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HomeMy WebLinkAbout026-1127-11-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430079 0 GENERAL INFORMATION ' (ATTACH TO PERMIT) Pip Win ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 6 = - rftt 4 . A Permit Holders Name: City Village X Township 'Parcel Tax No: Blanco, John I Richmond Township 09(6 )197 /l 000 CST BM Elev: 1 BM Elev: JBMDescription: Sectionrrown /Range /Map No: Insp. . ^ .p �T �IAti 25.30.18 $ Z) TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / ,...* Benchmark �GIJ V Doing 4 Aft. BM Aeration Bldg. Sewer Holding St/Ht Inlet C) • l , TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 15 Dt Bottom Dosing L t Header /Man. 2.5-- •13 Aeration Dist. Pipe Z . j'>e 2-(- 2. ��• 2.v Holding Bot. System 3, 3c) A i a go Final Grade LI PUMP /SIPHON INFORMATION X* "o" U t2k f Joqr, Manufacturer Demand St Cover GPM 4 e odel Number 2?i' 3 -go 1 . 90' T.DR Lift Friction Loss system Head TDH Ft . ZQ Forcemain LeV Z It Dist. to Weu SOIL ABSORPTION SYSTEM J . TW"15 Width i Length I IN ✓d. Of T�ene l25 PIT DIMENSIONS No. Of Pi a Dia. Liquid Depth IMENSIONS ) I: Is SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING urer: INFORMATION CHAMBER OR Type Of stem: UNIT Model L 4 �-• Ic. 5 1 AN DISTRIBUTION SYSTEM Header /Manifold Distribution 1 it x Hole Size 1• x Hole Spacing Vent to Air Intake (0.0 Z Pipe(s) �,1 �- �• � 3.0 1/9 �c(.it Length Dia Length z is Spacing 1 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 - Yes ( No Yes j_] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection OO ! Inspection #2: �T / Location: 1433 133rd Ave New Richmond, WI 54017 (NE 1/4 SE 1/4 25 T30N R18W) R1c Hil (Lot 11 Parcel No: 25.30.18. 1.) Alt BM Description = i `^"')"�C "fit "L 0• 2.) Bldg sewer length - amount of cover = u Al 3) 4% A, Ioo Plan revision Required? Yes No Use other side for additional informa on. Da : - (� nsepctor's Signature Cart. No. SBD -6710 (R.3/97) • Safety and Buildings Division County ` f 201 W. Washington Ave., P.O. Box 7082 iseonsirn Madison, WI 53707 — 7082 Sanitary 7 Number (to be filled in by Co.) T Department of Commerce (608) 261-6546 J Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21 Wis. Adm. C O q cT = T a Code, personal information you provide O t Ina be used Y fa Pri w secondary purposes vary Law, s15.04(Ixm) Project Address (if different than mailing address) ) 1. Application Information - Please Print All Information RECEIVE `t33 1 4\j&. Property Owner's Na Parcel # Got # Block # eIm 1woo J u m t 0 =3 r- Property Owner's Mailing Address Property Locati hS ` , ?/ J 1 /4, Section City, .S(tate p Zip Code Phone Num "" l I I Ct � `v` gn . ��z � T N g e) E qe IL Type of Building (check all that apply) 3 0„ s J0 rw� 2 Family Dwelling - Number of Bedrooms Subdivision Name / CSM Number ei8i or ❑ Pub��— Dew U ALA OX � < ❑ State Owned- Describe Use )C " ^ O •S ❑0ty ❑Vrilage Township of IIL Type of Permit: (Check only one box on line A. Complete line B if applicable) - A. New System ❑Replacement System ❑ TreatmemdNolding Tank Replacement Only ❑Offset Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑Change of ❑ Permit Transfer to New bier Previous Permit Number and Date Issued Before Expiration Plumber Owner W. Type of POWTS System: Check all that a pply) ❑ Nat - Pressurized In -Ground 2 Mound 2:24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Fitter ❑ Reckrctrluing Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel - less Pipe ❑ Other (explain V. Dispersalfrreatmpt Area Information: Design Flow (gpd) Design i1 li Rat ispersal Area Required (sf) Dispersal Area (sf) System Elevation 6 ° � eo W 99, x' VI. Tank Info ty I. Total Number Manufacturer Prefab Site Steel Fiber Plastic Gidlons Gallons of Units Concrete Constructed Glass New Existing Talcs Tanks Septic or Holding Tads Actable Ttestmed Unit l � Dosing Chamber X VII. Responsibility Statement - 1, the undersigned, assume responsibility for Installation of the POWTS shown on the attached plans. Phan 's Name (Print) � a Pl Signature MP/MPRS Number Business Phone Number /I X Plumber's Address (Street, City, Zip ) 770 o piy�r k�A D Cq�d VIII. Coun 1De artment Use On! 0 Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issu' g Agent;sfl Stamps) Surcharge I -) ❑Owner Given Reason for Denial IX. Conditions of ApprovaMeasons for Disapproval e L Q- fM� . Attach complete pin" (to the Caanty only) tar the systeas an paper sot than iI I I Inches in site SBD -6398 .08/02 J PLOT PLAN Scale 1 "= Spy Page 3 of 7 y^ UC1UlV J 7 - w 9 " OF 0-i_zLL zol � �I' p0 ,JOT c0�,�r oh o l $ A-�T gyy NO-- TENev S_ , 1 • ations shown are existing ground elevations 2 . Install 4" obsvat unless otherwise n 3 • Septic tank bs bvat pipes with approved caps. ( z oted. er ion ___;- gallon capacity manufactured rbyuired), � P touu /bso - a rc wf — �gco ZZ Fi 4 • Bench marks : 5,�. EVE 71 - 5. Divert surface water around system to Prevent pondin g at the uphill 1 side. Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 _ , �� 0 �� , � TDD #: (608) .wi.us sb www.commerce.state.wi. us /sb Department of Commerc www.wisconsin.gov RECEIVED Jim Doyle, Governor Cory L. Nettles, Secretary L4 2003 May 08, 2003 COUNT Y OFFICE CUST ID No.220254 ATTN. POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/08/2005 Identification Numbers Transaction ID No. 864899 SITE: Site ID No. 658685 John Blanco Residence Please refer to both identification numbers, 133RD Ave above, in all correspondence with the agency. Town of Richmond, 54017 St Croix County NE1 /4, SW1 /4, S25, T30N, R18W Lot: 11, Subdivision: Richmond Hills FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 901902 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 CDndii chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. APPR The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT General Approval Requirements: !SAF�1 • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRE "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stat • 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. ARTHUR L WEGERER Page 2 5/8/03 Owner Responsibilities: • Comm 83.52 Responsibilities. 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. • Comm 83.55 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. 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 1 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART;code: 7633' (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 i I� TITLE SHEET Page of 7 FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD 10691 -P and the Pressure Distribution Manual SBD- 10706 -P (N.01101) (N.O1 LOCATED IN THE Na 114 OF THE S�- 114 OF SECTION ZS ,T 30 N,R 18 W, TOWN OF etc y�or��� , 5�--; c-MVX COUNTY, WISCONSIN. L, oT 11 INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAPiBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR z� Ow g�- s�l ��w�Z,►v!(V sso OF D PREPARED B Y Cp�yME�C� ` �ANU ce�Kc WEGEF:R E= E3 C3 I L .TEST = htG SPpN AND . 1 7'�S = Gam! S�F?V S CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 Phone 715 - 425 -0165 Fax 715- 425 -6864 7 "Al �RECEiVED MAY - 5 2003 SAM1Y& BCDGS D{ s. -Z -o3 V. JOB NO. 3 -SS Mound System Management Plan Page of Pursuant to Comm 83.54, Wis. Adm. Code Seoti c Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis, Adm. Code. The operating condition of the septic tank and outlet 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 113 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. if an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BODS, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distributions stem ' y is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual j58B- 4$5��.p- �} -5fgg� and local or state rules pertaining to system maintenance and maintenance reporting. �5 gp 1 O b R 1– a No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and PUMP tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by Increasing basal area if toe leakage occurs or by removing biologically clogged adsorption - and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning-Office at -The system installer at 1 is ZS Cla,S$ wprr,) C, The tank manufacturer at DO = - ,gy S LJllsR The effluent filter manufacturer at Vol] The pump manufacturer at PLOT PLAN Scale l"= Wage - of x 5�6GC w�-1 �.UGk'1LU►v - J q 3 01 M �s'� .Szs Crsv'NuIZ (SL_ �E'_�S' 5 15.1 nn/� 2Dl 8.1 A- L T \ NOTES: I. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to belu 165;(3 gallon capacity manufactured by �^- ����Z. CoU t�iRt.�'i� (►,� �p �ouulbso -r12> wj� —taco Z��z F� �7�.si 4 Bench marks = Ste' fj�!oVE . 5. Divert surface water around system to prevent ponding at the uphill side. Page Of - 7 Approve S Caverine - ASTH C33 Distribution Pipe Medium Sand Topsoil =_' _� =W ..' tG Fl rte= _- ear. qq •2 S _J 1 E p . „ 3 - � b Z . Slope Distribution Cell of Force Main Flowed 2" to 2 " Aagre; ate From Pump Layer 0 S Ft. E \ .66 CROSS SECTION OF A MOUND SYSTEM F p - g Ft. G o -S Ft. A 9 Ft. H 1 Ft. Linear Loading Rae = GPD /L.N FT B S Ft. t Design Loading Rate =r).`{ GPD /SQ FT I Ft. J S Ft. K Ft. L b 6 Ft. 1 Observation Pipe E � K O _ �--- - -- - - -- - - -- - --- -� Ae -�-- -- 8 - -- --- - - - - -- -------- - - - - -- --- - -- W o-- --- - - - - - -- - - - - - -- ------- - - - - -- ------ - --�-o Force Main as ;� Distribution n , n Pipe Cell of z to 2 aggregate Observation. Pipe (Anchbr sacire1Y) - PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Page S of 7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45 fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve: threaded cap or threaded plug. Provide access from final grade for the valve, threaded c . ' ap or threaded plug. T` t P CCU L ,. C.% s PVC F�1C L at FRI Lateral Manifold C atera! x x x x xn V2 x x x x 1-3terat Lenath – Lateral length – p Oistributian Line a-- — P rocs soX — –o r rs>J 1 you S t - Gq P ?� Ft. Hole Diameter d ig Inch =— S 3 Ft. Lateral Inches) X �N Inches Manifold Z• Inches Force Main " Z Inches #of holes /pipe 9 ' Invert Elevation of. Lateral s gq- '►S Ft. Combination Sept;ic; and PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE G OF 7 VENT CAP WEATHER PROOF JUIJCTIOW BOX , 4'C.I. VEJJT PIPC APPROVED LOCKIMG 1 10 ' FROM DOOR. AAuHOLE COVER rvJV tI.a 3 P�t1 01J S' IPE ,J1UOOW OR FRESH wARtJI>,1G L.NSEc.. �lr?tcznstlT'rnP AIR IIJTAKE S co:IDu�r tEL- q8 77 UJLET � PROVIDE I --- -- •, — j"AIRTIGHT SEAL I III 1 B�.FFIt 1 1 i Approved Approved joint w/ _ I joint w/ PVC pipe a _! ii ALIIRJ+I PVC pipe f I C I 1 OM fT. - I PUMP --� '—� OFF 0 COUCKETE L"Z V 9.17.00 a�ocx y : RISER EXIT PERMITTED OQLtl IF TAWK MAUUFACTURI`R HAS SUCH APPROVAL 3NAAPQcnFp Br=DO I N4 SEPTIC f 5PEC- IFICAT10QS DOSE TAWKS ! 0 1AU UFACTURE R: WIIS�S CF��.1L -1ZCT� WUMbER OF DOSES: _ P is R DAB TAIJK DIZE : wLP IUGO GALLOUS D05C VOLUME 1 ALARM MAIJUFACTURLR: S.s.�t�c`t�`c0 S�$ IAICLUDIN BACKFLOW: t�Z- GALI.ON,S MODEL WWABER: 10 W CAPACITIES: A= l� 306 • lUCHCS OR GALLOwg SWITCH TSPE: aLx-t-y 8= Z IUCNES'OR 3 � G ov� S G�LLO415 M PUMP ANU FACTURE R: C= 6 V o l IUCiiES OR CALLOUS MODEL IJUMBER: - �� D= ' l-z INCHES OR zo CALLOUS SWITCH TYPE: MCA cu%-CI MOTE: Pun AJJD ALARM ARE r T O b bc fO MINIMUM DISCHARGE 'RATE—ii I GpM INSTALLED IDW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWCE►J PUMP OFF AIJO..DISTRt8UTI01J PIPE., �' FEET + J METWORK SUPPLY PRESSURE , , , , , •SCE FEET -OkI. 3� + 8 o FEET OF FORCE MAIN Y, •�,Z F oFCFFICTIOU FACTOR � q� FEET TOTAL DyUAMIC HEAD = I �' Vs FEET As. per manufacturer 1 gal /in. Liquid depth 38 G Goulds i *�oE -_° . Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. tic cover with integral handle Motor: Available for automatic and • Farms manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, points. • Water transfer 115 or 230 V, 60 Hz, 1550 models include Mechanical RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty • Dewatering automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with ■ EPO4 Impeller. Thermo- construction. • Solids handling capability: automatic reset. plastic Semi -open design 3 14" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. sp Canadian Standards Association f • Total heads: up to 24 feet. with three prong grounding • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F' or "AC ". rotary/ceramic - stationary, three prong grounding plug improved performance. ) BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. • Capable of running dry without damage to 9 30 components. Pump: EP05 s • Solids handling capability: 0 25 % maximum. � z - i • Capacities: up to 60 GPM. 6 20 { • Total heads: up to 31 feet. • Discharge size: I NPT. z s • Mechanical seal: carbon - c' 15 rotary/ceramic- stationary, _j 4 BUNA -N elastomers. EaoS' • Temperature: 3 10 22.' 104 °F (40 °C) continuous j 140 °F (60 °C) intermittent. 2 g — 1 s ' o 00 10 20 30 40 50 GPM L L i' 0 2 4 6 8 10 12 math CAPACrTY ®1895 Goulds Pumps, inc. Effective May. 1995 Wisconsin Department of Com SOIL EVALUATION REPORT Page __I 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 St. Cr oix include, but not limited to: vertical and horizontal referencepoint (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow,,an; qc lop aridA stance to nearest road. pending Please print a/1lrffQrmation. Re 'wed by Date Personal information you provide may be used for secondary pose rivacy Caw, s 15.04 (1) (m)). 9 \ t3 3 Property Owner Property Location .._ R J C Develo men Gott. Lot NE 1/4 SW 1/4 S 25 T 30 N R 18 X (or) W Property Owner's Mailing Address ' ` Lot Block # Subd. Name or CSM# ` •Y Cy�' 1868 R ichmond Hil Rhm ;� � .1,7 na is o Z.i Cod . Phone N :� e Town Nearest Road City State p � •" � ��� , _ City ❑ Village [� aiN Richmond New Richmon WI. 540 (. ichmo (3 New Construction Use: ❑ Residential / Num�bec oft etdrpomi' -- 4 Code derived design flow rate 600 --GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material glacial drift Flood Plain elevation if applicable na ft. General comments and recommendations: mound @ el. 99.75', based on contour line of el. 98.75' F-11 Boring # Boring [�j pit Ground surface elev. 9 9.15 ft. Depth to limiting factor 57 —. in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure WConsisten Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 1 0 -11 10 r 3/3 none L • • -2 10 r 4/4 none sicl 2msbk yw if .4 .6 3 25 -36 7.5 r 4/4 none sl 2msbk mfr err nA .5 • -57 7.5 r 4/6 none is Osg mvfr 9W na .7 1.2 4/6 c2 7.5 r 5/8 scl M na na na .0 .0 -- a Boring # Boring >is1 Pit Ground surface elev. 99.15 ft. Depth to limiting factor Soil A lication 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 0 -9 10 r 3/3 none L 2msbk DISH cs if .5 2 9 -20 10 r 4/4 none sici 2msbk mfr CfW if .4 .6 3 20 - 39 7.5 r 4/4 none sl 2csbk mfr uw na .5 .9 4 9 - 5 r 4/4 2d71 r 5/8 scl M na na nA .0 'Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L u t #2 = BO 0 mg/L and TS < 30 mg(L CST Name (Please Print) Signature ST Number Gary L. Steel t% 02298 Address Date Ev uation ` ducted TA phone Number 1554 200th. Ave., New Richmond, WI. 54017 10 -15 -2000 715- 246 -6200 j I property Owner R J C Developmen Inc Parcel ID# pending p age 2 o f 3 F Boring # ❑ Boring 3 [ pit Ground surface elev. 97 ft. Depth to limiting factor 52 in. Soil 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 I 'Efl#2 1 0 -11 1O Zr 3/3 none L 2msbk DSH w if .5 .8 2 11 -23 10 r 5/4 none sicl 2msbk mfr :w if .4 .6 3 23 =38 7.5 r 4/4, none sl 2msbk mfr Q na .5 .9 4 38 -52 7.5 r 4/6 none ms Os - ml n .7 1 1.2 5 52 -65 10 r 4/4 c2 7.5 r 5/8 sl M na nA na .3 .5 F-1 Boring # ❑ Boring [] pit Ground surface elev. ft. Depth to limiting factor in . - - So � ilApplication 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 F-1 Boring # C] Cl Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soii lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 Effluent #1 = BOD > 30 1220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 rnglL and TSS _< 30 mg1L 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$330()LNW) STEEL'S SOIL SERVICE Gary L. Steel RJC Development, Inc. 1554 200th Ave. CSTM2298 NEISWI S25- t30 - New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #11- Richmmond Hills iN 1 " =40' BM-= top of SW lot sttke @ el. 1 Alt. BM.= top of mid -lot survey stake @ el. 92.75' � N r Ot , Gary L. Steel 10 -15 -2000 l J ST CROIX COUNTY SEPT TANK MAINMANCE AGRLf3MENT AND OWNERSH CBRTtFICATION P O w �3uycc �� C Malting Addr= Q e ' Property Address A! f {1 (V«WrWion rcgaiwd fiUM Phan* Dot for near coastmetioi ci ty& u e NOW WMfification Number ��TON Property Location (Y 1 <, S ,r, SM _ T N R W, Town of Sc6di: vision. '� l f �S Lot # Certified Survey MAp # volume Page # Wa:x=ty Deed Valume Page Spoqhouso O yes E3 no Lot tines idwfiftloa yes 0. no V ase �aai' mbea '°°e'of�var�tooaidt+e�l'tmi�sp �i' (,�t,�y�e.rzst�cx.Proparx�bcaaax aa'eoo,,e,EtScte�o��a �maor{ ifibc�dodb!► t�o�er�odpannfx :'pp�t�C,xc.p!rtia�boQresy►sccae U * oawaer to wba*to SL Uo3ixraft =dfi=f fan. skwd by60 em= aadby s ear Clj , � ter, � d p.(�� 0 .���isksx�atr3#uII f�i.l�q�s«cb3►ere of dreDgpa�tofN, - 's�ag't�ity ' oc�;s'r�weofWssooasia.. daysofifre J amtdstic, beooa o daadtc 6 utiauAdtotbc3t 1 Dkaix.Cwam rZ,aoiwg0Wocvvicdlua30 �h x' OR AMr ANr S 1�!�3 DATE 0 �'t.T�CA�O1�I Y ( ) ° ' Qrmt x oa this foomt arc tune to the best o£ray (asry ksma I (we) am (m) dw owm(s) of tho nom, by Victae Of ,�, flood moot+dodnt ot'Doods Ate. 4 OP �waN l r 2 103 DATE •ii«ii `..., � �;S �'�peruxrtAd �t is th�c sauitrsy Ix'xatit being t+cvokat {,,, the q , •• , : ,,,,, �, *i.•• • ii ti[ awl & PPHcR&w a ampod %1=0 food fi mt tfwa R* to W Dwh offift a Dopy of the o ,Wed wriq taap if mfot we is taadc is the wamaaty deod - 70' 31t5 9 ' STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Do cument Number I ST. CROIX CO., WI This Deed, made between RJC Development, Inc., a W RECEIVED FOR RECORD Corporation, 05/28/2003 10: 30AN WARRANTY DEED EXEMPT 4 Grantor, and John Blanco _ REC FEE: 33.00 TRANS FEE: 92.70 COPY FEE: CC FEE: Grantee. PAGES; 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix _ County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Z Lot 11 Plat of R ichmond Hills in the Town of Richmond, St. Croix County, Name and Return Address isconsm. 026 - 1127 -11 -000 Parcel identification Number (PIN) This is not homestead property. ICK) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this '2 day of May 2003 RJC Development, Inc. * + By: Roberta �J.a,Vice President * AUTHENTICATION ACKNOWLEDGMENT Signature(s) RJC Development, Inc., a Wisconsin Corporation, STATE OF WISCONSIN ) by Roberta J. Carlson, Vice President ) ss. County ) authenticated of May 2003 / Personally came before me this day of the above named • Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY + _ Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) , ) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals company, Fond du Lac, W STATE BAR OF WISCONSIN 8M655.2021 WARRANTY DEED FORM No. 2 -1999 6 ! 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