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HomeMy WebLinkAbout026-1127-17-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division f INSPECTION REPORT Sanitary Permit No: 420663 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan _ P No: Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. " 9 2_5W -;: Permit Holder's Name: City Village X Township Parcel Tax No: Ostendorf, Vince Richmond Township 026- 1127 -17 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /D 0 6 /U d • 6 / •S� � Yt2�- nt ���ti�- 25.30.18.827 TANK INFORMATION ELEVATION DAT TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 1 �� b b Ben�r gk/A— , b A /QVi d Dosing ` /bo Alt. B Aeration Bldg. Sewer • t be Acr- 97• ? Holding Sjt Wet TANK SETBACK INFORMATION St/Ht Outlet TANK TO �`P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Ga S� '✓- Septic .r r Dt Botto Ob 3a ^A A 1 1.7. 9 Dosing x404 Header /Man. 0 6 3 • `F ) o 7 ? - � Aeration Dist. Pipe D 342- / 3 .`( 1 o2 -2G Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer n Demand �L. 6 GPM TQ did odel Number 3Q 31 2 L_ /oa• ®• 1 Lift Friction Loss ( System Head TDH Ft LA J (1 C Sx For main Length Dia Z tt Dist. to Well > r ? j0 S IL A13SORPTION SYSTEM B D I!0NA -M Width ,� r Length ] I N � Of Tminches S PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Dept ENSIONS \/ SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEAC anufacturer: INFORMATION CHAMBER Type Qf system: } , �5 UN Model Number: DISTRIBUTION SY ¢Y/ VZ Header /Manifold Distribution ent to Air Intake 11 x Hole Size x Hole Spacing V 2 / Z l( Pipe(s) 3T1 l t( 1) Length J' D Dia Length 4A--) Dia Spacing �' O Z �- 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 // nl, Yes No [] Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1p / / Inspe ti #2 67 / / Location: 1330 141st St New Richmond WI 54017 NW 1/4 SW 1/4 30 T30N R18W mond Its L t Pcel No: 25.30.1 27 /�L1 ( ) / 1.) Alt BM Description ='pe w td ` ��e�►ak_ �j i � �.� n rt/ 2.) Bldg sewer length = 31D - amount of cover = `' • T- _riGn d 3.) Contour _ 1 .1 A - Plan revision Required? E.1 Yes [ ] No 5 ] Use other side for additional information. _ ae Insepctors ig SBD -6710 (R.3/97) F t ,�� �J / -* ls l Siirgr a�/ 1hIMI+a Dtailile� am* � lot N. WSWROM Aac.. !.Q laec 7161 � - Q Idpon . •I 337i0rf - Tic !s /Aiwa 9f- wot ofcomwoo ce 1330 1 /' Srw l� P wk A iicalMielnt aw.i.I WO@*t� 3 L MOM "A C1 m l0,2t. Wo. A&L aft. pwo" bftmm vm rd.w ❑ � r +�r•a o..Kti � �, m raaw nrr - � 4 �a 00 Ad11aw ft"m &A=dm _ r0►. ftb zkp awa _ now nnow tae p%u6w sbd� fie. ,iVi ,i;,,a, Phws N �cm ttmm*jw i 4 k\6 N A $ fiM r>r� te6oek eet Mgt �' ✓ 4s r Wb �.� Cla4, �[ I w 2 wdft Qwds - P%mOw dsaiaom IM- PC um sT 't'Z�t.t A. liw: 3 01�ia+awwt �.r. 13 sqb . .r s D Arlo. w t4 CNN*=* s. D c hok slwti.Ir ware ft taao r iew" creak Iwiaiar Dale iiw.a nI. Derr at!'bw� tCti�de a1 in 0�IIeele�iereie6 allelais ie 6r irlie*d aa� _____ ale D ILL. 4Pmm,A.d ■,trams 2198orwe a D a.a rare 3o El cwwm d wRw mw MO M - I btko m e as 13 HSMW# Tftc as 0 SW* raw s I 0 Drip laa 45 13 A*aw* as D AwmW Tmmw rt lure O o&w=dM&g 30 0 0OW O[VOW n001odAaw ai wroirla.iwetaa srwties r0"awde Ravi" s ) uifsJrol$ f 1A..w' m is art bft Clow* aw r odw � roes as s a" raw Pbstic ®wear Biwa a<� Omono CUMBU MO edam Iea. •+o•g s.tAo�tlrsi � pOp � �¢ r .ers lo�x� xf M L ft for area>rD1rAalraesaieaM�wiri s vmdn r0na 14MA r 10 OW%Ad&=fts R Cb. aft zra o c�et� `t is 3 $ ( q7 a B lo-9 1 9 s Au 4 t4,,e-L, kA A w -W Q DbWm#W � rk A.iia ara.daWW Daa >.wad � � w• � Q OA..NfHee. we+I A+Ianw ML A-c C 1&0.c tearas rr~r�r �rar.na►.� — �- � �' �`�.� ►�$- � c..Q�e..� � ivtcu - ��D �..� pier v►n��u� �t WAkj- IVaA ke t iegaa•brwsw4atws*=p1low.Aew a n bmw adw QRT"'iMe fR fm/nl R CLVI - 30 R o nci- , : �2rS -� , ! t�1X s , • , ° F E.-( C q o 5 , , : t j , ! t : : l , i. , , : • ` t i { t ,I ; t , : i t i 1 i i s F , x : , , ' , Safety and Buildings > 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 *insin seo www commerc .wis ons Department of Commerce www.wisconsin.gov James E. Doyle, Governor January 06, 2003 CUST ID No.220537 ATTN: POWTS Inspector CALVIN W POWERS JR ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/06/2005 Identification Numbers Transaction ID No. 825788 SITE: Site ID No. 654687 Vince Ostendorf Please refer to both identification numbers, 140TH St above, in all correspondence with the agency. Town of Richmond St Croix County NW '/4, SW ' / 4, Section 25, T30N, R18W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 887158 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • The length of the force main is depicted as 120 feet and is a dimensioned measurement and is not to scale. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explamm that periodic cleaning of the filter is required • 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. Condit • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption APPR area. chs. NR 811 & 812c pEpARTMENT • A Sanitary Permit must be obtained from the county where this project is located in accordance with the NOF requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CORRE • 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. S at CALVIN W POWERS JR Page 2 1/6/03 • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-s ite during construction and open to inspection by authorized representatives of the Department, which may inclu Je local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensurin that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved mai agement plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved man gement 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 fic r the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commenc ment of construct ion /instal lation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require chan es or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nol ling in this review shall relieve the designer of the responsibility for designing a safe building, structure, or com nent. Inquiries concerning this correspondence may be made to me at the telephone number listed low, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others ho are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11 , Integrated Services WiSMART cod 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 TITLE SHEE �( OF DATE: � ,� 1 �- t�� -- MOUND SYSTEM FOR A BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component. Manual SBD- I0572 -P and the Pmssum Distribution Manual S111) 10573 - CR.6/99) (CR 6199) LOC.A►TED 1N THE 1 /4 OF THE SCD I /4 OF SECTION ,T3 CAN, R +f , ` OWN OF �,,,� _� �-, ST. CROIX COUNTY, WISCONSIN. t INDEX PAGE 1 OF 7 TITLE SHEET PAGE 2 OF 7 PLOT PLAN PAGE 3 OF 7 PLANVIEW CROSS SECTION PAGE 4 OF 7 DISTRIBUTION PIPE LAYUT R ECE IVED PAGE 5 OF 7 PUMP CHAMBER CROSS SECCTION JAN - 3 2003 PAGE 6 OF 7 SYSTEM MANAGEMENT PLAN PAGE 7 OF 7 PUMP CURVE SAFETY & BLDGS DIV. ?UPARED FOR _ PREPAMD BY POWERS EXCAVATING INC. 05 3 1969 185' AVE. NEW RICHMOND, WIS. 54017 Dec Ito _ a '00 �. PHONE: 715 -246 -5135 FAR: 71 5- 246 -5 1 35 N E D F COMMERCE .r v 'we.u�n�c jPONDEN� . , Page. Of �. Synthetic covring Distribution Pipe ABM- C33 Medium Sand s Topsoil 3 � % Slope Plowe d � • �' Force Main Bed Of # — 'Z Layer Aggregate d /. Ft. E /, [ck Ft. Crass Section Of A Mound System Using F ,83 Ft. A Bed Far The Absorption Area G Ft. A r �, Ft. N ft. s 75 Ft. lsl -L1G�� �•Oi�.t� 1T1� �ti�i.tP.= � yam Design goading Rate= ,PIS / FT K $� Ft. L Ft. Ft. Position ; �, Ft. 1 of k vZ � 10 Ft, Force Main _�.- ---- -- L -- Ob erYa tion Pipe S - _ K 6 ACC __ -___- __r-- rrr__r Distribution Pipe, Aggregate Observation Pipe wichor Sk t%M , Plan View Of Mound Using A Bed For The Absorption Area Distribution Pipe Layout Page A of Place the holes at the bottoo of the distribution pipes at equal Spacing. Remove all burrs from the pipe and holes. Emasf the sad of each kftW Vp with the uae of tong a= or 45 fimag to a point wires snc kwhas of the $amt grade. Teaainft the arils of dw with a vWvw, thMWW rap or thtes&d pm& Pmvide S ass fmm tiaat grade for die valve. tdte+ded ate or ihtaded ptug. " lfsi�INi : EO 1 2 ; i V 1qw ._ P ncttss 3k" P 3 7 Ft. Hole Diameter �� Inch S ,. Ft, Lateral a Inch(es) X I Manifold " Iles Force Mein Indies / of hales /pipe,_, /1 Invert Elevation of. Lsteral s J4Z3 Ft. SEPTIC TANK _PUMP Ctl_ OMBER CKVS� i�,. - 7 ' WEATHER PROOF ' ABOVE E GRADE 4" CI VENT PIPE 12 n MIN. AB JUNCTION BOX APPROVED ? 25' FROM.DOOR, WINDOW DR WITH CONDUIT MANHOLE 'COVER FRESH AIR INTAKE W/ PADLOCK 5 w Cl RISER - - WARNING LABEL 6" MIN --' . —A ._ -- y " MIN ABOVE GIW 18 V IN - _ INLET � '\ � GAS- , WATER TIGHT SEALS "'"" TIGHT i rrs� A SEAL APPROVED 1° ; ALM JOINTS W/ CI CI PIPE B ON PIPE 3' ONTO 3' ONTO r SOLID SOIL SOLID C 1 ' RISER EXIT SOIL PUMP OFF EL-EV . � T> O F PERMITTED ONLY D IF, TANK . MANUFACTURER HAS APPROVAL 3 APPROVED BEDDING UNDER TANK CONCRETE PAD w ' SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: NUMBER DOSES PER DAY: IC �A DOSE VOLUME INCLUDING TANK SIZES SEPT FLOWBACK• D9, G AL. DOSE � GAL. A = /9 ,2- INCHES = 3 M, 2GAL. ALARM MANUFACTURER: S CAPACI �. MODEL NUMBER: =5 B 2 INCHES = 3, GAL. SWITCH TYPE: PUMP MANUFACTURER: C INCHES = j GAL. MODEL NUMBER: 1 D $, INCHES = L_ GAL . SWITCH TYPE: t - REQUIRED DISCHARGE RATE GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WA( • D DISTRIBUTION PIPE 5 FEET VERTICAL DIFFERENCE BETWEEN PUMP OFF AN FEET + MINIMUM NETWORK SUPPLY PRESSURE . . > •.• • . • • . . FEET + / D FEET FORCEMAIN X , FT/100 F T0TAL I DYNAMIC A T HEAD •_> FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH � WIDTH ; DIAMETER LIQUID DEPTH r POVYTS OWNER'S MANUAL & PLAN moo• � ar f1N.E � N sus m Ana aura► A 5grtic Tartu Cap o city J OM 0 NA E4ethtdt # Septic Tank llAsaa�ersr� 13 NA f3�piiM PlIRA [ EMwmas F&W M�nccltaar Ohl~ 0 NA Pkamber of S 0 NA Efllummit Blear Medial o C) 0 NA Muwr* w of PuMc Facility units 0 MA Plump Tank Capacity 0 NA, EWrsated flow lawwago Pomp Tank Mwwtwtww c #Nf000 NA Design flow fpeak), lEsdrammad x t _51 Purulp Manufacturer Uca c,� 0 NA Soil Application Rate �, PUMP Mwid 0 NA Start+dexd ►nflt+srhtlEftkeent QuaftY mm** Pratrxwttmsat drat 0 NA Fats. ON & Grease JFOG► s3o nWL o SwKV wswW fVtm 0 PwK Fftm Bio�ml Oxygen Dennand IODDJ S220 nWL 0 NA D llr/edmwwcal Aeration 0 W eland TOW Suspended Saheb (Tw 4 1 50 1"9& 0 Dkdrhfwfm 0 Other. !:retreated Eflkrsnt O.uality Mond* wwaalp Dispersal CMS) 0 NA Nocimnieel Oxygen Demand (WO.) S30 wV& G ln4Cnxehd IWavityi 0 lot - Ground (premised) TWO Sughended solids (TSS) Sao owk D NA 0 At-Grads FMound Fecal conform (georcearic mean) S l w cfull oohnl O Drip -one 0 Other: Ildsre mum E bmw F4erticier Size Y, in die. 0 NA ad"r: 0 NA Odarr: 0 NA odor: 0 NA 'ham typk* f w doraralic - w arias is teen e f owit 'Odor: 13 NA SCHEME shwa. Eaewt Sleniluer Fiselaciacy Ir"Voct conattm of tankis) At loser once every: SladeMwA 3 !row") 0 NA Pump out contents of tankis) MRun combined sludge and scum equska one-third IQ of tank vokma 0 NA Inspect dispersal ceps) At bent once eevery: p � 3 years) 0 NA Clean effluent finer At Mnhtet once every; O nmoh(al 0 NA Inspect pump. pump controls & edarm At least once every. rnonthis) 0. NA a► Flesh lataeals and pressure tem At least oaca orrery: 0 NA Other At lsas+t erica every: 13 mordWs) 0 KA fttthar 13 NA Inspections ,rww�n�wl�lcr of tanks and dispersal cads shell be made by an individual canting one of tM following iemum or certifications: Master Pharnber. Master Pkxnbw Restricted ssww-. PowTS inspector: POMITS Maintainer; So~ Ssrvic * Operator. Tank irhspeciiorhs must inckrds a visual iraapection of dw tankha to identify any r rug or broken hardware. idwwWy any cracks or looks. nhaaaere the vol me of corn6ined sludge and srxrm and to dheeck for any back up or Pending of effluent an the ground surface. The CINOW101 call(s) aurae be visually inspe � - , to check the affluent In min in the observation pipes and to dm * for aril► pondirig of off! mu on the ground surface. The ponding of want an the ground surface may indurate a baling condition and reqpairns the ins tnedieta notificalaon of the local "WA Cory authority. When the cownbumad arccumuiation of skm*w and scum in any tank equals one -durd iYJ or mare of the tank volunhs, the on** contents of the tank shag be rernoved by a Septage Servicing OpeKertar and uapoead of in scconume with chapter NR 113, Wisconsin AubnWstrative Code. AN other services. irheduding but not !united to the senming of emmew filters. mechanical or pressed components, prevest rent units, and any swvkkm at Intervals of Si 2 months, snail be performed by a certified POWTS Maintainw. A service report shM be provided to the local regulatory maho ity within to days of c nWisation of any service event. GPAW 141011 1 .. rART Mr AM OVE1ATM ' F;Dr new ruler may �11�. Pr�r to use of rule POW TS check t tank Pa m � at Mesence Qf tankta taanOV4d anover the disperser �. it � Mlttat;01 P►O�tMCtti Or other C� e M�'� WWOM prom to ". detected have the Cpltent SYstem start up shall not occur when boll owing power are froaerl at rule infYvatilre . +warped to d kraals_ when Power is ram the effluent. TO avoid this aibsatian have the oontatas � the OMM and may nm* in the backup or stiifaca wis , by js r*"" � ' tPurr�p t: park within 15 feet d veh tanks and disperser cells. Do not arise or akape of any around or at -ynrde and � Via: O1°r ' a d"Ab or compact. the ars, RW"c"on or **niMetiDn of the foiloyMV from the POWTS: ar�iotics. baby ewatar Mrs" may 'nptive file perlorrrrstru a ant/ foundation drain ( DonnP water butts. `won saw: d'WIIIM- aantai rtes life of the to+ntinp wodacts_ �t and vegetable pods: h diapers; tntectal,ts tat: ' � sanitary : tampons. and water softener b ntaet med . oit; A When the "M fails and/or is permanently taken out Ot service the a and �d in =Won" Vieth ChIMIAer COMM 83. � sira be taken m insrre that the system is e AU Pipk'rg to tanks aril pits shall be � �+ erected and the abart pies an e The contents of ail tanks tanks d opan�s 966W. pits shall be retrwvea and prOperfy dyad of by a Ssptape Servicarp OWetw. e After puun *V. all tanks and tits shall be exca so vated acrd removed a their il ersvad or another inert solid RuMerW. corers removed and the void 8POOe ONed with C ONTONSICY PLAN rf the POWYS fails and carrot be replatMnent system: repaired the fvNQwing measures have been, or must be taken, to prurybe a cotta t may 11 A suitable Moscemant area has been evaluated evaluated and arrouikd be Protracted f be utiCtned for the tacation of a UiR soil absorption system. The repiacertant era _ repueed MOOcks from aod� said pn%xwad mss- Faiurf to � � W b result in the y Heart for a new soil and sits avatWtion to ae li n a sRiit well p olect Ore � area w ill y with the mites in effOOM at that time. t arm. M�splsk derrxstt systems must E3 A she Mpftk�amant arse Is not available due to setback and/or nail technology a holding tank may be kmagl ad as a last resort to reps the fatisd POWTS. _ Sarnng adva rmes in POWTS 13 The site has not been evacuation must be performW to sta a r"M a - Upon fadttre of the POWTS a sod and site may be inetaW as a test twat 'aMarae drb arlett t to e fS A e p was. tf no replacement e a area is available iwlding tank Mound and at -grade earl abeppb. syateirle (( inMtrad" surface_ tiacanarucaio� of such ` be acted a following removal of fire biomat at the < < WAfINNIINQ> > t °OMPO1r with the ribs in effect st tfoc time. W"IC. P~ AND OTHBi TNIFA TANIIM ISAY CONTAM LETHAL ANDXM A SEp=. MMr On OTMM TMATMENT TANK UMM ANY MMICOMIT OXVSM. DO MOT f'�t1N !F" M THE MT8K Ni OF A TAN[ MAY ME OWNCULT 011 UWOWMF , ANCFS. MATH MAY NMMT. MMOM OF A AGOMMM POWYS MBTALL� Name f'OW1S MAMTAIIIM Phone J �.Y Phone �"TA+9E Rte OPEiATM vuurM Name Lt?CAL tl TORY AUTHOIM Phone Nana � t0 X Pfre, Its 3$b �$ 'tie ' tl►ettsd � wise ChOlOar Cemwr & and 83 -54M. t21 a f31. 1Nlrcwdin Adridni Corte. SULAA 40 a Effluent Pump 3885 APPt.tCAT1tIAtS x > •` � .. • Overload protection must smooth operation Srkm can be operated continuously Specifically designed for the be provided in starter unit, bronze Helier available as without damage. following uses: • Shaft: threaded, 400 series an option. ■ Bearings: Upper and • Homes stainless steel E Casing: CAM iron volute lower heavy dory bap bearing • Farms • Bearings: bail bearings type for maximum efficiency. construction. • Trailer courts upper and lower. • Motets • Power cord: 20 toot ( NPT discharge 11 sys adap d r slide fal )�s ■ Power Cable: Severe duty fo • Schools standard length (optional - rated, a1 and water resistant. • Hospitals lengft available). • Medo deal Seal= SUXOH Epoxy seal on motor end • Industry Single Phase: CAE VS. SIL provides secondary moisture • Effluent systems • % MW 1 h HP —16/3 SJCO CARBIDE seft lam barrier in case of outer jacket with 115 V or 230 V three stainless steel me parts„ damage and to prevent oil Prong plug BUN" N elastomefL widdrg. SPECiF ATtONS •'Y+ -1 % HP —1413 STO with to ShA Corrosion- resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded seating against contaminants • Solids handling capabilities: Three phase: Win. todmut on three and oil leakage. %* maximum *%-I% HP —14/4 STO pie models to guard • Discharge sine: 2' NPT. with bare leads. On GSA t M damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models — 20 foot on accidental reverse rotation. • TOW heads: up to 123 feet length SJTW and STW ■ Motor. Fully wed in TOH. are standard. high -grade turbine on for • Mechanical seal: silicon lu and efficient heat A16 UfAknvdwa Lsborauwft carbide - rotary seat/siticon FEATNES transfer carbide- stationaiy seat, app ■ Designed tat Continuous series stainless steel metal semi- Opera Pump ratings are parts, at eiastomers � m�tical seal t tall moor mMlacturer's • 104O erature: recommended workiraQ Omits„ 104°F OM) continuous Pte- � for 140•F (60 intermittent • Fasteners 300 series METE" FEES - stainless steel sErls Seas Capable of running dry so sue:'rso'" without damage to - WE' RKk V AMOUS components. St+M t Motor o 20 5FT Side phase: z i • % HP. 115 V. 200 V. ; � 15 60 Hz. 1750 RPM : 'h HP �� , so 115 V, 60 Hz, 3500 RPM; S 40 60 Hz, 3500 RPM. V° • < 30 t0 • Burk -in overload with automatic reset ' • Class 8 insulation. 5 Three phase: 1a • h HP — t'A HP 200!230/ 0 0 460 V. tip HZ 35M RPM, 10 20 40 50 so zo eo so 100 110 120 130GPM • Class 8 insulation. 0 1 20 30 asah ' CAPACITY 01995 Goulds Pumps 'q -s l • .D M Elfeedwe Map. 1995 JV4 f 3 ( - ( to U ' Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ I of 3 ' Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code countI 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 locatigP jff7 V%tarrA to nearest road. pL Please print all inforMiP&oq. ' Re iewed by Date Personal information you provide maybe used for secojda( grposes (P *cy Law, s. 15.D4 (1J (m)). Ito.? Property Owner F; ; }:. [, , Property Location R J C Develop Inc. vt• Lot ,NW 114 SW vas 25 T 30 N R 1 g (or) w Property Owner's Mailing Address ; ) r .t .1tit # Blbck # Subd. Name or CSM# 1868 Ct . Rd. C 17; na Richmond Hills city State Zip Code P one`Number r( city ❑Village [Town Nearest Road New Richmond WI. 54017 (71 , 14 CL L�I21 Richmond ® New Construction Use: ❑ Residential / Number of bed'rQ st 1 ' . ' Code derived design flow rate 600 GPD ❑ Replacement . ❑ Public or commercial - Describe: Parent material glacial drift Flood Plain elevation if applicable P ft• General comments and recommendations: and @ el. 101.80', based on contour line of el. 100.80' Boring # 9 / Boring F ® Pit Ground surface elev. 101 .00 ft. Depth to limiting factor 3 --� 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 I 'Eff#2 2 -18 10vr 5/4 none sicl 2msbk mfr aw if .4 3 .5 4 none sl 2msbk mfr UW na .5 M 2] Boring # ❑ Borin 101.00 40 Pit Ground surface elev. ft. Depth to limiting factor ,- -- in. Soil Application Rate Horizon Depth I 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 2 9 -22 10 r 5/4 none sicl 2msbk mfr cm if -4 6 3 22 -40 7.5 r 4/4 non Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ' EflPj #2 = BOD < 3 /L and TSS < 30 mg/L CST Name (Please Print) Signature . CST Number Gary L. Steel 02298 Address Date Evaluation Condu ed Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 10 -20 -2000 715- 246 -6200 ' ' r i Property owner R J C Developme , Inc. Parcel ID # pending Page 2_ of 1 3] Boring # Ej Boring ® pit Ground surface elev. 100.00 ft. Depth to limiting factor 32 n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 1 0 -12 10 r 3/3 none 2 12 -20 10 r 5/4 none 4 32 -55 7.5 r 414 none scl M F-1 Boring # Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil licetion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil lication 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, > 30:5 220 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. SBD4330 (R6M) STEEL'S SOIL SERVICE Gar Steel '�' RJC Development, Inc. 1554 200th Ave. CSTM2298 NW4SW' S25- T - r18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot 317 - Richmond Hills / 1 " =40' - BM. = top of V I pvc pipe @ el. 100.00' Alt. BM.= top of 1" pvc pipe @ el. 99.60' �M r Gary L. Steel 10 -20 -2000 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ► V Cs -- Mailing Address (U 9 N ,, '( 1 tir m ,�� Lcit � ' 0 Property Address / 3 3 O (Verification required from Planning Department for new construction) City /State N.,o Lo Parcel Identification Numbe R? LEGAL DESCRI ZION Property Location NW %., S W %, Sec. T -R—Lk-W, Town of Subdivision Lot # � . Certified Survey Map # , Volume , Page # Warranty eed # CF6 e O (3 Pa � O Vo � � _ �6q ti r e # g Spec house 0 yes no Lot lines identifiable Y es O no SYSTEM MA=NANCE 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 master plumber, 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 fail of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set froth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Cestificatibn stating t your septic system has bear maimained must be completed and returned to the St. Croix County Zoning office within 30 days o the three year a date. SIGNATURE OF APPI DATE OWNER CERTIFICATION (we) certify that allyatements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p nY described v y virtue of a warranty deed recorded in Register of Deeds Office. > IGN TURE OF APP NT DATE Any inf ation 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 I� _ V 2 0 1 0 F 6 2 0 CE, 1 =9 , 4 0 8 4 A 1 1 7 BAR WfB(J)NY\ FoR%l 1 999 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Doojireiit Neribe! ST. CROIX Co., wi This Deed, made between RJC Development, Inc., a Wisconsin RECEIVED FOR RECORD Corporation, 10 9:30 AM W RRANTY DEED xc-MPT # Grantor, and Vincent L. Ostenclorf and - Jodi M. Ostendorf, husband and wife, REC FEE: 11.00 --- ---- TRANS FEE: 94.20 COPY FEE: CERT COPY FEE: PAGES: Grantor, for a valuable consideration, conveys to Grantee the following descrihed real estate in St. Croix State of Wisconsin (if more space is needed, picase attach addendum): Recording Area Lot 17, Plat of'Richmond Hills in the Town ot'Richmond. St. Croix County, Nanrr and ll,lum All.... Wisconsin. KRISTIMA OGLAND ATTORNEY AT LAW P.O. BOX 359 L HUDSON, W1 54016 ()26-1127-17-000 Parcel Identification Konikr fPf\t This is not homestead propertyr Exceptions to warranties: Easements, restrictions and right.', Of-Way OfFCCOrd, :fany. Dated this (lay of October --- --- 2002 "ic By .7�t- -- ---- ---- - ---- --- AUTH ENTICATION ACKNOWLEDGMENT Sit!iuitorcis) RJC Development, Inc—i Wisconsin Corporation, STATE OF WISCONSIN S's. '),I John H. ('at Ison, - President County s,IT1ICjIU Lh ��day o r _ _- October_ 2002 Personally :aine hel'ore inc this day of the above ,..,,d Kri " TITLE MEMBER STATE BAR 01- WISCONSIN I executed the iorquin own to instrument and acknowleaged the sunk authorized by § 706.06, 'Xis. Scats _ 11 IS I' N S I Rl� I NI F. N I %V A S 1) RA I- I ED B Attornev Kristina0gland Notary Public, Sate ot'Wisconsin liudsuo,NVI 54016 My Commission i;4 permanent. 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