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HomeMy WebLinkAbout026-1127-15-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: r 420390 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: RJC Development I Richmond Township 026- 1127 -15 -000 CST BM Elev: Insp. BM Elev: BM Description: D. DO o W jq -a / TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic j�p Benchmark of / 7 /�U•U Dosing f Alt. BM b U l� kj f j�b s/ ' ,� 0.3 9- r 9 Aeration Bldg. Sewer W N add . 61 z. y6 Holding _- St/Ht Inlet Y. 0 qo. St/Ht Outlet TANK SETBACK INFORMATION y. 21 9a 3z TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet S �,� /VG 13 Septic , Dt Bottom {{�� > Q� �0(7 a A /d• 3y Dosing , r / v � dye He d r /Man. -fm? q G w'i 1 7- l03 Aeration ` Dist. Pipe Holding — —° Bot. System g. R $�% S , Final Grade PUMP /SIPHON INFORMATION S - '33 Manufacturer CTr V LI) Demand St Cover D . p 3.1 3 S GPM (� ` Model Number " ' — v - 3 /I (-- �/ 0 t TDH Lift Friction Loss System Head TDH `�' V i 1.2 /S�aS Forcemain Le t Dia. Dist. to Well S 2 s SOIL ABSORPTION SYSTEM 6 BEDITRENCH Width ( Len�ith No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2 � !�/ / SETBACK SYST TO / P/L BLDG IWELL LAKE /STREAM ACHING ur INFORMATION Z CHAMBER OR : Typin Of System 1 �l ( UNIT Model Number: DISTRIBUTION SYSTEM Ord aAA", u>� Header /Manifold IDistribution x Hole Size x Hole Spacing Vent to Air (Intake `�77 I Pipe(s) I / L Dia Length Dia acing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over D Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center r�LrfV`� S . (n _ Bed/Trench Edges Topsoil [l Yes [] No Yes TN, COMMENTS:: (Include code discrepencies, persons present, etc.) Inspection #1: 2 j t U / 0 '7 Inspection #2: Location: 1331 141st Street New Richmond, WI 54017 (NW 1/4 SW 1/4 25 T30N R18W) RichVoR Hills Lot 15 Parcel No: 25.30.18.825 1.) Alt BM Description = ' dw sl"11 2.) Bldg sewer length = (PC) - amount of cover = r, /h,4 Plan revision Required? Yes L lierNo T Use other side for additional information. n. t / �u SBD -6710 (R.3/97) Date Insepctor's Cert. No. Safety and Buildings Division County m 201 W. Washington Ave., P.O. Box 7082 isconsin Madison, WI 53707 - 7082 Site Address Department of Commerce -ZO -0 J, 90d J—?—? s � Sanitary Permit Application _a Sanita Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal info tdG �ovidd° Chec �e) 3 �� may be used for secondary purposes Privacy aw, sl ' �11� ❑k if Revision I. Application Information - Please Print All Information State Plan I.D. Numbpr� Property Owner's Na me Parcel Number ® ,16 Property Owner's M ailing Address �_ . Property Location (l 1) /a ; S T N, R City, State Zip Code Phone Number Lot Number Block Nu r Subdivision Name CSM- Number 11 A 4-4e M "7/ II. Type of Building (Check all that apply.) aS Ptl'S ❑ City ,0 1 or 2 Family Dwelling - Number of Bedrooms ❑ village_ _ ❑ Public /Commercial -Describe Use )� Township ❑ State Owned 3o y, a ^��i�C�dv 3�� Nearest Road III. Type of Permit: (Check only one box on line A. Numbering is for internal use.) (Complete line B, if applicable.) A. 1 New 2 ❑Replacement System ❑ Replacement of 6 ❑ Addition to For County use S 3 stem Tank Only Existin S stem B' ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV J.ype of POWT System: (Check all that apply. Numbering is for internal use.) &_JX0 d� �„ ,— 44 Non - Pressurized In- Ground 21 ❑ Mound 47 ❑ Sand Filter 50 Constructed Wetland 3 � S 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 DAerobic Treatment Unit 49 ❑ Recirculating 30 ❑Other '2 ! 1ni'7• V. Dispersal/Treat ent Area Information: � Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate S stem Elevation Final Grade Required Proposed Rate . t _ (Gals /Days /Sq.) (Min. /Inch) Elevation / -19 a V . Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank _ `s Dosing Chamber _ VII. Responsibility Statement- I, the undersigned,assurne responsibility for installation of the POWTS shown on the attached plans. P me (Print) Plumbe 's Si ature V MP /MPRS Number Business Phone Number 711� t .� r y � - Plumber� / ree ss (Street, City, Stat ,Zip Code) VIII. Count /De artment Use Onl Disapproved D to Issued 1$Suing A nit Signature (N mps) ❑ Sanitary Permit F (includes Groundwater p Approved Owner Given Initial Adverse Surchar g e Fee ) 7iZS. n o � IX. Conditions of Approval /Rea for isapproval C14t Y�(,1 d $yS� 4 C45P fN S VV 44:ALv -�o*e. Z - Aze.. s /y��z u� Soy r��$- anal �lesf <P'�''u`de. YI a a -fc_ l�-?9' �,/�V. `• t�c`' "' s l' 7 r w Po�� ��ch p.Q let� Ts (to h� t only) fo tt"l on pa no less th4n 81/2.x 11' hes �/ ",� (/✓�l �,� �� �,h�Z.�zl ''-?>� �� ✓vt . �j ..� (�3 --( � � ,Sys 4�- f ��c SBD -6398 (R. 05101) 0 , / c bN d I o 1 d l k i \ � TN 1 , � 71 rAUE of �5ER C _ AO 55 SS ECTI O N_ ANp _ SPECIFICATIONS _ VENT CAP VENT PIPE WEATNERPRooF _/APPROVED LOCKING WEATHEKI 90X MANHOLE COVER. WITH 5 ? Z' FROM DOOR, WAmING LA6E.l WINDOW OR FRESH IL�MIU. AIR INTAKE I GRADE COIJDUIT - Itl'/'11A1. \ \ \� 1 �l PROVIDr- I - -- -- IMLET AIRT'IG11T $CAL I (lI V I III APPROVED JOIU' APPROVED JOIWT A I II W/ ' PIPE W/ PIPE I 11 E XTEWDIIJC. 3' EXTENDIIJG 3' ALARM I OWTO SOLID S01 OWTO SOLID SOIL e I I II OIJ C � I f CLIV.' 9 _ 1 ;- FT. PUMP -� - -� b OFF 0 COMCKETE CLOCK KISCR EXIT PCRMIITCD OQL5 IF AWK AU FACTURCF HA SUCH APPROVAL 3" p P PR 5PECIFICATIOKJS SEPTIC E DOSE TAQA MAWLIFACTURCR. C �� IJLL^�9CR OF DOSES: PER DAM TAA1K SIZE ALLOWS DOSE VOLUME C, AC�ON. / ItJI• LUUI►JG DACKi'LUW: %° ALARM MMJU FACT URG s.� / , MOOLL WUMDEK' CAPACITIES: A= _IWCAC5OK �f GALLOWS SWITCH TIFF: g= ._IUCNE$OR -: 6ALLOW', PUMP MAQUFACTURCR: C a 1 I N CHES OR ISL/ L CALLOLI$ j1 MODEL ►JUMDCR: fi � D --5— INCHES OR GALLOWJ 5WITCH T`JPE: SU f/ �� -'� MOTE' PUMP AUD ALARM ARE TO DE INSTALLED OW SEPI�RATC CIRCUITS MIIJIMUM DISCHARGE RATE _, Y�G GPN VERTICAL DIFFEKEWCE OETWCCW PUMP OFF AUD 0I5TRI6UTIOU PIPE.- FEET (�• + MII,J METWO SUPPLY PREESSUR �r FEET ✓ .} /h FE ET OF FORCE MAIW X c2l -� �- /Ioa /r FACTOR.. // FEET TOTAL D'�WAMIC. HEAD = 1 22- FEET I►JTERWAL OI MEWSIO C OF TAWK: LEOGTH — iWIDTH j LIQUIP DEPTH LICENSE PUMBEIR, 37 ()ATE: Performance Submersible Effluent Curves Pulmp's METERS FEET M ODEL 3885 SIZE 1 /4" Solids WE15H 70 1 20 - E10 i 60 1 FT7 - WE07H I T WE05H -, 30 WE03M 7 FTT 20 WE03L N N 1 1 I I ) 10 20 30 40 50 50 70 80 90 100 110 -- 120 GPM 0 10 20 30 ml/h CAPACITY GOULDS PUMPS, INC. SeE-CA rkLS tEW Yop,. METERS FEET 12 ' i FT — I MODEL 3885 110 WEISHH- SIZE 1 14" Solidsl 3s 90 25 - 1 20 60 0 15 50 WE05HH 20 - 5 44� 10 3C a0 ri% 1I0 1 2G GPM 30 ml/h CAPACITY qq.5 Goolds Pump Inc E"eclovejuly 11)pl• Wisconsin Department of Commerce SOIL EVALUATION REPORT P Page / of ' 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 J ©� 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. I.D. to 3 - 30- !D yF4 Please print all information. evie d by D Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). -! 0 Property Owner rt L cation RECEI Lot 1/4 1/4 S T N R Property Owner's Mailing Address Lot # E lock # Subd. Name or CSM# C City State Zip Code Phone IN umber ❑ City ❑ Village Z Town Nearest Road ( .�5- ) T. (� New Construction User Residential/ Number of bedrooms -3? - Code derived design flow rate lJ ze9e GPD ❑ Replacement > ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable Z^ ft. General comments and recommendations: S�s>`,rs„ f� ��r � <.JC�/ �i2j.,�,�_g.— �,,� toc- ,$tr,�:,v�s oN oring # ❑ Boring iJZ Pit Ground surface elev. .Zd 2 ft. Depth to limiting factor ,/� in. Soil Application Rate orizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F1 Boring ❑Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluenl #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( le Prin j Signature CST Number Address Date Evaluation Conducted Telephone Number SBD -8330 (R07 /00) 1 Property Owner Parcel ID # Page of ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. El Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD -8330 (R.07 /00) G'7W G' incvJo d \ \ Aq v , ay' s 3 ys 94 f F • � � � �, -,'> -' s� � a? tea' ��� Wisconsin'Oepartrnent of'Indusvy. S O! L AND SITE E V A L� 1 ��P O r� 1 of s t.atxx and Hunan Relations Division of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I D x dimensioned, north arrow and location and distance to nearest road pend my APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION vIEWG. Y DAT =_ PROPERTY OWNER PROPERTY LOCATION R J C D evelopment, Inc. G OT IVtd 114 SW 114S 25 T 30 .%- P 18 Worl W PROPERTY OWNER':S MAILING ADD - IESS LOT tt BLOCK x SUED -NAME OR CSM A 1868 CTH. "C" 2 na csm Ie Ytc � CITY, STATE Zla RODE PHONE NUMBER QVLiAGE ['OWN NEAREST ROAD Somerset, WI. 54025 (715 247 -5721 Richmond 140th. ST. ()j New Construction Use Residential / Number of bedrooms a ( J Addition to existing building — 1 ; Replacement PuDlic or commercial describe___ ------ . - -_ —_ _ - -_ -- — Code derived daily flow 600 gpd Recommended design loading rate .5 bed. gpd /$ 2 _ ra_ trench, gptlrtt Absorption area required 1200 bed, n2 1000 trench, ft Maximum design loading rate .5 bed, gpdM _ - • 6 trench, gpdrtt Recommended infiltration surface clevaton(s) — 55.20 ft (as referred to site plan benchmark) Additional design; site considerat;o.;s alt. Area= 94.90' Parent material pitted glacial drift Flood plain elevation, it applicable na _ h S = Suitable for system CONVEN rr.O�NAL MOU IN-GROUND PRESSURE I AT -GRADE SYSTEM IN FIL_ -iOLDING TANK U= Unsuitable fors stem !® S 0. U I lI S O U I ®S O U ®S O U 3S i3 U O S Cad U SOIL DESCRIPTION REPORT Boring # Horizon Depth , Dominant Color f0ottles -Texture Structure Consistence I Botn;.tary Roots] PD /fit in. I I'VIunsell Ou. Sz. Cont Color Gr. Sz. Sh. , ; lunch .. °.k` 1 0 -151 1:;yr no 1 2msbk mfr j cs I 1f ; .5 2 15 - 37 _ -.yr4 /4 none sil 2msbk ' mfr gw - - � if ! .5 .6 Ground 3 1 37 - 88i :=,yr4 /6 none sl 2csbk rrvfr na ' na .5 .6 Depth to -- limiting -- facto I I +8811 -- � � I Remarks: 1 0 -10 10yr3/3 none sl 2msbk Boring # mfr yw if . 5 .6 :_,,.. :a> 2 10-241 7 . Syr4 /4 + none scl 2msbk mfr gw if ; . 4 .5 i 3 24 -84j ;.5yr4/4 none sl 2msbk mvfr na na .5 .6 Ground - - elev. ; 1 9 8.6 - 1 i I Depth to - - limiting facto - 1 i Remarks: CST Name:-- Plcasc Print Ga: v I.. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave _�: Richmond..W1 54017 ° Signature: ' � ,L t3 ' Date: 5 -4 - CST \umber. m02298 If .,JPERTYOWNER RJC Develop r.,ent, lnC•SOIL DESCRIPTION REPORT P age 2 ol_ _ PARCEL I.D. S pending - -- Boring # Horizon Depth Dominart Color ' Nt )tiles Texture Structure Consistence Y Roots GPO /f( _ in. Munsell Qu. Sz. Cunt Color Gr. Sz. Sh. Bed Trends 1 0 - 12 10 3/3 none sl Zmgr Mvf r gw if .5 .6 " 3 2 12 - 7.Syr4� none sl 2msbk ; mvfr gw na .5 .6 Ground 3 4 2-111 ry /6 ' none ms Osg mvfr ! na na elev _ - - 100_5 Depth to limiting - -- -- ±— - -- - -- --�- -� factor ±110" ! f I T — ± -- Remarks: - _ Boring # . 1 0 -9 10yr3/3 none sl 2mgr mvfr gw i 1f .5 .6 :4. - 2 9-40 7.5� � r 1 4 :. , / i none is I Osg mvf r gw na �. 7 .8 3 40 - 7.x;_ none sl 2msbk mvfr yw na (.5 .6 Ground -- elev 4 60 -90 7.5)--1/b none ms Osg mvfr ! na - na - .7 - .8 9 9.3 K. - — -- }-- - -- I Depth to - limiting factor - - —1- - -- - - - - -- - +90 ���//� Remarks: '7 � f ate Aft 6CZ=� Boring # — 1 0 -8 10yr3 /3 none sl 2msbk mfr yw if .5 .6 �k 5 2 8 -20 7.5yr_1/4 none sl 2msbk mfr i gw ; na .5 .6 3 20 -46 7.t; /4 none scl 2msbk mfr gw ! na .4 .5 Ground -- elev. 4 46 -60 7.5} . none sl 2msbk mvfr g w na .5 .6 98.9 - — 5 60 -88 7.5yr -:/6 none ms Osg ml na Ina .7 .8 Depth to - limiting i factor - - - -- +88 Remarks: Boring # - Ground - elev. ft — - -- m limiting i lacta.Or - .. _ STEEL'S S OIL SERVICE - 1554 2001h Ave. Care L Steel RJC Development, Inc. New Richmond, WI 54017 CSTM2298 NWaSW4 S25- t30N - R18 w (715) 246 -6200 MFRSW -3254 town of Richmond lot #2 -csm t „ _.40' &M.= top of 1” pvc pipes el. 100.00' k1t. HM.= top of 1" pvc pipe C& ei. 99.50' ; �t 1qO 'G / 1 _ o o2�76 a� a 5 1 Gary L. Steel 5-4-2000 r w --- - -N00' ., _ 25 35 E 140TH S TRA RIGHT -OF- WA Y - - - -- - - - -- N00'25'3` N00'25'35 "E (/ 1465.56' CENT£RL /NE 140TH ST. r w N00'23'52 "1 , \ RIGHT -OF -WAY - - - - ;------- - - - - -- 35901' - - - - - -- 652 Z w -- 00 I z OD � N ....... �............�I# ............... ... .. n I D I< I m I> 1 0 N 2 O 2 � � 2 I i m � � '� �I �, ooL I I w 1 0 J � a C � N123 �OQO I � r '. iC I� ��O p 0�3���+ 1sa2� O I c+ I i CCJ i N I'1 Q7 l O i I m O 0 / I A I �",4.. I D 00'25'3'5 E 291 - 58' 162. 27 129;31' � \\ ; .•524 2 o r- I L �� b`Nf I / I � • � � I ' 14 V1 y O I \ A U .................. ti F- - - -I \\ I ' I (A QD \ \ (j,4 I Q) j \ \\ ` 1l 126.08' S00'05'55 "W 290.71' - -- - I 126.06' I N i (A • i (jl O .............. Cl� A�•1 I / 1i' CO `1 U D 1 �o yy � < a rn D Ii a Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 _ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code C ounty St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. io endina S QfI� Please print all info me - evie ed by Date � c Personal information you provide may be used for segv65 8ry'pb)pbse►0? YscyLaw. 46. 15.04 (1) (m)). Property Owner 4� Property Location r:? R J C Govt,'(.ot NW 1/4 SW1 /4 S 25 T 30 N R 18 F$(or) W Property Owner's Mailing Address 1 Lit # Block # Subd. Name or CSM# 1868 Ct Rd. t- -- - � `' City State Zip Code hon tuber aCl, X [J. yy ❑ Village ® Town Nearest Road New Richmond-WI ) 14 [3c New Construction Use: ❑ Residential / Nth;iWr b'fL_edrooms __ _ Code derived design flow rate 600 GPD El Replacement ❑ Public or commerrcia' DDe e Parent material a a 1 8 r i f t- — Flood Plain elevation if applicable General comments and recommendations: mound el. C 97.30 based on contour line of el. 96.30' ❑ Boring # Boring ® Pit Ground surface elev. 9 6 • 7 0 ft. Depth to limiting factor 3 9 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 1 0 -10 10 r 3/3 none L 2 10 -22 7.5 r 4/4 none sicl • 3 22- na 09 4 39 -60 5yr 4/4 na I na ---------- [72 Boring # Boring Pit Ground surface elev. 9 6 . 7 0 ft. Depth to limiting factor 3 8 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 none L 2msbk 2 8 -17 7.5 r 4/4 none sicl 2m 3 17 -38 7. = na .5 .9 4 38 -60 5 r 4/4 none na na Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ffluent #2 = BOD < 39 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address �Datev Con ted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 10 -19 -2000 715- 246 -6200 i r Property owner J C Development Inc. Parcel ID # pending Page 2 of 3 ❑ Boring # ❑ Boring [R pit Ground surface elev. 94 ft. Depth to limiting factor 42 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure 7DSH 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 cs if .5 .8 2 9 -16 7.5 r 4/4 none sicl 2msbk gw if .4 .6 3 16 -42 7.5 r 4/ none sl 2msbk mfr 9w na .5 .9 4 2d7.5 r 5/6 scl M na mg na .0 .0 F-1 Boring # [] Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 I F-1 ng F1 Bori Boring # Ground surface elev. ft. Depth to limiting factor in. E] pit Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. I Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS 5 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, r lease contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SBD4330(R6=) STEEL'S SOIL SERVICE Gary L. Steel RJC Developmen, Inc. 1554 200th Ave. CSTM2298 NWjSW=4 S25- T30N -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #15- Richmond Hills N 1 BM.= top of 1" pvc pipe C el. 100.00 Alt. BM.= top of 1 pvc pipe C el. 96.20 J� �c V 3 3 3 �O` br� ` Gary L. Steel 10 -19 -2000 POWTS OWNER'S MANUAL & MANAGEMENT PLAN .Lt- FILE INFORMATION SYSTEM SPECIFICATION Owner } Septic Tank Capacity al o NA Permit # Septic Tank Manufacturer 5 o NA Effluent Filter Manufacturer o NA DESIGN PARAMETERS Effluent Filter Model o NA Number of bedrooms o NA Pump Tank Ca acit al o NA Number of Commercial Unit NA Pump Tank Manufacturer o NA Estimated flow (average al/day Pump Manufacturer s o NA Design flow (peak), Estimated x 1,5) gal/d P ump Model o NA Soil Application Rate gal/day/fl' Pretreated Unit j Influent /1 111u0111 QL1011ty Munildy Avorago* to Sand /Gravel Diller to Neal Filter hats, 0 11s & Grouse (FOG) S30 ntg /L rr Mechanical Aeration a Wetland Biochemical Oxygen Demand (BODs) <220 mg/L o Disinfection o Other: Total Suspended Solids (TSS) < I SO m L Manufacturer Pretreated Effluent Quality O NA Monthly Average ** Dispersal Cell(s) j KIn- ground (gravity) o In- ground (pressurized) Biochemical Oxygen Demand (BODs) <30 mg /L ❑ At -grade o Mound Total Suspended Solids (TSS) S30 mg /L a Drip-line o Other: Fecal Coliform (geometric mean ) <10 cfu /100mL Maximum Effluent Particle Size '/s inch diameter * Values typical for domestic (non - commercial) wastewater and septic tank effluent. ** Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequenc Ins ect condition of tank(s) At least once every o months 3 W ears (Maximum 3 rs) Pump out contents of tanks When combined sludge and scum equals one third % of tank volume Inspect dispersal cells At least once every o months eta' ears Maximum 3 rs) Clean effluent filter At least once every o months ;4 eur(s Inspect P ump, pi.1111p controls & alarm At least once every a months 3 Xyuar(s) a NA Flush laterals and pressure test At least once every o months o year(s) jt NA Other: At least once everX o months o earls o NA Other: At least once every o months o ears o NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses orcertification� Muster Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection ul' the tanks) to identify any missing or broken hardware, identify any cracks ar leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on th ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third ('/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code, The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that my impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tanks(s) removed by a septage servicing operator prior to use. Owner Pase-2 of2 System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact. The area within 15 feet down slope of any mound or at -grade soft absorption are. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONEMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. o A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. • The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. • Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at the time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLFi POWTS MAINTAINER Name Phone Name Phone SEPTAGE SERVICING OPERATOR PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone _1 S' CROEK AND OWNERS HM MTWICAUON FORM Propcirty . s Add ress C tY e L ! 7 Pam& I4catifi Number 199AL DRSC RIMON A Praraty Loran S ._ -V.. Et—i V., sac. T: � N lt�w Tama of WMMMM P,4no. - Lot SUM4,1 y map # _ . Valk ► page # WM=ty Dad # _ - — - Volume �aga # hoa= FA ycs 0 no bat fi= dcx hh*lt Ycs 0 DO ffWM 9M_ A.N. mper sse asd mamteaan ctofyox septic syscan oonid =M* u its imwtum faib m ay wade Fsoper Am oea o pes s6 acct ►e swpidc tsaSc cvaY th a Yrass :n sooner. >€ aeadcd s i yM Y" +Isar Asbot a& hwdm of IM s +e Unk as a traemma juge . io &e way dtspasal systaii. Vice propmty vw=cr ass=. 10 =bM-- SL CIMM ZMMC Dgpwftm=K 11 ese aricst i mr h m, SWK4 1W AC Owner tri#'b� • #t ia: bprr o cie+a aodfor f l srffsx i oa pmapiag {Mr mainnyN iho s"Mic %skit tam iii tee o€sbWIr- the US&COWMd hir" aftd the obvft soqVitentaft ted some in aminakdWPOlvaft MvWWdMPMA MoNOM VIOL tbo stasrd r* v b=IL is set bar dsa Depw=m O'er go lines U 1 -NMI ill'OrAtord Rc MUIMI, SmMs of Wigs. Cho 6dW!OW septic TJNM hu bcaa ed=W ktcd aeid- rellaeeeel to 69 bit. 010k Colblr 0M = - WMft 30 dais of tic am man oats. I mos ere wt fir) dsie fam wave to the i>est a ay toed bovledgn. tic W"fly by dmd xc m*d 0 Rom of #Osde OMM SIGMTV" € .tw3 - ,...., AtW igbainb=Ua is � teseetr#a x tr,t being W° dw .. .. - lamas .ricer RNs sppikadow a sumped wonanty deed eroe>s sexetistaref0ft omits 1507PAGE 155 ' s222ss STATE BAR OF WISCONSIN FORM 2 -1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Jerome A. Mortel and Dianne J. RECEIVED FOR RECORD Mortel, husband and wife 05-02-2000 10:00 AM WARRANTY DEED - - - - -- EXEMPT A Grantor, and RJC Development, Inc., a Wisconsin Corporation CERT COPY FEE: COPY FEE: TRANSFER FEE: 1185.00 RECORDING FEE: 10.00 PAGES: I Grantee. 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 Name an n A Tess The NW'/ 4ofSW'/.; the North 4 .5 acres of the SW' /4ofNW'h;theNE' /. ` r r of SW ' /4 and the SE '/4 of SW '/4; all in Section 25, Township 30 North, Range 18 West, St. Croix County, Wisconsin. 026 - 1073 -30- 000;026 - 1073 -4 00 1073 -60 -000 Parcel Identification Number (PIN) This is not homestead property. 0I) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of May 2000 • • ome A. Mortel • • Dianne J. Mortel AUTHENTICATION ACKNOWLEDGMENT Signature(s) Jerome A. Mortel and Dianne J. Mortel, husband STATE OF WISCONSIN } ) ss. and wife County ) authenticated this day of May 2000 Y day of Personally came before me this 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 p 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY • - — — - -- Attorney Kristina Oglan d 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. 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