP ff f � an revision Required? I ;Yes X No I (s, Use other side for additional information.___. Date Insepctor's Signature C�ert SB 67 (R.3/97) ��Q ,� Or-`� C ��nt►�^'r+vS ► q D • T �Q"� / �rk.Q s . �F�O' `� '� " V . � 19 Zv 1� U 10 1607 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 2 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not left than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference i M), direction and percent slope, scale or dimensions, north ion an distance to nearest road. Parcel I.D. pi serp, on. 4ewed By Date Personal information you ids may be used for secondary pub ( acy Law, s. 15.04 (1) (m)). �A 3 Property Owner MA`( t1 Property Location P � Sam Miller Govt. Lot NE 19 NW 19 S 25 T 30 N R 18 W Property Owner's Mailing Add r 51. G M G Lot # Block # Subd. Name or CSM# P.O. Box 151 ZONING n} rtCE_ 2 CSM #629236 City ate Zip Code Phone Number _f City _f Village i! Town Nearest Road Hudson WI 1 54016 1 (715) 386 - 2769 Richmond 1 1429 140Th Ave. ✓j New Construction Use: r' Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement —f Public or commercial - Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments and recommendations: Soil evaluation completed as documentation of soil suitability >3.0' below system elevation of 93.44' as installed. Boring # Boring M Pit Ground Surface elev. 100.72 ft. Depth to limiting factor >128" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ttz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/2 none sl 2fcr mvfr cw 2fmc 0.5 0.9 2 10 -26 10yr4/4 none sicl 2msbk mfr gw 2fm,1c 0.4 0.6 3 26 -32 10yr5/4 none sl 2msbk mfr aw 1fm 0.5 0.9 4 32 -52 10yr5/4 none gr. cos 0 sg dl aw - 0.7 1.6 5 52 -128 10yr6/4 none strat. s 0 sg dl - - 0.7 1.2 H #5 consists of many layers of 0 sg sand too numerous to differentiate Boring # -1 Boring Pit Ground Surface elev. 100.40 ft. Depth to limiting factor > 124" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence *ndary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0 -11 10yr3/2 none sl 2fcr mvfr cw 2fmc 0.5 0.9 2 11 -30 10yr4/4 none sicl 2msbk mfr gw 2fm,1c 0.4 0.6 3 30 -52 10yr5/4 none sl 2msbk mfr aw 1fm 0.5 0.9 4 52-65 10yr5/4 none gr. cos 0 sg dl aw - 0.7 1.6 5 65 -124 10yr6/4 none strat. s 0 sg dl - - 0.7 1.2 CA .Z consists of ny layers of 0 sg sand too numerous to differentiate (S ' Effluent #1 = BOD < 220 mg/L nd TSS >30 < 150 g/L -- #2 = BOD 30 mg/L and TSS < mg/L CST Name (Please Print) Signature: CST Number James K Thompson — 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, Q 54020 5/32003 715 - 248 -7767 ■ <-.t, EValcc on P't by z7- - k ol-pso» S/10-3/d2 S oil / �/,o r` j 6. St�cl �/i j3 /oo I S /e : u� Lp Pr oPo`�c j , b e �l rcom c �5. aerie. AS5L4med elect: CZ, do A) Pi twee. leu� = j�l. yl�S' App /0 C'0ti(,rrC 82 d S,oe�sa /Ce/ /as �n Std //e off• sr \ ■ B G.S. 6 *2 MAV -12 -2003 12:42 PM A.C.E. Soil & Site Eval. 715 248 7764 I P.01 1807 SOIL EVALUATION REPORT i of 2 DMIlon of tld* and Bud'M In socordwm wo Comm a5, Wis. Adm. Code A.C.E. SoK 3 81119 Evellurtlone Attach cwO* sirs plan on pq w not lees than 8% x 11 W1110 in owe. Plan must C St. Crolx indude, but not Mmlled io: wffd l and ludmisl rote w= PO N (%4, cdwkn and Parcel I.D. percent daps, scale a dmemolom, north crow, end Wallow and distiv na to nearest road. pkw" pnW all kdbn doM Reviewed By DOW PMSOueI Yiannsan you pmide mq be used for s d" pMW— (f'rMeior lsM, a 15.04 (1) (m)l PMp" Owner property L.000dw Sam W ar' � (37A L ot NS 1/4 NW 114 S 25 T 30 N R 18 W Property Owner's Msarling Addraw Lot >f � * Surd. Name or CSSW P.O. Box 151 2 CSM 118292'36 y state 7Jp Code Phone Number Ig C" 1 1 Whqp jj Town NOMM Road Hudson I Wl 54018 (715)3W Rlchmond 1429140Th Ave. > l New Carurfrudiort Use: #4 R W / Number of bedrooms 4 Code diu ared design flow rate 60 Gp0 j Replocelywt J pubao or eo "wrdat - De -rlbe, parent malarial Glaci drift _ Flood plain alwahm, llappecable - no awwal am lie tts and er>datione: Soil wWuatlon completed as documentalon of sod suitability >3.0' below system elevation of 93.44' se instided. FT1 erg a "°1 Bori 128" In. till Application Rat 10 Pit Ground Surface ekv. 100 .72 i t. DaPer to IimltlllO factor Hama+ ovih dominant Color Red®r Deapiption Texhae Structure Carlsisience Y Roos 9 E �' in. MM" Qu. Si. Cold. Color G. Oz. Sh. 1 0-10 10yr311 none sl 2fcr mvfr ow 2fmc 0.5 0.9 2 10-28 10yr4/4 none aid 2msbk mfr aw 2fm,1c 0.4 0.8 3 28.32 10yr5/4 none al 2msbk mff aw 1fm 0.5 0.9 4 32-52 10yr5/4 none dr. we 0 eg dl aw - 0.7 1.6 5 52 -128 10yr6/4 none stmt 0 ag cl - - 0.7 1.2 �aial Tf s9 nunk4bus ❑ -� Borinp D a 124 In. d Applice W Rate Z eorir� e � Alt Around Surface eMw. 100 .40 A. to limrMg factor So —. I btizon Depth Dominant Cola Reft De9cfip m Teaturs Structure &&Memos Boundary Roots _ in Munsd Cu. Sz. Cam. Color Gr. St. Sh. •Elf t Eff 1 1 1 0-11 10yr3/2 none al 2for mw ew 2fmc 0.5 0.9 2 11 -30 10yr4 14 none aid 2msbk mfr gw 2fm,1c 0.4 0.6 3 30-52 10yr5/4 none al _ 2msbk mfr aw lfm 0.5 0.9 4 52-65 10yr5/4 none gr. c0e 0 ag cl aw - 0.7 1.8 65 -124 10yr6/4 none strat s 0 ag dl - - 0.7 1.2 5 2 coiisiefa ar Myers of 0 ag nwnwon to ciffigaN • Effklent #1 m BOO 30 -i220 mg/l. T88130 a 150 uw t 02 = B0o < 30 MOIL and Tee c - x � CST Number CST N (Please Print) _ Spa• 3802 Now K T / S _ Address A.C.E. Soil & site Evak,adons Dells Etgduatlon Conducted 5-2 4 - Number 340 Paulmon hive Lau+e Osceola 1 54020 5/312003 7 MAY -12 -2003 12:43 PM A.C.E. Soil & Site Eval. 715 248 7764 P.02 by �': T1�e«�mvr► s /Ai So;/ eve / $Y0 K �� tP p JA WA &►mil+ MT Qf /ot 3. slsswMa� 4r�w �,4b a0: I - V I Pax fret. . = /O�• APP��• /ot�a►u�e►°ro� �� ■ r cA bra DEC -19- 2002 06:40 AM A.C.E. Soil & Site Eqanl. 715 249 7764 P.01 N�'l 6�0lO M91) To: Zoning - Attn: Kevin _ _ fax# 715 - 386.4686 From: Jirn Thompson Date: Dec. 19, 2002 # pages including Cover sheet: 3 If fax is Incomplete or illegible, please contact Jim Thompson at telephone number listed above. Kevin: Attached is the soil evaluation report that I have completed for lot 2 of CSM #629236 (part of Red Pine). The soil pit T evaluated was adjacent to the one completed by Cary in 2000. The stratified parent material deym not require the S.0' separation as specified in Comm. 83.44 -3, but we mod that criteria anyway. Tf you have any questions give me a call. Tf T don't see you before then, Have a Merry Christmas & Happy New Year! B, J . r P S, DEg -19 -2002 06:40 AM A.C.E. Sail & Size E "al. 715 249 7764 P.02 r ' 1807 Wlsmnain Da"ransnt of Commeme SOIL EVALUATION REPORT Peg, ! _ of 3 Division of Softly and Bull fts In accordance v*th Comm 85, Wis, Adm. Code A.C.E. Sall A dills Evoluatione Ailed earnplete sibs pan on Pallor Ad lase than 814 x 11 Well In sw. Plan must Coterty St. C robt W duk but not Wild to vw*W and ho kwm mli nnas paNd (BMI, dbod lon and Parcel I.D. Wraant slaps, seals or dlmamalona. north orrow, and (oaadorl w dle v ca to lroemt need. Please print all /nfbnnedon. �._..... __. Raiiewed By Date Pweorsd hftM5ft you v►aae nay W used (or IDWAary Dell"" (Pfwv (+r. s. 1s.04 ('I) (T))- , praparly Owrwr Preppy Lar:ation M"Sr Sam ami tot NE 1 /4 NW 1/4 S 25 T 30 NR 18 W Property 0wrier's Nulling address Lot d 61odc� - Norms or CSAM P.O. Box 161 _ 2 98 _ CSM 29236 city - _ - State Zip Code Phens Number M City 0 Wlage ■ Town Nearest Rasd Hudson WI , 54018! (715) 388 -2769 Richmond 1429 140Th Ave. r New Construction UW. Residential / Number of bedrou 4 _ Cade dertred design 11ow race 600 GPO JS Reptacernent , Pubik or commerala i - Describe Parent material Glacial drift _._.. _... _ Flood plain fin. K apps no General oomrtwrlls and recammardadons: Soil evaluation completed as documentation of soN suitability 5.0' below proposed system elevation of 96.95' as per Comm. 83.44 -3. t3orinp if !r earinp � Pa Ground Surface abv. 100.72 ti Daplh to limiting factor > 1 12w in. Sri ApplcAm Race Gluon Dep Dominant Color Redoa Dasw"m Tedue siruchno Cerwkfsnas Bmrslry Roals :Eff#1 'Ef #2 1 040 10yr312 non al 21cr mvlr cw Zfmc 0.5 0.9 2 10-21 1 10yr4/4 none sicl 2m9bk mfr qw 2 I 0.4 0.6 3 2144 10yr5 none sl 2msbk mfr aw 1fm 0.5 0.9 4 44 -58 10yr5 /4 none gr, cos 0 sg dl - _ aw - 0.7 1.8 5 58 -112 10yr8 /4 none strat. s 0 ag dl - - 0.7 1.2 ..__..... -- " Efnuont $1 s 000 30 c 220 rnWL and TSS C 150 MOIL 82 - 90D <_30 ng& and TSS -c_W mg& CST Name (Please Print) Sig I rs: CST Number James K. T homps on 3802 AOdraas A.C.E. Sol A Site Evahaatiara — _...__ Date Evehaation Cand Telephone Number 840 Pwalaon Ld a l.aras Oneote, W1 5A 12/18102 715 248 4787 DEg -19 -2002 06:41 AM A.C.E. Soil & S�itc Eval. 715 249 7764 P.03 i b 7 =�� Y • Sod Ai d y 6. 540 y /ie /oo N � 1 p Pr�P� V ra..lrro�w ..w� in Alm i z J ' A t& Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. PO B Washington 7302 o Ave. _ See reverse side for instructions for completing this application 1 \4 1 .4cQnsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 De nrtment of Commerce (Submit completed fort to county if not P [Privacy Law, s. 15.04(I)(m)] � � state owned. /7 Attach tom Ictc tans to the coun co onl for the s stem, on a er of less than 8 -1/2 x I 1 inches in size. state Sanilary Permit Number ❑ Check if revision to application State Plan 1. D.D. Nub county c of x 2 0 (�a2 I. A lication Information - Please Print all Informa on Location: Property Owner Name Property Location -�� �n Q_ / L'� 2002 e-1/4 / IU(14, S W T WN, R� or W property Owners Mailing Address L Lot Number Block Number © ST. CROIX COUNTY Z` Ci State Zip Code Subdivision Name or CSM Number / ry, /�vo sd N u� l yo - 7 �S 3�'� Z 76 Gs M''` �Z 9z 3� YREt1(�H s �3Et4� '.Taiio ❑City II. Type of Building: (check one) 3- ❑ Village ❑ 1 or 2 Family Dwelling - No. of Bedrooms'. e3 3 �� $ I X Town of ❑ Public/Commercial (describe use):_ R t' LH K&d N D ❑ State-owned �!� s 3 1, S Nearest Road I q6•rM AV � Parcel Tax Number(s) O Z �—I )7 Z - 7 - III. T e of Pr it: e Check only one box on line A. Check box on line B if a livable •3$�Rr ��� A) 1, a 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to S ystem S stem Tank Onl Existing System Permit Number Date Issued B) ❑ rmit was issued IV. Type of POWl' System: (Check all that apply) * A —ice � lon- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland • Pressurized In- ground ❑ Holding Tank ❑Single Pass ❑Drip Line • At- de ❑ Aerobic Treatment Unit ❑ Recirculatin ❑ Other: V. Dis ersal/Treatment Area Information: I .Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. Systenm Elevation Elevation Lade Required Proposed Rate (Galslday /sq. ft.) (Minlinch) l (0• q C , ©v t � ( pct zoo �► � Z 13 O. S s VII. Tank Capacity in Total # of Manufacturer Prei .b Site Steel Fiber- lass Plastic Gallons Gallons Tanks Con- Con- g Information crete strutted — New Existing Tanks Tanks ❑ ❑ ❑ ❑ VIII. Responsibility Statement I I, the undersi� res or for installation of the POINTS shown on the atta Eplans. Basiness Phone Number Plumlxrs Namc (Imnt) ' I'lun�t�cr's Siu stamp MP/htl KS No. 1(ca� ltit ` P o Q V��t ` Z 7- s Plumbers Address (Street, City, State, Zip Code) ■ 1X. County /Department Use On y ❑ Disapproved Sanity Permit Fee (Includes Groundwater Date Issued f uit Agent Signature (No stamps) ( Approved ❑ Owner Given Initial Adverse Surcharge Pcc) ZZS� I Z/ JpZ Determination X. Conditions of At prov /Reaso s for D�isappro al: P t - e;kz- . cam. i Z— 1 q zl l oofa AV E. S c•`1 Ell / k 4 L x 6 �itic 6E sw car sr .4<« A h fi 10- a� l q 2- (qo t IN AVE i f . .1 \ X �''` 6 / 1 � t I ✓ To f sw LiT ' 1=1,y. ! ♦D_' �" � � 1 250 L. S7 ,2 �?� EAe- Jr D N / ,/ o � ,F F 1607 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference pant (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. h Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Miller, Sam Govt. Lot E 1/4 NW 1/4 S 25 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P.O. Box 151 2 CSM # 629236 City State Zip Code Phone Number I City ,_j Village j6 Town Nearest Road Hudson WI 54016 (715) 386 - 2769 Richmond 1 1429 140Th Ave. jo New Construction Use: jM Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement _;f Public or commercial - Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments and recommendations: Soil evaluation completed as documentation of soil suitability 5.0' below proposed system elevation of 96.95' Asper Comm. 53:44 -3. FTI Boring # A Boring 0 Pit Ground Surface elev. 100.72 ft. Depth to limiting factor ._ >11 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz *Eff#1 - Eff#2 1 0 -10 10yr3/2 none sl 2fcr mvfr cw 2fmc 0.5 0.9 2 10 -21 10yr4/4 none sicl 2msbk mfr gw 2fm,lc 0.4 0.6 3 21-44 10yr5/4 none sl 2msbk mfr aw 1fm 0.5 0.9 4 44 -58 10y r5 /4 none gr. cos 0 sg dl aw - 0.7 1.6 5 58 -112 10yr6/4 none strat. s 0 sg dl - - 0.7 1.2 H#5 consists of many layers of 0 sg sand too numerous to differentiate Effluent #1 = BOD 30 < 220 mg/L and TSS > 0 < 50 mg/L ffluent #2 = BOD < 30 mg/L and TSS <30 mg/L CST Name (Please Print) Sig ure: CST Number James K. Thompson 5--- 3602 Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 12/18/02 715- 248 -7767 ■ So; l EVa�ua £ on P i b �TT�om�pso» iz /�� /az n • Soil E✓a lual6 . 0n ' 0 f 7Q NQ . zzq loy 6. Ste `t /i8 /o Cp 0 �roPOv , ci-J room �' tS� derck &a n" wla (e : T j o Of /ot Assu.Med e.l et/ = tcJa. oo A h. you I M Qe �l �nc twee. Elea _ gq / • 3 �0 � G.s. 6 *z Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of - kabor ah Humpn Relations Division of Safety & Buildrngs in accord with ILHR 83.05, 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 St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nex_e® •-caad, pending APPLICANT INFORMATION PLEASE PRIRT'ALL INFORMATIO -N E D, I /(v IOZ_ PROPERTY OWNER: �': ; t PROPERTY LOCATION Steve Derrick GOVT. LOT Ng 1/4 NW 1 /4,S 25 T 30 N,R 18 ft(or) W P OWNER':S MAILING ADDRESS - LOIi# BLOCK # SUBD. NAME OR CSM # 1438 Cty. Rd. "G" Y , 2 na csm CITY, STATE ZIP CODE - PHONE NVBER::;' ❑ , ITY ❑VILLAGE [QrOWN NEAREST ROAD New Richmond, WI. 54017 `, (715 2 20 Richmond 140th. Ave. [x] New Construction Use k ] Residential / mt�er;of.bedrooms -4 [ ] Addition to existing building (] Replacement (] Public or commer s Code derived daily flow 600 gpd Recommended design loading rate • 5 bed, gpd /ft .6 trench, gpd /ft Absorption area required 1200 bed, ft 1000 trench, ft Maximum design loading rate • 5 bed, gpd /ft • trench, gpd /ft Recommended infiltration surface elevation(s) 96.95 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material glacial drift Flood plain elevation, if applicabg ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem ®S ❑ U ® S 1:1 U ® S El ®S ❑ U ❑ S E ❑ S 13U SOIL DESCRIPTION REPORT �L9� Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trencht 1 0 -13 10yr2 /2 none 1 2msbk mfr gw 2f .5 .6 2 13 -34 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 34 -84 7.5yr4/4 none sl 2msbk mvfr na na .5 .6 •S elev. 10 Depth to limiting , factor R6 9S Remarks: Boring # 1 0 -11 10yr2 /2 none 1 2msbk mfr 9W 2f .5 .6 �- 2<_<; 2 11 -23 10yr4/4 none sici 2msbk mfr gw if .4 .5 3 23 -56 5yr4/4 none sl 2csbk mfr gw if .5 .6 Ground elev. 4 5 - 0 7.5y 4/6 none co s 0 ml na na .7 .8 10 ft. t f ( A < ham, Depth to limiting Za ' factor IOU +90" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. MAR New Richmond I 54017 Signature: Date: 4 -18 -2000 CST Number: m02298 PROPERTY OWNER Steve Derrick SOIL DESCRIPTION REPORT Page 3, _ PARCEL I.D. # pending Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bw1daiy Roots G -PD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 0 -11 10yr2 /2 none 1 2msbk mfr gw 2f .5 .6 3 2 11 -18 7.5yr4/4 none scl 2msbk mfr gw lm .4 .5 Ground 3 18 -32 7.5yr4/4 none is Osg mvfr cw if .7 .8 elev. 1 4 32 -80 7.5yr4/6 none co s Osg ml gw na .7 �.8 Depth to 5 80 -96 7.5yr4/4 none sl 2msbk mvfr na na .5 .6 limiting factor % 'CIS' Remarks: Boring # 1 0 -9 10yr2 /2 none 1 2mgr mvfr gw 2f .5 .6 4 2 9 - 7.5yr4/4 none is Osg mvfr gw if .7 .8 3 20 -57 7.5yr4/6 none co s Osg ml gw na .7 .8 Ground elev. 4 57 -90 7.5yr4/6 none sl 2msbk mvfr na na .5 .6 1 Depth to - limiting factor +90 Remarks: Boring # 1 0 -8 10yr2 /2 none 1 2msbk mfr gw 2m .5 i. 6 5 > €':. 2 8 -25 10yr4 /4 none scil 2msbk mfr gw lm .4 .5 3 25 -56 7.5yr4/4 none sl 2csbk mvfr gw na .5 .6 - Ground elev. 4 56 -90 7.5yr4/6 none co s Osg ml na na .7 .8 1 Depth to limiting factor +90" Remarks: Boring # Ground elev. j ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) Fr STEEL'S SOIL SERVICE Gary L. Steel Steve Derrick 1554 200th Ave. CSTM2298 NE4NW4 S25- T30N -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #2 -csm /N , 1 =40' BM.= top of SW lot stake C el. 00.00 /Alt. BM.= nail in Norway pine C el. 101.45' 1 �i �rn 37 !o oC - Gary L. Steel 4 -18 -2000 Bi o Diff user S r= Chambw End Ww 4' Knockout Universal End Cap -- —.� -- s Chamber 11" Stan- 14" High 16" High Av ailable Sizes Dimensions Bard Capacity Capacity r It i�t( Y, �, `. °� ` 1� +,'... <•, n'�. 5 rl'l /1'l I LLC/L c S M c+ -2 g z 3 L oT Z..__ ' Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 2 0 1- 2-A Number of Bedrooms Design Flow - Peak (gpd) ( 0 Estimated Flow - Average (gpd) 00 Septic Tank Capacity (gal) ( Z Cl Soil Absorption Component Size (ft Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) 1 7-1,0 / Z /3 as �Atj'I'a Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping. Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic k and outlet filter shall be assessed at least once every 3 years by inspection. The utlet fil s all be cleaned as necessa to ensure r rgpe�r op eration. The filter cartridge shoul not be removed unless provisions are ma a to retain solids in fie tank that may slough off the filter when removed from its enclosure. If the Management Plan for a S3ptic Tank and Soil Absorption Component 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 scum and sludge 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 an 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. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Q .-- M,� Nk I've, - TfGq Z 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer A/ Mailing Address �oX tt S� Property Address z f /ZOD f A y. " V (Verification required from Planning Department for new construction) City/State 11LJ So H W1 Parcel Identification Number L� '� 072 " � - ®�• 38�� —l0 LEGAL DESCRIPTION Property Location IYE '/., Nit/ 1 /4, Sec. 7 ­ 5' . T3' N -R Town of ��Cl� t7 N� • ,�S �1 * & Z 9' Z •3 Lot # Z subdivision ' Certified Survey Map # 6 Z 4Z 3 !� , Volume _, Page # Warranty Deed # 7 8 9 , Volume V 9 O . Page # 3 4 7 Spec house yes ❑ no Lot lines identifiable/ryes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes.. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and retufned to St. Croix County Zoning Office within 30 days of the three year expiration date. Co �Z / /Z/© SIGNATURE 0 APPLICANT DATE : OWNER CERTIFICATION i; t•(we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the described above, virtue of a warranty deed recorded in Register of Deeds Office. rZ l /Zl o Z — � ___ SIGNATURk 01FAPPUCANT DATE •• *• *• Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** •• Include with this application: a stamped warranty deed from the Register of Deeds office .a copy of the certified survey map if reference is made in the warranty deed U 1890P 327 2 7 8 9 S STATE BAR OF WISCONSIN FORM 1 — 1998 KATHLEEN H. VALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX Co., WI RECEIVED FOR RECORD Document Number 05 -14 -2002 12:15 PM This Deed, made between kw o Land v I men Corporation , Grantor, and am E. Mi 1 er , Grantee. WARRANTY DEED Grantor, for a valuable consideration conveys to Grantee the following EXEMPT ii described real estate in St. roix County State of REC FEE: 11.00 Wisconsin (the "Property "): TRANSFFEE: 314.10 COPY CERT COPY FEE: PAGES: 1 Recording Area Name and Return Address M a x R Pin Comer New d, . 017 "` T '�� 026- 1072 -70 -000.026- 1072 -70 -100. 026 - 1072 -70 -200 Parcel Identification Number (PIN) This is not homestead property. (Is) (is not) Lots 1&1and 3, Certified Survey Map filed In Vol, 14, Page 3946 as Document No. 629236 located In part of the Northwest Quarter of the Northwest Quarter and part of the Northeast Quarter of the Northwest Quarter all in Section 25, Township 30 North, Range IS West, town of Richmond, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. none Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 10th day of May, 2002. (SEAL) (SEAL) Oakwood L d Development (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, C YO eritereeualy> County authenticated 1ATZ INA ^ _ Y PUTZIC Personally came before me this 10th day of NOTA May, 2002 the above named STATE Oakwood Land Develooment BY: Greoory J. Peterson, Vice President to me known to be TITLE: MEMBER STATE BAR OF WISCONSIN the person who a cutt t he foregoing Instrument (If not, and ackn wledge the samLLv�'C authorized by §706.06, Wis. Slats) // ' � THIS INSTRUMENT WAS DRAFTED BY (d N <— Coldwell Banker Burnet Notary Public, Stat of Wisconsin 1301 Coulee Road H 1 54016 My commission is pe anent. (if not, state expiration date: -224 8�� (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of persons siqnIn2 in any caescity must be typed or printed below their si nature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 - 1998 Milwaukee, Wis. - +` RONA[b F. JOHNSON (� ` �® 0 ♦ O c AWISY r NOV _ � 20M U C E R ft:b �U I ocated in part of the Northwes Ou r of t est Quarter and part of the Northeast Quarter of the Northwest Quarter all in Section 25-,- T6wns rth, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. —� THIS CERTIFIED SURVEY MAP SUPERCEDES A CERTIFIED SURVEY MAP RECORDED IN VOLUME 14 PAGE 3873, DOC. #624528 Z LOT 1 LOT 2 LOT 3 LOT 4 o � TOTAL AREA: TOTAL AREA: TOTAL AREA: TOTAL AREA: \ 74,886 SO. FT. 73,800 SQ. FT. 76,956 SO. FT. 76,196 SO. FT. 1.72 ACRES 1.69 ACRES 1.77 ACRES 1.75 ACRES AREA EXC. R -O -W: AREA EXC. R -O -W: AREA EXC. R -O -W: AREA EXC. R -O -W: 2 c w 63,730 SQ. FT. 65,628 SQ. Fa. 9 SQ. FT. 69,873 SQ. FT. C 1.46 ACRES 1.51 ACRES KPP 1fe&CRES 1.60 ACRES N i Prepared for and at the requesfIbT..In9 Zoninq and Parkscwmimfw OWNER; /�\a� N0013'53 "W 302.61' m Steve Derrick SEP 0 1 2000 ' o�,� 278'81:: 23.ao' -?' >W 1438 C. T. H. "0" New Richmond, WI 54017 /a^ dn� / / D If not recorded within 30 days of GtC Drofted by Ty R. Dodge ap date ap proval shall be T / ■ PP -� PP JOB # A00011 £ASrtkVA@�cMid'HE NW 114 m _ OF TH E MW V4 WEST LINE—OF THE NE 114 OF THE NW 114 7` 1 0,� 6 j - o (r) o n z Off' `O �����. Op. 1 � O � Z o co a' - rn o r I ao 0 o o" Ln V S\ p rid. f4'' �/ 64 / o 2. m 7 3 ry a �° / 4p �/ *.# 00•/ r� / Q oI I V Z o ° 00 0 "� 1 Z c * c o v /d 0V ^ 0 / 1 \ 'L w / / O p f 2 0 y ,�� / i CL 0 o 2 F / m D ti _. �l I O �,�' / oZ ° -< 'l r c to 10 O O , 51 9 ? 45o*w 1,5 ?g • \\ / 1 / / l Z D� j r ° Z laa4S xcn" ° eA ° � �I ON LO Cz� ��e� 0 Q W3 a 9 Cj ♦��O�O 'e'-•• r� -4 CU • r 'SIM . M3A . W ` U J3Wt1 . L�. V � •e• � w N =� �a�X `` ° 0 6 $95T Zan NOSNHOf wf "I L �n. 'A Q1dNOb N J CO L) O Ir W H LD W<rw LTOVS IM gCiT2i MON . SZE X00 '0 'rl 6UTjaauT6u2 T IATO 19 6UT,�aAJTAS PUPrI n P CERTIFIED SURVEY MAP Located in part of the Northwest Quarter of the Northwest Quarter and part of the Northeast Quarter of the i Northwest Quarter all in Section 25, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, THIS CERTIFIED SURVEY MAP SUPERCEDES A CERTIFIED SURVEY MAP RECORDED IN VOLUME 14 PAGE 3873, DOC. #624528 4 SURVEYOR'S CERTIFICATE 1, Ronald F. Johnson, a Registered Wisconsin Land Sure, hereby certify that by the direction of Steve Derrick, I have surveyed, divided and mapped part of the Northeast Quarter of the Northwest Quarter and part of the Northwest Quarter of the Northwest Quarter all in Section 25, Township 30 North, Range 18 West, 'rown of Richmond, St. Croix County, Wisconsin described as follows: Commencing at the northwest corner of said Section 25; thence, on .an� assumed bearing along the north line of the Northwest Quarter of sa' Section 25, South 89 degrees 55 minutes 01 seconds East a distance o 1162.22 feet to the point of beginning of the parcel to be described; thence, continuing along last said north line, South 89 degrees 55 minutes 01. seconds East a distance of 53.13 feet; thence, along tho arc of a curve, and along the approximate center line of 1.40th Avenue (a Town Road), concave to the southwest, a distance of 1.64.56 feet said curve has a radius of 356.57 feet and a chord that bears South 62 degrees 20 minutes 06 seconds East a distance of 163.10 feet; thence, along last said center line, South 49 degrees 06 minutes 50 seconds East a distance of 443.26 feet; thence, along the arc of a curve, along last said center line, concave to the northeast, a distance of 274.39 feet said curve has a radius of 347.08 feet and a chord that: bears South 71 degrees 45 minutes 42.5 seconds East a distance of 267.30 feet; thence, along last said center line, North 85 degrees 35 minutes 25 seconds East a distance of 41.85 feet to the west line of the property described in a Warranty Deed recorded in volume 388 page 566 in the Register of Deeds Office in said County; thence, along last said west line, South 00 degrees 33 minutes 59 seconds West a distance of 313.41 feet; thence North 89 degrees 55 minutes 01. seconds West a distance of 296.44 feet; thence North 49 degrees 06 minutes 50 seconds West a distance of 697.79 feet; thence North 00 degrees 1.3 minutes 53 seconds West a distance of 302.61 feet to the point of beginning. Containing 301,837 square feet (6.93 acres). Subject to said 140th Avenue (a Town Road) along the northeasterly and northerly line of the above described property, also subject to all easements, restrictions and covenants of record. 1 also certify that this Certified Survey Map is a r_or.r.ec representation to scale of the exterior boundaries surveyed and described; that T have complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Subdivision Ordinance of the County of St. Croix and the Town of Richmond in surveying and mapping the same. Ro ald F. J&hnson Reg. No. 1186 Date A & E Telephone # ( 715 ) 246 -4319