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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: ` 395295 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 Develop I Richmond Township 026- 1127 -31 -000 CST BM Elev: Insp. BM Elev: BM Description: IL7 t/ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Q d Alt. BM ' Q Q A ation Bldg. Sewer �. Holdin t Inlet 0. 5-5 -- q3. TANK SETBACK INFORMATION t/ t Outlet 1 q 3.0 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ] / Dt Bottom Dosing 7 / S 7 Header /Man. 9 y L AamWp Dist. Pipe 3 7- Hold' Bot. System /J PUMP /SIPHON INFORMATION Final Grade > S'a 5 Manufacturer �� Demand St Cover / 6 GPM Model Number ZQ,(O TDH Lift Friction Loss System Head TDH Ft Y G -5 33 Forcemain Length Dia. Dist. to well r/ S SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /_ ' S Z SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM CHING Ma6ufacturer. INFORMATION CHAM Type Of System: 7 _ I �— IT Mode DISTRIBUTION SYSTEM Header /Manifold Distribution x Ho / le Size I x Hole Spacing Vent to Air Intake � ( � ) / r 1 � Lengt Pipe(s _ Dia Length Dia I L Spacing : 3 d� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over IDepth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/rrench Center Bed/Trench Edges Topsoil Fill] Yes [W No [1# Yes ❑ No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: s / 0 Inspection #2: q 0 /? ,// 0 Location: 1417 134th Avenue New Richmond WI 54017 NW 1/4 SW 1/425 T30N R18 Ri ._. Parcel No: 25. 0.18 t 1.) Alt BM Description / �5 2.) Bldg sewer length = i// ' �Jt"D ljl � 4 ` 1 " orb, t. -amount of cover= ;1 L" \\ / 3.) Contour = /6, &e lo. s'ro,�; = 0/ Plan revision Required? ❑ Yes No / Use other side for additional information7n 1A Y 1p i SBD -6710 (R.3/97) Date Insepctor's Sjjnature Cart. No. t i �_`�Q i `��sP \, , . �._ ��� Safety and Buildings Division County " t■ 201 W. Washington Ave., P.O. Box 7162 ` scon��� Madison, VVI 53707 — 7162 Site Address Department of Commerce Sanitary Permit Application S'"` Persist Number p in accord with Comm 83.21, Wis, Adm. Code, personal information you provide ❑ Check if Revision may be used for seco ses Privacy Law, sl5. 1 m State p� I.D. Number p I. Application Information - Please Print All Information �1\ __ . �. 7, Property Owner's Name v a 1 Number 5� 3 •/ Property Owner's Mailing Address 2001 Pro Lannon ! 1 T N, R CI , Statc Zip Code r Number t AumberV Block Number r \ bdivision Name CSiyt Number � y ^-- r — g r s y ✓ z II. Type of Building (check all that apply) ❑City 50 1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public /Commercial - Describe Use Township ❑ State Owned Nearest Road M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete IIne B if applicable) F�Cou=nty �use A 1 Nevy 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to system Tank O xis ' System B. ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numberinng scheme is for internal use) /0,05.68 A� 44 ❑ Non - Pressurized In- Ground 2110 Mound v 47 ❑ Sand Filter 50 ❑ Constructed Wedand a4 . 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line ` 45 C1 At-Grade 46 C3 Aerobic Treatment Unit 49 11 Recirculaan 30 ❑ Other �o r X7V /) V. Dispersa llTreatment Area Information: 6wiAvr Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days / q.3c) (Min./Inch Elevation Vf 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' Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber' Nam (Print) Plumber's Si MP/MPRS Number Business Phone Number Plumber's Address ( trcet, City, tate, Zi e) If VIII. County /De artment Use Onl Approved ❑ Disapproved Sanitary Per nit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse 32 S°� 9(i8 G/ Determination C itio f A �l URR D.isa rovul ' g�uen�fil ?er tt7 p l7e rov lnslalleTan gmarnta l ne8�er manufacturer's recommendations. 2. All setbacks to system and residential structure must meet applicable code requirements. j 3. Property is zoned Ag- residential - only one principal dwelling is allowed on this property. 4. Floodplain mapping = Zone "C" Attacb complete plans (to the County only) for the ugem oo paper not teas than $In z 111 locbas in size SBD -6398 (R. 05101) j Safety and Buildings 4003 N KINNEY COULEE RD w LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 �seonsin www.commerce.s i www.vriscon sconsin.gov n.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary August 30, 2001 CUST ID No.224263 A7TN.• POWTS Inspector ZONING OFFICE KIM A O'CONNELL ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/30/2003 Identification Numbers Transaction ID No. 669570 SITE• Site ID No. 634664 RJC DEVELOPMENT INC Please refer to both identification numbers, 140TH ST L above, in all correspondence with the agency. TOWN OF RICHMOND ST CROIX COUNTY NW1 /4, SWIA, S25, T30N, R18W LOT: 31, SUBDIVISION: RICHMOND HILLS FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 808033 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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 Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 101) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST (0 1/8 1) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • POWTS tank and a minimum of 50 feet from xhe absorption The well must be a minimum of 25 feet from an O Y area. • 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 explaining that periodic cleaning of the filter is required • 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). In addition, 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. . - s i KIM A O'CONNELL Page 2 8/30/01 • 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 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued b the registered POWTS maintainer. department as a re P g Y P g • 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. Stats. 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. Sincerely, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 /J d ' / xvZ4 BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer II- Integrated Services WiSMART code: 7633 (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM cbratz@comrnerce.state.wi.us cc: RJC DEVELOPMENT INC MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE P--jecIt Name: R,j.C. DEVELOPMENT INC O\Are!'s Name: R.i.C.- DFVELOPMENT INC. 0*" A 11 reSS: I i-%UU Q-u -SOMER-SET W! -54025 K.Iftl -1 A/ T11^KI_MAPIAI Legal L I*ivv I E st; P M!r I lu I\ 11w; v County, %,, r W1 , y , O klan!n: -�NRACNKID &Ad( IQt I I IN I Lot Numbef'. J 1 Emock Number. M arcel l. KI nn-1 44n ^nn Tian Transaction No.. b _ . !ndex and i title W RECEIVED Pqr 2 Data entry ConMonali r-a 3 110ound AUG 1 0 2001 rJan Pane i ter-ai qntl rjnQm tmnk- --:4r: s rnimaintenancep ;,;,, U m AP PROVED F-ci - 1 ; b ' e " . , , - - s 1 '� Cat ons S DE am & LOGS DIV, RWIIIIIIENTOFCOWAERCE Porin A rmon!3narnont onil Inn in an %i . � AM �ane 7 Dump cuirve and sprecifii;alonc , - U nrn R P1 nT P1 AN SEE CORRESPONDENCE Desinner: KIM A OCONYEIL -Ucenso Nu-m!7�er: 221263 y r .r, Date. ubiubh I hone Nurn, ber: i 10- i 00-�i 1 4�) ,-;I v i lat Df-uqi iW Pu. wa(iL Lu the Mound Cornnonent Manua! for POWTS Version n.qnR-i nAQ1 -P (14, 01 IN 1 anti d 1 1 — --- --- , , X... - 11 - 11 00%A/RAM A f r);S+ ;h!!44on 0r 0AC% fA4104N I;vw;vI. T �,;_ WWI; V.w kW 11V 1) Vercinn'A,n/nom /n1 /n11 Dona 1 of A b Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.60 Peaking Factor (e.g. 1.5 - 150%) coliform of <= 36 inches. 460.00, Design Flow (9pd) 6,00 Site Slope (%) 92.96 Contour Line Elevation (ft) 36.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 76.001 Dispersal Cell length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest ra in the distribution L Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.126 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.00 ft /orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? Y 88.40 Pump Tank Elevation (ft) Enter Y or N 0..7V OytotUlll MaU (It) A 1.0 �� FVll:emi llll Dratlll.ack (gal) 5.05 Vertical Lift (ft) 67.38 5x Void Volume (gal) 0.39 Friction Loss (ft) 73,91 Minimum Dose Volume (gal) 11.94 Total Dynamic Head (ft) 20.60 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Sele in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 X 1.25 x 2.00 1.50 x X 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information 1000.00 Total Tank Capacity (gal) 1000,001 Se p is Tank Capacity (gal) 52.00 Total Working Liquid Depth (in) wee Manufacturer 19.23 gal/fn (enter result in cell B49) Dose Tank Information Effluent Fil Inf ormation 8W.001 Dose Tank Capacity (gal) lZabell Filter Manufacturer 19.64 WO Dose Tank Volume (galAn) Filter Model Number weeks 7 Manufacturer r.....:....a. R ' n P'.EVE /' PMENIT I4 C rgaG L VI 8 il.J.l,. L.4-It" 1 Jr'IYIGIVI NC Ir:vu RA 1I%A DI n \/ TV e:u : ci'.a: r rvrr Alk 1/10 B J Observation Pipe Q �1 ►i _ K p [5j A W B �7 r L :: "vioai%d Component viiiiei:iI � r� w V U I I I i -i A q.vv ft r- y.ov irl H I.vv Il rC 1. 3 ft B 75.00 R F 9.50 in i 7.38 ft L 89.65 ft D 6.00 in G 0.50 ft J 4.67 ft w 18.06 ft 4,")U.001, ft'j vispersai i;eii Area �txi (1t j Kasai Area Avaiiabie 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mou19 - % 4 A, vi ovsa vev?<i ^ vii .,V. to vp erS:, n .. niyar a3 : -I ... •iJ rtc: a�i . -,r c :: r'1111JIICU 171i:1UC Ca.44 k1l) H __.... G * F DispersalC.en 93.95 (ft) Lateral 93.45 (ft) �► ---- �\ Invert Dispersal Cell D :. .. t Elevation E . 4 9 .95 (ft) Contour Elevation F.n N o S ite <:Ion Geotextile Fabric Cover Shading Key m - X , a rsai Cell See lateral details on 1� 0 Topsoil Cap c 1.5 ft — Page 4 for number. I� Subsoil Cap a 4 0 0 /�) size, and sparing of ASTM C33 Sand � J F laterals. Laterals are [� Tilled Layer = 0.5 ft Typical Lateral equally spaced from ❑5 Aggregate It 0 the distribution cell's �-- A centerline in the distribuMinn rail (AvR1 I"1.•..:....a• r1r \!CI ^r16AMKI-r IAIP- M O C O I iV)G'vi. .....i.4. 7..1L YL�LVt- iViLi'ii ii'3L i afir J 01 C•i t ��u v�ni•�O�v La4ert! L a yout D i a gram Latwals ceritered o%," the men • = Turn -u vid ba l l valve rw alea"Out u R P 9 l All laterats are klenbcal I f x j � FkA t &illed W the bo"01% of the 14Wa1 $ equaNy spaced FOM MA o rdWt" Vta too or oroS£ to rnai� at 4% point. li 41s b& fofCt rtfain i f PVC � �t7 fper COMM TaW 034.30 - r IVUIII{J@I VI LALCItlIJ G VIIIII:C ulclIIICLCI III Lateral Diameter 1.50 in Orifice Spacing (X) 3.06 ft Lateral Length (P) 73.44 ft Orifices per Lateral 25 Lateral Spacing (S) 3.00 ft Orifice Density 9.00 ft /orifice Lateral Flow Rate 10.30 gpm Manifold Length 3.00 ft System Flow Rate 20.60 gpm Manifold Diameter 1.50 in Total Dynamic Head 11.94 It Forcemain Velocity 2.10 ft/sec i.i o a � TnL 11"fvr ^f .�i iiic i Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —�► Comm 6.sB V AC Disconnect X 4;n. Tin. Tank component is properly vented Alternate outlet location _ Forcemain diameter tiveeks Manufacturer 2 in. Capa 800.00 Gallons —� Volume 19.64 gai,lnch A _ Weep hole or anti - Dimension Inches Gallons B siphon device A 28.08 551.58 C B 2.00 39.28 ump off elevation (ft) C 4,65 91.30 88.90 D 6,00 117.84 D Total 40- 80600 moose tank elevation fft1 3 Bedding under tank. �— 88.40 Alarm Manuafacturer ISJ ELECTO SYSTEMS Alarm Model Number HW 101 Pump Manufacturer I GOULDS Pump Model Number I WE0311L •ustt 'I r 1 D P lllllk.! IVIUJt DGIIVCI ( GV. vvf gp lll u l u f I I.y`Fl — 1 Ur'1 F yjY.;.,t i;. J,'v. ►1G L'GLLi�i'rivrV i 1PIC r"A�f, i - i t 1 in ^X.Amd.-. vyste s: N e'iaiiw'U 4A.::=A c�.�N ° ci.�'. : C;`.'W%.g catiai + Service Provider's Name KIM A OCONNELL Phone 715-755 -3145 POVVrS Regulator's Name ST CROI CO ZONING Phone 715-386-468n "r .3 [Ci:: : SVrJ Gi ai LV64A r'Qi Qili:.iCi:S UeJlyl I rluw - r" iddr, 4JV gpo' IYIdXII I IUI I I II 111del It Pal UUt! - :--r ILt7 1/O 111 Estimated Flow- Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft Maximum FOG 30 mg/L Type of 'Wastewater Domestic 1 Maximum Fecal Colifor - m >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Insow for ponding and seepag once every 3 yeam Other Miscellaneous Construction and Materials Standards fn L; V: I'J; F; JE ;C iii, 11 - GIi'J ii i. ii-;ia7. -LV;i; 0ii:J: IGLA Vv:iiiii WJ+ 0,1 4 J' v` i i i 1aV Q C3 MICI LIaI I L UCIP, and are serfheft in nc chop in in tho mnl inri rnmrnnent manuai !1 n:....... -Sal .. ii .., .... a.. c.....,.. 4, n,....,.... OA e)n �c\�:\ inr.. n.4.... a ..4 . wiJt'e JGi LC:: vu; -vj 3:v Wi iii w; I ; S L:1 w. t+ >y� v� vi:iiiiii'J•t.J'J w� \'�i vvla. r.U:::. •...:;J... I G11 nmv anri nre Ira nini mat rnntnrm t o the r en t Iira mant e in f .nmm Rd %Afic Grim Code A T:ljan f tL.,. "-Sal .. I'..L. ...J .',L. 1..1 L........J C L-; Se I..... =I. , iicaa� vi :I ;- ::aa7 arc$ : a%i:iiiii li,�I;cU VVILI; ci liivlu uualu yr Cl liacl NIU•:r. F Tho mnf mri stn Irt� Ire anri nfhar (tietf irhari groac \Agll ha ceaded and mi Ilrhed to nrcvent evil erosion ,4 help .-...d.. .. c....,., 4; iu : Icil.; ; cuu%c � - I icu Lateral Turn -up Detain Finished ...,� N ..•r —• �. Grade 6 -8" Diameter Lam V Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Froject: R.J.C. DEvEL l "vC Paae 5 of $ 0 1AF: AAM. • . C e 4 %0 f�%� rr *')CA d Wv . I iwz, ay,-Avni auali vv operacea in accoroancavom ram. ioae, and snaii maijuain57 in ac-curoanc-ownri its component rnanuai5 and S-vVivir ruuiiGazioni %;.o kUii0i)j and iocai or aatu ruiF- per to syaarn maintonancu anu maintenance reDortina. Ain one -k,. 1, , . �ntnr •n r�nnfir nr r — VVvi A.dm I ......... ... 4 WV l Z, coil ipoilu. Sentic or numn tank manhole rr-il-r-; accesF, risprs, and cnvp.r shniild he insneoti;td for water hol and soundness Access oDP.ninaS finr f�.O-_Ann nn.J rSnn�.�_mnnt ezhnfl hn srn!n� .vntnrt!nht !,!n th- ofe��,A A - - , - OPO dc�cmcd umsound. dnfct nr to fa MU be M ExPn aon000 ninao Ynatel than .9 ShF0 he b an eff ;ye !nnkj'no Ha . ne. to proviank aucidentai or unauthoriz_ C. Septic Tank The F tank c�ha!l he rnninhjin,o�d hy an infjk�dl!n! nef tifl e d t f � e f + i, .-L , .. r A ..._.,_.,,.,,,.,_, _ j � 2al. 4.9, Stats The contents f t of c�e.-A;o tank Arim bo _-nnon ot umx evvi Y 3 yvurzwicy Thn niltlF* filter shall he cleaned as nFx:ASSarvtn ensure nrnner nneration The filtArr.artridnP not he removed unlPmn nrmAsions are n1ndiP. to retain so!idn in the tank that may sic -ugh off the fi!ter ,vhen 'rem- from itt� No "'. if the F..fte" -k- bn - c -A cod if tho - i s Octi con - o, 1 r mitt t fiftor orms may indicec flovvs or an, !mpmdIng cortinuous -!.^r i fM V.TAIV i 11 WIM 114 RZ;i •1 UiUdq(a UN;J ZA;UM in lhvi,iw( v)%;trwj�j 1/3 Ulu liquid vviumv V1 Ulu Lank, if the contentq of the tank are not removed at the time of a triennial Fmv-4 �_Pnt maintenance nArqnnnel shall adNA-,A the owner of "an the np)d needs to he performed to ntain !e than rna�" srnum and ....... t ........ or, i n t he tank Pumn Tank jod ,I:T,n ,_ + 4 In r ro+ion If an nffluent fl!te, is h the t ank o hnfl he i --d --- :no ho Nigutid wid Fru-ssure DiyZi Sy:sium No trepm or shn ihs should hP. Planted on the mound PlFkntinnq may he made amend the mound pprirnFtpx and the mound shall he c �eede land m0ohed ? nec� to prevent eroc. and t o prn P some prntect f rom I f".• -- I __ penetrat Tra ( oth e r th-, . on + hc mo! ind i s not ronommonHod s coi compnot may hinds, nor in of tho ; n 19 ft _t i\ vn =- Vvfth the mound and sno - QuiripuQUun ill Ulu willivi • vili Prumviv cuid VMULilul 4izAW1uUum;i (OQWL;t!; diuLtsivLhul Lfiv muwid LX_' i1trMl . iY MWQM,� I as orritsin.tion from frP07inn ___4 )n M t a nk -fi Ann 1CZ1i:(\ --A - 1700 4 W) P Cn,- f jent or - W)--A Mnr% W) -,A TQQ 1()MnA cnt, and 1()4 t ......... .... !nfl, if the PGF.mit fur thin in - aiiation. I he pressure distribution system isPro\Aded with a flushing Point at the end nt each lateral, and it is recommended that each lateral be flushed of ncq of!nnn nnnn n 1P mnnthrt Wlinn n P-.1.^.rrncd it !zhn�:!d hc co!npirod to the ini ink tn� whnn thn to rjpterM;ne;f Orifinn n!n-ni hoc n . ..... -4 4 ;f ifinj!! nii— -; to —,..I the diuipwaw coil. Observation Pipes within the dispersal cell shall be checked for effluent ponding- Ponding levels shall be reported to the owner, and any levels abovo e !nchos con- as on impond hy fb roqung addit ,or fr qucnt monit- ii MU xPiK; LUIM Vi oily Ui M5 bv - _ Lhv ui l;umpvt;vik - �huii bu ivpuiiW ui ivpiuuvd Lu kvvp Um %;YZAum in nror)p.r onp.rntinn condition if the dnSinV--L- "Plat . ................... mpn_ ., a nomponont "Lv it viii vief"Irw vi fwp;i v�;W it its nrp--;Pnt location by increasing halal area if top. lea knnp occurs or by rpmo\i no hinlonina IN clonned nh%nrntinn and d i%npx%al media a nd related pip and rep!ao t-a !7�omponentS a!� deeM!!�d neCe�c�.jr�, t- krin^ +kp m4e M ;In prnper n rit;ng n n Pe cnnditi Qnn P30 P. of thin� P!nn for thn nnmc no DrN%A/rO 0 AA , d felon MMbOr Of';'oL!r - so vi Q , Curves Pumps �a l A/MRi FEET iMODEL 36&5 -- ;--- ,—�SIH 1 /4" Soilas r— • — w E 1 Sr1 --�— •— —r - -t — I - - -1 _ — l — � to ' � � , ?V � WE 10H •rte — �—t _ �-- t � — �� . —�.. 1. wE07N }- 7 -- —; 0 10 x 00 40 w w 70 E� 54 1 GJ 1 10 :ti —~ co Pm :,.) M r CAPACITY G OULD PUtr'PS METEH9 FEET —* —T- 0 L JJ0 r , 1,G WE�15hN SIZE 3 /4" Solids 60 _ 17 7 - 1 WEOSNN 71 I o L o 0 r0 ?0 30 K> w w W ICJ 110 I:'0 GPM L 0 ,0 CAPACO'! • 104 Oovtoo Pvmpo, Inc. C�c�r� 98«30/2001 10:38 7152473038 BELISLE EXCAVATIN I PAG 0 1 1 / 8e�: ,Fl C , L��y�`/o��r,F �iVl`: �u/� SW1�' s kc.s r3Qi✓ iP /fit u Cr* G Aclyawo •,? -lam' a ' o �NRi s / �' , .5CA7 Zi; c ZA COWIIE W ,lot 9s . 4 Wiscor.' In De' artment of Commerce SOIL EVALUATION REPORT Page 1 _ 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 S r iX 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. pendin Please prim af►;fiiojrrnaiQir, Rev ewed by Date Personal information you provide may be dsgd fprsecondary purposes(Pclvacy Law, s. 15.04 (1) (m)). , 7 La D� Property Owner Property Location R J C Develo ment, Sac. �� � v Govt. Lot NW 1/4 SW 1/4 S 25 T 30 N R 18 Nor) W Property Owners Mailing Address _ r (; j Lot # P ck # Subd. Name or CSM# 1868 Ct . Rd. C �a t `" 31 I Richmond Hills City State p P�1 ' er El City El Village (0 Town Nearest Road 1. ` New Richmon WI 4.0'13 ( "447-5721 Richmond 14 0th- St- 91 New Construction Use: ❑ Reside?)iQ'af / Number f bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement El Public or c Mmerg _d_esi;&e: Parent material glacial drift Flood Plain elevation if applicable ft• General comments and recommendations: mound @ el. 93.95', based on contour line of el. 92.95' ❑ Boring # n Boring 1 © pit Ground surface elev. 93.60 ft. Depth to limiting factor 51 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. k 'Eff#1 'Eff#2 1 0 -12 10 r 3/3 none L 2msbk DS cs if .5 .8 i f .8 3 4 -51 7.5 r 414 none sl 2msbk mfr •5 • 4 1 -75 7.5 r 4 none scl M na na na .0 .0 2 ] Boring # El Boring 93.60 ® pit Ground surface elev. ft. Depth to limiting factor 36 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 'Eff#2 1 0 -10 10 r 3/3 none L 2msbk DSH .- cs if .5 .8 2 10 -28 10 r 4/4 none sil 2msbk mfr 9W if .5 .8 28-361 7.5 r 4 none sl 2msbk mfr qw na .5 .9 scl n Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L /1fn t #2 = BOD 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address ate Evaluation Conflucted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 10 -17 -2000 715- 246 -6200 + y � Property owner R J C Developmen , Inc . Parcel ID # pen r] ns(4 Page 9 _ of _ 3_ Boring # ❑ Boring ® Pit Ground surface elev. 91 .1 0 ft. Depth to limiting factor 43 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 0 -11 1 cs if .5 .8 2 11 -24 10 r 4/4 none sil 2msbk mfr qW if .5 ,8 3 24 -43 7.5 r 4/4 none sl 2msbk mfr 9W na ' ' 43 -60 7.5 r 4 4 c20.5 r 5/6 scl M na na na .0 .0 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. - 'So flApplication 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 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil A 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 < 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.6 /00) STEEL'S SOIL SERVICE Gary L. Steel RTC Development, Inc. 1554 200th Ave. CSTM2298 NW4SW4 S25- T30N -R18W New Richmond, WI 54017 MPRSW -3254 town of RichMo id (715) 246 -6200 lot #31- Richmond Hills N 1 =40' BM.= top of SE lot Stake @ el.100.00' Alt. BM.= top of 1" pvc pipe @ el. 91.70' S �d `7 \ Y, 7 �Q , t 1A\ �3 3 +` GAry L. Steel 10 -17 -2000 ST CROIX COIII�i'I'Y — - • SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP C19R,TIFICATION FORM Omwwffittyer ✓e 1 6 ) 0zn rej Z Mailing Addtress G �! l •��P °j��fs�,7` r d.�S Pmpmty Address (Verification required from Planning Dcpartinentiari3ew coustr _ Parcel identification Number LEGAL DESCRIPTION i Property Location l� Y, Y,, Sec. -�, T2 N -R W, Town of Subdivision 2 4!0 Lot # Certified Survey Map /# volume , Page # Warranty Deed # Cr.� -� �1 . Volume ,1 s'c� 7 - Wage # If'`L Spec house M yes 0 no Lot tines identifiable yes ❑ no SYSTEM_MARMNANCE 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 ycata or sooner, if needed by a licensed pumper: What you put into ft system cote afect the function of the septic tank as a treahrtew stage is the waste disposal system. The property owner agrees to submit to St. Croix Zoning Deputroent a califioation.focm, signed by the owner and by a nisswplumber pk=Aw,-restrietedphinitw, or a liecascdputaper-.vsrifyiag that (t) the out -site wastewirterdisposal system is its proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tauk is less thm 113 full of sludge. Uwe, due undersigned have read the above regairea watt gad agree to matutam the private sewage disposal system with the standards wt forth, herein. as set by the Department of Commerce and the Department of Natural Resources, State of Wiscocsin. C«tirwatku Oft that your septic system has been maintained nrast be completed and - retraced to the St. tax County Zoning Office within 30 days of the three year expiration date. S SidiiXTURE OF LICANT DATE OWNER. CERTIFICAMN I (we) czrtify that all statements on this form are true to the best of my (our) knowledge, I (we) am (are) the owner(s) of dtc property described above, by virtue a warranty deed in Register of Deeds Office. T __2s re� /o S GNATURE OF APPLICANT L DATE s•s'•' Any motion that ismisv epresentedmaytesultinghe- _saniarlr pettruit being avokedby -the Zoning Departiomt• strs.• s" with this application: a stamped warranty deed am the Register of Deeds 91r= a copy of the certified survey map if reference is trade in the arauacty deed .: .1507PAU 155 A 622236 STATE BAR OF WISCONSIN FORM 2-1999 KATHLEEN H. WALSH Document Number WARRANTY DEED RE OF DEEDS 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 11 Grantor, and RJC Development, Inc., a Wisconsin Corporation CERT COPY FEE: COPY FEE: TRANSFER FEE: 1195.00 RECORDING FEE: 10.00 PAGES: 1 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 and Return A ress The NW '/. of SW ' /,; the North 4.5 acres of the SW '/. of NW '/r the NE' /' r(�/R/ /L of SW '/. and the SE '/, of SW 'h; all in Section 25, Township 30 North, Range 18 West, St. Croix County, Wisconsin. 026 - 1073 -30- 000;026- 1073 -40- 000; 1073- 60-000 Parcel Identification Number (PIN) This is not homestead property. Of) (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 STATE OF WISCONSIN s) Jerome A. Mortel and Dianne J. Mortel, husband ) ss. and wife County ) authenticated this day of May 2000 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 4 706.06, W is. Slats.) 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.) worm.UW Pror+++ioMls Company, Fond du Lac, WI + Names of persons signing in any capacity must be typed or printed below their signature. e00a55-2021 STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 -1999 !'� •• tO r � v 54 Q ' t ~ 1 o a (A r i i i._.._.._ S00'13'S3'E CA (P � ' 1 '+ p 33' N I I I co 1 I p - - - - -- 126.08' - -- - - - - - -- 292.91' ------ - - - - -� ' co i ® • C t N00'05'55'E ' A ,� N � _ � S00'13'53 "E 01 rn w . w N00"05'55'E 418.96' -_- _126.06 - ---- ------ - - - - -- 292 . 90 '------ - - - - -, I ' ' 1 � � N I O ............................. I 1' Z I N 1 OD O 1 � �' n O 50073'53 "E a ya - � a ka "'� I pi W �� ' 4 1 r 1 1 0 205''' 29 4.52' 501 "E 1 ' • � O • I 293.01' t r r 1 r tr r r r N°�r v O / �1 SOI*5i*08'E 49 �O r ► ; t i r t t t l + t L-x x x x x � x x x x�--- 297.56' _ D0 06'48 "E 591.55' i I + N00"13'S3'W 565.88' MA TCH LINE , MA TCH LINE .�EE SHEET 2. 0 `, SEE SHEET 2.