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HomeMy WebLinkAbout026-1127-26-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety ar61 Building Division INSPECTION REPORT sanitary Permit No: 430382 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information yo, 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: Mattson, Carl I Richmond Township 026- 1127 -26 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: L) `� �• O E Lv f Co rne,, 7 4 ( +. 6 rij 25.30.18.836 TANK INFORMATION E LEVATI ON DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. I Septic Benchmark '((-I j3m !a, Dosing �m Alt. BM g / .1 2 — out �i a.3s 15 y Aeration Bldg. Sewer ri Holding St/Ht Inlet A - toa 1 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / �, / Dt Bottom i 7 r 7 tl ok I 'f (7 D U wu (3,� Dosing ea e an. w !C g • 7 3.4.4 / 03.71 Aeration Dist. Pipe Holding — - Bot. System 1. ZOt !c 3 if S - 4.3 1 /0 Final Grade PUMP /SIPHON INFORMATION Demand Manufacturer over G'(�,(. ( GPM 0 I- Model Number 0 t S .1 o t z • It WEO31IL 3a. �' hn� ✓ Z s.$ I of, q TDH Lift Friction Loss System Head TDH Ft U-Z, DD &�.q? I C - S_ Forcemain Length Dia. Dist. to Well nolr SOIL ABSORPTION SYSTEM BEDFFRENCH Width r Length No. Of Tseaches ce PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS i SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAW LEACHING INFORMATION _ C OR ` Type Of System: ' " ° - o e um rno nit �� -�l3v , .5A 1�t DISTRIBUTION SYSTEM Header / anifold Distribution ' x Hole Size x Hole Spacing Vent to Air Intake t Pipe(s) `` i l p r' Lengt Dia Length 7� Dia Spacing ,Ci SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over f xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges �� f Topsoil Yes [ No j J es No �t COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 10 / 0 4 / 03 E m,� Inspection #2: Location: 1432 134th Avenue New Richmond, WI 54017 (NE 1/4 SW 1/4 25 T30N R1 8W) Richmond Hills Lot 26 Parcel No: 25.30.18.836 ) Alt BM Description = -1b Q t� W ct,!✓1 L ( (a[ _ i d w/ p VyLal l s r I _ ." 31dg sewer length = pt,�� �c' 4t {y . amount of cover = 5 1 Cb 0�`9ed�[� r :ion Required? ) Yes io _; No 1 3 ,ide for additional infor � � _ (.3/97) Date Insepctor's Signature Cart. No. I ° Sa tp and Haim Divill om Coolly 4L iv i`SC;nsln 20 1 W. w.ottiagtttn Ave.. P.O. Box •alz � Madisatt, wl 53707 — 7092 s.niary Peta+b mrber <10`e fiHW in i� co.) (609) 261 -65" Dep a rt ment of Com merce B Z ce O Sanitary Permit Application ft" kD = 'rMotls , r o. In aectrmd WM Comm 6321, WiL Adm. Code. personal Wfw moos y ou � , may be used for aeoan I ) p+oI , Privacy Law. s 1 S.t1i(1)(ra) Addirix (IfiSguent dm adl *g address) L Appikatim InEorttmatlon — Pkase Print An l eft ECEIVE® _ / 3a ftelfrty Owmr'a Name Parcel M N � Bbc 9 Propatty oweer'= I Address Property tacatiom T. CRUIX COUNT`;' 1 4C- V, �� A. City, Sore Ii Code 1�_ Je UI TI� T N: ItjE F.'.4 J II. Type of H (cbwk an tint apply) S , I X , or 2 Family Dwelhn -Number of Bemoans S"Visiod None CSM Number ❑ PulAWComanarcial - Describe Use 4 � i 0 salve awned - Describe Use �o k ' ` D � 1 2 0CiV 1w-n a gfto.* of ' III. Type of Perarit: (Cheek only one 6ou a Me A. Compkle line B if applicable) A. 4 N. syatam 0 R"a-sa mt systrer ❑ TfeaftweWHoldiag Tank Replace meal any 0 odrer Moafiatiem to Existing System B. 0 Nmasit Reneaumi 0 Permit Revision ❑ Closer of 0 Permit Tramsier to New List Prevw w Permit Number mad Date Wood Be€ome Expataiom Plumber Owner IV. hm of rowts an that 0 Non iced la-Citaw Matod > 2t irL of seeable sal ❑ Mound < 24 im of suitable sail ❑ At°('aade ❑ Single Pass Sand Rber ❑ Coastracsod woland 0 Preasurind hxwo sed 0 Hoktmg Tads ❑ Pat File« ❑ Aerobic Tmomear Unit ❑ Rerarxuatiag Swd Filter ❑ S Media Fiber OLesclungCksamber ❑ Lime ❑ tbber (evisis) V. r atl t An* Inf tion• Deep Flow (V d) D= Sad Ra ited(s0 D Pro"sed (>�) S o° y NI. Tisk Ids Capacity in I Tatal Ntteeber Manufacturer Prefab site steel Fiber plastic Crdioas tlaUom t7nin Coacreme constructed Glass NOW Existift Tads TWO S�tic Flaming Tank (OOD Aesmbic Tnatn" lmir Davin taar6u t00 by YII. Stateaeat f, the ssaaae reriustwomwott. stays se the he attacked pans. Plumber's Nam is •a S 5 B Pbome Number t - tow rs .S '71s S Plumber a Address (sneer, City, Sude. Tap Code) VM sash use Only Approves 0 Person Fee (mclaees � Dale ataaed Agent ' (No Sumps) ❑ Owner Gives, Room for Denial 35D , 2 S?N M cendl"T aF,t�r�o raVReaaans for Dlappepvai SYSTEM 0 NER: 1 Septic tank, effluent filter andy,^� ch�Q dispersal cell must all be serviced / mairbinad as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Mary towfirla ilaw tta art Cowtr •obi tw dw syataa ns ..1 tear tbaa ttii2 s 1 t Faeiaa V atsr SBD -6398 (R. 08/02) is OR tiCL0 =:A24— - 11 i i 1 Lj Ez Q_ _ -. bSL- r y,r o' V 4 _ - , : l , 1 , , , ..... 4 _ AT fJf COMMERCE AFETY 'NO qUILQlNG$' �-RL SP NbE NCE �- Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Visconsin www.commerc .wis ons Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 16, 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: 09/16/2005 Identification Numbers Transaction ID No. 905495 SITE• Site ID No. 664575 Carl Mattson Please refer to both identification numbers, 140TH St above, in all correspondence with the agency. Town of Richmond, 54017 St Croix County NEIA, SWIA, S25, T30N, R18W Lot: 26, Subdivision: Richmond Hills FOR: Object Type: POWT System Regulated Object ID No.: 919432 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: • 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). • 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. ©F ~ r of O`v 15 1J,1 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the 7��'`i `- `t 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. • The changes made to this plan on 9/16/03 by this reviewer were acknowledged and approved by the system designer. _ I CALVIN W POWERS JR Page 2 9/16/03 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. 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. 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 Herman J Delfosse Plumbing Plan Reviewer 2, Integrated Services WiSMART code: 76331 (608)789 -5535 , Mon -thur 6:45 - 4:30 Fri 6:45 -10:45 hdelfosse@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Y TI I'LE SHEET DATE: .-CX PAGE i OF ' MOUND SYSTEM FOR a� A BEDROOM RESIDENCE This pian has been Prqxtred in accordance with the Mound Co q SBD- 10572 -P and the P Dbft& Lion Mamal SB D- -P. I0 573 73-P. nt �tC�'`L s O CR.6199 //' �0 (CR- 6/99) ( f4` � �n LOCATED IN THE A I/4 OF THE X3 114 OF SECTION ,T�, V� RAW, TOWN OF , ST. O� CROIX COUNTY, WISCONSIN. �; • r�an3 �� Lv� o� to INDEx PAGE 1 OF 'R TITLE SHEET PAGE 2 OF ft PLOT PLAN PAGE 3 OF S PLANVIEW CROSS SECTION PAGE 4 OF 7 DISTRIBUTION PIPE LAYOUT PAGE 5 OF $ PUMP CHAMBER CROSS SECTION PAGE 6 OF SYSTEM MANAGEMENT PLAN PAGE 7 OF PUMP CURVE FOR /� P P D BY PO RS E CAVING INC. 1969 185 AVE. �� 7 NEW RICHMOND, WIS. 54017 PHONE: 715 -246 -5135 FAX: 715- 246 -5135 U tk r L. r... Lo ��4 ��. "fin. ► c_� �r.` � _ C1M c -- .. s�- Crc+�rr i loo ...... _ - J'QsA C -i L.s� .�L �Js.� -i ►Gr1r���W -_! -i .��C"_' �f_��' ... j t w c �, tt " CIO - �E - k - - r° C$[,A',- RCE &ETY V"(4 WILUINGS " E;E� NpFNCE _. t c i ce. rA Page Of Synthetic Cow :ring AOm- C33 Distribution Pipe Medium Sand Topsoil F �v,�, I' 3 % Stop* Bad Of 4 2 Force Main Plowed Aggregate Layer D / a l�►.v-. Cross Section Of A Mound System Using E At W'� A Bad For The Absorption Area F -l& IVY% t 2 G !v * A. A ItO Ft. H it. '^ u B v Ft. K Ft. 4• Z - 7 L Ft. J Ft. -. &I of Position i Ft. SEE CORRESPONDENCE Force Main W Ft. 2i,7 Observation Pipe - eftK 3, � Distribution Of E 2 Pipe Aggregate t Observation Pipe Plan View Of Mound Using A Bed For The Absorption Area DiSLX!butlon Pip L ayout page _4 of g Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from tae pipe and holes. lom" d the ewd of ewh h" ap wi* as en of Iaog team or 43' fitmg m a pout srftbM scc GUM *M9 grade. T do ash of dw WSW wft a vacs; less" a* or > rrded plug Provideaoca= II+om Md In* force go or#bns & pb* cCEst. fox - rte • ics� c, 'truss s . 1tiG on% Pv G tawd il1��Y Lrlw�l •. � L.�►N V \ 0a I ip hCARMS Sao. t+rss►�t0� P Ft, Ho le Dia"ter _ Inch S Lateral • _ Iwsi X Ie+dks Manifold_ Farce Okla _ Indus 1of holes/pipe-4-0, Invert Elevation of Lnterals/g Ft. 4" CI VENT PIPE 12" MIN. ABOVE GRADES c- ct WEATHER PROOF ? 25' FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE � WITH CONDUIT MANHOLE COVER 4" Cl RISER W! PADLOCK E 6" MIN. ,._._, WARNING LABEL ABOVE GRADE �.,.__ 4 " MIN. 1.8 IN INLET "will IN I WATER TIGHT SEALS GAS i TIGHT i t f A SEAL ► t APPROVED CI PIPE ~` _L ; AI,M JOINTS W/ CI 3' ONTO B 1 ON PIPE 3' ONTO SOLID �- , SOLID SOIL Orr' C A* RISER EXIT SOIL PUMP OFF ELEV. FT. -�'- ` PERMITTED ONLS D IF . TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE g TANK MANUFACTURER: r NUMBER DOSES PER DAY: A_ TANK SIZES SEPTIC 1 400 GAL. DOSE VOLUME INCLUDING DOSE GAL. FLOWBACK: AL. ALARM MANUFACTURER: CAPACITIES: A = INCHES = 01.7 GALY' `" MODEL NUMBER: o SWITCH TYPE: - B = 2 INCHES = 3-3-5 GAL$ PUMP MANUFACTURER: >4 C = &,t, INCHES = I/ GAL!" MODEL NUMBER: _ bf-50 1 SWITCH TYPE: � D = 2 5 = IJ 9AL��'I` REQUIRED DISCHARGE RATE GP JD PUMP 6 ALARM WIRING AS PER ILHR WA( VERTICAL DIFFERENCE BETWEEN PUM OFF AND DISTRIBUTION PIPE S FEET + MINIMUM NETWORK SUPPLY PRESSURE FEET + - /� FEET FORCEMAIN X * Z2# FT1100 FT. FRICTION FACTOR . Q,7 FEET TOTAL DYNAMIC HEAD = - 4,2- FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH 3� ( 7' i • POWYS OWNER'S MANUAL & MANAGEM ENT PLAN Page 14 of T10N T �r.5 ❑ kA owner permit +t septic D Dose ❑ HoMing` Vol. pd c°J wl Tank Ma t G'�� HA Vol. of Bedn�ooms � a NA of Public Faoditl/ hits DNA Efllnna�R f ar Estimated (average) fknv C)C) 1414" [3 NA Design l flow a Wz*nobd x 1.51 Pump Momfectum t 0, PWW Soa Application Un NA Standwcl h�niknePntlEfAuant d�tY ©S� Meer ©P+sat Filter Fsts, 04 A Gee (FOG :S30 mg+tL d akx*wmicd ox"m Demand !SM nu9& D NA D 1larationn D ❑ tit dw 1N/etlan Total Suspended So&k Cr) St So Mglt. © Disinfection r:::7: +Y Mond* ° ON A rVW Demand (DOD,) f-W MgR D COW) Solids fi SS? fm D NA O In- Ground tom) D In'ox'w:na) � °dl Suspende D At-Grade trnean) S10` du►tOOml a 01:11ar: Partings Sin a 4 M da. DNA t3 DriP life 13 NA Other: D NA o NA +values for � � ww septic nw* afltuem. MA1NTlENANGE s� : sarwlsa evan 0oankmawn 311owM ❑ NA of ts") At least 0000 &verb•. combined Budge and scum gqugk one -#*d Wj of tank vcbxm D NA P'c�rnp out Contents Of tank(s) � the ligh wafiar alanu:b egovated InIP t td go 310) D NA Inspect IM At b es t Once n Y © ) r� ❑ NA At Mast once OvOrY- O NA ❑ nwn�nts) 'Ole $ alawn At t OnGa a�+enY } D NA rw lumb �wfre tam Mast once e+narl►. o mernthla) D NA At least once ❑ © NA MANT84ANCE �TMi�101rB as of hwpettio and ores of the following 5o�es of cartific�in>ns trR desparsal Ns be made by an d S C)pscator { Master Pk nber. master M nnber pAguic� Sewer. �: POVVTS l�ainwin>w' or of the taedc{aZ to WwvWll WW a or broken hardware. identifllan y ground Tank i0apec�nns must X% ds a VhWd MsPa ► for OW bad* up or pip of eat wnl: leaks, rtneasure to �° of con*k sled and snxan and a d�sdc P and M► dvu* for ant {� in the obae�rvad0nn � surface. The d�nersal cal" sisal � be vWuMV WOPOCUd to face 1'ha pon+ding '°f efft� ��� Maas n ay � a fang �' W ponding of effluent on the ground the;enrrvsuste fKdrw dms of the local rephawY mAhoritY- , K bon of sludge mW sewer n ant► treatment tank s4cn� �� {y�j or Mora of the tank volume, �' When the Combined teak be ra�rnac►ad bql a � WW d of in accordance with chapter NA 1 13 entire contents of the Wisconsin AdnMistratNe C*db. m or � c rants. P �r AN other iass. snekKlkV but not limited to the of effhxuct tilts. M units, and any servir� at � of 51 months, shall 13's perforrt+ed � a asrtified POWYS of any service nit• A service nWort sihel be pmwkled to the lo0eI "OAS WV f rrliihsn to do" of GM'W (2102 f Pegs of of paintirm • solvents or other START Up AND ppglAT1OM t the PO � n r � � d °� presume . if high corwWMRWM we d etected F new �• pry o use of III dowdeak that may D a o to us*' hwa the cones of the tanktsl re by septa when ship nut occ ur d are lroaan at the infrlKetive When pow is tamed the excess Sptarn start up u' sn oorditiorts �. tons may � above normal hiplriremr evettwo drern in fire tw�ckW+ or s prior waiter wN be p ower to the cdIW in one Iar1r die � amk ra d try a S Serves OPWSW Of effhlerK. To avail flis 10 r' a w POWTS hgk*inw to amt is menuaSY ai or C ontoct to restoring poor to the effit nt PURV - to restore normal lavais`wKWO #0 is do ar over. or otherwoo disturb or c ompact. the area Do not drive or park vehicles over tanks and disPsrasi �• Oa not drive park or doll absorption aide• do perform and proion6 the oft of the vnifttin 15 feedown slope of any "wurrd '�° from: the wastewater stream rrrsy fa dental floss; durst dMnfsslafat won or elm of the f ; c% cando"M C ~ swra strew: rr�% oil; POWTS. a ba Erl� ftuk and v0plob a P� melt ping Products' p�isd� W sar�arY and sWtow w� ABAN th T out of service the following steps sham be taken to WW" that the systecrf is is When e POWTS fails an IO in �tw C 93.33, Wieconsin Adrrnir*Mvdm Code' property and safety aberdO • AN piping to tanks and Pits shah be a nd the simmWo sd pipe opersrge seated. dgposed of by a Saptape • • The contents of ail tanks and pile +� be ranaysd and preParh tilled with • After ptxrrping. ON to pits shaN be excavated and removed or their covers removed and the void space sod, gravel or W"Yo r inert now material• CONTIN GENCY PLAN foNowirw mosvjrsa have beer'' or ,must be taken. to provide a code liarr< ff the POWTS faits aid cann be repaired the soil ebwPoon replocament erstarn- ar has been svekreted a nd man► be utifaad for the °f ,ouid�� v © A asrit�la aria shotil !ra Pfd ftarn daeeberrm e con "V vection FaAwa to prolaet fllra . Swoop frMn and _Vropowd . tot Nnss and systons rnugt roqtdmd ready in *A need far a new ark and doe evduadOn to 00206" a witab�a arty. ="Vly wlth the taus in affil at that film• ardlor sail �• awring advances in POWTS due to setback 0 A sultat la repiac"ment Wee is not are abia has not been evaluated t rseort ea, reds"failed POWTS- a holdm8 tank JOW be iaats" t)pon fie of the NOWTS a sail and site O The Wu e valuated to idenaify a red area is available a holding tank to iocate a sukebia rapes was. if no r rnernt won must be p y1e filed POWTS. may be brushed as a 190 lsrmt to "*Me* in dare foftwing rwnaval of " Monet at the 1 rAcxrrd and at•gradep liens of slhloerrns must corr+pty �r the vales in ~ at that Zane. su eve rface TAWS MAY CONTAIN LEf"AL ANDIOR � O)C1f6EN• E NOI < <� PMp O O!tR T1NF.ATMHtT TANK fllAHt ANY t�T�' T�EATN MAY IMStikT. t p8gS A FK)M . E WT OF A TANK MAY BE Dgf=&T Olt - P99� Flit THE trfi'E3AIOR ApDITiONAL Cp/rg1NElITS POINTS MMI[fA PtIN'TS AIi.ER Itarrre "lone \ S S t Phonne LOP./1t gEGU AT0W AVTNOFEff SEff^QE S OpEAATON tip c PN "am Phone 7th 39 to Pty m v z sod � a°ei in � v Tft docun� was d w Vo _ of a+a c�.aen c,«.. � ,nd Waushrrr Ca comrn 83.221z3{b)lt3td)tkif) and 83.5411), l2) & 133, ° amptw Goulds ;7 SULA Effluent Pump 3885 APPLfCA7l0U Overload Aron s must er unit. smooth operatiat Silicon can be operated continuously followin designed for the provideul m sart bronze available as without damage. g uses: • Shaft; threaded, 400 series an o • Homes stainless steel. ■ Bearings: tipper and • Farms Bearings: ball bearings W COSIM fast iron volute lower heavy duty ball bearing • Trailer courts upper and lower. lype for maximum efficiency. construction. • motels Power conk 20 2* NPT • Schools toot dt � ■ Power Cable:: Severe duty h (optimal - rated, oil and water resistant. • • Hospitals lengths available). ■ Seat: SMON Epoxy seal on motor and Industry Slrtgfe p CJIRB VS. provides secondary moisture • Effluent systems % and % HP — #cam SJTO CARM sea v faces, barrier In case of outer jacket 115 V or 230 V three S Wnba sbd metal parts, damage and to prevent oil SPWFiCATXW prong plug. OUR" elastomem Pump • ba leads. - 1413 STt) with • DAW- Assures positive `Solids hands n9 ca p rote Tie sealing against contaminants pa s: phase: design. t oclaurt three �• maximum. *% HP — 1414 STO phase models b guard. and oil Discharge Discharge ' drge size: 2' NPT. with bare leads. On CSA G against d damage • � up to 128 GPM. Asted models 20 foot on a nal ree d mage r otati on. AGENCY LISTINGS • Total hem to 1 23 feet ,� rd. s7W ■ice c: sr � TUH �y st�meegeef in �#:al watt silic �� t heat O caatbide -s nar 300 transfer. series stars steel metal ■ fir. Cast Iron, semi- w DesWad � Co ntinoous Parts BUNA -N elastorners. olaeb non -slog with pump. Purt ► ratings are Te mperature - and vanes for mectwfdW seal wWMthemoWm=ftUWs 1041(4ft) continuous PrOtectIM Balanced for reCOMInended wodft limits. 1 ' (W) Irtterrrnittent. • Fasteners: 300 series 'WTE+$ Fr stainless steed. 90 ' Capable of running dry as SERIES: aeas without damage to so we &M- ersexgs components. - GUM Rft v�ous Motor o 2° Stile phase: 1 so • H HP, 115 V. 2W V. 230 V, = i 60 Hz. 1750 RP14- % lip, i s so t 115 V. 60 Hz, 35M S %HP —I%HP, 230V, ' 60 Hr, 3W RPM. :a . t-Irr � with as • Mass ainsulation. S Tkee phase: ,° • K HP —114 HP 2oCQ 460 V, 60 HZ, 3500 RPM, ° ° Class B insulation. ° 1° a° 40 s° eo T° 8d 90 if)0 tit3 S2° 19°GPNt ° 10 f9gg Go Oft Pump, CAPACITY mNh Effective May. 1995 n „er EZ1203H EtZ12 03H 1 ar 24- We i.Ttre - _ 4.625" vv ... �. T.1 ... ..i .! t.t •irr - ••.... •• :.: T•Tt••i. ...r•.. •.. low VW v ..l. lt.1. ♦ •. 1 1.. 2 4 rR Beftm 24" 8ouo„ 36" 36" 12 -112" DIA. (h'P -) Void Coefr A 88 "9 21 0 giv" ars7..- �IREL � Qom. ors =a+ve = .s inches SWCwWf (2 S+dewaps) �. 18."n Void Per Dear f}. �. 14 � 5" ` I2in = 3.1 a 12Z ft • ri< °0 -117 re FR Bottom C3. U. or aeza er - r2.S , h. Z.Qp Vaid wlwne . a ( Tots) Sean fattrhet Arp 1 afc�eyb,.Jw +•t +r.; -3�um 5.14so. (( ! 3.18 • 37s 422 fY J 1 ! 2in r fj ©.D, orossnadee = 13 indin Void 3_0Q .ol ' +Ijected Tre,si Area +une iri o,�s,de cY1itKlers = r •3.t� aw �- •.Sis a t Ia., � � J 901 rr� Sidawatl Height = i2 in. • 2 4. ©� volume b o�detx � 2.� Sq.Ft. bottom betwe� cy1' am 1 Bottom ' 3b in. = � �(12s+�rs �t2at�� �3-t� �° aQ2l5ff` Sq.Ft. tt2ie1�rtl� ProjeetedTI- ChArea = o+d wlwree at wustde I 5.08 S9-PL boll4 owners W of rotd wlume baweer, Total void YI denj 0,215 s = o. IDS rY whrnee > 0.1 17 + 0422 +o.90 1 +0215� 0 _1 8 � Gallotst Per a - 1. a 63 x 7.43 - 17v t .b. �i r s f 36 x ra -S ErS Aggregate Trench System EZ1203H 6 M 1 "CIUSWar Group 0 W dustr'01 P Oakland. TM 18 ork Rd. I D60 � j t FILE WAW-- EZtZ03Ff -+sl tt -27 -o1 • Wisconsin Department of Commerce SOIL EVALUATION REPORT Page — 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 i+ in size. Plan must St. Crinix include, but not limited to: vertical and horizontal fef litNe PoIntl(PM); direction and Parcel I.D. percent slope, scale or dimensions, north arrcW, andYoce'ttorr;and'dis`tance to nearest road. I P endin Q Please print all .Korman -+. a 'wed by Date ,F 2�3 Personal information you provide may be usedfor secondar cwacy Law s. 15 2g 04 (1) (m)). , Property Owner Fopiirty Location R J C Development, n . ` °.? ' get• pt NE 1/4 SW 1/4 s 9 c T N R or) W Property Owner's Mailing Address aT. Lnt #r Block # Subd. Name or CSM# 1868 Cty Rd. C c fi�,� to I na Richmond Hill City State Zip Code Phqne City ❑ Village ® Town Nearest Road New Richmond WI 54017 (7�'Sy ;-` \ Richmond 1 140 th, st. ® New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material glacial dri Flood Plain elevation if applicable .,a ft• General comments and recommendations: mound @ el. 102.40', based on contour line of el.101.40' M Boring # ❑ Boring ® Pit Ground surface elev. 1 0 2.1 0 ft. Depth to limiting factor +90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 I 'Eff#2 1 Q 1 DSH 2 10 -21 7.5 r 4 none sici 2msbk mfr QW if -4 -6 3 21 -65 7. na D 2 Boring # [] Boring © Pit Ground surface elev. 1 02.1 0 ft Depth to limiting factor 44 �,._ in. Soil Appl ication 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 -10 10 r 3/3 none L 2msbk DSH cs if .5 .8 -21 7.5 r4 4 none sicl 2msbk mfr w if .4 .6 3 21 -44 7.5 r 4 none sl 2msbk mfr qW nA .5 .9 4 44 - 7.5yr 4/ f1f7.5yr 5/6 scl I 2msbk mfi yw na .4 .6 5 70 -90 7.5 r 8/E c2d7.5 r 5/8 Limestone Resi uum .0 .0 Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mg/L uent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature . CST Number Gary L. Steel 1�— � 17 0 02298 Address Date E aluation Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 10-17-2000 715 - 246 -6200 Property owner R J C Developmen Inc. Parcel ID# pending Page 2 of 3 a Boring # E3 Boring io Pit Ground surface elev. 99.90 ft. Depth to limiting factor 44, in. Soil — Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fE in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 10 r 3/3 none L 2msbk DSH cs if .5 .8 2 8 -18 7.5 r 4/4 none sici 2msbk mfr qW if .4 .6 5 76-90 7.5 r 8/6 c2d7.5 r 5/8 Limestone Resi uum .0 .0 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Applicafion 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 # F] Boring 1:1 Pit Ground surface elev. Depth epth to limiting factor in. Soil 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 > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 5 30 mg/I- 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 (R.6100) s STEEL'S SOIL SERVICE Gary L. Steel RJC Development, Inc. 1554 200th Ave. CSTM2298 NE4SW4 S25- T30N -R1 8W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #26- Richmond Hills N .-1 " =40' to of 1" pvc pipe @ el. 100_00' t. M = top of NE lot stake @ el. 95.00 3� o 139 O �p T I f �1 �1 Gary L. Steel 10 -17 -2000 ST CROIX COUNTY ` SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM 1 Owner/Buyer Mailing Address Co acj � �, � T� r ,, \ OA J (A-Xt SY0 / -�r Property Address o n' (Verification required from Planning Department for new construction) City /State � _ Parcel Identification Number oa fin — l c a7 - ,a(o - oo v C. (0) LEGAL DESCRIPTION Property Location PV F /,, Ste_ y,, Sec. 2M�, T2Q-N -RA- W, Town of R' f)1 h4 LiS Subdivision �40 Lot # Certified Survey Map # Volume ,Page # Warranty Deed # - 7 3 8 J b (U Volume r �,� Page # S- Spec house ❑ yes l no Lot lines identifiable X yes 0 no SYSTEM IkIAIlJTENANCE 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 wastewaterdisposal 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. Uwe, 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 returned to the St. Croix County Zoning Office within 30 is of the a year expiration date, c9 ,1 1 1 () 3 >IGNA URE OF APPLICANT DATE 3 WNER CERTIFICATION Y (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 he property escnbb('ve , by virtue of a warranty deed recorded in Register of Deeds Office. i A OF APPLICAN DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. rs• «.. • 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 decd VOL 2334 M2 253 STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number WARRANTY DEED 738 1106 This Deed, made between RJC Development. Inc., a Wisconsin KATHLEEN H. WALSH Corporation, REGISTER OF DEEDS - - Grantor, and Carl L. Mattson and Wendy L. Mattson ST. CROIX Co., WI , husband and wife, tee. RECEIVED FOR RECORD Grantor, for a valuable consideration, conveys and warrants to Grantee 08 /29/2003 11:00AM the following described real estate in St. Croix County, State of Wisconsin Space is needed, please attach addendum): WARRANTY DEED Lot 26, TRANS FEE: lat of Richmond Hills in the Town of Richmond, St. Croix EXEMPT # unty, Wisconsin. F EE : 107 0 0 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address a- / dl Y 'wkop -Af 026 -1127 -26-000 Parcel Identification Number (PIN) This is not homestead property (is not) Exceptions to warranties: Easements, restrictions and rights - of - way of record, if any. Dated this Z day of August 2003 RJC Development, Inc. AUTHENTICATION ACKNOWLEDGMENT Signature(s) RJC Development, Inc., a Wisconsin Corporation STATE OF -- — — -- — ) by.. —. � �U I P_i V 1�-'t �'�- J ,_ Ls �rv�l ) ss. County ) authenticated this�� day of Augus , 2003 ` Personally came before me this — — _ day of Kristina O land the above named TITLE: MEMBER STATE AR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, WI 54016 Notary Public, State of 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 Co., Fond du Lac, WI STATE BAR OF WISCONSIN 800. 655 2021 WARRANTY DEED FORM No. 2 - 1999 r �.r. .........,...N vv Ivvl ui, i-oVi1uC io vvesL. 1-11 ----" NOTE: The parcels shown on this MOP are sut A ChM Q j'1G( J lows, rules and regulations ( i.e. wetlanas. Mir T(' (,( etc.). Before purchasing or developinc ony pan Zoning Office and the appropriote Town 000rd UVPLA TTED L ANDS _ -�— S; i_ENGiI; 215.00' 215. n0' 235.00' 235.62' 80' RADIUS TEMPORARY C ;E- DE -S;-- TG B MOVED UPON EYTEN,'(SIOIS OF THE ROADWAY. LOT 25 LOT 26 LOT 27'. L011- ` TOTAL AREA: TOTAL AREA: TOTAL AREA: 114,790 SO. FT. f09,90 SO. FT. 113, 833 SO, FT. 2.64 ACRES 252 ACRES 2 61 ACRES Carl 4 3 CJ � / 1 p/ I , JI �n tom. W r �VWWV V�/� ✓1 U.j a t!; v 1D Z Z Lai ko . SFy i Q -6- 1 v . .. .. _ 2f — — — — - — — 10 N99'52'S5 ° w 360.22' TOWN ROAD - - .-� 12 i ter (j ` g h_ _ — — — —�, %� � �% 11i � -- rJco•� ^'� = ^yti 36'.;.6" - 0- � i . . . . . . . . . . . . . . . . . . . . LOT 28 3 TOTAL AREA: 0 106, 274 50 FT. LOT 29 0 2.44 ACRES m TOTAL . AREA o N LOT 7' 30 T. Jl / i^nri-